chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: Shoulder impingement syndrome related to in proper administration of vaccine into shoulder resulted in nerve pain, low of motion, weakness and numbness extended to fingers and across the shoulder blade.
Age: 48.0
Sex: F
Vaccine: FLUC4
Symptoms: Asthenia, Blood test, Carpal tunnel syndrome, Fatigue, Headache
Clinical narrative: Muscle aches, fatigue, loss of energy, stamina, and endurance; temporary numbness in both hands; extended numbness and tingling in left hand diagnosed as a carpal tunnel response due to swelling in the left hand and lower arm; headache, mild fever.
Age: 48.0
Sex: F
Vaccine: FLUC4
Symptoms: Hypoaesthesia, Myalgia, Paraesthesia, Peripheral swelling, Pyrexia
Clinical narrative: Muscle aches, fatigue, loss of energy, stamina, and endurance; temporary numbness in both hands; extended numbness and tingling in left hand diagnosed as a carpal tunnel response due to swelling in the left hand and lower arm; headache, mild fever.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Dizziness, Feeling cold, Headache, Nausea
Clinical narrative: Chills, headache, nausea, diarrhea, dizziness.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Arm was swollen and red.
Age: 55.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Impaired work ability, Injected limb mobility decreased, Injection site erythema, Injection site induration, Injection site mass
Clinical narrative: Recipient reports fever, malaise and red, hard, warm, raised lump at PPSV23 infection site and inability to raise left arm above head. Fever continued on and off for 48 hours from onset.  Recipient took TYLENOL for pain and fever and applied ice to lump for 24 hours then started applying heat. Seventy two hours after symptom onset, recipient states lump size is decreasing, able to raise arm above head and is feeling 80 - 90% better. Recipient missed 2 days of work.
Age: 55.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Injection site warmth, Malaise, Pyrexia
Clinical narrative: Recipient reports fever, malaise and red, hard, warm, raised lump at PPSV23 infection site and inability to raise left arm above head. Fever continued on and off for 48 hours from onset.  Recipient took TYLENOL for pain and fever and applied ice to lump for 24 hours then started applying heat. Seventy two hours after symptom onset, recipient states lump size is decreasing, able to raise arm above head and is feeling 80 - 90% better. Recipient missed 2 days of work.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Cardiovascular disorder, Chest X-ray, Dizziness, Dysphagia, Dyspnoea
Clinical narrative: Dizzy, difficulty breathing, racing heartbeat, throat and face felt tight (swollen hard to swallow) and flushed, muscle weakness. At hospital ER, restricted blood flow to heart.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Flushing, Muscular weakness, Palpitations, Pharyngeal oedema, Skin tightness
Clinical narrative: Dizzy, difficulty breathing, racing heartbeat, throat and face felt tight (swollen hard to swallow) and flushed, muscle weakness. At hospital ER, restricted blood flow to heart.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Throat tightness
Clinical narrative: Dizzy, difficulty breathing, racing heartbeat, throat and face felt tight (swollen hard to swallow) and flushed, muscle weakness. At hospital ER, restricted blood flow to heart.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Confusional state, Myalgia, Pyrexia
Clinical narrative: Patient's sister called about 4 hours after patient left our facility after receiving the high dose flu vaccine. Patient was experiencing fever, myalgias and confusion. Patient was advised to go to ER for evaluation.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Fatigue, Pain in extremity, Social avoidant behaviour, Urticaria
Clinical narrative: About 7:30 pm, patient's Mother noticed some "hives" on child's ankles, neck, and legs. He seemed very tired and took a short nap. He was given an oral antihistamine at 8:30 pm. Mom reported that he ate a good supper and acted fine, slept well that night. Hives were gone the next morning (10/12/18) but the child complained of his leg hurting and seemed very tired, not interested in playing with siblings and friends. He was given TYLENOL and then took a long nap. After he woke up, he was acting fine, no further hives.
Age: 47.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Headache, Malaise, Pain, Pyrexia
Clinical narrative: Pain/swelling, redness, malaise, low grade fever, headache lasted 7 days.
Age: 47.0
Sex: M
Vaccine: PPV
Symptoms: Swelling, Ultrasound scan
Clinical narrative: Pain/swelling, redness, malaise, low grade fever, headache lasted 7 days.
Age: 85.0
Sex: M
Vaccine: FLUA3
Symptoms: Amnesia, Seizure
Clinical narrative: FLU VACCINE WAS ADMINISTERED ON 9/25/18. Patient STARTED HAVING A SEIZURE AT 2:00 AM ON 9/28/18. HE WENT TO THE HOSPITAL, WHERE HE STAYED UNTIL 9/29/18 AT 8:00 PM. HE DOES NOT HAVE MEMORY OF THE EVENT OR THE FOLLOWING DAYS.
Age: 48.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Headache, Influenza like illness, Injection site pain, Paranasal sinus hypersecretion
Clinical narrative: Patient started noticing sinus drainage and flu-like symptoms initially. As the weekend progressed the patient reported a rash on the inside of his forearms and back of the hands that began to worsen. By Monday the patient had a rash all over his arms, headache, joint pain, and injection site soreness. Saw PCP 10/08/18 and given steroids. Out of work Friday-Tuesday.
