chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Asthenia, Injection site vesicles, Loss of consciousness, Pallor, Respiration abnormal
Clinical narrative: This was her second/last vaccine given after 6 months from the first vaccine. She had blood drawn prior to the vaccine while fasting, but was fine after the blood was drawn. Then they gave her the vaccine and she fainted within approximately 15 seconds after injection. She began to breathe heavily and shake, and then came back into consciousness and was pale in the face, and slightly warm. She was weak for a couple of hours after that, and then back to her normal self. She also developed a blister at the injection site.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Skin warm, Syncope, Tremor
Clinical narrative: This was her second/last vaccine given after 6 months from the first vaccine. She had blood drawn prior to the vaccine while fasting, but was fine after the blood was drawn. Then they gave her the vaccine and she fainted within approximately 15 seconds after injection. She began to breathe heavily and shake, and then came back into consciousness and was pale in the face, and slightly warm. She was weak for a couple of hours after that, and then back to her normal self. She also developed a blister at the injection site.
Age: 89.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Injection site bruising, Injection site erythema, Respiratory tract congestion, Rhinitis
Clinical narrative: Client reported Redness and bruising of arm, spreading beyond injection site. The redness had calmed down within 48 hours (when the reaction was reported). Client also reported congestion and Rhinitis starting the same day as immunizations. She has been treating with over the counter remedies since, but the symptoms were still bothersome enough to continue OTC treatments 48 hours later.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV4, MNQ, TDAP
Symptoms: Fall, Syncope
Clinical narrative: Nurse gave vaccines TDaP, MCV4, Flu, HPV 9. When given HPV9 child fainted and fell from exam table but did not hit his head broke his fall w/putting hands in front of himself. Observed 15 min. given soft drink. BP 105/73, P 80. Waited 15 min. observed was able to walk out w/out complications.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site reaction, Local reaction
Clinical narrative: Large local reaction surrounding injection site started the evening at 10/3/17, 10 x 14 cm.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Blood sodium decreased, Blood test, Cellulitis, Erythema
Clinical narrative: Pain in arm - severe - 4 hrs later. Swelling - down to mid-arm. Redness - down to mid-arm - entire arm. Fever - 101. Weakness. Nurse states developed cellulitis: Allergy. Admitted to hospital - 2 day 1/2. Given IV antibiotics. Several blood tests.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Hypersensitivity, Pain in extremity, Peripheral swelling, Pyrexia, White blood cell count increased
Clinical narrative: Pain in arm - severe - 4 hrs later. Swelling - down to mid-arm. Redness - down to mid-arm - entire arm. Fever - 101. Weakness. Nurse states developed cellulitis: Allergy. Admitted to hospital - 2 day 1/2. Given IV antibiotics. Several blood tests.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Joint range of motion decreased, Malaise, Pyrexia
Clinical narrative: Headache low grade fever arm range of motion decreased. Patient had vaccine on 10/7 and called 10/9 to report adverse effects. Patient stated she did not feel well since the vaccination.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Pyrexia, Vaccination site warmth
Clinical narrative: Redness, warmth in 4" area around vaccine site, R arm 2cm bruise at injection site, with tenderness Fever first night after vaccination.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Lethargy, Pyrexia
Clinical narrative: Lethargy, swelling and redness at the injection site, fever.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Fatigue, Irritability, Rash
Clinical narrative: She got a rash all over her back, stomach and is now spreading to face, very irritable and tired, so far no fever. Haven't brought her in to the dr yet. Called the nurse line to advise.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Patient mentioned fever, soreness at immunization site, redness and swelling at site. MD gave prescription for MONODOX 100 mg BID for 10 days as a preventative in case of infection. Patient also stated MD mentioned could be a possible blood vessel issue. Patient was getting much better when presenting to the pharmacy on 10/07/2017. On this date he still had some redness and heat at the site of injection. Patient said he does not feel bad. Patient stated on 10/09/2017 that the arm is nearly clear and doesnt have any complaints.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Musculoskeletal disorder
Clinical narrative: Severe pain in shoulder where vaccine was administered. Limited use of right arm due to pain.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: One hour after receiving flu vaccine employee broke out in hives on arms, followed by stomach and then legs. No other symptoms. Took 40 mg Benadryl at bedtime. Hives were gone in the morning.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patients arm became red and warm to touch about 2-3 cm around injection site by noon. Instructed patient to take BENADRYL and report back the next day.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: Patient reported redness and warm to touch about 24 hours later. Also sore to touch.
Age: 86.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Nerve injury, Pain
Clinical narrative: Patient reported pain and numbness immediately after injection that lasted 3-4 days.
Age: 25.0
Sex: F
Vaccine: FLUC4
Symptoms: Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: C/O Left arm numbness immediately after receiving.
