chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: PPV, PNC13
Symptoms: Hallucination, Heart rate increased, Influenza virus test negative, Injection site discomfort, Lacrimation increased
Clinical narrative: Pt reported began having reaction about 16 hours after vaccine. She noted symptoms of hallucination and took a Seroquel tablet. Also described feeling of pain in her arm that felt like acid running through her arm to her chest that made her have a panic attack. Began having vision changes and felt like pulse elevated after the panic set in. Also reported feeling of throat swelling, runny nose, migraine, and "flu-like" symptoms of fever and chills. She called the nurse line for her insurance who assisted her in contacting the on call physician for her PCP. On call provider recommended she take Benadryl. Unclear if pt took Benadryl. Patient proceeded to urgent care 22 hours after vaccine. Flu test was negative. Pt declined any lab tests. Provider did note a heart murmur that patient has previously been diagnosed with - mid systolic click per pt report - but pt declined EKG. Urgent care administered steroid shot per patient report. Patient visited her Primary care doctor on Monday, 1.6 at 4pm, due to ongoing symptoms that may or may not be related to vaccine. MD again tested for flu. Pt declined any lab tests again. Pt reported her physician gave her another steroid shot. Patient contacted pharmacy on Tuesday 1.7 to report reaction. She did not report any specific injection site reaction except for some bruising at the site that is improved.
Age: 68.0
Sex: F
Vaccine: PPV, PNC13
Symptoms: Limb discomfort, Rhinorrhoea, Sleep disorder, Sneezing, Throat tightness
Clinical narrative: Pt reported began having reaction about 16 hours after vaccine. She noted symptoms of hallucination and took a Seroquel tablet. Also described feeling of pain in her arm that felt like acid running through her arm to her chest that made her have a panic attack. Began having vision changes and felt like pulse elevated after the panic set in. Also reported feeling of throat swelling, runny nose, migraine, and "flu-like" symptoms of fever and chills. She called the nurse line for her insurance who assisted her in contacting the on call physician for her PCP. On call provider recommended she take Benadryl. Unclear if pt took Benadryl. Patient proceeded to urgent care 22 hours after vaccine. Flu test was negative. Pt declined any lab tests. Provider did note a heart murmur that patient has previously been diagnosed with - mid systolic click per pt report - but pt declined EKG. Urgent care administered steroid shot per patient report. Patient visited her Primary care doctor on Monday, 1.6 at 4pm, due to ongoing symptoms that may or may not be related to vaccine. MD again tested for flu. Pt declined any lab tests again. Pt reported her physician gave her another steroid shot. Patient contacted pharmacy on Tuesday 1.7 to report reaction. She did not report any specific injection site reaction except for some bruising at the site that is improved.
Age: 68.0
Sex: F
Vaccine: PPV, PNC13
Symptoms: Cardiac murmur, Chills, Hallucination, Heart rate increased, Heart sounds abnormal
Clinical narrative: Pt reported began having reaction about 16 hours after vaccine. She noted symptoms of hallucination and took a Seroquel tablet. Also described feeling of pain in her arm that felt like acid running through her arm to her chest that made her have a panic attack. Began having vision changes and felt like pulse elevated after the panic set in. Also reported feeling of throat swelling, runny nose, migraine, and "flu-like" symptoms of fever and chills. She called the nurse line for her insurance who assisted her in contacting the on call physician for her PCP. On call provider recommended she take Benadryl. Unclear if pt took Benadryl. Patient proceeded to urgent care 22 hours after vaccine. Flu test was negative. Pt declined any lab tests. Provider did note a heart murmur that patient has previously been diagnosed with - mid systolic click per pt report - but pt declined EKG. Urgent care administered steroid shot per patient report. Patient visited her Primary care doctor on Monday, 1.6 at 4pm, due to ongoing symptoms that may or may not be related to vaccine. MD again tested for flu. Pt declined any lab tests again. Pt reported her physician gave her another steroid shot. Patient contacted pharmacy on Tuesday 1.7 to report reaction. She did not report any specific injection site reaction except for some bruising at the site that is improved.
Age: 68.0
Sex: F
Vaccine: PPV, PNC13
Symptoms: Influenza like illness, Influenza virus test, Injection site bruising, Migraine, Pain in extremity
Clinical narrative: Pt reported began having reaction about 16 hours after vaccine. She noted symptoms of hallucination and took a Seroquel tablet. Also described feeling of pain in her arm that felt like acid running through her arm to her chest that made her have a panic attack. Began having vision changes and felt like pulse elevated after the panic set in. Also reported feeling of throat swelling, runny nose, migraine, and "flu-like" symptoms of fever and chills. She called the nurse line for her insurance who assisted her in contacting the on call physician for her PCP. On call provider recommended she take Benadryl. Unclear if pt took Benadryl. Patient proceeded to urgent care 22 hours after vaccine. Flu test was negative. Pt declined any lab tests. Provider did note a heart murmur that patient has previously been diagnosed with - mid systolic click per pt report - but pt declined EKG. Urgent care administered steroid shot per patient report. Patient visited her Primary care doctor on Monday, 1.6 at 4pm, due to ongoing symptoms that may or may not be related to vaccine. MD again tested for flu. Pt declined any lab tests again. Pt reported her physician gave her another steroid shot. Patient contacted pharmacy on Tuesday 1.7 to report reaction. She did not report any specific injection site reaction except for some bruising at the site that is improved.
