chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: FLU3, FLU3, FLU3
Symptoms: Inflammation, Insomnia, Intensive care, Lactic acidosis, Lymphadenopathy
Clinical narrative: Hospital discharge note of 15 Feb 2020: Patient is a 70 year old w/ h/o HTN, HLD, DM2 who presented with L sided arm weakness and sensory complaints. Patient presented with a constellation of symptoms that was initially concerning for stroke, and he was ultimately given tPA since he was within the time window and had no active contraindications. There were elements of his exam and story that were slightly inconsistent with vascular cause, but he had enough of a convincing exam and all of the appropriate risk factors so was treated as such.  He had tPA and was in the MICU for 24 hours with no adverse reactions.  He had an MRI brain which did not show signs of acute stroke and his symptoms resolved.  We are treating him as a high risk TIA.?   Patient asserts that this event, as well as other problems experienced by he and his wife, are attributable to flu vaccine they received in Sep 2019.
Age: 69.0
Sex: M
Vaccine: FLU3, FLU3, FLU3
Symptoms: Magnetic resonance imaging brain, Magnetic resonance imaging normal, Mammogram abnormal, Muscle spasms, Muscular weakness
Clinical narrative: Hospital discharge note of 15 Feb 2020: Patient is a 70 year old w/ h/o HTN, HLD, DM2 who presented with L sided arm weakness and sensory complaints. Patient presented with a constellation of symptoms that was initially concerning for stroke, and he was ultimately given tPA since he was within the time window and had no active contraindications. There were elements of his exam and story that were slightly inconsistent with vascular cause, but he had enough of a convincing exam and all of the appropriate risk factors so was treated as such.  He had tPA and was in the MICU for 24 hours with no adverse reactions.  He had an MRI brain which did not show signs of acute stroke and his symptoms resolved.  We are treating him as a high risk TIA.?   Patient asserts that this event, as well as other problems experienced by he and his wife, are attributable to flu vaccine they received in Sep 2019.
Age: 69.0
Sex: M
Vaccine: FLU3, FLU3, FLU3
Symptoms: Myalgia, Nasal congestion, Ocular hyperaemia, Oedema peripheral, Pain in extremity
Clinical narrative: Hospital discharge note of 15 Feb 2020: Patient is a 70 year old w/ h/o HTN, HLD, DM2 who presented with L sided arm weakness and sensory complaints. Patient presented with a constellation of symptoms that was initially concerning for stroke, and he was ultimately given tPA since he was within the time window and had no active contraindications. There were elements of his exam and story that were slightly inconsistent with vascular cause, but he had enough of a convincing exam and all of the appropriate risk factors so was treated as such.  He had tPA and was in the MICU for 24 hours with no adverse reactions.  He had an MRI brain which did not show signs of acute stroke and his symptoms resolved.  We are treating him as a high risk TIA.?   Patient asserts that this event, as well as other problems experienced by he and his wife, are attributable to flu vaccine they received in Sep 2019.
Age: 69.0
Sex: M
Vaccine: FLU3, FLU3, FLU3
Symptoms: Product storage error, Pruritus, Pyrexia, Rash, SARS-CoV-2 test negative
Clinical narrative: Hospital discharge note of 15 Feb 2020: Patient is a 70 year old w/ h/o HTN, HLD, DM2 who presented with L sided arm weakness and sensory complaints. Patient presented with a constellation of symptoms that was initially concerning for stroke, and he was ultimately given tPA since he was within the time window and had no active contraindications. There were elements of his exam and story that were slightly inconsistent with vascular cause, but he had enough of a convincing exam and all of the appropriate risk factors so was treated as such.  He had tPA and was in the MICU for 24 hours with no adverse reactions.  He had an MRI brain which did not show signs of acute stroke and his symptoms resolved.  We are treating him as a high risk TIA.?   Patient asserts that this event, as well as other problems experienced by he and his wife, are attributable to flu vaccine they received in Sep 2019.
Age: 69.0
Sex: M
Vaccine: FLU3, FLU3, FLU3
Symptoms: Scan with contrast, Somnolence, Sputum discoloured, Swelling, Tachycardia
Clinical narrative: Hospital discharge note of 15 Feb 2020: Patient is a 70 year old w/ h/o HTN, HLD, DM2 who presented with L sided arm weakness and sensory complaints. Patient presented with a constellation of symptoms that was initially concerning for stroke, and he was ultimately given tPA since he was within the time window and had no active contraindications. There were elements of his exam and story that were slightly inconsistent with vascular cause, but he had enough of a convincing exam and all of the appropriate risk factors so was treated as such.  He had tPA and was in the MICU for 24 hours with no adverse reactions.  He had an MRI brain which did not show signs of acute stroke and his symptoms resolved.  We are treating him as a high risk TIA.?   Patient asserts that this event, as well as other problems experienced by he and his wife, are attributable to flu vaccine they received in Sep 2019.