Age: 48.0
Sex: M
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: Patient started noticing sinus drainage and flu-like symptoms initially. As the weekend progressed the patient reported a rash on the inside of his forearms and back of the hands that began to worsen. By Monday the patient had a rash all over his arms, headache, joint pain, and injection site soreness. Saw PCP 10/08/18 and given steroids. Out of work Friday-Tuesday.
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Confusional state, Myalgia, Pyrexia
Clinical narrative: Several hours after leaving our office patient was taken to the emergency room with fever, myalgia and confusion.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Syncope, Vision blurred
Clinical narrative: Patient collapsed in the parking lot. She never lost consciousness. She said she was having trouble catching her breath and said she was having trouble seeing. The paramedics were called and transported her to a local ER.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Pruritus, Rash generalised, Streptococcus test
Clinical narrative: Rash all over body, starting at left side of body, spreading and increased itching.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenopia, Eye swelling, Facial paralysis, Sensory loss, Vision blurred
Clinical narrative: Blurred vision, drooping and decreased sensation of left side of face, eyes feel heavy and swollen.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Pain in extremity, Rash
Clinical narrative: Patient had first vaccine in April and said he had a sore arm and a little redness across his chest for several days after the vaccine. Patient called the pharmacy complaining of painful sore rash across upper chest and around his shoulder area. He thought it felt the shingles he had several years back. I instructed the patient to contact his Dr. Patient went to the Dr on Monday 10/15/18 and Dr prescribed Prednisone and VALTREX. During his exam, the patient said his Dr was not 100% sure of what rash was but to please document that he had both series of the SHINGRIX vaccine. Patient is healing and asked we please document his reaction.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Bacterial test, Blood test normal, Cardiac flutter, Cardiac function test normal, Chest pain
Clinical narrative: Approx. 10 min after, began having trouble seeing, breathing, heart racing, very hot, bad head and neck pain, inability to hold head up. Chest pain. Muscle weakness, heart fluttering. Some symptoms subsided, some symptoms stayed and would come and go. Lasted over several weeks. Passed out a couple times. Had to go to ER. Had CT scans, heart testing, blood work. Nothing else found to cause. Other than the vaccine.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Computerised tomogram normal, Culture urine positive, Dyspnoea, Feeling hot, Headache
Clinical narrative: Approx. 10 min after, began having trouble seeing, breathing, heart racing, very hot, bad head and neck pain, inability to hold head up. Chest pain. Muscle weakness, heart fluttering. Some symptoms subsided, some symptoms stayed and would come and go. Lasted over several weeks. Passed out a couple times. Had to go to ER. Had CT scans, heart testing, blood work. Nothing else found to cause. Other than the vaccine.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Loss of consciousness, Muscular weakness, Neck pain, Palpitations, Posture abnormal
Clinical narrative: Approx. 10 min after, began having trouble seeing, breathing, heart racing, very hot, bad head and neck pain, inability to hold head up. Chest pain. Muscle weakness, heart fluttering. Some symptoms subsided, some symptoms stayed and would come and go. Lasted over several weeks. Passed out a couple times. Had to go to ER. Had CT scans, heart testing, blood work. Nothing else found to cause. Other than the vaccine.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Vision blurred
Clinical narrative: Approx. 10 min after, began having trouble seeing, breathing, heart racing, very hot, bad head and neck pain, inability to hold head up. Chest pain. Muscle weakness, heart fluttering. Some symptoms subsided, some symptoms stayed and would come and go. Lasted over several weeks. Passed out a couple times. Had to go to ER. Had CT scans, heart testing, blood work. Nothing else found to cause. Other than the vaccine.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Patient given the reduced 0.25 mL dose in error. Another 0.25 mL dose given the same day to make up the lacking amount.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Paraesthesia oral
Clinical narrative: 12 hrs after vaccination pt reports that her lip and tongue were tingling and her arm was sore. She called her Md who told her to take Diphenhydramine 25mg. Symptoms resolved after taking.
Age: 62.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Blood test abnormal, Chills, Computerised tomogram abnormal, Feeling cold, Injected limb mobility decreased
Clinical narrative: Extremely painful right shoulder in the area of injection sites, then expanding to arm 4 hours after receiving shots. Skin redness developed the next day, including some swelling. Within 8 hours I had a low grade fever, severe chills and shivering, and my are could not move without severe pain. The shoulder and arm pain and lack of mobility lasted for 4 days until taking prednisone.
Age: 62.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia, Serum sickness
Clinical narrative: Extremely painful right shoulder in the area of injection sites, then expanding to arm 4 hours after receiving shots. Skin redness developed the next day, including some swelling. Within 8 hours I had a low grade fever, severe chills and shivering, and my are could not move without severe pain. The shoulder and arm pain and lack of mobility lasted for 4 days until taking prednisone.