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Culture, Injection site erythema, Injection site pain, Injection site vesicles, Staphylococcal infection
Clinical narrative: Patient complaining of site pain, 4 days prior to coming to office. Dr. noted patient to have superficial vesicle at injection site with redness and clear drainage. Culture obtained. Patient put on Cephalexin and awaiting culture results.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Cough, Dyspnoea, Nausea, Pruritus, Vomiting
Clinical narrative: Phone call received from reception. Mom brought pt back inside building after immunizations because she is having a hard time breathing. 1457: pt in room, audible wheezing heard. Mom states that she gave her a puff of albuterol in the car but didn't have a mask/spacer. O2 Sat 82-88 %, pt coughing and nauseous. 1459: Dr. notified and in room with pt. Pt vomiting. 1505: 10 mg Dexamethasone given IM per MA, O2 Sat 100% on room air, pulse 146. 1510: pt continues to vomit. Mom at beside. 1515: pulse OX 97, pulse 112. No further vomiting noted. Mom at bedside. Pt is starting to itch. 1530: 25 mg BENADRYL given orally. 1600: pt continues to itch. 0.15 mg EPI given IM per RN.; RN at bedside. Ambulance called per protocol. 1605: ambulance here, report given. Mom and dad at bedside and going to ER with pt.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Wheezing
Clinical narrative: Phone call received from reception. Mom brought pt back inside building after immunizations because she is having a hard time breathing. 1457: pt in room, audible wheezing heard. Mom states that she gave her a puff of albuterol in the car but didn't have a mask/spacer. O2 Sat 82-88 %, pt coughing and nauseous. 1459: Dr. notified and in room with pt. Pt vomiting. 1505: 10 mg Dexamethasone given IM per MA, O2 Sat 100% on room air, pulse 146. 1510: pt continues to vomit. Mom at beside. 1515: pulse OX 97, pulse 112. No further vomiting noted. Mom at bedside. Pt is starting to itch. 1530: 25 mg BENADRYL given orally. 1600: pt continues to itch. 0.15 mg EPI given IM per RN.; RN at bedside. Ambulance called per protocol. 1605: ambulance here, report given. Mom and dad at bedside and going to ER with pt.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Breast pain, Dizziness, Fatigue, Lymph node pain, Nausea
Clinical narrative: Patient states she started feeling sore, tired, light-headed, dizzy, and nausea within minutes of the injection. Went home and slept from 7:30 PM that night till 5 AM next morning. She reports that her arm pain went down to her hand and on the inside to her arm up to her right breast including lymph node. All symptoms started same day and have continually gotten better each day.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient states she started feeling sore, tired, light-headed, dizzy, and nausea within minutes of the injection. Went home and slept from 7:30 PM that night till 5 AM next morning. She reports that her arm pain went down to her hand and on the inside to her arm up to her right breast including lymph node. All symptoms started same day and have continually gotten better each day.
Age: 1.0
Sex: F
Vaccine: MMR, PNC13
Symptoms: Cyanosis, Oedema peripheral
Clinical narrative: Cyanotic episode lasting a few seconds associated with edema of the feet and possibly altered level of consciousness. Mother reports the child got quiet during the episode. Lasted a few minutes. Back to baseline by the time paramedics arrived with possibly minimal cyanosis of part of the lip. ? Seizure like event. No treatment needed.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Skin warm
Clinical narrative: Patient reported the next morning that her arm was warm to touch and had about 2-3 cm. of redness around injection site. It lasted until 9/23/2017
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Musculoskeletal stiffness, Nausea
Clinical narrative: PATIENT REPORTED EXTREME HEADACHE, MUSCLE STIFFNESS, AND NAUSEA. PT WENT TO THE EMERGENCY ROOM FOR TREATMENT.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Wheezing
Clinical narrative: Patient presented in Employee Health Services c/o intense itching and feeling like she was wheezing. BP 154/83, HR 101, RR 24. Taken to ER by wheelchair with 2 lpm O2. According to records patient received: BENADRYL 25mg IV, Albuterol Nebulizer, TOPROL XL 100 mg po, MEDROL 4 mg tab po, EPIPEN 0.3/0.3ml IM, SOLU-MEDROL 125mg IV, and PEPCID 20 mg IV. Discharged home with MEDROL DOSEPAK and EPIPEN. Also instructed to continue BENADRYL po.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Malaise, Pruritus generalised, Urticaria
Clinical narrative: ABOUT 45 MINUTES AFTER VACCINE DEVELOPED GENERALIZED ITCHING; SCATTERED HIVES ON NECK, FACE, L LEG, R MID BACK; GAVE 50MG BENADRYL PO, BEGAN TO RESOLVE 20 MINUTES LATER, RESOLVED NEXT DAY, GENERAL MALAISE , DIARRHEA X 2 DAYS.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Patient received PPSV 23 11/18/2009 and again on 1/19/15 and again on 10/6/17 (incorrect spacing to dosing). No signs or symptoms observed. Patient was informed.
Age: 19.0
Sex: F
Vaccine: MENB
Symptoms: Injection site reaction, Injection site urticaria, Pruritus, Rash, Rash erythematous
Clinical narrative: Patient reports developing red rash over injection site that was "like a hive." Rash spread to chest. Associated with itching. No pain. Resolved after 4 days without intervention.
Age: 86.0
Sex: F
Vaccine: PPV
Symptoms: Blood glucose increased, Blood pressure decreased, Fall
Clinical narrative: Patient reporting decreased blood pressure leading to a fall, as well as increased blood sugar.
