chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 13.0
Sex: M
Vaccine: FLU3, HPV4
Symptoms: Blood glucose normal, Syncope
Clinical narrative: Patient was walking out of the room and start to faint, CNA saw him and held on to him RN and another CNA came to assist, placed in W/C.  Dr notified and patient assessed, placed on exam table. Pt was monitored, lunch was given, and he ambulated with steady gate, PERRL, A&O X's 3, at 1155 am. Gaurdian was told by RN if any problems return to ED ASAP.
Age: 59.0
Sex: F
Vaccine: FLUX
Symptoms: Blood test, Electroencephalogram, Nuclear magnetic resonance imaging, Seizure
Clinical narrative: Unprovoked seizure.
Age: 33.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Activities of daily living impaired, Lymphadenopathy
Clinical narrative: Approximately 3 hours after vaccine given pt noticed a swollen lymph node in armpit of left arm. Took 2 OTC Zyrtec and went to bed. Next day left work early upon suggestion of school nurse, took 6 Advil upon suggestion of school nurse, applied warm soaks upon my suggestion to armpit. 2 days after, swelling in armpit is less and was able to attended a work seminar. Information was obtained from mother.
Age: 31.0
Sex: F
Vaccine: PPV
Symptoms: Activities of daily living impaired, Body temperature increased, Chills, Erythema, Induration
Clinical narrative: My arm felt like I got hit in the arm with a bat.  My arm swelled and is red.  The redness of my arm is as big as a softball. It feels hot and hard to the touch and it hurts to move it or even touch it.  My arm is lumpy. My temperature has been up to 103.  I have been on Advil for 2.5 days straight and even on the Advil my temperature is at 101.  I had to miss 2 days of work. My body aches and I have gotten the chills.
Age: 31.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pain in extremity, Peripheral swelling, Skin warm, Upper extremity mass
Clinical narrative: My arm felt like I got hit in the arm with a bat.  My arm swelled and is red.  The redness of my arm is as big as a softball. It feels hot and hard to the touch and it hurts to move it or even touch it.  My arm is lumpy. My temperature has been up to 103.  I have been on Advil for 2.5 days straight and even on the Advil my temperature is at 101.  I had to miss 2 days of work. My body aches and I have gotten the chills.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Bone pain, Diarrhoea, Myalgia, Pyrexia, Vomiting
Clinical narrative: Patient complains of muscle and bone pain, later uncontrolled diarrhea, fever, vomiting on 10-22-15, feeling better 10/23/15.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Injection site erythema, Injection site oedema, Injection site rash, Injection site warmth
Clinical narrative: Rash noted around injection site then developed erythema and edema and warm to touch.
Age: 42.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Pruritus generalised, Urticaria
Clinical narrative: Itchy skin all over, then I had broken out in hives! I've been taken hydrocortisone and Benadryl but it's not really helping that much.
Age: 84.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site bruising, Injection site discolouration, Pain in extremity, Pruritus
Clinical narrative: Patient received shot on 10-20-15 and returned to the pharmacy with a bruise, yellow at the top and purple down her arm, below the injection site. Patient states arm is sore and itchy.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Aphasia, Dyspnoea, Swollen tongue, Wheezing
Clinical narrative: Presented to receive flu vaccine being offered by clinic. Allergies were identified as well as previous local reaction to vaccines. No known allergies to vaccine components. Denied anaphylactic reaction previously. No autoimmune diseased noted, or other contraindications. Vaccine administered in deltoid, at approximately 0847. Administering technician notified of reaction approx. 0855, Pt evaluated. Pt was unable to speak, wheezing, gasping/gulping for air, pulse was steady and regular. Skin warm and dry. Pt was alert and oriented, communicated through head gestures. Affirmed sense of 'Impending doom.' Tongue was notably enlarged. EMS was activated. Prelocal protocol an Epi-Pen auto injection was administered to lateral thigh at 0857. O2 was administered at 15lpm via NRB. 0900, reassessed pt. Breathing easier, pulse was more rapid. Able to answer with 1-2 word answers. Fire Department on scene at 0902. Vital taken and stable/as expected after medication.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives bilateral over arms and chest.
Age: 52.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Wrong drug administered
Clinical narrative: Patient is 52 years old and has CAD. He is indicated for the Pneumovax. Nurse was not aware of the two different pneumococcal vaccines. Ended up grabbing Prevnar 13 from the refrigerator and gave him the injection. She did not notice it was not the correct vaccine until she was unable to document the vaccination in the chart. The lot number, etc.. is not available for me to report. He also received a flu shot on the same day.