Age: 68.0
Sex: F
Vaccine: PPV, PNC13
Symptoms: Panic attack, Pharyngeal swelling, Pyrexia, Rhinorrhoea, Visual impairment
Clinical narrative: Pt reported began having reaction about 16 hours after vaccine. She noted symptoms of hallucination and took a Seroquel tablet. Also described feeling of pain in her arm that felt like acid running through her arm to her chest that made her have a panic attack. Began having vision changes and felt like pulse elevated after the panic set in. Also reported feeling of throat swelling, runny nose, migraine, and "flu-like" symptoms of fever and chills. She called the nurse line for her insurance who assisted her in contacting the on call physician for her PCP. On call provider recommended she take Benadryl. Unclear if pt took Benadryl. Patient proceeded to urgent care 22 hours after vaccine. Flu test was negative. Pt declined any lab tests. Provider did note a heart murmur that patient has previously been diagnosed with - mid systolic click per pt report - but pt declined EKG. Urgent care administered steroid shot per patient report. Patient visited her Primary care doctor on Monday, 1.6 at 4pm, due to ongoing symptoms that may or may not be related to vaccine. MD again tested for flu. Pt declined any lab tests again. Pt reported her physician gave her another steroid shot. Patient contacted pharmacy on Tuesday 1.7 to report reaction. She did not report any specific injection site reaction except for some bruising at the site that is improved.
Age: 69.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site bruising, Injection site discolouration, Injection site induration, Injection site nodule, Injection site pruritus
Clinical narrative: Itching, bruising, swelling, hardness, knots, and purplish in color at the injection site; Itching, bruising, swelling, hardness, knots, and purplish in color at the injection site; Itching, bruising, swelling, hardness, knots, and purplish in color at the injection site; Itching, bruising, swelling, hardness, knots, and purplish in color at the injection site; Itching, bruising, swelling, hardness, knots, and purplish in color at the injection site; Itching, bruising, swelling, hardness, knots, and purplish in color at the injection site; This is a spontaneous report from a contactable pharmacist.   A 69-year-old female patient received pneumococcal 13-val conj vac (dipht crm197 protein) (PREVNAR 13) (Batch/lot number: CD0412, Expiry Date: Jan2022) intramuscular at 0.5 ml, single on 28Dec2019 for immunisation. Medical history none. There were no concomitant medications. On 02Jan2020, the patient experienced itching, bruising, swelling, hardness, knots, and purplish in color at the injection site with outcome of not recovered. Therapeutic measures were taken as a result of itching, bruising, swelling, hardness, knots, and purplish in color at the injection site included Tylenol, the events would go away, but then they come back.
Age: 69.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site swelling
Clinical narrative: Itching, bruising, swelling, hardness, knots, and purplish in color at the injection site; Itching, bruising, swelling, hardness, knots, and purplish in color at the injection site; Itching, bruising, swelling, hardness, knots, and purplish in color at the injection site; Itching, bruising, swelling, hardness, knots, and purplish in color at the injection site; Itching, bruising, swelling, hardness, knots, and purplish in color at the injection site; Itching, bruising, swelling, hardness, knots, and purplish in color at the injection site; This is a spontaneous report from a contactable pharmacist.   A 69-year-old female patient received pneumococcal 13-val conj vac (dipht crm197 protein) (PREVNAR 13) (Batch/lot number: CD0412, Expiry Date: Jan2022) intramuscular at 0.5 ml, single on 28Dec2019 for immunisation. Medical history none. There were no concomitant medications. On 02Jan2020, the patient experienced itching, bruising, swelling, hardness, knots, and purplish in color at the injection site with outcome of not recovered. Therapeutic measures were taken as a result of itching, bruising, swelling, hardness, knots, and purplish in color at the injection site included Tylenol, the events would go away, but then they come back.
Sex: F
Vaccine: PNC13
Symptoms: Muscle spasms
Clinical narrative: Intermittent cramping the size of a ball; This is a spontaneous report from a contactable pharmacist.   A 65-year-old female patient received pneumococcal 13-val conj vac (dipht crm197 protein) (PREVNAR 13), via an unspecified route of administration at single dose on an unspecified date for immunisation .  The patient medical history and concomitant medications were not reported. The patient experienced intermittent cramping the size of a ball on an unspecified date with outcome of unknown.    The information on the lot number has been requested.