Age: 62.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Urine analysis abnormal
Clinical narrative: Extremely painful right shoulder in the area of injection sites, then expanding to arm 4 hours after receiving shots. Skin redness developed the next day, including some swelling. Within 8 hours I had a low grade fever, severe chills and shivering, and my are could not move without severe pain. The shoulder and arm pain and lack of mobility lasted for 4 days until taking prednisone.
Age: 74.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site erythema, Injection site warmth, Rash pruritic
Clinical narrative: The patient reported noticing a blushed red skin on the left arm with no bumps, descending from the site of the injection approximately 4 inches, halfway to the elbow. This area was warm but did not itch. This lasted for 3 days before it was gone. Patient did also have itchy rash behind knees that a provider attributed to the ciprofloxacin.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Patient given the reduced 0.25 mL dose in error. Another 0.25 mL dose given the same day to make up the lacking amount.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Patient given the reduced 0.25 mL dose in error. Another 0.25 mL dose given the same day to make up the lacking amount.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: The patient came into the pharmacy for the PREVNAR 13 vaccination and was given FLUZONE HD. This was their second dose this year. Patient received FLUZONE HD from MD office on 9/20/2018. No issues reported by patient at this time.
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Pain, Pyrexia, Rash macular
Clinical narrative: Patient reported having pain and fever which began the evening after receiving the vaccination. The pain lasted for about 5 days and the fever lasted for 2 days. The patient also reported having red blotches on her left arm only five days after receiving the vaccination. The pain and fever were resolved taking ibuprofen and the blotches are clearing up on their own.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Hypophagia, Nausea, Pain
Clinical narrative: Intense body aches with headache and nausea. Patient was not able to eat or drink anything except water during the episode. No fever, no congestion, no coughing or SOB. Symptoms lasted for 36 to 40 hours.
Age: 76.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site infection, Injection site swelling
Clinical narrative: REDNESS AND SWELLING AT INJECTIONS SITE. PATIENT SOUGHT MEDICAL ATTENTION AND WAS GIVEN CEPHALEXIN 500MG SAYING IT WAS AN INFECTION FROM THE INJECTIONS.
Age: 40.0
Sex: F
Vaccine: FLUC4
Symptoms: Axillary pain, Blood test, Electrocardiogram, Hypoaesthesia, Lymphadenopathy
Clinical narrative: Sore armpit, swollen lymph node, numb tingling fingers.
Age: 40.0
Sex: F
Vaccine: FLUC4
Symptoms: Paraesthesia, Ultrasound scan, X-ray
Clinical narrative: Sore armpit, swollen lymph node, numb tingling fingers.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV9
Symptoms: Cold sweat, Colitis microscopic, Fatigue, Gastrointestinal disorder, Loss of consciousness
Clinical narrative: After the first GARDASIL shot, later that night I broke out in cold sweats and experienced heart palpitations. I became extremely fatigued. After the second GARDASIL vaccine given on 7/18/2007, I passed out for the first time in my life in the doctor's office about 10 minutes after receiving the vaccine. I also began feeling even more fatigued and started seeing black upon standing. After the third GARDASIL vaccine administered on 11/27/2007, I felt unable to hold my back up straight and started experiencing terrible G.I. symptoms. I started to have to miss numerous days of school and got sick all of the time.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV9
Symptoms: Loss of personal independence in daily activities, Malaise, Palpitations, Postural orthostatic tachycardia syndrome, Posture abnormal
Clinical narrative: After the first GARDASIL shot, later that night I broke out in cold sweats and experienced heart palpitations. I became extremely fatigued. After the second GARDASIL vaccine given on 7/18/2007, I passed out for the first time in my life in the doctor's office about 10 minutes after receiving the vaccine. I also began feeling even more fatigued and started seeing black upon standing. After the third GARDASIL vaccine administered on 11/27/2007, I felt unable to hold my back up straight and started experiencing terrible G.I. symptoms. I started to have to miss numerous days of school and got sick all of the time.
Age: 13.0
Sex: F
Vaccine: HEPA, HPV9
Symptoms: Renal tubular acidosis, Renal vein compression, Sjogren's syndrome, Visual impairment
Clinical narrative: After the first GARDASIL shot, later that night I broke out in cold sweats and experienced heart palpitations. I became extremely fatigued. After the second GARDASIL vaccine given on 7/18/2007, I passed out for the first time in my life in the doctor's office about 10 minutes after receiving the vaccine. I also began feeling even more fatigued and started seeing black upon standing. After the third GARDASIL vaccine administered on 11/27/2007, I felt unable to hold my back up straight and started experiencing terrible G.I. symptoms. I started to have to miss numerous days of school and got sick all of the time.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Laboratory test abnormal, Pancreatitis acute, Scan abnormal, Vomiting
Clinical narrative: Patient reported that the morning after the day he received his flu shot he had vomiting and diarrhea. He went to ER and was admitted to the hospital. His scans and labs showed acute pancreatitis. He was hospitalized for 4 days. (He informed the hospital that he recently received the flu vaccine but they did not say anything to reflect that it might be related in any way.)