Age: 13.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Abdominal pain, Arthralgia, Asthma, Condition aggravated, Cough
Clinical narrative: Reason for PCP office visit on 10/14/15: 1) asthma:  Onset: gradually.  The severity of the problem is mild.  The problem has worsened.  The frequency of symptoms is intermittent.  It occurs seasonally.  Symptoms are associated with recent exposure to animal(s) and recent exposure to smoke.  Aggravating factors include animal dander, smoke and weather changes.  Associated symptoms include cough, rash and wheezing.  Pertinent negatives include abdominal pain, accelerated respirations, chest congestion, decreased appetite, decreased fluid intake, decreased sleep, decreased urine output, fatigue, fever or headache.  Patient has a history of asthma.  Exposed to a black cat increased wheezing.  Grandfather smokes in front of him and in the car.  2) Well Child Check. Assessment/Plan: Well Child Check with abnormal findings.  Moderate persistent asthma without complication.  Take medications as directed, should have inhaler with him all the time and one at school as well.  Return to office one week asthma or sooner if needed. ED: Grandmother of patient verbalizes concerns related to possible allergic reaction to two vaccines received today; complaint of sudden onset of headache pain, "Pain goes from my head down to my toes and feels like it is going to explode."  Patient denies any difficulty in breathing. ED history:  This is a 13 year old male patient has a history of asthma.  The patient went to facility today for a checkup.  He's been wheezing for the last week.  He also had administration of his third HPV vaccine as well as his influenza shot.  Later on in the day, the patient started to experience body pains.  He describes it in his joints.  He had some difficulty walking.  He also describes it he felt there is some sensation of swelling in his throat.  He did not develop a rash.  He did not have any fainting episodes.  The grandmother is concerned so she brought him up for evaluation.  He's not had any fever. ED MDM (?medical decision making?): This is a 13 year old male patient that was seen at the family doctor today.  He received vaccinations and now appears to have some sort of adverse reaction.  I would not call this true allergy and certainly not anaphylactic reaction.  He describes joint pain and sensation in his throat is closing.  He has no tongue swelling or rash.  He was given some Tylenol, Benadryl, and oral prednisone.  He was observed here for a couple of hours and had no deterioration of his condition.  I'm not certain why he is having this type of reaction.  I did tell the (grand) mother to continue using albuterol, prednisone, and Benadryl.  Told him to return if worse. I called grandmother today (10/23/15 @ 2:11 PM): She said except for his asthma, "He is doing a lot better."  All other symptoms have subsided.
Age: 13.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Decreased appetite, Fatigue, Fluid intake reduced, Gait disturbance, Headache
Clinical narrative: Reason for PCP office visit on 10/14/15: 1) asthma:  Onset: gradually.  The severity of the problem is mild.  The problem has worsened.  The frequency of symptoms is intermittent.  It occurs seasonally.  Symptoms are associated with recent exposure to animal(s) and recent exposure to smoke.  Aggravating factors include animal dander, smoke and weather changes.  Associated symptoms include cough, rash and wheezing.  Pertinent negatives include abdominal pain, accelerated respirations, chest congestion, decreased appetite, decreased fluid intake, decreased sleep, decreased urine output, fatigue, fever or headache.  Patient has a history of asthma.  Exposed to a black cat increased wheezing.  Grandfather smokes in front of him and in the car.  2) Well Child Check. Assessment/Plan: Well Child Check with abnormal findings.  Moderate persistent asthma without complication.  Take medications as directed, should have inhaler with him all the time and one at school as well.  Return to office one week asthma or sooner if needed. ED: Grandmother of patient verbalizes concerns related to possible allergic reaction to two vaccines received today; complaint of sudden onset of headache pain, "Pain goes from my head down to my toes and feels like it is going to explode."  Patient denies any difficulty in breathing. ED history:  This is a 13 year old male patient has a history of asthma.  The patient went to facility today for a checkup.  He's been wheezing for the last week.  He also had administration of his third HPV vaccine as well as his influenza shot.  Later on in the day, the patient started to experience body pains.  He describes it in his joints.  He had some difficulty walking.  He also describes it he felt there is some sensation of swelling in his throat.  He did not develop a rash.  He did not have any fainting episodes.  The grandmother is concerned so she brought him up for evaluation.  He's not had any fever. ED MDM (?medical decision making?): This is a 13 year old male patient that was seen at the family doctor today.  He received vaccinations and now appears to have some sort of adverse reaction.  I would not call this true allergy and certainly not anaphylactic reaction.  He describes joint pain and sensation in his throat is closing.  He has no tongue swelling or rash.  He was given some Tylenol, Benadryl, and oral prednisone.  He was observed here for a couple of hours and had no deterioration of his condition.  I'm not certain why he is having this type of reaction.  I did tell the (grand) mother to continue using albuterol, prednisone, and Benadryl.  Told him to return if worse. I called grandmother today (10/23/15 @ 2:11 PM): She said except for his asthma, "He is doing a lot better."  All other symptoms have subsided.
Age: 13.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Insomnia, Pain, Pharyngeal oedema, Pyrexia, Rash
Clinical narrative: Reason for PCP office visit on 10/14/15: 1) asthma:  Onset: gradually.  The severity of the problem is mild.  The problem has worsened.  The frequency of symptoms is intermittent.  It occurs seasonally.  Symptoms are associated with recent exposure to animal(s) and recent exposure to smoke.  Aggravating factors include animal dander, smoke and weather changes.  Associated symptoms include cough, rash and wheezing.  Pertinent negatives include abdominal pain, accelerated respirations, chest congestion, decreased appetite, decreased fluid intake, decreased sleep, decreased urine output, fatigue, fever or headache.  Patient has a history of asthma.  Exposed to a black cat increased wheezing.  Grandfather smokes in front of him and in the car.  2) Well Child Check. Assessment/Plan: Well Child Check with abnormal findings.  Moderate persistent asthma without complication.  Take medications as directed, should have inhaler with him all the time and one at school as well.  Return to office one week asthma or sooner if needed. ED: Grandmother of patient verbalizes concerns related to possible allergic reaction to two vaccines received today; complaint of sudden onset of headache pain, "Pain goes from my head down to my toes and feels like it is going to explode."  Patient denies any difficulty in breathing. ED history:  This is a 13 year old male patient has a history of asthma.  The patient went to facility today for a checkup.  He's been wheezing for the last week.  He also had administration of his third HPV vaccine as well as his influenza shot.  Later on in the day, the patient started to experience body pains.  He describes it in his joints.  He had some difficulty walking.  He also describes it he felt there is some sensation of swelling in his throat.  He did not develop a rash.  He did not have any fainting episodes.  The grandmother is concerned so she brought him up for evaluation.  He's not had any fever. ED MDM (?medical decision making?): This is a 13 year old male patient that was seen at the family doctor today.  He received vaccinations and now appears to have some sort of adverse reaction.  I would not call this true allergy and certainly not anaphylactic reaction.  He describes joint pain and sensation in his throat is closing.  He has no tongue swelling or rash.  He was given some Tylenol, Benadryl, and oral prednisone.  He was observed here for a couple of hours and had no deterioration of his condition.  I'm not certain why he is having this type of reaction.  I did tell the (grand) mother to continue using albuterol, prednisone, and Benadryl.  Told him to return if worse. I called grandmother today (10/23/15 @ 2:11 PM): She said except for his asthma, "He is doing a lot better."  All other symptoms have subsided.