Age: 69.0
Sex: M
Vaccine: FLU3, FLU3, FLU3
Symptoms: Transient ischaemic attack, Troponin, Type IIa hyperlipidaemia, Ultrasound breast, Ultrasound chest
Clinical narrative: Hospital discharge note of 15 Feb 2020: Patient is a 70 year old w/ h/o HTN, HLD, DM2 who presented with L sided arm weakness and sensory complaints. Patient presented with a constellation of symptoms that was initially concerning for stroke, and he was ultimately given tPA since he was within the time window and had no active contraindications. There were elements of his exam and story that were slightly inconsistent with vascular cause, but he had enough of a convincing exam and all of the appropriate risk factors so was treated as such.  He had tPA and was in the MICU for 24 hours with no adverse reactions.  He had an MRI brain which did not show signs of acute stroke and his symptoms resolved.  We are treating him as a high risk TIA.?   Patient asserts that this event, as well as other problems experienced by he and his wife, are attributable to flu vaccine they received in Sep 2019.
Age: 69.0
Sex: M
Vaccine: FLU3, FLU3, FLU3
Symptoms: Vaccination complication, X-ray
Clinical narrative: Hospital discharge note of 15 Feb 2020: Patient is a 70 year old w/ h/o HTN, HLD, DM2 who presented with L sided arm weakness and sensory complaints. Patient presented with a constellation of symptoms that was initially concerning for stroke, and he was ultimately given tPA since he was within the time window and had no active contraindications. There were elements of his exam and story that were slightly inconsistent with vascular cause, but he had enough of a convincing exam and all of the appropriate risk factors so was treated as such.  He had tPA and was in the MICU for 24 hours with no adverse reactions.  He had an MRI brain which did not show signs of acute stroke and his symptoms resolved.  We are treating him as a high risk TIA.?   Patient asserts that this event, as well as other problems experienced by he and his wife, are attributable to flu vaccine they received in Sep 2019.
Age: 69.0
Sex: M
Vaccine: FLU3, FLU3, FLU3
Symptoms: Cerebrovascular accident, Chest pain, Inflammation
Clinical narrative: Hospital discharge note of 15 Feb 2020: Patient is a 70 year old w/ h/o HTN, HLD, DM2 who presented with L sided arm weakness and sensory complaints. Patient presented with a constellation of symptoms that was initially concerning for stroke, and he was ultimately given tPA since he was within the time window and had no active contraindications. There were elements of his exam and story that were slightly inconsistent with vascular cause, but he had enough of a convincing exam and all of the appropriate risk factors so was treated as such.  He had tPA and was in the MICU for 24 hours with no adverse reactions.  He had an MRI brain which did not show signs of acute stroke and his symptoms resolved.  We are treating him as a high risk TIA.?   Patient asserts that this event, as well as other problems experienced by he and his wife, are attributable to flu vaccine they received in Sep 2019.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity, Pyrexia, Swelling
Clinical narrative: Pt came in stating she received her pneumonia vaccine yesterday and stated that she was told by the pharmacist that the swelling would only last 24 hours (she stopped by the pharmacy today at 6:30pm and she received her vaccine around 5:45pm yesterday) however the swelling has lasted longer than 24 hours and she is feeling feverish. I examined her arm and there was slight erythema and swelling that went from the area of injection to close to her elbow. I asked her she had any pain and she said she her arm was really sore. I asked her if she had taken anything for the pain or if she had iced the area since the time she had received the immunization... She stated she had not... she said she took some tylenol 650mg as she regularly does. I asked her if there were any contraindications to taking ibuprofen and she stated she had no contraindications.. She stated that she received a pneumonia vaccine a few years ago and she had no reaction to that vaccine.. I determined that it was the prevnar she received in the past.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Discomfort, Fatigue, Pain
Clinical narrative: Chills, tiredness, achy, feeling of heaviness.
Age: 4.0
Sex: F
Vaccine: IPV, MMRV
Symptoms: Adverse reaction, Cellulitis, Injected limb mobility decreased, Injection site erythema, Injection site nodule
Clinical narrative: Patient went to bed with a knot and mild erythema over injection site. Woke in the morning with the site 3x bigger, warm to the touch, and favoring that leg. Came to the office and was diagnosed with adverse reaction/cellulitis and placed on Cephalexin. Called the office 4 hours after starting treatment, noting that she now had a fever and the redness was larger. Told family to give second dose of meds as well as ibuprofen, outline the second area now (had already outlined the first), and if it continued to spread in the next few hours, to take her to the ER. Unsure at this time if family ended up FU in the ER or not.
Age: 4.0
Sex: F
Vaccine: IPV, MMRV
Symptoms: Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Patient went to bed with a knot and mild erythema over injection site. Woke in the morning with the site 3x bigger, warm to the touch, and favoring that leg. Came to the office and was diagnosed with adverse reaction/cellulitis and placed on Cephalexin. Called the office 4 hours after starting treatment, noting that she now had a fever and the redness was larger. Told family to give second dose of meds as well as ibuprofen, outline the second area now (had already outlined the first), and if it continued to spread in the next few hours, to take her to the ER. Unsure at this time if family ended up FU in the ER or not.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Diarrhoea, Discomfort, Feeding disorder, Irritability, Vomiting projectile
Clinical narrative: Last 3 days projectile vomiting and diarrhea, pt uncomfortable while eating and cranky. Dx at appointment on 1-9-2018: Feeding issues, switch to formula.