Age: 60.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Cellulitis, Pain, Pyrexia, Tenderness
Clinical narrative: Patient was awakened in at 3:30 am with soreness in the area so bad that it could not be touched. Took Advil all day but didn't feel better. Went to see a Dr. on 09292017 with a fever of 101.5. The doctor diagnosed the problem as cellulitis and suspected the cause was from the immunization. Patient was prescribed antibiotics for treatment.
Age: 16.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Dizziness, Headache, Nausea, Pyrexia
Clinical narrative: Parent reported this am that within 4 hours of receiving vaccines on 10/6/17, developed 101.8 degree oral temperature, headache, dizziness, nausea, no vomiting, and weakness. this continued for almost 48 hours. Fever gone since 10/8/17 but other symptoms remain.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Dizziness, Dysphonia, Fatigue, Injection site erythema
Clinical narrative: Extreme fatigue, nausea, dizzy, swollen glands, hoarse voice, chills, 10cm diameter redness and swelling around the injection site. Also, warm to the touch.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site swelling, Lymphadenopathy, Nausea, Skin warm
Clinical narrative: Extreme fatigue, nausea, dizzy, swollen glands, hoarse voice, chills, 10cm diameter redness and swelling around the injection site. Also, warm to the touch.
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of injection site erythema in a female patient who received FLUARIX QUADRIVALENT (batch number 5GC54, expiry date 21st May 2018). Previously administered products included Influenza vaccine (received on an unknown date and had no reaction with flu vaccines). On an unknown date, the patient received FLUARIX QUADRIVALENT. On an unknown date, less than a year after receiving FLUARIX QUADRIVALENT, the patient experienced injection site erythema, injection site induration, injection site itching and injection site swelling. On an unknown date, the outcome of the injection site erythema, injection site induration, injection site itching and injection site swelling were unknown. It was unknown if the reporter considered the injection site erythema, injection site induration, injection site itching and injection site swelling to be related to FLUARIX QUADRIVALENT. Additional details were reported as follows: The age at vaccination was not reported. The patient experienced red, hard, swollen and very itchy area, about 3 inches in diameter around the injection site. This case was linked to case US2017GSK152158, as reported by same reporter.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Lymphadenopathy
Clinical narrative: This case was reported by a other health professional via sales rep and described the occurrence of injection site swelling in a 44-year-old female patient who received BOOSTRIX (batch number 7Y29Z, expiry date 17th August 2019). Concomitant products included vitamin D. On 29th August 2017, the patient received BOOSTRIX (intramuscular) .5 ml. In August 2017, less than a week after receiving BOOSTRIX, the patient experienced lymphadenopathy cervical. On 30th August 2017, the patient experienced injection site swelling. On an unknown date, the outcome of the injection site swelling and lymphadenopathy cervical were not recovered/not resolved. The reporter considered the injection site swelling to be possibly related to BOOSTRIX. It was unknown if the reporter considered the lymphadenopathy cervical to be related to BOOSTRIX. Additional details were provided as follows: The case was reported by a medical assistant. The patient experienced injection site swelling at the right arm where the injection had been given. The swollen lymph node was on the right side of the neck. On 31st August 2017, the patient was seen at the physician's office for injection site swelling and swollen lymph node on the right side of the neck. On 29th September 2017, the patient was at the office to see the physician because both symptoms had not yet resolved and remaining unchanged. The reporter gave permission to be contacted by global clinical safety and pharmacovigilance (GCSP) with any further related questions.
Age: 52.0
Sex: M
Vaccine: FLU4
Symptoms: Pruritus generalised, Throat irritation
Clinical narrative: Was seen approx. 1 hour after initial injection. States approximately 20 minutes after injection began feeling "funny" sensation in throat, generalized itching to entire body. No redness or hives noted, no redness, irritation or hives at injection site. Was able to speak clear complete sentences, no change in LOC. Denies allergies or issues with flu shots in the past. Was sent immediately to ED for further eval. States received oral BENADRYL and symptoms resolved. No lasting symptoms since then.
Age: 67.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Cellulitis, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Patient woke up the morning after the vaccine was given. Her arm was swollen and hot so she called the drs office. She was told to take advil and ice the arm. By Friday morning she was running a fever and went in to see the dr. The doctor diagnosed her with cellulitis and was treated with antibiotics.
Age: 22.0
Sex: F
Vaccine: RAB
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Patients states 2 hours after receiving her initial dose on 9/29/2017, she began feeling a "tightness" or "discomfort" in her chest with some SOB. This lasted consistently and "started to go away" on Sunday 10/1/2017. She returned to the same hospital on 10/2/17 and received RABAVERT dose #2; lot number 564011A given IM in left deltoid. She stated again after 2 hours she felt the same symptoms.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: PATIENT REPORTED PAIN IN LEFT ARM, SHOULDER TO ELBOW WAS SWOLLEN AND RED.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Bedridden, Muscle fatigue, Pain
Clinical narrative: PATIENT HAD JOINT AND MUSCLE FATIGUE 2 DAYS AFTER THE INJECTION. NO OTHER CHANGES IN DIET, MEDICATION, OR HEALTH UNRELATED TO THE VACCINE. WAS BEDRIDDEN FOR 2 DAYS DUE TO THE BODY PAIN. STILL HAD SOME JOINT PAIN TODAY (5 DAYS POST INJECTION) BUT COULD GET OUT OF BED.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Lip swelling, Pruritus, Swollen tongue, Tongue blistering, Urticaria
Clinical narrative: Hives on scalp, face, trunk, legs. Severe itching had to take antihistamines round the clock through Monday October 2nd. Swelling of lips and tongue, blisters on tongue. Symptoms subsided Monday evening October 2nd while I was soaking.