Age: 13.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Respiratory rate increased, Respiratory tract congestion, Throat tightness, Urine output decreased, Wheezing
Clinical narrative: Reason for PCP office visit on 10/14/15: 1) asthma:  Onset: gradually.  The severity of the problem is mild.  The problem has worsened.  The frequency of symptoms is intermittent.  It occurs seasonally.  Symptoms are associated with recent exposure to animal(s) and recent exposure to smoke.  Aggravating factors include animal dander, smoke and weather changes.  Associated symptoms include cough, rash and wheezing.  Pertinent negatives include abdominal pain, accelerated respirations, chest congestion, decreased appetite, decreased fluid intake, decreased sleep, decreased urine output, fatigue, fever or headache.  Patient has a history of asthma.  Exposed to a black cat increased wheezing.  Grandfather smokes in front of him and in the car.  2) Well Child Check. Assessment/Plan: Well Child Check with abnormal findings.  Moderate persistent asthma without complication.  Take medications as directed, should have inhaler with him all the time and one at school as well.  Return to office one week asthma or sooner if needed. ED: Grandmother of patient verbalizes concerns related to possible allergic reaction to two vaccines received today; complaint of sudden onset of headache pain, "Pain goes from my head down to my toes and feels like it is going to explode."  Patient denies any difficulty in breathing. ED history:  This is a 13 year old male patient has a history of asthma.  The patient went to facility today for a checkup.  He's been wheezing for the last week.  He also had administration of his third HPV vaccine as well as his influenza shot.  Later on in the day, the patient started to experience body pains.  He describes it in his joints.  He had some difficulty walking.  He also describes it he felt there is some sensation of swelling in his throat.  He did not develop a rash.  He did not have any fainting episodes.  The grandmother is concerned so she brought him up for evaluation.  He's not had any fever. ED MDM (?medical decision making?): This is a 13 year old male patient that was seen at the family doctor today.  He received vaccinations and now appears to have some sort of adverse reaction.  I would not call this true allergy and certainly not anaphylactic reaction.  He describes joint pain and sensation in his throat is closing.  He has no tongue swelling or rash.  He was given some Tylenol, Benadryl, and oral prednisone.  He was observed here for a couple of hours and had no deterioration of his condition.  I'm not certain why he is having this type of reaction.  I did tell the (grand) mother to continue using albuterol, prednisone, and Benadryl.  Told him to return if worse. I called grandmother today (10/23/15 @ 2:11 PM): She said except for his asthma, "He is doing a lot better."  All other symptoms have subsided.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Heart rate increased
Clinical narrative: Vomiting, nausea, diarrhea, shivering, fatigue, headache, increased heart rate.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Vomiting
Clinical narrative: Vomiting, nausea, diarrhea, shivering, fatigue, headache, increased heart rate.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Vaccination site inflammation, Vaccination site rash
Clinical narrative: Patient developed red rash that extended from the vaccination site down her arm to her elbow. The rash did not hurt or itch, but was firey red and inflamed. The Patient noticed the evening of the 18th, and came in on the morning of the 19th to show me. She then went to a previously scheduled Dr's appointment an hour later and had the Dr. look at it. She told me the Dr. was unsure what it was or why it happened, but prescribed her Keflex 500mg twice daily to be safe.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site erythema, Injection site extravasation, Injection site mass, Injection site swelling
Clinical narrative: Lump/mass, swelling, warm, erythema, bruising at injection site. Symptoms infiltrated skin surrounding injection site.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site warmth
Clinical narrative: Lump/mass, swelling, warm, erythema, bruising at injection site. Symptoms infiltrated skin surrounding injection site.
Age: 6.0
Sex: M
Vaccine: DTAP, FLU4, IPV, MMR, VARCEL, DTAP, FLU4, IPV, MMR, VARCEL
Symptoms: Dyspnoea, Oxygen saturation decreased, Respiratory rate increased, Wheezing
Clinical narrative: Pt. came in this morning to get Kindergarten immunizations and a flu shot.  He rec'd DTaP, IPV, MMR, Varivax and a flu shot.  Approx 5 minutes after getting immunizations, he began to c/o to parents of difficulty breathing.  When staff returned to the room, he was upright and presented with increased resp rate & effort and wheezing.  Decreased aeration throughout all lung fields.  Dr. arrived in room and ordered Epi 0.3 mg sub Q (given in R anterior thigh) and Albuterol nebulizer 2.5 mg/3 ml NaCl.  Pulse ox at that time was 85-88% on RA.  Started O2 at 1/2 L/NP.  Pulse ox improved to 90%.  Improved aeration throughout but still wheezing.  Increased O2 to 1 L/NP.  EMS notified and arrived at approx. 0940.  Resp effort improved and was able to talk briefly.  Still wheezing.  Pulse ox steady at 93-94% on 1 L O2/NP.  BP 116/58 with HR of 123 after Albuterol Neb.  Assisted onto stretcher and transported to ER for further stabilization and treatment.