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site induration, Injection site nodule
Clinical narrative: Patient reported with half-dollar sized bruise on and around injection site as well as a hard knot under the site of the injection without pain.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site haemorrhage, Injection site pain
Clinical narrative: Pharmacist went over appropriate counseling and administered vaccination intramuscularly. As pharmacist was depressing the syringe plunger the patient physically jerked her arm resulting in pain and bleeding. Pharmacist had successfully administered the vaccination, and informed the patient of such. Pharmacist then applied a Band-Aid for minor bleeding and requested patient remain at pharmacy for observation. Patient stayed for approx. 10 minutes and said she was feeling better. Pharmacist requested patient follow-up with a phone call the the pharmacy the next day.
Age: 0.5
Sex: M
Vaccine: DTAP, FLUX, HEP, HIBV, IPV, PPV, RVX
Symptoms: Decreased appetite, Dehydration, Irritability, Lethargy, Malaise
Clinical narrative: At 4:00 AM the morning following his vaccinations, patient drank an 8 oz. formula bottle as usual, but immediately projectile vomited it up. This was his first time to vomit in his life. We stopped formula. At 7:30 he vomited again, this time a bright yellow bile type vomit. We began giving PEDIALYTE as the pediatric nurse at his clinic recommended over the phone. He continued to vomit at 9:20 AM, 10:30 AM, and 5:30 PM. Around 8 PM, after having no wet diapers since 9:00 AM, I took him to the ER at Hospital to be treated for dehydration upon the suggestion of his pediatric nurse. He was given an IV for fluids and ZOFRAN for nausea. His vomiting continued into the next day, but on a smaller scale. The following 7 days he was lethargic, had a low appetite, was not smiling as usual, and was pale. On 10/14/18 we visited his pediatrician for a follow-up and after vomiting that morning. She examined him and said his stomach exam was clear. He has not been the same since his vaccinations: he still has a low appetite, he is still vomiting about once a day, he is not smiling as usual, and he is still fussy and seems not to feel well. No one in the house has gotten a stomach bug, which leads me to think this is not a virus, but a reaction to his vaccines since it began just hours after.
Age: 0.5
Sex: M
Vaccine: DTAP, FLUX, HEP, HIBV, IPV, PPV, RVX
Symptoms: Nausea, Pallor, Vomiting, Vomiting projectile
Clinical narrative: At 4:00 AM the morning following his vaccinations, patient drank an 8 oz. formula bottle as usual, but immediately projectile vomited it up. This was his first time to vomit in his life. We stopped formula. At 7:30 he vomited again, this time a bright yellow bile type vomit. We began giving PEDIALYTE as the pediatric nurse at his clinic recommended over the phone. He continued to vomit at 9:20 AM, 10:30 AM, and 5:30 PM. Around 8 PM, after having no wet diapers since 9:00 AM, I took him to the ER at Hospital to be treated for dehydration upon the suggestion of his pediatric nurse. He was given an IV for fluids and ZOFRAN for nausea. His vomiting continued into the next day, but on a smaller scale. The following 7 days he was lethargic, had a low appetite, was not smiling as usual, and was pale. On 10/14/18 we visited his pediatrician for a follow-up and after vomiting that morning. She examined him and said his stomach exam was clear. He has not been the same since his vaccinations: he still has a low appetite, he is still vomiting about once a day, he is not smiling as usual, and he is still fussy and seems not to feel well. No one in the house has gotten a stomach bug, which leads me to think this is not a virus, but a reaction to his vaccines since it began just hours after.
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Balance disorder, Headache, Tremor
Clinical narrative: Shots were given around noon, and patient woke up later that night shaking. He described it as similar to a tremor. The shaking was not related to chills or a fever. He also had trouble with his balance, but did not fall. He said the shaking episode lasted around 30 minutes. He then went back to sleep. He felt mostly better the following normal but still had a small amount of trouble with his balance. He also had a headache. He said he continued to improve over the course of the day.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site cellulitis, Injection site pain, Injection site swelling
Clinical narrative: Patient's spouse called and said she woke up this morning (3 days post injection) with pain and swelling at the injection site that had moved down her arm almost to her elbow. After speaking to him for peace of mind he took her to the emergency room just to get it checked out. I called back this afternoon to see how she was doing and they said she had gotten an infection/cellulitis.
Age: 67.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Heart rate increased, Hypertension
Clinical narrative: Rapid heart rate and high blood pressure.
Age: 67.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Asthenia, Blood test, Chest X-ray, Electrocardiogram, Feeling hot
Clinical narrative: Rapid heart rate and high blood pressure.
Age: 67.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Gait inability, Hypertension, Nausea, Syncope
Clinical narrative: Rapid heart rate and high blood pressure.
Age: 67.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Blood test normal, Cardiac imaging procedure abnormal, Chest X-ray normal, Hypertension, Immediate post-injection reaction
Clinical narrative: Rapid heart rate and high blood pressure.