Age: 81.0
Sex: F
Vaccine: FLUA3
Symptoms: Erythema
Clinical narrative: Erythema from shoulder to elbow.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Right arm redness, warm for 2 days.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Tic
Clinical narrative: Dramatic increase in facial tics.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Abdominal pain upper, Fall, Headache, Limb injury, Loss of consciousness
Clinical narrative: Within 2 minutes after giving the vaccine, the patient complained of headache and stomach ache. The patient then fainted and knocked over a display as he fell. 911 was called and EPI-PEN was prepared. EPI-PEN was not used since patient regained consciousness within a few seconds. He slowly regained his senses and within 2 minutes was only complained of a hurt shoulder from the impact. Emergency workers came to monitor and test patient but found no maladies. They did not recommend further treatment. Patient left within 30 minutes without complaints other than hurt shoulder.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: Within 2 minutes after giving the vaccine, the patient complained of headache and stomach ache. The patient then fainted and knocked over a display as he fell. 911 was called and EPI-PEN was prepared. EPI-PEN was not used since patient regained consciousness within a few seconds. He slowly regained his senses and within 2 minutes was only complained of a hurt shoulder from the impact. Emergency workers came to monitor and test patient but found no maladies. They did not recommend further treatment. Patient left within 30 minutes without complaints other than hurt shoulder.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Localized itching, redness about 3 inches across, swelling.
Age: 52.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site bruising
Clinical narrative: Patient developed large bruise (2 inch) soon after at site of injection.
Age: 42.0
Sex: M
Vaccine: FLU4, PPV, TDAP
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Swollen, red arm.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Headache, Nausea, Pain in extremity, Rash macular
Clinical narrative: Approximately 20 minutes after receiving the vaccine, the employee developed dizziness and felt faint followed by acute arm pain, nausea, vomiting X several episodes, and a fine macular papular rash over arms trunk, neck, and scalp. The employee reports she took ALEVE that morning and later took her own BENADRYL after going home. Today 10/9/17 she is no longer vomiting but still has a rash and headache. She did not report to work today.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Rash papular, Vomiting
Clinical narrative: Approximately 20 minutes after receiving the vaccine, the employee developed dizziness and felt faint followed by acute arm pain, nausea, vomiting X several episodes, and a fine macular papular rash over arms trunk, neck, and scalp. The employee reports she took ALEVE that morning and later took her own BENADRYL after going home. Today 10/9/17 she is no longer vomiting but still has a rash and headache. She did not report to work today.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Attention deficit/hyperactivity disorder, Autism spectrum disorder, Dysgeusia, Head banging, Hyperacusis
Clinical narrative: He had a severe reaction and was running around the house, hitting his head on the walls. Then he showed signs of sensitivity to light, sound, smelling, taste, and touch.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Hyperaesthesia, Laboratory test, Parosmia, Photophobia, Sensory integrative dysfunction
Clinical narrative: He had a severe reaction and was running around the house, hitting his head on the walls. Then he showed signs of sensitivity to light, sound, smelling, taste, and touch.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: High Dose was given but not yet 65 years old. No adverse reaction.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt reports approximately 2 hours after the injection, she began having redness and swelling as well as tenderness in her L upper arm, extending beyond her elbow. She reports she is not allowed to take BENADRYL, sought no treatment and did not self-medicate reaction. Pt presents today 10/9 with mild redness and swelling noted to L upper arm distal to injection, but proximal to the joint. Area is not hot to touch.
Age: 1.0
Sex: M
Vaccine: MMR, PNC13, VARCEL
Symptoms: Eczema, Pyrexia, Rash generalised
Clinical narrative: Pt was given shots on 10-2-17 and per mom pt had ran slight fever after shots but on 10-4-17 pt ran a fever of 105.3 with TYLENOL per pt mom reports. Pt was taken to local ER for evaluation and per mom reports that ER doctor told her to give TYLENOL and Ibuprofen for fever. Pt's mom said that fever broke on 10-6-17 but pt broke out in a rash on 10-6-17 from head to toe. Pt's mom described rash to be "like an eczema rash but it is not eczema". Pt mom reports to Health Department Immunization Nurse on 10-9-17 that "his rash has faded but it is still there and he has not ran a fever since 10-6-17." Pt mom was told to take pt to be evaluated by his pediatrician's office where he received the vaccines.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site swelling, Throat irritation
Clinical narrative: Patient came back to clinic after driving home with scratchy throat and swelling of injection area. Denied fever. Patient was seen in resource and directed to ER.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Severe left shoulder pain with significant restriction of motion of left arm.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Hypersomnia, Injection site erythema, Injection site swelling, Injection site warmth, Insomnia
Clinical narrative: Swelling of L upper arm. Redness & warmth encompassing bicep, tricep & eventually spreading just past elbow over 72 hrs. Sore upper arm. Fever, body aches & nausea during 1st 24 hours. Disturbed sleep & excessive sleep for 48 hrs. Have received a flu shot annually for many years w/o adverse events.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Swelling of L upper arm. Redness & warmth encompassing bicep, tricep & eventually spreading just past elbow over 72 hrs. Sore upper arm. Fever, body aches & nausea during 1st 24 hours. Disturbed sleep & excessive sleep for 48 hrs. Have received a flu shot annually for many years w/o adverse events.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, PPV
Symptoms: Peripheral swelling, Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: Swelling of L upper arm. Redness & warmth encompassing bicep, tricep & eventually spreading just past elbow over 72 hrs. Sore upper arm. Fever, body aches & nausea during 1st 24 hours. Disturbed sleep & excessive sleep for 48 hrs. Have received a flu shot annually for many years w/o adverse events.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Aspiration joint abnormal, Joint effusion, Joint swelling
Clinical narrative: Left knee effusion on 10/5/17 that continued to worsen with swelling, pt was seen in clinic again 10/6/17 at which time, knee aspiration was performed. Synovial fluid aspiration showed 75% eosinophils.