Age: 6.0
Sex: M
Vaccine: DTAP, FLU4, IPV, MMR, VARCEL, DTAP, FLU4, IPV, MMR, VARCEL
Symptoms: Dyspnoea, Erythema, Salivary hypersecretion, Tryptase increased
Clinical narrative: Pt. came in this morning to get Kindergarten immunizations and a flu shot.  He rec'd DTaP, IPV, MMR, Varivax and a flu shot.  Approx 5 minutes after getting immunizations, he began to c/o to parents of difficulty breathing.  When staff returned to the room, he was upright and presented with increased resp rate & effort and wheezing.  Decreased aeration throughout all lung fields.  Dr. arrived in room and ordered Epi 0.3 mg sub Q (given in R anterior thigh) and Albuterol nebulizer 2.5 mg/3 ml NaCl.  Pulse ox at that time was 85-88% on RA.  Started O2 at 1/2 L/NP.  Pulse ox improved to 90%.  Improved aeration throughout but still wheezing.  Increased O2 to 1 L/NP.  EMS notified and arrived at approx. 0940.  Resp effort improved and was able to talk briefly.  Still wheezing.  Pulse ox steady at 93-94% on 1 L O2/NP.  BP 116/58 with HR of 123 after Albuterol Neb.  Assisted onto stretcher and transported to ER for further stabilization and treatment.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Hypoaesthesia, Local swelling
Clinical narrative: Red, inflamed bump on left arm, radiating numbness in left hand.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: SIGNIFICANT PAIN AT INJECTION SITE AT FIRST FOLLOWED BY REDNESS AND SWELLING. AREA OF SWELLING DESCRIBED AS HAND SIZED.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Injection site pain, Lymphadenopathy, Neck pain, Pain in extremity
Clinical narrative: Severe pain at injection site, neck and down left arm, bruising, swollen lymph notes in L neck.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Injection site rash
Clinical narrative: Mom reports that after receiving immunizations and leaving the clinic that baby had bumps over both legs from thighs to feet. She call the after hours triage nurse who told her to go the ED if rash got worse.  Mom reports rash improved, but appeared again in the am, at which time she took the baby to the ED. No fever, no cough, no wheezing noted. Taking good p.o feeds.
Age: 56.0
Sex: M
Vaccine: FLU4
Symptoms: Eyelid oedema, Injected limb mobility decreased, Injection site erythema, Injection site warmth, Pain in extremity
Clinical narrative: Flu shot on 10/16/15. Could not lift my arm that shot was given in for 72 hours due to pain. Area bright red and hot to the touch. On 10/17 and 10/18 woke up both mornings with swollen eyelids. Took Benadryl to control. Still today 10/23 arm still sore to the touch but no swelling or heat.
Age: 56.0
Sex: M
Vaccine: FLU4
Symptoms: Tenderness
Clinical narrative: Flu shot on 10/16/15. Could not lift my arm that shot was given in for 72 hours due to pain. Area bright red and hot to the touch. On 10/17 and 10/18 woke up both mornings with swollen eyelids. Took Benadryl to control. Still today 10/23 arm still sore to the touch but no swelling or heat.
Age: 54.0
Sex: M
Vaccine: FLUX, PPV, FLU3, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Tenderness
Clinical narrative: Had Flu snd Pneumonia vaccines in the same arm on the same day and now arm is red, swollen and painful with left axilla tenderness.  Patient was seen in the office, received steroid injection, steroid, antiobiotic and pain prescriptions.
Age: 54.0
Sex: M
Vaccine: FLUX, PPV, FLU3, PPV
Symptoms: Body temperature increased, Injection site erythema, Local reaction, Local swelling, Pain in extremity
Clinical narrative: Had Flu snd Pneumonia vaccines in the same arm on the same day and now arm is red, swollen and painful with left axilla tenderness.  Patient was seen in the office, received steroid injection, steroid, antiobiotic and pain prescriptions.
Age: 54.0
Sex: M
Vaccine: FLUX, PPV, FLU3, PPV
Symptoms: Tenderness
Clinical narrative: Had Flu snd Pneumonia vaccines in the same arm on the same day and now arm is red, swollen and painful with left axilla tenderness.  Patient was seen in the office, received steroid injection, steroid, antiobiotic and pain prescriptions.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: PT HAS INJECTION SITE REACTION INVOLVING REDNESS AT SITE APPROXIMATELY 2 INCHES IN DIAMETER, SWELLING AT SITE, HOT AND TENDER TO TOUCH.  PT DOES NOT OTHERWISE FEEL ILL.
Age: 77.0
Sex: F
Vaccine: PNC13
Symptoms: Dyspnoea, Headache, Heart rate increased, Myalgia, Pain in extremity
Clinical narrative: RAPID HEART RATE >100 FOR 5 HOURS, SHORTNESS OF BREATH, HEADACHE, MUSCLE ACHES, SEVERE ARM PAIN "IT'S GOING TO FALL OFF".