Age: 67.0
Sex: F
Vaccine: FLU3, FLU3, FLU3
Symptoms: Palpitations
Clinical narrative: Rapid heart rate and high blood pressure.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Blood pressure decreased, Erythema, Injected limb mobility decreased, Peripheral swelling
Clinical narrative: Blood pressure dropped from 123/64 per pt to 91/54, arm was swollen from shoulder to elbow twice its size, extremely red, felt weak and shaky, stated couldn't move her left arm...... Patient took BENADRYL for itching and swelling for 2 to 3 days, as of Saturday 10/13 pt stated felt better, checked on patient again 10/16 feeling better no longer weak not red or swollen and blood pressure back to normal for her.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Pruritus, Tremor
Clinical narrative: Blood pressure dropped from 123/64 per pt to 91/54, arm was swollen from shoulder to elbow twice its size, extremely red, felt weak and shaky, stated couldn't move her left arm...... Patient took BENADRYL for itching and swelling for 2 to 3 days, as of Saturday 10/13 pt stated felt better, checked on patient again 10/16 feeling better no longer weak not red or swollen and blood pressure back to normal for her.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Patient had soreness next day. Then golf ball size swollen developed 2 inches below shoulder muscle 2 days afer. Erythema and hot to touch at swollen site.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Fatigue, Injection site erythema, Injection site pain
Clinical narrative: Started with pain at injection site that radiated across back neck into other shoulder first night after injection. First full day after injection joint pain in elbows and lower back, extreme tiredness. The second full day the top of my foot was in excruciating pain to the slightest touch. I could not put any weight on my foot. The third day the pain in my foot was improved. By the fourth day my foot felt back to normal. I had a 3 inch by 3 inch red, raised, warm to the touch area right above the injection site that appeared within hours of the shot that last for 4 days.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site warmth, Pain, Pain in extremity, Weight bearing difficulty
Clinical narrative: Started with pain at injection site that radiated across back neck into other shoulder first night after injection. First full day after injection joint pain in elbows and lower back, extreme tiredness. The second full day the top of my foot was in excruciating pain to the slightest touch. I could not put any weight on my foot. The third day the pain in my foot was improved. By the fourth day my foot felt back to normal. I had a 3 inch by 3 inch red, raised, warm to the touch area right above the injection site that appeared within hours of the shot that last for 4 days.
Age: 33.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Redness, swelling, itching more than expected by patient started 1 day after administration and continued about 1 week. She went to walk in clinic for allergies causing her illness and provider asked about the arm. Was given antibiotic for acute illness and the arm in case it was infected. Arm was clear 1 day after starting antibiotics.
Age: 64.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Chest discomfort, Confusional state, Facial paralysis, Heart rate increased
Clinical narrative: Weakness, body aches, fast heart beat, heavy feeling in chest, tingling in hands and legs, numbness and dropping on left side of face, confusion.
Age: 64.0
Sex: F
Vaccine: FLUX
Symptoms: Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: Weakness, body aches, fast heart beat, heavy feeling in chest, tingling in hands and legs, numbness and dropping on left side of face, confusion.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient requested Hep A. Patient had already had flu shot this year. Patient's primary care provider, stated that patient is recommended to get two doses due to health conditions and he was not concerned. Patient reports no issues.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Hives on neck ~ 2 hours after administration.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain upper, Decreased appetite, Eye pain, Fatigue, Migraine
Clinical narrative: Patient woke up at 5:00 AM with migraine with nausea, eye soreness, stomach cramps, blurry vision (possibly due to migraine per patient), nose congestion (went away after an hour), and body aches. Patient was able to fall back asleep after an hour, but then woke up around 8:30 AM with migraine and nausea persisting. Patient took TYLENOL and got some relief temporarily but lingering headache persisted and got exhausted around 3:30 PM and has had early stages of a migraine since then. Patient is also experiencing loss of appetite.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Nasal congestion, Nausea, Pain, Vision blurred
Clinical narrative: Patient woke up at 5:00 AM with migraine with nausea, eye soreness, stomach cramps, blurry vision (possibly due to migraine per patient), nose congestion (went away after an hour), and body aches. Patient was able to fall back asleep after an hour, but then woke up around 8:30 AM with migraine and nausea persisting. Patient took TYLENOL and got some relief temporarily but lingering headache persisted and got exhausted around 3:30 PM and has had early stages of a migraine since then. Patient is also experiencing loss of appetite.
Age: 60.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site pain, Insomnia, Product administered at inappropriate site
Clinical narrative: The patient states that she was fine at the time of immunization but started having pain in the shoulder area of the same arm where the immunizations were given about 2 hours after. The pain increased with time causing the patient to take ibuprofen and also to lose sleep. She was not better the next day so she went to her physician. She states that her doctor said the injections were very high and he was concerned that the vaccines may have entered the joint, ligament, or another part of the shoulder instead of the muscle. She was prescribed steroids, ibuprofen, and another "pain medicine".