Age: 19.0
Sex: M
Vaccine: MENB
Symptoms: Erythema, Swelling
Clinical narrative: Erythema, some minimal swelling on day #1 after vaccine, enlarging in area by day #2. No tenderness, fever.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Induration, Mass, Skin discolouration
Clinical narrative: On 1/3/2020, patient presented to Pharmacy with a hard lump near the site of the Fluzone-HD injection in the LEFT arm. Small, hard lesion that had a dark spot, looking like an ingrown hair.  No other S/SX presented.  No pain.  Suggested a warm, moist pack be applied to the area a few times a day for 24 hours with follow-up by the Pharmacist.  At follow-up on 1/5/2020 @ 7:25pm patient reported he had tried the warm, moist packs, and the lesion had resolved.  No further intervention required.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Abdominal pain upper, Aggression, Anger, Arthralgia, Cough
Clinical narrative: High fevers on and off since vaccines - Ongoing since vaccines Knee pain in both knees - Ongoing since vaccinnes Throwing up- Started today Cough- Ongoing since vaccines Runny nose- Ongoing since vaccines Stomach pain- Started today More aggressive- angry Feet Hurt- Ongoing
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Influenza, Influenza virus test positive, Pain in extremity, Pyrexia, Rhinorrhoea
Clinical narrative: High fevers on and off since vaccines - Ongoing since vaccines Knee pain in both knees - Ongoing since vaccinnes Throwing up- Started today Cough- Ongoing since vaccines Runny nose- Ongoing since vaccines Stomach pain- Started today More aggressive- angry Feet Hurt- Ongoing
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: High fevers on and off since vaccines - Ongoing since vaccines Knee pain in both knees - Ongoing since vaccinnes Throwing up- Started today Cough- Ongoing since vaccines Runny nose- Ongoing since vaccines Stomach pain- Started today More aggressive- angry Feet Hurt- Ongoing
Age: 25.0
Sex: F
Vaccine: HPV9
Symptoms: Pain, Pyrexia, Rash, Urticaria
Clinical narrative: Hives and full body rash, along with fever and aches
Age: 26.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Limb discomfort, Pain in extremity
Clinical narrative: Side effects of the vaccine were elevated and lasted longer than usual. Injection site swelled for ~5 days to a raised, red bump ~2 inches in diameter and was very hot. Pain/heaviness of arm continued for a few days after swelling resolved.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Fatigue, Headache, Nausea
Clinical narrative: The following symptoms began 12 hours after receiving the 2nd vaccine (approx. 2 months after the 1st vaccine was administered).  Uncontrollable shivering  (no fever noted) and nausea began 1/8/2020 at 9p and lasted for 14 hours (1/9/2020, 11a). Headache began about 24 hours after receiving the vaccine (1/9/2020, 9a) and continued for about 23 hours (1/10/2020, 8a). Light headed/dizziness began 1/10/2020, 10a. Fatigue began 1/8/2020 and continued for the next 48 hours. Treatment of ibuprofen didn't relieve shivering or headache.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising
Clinical narrative: Patient experienced a large bruise at injection site still present 6 days post vaccination. she said it was not painful but bruising around injection still present today
Age: 17.0
Sex: F
Vaccine: FLU4
Symptoms: Balance disorder, Cold sweat, Fall, Loss of consciousness, Pallor
Clinical narrative: Pt was checking out at the front desk. Pt had received a tb skin test and flu vaccine, pt was noticed turning pale and off balance. Pt then fell to the ground, writer witnessed the fall. Pt was unconscious for 20 seconds and came to. Pt skin cool, pale and clammy. bp stable 98/62, pulse 86 and resp 18. Cool wash cloth placed on forehead. Pt stated she was not dizzy and felt ok. She was then sat up on the floor. Staff assisted with getting pt into wheelchair and brought back to room for pt to be rechecked out by PCP. Pt was given water and apple juice. Pt stated she felt much better. She states she had never passed out prior and she did not eat anything this am prior to the appointment. Advised to eat lunch
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Antinuclear antibody positive, Arthralgia, Burning sensation, Hypoaesthesia, Laboratory test
Clinical narrative: joint pain  in the shoulders, arms, elbows, wrists, hands, and knees.  burning/stinging/numbing pain in arms , elbows, wrists, hands and knees.  weakness of the arms, wrists, and elbows. I  have difficulty opening cans or even carrying my hand bag due to pain that renders my arms, wrists and hands weak. I've never had these symptoms in my life until I  was given Tdap on 10/16/2019.  I  have read up on some of the rare side-effects such as brachial neuritis and i'm very concern that I may be experiencing this.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Loss of personal independence in daily activities, Muscular weakness, Pain, Pain in extremity, Radiculitis brachial
Clinical narrative: joint pain  in the shoulders, arms, elbows, wrists, hands, and knees.  burning/stinging/numbing pain in arms , elbows, wrists, hands and knees.  weakness of the arms, wrists, and elbows. I  have difficulty opening cans or even carrying my hand bag due to pain that renders my arms, wrists and hands weak. I've never had these symptoms in my life until I  was given Tdap on 10/16/2019.  I  have read up on some of the rare side-effects such as brachial neuritis and i'm very concern that I may be experiencing this.
Age: 92.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness, Nausea
Clinical narrative: RESIDES IN ASSISTED LIVING FACILITY. NURSING INFORMED PHARMACY THAT RESIDENT REPORTED FEELING DIZZY AND HAD NAUSEA UPON AWAKENING DAY AFTER VACCINE WAS ADMINISTERED AND THAT HE "WALKED INTO WALL".
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Stomatitis
Clinical narrative: developed sores in his mouth a few days later - Had note from CNP stating he should not receive varicella vaccine due to having a case of shingles in past. Note was presented after child's appointment.
Age: 11.0
Sex: U
Vaccine: MMR
Symptoms: Wrong product administered
Clinical narrative: the patient inadvertently received a dose of MMR II instead of meningitis vaccine; This spontaneous report was received from a nurse referring to a 11-year-old patient of unknown gender. The patient's pertinent medical history, concurrent conditions, drug reactions or allergies, and concomitant medications were not reported.   On 28-MAY-2019, the patient was vaccinated with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) for prophylaxis (strength, dose, frequency, route of administration, anatomical location were not provided) (lot number R030764 was an invalid lot number, expiration date 22-APR-2020), who was reconstituted with sterile diluent(DILUENT MRK), instead of meningitis vaccine (MENVEO) (wrong product administered). Nurse reported the patient receive dose of meningitis vaccine MENVEO on an unspecified date in November 2019.