Age: 26.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Myocarditis, Troponin increased
Clinical narrative: Myopericarditis; chest pain with elevated troponin.
Age: 77.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Arm redness and swelling.
Age: 24.0
Sex: F
Vaccine: FLUC4
Symptoms: Syncope
Clinical narrative: Patient received injection and was standing talking to staff several minutes afterwards. She fainted and stood right back up saying she was just looking for something and then fainted a second time. She was assessed by clinical team and released within 1/2 hour. Patient attributes it to "the needle" and was not concerned about situation. She had not indicated prior to injection that she had issues with needles.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: SWOLLEN INJECTION SITE THAT RADIATED TO ELBOW, FEVER (UNKNOWN TEMP) PATIENT STATES SHE TOOK TYLENOL, SYMPTOMS LASTED FOR 2 WEEKS. PATIENT STATES SHE IS WELL NOW. ALL SYMPTOMS HAVE SUBSIDED.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Pruritus, Rash
Clinical narrative: Rash and itching noted 2 days after vaccine administration. Reports today, 10/9/17 dime sized red raised area at injection site.
Age: 35.0
Sex: M
Vaccine: MNQ, TD, TYP, YF
Symptoms: CSF protein increased, CSF test abnormal, Central nervous system inflammation, Lumbar puncture abnormal, Myelitis transverse
Clinical narrative: Patient has developed a progressive neurological disorder first characterized by tingling in his extremities and urinary retention that has progressively worsened over the past several days. This could represent either a post viral myelitis or perhaps reaction to vaccinations (question yellow vaccine specifically).
Age: 35.0
Sex: M
Vaccine: MNQ, TD, TYP, YF
Symptoms: Nervous system disorder, Nuclear magnetic resonance imaging spinal abnormal, Paraesthesia, Radiculopathy, Urinary retention
Clinical narrative: Patient has developed a progressive neurological disorder first characterized by tingling in his extremities and urinary retention that has progressively worsened over the past several days. This could represent either a post viral myelitis or perhaps reaction to vaccinations (question yellow vaccine specifically).
Age: 49.0
Sex: M
Vaccine: FLU4
Symptoms: Mobility decreased, Myalgia, Pain in extremity
Clinical narrative: Patient states muscular pain when lifting arm after receiving flu shot. States he was unable to lift arm above head for about 1 week following receiving flu shot. About 2 weeks after shot, patient came into the pharmacy and states that arm is still sore. I looked at the area and it was not red or swollen.  He is now able to lift arm above head but states the area is still sore.
Age: 46.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Chromaturia, Hyperhidrosis, Immune system disorder, Injection site erythema
Clinical narrative: Pt reported malaise, sweating, chills beginning on the morning after vaccine administration. Visual inspection of the arm where vaccine was administered had redness spread down the arm away from the injection site on 10/8/2017. Pt also reported having "dark urine". Pt was advised to seek medical attention and he went to the local urgent care on 10/8/2017 where he was evaluated by the physician there. Pt reported being told that the reaction he was experiencing was his body's immune response to the vaccine and a steroid injection was administered. Upon follow-up with the pt on 10/9/2017, pt states all is ok and he feels fine now.
Age: 46.0
Sex: M
Vaccine: PPV
Symptoms: Malaise
Clinical narrative: Pt reported malaise, sweating, chills beginning on the morning after vaccine administration. Visual inspection of the arm where vaccine was administered had redness spread down the arm away from the injection site on 10/8/2017. Pt also reported having "dark urine". Pt was advised to seek medical attention and he went to the local urgent care on 10/8/2017 where he was evaluated by the physician there. Pt reported being told that the reaction he was experiencing was his body's immune response to the vaccine and a steroid injection was administered. Upon follow-up with the pt on 10/9/2017, pt states all is ok and he feels fine now.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Pain and swelling in arm from shoulder to elbow.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: 24 hours post vaccination febrile reaction. Temps as high as 104... continue to persist on 10/9. Temps fluctuate between 100 and 102 degrees Fahrenheit at present. Do not respond to TYLENOL, aspirin, or ibuprofen.