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus
Clinical narrative: Vaccination given at 1:00 PM, Patient called pharmacy at 5:30 PM to report itching and redness (may have been from scratching) on lower and upper back. Advised patient to take BENADRYL, watch for worsening and call doctor or immediate care if worsens. Called patient at 7:40 PM to check on her. She was doing much better, the BENADRYL was working.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site bruising, Injection site swelling, Myalgia, Neck pain
Clinical narrative: Instant black and blue bruise and swelling at injection site that increased in size over 10 min. Pain and soreness radiating up arm throughout shoulder and neck within minutes as well as pain radiating down left leg, described as "muscle soreness and aches". I asked patient to wait in the store for about 40 min following vaccine, checking up every 10 min. Called her primary care physician that she was supposed to see that day for a flu shot but decided to come to pharmacy instead. Spoke w nurse/MD who advised me that patient was ok to go home and should just be aware if symptoms don't subside. Counseled patient that she should see her MD if the pain/aches did not get better or got worse throughout the night. Checked up on patient at home 1.5 hours after vaccine and she seemed to be feeling okay, leg was still achy but arm and neck getting better. Advised her to ice arm to decrease swelling.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Instant black and blue bruise and swelling at injection site that increased in size over 10 min. Pain and soreness radiating up arm throughout shoulder and neck within minutes as well as pain radiating down left leg, described as "muscle soreness and aches". I asked patient to wait in the store for about 40 min following vaccine, checking up every 10 min. Called her primary care physician that she was supposed to see that day for a flu shot but decided to come to pharmacy instead. Spoke w nurse/MD who advised me that patient was ok to go home and should just be aware if symptoms don't subside. Counseled patient that she should see her MD if the pain/aches did not get better or got worse throughout the night. Checked up on patient at home 1.5 hours after vaccine and she seemed to be feeling okay, leg was still achy but arm and neck getting better. Advised her to ice arm to decrease swelling.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: Patient called back to pharmacy reporting of significant swelling at injection site. Patient reported however that swelling was non-painful. Patient was hesitant to potential option of BENADRYL to treat against potential allergic reaction, opting for additional suggestion of anti-inflammatory treatment. Patient was also advised to consult with primary care physician in morning.
Age: 70.0
Sex: M
Vaccine: FLUA3
Symptoms: Injection site erythema, Injection site infection, Injection site pustule, Injection site scab
Clinical narrative: Patient states injection site became red with pus, developed scab, picked scab off and went to PCP who determined scabbed area was infected. Given samples of cephalexin 250 mg three times daily for 7 days.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Nasopharyngitis, Skin warm
Clinical narrative: Hot to the touch, red, and cold like symptoms.
Age: 56.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Patient came back to pharmacy on 10/16/18 and mentioned that he had an severe swelling, redness, itching and pain at the injection site from the vaccine he received on Sunday 10/14/18 at the pharmacy. Patient also mentioned he had to go see the Doctor at the ER and received the treatment for the swelling and pain. Swelling did go down from the treatment and patient is not in pain any more. But patient still had some itching on the injection site and I helped him to buy the anti itch cream hydrocortisone 1%. Over the time of 2 days, overall patient feels better now.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Mobility decreased, Pain in extremity
Clinical narrative: Several hours after the vaccine I noticed difficulty raising or rotating the arm / pain in the shoulder joint when moving the arm. This remained at the same level for approximately 2 days. After another day, the symptoms have somewhat lessened but it remains difficult to raise or rotate the arm and somewhat painful.
Age: 37.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Flushing, Injection site pain, Pain
Clinical narrative: Patient called and stated that she had severe pain at the injection site, pain radiating throughout the shoulder and under the arm. She also stated that she was red in the face and felt flushed.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Haemorrhage
Clinical narrative: Patient is on blood thinner and had quite some bleeding after receiving the flu vaccine on 10/15/18 for more than 5 minutes and continues bleeding after she got home and saw some bleeding the next day on on 10/16/18.