Age: 92.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Diarrhoea, Injection site bruising, Nausea
Clinical narrative: Side effects have continued for 3 days and have not resolved: nausea, emesis, low fever 99.8, chills, body aches, joint pain, diarrhea, large bruise at injection site about the size of a half-dollar
Age: 92.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Side effects have continued for 3 days and have not resolved: nausea, emesis, low fever 99.8, chills, body aches, joint pain, diarrhea, large bruise at injection site about the size of a half-dollar
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Abnormal behaviour, Acoustic stimulation tests, Acoustic stimulation tests normal, Anger, Communication disorder
Clinical narrative: Fevers up to 104 degrees f on and off for 1 week following vaccination, gave Tylenol and Motrin as directed to brig down fever per call to doctor. He did barley anything but sleep for 2 to 3 weeks after, stopped making eye contact gradually and communicating in no other way besides screaming, stopped all other vocalizations. Started obsessively spinning wheels and stopped seeking interaction. Sleeping patterns became sporadic and his behavior changed from happy and content to unsettled and upset.  Currently being evaluated for ASD even though he hit almost all of his milestones including speaking and engaging prior to these vaccinations and reactions.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Decreased eye contact, Hypersomnia, Pyrexia, Restlessness, Screaming
Clinical narrative: Fevers up to 104 degrees f on and off for 1 week following vaccination, gave Tylenol and Motrin as directed to brig down fever per call to doctor. He did barley anything but sleep for 2 to 3 weeks after, stopped making eye contact gradually and communicating in no other way besides screaming, stopped all other vocalizations. Started obsessively spinning wheels and stopped seeking interaction. Sleeping patterns became sporadic and his behavior changed from happy and content to unsettled and upset.  Currently being evaluated for ASD even though he hit almost all of his milestones including speaking and engaging prior to these vaccinations and reactions.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Sleep disorder, Social avoidant behaviour, Somnolence, Speech disorder, Unresponsive to stimuli
Clinical narrative: Fevers up to 104 degrees f on and off for 1 week following vaccination, gave Tylenol and Motrin as directed to brig down fever per call to doctor. He did barley anything but sleep for 2 to 3 weeks after, stopped making eye contact gradually and communicating in no other way besides screaming, stopped all other vocalizations. Started obsessively spinning wheels and stopped seeking interaction. Sleeping patterns became sporadic and his behavior changed from happy and content to unsettled and upset.  Currently being evaluated for ASD even though he hit almost all of his milestones including speaking and engaging prior to these vaccinations and reactions.
Age: 0.33
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Product administered to patient of inappropriate age, Seizure, Wrong product administered
Clinical narrative: My daughter had multiple seizures 10-11 hrs after her vaccines. We ended up in city. They sent us home I didn't say anything about vaccines due to her receiving the same at 2 months. She had another seizure at home I then went over paperwork from vaccines and it stated she received the MMR and Varicella vaccine when she shouldn't have.
Age: 50.0
Sex: U
Vaccine: FLU4, VARZOS
Symptoms: Coeliac disease, Erythema
Clinical narrative: dime-sized area of erythema -> 5cm in diameter area of erythema over 48 hrs after vaccine administration, consistent with dx of cellulitis -> tx w/clindamycin x5 days (PCN-allergic w/anaphylaxis rxn)
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Altered state of consciousness, Fatigue, Injected limb mobility decreased, Spinal pain
Clinical narrative: Patient called to report she received the pneumovax yesterday and when she left the office she felt fine and then 2 hours later she was at a store and she suddenly felt like she was going to pass out and then she was unable to lift her entire left arm up. She immediately asked a pharmacist if this was a normal reaction and pharmacist said no. She went home right away and sat on the sofa and applied a heating pad to her arm. She took Tylenol and alternated it with Advil. Today her arm feels some better, but her spine feels painful and she feels exhausted.
Age: 2.0
Sex: M
Vaccine: DTAP, PNC13
Symptoms: Injection site erythema, Injection site streaking, Injection site swelling
Clinical narrative: red + swelling @ site with red streaks
Age: 39.0
Sex: F
Vaccine: HEP
Symptoms: Feeling hot, Nausea, Vomiting
Clinical narrative: Employee complains of nausea, being hot, and vomitting
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin lesion, Swelling
Clinical narrative: Received Menveo 2/26/20 given left deltoid Presented 2/27/20 with and swelling and pain of left arm. Give 50mg of Benadryl. Presented 2/28/20 with redness, increase swelling increased axilla and bullous lesion skin.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: patient developed localized reaction on left arm of injection after 2 nd shot of Shingrix. it looked swollen and pinkish and localized to upper left arm; patient was counselled to take benadryl, ibuprofen, and apply ice pack to relieve symptoms.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Abdominal pain upper, Chills, Headache, Injection site pain