Age: 64.0
Sex: M
Vaccine: FLUC4
Symptoms: Pruritus, Rash generalised, Urticaria
Clinical narrative: Within 24 hours he had a generalized rash and "hives" with no respiratory complications. He had a Dermatology appointment scheduled and they were to call in a cortisone cream, but did not. He came in to our Clinic today with "intense itching".
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal discomfort, Dizziness, Nausea
Clinical narrative: 10-15 minutes after receiving the flu vaccine, employee felt light-headed, stomach "fluttered", later developed nausea that did not resolve until that evening.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain, Abnormal behaviour, Agitation, Asthenia, Axillary pain
Clinical narrative: Hi i just want to start by saying I'm not sure which TDAP vaccine I got, it isn't listed on my patient information sheet I got with the warnings at the time of vaccination. I felt ok when I got the vaccine on Tuesday and then after about an hour and a half arm pain began then radiated up my neck. Then I started feeling sick to my stomach. The next few days I became very nauseous and had trouble eating. I felt awful. My arm really hurt quite badly and raising it above my head or using it caused a lot of pain. My neck stiffened and I developed a headache. Then on September 29th I noticed my armpit hurting. On October 1st I went to the hospital for terrible pain in my armpit and my upper left arm was very swollen, as well as the armpit and the area above my left breast. The pain aggravated my Vasovagal Syncope. The hospital said it was my lymph nodes. After two days the pain stopped but the swelling was still present, but not as bad. I continued to have trouble eating and feeling very sick and feverish. I never developed a fever over 99.4 though. I sweated and became very weak. I also developed some emotional issues during this. I cried one night for three hours and felt very depressed and said I wanted to die. This is abnormal for me and not usual behavior. I became agitated and moody. I also lost 6 lbs after getting this vaccine from all of the side effects. I developed strong pain in my low back that started on October 2nd which I took TYLENOL for, and then also got diarrhea with severe cramping that made me very nauseous and sweat profusely. I almost stopped eating entirely until October 6th when I started to feel better. October 9th now and I am feeling better.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Back pain, Condition aggravated, Crying, Decreased appetite, Depression
Clinical narrative: Hi i just want to start by saying I'm not sure which TDAP vaccine I got, it isn't listed on my patient information sheet I got with the warnings at the time of vaccination. I felt ok when I got the vaccine on Tuesday and then after about an hour and a half arm pain began then radiated up my neck. Then I started feeling sick to my stomach. The next few days I became very nauseous and had trouble eating. I felt awful. My arm really hurt quite badly and raising it above my head or using it caused a lot of pain. My neck stiffened and I developed a headache. Then on September 29th I noticed my armpit hurting. On October 1st I went to the hospital for terrible pain in my armpit and my upper left arm was very swollen, as well as the armpit and the area above my left breast. The pain aggravated my Vasovagal Syncope. The hospital said it was my lymph nodes. After two days the pain stopped but the swelling was still present, but not as bad. I continued to have trouble eating and feeling very sick and feverish. I never developed a fever over 99.4 though. I sweated and became very weak. I also developed some emotional issues during this. I cried one night for three hours and felt very depressed and said I wanted to die. This is abnormal for me and not usual behavior. I became agitated and moody. I also lost 6 lbs after getting this vaccine from all of the side effects. I developed strong pain in my low back that started on October 2nd which I took TYLENOL for, and then also got diarrhea with severe cramping that made me very nauseous and sweat profusely. I almost stopped eating entirely until October 6th when I started to feel better. October 9th now and I am feeling better.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Eating disorder, Emotional disorder, Feeling abnormal, Headache
Clinical narrative: Hi i just want to start by saying I'm not sure which TDAP vaccine I got, it isn't listed on my patient information sheet I got with the warnings at the time of vaccination. I felt ok when I got the vaccine on Tuesday and then after about an hour and a half arm pain began then radiated up my neck. Then I started feeling sick to my stomach. The next few days I became very nauseous and had trouble eating. I felt awful. My arm really hurt quite badly and raising it above my head or using it caused a lot of pain. My neck stiffened and I developed a headache. Then on September 29th I noticed my armpit hurting. On October 1st I went to the hospital for terrible pain in my armpit and my upper left arm was very swollen, as well as the armpit and the area above my left breast. The pain aggravated my Vasovagal Syncope. The hospital said it was my lymph nodes. After two days the pain stopped but the swelling was still present, but not as bad. I continued to have trouble eating and feeling very sick and feverish. I never developed a fever over 99.4 though. I sweated and became very weak. I also developed some emotional issues during this. I cried one night for three hours and felt very depressed and said I wanted to die. This is abnormal for me and not usual behavior. I became agitated and moody. I also lost 6 lbs after getting this vaccine from all of the side effects. I developed strong pain in my low back that started on October 2nd which I took TYLENOL for, and then also got diarrhea with severe cramping that made me very nauseous and sweat profusely. I almost stopped eating entirely until October 6th when I started to feel better. October 9th now and I am feeling better.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Hyperhidrosis, Injection site swelling, Lymphadenopathy, Malaise, Mood altered