Age: 61.0
Sex: M
Vaccine: FLUR4
Symptoms: Feeling abnormal, Hypoaesthesia, Sensory loss
Clinical narrative: Wife called pharmacy on 10/12/2018 to report patient was hospitalized with numbness and no feeling in arm and other parts of body, she called to get vaccine name, lot #, etc for hospital. She indicated she thought they would submit a VAERS but I indicated I would also to be sure. She stated he started feeling bad next day after vaccination.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Pain, Skin warm, Urticaria
Clinical narrative: Two inch red welt that is warm to touch and painful that is still persistent 36 hours later; achiness.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Antibody test abnormal, Asthenia, Blood creatine phosphokinase increased, Computerised tomogram abdomen, Computerised tomogram pelvis
Clinical narrative: I received a Tetanus shot during a visit to my primary care doctor. Around 4 days later my muscles started to feel weak. I called the doctor to let them know I was not feeling well and I believed the Tetanus shot was the reason. The doctor said the adverse reaction should go away shortly. I waited hoping for relief but the weakness and pain persisted and got so bad I was debilitated and could not function. Any movement of my muscles caused pain and I was extremely weak. On September 27 I checked into the emergency room and was hospitalized for a week and 2 days. The doctors said my I have Myositis and my CK levels was beyond normal. At the current moment I am still experiencing the affects of the Tetanus shot.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Drug screen positive, Echocardiogram, Electrocardiogram, Malaise, Muscular weakness
Clinical narrative: I received a Tetanus shot during a visit to my primary care doctor. Around 4 days later my muscles started to feel weak. I called the doctor to let them know I was not feeling well and I believed the Tetanus shot was the reason. The doctor said the adverse reaction should go away shortly. I waited hoping for relief but the weakness and pain persisted and got so bad I was debilitated and could not function. Any movement of my muscles caused pain and I was extremely weak. On September 27 I checked into the emergency room and was hospitalized for a week and 2 days. The doctors said my I have Myositis and my CK levels was beyond normal. At the current moment I am still experiencing the affects of the Tetanus shot.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Myositis, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging abdominal, Oesophagram, Pain
Clinical narrative: I received a Tetanus shot during a visit to my primary care doctor. Around 4 days later my muscles started to feel weak. I called the doctor to let them know I was not feeling well and I believed the Tetanus shot was the reason. The doctor said the adverse reaction should go away shortly. I waited hoping for relief but the weakness and pain persisted and got so bad I was debilitated and could not function. Any movement of my muscles caused pain and I was extremely weak. On September 27 I checked into the emergency room and was hospitalized for a week and 2 days. The doctors said my I have Myositis and my CK levels was beyond normal. At the current moment I am still experiencing the affects of the Tetanus shot.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Scan with contrast, Vaccination complication
Clinical narrative: I received a Tetanus shot during a visit to my primary care doctor. Around 4 days later my muscles started to feel weak. I called the doctor to let them know I was not feeling well and I believed the Tetanus shot was the reason. The doctor said the adverse reaction should go away shortly. I waited hoping for relief but the weakness and pain persisted and got so bad I was debilitated and could not function. Any movement of my muscles caused pain and I was extremely weak. On September 27 I checked into the emergency room and was hospitalized for a week and 2 days. The doctors said my I have Myositis and my CK levels was beyond normal. At the current moment I am still experiencing the affects of the Tetanus shot.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Rash erythematous, Urticaria
Clinical narrative: Patient presented to pharmacy with hives and red spots located on left forearm of recently administered vaccination. Patient reports red spots and itching began at approximately noon the day after vaccination. Recommendation of BENADRYL for hives and itching. Given instructions to contact pharmacy if hives spread further out.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Anaphylactic shock
Clinical narrative: Anaphylactic shock.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site pain
Clinical narrative: Patient stated injection stung and she had bruise size of tennis ball for 2 weeks-she didn't seek treatment but came to pharmacy last week to tell team about it. I was on vacation and called her back today. She told me she thinks maybe I hit a blood vessel which caused her bruise. She just wanted us to know to put in her record.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Very sore arm, starting a couple hours after the injection. So sore for 4 days I could hardly raise my arm to get dressed, although it was gradually getting better. However, it is still sore after 2 weeks when I raise the arm! This is not right!
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Diagnostic procedure, Electronystagmogram abnormal, Laboratory test abnormal, Opticokinetic nystagmus tests abnormal, Vertigo
Clinical narrative: Eight days after vaccine went to emergency room with vertigo. Referred to ENT doctor - who referred me for balance testing. Diagnosis: Vestibular Neuronitis which is caused by a virus in body such as cold sores, shingles or chickenpox. Today is October 16 and I am still suffering from dizzy spells. I start balance therapy this week at a physical therapist office.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Vestibular neuronitis
Clinical narrative: Eight days after vaccine went to emergency room with vertigo. Referred to ENT doctor - who referred me for balance testing. Diagnosis: Vestibular Neuronitis which is caused by a virus in body such as cold sores, shingles or chickenpox. Today is October 16 and I am still suffering from dizzy spells. I start balance therapy this week at a physical therapist office.
Age: 77.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Band neutrophil percentage increased, Confusional state, Erythema, Peripheral swelling, Sepsis
Clinical narrative: Patient's family reported acute confusion day after vaccinations. Patient's wife called doctor's office and was recommended to go to ED. Patient was admitted due to sepsis from ED. Later when recounting what has occurred at hospital, patient's wife reported that left arm was red and swollen three days after immunization was given. Hospitalist treating patient have not identified what the infectious source is for this patient.
Age: 77.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: White blood cell count increased
Clinical narrative: Patient's family reported acute confusion day after vaccinations. Patient's wife called doctor's office and was recommended to go to ED. Patient was admitted due to sepsis from ED. Later when recounting what has occurred at hospital, patient's wife reported that left arm was red and swollen three days after immunization was given. Hospitalist treating patient have not identified what the infectious source is for this patient.
Age: 18.0
Sex: F
Vaccine: FLU4
Symptoms: Flushing, Gaze palsy, Hyperhidrosis, Immediate post-injection reaction, Presyncope
Clinical narrative: Patient became unresponsive immediately after injection, eyes rolled back. Patient then became flushed, and about 30 seconds after symptoms began the patient started being responsive again.  After about another 30 seconds the patient's flushing resolved. The patient also reported being extremely sweaty. I contacted the vaccination protocol physician, Dr., via phone. After Dr. took a history of the event and spoke with the patient, he came to the conclusion that the patient had a vasovagal reaction to the flu shot, and she should be fine as soon as she felt well enough to leave.