Clinical narrative: 9 hrs after injection, woke up with stomach upset and pain,  12 hr after injection, woke up with severe chills, moderate pain at injection site, moderate stomach pain and cramping, headache, all over body aches, some swollen glands, that prevented sleeping comfortably. At 16 hrs after injection, I woke up for the day and still felt   Some mild chills, registered a 99.8 degree fever, body aches.  Currently lying down and unable to resume normal duties.   Took 1 ibuprofen at 5pm for arm pain, 1 ibuprofen at 3am for body aches, headache.  Both doses provided some relief.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Lymphadenopathy, Pain, Pyrexia, Sleep disorder
Clinical narrative: 9 hrs after injection, woke up with stomach upset and pain,  12 hr after injection, woke up with severe chills, moderate pain at injection site, moderate stomach pain and cramping, headache, all over body aches, some swollen glands, that prevented sleeping comfortably. At 16 hrs after injection, I woke up for the day and still felt   Some mild chills, registered a 99.8 degree fever, body aches.  Currently lying down and unable to resume normal duties.   Took 1 ibuprofen at 5pm for arm pain, 1 ibuprofen at 3am for body aches, headache.  Both doses provided some relief.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Hypersensitivity, Injection site erythema, Injection site reaction, Injection site urticaria
Clinical narrative: 6cm erythematous symmetric annular almost welt around small visible injection site on left upper arm c/w hypersensitivity reaction
Age: 55.0
Sex: F
Vaccine: UNK, VARZOS
Symptoms: Feeling cold, Headache, Pain, Pain in jaw, Pyrexia
Clinical narrative: Fever, chills, headache, body ache, achy. Jaw pain (don?t know if that related or not)
Age: 86.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Erythema, Fatigue, Headache
Clinical narrative: Extreme arm pain, nausea, shivering, muscle pain, redness, rash, very tired and weakness, swelling of right shoulder and area, headache
Age: 86.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Myalgia, Nausea, Pain in extremity, Rash
Clinical narrative: Extreme arm pain, nausea, shivering, muscle pain, redness, rash, very tired and weakness, swelling of right shoulder and area, headache
Age: 38.0
Sex: F
Vaccine: DTAP
Symptoms: Chills, Diarrhoea, Hyperhidrosis, Hypoaesthesia, Injection site erythema
Clinical narrative: Sore shot Site  Red, swollen shot site  Swollen arm  Numb fingers in arm with shot  Tight and sore neck  Body aches  Chills  Sweats Diarrhea  Nausea
Age: 38.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site pain, Injection site swelling, Muscle tightness, Nausea, Neck pain
Clinical narrative: Sore shot Site  Red, swollen shot site  Swollen arm  Numb fingers in arm with shot  Tight and sore neck  Body aches  Chills  Sweats Diarrhea  Nausea
Age: 38.0
Sex: F
Vaccine: DTAP
Symptoms: Pain
Clinical narrative: Sore shot Site  Red, swollen shot site  Swollen arm  Numb fingers in arm with shot  Tight and sore neck  Body aches  Chills  Sweats Diarrhea  Nausea
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Gingival swelling, Headache, Nausea
Clinical narrative: FEVER 101F, WEEKNESS, CHILLS, BODY ACHES, NAUSEA, HEADACHE, SWOLLEN GUMS
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: FEVER 101F, WEEKNESS, CHILLS, BODY ACHES, NAUSEA, HEADACHE, SWOLLEN GUMS
Age: 62.0
Sex: F
Vaccine: UNK
Symptoms: Discomfort, Injection site erythema, Injection site pain, Injection site swelling, Mobility decreased
Clinical narrative: Patient's arm at the site of injection started getting red, sore, swollen the evening of her injection. She describes having difficulties moving her arm due to swelling. She used ice packs and ibuprofen to help with pain/discomfort. As of Saturday morning (two days after injection), symptoms are improving but still present.
Age: 62.0
Sex: F
Vaccine: UNK
Symptoms: Pain
Clinical narrative: Patient's arm at the site of injection started getting red, sore, swollen the evening of her injection. She describes having difficulties moving her arm due to swelling. She used ice packs and ibuprofen to help with pain/discomfort. As of Saturday morning (two days after injection), symptoms are improving but still present.
Age: 25.0
Sex: F
Vaccine: FLUC4
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site extravasation, Injection site pain, Injection site swelling
Clinical narrative: Patient received Flucelvax Quad on 2/27/2020 at approximately 8 PM.  She returned to the pharmacy on 2/29/20 around 10:30am to report an injection site reaction and possible skin infection from the vaccine.  She stated the area was warm to the touch and painful.  She also showed me the area which appeared red and swollen around her mid arm area.  She stated that a red ball appeared immediately after receiving the vaccine and that some vaccine leaked out. I advised her to see a physician to be certain if there is or is not an infection.
Age: 25.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site warmth
Clinical narrative: Patient received Flucelvax Quad on 2/27/2020 at approximately 8 PM.  She returned to the pharmacy on 2/29/20 around 10:30am to report an injection site reaction and possible skin infection from the vaccine.  She stated the area was warm to the touch and painful.  She also showed me the area which appeared red and swollen around her mid arm area.  She stated that a red ball appeared immediately after receiving the vaccine and that some vaccine leaked out. I advised her to see a physician to be certain if there is or is not an infection.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye pain, Herpes zoster
Clinical narrative: PATIENT PRESENTED TO PHARMACY 2/29/2020 with right  eye pain and WHAT LOOKS LIKE SHINGLES ON THE RIGHT SIDE OF HER FACE OVER HER RIGHT EYE AND INTO HER HAIR LINE OVER RIGHT EAR.  She was advised to seek medical attention.
Age: 20.0
Sex: F
Vaccine: UNK
Symptoms: Loss of consciousness
Clinical narrative: donor states 4-5 hours after shot, had LOC for about 10 minutes, "but aware of surroundings the entire time" No other symptoms associated with episode. Donor returned to normal with no other adverse events.