Sex: U
Vaccine: HEPA
Symptoms: Expired product administered, No adverse event
Clinical narrative: No additional adverse effects were reported; a patient received an expired dose of VAQTA; This spontaneous report was received from a medical assistant referring to a patient of unknown age and gender. The patient's pertinent medical history, concurrent conditions, concomitant medications, previous drug reactions or allergies were not reported.  On 07-JAN-2020, the patient was vaccinated with an expired dose of hepatitis a vaccine, inactivated (VAQTA) 25/0.5 (units not reported) (dose, route of administration and anatomical site of vaccination were not reported; lot number R034584, expiration date 29-DEC-2019, and upon internal validation stablished as the same) as prophylaxis (expired product administered). No additional adverse effects were reported.
Age: 2.0
Sex: F
Vaccine: IPV
Symptoms: Abnormal faeces, Diarrhoea, Hypersomnia, Irritability, Vomiting
Clinical narrative: Pt received IPV at 4:00pm on 01/08/2020.  Pt started vomiting at 4:30pm on 01/08/2020.  Mom states she seemed "out of sorts" wanted to be held.  Mom states pt fell asleep from 6:00 to 6:30pm.  She woke up again "out of sorts" fussy.  Stated she slept on the way home from church from 800pm to 830pm.  She stated she was hungry, ate some crackers.  At 9:00pm mom was getting her ready for bed and she had a massive diarrhea stool per mom and with an extremely terrible odor.  Mom cleaned her up and she fell asleep only to wake again with that same odor at 2:00am on 01/09/2020.  Massive diarrhea.  Mom states she cleaned her up and she fell back asleep and did not wake until 9:00am.  She told mom she was hungry and before mom could finish fixing breakfast, she fell back to sleep and woke up at 11:30.  She ate an egg at that time.  Mom states she fell asleep again from 1230pm until 5:00pm.  After waking she ate some carrots and went back to bed at 8:00 and slept until 7:00am this morning , 01/10/2020.  When she woke up, she again had a diarrhea stool.  She stated that she fell asleep on the way to our office for a visit today for about 15 to 20 minutes.  After her visit at 11:00, she ate a small amount for lunch and is now napping again at 2:00pm 01/10/2020.
Age: 48.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site swelling, Migraine, Nausea
Clinical narrative: Migraine headache, fatigue, redness and swelling at injection site, nausea, bodyaches
Age: 48.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Migraine headache, fatigue, redness and swelling at injection site, nausea, bodyaches
Age: 1.67
Sex: M
Vaccine: RV1
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: there was no adverse effect
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: She stated that she developed an itchy, red rash on her face, left side of her upper chest and her arms.  It developed about 8 hours after she received the vaccine.  No treatment initiated.
Age: 16.0
Sex: M
Vaccine: FLU4, MENB, MNQ
Symptoms: Pyrexia
Clinical narrative: Patient started running a fever of 103 degrees at 9:00pm on 01/08/2020. Patient was treated with Motrin and Tylenol which brought the fever down to 101 degrees. Patient was seen by his Pediatrician on the morning of 01/ 10/2020.  Patient fever was resolved and had a normal temperature with no other negative outcomes. This information was provided by his sister on 01/10/2020.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Back pain, Chest discomfort, Dyspnoea, Electrocardiogram normal
Clinical narrative: Within 10 minutes of receiving the pneumovax 23 vaccine, the patient began experiencing what she described as heavy chest with heavy breathing, cloudy head, extreme pain in lower back and hip joints. She began to also have racing heart.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Feeling abnormal, Palpitations
Clinical narrative: Within 10 minutes of receiving the pneumovax 23 vaccine, the patient began experiencing what she described as heavy chest with heavy breathing, cloudy head, extreme pain in lower back and hip joints. She began to also have racing heart.
Age: 1.42
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Possible cellulitis reaction from vaccine. This reaction is not severe or concerning.  Circumferential erythematous patch on left anterior mid-thigh with tenderness on palpation.
Age: 27.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site warmth, Pain in extremity
Clinical narrative: Patient states that he had soreness near the injection site of the left arm later in the day that he received the immunization (12/31/19). He developed a fever in the evening that maxed at 102 F. He took Tylenol with relief of the fever. Patient states that over the next two days his left arm became increasingly sore with a large reddened and hot area in his left deltoid. He presented to Walk In Clinic on 1/3/2020. Physical exam showed a large erythemic and hot area measuring approximately 10 x 6 cm on the left tricep/deltoid area. It had a cellulitic appearance with no fluctuance or discharge. It was tender. He was diagnosed with cellulitis of the left upper extremity and injection site reaction, initial encounter. He was prescribed Keflex 500 mg capsules with directions take 1,000 mg by mouth every eight hours for 5 days. It was also recommended to apply warm compresses to the area.