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Fatigue, Headache, Musculoskeletal stiffness, Nausea
Clinical narrative: Debilitating headache, nausea, neck pain/stiffness, fatigue.
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Neck pain
Clinical narrative: Debilitating headache, nausea, neck pain/stiffness, fatigue.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia
Clinical narrative: Patient was a first time flu vaccine recipient. Approximately 30 minutes after vaccine administration into left deltoid, patient reported bilateral paresthesia in her palms. She said it was more pronounced in her right palm than her left. This reaction lasted until midday the next day (just over 24 hours after administration).
Age: 96.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Rash erythematous, Skin warm, Swelling, Vaccination site reaction
Clinical narrative: Red/swollen and warm to touch. Painful to touch. Red rash from vaccination site down to elbow. NO FEVER.
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: Myelitis transverse
Clinical narrative: Transverse myelitis.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Incorrect route of drug administration
Clinical narrative: Patient was given a Zostavax vaccination in the deltoid muscle (IM) instead of subcutaneous (SQ).
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Hives, itching, redness.
Age: 1.11
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Acne, Cold sweat, Exposure to communicable disease, Herpes zoster, Injection site rash
Clinical narrative: A rash that occurred on his left leg starting at his knee, cold sweats, low grade fever, and small pimple like pockets on his leg. He was around someone with the shingles and when he was admitted to Hospital the Dermatology Doctor informed me that certain companies who make the Varicella vaccine have reported cases in small children around 17 months old who have contracted the shingles virus. Doctor reported that the child may have come in contact with someone who has shingles, thus reactivating the vaccine. Symptoms progressed to go up his left leg to his lower back. They treated him with acyclovir intravenously. His symptoms decreased and he responded to the medication.
Age: 1.11
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Viral test negative
Clinical narrative: A rash that occurred on his left leg starting at his knee, cold sweats, low grade fever, and small pimple like pockets on his leg. He was around someone with the shingles and when he was admitted to Hospital the Dermatology Doctor informed me that certain companies who make the Varicella vaccine have reported cases in small children around 17 months old who have contracted the shingles virus. Doctor reported that the child may have come in contact with someone who has shingles, thus reactivating the vaccine. Symptoms progressed to go up his left leg to his lower back. They treated him with acyclovir intravenously. His symptoms decreased and he responded to the medication.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Head to toe hives. Patient saw a nurse practitioner on 10/19/2015 and was treated with a prednisone decreasing dose pack for 2 weeks.
Age: 16.0
Sex: F
Vaccine: FLUN4, MENB
Symptoms: Immediate post-injection reaction, Injection site bruising, Injection site pain, Peripheral swelling
Clinical narrative: Severe arm swelling immediately, bruising at injection site the next day, painful to touch.  No treatment except Tylenol, warm packs.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Impaired work ability, Malaise, Throat irritation
Clinical narrative: Patient complained of a very raspy throat beginning one day after vaccination and continuing for a week after.  Claims that he did not feel well enough to go to work.
Age: 66.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Inflammation, Injection site inflammation, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: INJECTION SITE SORENESS, SWELLING, INFLAMMATION IMPROVED BUT SPREAD DOWN THE ARM.
Age: 66.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Peripheral swelling
Clinical narrative: INJECTION SITE SORENESS, SWELLING, INFLAMMATION IMPROVED BUT SPREAD DOWN THE ARM.
Age: 59.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Blister, Herpes zoster, Pain, Rash
Clinical narrative: Painful, reddened area under breast and across rib cage to her back. She called in sick to work for 3 days and then went to a physician.  By the time she went to the doctor, it was a blistered rash running along this area.  She was diagnosed with "severe shingles".
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Erythema, Local swelling, Skin warm
Clinical narrative: Right arm has a 10x10 area of warm, slightly raised erythema.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Pain in arm, redness, swelling..diagnosed as cellulitis.
Age: 17.0
Sex: M
Vaccine: FLUN4, HPV4, MNQ, VARCEL
Symptoms: Erythema, Induration, Mass, Pain in extremity, Skin warm
Clinical narrative: Approximately 3.5 inch firm, red, lump.  Warm to touch and painful on right arm.
Age: 1.25
Sex: F
Vaccine: HEPA, MMR, PPV, VARCEL
Symptoms: Injection site rash, Injection site reaction, Rash, Rash vesicular, Scab
Clinical narrative: Per mom, patient developed vesicles with clear fluid (varicella-type rash) on arms, back, and legs 3 days after vaccine administration. No fever. When I evaluated patient on 10/23/15 there was evidence of erythematous crusted over varicella type rash.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus, Tenderness
Clinical narrative: Raised injection site (looks like a scratched bug-bite). Redness and warmth 4 inch diameter around injections site. Patient complains of itching and tenderness.
Age: 23.0
Sex: M
Vaccine: RAB, RAB
Symptoms: Hypoaesthesia, Injection site pain, Nuclear magnetic resonance imaging abnormal, Pain in extremity
Clinical narrative: Within 30 seconds of receiving the 1st Rabies vaccine, all fingers became numb on arm of injection and radiated up to the shoulder. Had pain at injection site - several days of constant pain and numbness in arm. These symptoms recurred with Rabies vaccine #2. Since then, symptoms have worsened: now has pain in upper left arm daily - lasts anywhere from 15 minutes to several hours.