Age: 59.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Joint injury, Mobility decreased, Peripheral swelling
Clinical narrative: I woke up on  Sunday morning with extreme wrist and ankle pain, there was swelling in my hands and feet.  I thought I was getting carpal tunnel but it did not seem like that would effect both hands nor would it effect my ankles.  I hit my knee at work and thought the ankle pain was from that but because I am still painful and swollen a week later I looked up side effects of the MMR in adults and see this could be a reaction to the shot, I was not immune to the measles and started a new job at a hospital so had to get this immunization in order to work there.  I have been taking tylenol and motrin but it is not really helping and because of my tummy issues I can not take too much motrin.  It is hard for me to pick things up with either hand it is very swollen and painful to move
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pyrexia
Clinical narrative: headache, low-grade fever
Age: 27.0
Sex: F
Vaccine: UNK
Symptoms: Aphasia, Fatigue, Hypoaesthesia, Paraesthesia, Pharyngeal swelling
Clinical narrative: following vaccine I had left arm tingling and numbness , followed by speech delay and trouble finding my words, throat swelling and tightness. The throat tightness lasted until I got home from work and took benadryl and prednisone. The tingling and numbness to arm, change in speech and fatigue lasted a month.
Age: 27.0
Sex: F
Vaccine: UNK
Symptoms: Speech disorder, Throat tightness
Clinical narrative: following vaccine I had left arm tingling and numbness , followed by speech delay and trouble finding my words, throat swelling and tightness. The throat tightness lasted until I got home from work and took benadryl and prednisone. The tingling and numbness to arm, change in speech and fatigue lasted a month.
Age: 30.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Face injury, Fall, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Patient received vaccination and sat speaking to the pharmacist for a few minutes regarding the vaccination and history of fainting. Patient did not complain of any issues, but after the fainting recalled feeling a little lightheaded. As the patient stood up to leave, he immediately fainted and fell forward, landing face down and chipping 2 teeth. The pharmacist saw the patient fall and immediately came to the patient and turned him on his back. Patient was unconcious, with eyes slightly open and breathing normally. Pharmacist tapped patient on both shoulders and called his name until he came to. Pharmacist questioned patient, oriented x3 with no recollection of what had caused the fainting but knew he had just received a vaccination. Pharmacist aided patient in sitting up, then eventually getting off the floor and having a seat on a chair. Pharmacist offered to call 911 for the patient, who refused. Patient was upset about fainting but moreso about chipping his 2 teeth as a result. Pharmacist offered patient water and advised patient to contact someone to come pick him up. Pharmacist sat with patient until patient's fiance arrived to take him to the dentist, about 40 minutes. Patient walked out of pharmacy with no repeat occurrences. Patient went to dentist for examination and to potentially fix broken teeth.
Age: 30.0
Sex: M
Vaccine: FLU4
Symptoms: Syncope, Tooth fracture
Clinical narrative: Patient received vaccination and sat speaking to the pharmacist for a few minutes regarding the vaccination and history of fainting. Patient did not complain of any issues, but after the fainting recalled feeling a little lightheaded. As the patient stood up to leave, he immediately fainted and fell forward, landing face down and chipping 2 teeth. The pharmacist saw the patient fall and immediately came to the patient and turned him on his back. Patient was unconcious, with eyes slightly open and breathing normally. Pharmacist tapped patient on both shoulders and called his name until he came to. Pharmacist questioned patient, oriented x3 with no recollection of what had caused the fainting but knew he had just received a vaccination. Pharmacist aided patient in sitting up, then eventually getting off the floor and having a seat on a chair. Pharmacist offered to call 911 for the patient, who refused. Patient was upset about fainting but moreso about chipping his 2 teeth as a result. Pharmacist offered patient water and advised patient to contact someone to come pick him up. Pharmacist sat with patient until patient's fiance arrived to take him to the dentist, about 40 minutes. Patient walked out of pharmacy with no repeat occurrences. Patient went to dentist for examination and to potentially fix broken teeth.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Influenza like illness, Injection site pain, Pain, Sinus congestion
Clinical narrative: Soreness in left arm around point of delivery; flu or cold like symptoms such as body ache fatigue sinus congestion and pain.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Feeling abnormal, Injection site pain, Insomnia, Malaise, Musculoskeletal pain
Clinical narrative: I immunized patient in right arm and she said ouch when I administered at 805pm 2-28-2020. at 343pm on 2-29-2020 patient called and said she had pain from her shoulder down to her fingers, she said she couldn't sleep all nite and felt so awful has been in bed all day, she said she has pain all down her left arm as well(non immunize arm) but not as bad, she said her shoulder blades hurt also. she has a lot of nausea. still doesn't feel well.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Nausea, Pain in extremity
Clinical narrative: I immunized patient in right arm and she said ouch when I administered at 805pm 2-28-2020. at 343pm on 2-29-2020 patient called and said she had pain from her shoulder down to her fingers, she said she couldn't sleep all nite and felt so awful has been in bed all day, she said she has pain all down her left arm as well(non immunize arm) but not as bad, she said her shoulder blades hurt also. she has a lot of nausea. still doesn't feel well.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Feeling abnormal, Headache, Injection site erythema, Injection site pain
Clinical narrative: She received vaccine on thursday afternoon and woke up friday morning feeling awful. she has redness and pain at the injection site. she also expierenced headache, muscle aches, muscle soreness, and fatigue.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: She received vaccine on thursday afternoon and woke up friday morning feeling awful. she has redness and pain at the injection site. she also expierenced headache, muscle aches, muscle soreness, and fatigue.