Clinical narrative: Hi i just want to start by saying I'm not sure which TDAP vaccine I got, it isn't listed on my patient information sheet I got with the warnings at the time of vaccination. I felt ok when I got the vaccine on Tuesday and then after about an hour and a half arm pain began then radiated up my neck. Then I started feeling sick to my stomach. The next few days I became very nauseous and had trouble eating. I felt awful. My arm really hurt quite badly and raising it above my head or using it caused a lot of pain. My neck stiffened and I developed a headache. Then on September 29th I noticed my armpit hurting. On October 1st I went to the hospital for terrible pain in my armpit and my upper left arm was very swollen, as well as the armpit and the area above my left breast. The pain aggravated my Vasovagal Syncope. The hospital said it was my lymph nodes. After two days the pain stopped but the swelling was still present, but not as bad. I continued to have trouble eating and feeling very sick and feverish. I never developed a fever over 99.4 though. I sweated and became very weak. I also developed some emotional issues during this. I cried one night for three hours and felt very depressed and said I wanted to die. This is abnormal for me and not usual behavior. I became agitated and moody. I also lost 6 lbs after getting this vaccine from all of the side effects. I developed strong pain in my low back that started on October 2nd which I took TYLENOL for, and then also got diarrhea with severe cramping that made me very nauseous and sweat profusely. I almost stopped eating entirely until October 6th when I started to feel better. October 9th now and I am feeling better.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Musculoskeletal stiffness, Nausea, Neck pain, Oedema peripheral, Pain
Clinical narrative: Hi i just want to start by saying I'm not sure which TDAP vaccine I got, it isn't listed on my patient information sheet I got with the warnings at the time of vaccination. I felt ok when I got the vaccine on Tuesday and then after about an hour and a half arm pain began then radiated up my neck. Then I started feeling sick to my stomach. The next few days I became very nauseous and had trouble eating. I felt awful. My arm really hurt quite badly and raising it above my head or using it caused a lot of pain. My neck stiffened and I developed a headache. Then on September 29th I noticed my armpit hurting. On October 1st I went to the hospital for terrible pain in my armpit and my upper left arm was very swollen, as well as the armpit and the area above my left breast. The pain aggravated my Vasovagal Syncope. The hospital said it was my lymph nodes. After two days the pain stopped but the swelling was still present, but not as bad. I continued to have trouble eating and feeling very sick and feverish. I never developed a fever over 99.4 though. I sweated and became very weak. I also developed some emotional issues during this. I cried one night for three hours and felt very depressed and said I wanted to die. This is abnormal for me and not usual behavior. I became agitated and moody. I also lost 6 lbs after getting this vaccine from all of the side effects. I developed strong pain in my low back that started on October 2nd which I took TYLENOL for, and then also got diarrhea with severe cramping that made me very nauseous and sweat profusely. I almost stopped eating entirely until October 6th when I started to feel better. October 9th now and I am feeling better.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Pyrexia, Syncope, Ultrasound Doppler, Weight decreased
Clinical narrative: Hi i just want to start by saying I'm not sure which TDAP vaccine I got, it isn't listed on my patient information sheet I got with the warnings at the time of vaccination. I felt ok when I got the vaccine on Tuesday and then after about an hour and a half arm pain began then radiated up my neck. Then I started feeling sick to my stomach. The next few days I became very nauseous and had trouble eating. I felt awful. My arm really hurt quite badly and raising it above my head or using it caused a lot of pain. My neck stiffened and I developed a headache. Then on September 29th I noticed my armpit hurting. On October 1st I went to the hospital for terrible pain in my armpit and my upper left arm was very swollen, as well as the armpit and the area above my left breast. The pain aggravated my Vasovagal Syncope. The hospital said it was my lymph nodes. After two days the pain stopped but the swelling was still present, but not as bad. I continued to have trouble eating and feeling very sick and feverish. I never developed a fever over 99.4 though. I sweated and became very weak. I also developed some emotional issues during this. I cried one night for three hours and felt very depressed and said I wanted to die. This is abnormal for me and not usual behavior. I became agitated and moody. I also lost 6 lbs after getting this vaccine from all of the side effects. I developed strong pain in my low back that started on October 2nd which I took TYLENOL for, and then also got diarrhea with severe cramping that made me very nauseous and sweat profusely. I almost stopped eating entirely until October 6th when I started to feel better. October 9th now and I am feeling better.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site paraesthesia, Muscle contractions involuntary, Paraesthesia
Clinical narrative: The day after receiving mandatory flu vaccine at Hospital (Sequirus, Afluria) she developed parasthesia down left shoulder, arm, upper back and facial fasciculations.
Age: 68.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt experienced swelling/redness in a 4inx4in area around injection site. She was seen by Dr and prescribed cedphalexin 500 qidx7days. Sypmtoms resolved 2-3 days later. She is much better 10/9/17.
Age: 46.0
Sex: M
Vaccine: FLU4
Symptoms: Balance disorder, Dizziness, Tinnitus, Vertigo
Clinical narrative: Flu vaccine by Pharmacist was administered at my work location on Monday, October 2. On Friday, October 6 , experienced dizziness throughout the day. After 5pm experienced vertigo which resolved after 2 hours. Continue to experience ringing in the left ear. The shot was administered in the left arm.  Monday, October 9 experience minor balance issues buy symptoms appear to be improving.