Age: 23.0
Sex: M
Vaccine: RAB, RAB
Symptoms: Hypoaesthesia, Injection site pain, Injection site paraesthesia, Local swelling, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Within 30 seconds of receiving the 1st Rabies vaccine, all fingers became numb on arm of injection and radiated up to the shoulder. Had pain at injection site - several days of constant pain and numbness in arm. These symptoms recurred with Rabies vaccine #2. Since then, symptoms have worsened: now has pain in upper left arm daily - lasts anywhere from 15 minutes to several hours.
Age: 23.0
Sex: M
Vaccine: RAB, RAB
Symptoms: Hypoaesthesia, Injection site pain, Nuclear magnetic resonance imaging abnormal, Pain in extremity
Clinical narrative: Within 30 seconds of receiving the 1st Rabies vaccine (L) all fingers became numb and this radiated up to the shoulder. Had pain at injection site. Several days of constant pain then it was intermittent. These sxs recurred with Rabies vaccine #2. Since then has worsened: now has pain in upper (L) arm daily lasts 5-15mins or up to several hours. (+) paresthesia at injection site. No redness/swelling. Saw PCP. MRI showed a bump. Has follow up.
Age: 23.0
Sex: M
Vaccine: RAB, RAB
Symptoms: Hypoaesthesia, Injection site pain, Injection site paraesthesia, Local swelling, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Within 30 seconds of receiving the 1st Rabies vaccine (L) all fingers became numb and this radiated up to the shoulder. Had pain at injection site. Several days of constant pain then it was intermittent. These sxs recurred with Rabies vaccine #2. Since then has worsened: now has pain in upper (L) arm daily lasts 5-15mins or up to several hours. (+) paresthesia at injection site. No redness/swelling. Saw PCP. MRI showed a bump. Has follow up.
Age: 1.43
Sex: M
Vaccine: FLUX
Symptoms: Generalised tonic-clonic seizure, Pyrexia
Clinical narrative: At 12:30pm approximately 30 minutes after having vaccine the patient had a generalized tonic clonic seizure.  The patient went to the Emergency Department.  Shortly in her Emergency Department stay the patient spiked a fever.  The patient recovered well and was discharged.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Dehydration, Dizziness, Headache, Myalgia
Clinical narrative: Fever, weakness, muscle aches, scratchy throat, body aches, sneezing, stuffy nose, dehydrated, dizziness, headaches all pretty severe, especially weakness and body aches. Lasted 5 days so far and is still ongoing. I've been in bed too weak to do anything the entire time.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Nasal congestion, Pain, Pyrexia, Sneezing, Throat irritation
Clinical narrative: Fever, weakness, muscle aches, scratchy throat, body aches, sneezing, stuffy nose, dehydrated, dizziness, headaches all pretty severe, especially weakness and body aches. Lasted 5 days so far and is still ongoing. I've been in bed too weak to do anything the entire time.
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Influenza like illness
Clinical narrative: Patient's mother states that her daughter has flu-like symptoms and pain around the sternum area. Afebrile.
Age: 60.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal discomfort, Abdominal pain, Diarrhoea, Feeling abnormal, Pyrexia
Clinical narrative: Pt began experiencing abdominal cramping and discomfort.  It progressed to severe diarrhea and a low grade fever.  He stated he felt awful for about 24 hours then all symptoms resolved.
Age: 78.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site reaction, Pruritus, Rash erythematous
Clinical narrative: Diffuse, erythematous rash starting on arm near injection site and spreading toward digits. Progessed/worsened between 10/22 and 10/23. Pt began to experience pruritis on 10/23.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haemorrhage, Injection site swelling
Clinical narrative: WHEN NEEDLE WAS REMOVED THERE WAS A SMALL AMOUNT OF BLOOD ATHAT CAME FROM THE INJECTION SITE AND I NOTICED THE TISSUE SWELLED SLIGHTLY ALMOST IMMEDIATELY. THE PATIENT SAID THEY FELT NOTHING I WAS CONCERNED BY THE SLIGHT SWELLING. AFTER 20 MINUTE PERIOD PATIENT WAS OBSERVED AGAIN FOR PRECAUTION AND THERE WAS NO CHANGE . PATIENT SAID THEY FELT FINE AND WAS UNDER NO DISTRESS. THE SITE WAS NOT RED OR INFLAMED JUST VERY SLIGHTLY SWELLED.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Differential white blood cell count, Full blood count, Neuralgia, Nuclear magnetic resonance imaging abnormal, Pain
Clinical narrative: Started having aching no pain in shoulder by vaccination, this progressed and after 1.5 weeks, I had MRI that showed tendonopathy and tendinitis in my shoulder.  Also having nerve pain icon arm and into fingers on my left hand.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Red blood cell sedimentation rate, Scan with contrast, Tendon disorder, Tendonitis
Clinical narrative: Started having aching no pain in shoulder by vaccination, this progressed and after 1.5 weeks, I had MRI that showed tendonopathy and tendinitis in my shoulder.  Also having nerve pain icon arm and into fingers on my left hand.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Tongue pruritus
Clinical narrative: Swollen eyes, itchy tongue.
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Peripheral swelling, Rash macular, Skin warm
Clinical narrative: Hot, swollen, red splotchy arm that spread over the next to days to involve the entire upper arm.  Resolution with Benadryl within 72 hours.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling around the injection site (left arm).