Age: 27.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Pyrexia
Clinical narrative: Patient states that he had soreness near the injection site of the left arm later in the day that he received the immunization (12/31/19). He developed a fever in the evening that maxed at 102 F. He took Tylenol with relief of the fever. Patient states that over the next two days his left arm became increasingly sore with a large reddened and hot area in his left deltoid. He presented to Walk In Clinic on 1/3/2020. Physical exam showed a large erythemic and hot area measuring approximately 10 x 6 cm on the left tricep/deltoid area. It had a cellulitic appearance with no fluctuance or discharge. It was tender. He was diagnosed with cellulitis of the left upper extremity and injection site reaction, initial encounter. He was prescribed Keflex 500 mg capsules with directions take 1,000 mg by mouth every eight hours for 5 days. It was also recommended to apply warm compresses to the area.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Fatigue, Headache, Heart rate increased, Influenza virus test negative
Clinical narrative: Fast heart rate, massive headache, ringing in my head, body aches, muscle aches, dizzy, hives at the injection site, fever of 101 all day long. Fever stayed at 100 degrees even with tylenol, lethargy and feeling run down, was in bed all day
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site urticaria, Lethargy, Myalgia, Pain, Pyrexia
Clinical narrative: Fast heart rate, massive headache, ringing in my head, body aches, muscle aches, dizzy, hives at the injection site, fever of 101 all day long. Fever stayed at 100 degrees even with tylenol, lethargy and feeling run down, was in bed all day
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Tinnitus
Clinical narrative: Fast heart rate, massive headache, ringing in my head, body aches, muscle aches, dizzy, hives at the injection site, fever of 101 all day long. Fever stayed at 100 degrees even with tylenol, lethargy and feeling run down, was in bed all day
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erosion, Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: On 01/05 mom noticed a bump on his thigh that looked like an "insect bite". On 01/06 mom noticed a black center in the middle of the rash. On 01/07 the rash spread 1 cm in diameter on his thigh and she came to the urgent care and was prescribed Mupirocin and Clindamycin which has improved the rash. She states he received the varicella vaccination on 12/26 and the rash is in the same spot on his left thigh. Follow up at our clinic on 01/10/2020. Patient with circumferential erythematous healing abrasion on left anterior mid-thigh with tenderness on palpation.
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site swelling, Pain
Clinical narrative: Patient came into the office with a complaint of right shoulder pain one day after having the Pneumovax vaccine . She was seen by one of our nurses and stated that her shoulder began to hurt about 2 hrs after she received a pneumonia vaccine in that arm and that it had become progressively worse and now she was having difficulty lifting her arm. Patient also stated that she was given a Shingrix vaccine in her left arm a short time after the pneumonia  and that shoulder was fine. She was seen and treated by one of our nurse practitioners.   Her recommended treatment was to  take acetaminophen or naproxen for the pain and ice for the swelling. . Her arm was placed in a sling to help relieve pressure.  The patient was referred for OT and PT and an MRI was ordered. Also a follow up office visit with her PCP was made for 3 days later. The patient went to OT/PT the next day and began working on ROM exercises. The patient was contacted by our compliance officer   3 days later for a follow up interview.  Patient stated that her arm is feeling  better and she was able to move and lift it again with minimal pain. She declined to have the MRI done and cancelled her follow up appointment with her PCP because her arm was better.
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site cellulitis, Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: cellulitis (warmth and edema to left thigh); symptoms x 2 days- redness improving; tx with antibiotics with f/u in 3 days.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Burning sensation, Flushing, Hypoaesthesia
Clinical narrative: Numbness in L arm, flushing and burning in face, burning in L arm
Age: 2.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Injection site induration, Injection site rash, Injection site warmth
Clinical narrative: initially the site was hard and warm, a day later the area became hard and had a bullseye rash at the location
Age: 4.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: The vaccine expired a week earlier.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Erythema, Pyrexia, Rash, Urticaria
Clinical narrative: Large red hives, beginning on legs and buttocks, and spreading over the entire body over the course of 5 days. Also a fever of up to 105 degrees whose timeframe didn't exactly coincide with the rash but was very close to it.
Age: 3.0
Sex: F
Vaccine: FLUC4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: vaccine indicated for 4 years old yet given to 3 years old. no side effect
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Pt. had swelling erythema from her elbow all the way up to her shoulder.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Feeling abnormal, Pain in extremity, Peripheral swelling
Clinical narrative: Patient came into the clinic c/o painful swollen left arm from the Pneu23 shot that she got on Tuesday.  Patient stated that she could not get out of bed and felt like she was going to died.  Patient stated that she does not want that she shot ever again.  She wanted to let employee know so that it does not happened to anyone else.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: pain at injection site, shoulder and jaw; body aches, overall skin sensitivity, chills, lower back pain, headache, fatigue
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in jaw, Sensitive skin
Clinical narrative: pain at injection site, shoulder and jaw; body aches, overall skin sensitivity, chills, lower back pain, headache, fatigue
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Injection site nodule
Clinical narrative: Pt was administered PPSV23 and waited in the office 15 minutes after administration- no reaction reported at that time. Pt called in the afternoon and reported he had a golf-ball sized knot at the injection site. Pt went to ER and speaking with him after that day he stated the knot was decreasing in size.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Heart rate increased
Clinical narrative: muscle pain, severe headache, rapid resting heart rate normal is 58, but went up to 82 that night. Fever of 100.5. loss of appetite, shivering and extreme fatigue. started to feel better gradually the next day....but headache is lingering.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pyrexia
Clinical narrative: muscle pain, severe headache, rapid resting heart rate normal is 58, but went up to 82 that night. Fever of 100.5. loss of appetite, shivering and extreme fatigue. started to feel better gradually the next day....but headache is lingering.