Age: 42.0
Sex: F
Vaccine: DTAP
Symptoms: Communication disorder, Dyskinesia, Erythema, Headache, Mobility decreased
Clinical narrative: Swollen red arm, eye swelled shut, severe headache, legs move involuntary, could not move or communicate for two days.
Age: 42.0
Sex: F
Vaccine: DTAP
Symptoms: Peripheral swelling, Swelling of eyelid
Clinical narrative: Swollen red arm, eye swelled shut, severe headache, legs move involuntary, could not move or communicate for two days.
Age: 15.0
Sex: F
Vaccine: FLU4, HEPA, HPV9, MENB
Symptoms: Erythema, Injection site pain, Injection site swelling, Swelling
Clinical narrative: Patient reports that 2 hours after the vaccine was placed she started to notice redness and swelling which has worsened over the past 3 days.  Patient notes acute tenderness of the right shoulder on exam, mild swelling.  Patient cannot move arm past 90° without significant pain.  Denies any itching, cephalexin prescribed for possible cellulitis and ultrasound ordered. she will be following up in 3 days
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Patient received 2nd Shingrix dose on 2/17/2020, came back to pharmacy 2/29/2020 complaining of rash on buttocks. When patient received 2nd dose, RPh asked if she experienced any side effects from previous dose and she noted she had a rash after the first dose of Shingrix (no blistering, "dried up" within 3-5 days). She went to her doctor as a precaution, who informed her that this can occur after getting the vaccine and did not prescribe any treatment.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Dizziness, Gait inability, Myalgia
Clinical narrative: Severe joint and muscle pain overall and particularly severe in left hip and back. Could walk for at least two days. Better today but still limiting; some viral symptoms--chills, sniffles, dizziness. Better today, but still not gone.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Rhinorrhoea
Clinical narrative: Severe joint and muscle pain overall and particularly severe in left hip and back. Could walk for at least two days. Better today but still limiting; some viral symptoms--chills, sniffles, dizziness. Better today, but still not gone.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: pain for 3 months in left shoulder. no treatment, pain finally went away after 3 months.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Dizziness, Erythema, Fatigue, Headache
Clinical narrative: Muscle pain at the site of injection, headache, upset stomach, lightheadedness, fatigue, redness upper arm, nausea
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Nausea
Clinical narrative: Muscle pain at the site of injection, headache, upset stomach, lightheadedness, fatigue, redness upper arm, nausea
Age: 66.0
Sex: M
Vaccine: PNC13
Symptoms: Blood culture negative, Echocardiogram, Echocardiogram normal, Malaise, Pyrexia
Clinical narrative: Fever & malaise on 02/26. Had an annual follow up with cardiology for known aortic insufficiency & stenosis. Possible vegetation seen on heart valve. Because of fever & malaise the day prior, he was admitted to hospital for endocarditis workup. Blood cultures and transthoracic echocardiogram all negative to date. Broad spectrum IV antibiotics initiated
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Condition aggravated, Migraine, Pain, Pain in extremity
Clinical narrative: Pain on left arm, bodyache , chills, worsened migraines
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Feeling abnormal, Gait disturbance, Headache
Clinical narrative: Major chills, shivering before bed. Woke up still having chills, extremely tired (unable to get up for work). I woke up later with a headache. When I did get up (midday) I had trouble walking straight so I went back to bed after taking some ibuprofin. Got up about 8pm feeling better but not quite right. Felt ok next morning (29th)
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Patient got hives, redness, and itching on both arms (more on the left arm)  starting the morning after receiving her second Shingrix vaccine.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Injection site pain, Insomnia, Pain
Clinical narrative: My left arm became sore (not a big deal) at injection site. Approximately 11:30 PM or so I started with the chills and could not stop shaking. I could not get warm either. This went on for about half an hour. Around 1 AM took a Tylenol. About the same time my whole body ached as though I had the flu. My arms, wrists, even my fingers, legs, knees, everything ached. I could not sleep. The next day I was extremely tired. Finally around 5 PM I felt better. And by about 11 PM I was able to get to sleep and felt better the next morning. PS The first dose I received months ago resulted in only a sore injection site. I did not need to seek emergency help. The Tylenol helped.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: My left arm became sore (not a big deal) at injection site. Approximately 11:30 PM or so I started with the chills and could not stop shaking. I could not get warm either. This went on for about half an hour. Around 1 AM took a Tylenol. About the same time my whole body ached as though I had the flu. My arms, wrists, even my fingers, legs, knees, everything ached. I could not sleep. The next day I was extremely tired. Finally around 5 PM I felt better. And by about 11 PM I was able to get to sleep and felt better the next morning. PS The first dose I received months ago resulted in only a sore injection site. I did not need to seek emergency help. The Tylenol helped.