Sex: F
Vaccine: FLU4
Symptoms: Cerebrovascular accident, Eye pain, Headache, Hypersensitivity, Immediate post-injection reaction
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of allergic reaction in a female patient who received FLUARIX QUADRIVALENT (batch number 2F5P4, expiry date 30th June 2016). Concurrent medical conditions included iodine allergy and shellfish allergy. On an unknown date, the patient received FLUARIX QUADRIVALENT .5 ml. On an unknown date, immediately after receiving FLUARIX QUADRIVALENT, the patient experienced allergic reaction (serious criteria disability, life threatening and other: as per reporter), optic nerve damage (serious criteria disability, GSK medically significant, life threatening and other: as per reporter), stroke (serious criteria disability, GSK medically significant, life threatening and other: as per reporter), headache (serious criteria disability, life threatening and other: as per reporter), throat constriction (serious criteria disability, life threatening and other: as per reporter) and eye pain (serious criteria disability, life threatening and other: as per reporter). The patient was treated with BENADRYL (nos) and steroids nos (unspecified). On an unknown date, the outcome of the allergic reaction, optic nerve damage, stroke, headache, throat constriction and eye pain were unknown. It was unknown if the reporter considered the allergic reaction, optic nerve damage, stroke, headache, throat constriction and eye pain to be related to FLUARIX QUADRIVALENT. Additional details were provided as follows: The health care professional stated that right after receiving FLUARIX QIV, the patient's throat started closing on her. The patient also experienced optic nerve damage (severe eye pain, headaches). The patient was allergic to iodine/shrimp and knew right away that she was having an allergic reaction because her throat started closing. She was wheeled over to the emergency room in a wheel chair. She was given BENADRYL and steroids. She was discharged that day on steroids and followed up with an ophthalmologist. The ophthalmologist stopped the steroids and her pain came right back. She then went to another eye specialist who started her back on the high-dose steroids.
Sex: F
Vaccine: FLU4
Symptoms: Optic nerve injury, Throat tightness
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of allergic reaction in a female patient who received FLUARIX QUADRIVALENT (batch number 2F5P4, expiry date 30th June 2016). Concurrent medical conditions included iodine allergy and shellfish allergy. On an unknown date, the patient received FLUARIX QUADRIVALENT .5 ml. On an unknown date, immediately after receiving FLUARIX QUADRIVALENT, the patient experienced allergic reaction (serious criteria disability, life threatening and other: as per reporter), optic nerve damage (serious criteria disability, GSK medically significant, life threatening and other: as per reporter), stroke (serious criteria disability, GSK medically significant, life threatening and other: as per reporter), headache (serious criteria disability, life threatening and other: as per reporter), throat constriction (serious criteria disability, life threatening and other: as per reporter) and eye pain (serious criteria disability, life threatening and other: as per reporter). The patient was treated with BENADRYL (nos) and steroids nos (unspecified). On an unknown date, the outcome of the allergic reaction, optic nerve damage, stroke, headache, throat constriction and eye pain were unknown. It was unknown if the reporter considered the allergic reaction, optic nerve damage, stroke, headache, throat constriction and eye pain to be related to FLUARIX QUADRIVALENT. Additional details were provided as follows: The health care professional stated that right after receiving FLUARIX QIV, the patient's throat started closing on her. The patient also experienced optic nerve damage (severe eye pain, headaches). The patient was allergic to iodine/shrimp and knew right away that she was having an allergic reaction because her throat started closing. She was wheeled over to the emergency room in a wheel chair. She was given BENADRYL and steroids. She was discharged that day on steroids and followed up with an ophthalmologist. The ophthalmologist stopped the steroids and her pain came right back. She then went to another eye specialist who started her back on the high-dose steroids.
Age: 28.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site hypoaesthesia, Skin disorder
Clinical narrative: This case was reported by a physician via call center representative and described the occurrence of injection site numbness in a 28-year-old male patient who received FLUARIX QUADRIVALENT. In 2015, the patient received FLUARIX QUADRIVALENT. On an unknown date, 2 days after receiving FLUARIX QUADRIVALENT, the patient experienced injection site numbness and skin disorder. On an unknown date, the outcome of the injection site numbness and skin disorder were unknown. It was unknown if the reporter considered the injection site numbness and skin disorder to be related to FLUARIX QUADRIVALENT. Additional details were provided as follows: The patient experienced skin indentation and numbness at the injection site. It was noted that the patient was on the bigger side.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Pain in extremity, Swelling, Tenderness
Clinical narrative: Swelling in left side clavicle and tender arm feeling like bruising - pain.