Age: 14.0
Sex: F
Vaccine: MMRV
Symptoms: Burning sensation, Chills, Heart rate increased, Immediate post-injection reaction, Insomnia
Clinical narrative: Immediately following left arm felt hot burning sensation, followed by chills, heart rate spike and fever. Symptoms continued into lesions (similar to chicken pox)  on left arm with hives and spreading toward back/shoulder, causing lack of sleep and irritation by the itching/burning that it is causing. It has been several weeks and the symptoms are continuing and worsening. (Staff and school advised that even though she had her 2 shots, one was given a few days before her 1st birthday "therefore doesn't count", she would need another or couldn't return. She always gets extreme reactions to vaccines and allergy medications have not reduced these symptoms.
Age: 14.0
Sex: F
Vaccine: MMRV
Symptoms: Irritability, Pruritus, Pyrexia, Skin lesion, Urticaria
Clinical narrative: Immediately following left arm felt hot burning sensation, followed by chills, heart rate spike and fever. Symptoms continued into lesions (similar to chicken pox)  on left arm with hives and spreading toward back/shoulder, causing lack of sleep and irritation by the itching/burning that it is causing. It has been several weeks and the symptoms are continuing and worsening. (Staff and school advised that even though she had her 2 shots, one was given a few days before her 1st birthday "therefore doesn't count", she would need another or couldn't return. She always gets extreme reactions to vaccines and allergy medications have not reduced these symptoms.
Age: 14.0
Sex: F
Vaccine: MMRV
Symptoms: Vaccination complication
Clinical narrative: Immediately following left arm felt hot burning sensation, followed by chills, heart rate spike and fever. Symptoms continued into lesions (similar to chicken pox)  on left arm with hives and spreading toward back/shoulder, causing lack of sleep and irritation by the itching/burning that it is causing. It has been several weeks and the symptoms are continuing and worsening. (Staff and school advised that even though she had her 2 shots, one was given a few days before her 1st birthday "therefore doesn't count", she would need another or couldn't return. She always gets extreme reactions to vaccines and allergy medications have not reduced these symptoms.
Age: 34.0
Sex: M
Vaccine: PPV
Symptoms: Axillary pain, Musculoskeletal stiffness
Clinical narrative: Patient called stating that he received the pneumonia vaccine in his right arm yesterday. He states that this morning, he developed soreness and stiffness of his right armpit. He states that the area of the vaccine is not painful. He rates pain as 4/10- states it is an "inconveinece". There is no redness, rash, wound, swelling. He denies chest pain or shortness of breath. He states that he is unable to tell if his lymph nodes are swollen - states nothing feels out of place. Denies fevers
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Loss of personal independence in daily activities, Mobility decreased, Pain, Swelling
Clinical narrative: Pain, swelling, unable to lift arm. Unable to oerform everday activities.
Age: 22.0
Sex: M
Vaccine: FLU4
Symptoms: Haemorrhage, Head injury, Syncope
Clinical narrative: Pt walked away fine. Made it about 3 aisles before collapsing to floor. Hit head and was bleeding. EMS came and went away in stretcher. Was conscience when rolled away.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Injected limb mobility decreased
Clinical narrative: Patient's left arm seems paralyzed where he has a hard time lifting it up and has been prescribed prednisone and glipizide
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, FLU4, HIBV, PNC13, RV5
Symptoms: Rectal prolapse, Ultrasound abdomen normal, Urine analysis normal
Clinical narrative: She had rectal prolapse on 1/9/20. REquired ED visit for reduction of the prolapse
Age: 54.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness
Clinical narrative: I have felt completely normal until 2-1/2 days after the flu shot.  I am having mild to moderate dizziness.
Age: 93.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: patient got shingrix in left arm 1/2/2020 and rash showed up on right arm on 1/10/2020, patient went to doctor who diagnosed shingles
Age: 16.0
Sex: M
Vaccine: FLU4, MENB, MNQ
Symptoms: Anti-ganglioside antibody positive, Antibody test positive, Autoimmune neuropathy, Blood test normal, Chest X-ray normal
Clinical narrative: Summary: Immediately following vaccines. extreme pain in right shoulder that go progressively worse. Went to bed as soon as he got home. Woke up with headache, skin sensitivity, lethargy.  9/18/2019: Patient still feeling lethargy, skin sensitivity, bad consistent headache. Called Dr. Dr said he probably has a virus.  9?19?2019: Took patient to ER for excruciating headache, photosensitivity, and skin sensitivity. They gave him medicine. Told us to follow up with dr.   9/20/2019: Saw Dr. She gave him Acetaminophen. She said headaches should dissipate.  9/23/2019: Took him back to see Dr. Noticed irregular eye movements. Still experiencing photosensitivity, constant extreme headache, and now irregular eye movement and dizziness. 9/23/2019: Admitted to Medical Center. After numerous testing, all came back negative. Took patient home on the 9/29/2019. To this day, patient continues to experience irregular eye movements , as well as dizziness, Must use a cane/walker, and can't attend school.