Age: 76.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Headache, Influenza like illness, Injection site pruritus, Injection site swelling
Clinical narrative: Itching limited to immunized arm, swelling limited to area 3 to 4 inches above inject site and down to elbow. Flu like symptoms. Headache.
Age: 50.0
Sex: M
Vaccine: FLUC4
Symptoms: Nerve injury
Clinical narrative: PATIENT CAME TO MY PHARMACY ON SATURDAY THE 7TH ABOUT 5.30PM, AND COMPLAINED THAT I GAVE HIS VACCINATION TO HIGH UP IN HIS RIGHT ARM, AND SIGNALING THAT A NERVE WAS DAMAGED AND THAT HE DID GO TO HIS DR TO COMPLAIN AND HE WAS SENT TO THE THERAPIST. HE SAID IT WAS A LITTLE BETTER WHEN HE CAME IN ON SATURDAY, AND HE WANTED SOMEONE TO KNOW WHAT HAPPENED.
Age: 56.0
Sex: M
Vaccine: FLU4
Symptoms: Musculoskeletal pain, Rotator cuff syndrome
Clinical narrative: Shoulder joint pain/inflammation of rotator cuff. Treatment limit the rotation/rest. Duration has been greater than 2 weeks now.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Flushing, Malaise
Clinical narrative: Patient became flush red, started feeling sick and complained that she felt like she was having trouble breathing. Administered EPIPEN to patient and then called 911. After a few minutes patient felt better and was able to breath. EMS came and evaluated her and she said she felt much better and that she didn't want to go to hospital.
Age: 56.0
Sex: M
Vaccine: FLU4
Symptoms: Malaise, Pruritus, Rash macular, Swelling
Clinical narrative: Swelling, then migratory macular rash up/down arm, neck, face, across chest, feeling unwell, itching.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Throat irritation, Urticaria
Clinical narrative: Patient states that she was seen in clinic on Thursday afternoon for a flu vaccine. States that on Saturday she started with a scratchy throat and then developed hives yesterday morning. Hives are located in her suprapubic area, by her hips, breasts, bra line, and had 1 behind her ear. States that they range in size from about 1-6 cm.  Is unable to count how many there are because "they all run together."  They do itch. Has been using Benadryl cream and oral tablets. States that the benadryl does help with the itching.  Denies trouble breathing and swallowing.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site reaction, Rash erythematous
Clinical narrative: Patient has had an approximate 1/2 inch square red rash spot at the injection site for over 2 months. She says it itches from time to time, gets a bit redder from time to time, but won't go away. She has been advised to go see her MD.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Chest X-ray normal, Computerised tomogram normal, Electrocardiogram normal, Injection site erythema, Injection site pruritus
Clinical narrative: Received vaccine in her office by RN. In 35 minutes site had expanding reddness and severe itching. Employee stated by phone that she had already taken a benedryl and was advised to go to the Emergency Department.
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Headache, Nausea, Pain
Clinical narrative: Nauseated with body aches, severe headache, and dizziness - duration 48hrs.
Age: 23.0
Sex: F
Vaccine: HPV9, TDAP
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Syncope approximately 4-5 minutes after injections. Stated "I can't see" then proceeded to lose consciousness momentarily. Medical assistant had been advised to stay in room after injection and fortunately was able to prevent patient from injury due to fall. MA supported patient onto exam table, NP called in to room to assist. Symptoms resolved spontaneously within seconds while lying supine, applied ice pack to forehead, elevated legs. Monitored, provided food/drinks. Observed for an additional 15 minutes. Vital signs rechecked, completely stable. Reported feeling completely fine within one or two minutes from episode.
Age: 62.0
Sex: M
Vaccine: FLU4, PPV, TDAP, VARZOS
Symptoms: Back pain, Bed rest, Constipation, Erythema, Fatigue
Clinical narrative: PATIENT STATED HE HAD SIGNS OF FLU-LIKE SYMPTOMS, FATIGUE, FEVER, PAIN, SORENESS, N/V, REDNESS AND CONSTIPATION. HE STATES HE HAD SEVERE BACK PAIN AND HAD TO STAY THE DAY IN BED RESTING.
Age: 62.0
Sex: M
Vaccine: FLU4, PPV, TDAP, VARZOS
Symptoms: Influenza like illness, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: PATIENT STATED HE HAD SIGNS OF FLU-LIKE SYMPTOMS, FATIGUE, FEVER, PAIN, SORENESS, N/V, REDNESS AND CONSTIPATION. HE STATES HE HAD SEVERE BACK PAIN AND HAD TO STAY THE DAY IN BED RESTING.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Aphthous ulcer, Swollen tongue
Clinical narrative: Pt. complained of swelling of tongue and canker sore on bottom of tongue; happened  "a few hours" after receiving the injection; no other facial swelling/airway did not close off per pt; pt took BENADRYL and said symptoms resolved.
Age: 0.42
Sex: F
Vaccine: RV5
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Patient was given a dose of ROTATEQ today at well child visit which would have been her third dose of the vaccine. Had one given on 09/07/2017.