Age: 69.0
Sex: F
Vaccine: FLUX, PPV, VARZOS
Symptoms: Arthralgia, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Severe headache, extreme muscular weakness, joint pain, extreme fatigue, nausea for about 40 hours. Fatigue another 8 hours.  Could not work or even read.  Redness on left upper arm, 4 to 5 inches vertically and wrapping around  the outer half. Also  extending to armpit, Swelling and pain of same area, more painful with movement or pressure. Has not diminished at this point 12:17AM 3/1/2020 So mostly recovered but not entirely.
Age: 69.0
Sex: F
Vaccine: FLUX, PPV, VARZOS
Symptoms: Injection site swelling, Loss of personal independence in daily activities, Muscular weakness, Nausea, Pain
Clinical narrative: Severe headache, extreme muscular weakness, joint pain, extreme fatigue, nausea for about 40 hours. Fatigue another 8 hours.  Could not work or even read.  Redness on left upper arm, 4 to 5 inches vertically and wrapping around  the outer half. Also  extending to armpit, Swelling and pain of same area, more painful with movement or pressure. Has not diminished at this point 12:17AM 3/1/2020 So mostly recovered but not entirely.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Lethargy, Pain
Clinical narrative: CHILLS, BODY ACHES, HEADACHE, LETHARGY
Age: 13.0
Sex: F
Vaccine: MMR
Symptoms: Abnormal behaviour, Delusion, Lethargy, Migraine, Pyrexia
Clinical narrative: Day 6 patient came down with a 102.5 fever which continued for 6 days and then began to gradually decrease. Patient also had a severe migraine during this time. She was extremely lethargic and dillusional at times. Parents have not ever seen this behavior in their child.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Cough, Lymphadenopathy
Clinical narrative: Patient states that she was drinking water and started coughing at about 5pm. At this point, she states that she felt "her lymph nodes in her neck area drop and feels heavy". She called and spoke with me at the pharmacy about 5:30pm. I explained to her that swollen lymph nodes can be a possible side effect (though rare) and that she should monitor her condition. She may apply a warm compress to the affected area and to take an OTC anti-inflammatory for relief.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Mobility decreased, Musculoskeletal pain, Pain in extremity
Clinical narrative: Not able to lift arm pain from forearm and shoulder
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site pain, Pain, Pyrexia
Clinical narrative: Soreness at injection  site. Fever of 100.6 Fahrenheit. Achy and tired.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Eye pain, Headache, Myalgia, Pyrexia
Clinical narrative: Fever of 100.8 F., chills, headache, shivers, eye ache, left arm muscle pain
Age: 74.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: Arm swollen from shoulder down to elbow, warm to the touch.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Loss of personal independence in daily activities, Pruritus, Quality of life decreased, Sleep disorder
Clinical narrative: Shingles (mild case) 12/20/2020, followed immediately by onset of Grover's Disease affecting torso back and chest on previously sun-damaged skin excluding area of shingles (C4 dermatome.)  I would have thought the sequence and frequency were coincidental, but have found others with Grover's Disease who have had the exact same sequence of events. The disability referred to below is a quality of life issue - itching, interfering with sleep and activities, common to others with Grovers Disease.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Transient acantholytic dermatosis
Clinical narrative: Shingles (mild case) 12/20/2020, followed immediately by onset of Grover's Disease affecting torso back and chest on previously sun-damaged skin excluding area of shingles (C4 dermatome.)  I would have thought the sequence and frequency were coincidental, but have found others with Grover's Disease who have had the exact same sequence of events. The disability referred to below is a quality of life issue - itching, interfering with sleep and activities, common to others with Grovers Disease.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza, Rash
Clinical narrative: flu symptoms began following day, rash began 2/29/2020
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Bursitis, Injection site warmth, Insomnia, Limb discomfort
Clinical narrative: My left shoulder hurt for about 10 days after the shot was administered. The site felt hot and my arm felt weak and heavy when I tried to lift it.  The pain subsided for a couple weeks.  Around 2nd week of December I was having trouble sleeping because my arm/shoulder hurt. Initially I thought I had slept on it wrong, because it bothered me most at night and kept me awake. It felt dull and achy. During the day it was hard to lift my arm above the height of my shoulder, especially when putting my arm into the sleeve of a jacket.  I started to ice it in the morning, and would use Advil as needed, both of which helped to relieve the pain. I kept thinking the pain would go away, but it persisted. I finally visited the Orthopedic department at Hospital on February 25, 2020 where they did xrays and gave a diagnosis of Shoulder Bursitis (triggered by the vaccine administration).
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Musculoskeletal pain, Pain in extremity, Vaccination complication, X-ray limb normal
Clinical narrative: My left shoulder hurt for about 10 days after the shot was administered. The site felt hot and my arm felt weak and heavy when I tried to lift it.  The pain subsided for a couple weeks.  Around 2nd week of December I was having trouble sleeping because my arm/shoulder hurt. Initially I thought I had slept on it wrong, because it bothered me most at night and kept me awake. It felt dull and achy. During the day it was hard to lift my arm above the height of my shoulder, especially when putting my arm into the sleeve of a jacket.  I started to ice it in the morning, and would use Advil as needed, both of which helped to relieve the pain. I kept thinking the pain would go away, but it persisted. I finally visited the Orthopedic department at Hospital on February 25, 2020 where they did xrays and gave a diagnosis of Shoulder Bursitis (triggered by the vaccine administration).