Age: 16.0
Sex: M
Vaccine: FLU4, MENB, MNQ
Symptoms: Computerised tomogram normal, Dizziness, Drug screen negative, Eye movement disorder, Headache
Clinical narrative: Summary: Immediately following vaccines. extreme pain in right shoulder that go progressively worse. Went to bed as soon as he got home. Woke up with headache, skin sensitivity, lethargy.  9/18/2019: Patient still feeling lethargy, skin sensitivity, bad consistent headache. Called Dr. Dr said he probably has a virus.  9?19?2019: Took patient to ER for excruciating headache, photosensitivity, and skin sensitivity. They gave him medicine. Told us to follow up with dr.   9/20/2019: Saw Dr. She gave him Acetaminophen. She said headaches should dissipate.  9/23/2019: Took him back to see Dr. Noticed irregular eye movements. Still experiencing photosensitivity, constant extreme headache, and now irregular eye movement and dizziness. 9/23/2019: Admitted to Medical Center. After numerous testing, all came back negative. Took patient home on the 9/29/2019. To this day, patient continues to experience irregular eye movements , as well as dizziness, Must use a cane/walker, and can't attend school.
Age: 16.0
Sex: M
Vaccine: FLU4, MENB, MNQ
Symptoms: Immediate post-injection reaction, Injection site pain, Lethargy, Loss of personal independence in daily activities, Lumbar puncture normal
Clinical narrative: Summary: Immediately following vaccines. extreme pain in right shoulder that go progressively worse. Went to bed as soon as he got home. Woke up with headache, skin sensitivity, lethargy.  9/18/2019: Patient still feeling lethargy, skin sensitivity, bad consistent headache. Called Dr. Dr said he probably has a virus.  9?19?2019: Took patient to ER for excruciating headache, photosensitivity, and skin sensitivity. They gave him medicine. Told us to follow up with dr.   9/20/2019: Saw Dr. She gave him Acetaminophen. She said headaches should dissipate.  9/23/2019: Took him back to see Dr. Noticed irregular eye movements. Still experiencing photosensitivity, constant extreme headache, and now irregular eye movement and dizziness. 9/23/2019: Admitted to Medical Center. After numerous testing, all came back negative. Took patient home on the 9/29/2019. To this day, patient continues to experience irregular eye movements , as well as dizziness, Must use a cane/walker, and can't attend school.
Age: 16.0
Sex: M
Vaccine: FLU4, MENB, MNQ
Symptoms: Magnetic resonance imaging normal, Photosensitivity reaction, Sensitive skin, Ultrasound abdomen normal, Urine analysis normal
Clinical narrative: Summary: Immediately following vaccines. extreme pain in right shoulder that go progressively worse. Went to bed as soon as he got home. Woke up with headache, skin sensitivity, lethargy.  9/18/2019: Patient still feeling lethargy, skin sensitivity, bad consistent headache. Called Dr. Dr said he probably has a virus.  9?19?2019: Took patient to ER for excruciating headache, photosensitivity, and skin sensitivity. They gave him medicine. Told us to follow up with dr.   9/20/2019: Saw Dr. She gave him Acetaminophen. She said headaches should dissipate.  9/23/2019: Took him back to see Dr. Noticed irregular eye movements. Still experiencing photosensitivity, constant extreme headache, and now irregular eye movement and dizziness. 9/23/2019: Admitted to Medical Center. After numerous testing, all came back negative. Took patient home on the 9/29/2019. To this day, patient continues to experience irregular eye movements , as well as dizziness, Must use a cane/walker, and can't attend school.
Age: 16.0
Sex: M
Vaccine: FLU4, MENB, MNQ
Symptoms: Viral infection, Walking aid user
Clinical narrative: Summary: Immediately following vaccines. extreme pain in right shoulder that go progressively worse. Went to bed as soon as he got home. Woke up with headache, skin sensitivity, lethargy.  9/18/2019: Patient still feeling lethargy, skin sensitivity, bad consistent headache. Called Dr. Dr said he probably has a virus.  9?19?2019: Took patient to ER for excruciating headache, photosensitivity, and skin sensitivity. They gave him medicine. Told us to follow up with dr.   9/20/2019: Saw Dr. She gave him Acetaminophen. She said headaches should dissipate.  9/23/2019: Took him back to see Dr. Noticed irregular eye movements. Still experiencing photosensitivity, constant extreme headache, and now irregular eye movement and dizziness. 9/23/2019: Admitted to Medical Center. After numerous testing, all came back negative. Took patient home on the 9/29/2019. To this day, patient continues to experience irregular eye movements , as well as dizziness, Must use a cane/walker, and can't attend school.
Age: 1.08
Sex: F
Vaccine: HIBV, PNC13
Symptoms: Abdominal discomfort, Bruxism, Crying, Decreased appetite, Ear infection
Clinical narrative: High fever for several days, upset, ear infection, and lethargic at times. Had difficulty sleeping, at night she would dig her head into her pillow, grunting and clenching teeth, seemingly to be in pain. Her head hurt and it took her over an hour longer than usual to fall asleep. She wouldn?t eat and cried much more and for longer than usual.  She had stomach issues afterwards as well.