Age: 18.0
Sex: F
Vaccine: FLU4
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient became unresponsive immediately after injection, eyes rolled back. Patient then became flushed, and about 30 seconds after symptoms began the patient started being responsive again.  After about another 30 seconds the patient's flushing resolved. The patient also reported being extremely sweaty. I contacted the vaccination protocol physician, Dr., via phone. After Dr. took a history of the event and spoke with the patient, he came to the conclusion that the patient had a vasovagal reaction to the flu shot, and she should be fine as soon as she felt well enough to leave.
Age: 57.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Blister, Eyelid pain, Oral herpes
Clinical narrative: I am experiencing the worst oral herpes outbreak I have had in many years. I have about 4 blisters -- I don't think I've had this many since I first got the infection at about age 12. My eyelid is also feeling sore. I am worried that I am actually getting an ocular herpes infection.
Age: 82.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site urticaria, Vaccination site irritation
Clinical narrative: At 7 days patient started having irritation at the vaccine site she itched it and now it is getting a welt and red and swollen. Pt was concerned and took a BENADRYL it made it feel a little better but then got worse again. I let her know that she can take another BENADRYL up to every 6 hours and call her dr in the morning to have them look at it.
Age: 49.0
Sex: F
Vaccine: FLUC4
Symptoms: Dysgeusia, Electrocardiogram abnormal, Extrasystoles, Feeling hot, Headache
Clinical narrative: This spontaneous case initially received from other health professional (nurse) on 09-Oct-2018, concerning a 49-year-old, adult female patient. The patient's historical condition included migraines. The patient did not receive any concomitant medications. On 19-Sep-2018, the patient was administered FLUCELVAX QIV (dose: 0.5 ml, route of administration: intramuscular, anatomical location: deltoid, batch number: 252230 and expiry date: 31-May-2019). On the same day, after vaccination, the patient felt warm sensation, irregular pulse, weird taste in mouth and felt like something was stuck in her throat. The patient developed right shoulder pain, which radiated up to her neck. The patient also experienced headache and palpitations. The patient took ibuprofen and ZYRTEC. Eventually, the patient went to the emergency room. The patient underwent electrocardiography (EKG) and results were normal with an occasional premature heartbeat. In emergency room, the patient was given a dose pack of MEDROL and was recommended to take BENADRYL for couple of days. The same day (19-Sep-2018), the patient had recovered from the events in emergency room. The reporter assessed this case as serious (medically significant).
Age: 49.0
Sex: F
Vaccine: FLUC4
Symptoms: Heart rate irregular, Musculoskeletal pain, Pain, Palpitations, Sensation of foreign body
Clinical narrative: This spontaneous case initially received from other health professional (nurse) on 09-Oct-2018, concerning a 49-year-old, adult female patient. The patient's historical condition included migraines. The patient did not receive any concomitant medications. On 19-Sep-2018, the patient was administered FLUCELVAX QIV (dose: 0.5 ml, route of administration: intramuscular, anatomical location: deltoid, batch number: 252230 and expiry date: 31-May-2019). On the same day, after vaccination, the patient felt warm sensation, irregular pulse, weird taste in mouth and felt like something was stuck in her throat. The patient developed right shoulder pain, which radiated up to her neck. The patient also experienced headache and palpitations. The patient took ibuprofen and ZYRTEC. Eventually, the patient went to the emergency room. The patient underwent electrocardiography (EKG) and results were normal with an occasional premature heartbeat. In emergency room, the patient was given a dose pack of MEDROL and was recommended to take BENADRYL for couple of days. The same day (19-Sep-2018), the patient had recovered from the events in emergency room. The reporter assessed this case as serious (medically significant).
Age: 49.0
Sex: F
Vaccine: FLUC4
Symptoms: Throat irritation
Clinical narrative: This spontaneous case initially received from other health professional (nurse) on 09-Oct-2018, concerning a 49-year-old, adult female patient. The patient's historical condition included migraines. The patient did not receive any concomitant medications. On 19-Sep-2018, the patient was administered FLUCELVAX QIV (dose: 0.5 ml, route of administration: intramuscular, anatomical location: deltoid, batch number: 252230 and expiry date: 31-May-2019). On the same day, after vaccination, the patient felt warm sensation, irregular pulse, weird taste in mouth and felt like something was stuck in her throat. The patient developed right shoulder pain, which radiated up to her neck. The patient also experienced headache and palpitations. The patient took ibuprofen and ZYRTEC. Eventually, the patient went to the emergency room. The patient underwent electrocardiography (EKG) and results were normal with an occasional premature heartbeat. In emergency room, the patient was given a dose pack of MEDROL and was recommended to take BENADRYL for couple of days. The same day (19-Sep-2018), the patient had recovered from the events in emergency room. The reporter assessed this case as serious (medically significant).