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Headache, Influenza like illness, Injection site pain, Myalgia
Clinical narrative: 11pm pain at injection site through arm and shoulder, also joint pain in knees.  By next morning, flu type symptoms including aching muscles, headache, nausea.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea
Clinical narrative: 11pm pain at injection site through arm and shoulder, also joint pain in knees.  By next morning, flu type symptoms including aching muscles, headache, nausea.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site nodule, Injection site pain, Pyrexia
Clinical narrative: PATIENT ENDORSES A TOPICAL "KNOT" HAS DEVELOPED AT INJECTION SITE (LEFT DELTOID). AFFECTED AREA HAS INCREASED IN SIZE SINCE  DATE OF VACCINE ADMINISTRATION.  SITE REMAINS TENDER W/ TOUCH.  NO ERYTHEMA.  ENDORSES A FEVER DEVELOPED "SEVERAL DAYS" FOLLOWING INJECTION AND IS NOW RESOLVED.    PT REPORTS SHE HAS RECEIVED TETANUS/DIP/PERTUSSIS VACCINE 10 YEARS AGO WITHOUT ISSUE.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Fatigue, Hypersomnia, Nausea
Clinical narrative: Fever, severe chills, fainting, stomach cramps, nausea, extreme tiredness (slept for 14 hours).
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Syncope
Clinical narrative: Fever, severe chills, fainting, stomach cramps, nausea, extreme tiredness (slept for 14 hours).
Age: 28.0
Sex: F
Vaccine: DTAP
Symptoms: Exposure during pregnancy, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: pregnancy on week 28, patient has swelling, warm, redness on the injection site.  advised pt : cold pack for pain at the shot site, rest and protect sore area, sore area on pillows while apply cold pack, tylenol to help with the pain
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: Patient started to feel pain at the injection site right after the shot on 02/28/2020. She then developed redness and inflammation on the day after. On 03/01/2020, patient called pharmacy and reported that she still has pain, redness and swelling at the injection site. Patient was advised to seek medical care and she wants to wait another day to see her doctor if it persists.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Headache, Myalgia, Pain, Pyrexia
Clinical narrative: Chills, muscle aches, fever, body aches, headache. Lasted for 2 days afterwards.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Influenza like illness, Injection site pain, Myalgia
Clinical narrative: flu-like symptions (fever, muscle pain, headache, fatigue) and injection site pain.  Fever occurred during the night but went away in the morning (8 hrs).  Muscle pain about12 hours.  Headache about 3 hours.  Fatigue over 2 days.  Injection site pain 36 hours (decreased each day).  After injection, site ached constantly.  After 36 hours, only hurts if touched.  Took ibuprofen 200 mg twice a day over two days helped lessen symptoms.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: flu-like symptions (fever, muscle pain, headache, fatigue) and injection site pain.  Fever occurred during the night but went away in the morning (8 hrs).  Muscle pain about12 hours.  Headache about 3 hours.  Fatigue over 2 days.  Injection site pain 36 hours (decreased each day).  After injection, site ached constantly.  After 36 hours, only hurts if touched.  Took ibuprofen 200 mg twice a day over two days helped lessen symptoms.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Feeling cold, Headache, Injection site erythema, Injection site induration
Clinical narrative: Had large, hard, 2 inch red welt for a week at site of injection. Headache. Woke in middle of night with teeth chattering coldness that could only be stopped in a hot bath. Aching arm .
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site urticaria, Pain in extremity
Clinical narrative: Had large, hard, 2 inch red welt for a week at site of injection. Headache. Woke in middle of night with teeth chattering coldness that could only be stopped in a hot bath. Aching arm .
Age: 32.0
Sex: F
Vaccine: HEPAB
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Insomnia
Clinical narrative: Chills, fever, muscle soreness, and stiffness, fatigue, difficulty sleeping, lack of appetite, headache between 2/7/2020 at 1800-1200 on 02/28/2020. Took Ibuprofen every 4hr and increased liquid intake.
Age: 32.0
Sex: F
Vaccine: HEPAB
Symptoms: Musculoskeletal stiffness, Myalgia, Pyrexia
Clinical narrative: Chills, fever, muscle soreness, and stiffness, fatigue, difficulty sleeping, lack of appetite, headache between 2/7/2020 at 1800-1200 on 02/28/2020. Took Ibuprofen every 4hr and increased liquid intake.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Discomfort, Fatigue, Injection site pain, Pain
Clinical narrative: Following the injection, I took a standard dose ibuprofen and intermittently applied ice to the affected arm. alternating with exercise of the arm.  Arm was sore. Approximately 12 hours after receiving the injection. I experienced onset of fever. I continued to take ibuprofen every 4 hours or so. With the fever, I experienced severe chills. I was shaking and shivering so much, my bed partner was unable to sleep and moved to another bed. The chills and fever dissipated about 10 to 12 hours after onset. The arm continued to be very sore for the next week. My previous Shingrix shot, a couple months prior, was also extremely uncomfortable. Both shots themselves were unusually painful. I have no idea if this was related to the way they were administered. With the first shot, I applied ice intermittently throughout the day and took ibuprofen every 4 to 6 hours.  When I went to bid at around 11 pm, I thought I had escaped with only a very sore arm. At midnight I felt like I had been "run over by a truck." My entire body ached.  I did not experience fever or chills with the first injection.