Age: 1.08
Sex: F
Vaccine: HIBV, PNC13
Symptoms: Emotional distress, Grunting, Headache, Insomnia, Lethargy
Clinical narrative: High fever for several days, upset, ear infection, and lethargic at times. Had difficulty sleeping, at night she would dig her head into her pillow, grunting and clenching teeth, seemingly to be in pain. Her head hurt and it took her over an hour longer than usual to fall asleep. She wouldn?t eat and cried much more and for longer than usual.  She had stomach issues afterwards as well.
Age: 1.08
Sex: F
Vaccine: HIBV, PNC13
Symptoms: Pain, Pyrexia
Clinical narrative: High fever for several days, upset, ear infection, and lethargic at times. Had difficulty sleeping, at night she would dig her head into her pillow, grunting and clenching teeth, seemingly to be in pain. Her head hurt and it took her over an hour longer than usual to fall asleep. She wouldn?t eat and cried much more and for longer than usual.  She had stomach issues afterwards as well.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient reported localized swelling, pain, redness, and bruising beyond injection site.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: PAIN AT INJECTION SITE THAT NEVER WENT AWAY--STARTED AFTER INJECTION-SAW MD ON 1/10/2020 FOR TREATMENT--MD GAVE A STEROID INJECTION AND REFERRED PATIENT TO PT
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Condition aggravated, Fatigue, Headache, Injection site erythema, Injection site induration
Clinical narrative: 10 days after injection patient was tired, headache, restless, breakthrough seizures, no fever, lasted for 4 days.  22 days after injection 3 itchy raised red spots appeared on neck, trunk, and forearm.  24 days after injection hard lump where injection was given appeared.  26 days after injection entire back of upper arm where injection was given was warm, red, and swollen - lump was still present.  Redness and swelling of back of arm disappeared after 3 days of treating with topical prescription antibiotic.  During this reaction and after it resolved itself the oral issue with ulcers worsened significantly.
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site mass, Injection site swelling, Injection site warmth, Mouth ulceration, Rash
Clinical narrative: 10 days after injection patient was tired, headache, restless, breakthrough seizures, no fever, lasted for 4 days.  22 days after injection 3 itchy raised red spots appeared on neck, trunk, and forearm.  24 days after injection hard lump where injection was given appeared.  26 days after injection entire back of upper arm where injection was given was warm, red, and swollen - lump was still present.  Redness and swelling of back of arm disappeared after 3 days of treating with topical prescription antibiotic.  During this reaction and after it resolved itself the oral issue with ulcers worsened significantly.
Age: 16.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash erythematous, Rash papular, Rash pruritic, Restlessness, Seizure
Clinical narrative: 10 days after injection patient was tired, headache, restless, breakthrough seizures, no fever, lasted for 4 days.  22 days after injection 3 itchy raised red spots appeared on neck, trunk, and forearm.  24 days after injection hard lump where injection was given appeared.  26 days after injection entire back of upper arm where injection was given was warm, red, and swollen - lump was still present.  Redness and swelling of back of arm disappeared after 3 days of treating with topical prescription antibiotic.  During this reaction and after it resolved itself the oral issue with ulcers worsened significantly.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Cough, Hyperhidrosis, Influenza, Influenza virus test positive
Clinical narrative: I became very ill after taking tge flu shot. I had a fever of 102 and had to go to emergency room for treatment yesterday 1/9/20 . i developed a horrible cough and had alot of phlem i also had vwey bad chills and sweats.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Malaise, Productive cough, Pyrexia
Clinical narrative: I became very ill after taking tge flu shot. I had a fever of 102 and had to go to emergency room for treatment yesterday 1/9/20 . i developed a horrible cough and had alot of phlem i also had vwey bad chills and sweats.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Headache, Pain
Clinical narrative: Patient reported to pharmacy: Chills, body temp greater than 100 degrees, bodyaches, headaches the next morning after that shot was give, but symptoms were resolving/stablizing the day of report.
Age: 31.0
Sex: F
Vaccine: FLUR4
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient called the pharmacy and stated that her arm hurt so severely that she could not move it, she had pain radiating to her jaw and neck, and that any touch caused severe pain to the right arm. Symptoms began about 12-18 hours after vaccination.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Patient got shot on 1/7/20. On 1/10/20, they came in pharmacy, saying that on 1/8, their arm swelled up, got red and itchy. Since evening of 1/9, it has gone down, much better by 1/10. No systemic reactions. Told patient to let Dr know if it doesn't continue to get better.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Feeling cold, Lethargy, Pain, Tremor
Clinical narrative: Severe chills, shaking, trembling, unable to feel warm. Severe body aches. Lethargy.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Vertigo
Clinical narrative: Patient complained of vertigo and nausea
Age: 69.0
Sex: M
Vaccine: FLUR4, PPV, VARZOS
Symptoms: Condition aggravated, Psoriasis
Clinical narrative: Within 2 days of receiving these vaccines, patient says his psoriasis began to flare. It is now covering 75% of body.
Age: 51.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Influenza like illness, Injection site pain, Pyrexia, Rash
Clinical narrative: With Both Shingrix Vaccines, pt Reports fever, flu like illness, Painful injection site. Rigors. Rash/welts on (L) side of face. Attached Notes for Review.
Age: 51.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Urticaria
Clinical narrative: With Both Shingrix Vaccines, pt Reports fever, flu like illness, Painful injection site. Rigors. Rash/welts on (L) side of face. Attached Notes for Review.