Age: 86.0
Sex: M
Vaccine: PPV
Symptoms: Death, Malaise, Musculoskeletal pain, Pain in extremity, Respiratory arrest
Clinical narrative: On 2-2-2015 pt. had arm pain. On 2-6-2015 pt. had extreme arm and shoulder pain, couldn't breathe. Was transported by ambulance to hospital. Pt. was never well, and died on April 10,2015 at hospital.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Blister, Exposure during pregnancy, Feeling hot, Scar, Thermal burn
Clinical narrative: This is a prospective pregnancy case. This 34-year-old female subject was enrolled in an open label study. The subject received the 1st dose of BOOSTRIX on 17th September 2015. The subject's past medical history included normal birth (The patient had 1 prior full term pregnancy). Concurrent medical conditions included bee sting hypersensitivity and fruit allergy (papaya allergy). Concomitant products included vitamins nos (Pre-Natal Vitamins). The subject's estimated date of delivery was 12th December 2015. The subject received BOOSTRIX during the third trimester of pregnancy. On 17th September 2015, 2 hrs after receiving BOOSTRIX, the subject developed burn of unspecified degree of unspecified site of hand (Non-serious). Additional event(s) included feeling hot on 17th September 2015, scar on 16th October 2015 and vaccine exposure during pregnancy. The outcome of burn of unspecified degree of unspecified site of hand was recovering/resolving. The outcome(s) of the additional event(s) included scar (recovering/resolving), feeling hot (recovering/resolving) and vaccine exposure during pregnancy (unknown). The pregnancy was ongoing. It was unknown if the investigator considered the burn of unspecified degree of unspecified site of hand, feeling hot and scar to be related to BOOSTRIX. Additional details were provided as follows: The patient received the vaccine in her left deltoid. The reported batch number of BOOSTRIX was 9N74F with expiry date as 19th August 2017. On the same day, all of a sudden about 2 hours after the vaccination, the patient experienced a burn on her right hand (burn of unspecified degree of unspecified site of hand) and she also felt heat on her right arm and hand with the skin bubbled up on her hand. There were no spills and the patient was not taking any other medicines. On 16th October 2015, 29 days after receiving the vaccine, the patient has scarring on her right hand, pointer finger and middle finger.
Age: 73.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Abdominal discomfort, Chills, Insomnia, Pyrexia
Clinical narrative: Took 2 shots at noon, around 6 p.m. Severe chills for about an hour or so. Severe stomach issues and a high fever during sleep, very little sleep.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Peripheral swelling
Clinical narrative: Patient states that around 5pm (later that night) her had was swelling (no redness just swelling) couldn't tell how far up her arm it went and not sure if related to flu shot and swelling did eventually go down on its own.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Injection site erythema, Injection site swelling, Injection site warmth, Rash generalised
Clinical narrative: Noticed a rash the following day. Stated it was hot and burning. Rash noted all over body. Injection site and (L) shoulder swollen, warm, red.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Skin warm
Clinical narrative: Noticed a rash the following day. Stated it was hot and burning. Rash noted all over body. Injection site and (L) shoulder swollen, warm, red.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 69.0
Sex: M
Vaccine: FLUX
Symptoms: Cough, Dyspnoea, Paraesthesia oral, Rhinorrhoea
Clinical narrative: Slight SOB, cough, runny nose, tingly lips.
Age: 26.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Body temperature increased, Headache, Nausea, Pain, Pain in extremity
Clinical narrative: Temp 101 degrees 5 hours after shot > temp x 30 hours. (L) arm swollen 2-3 hours after shot/pain/aches/nausea/HA x 40 hours. Aches, nausea/pain. 10/23/15 temp today 99.2 only s/s nausea, pain (L) arm.
Age: 26.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Peripheral swelling
Clinical narrative: Temp 101 degrees 5 hours after shot > temp x 30 hours. (L) arm swollen 2-3 hours after shot/pain/aches/nausea/HA x 40 hours. Aches, nausea/pain. 10/23/15 temp today 99.2 only s/s nausea, pain (L) arm.
Age: 77.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Anal haemorrhage, Chest discomfort, Dizziness, Dyspnoea, Gingival bleeding
Clinical narrative: Patient received vaccine on (PREVNAR) on 0/25/15. She said that 2 days afterward she experienced excessive gum bleeding, anal bleeding, trouble breathing, heaviness in chest, dizziness, blurred vision and itching at injection site. She did not go to the doctor for symptoms when she came into pharmacy her symptoms has subsided.
Age: 77.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site pruritus, Vision blurred
Clinical narrative: Patient received vaccine on (PREVNAR) on 0/25/15. She said that 2 days afterward she experienced excessive gum bleeding, anal bleeding, trouble breathing, heaviness in chest, dizziness, blurred vision and itching at injection site. She did not go to the doctor for symptoms when she came into pharmacy her symptoms has subsided.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Pt presented to pharmacy on 10/22/15 on/about 1300 hrs - with left arm redness around injection site - warm to touch, itchy and circular in nature - pt noticed on 10/21/15 area has reddened since.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Dyskinesia, Eyelid function disorder, Lacrimation increased, Mobility decreased, VIIth nerve paralysis
Clinical narrative: Pt was experiencing decreased control of left side of mouth, left arm, and left eye. Also left eye kept tearing. Pt went to MD a few days later and followed up Kw/ ophthalmologist and both diagnosed her with Bell's palsy. Both MD were not sure if coincidental or not?
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Eyelid oedema, Urticaria
Clinical narrative: Pt developed hives few hours later, swelling around left eye.
Age: 13.0
Sex: F
Vaccine: FLU3, HEPA, HPV4
Symptoms: Nausea, Pallor, Pruritus, Rash, Skin discolouration
Clinical narrative: Pt became very pale and nauseated about 10 min after injections. Resolved after emesis x 1. Then approx. 2 1/2 hrs. later her face felt itchy with a flesh colored raised rash. No swelling of face, tongue or lips.
Age: 13.0
Sex: F
Vaccine: FLU3, HEPA, HPV4
Symptoms: Vomiting
Clinical narrative: Pt became very pale and nauseated about 10 min after injections. Resolved after emesis x 1. Then approx. 2 1/2 hrs. later her face felt itchy with a flesh colored raised rash. No swelling of face, tongue or lips.
Age: 48.0
Sex: M
Vaccine: FLU4
Symptoms: Culture, Rash vesicular
Clinical narrative: Vesicular rash just distal to injection site, starting within 24 hours after injection. Treated with ALLEGRA 180mg, Amoxicillin, culture taken.