chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Dysstasia, Fatigue, Feeling cold, Feeling hot
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of feeling hot in a 66-year-old male patient who received SHINGRIX for prophylaxis. On 30th June 2018, the patient received the 1st dose of SHINGRIX (intramuscular) .5 ml. On 30th June 2018, several hours after receiving SHINGRIX, the patient experienced feeling hot, difficulty in standing, fatigue and feeling cold. The patient was treated with paracetamol (Tylenol). On an unknown date, the outcome of the feeling hot, difficulty in standing, fatigue and feeling cold were recovering/resolving. It was unknown if the reporter considered the feeling hot, difficulty in standing, fatigue and feeling cold to be related to SHINGRIX. Additional details were provided as follows: The patient received SHINGRIX in right deltoid. The patient got the vaccine in the morning and began to develop side effects by that evening. He was having difficulty standing for long periods of time because of fatigue. He was taking Tylenol to treat his symptoms and was feeling better on the day of reporting.
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of injection site erythema in a female patient who received SHINGRIX for prophylaxis. On 29th June 2018 15:00, the patient received the 2nd dose of SHINGRIX (intramuscular) .5 ml. On 29th June 2018, less than a day after receiving SHINGRIX, the patient experienced injection site erythema, injection site warmth, injection site swelling and injection site muscle pain. On an unknown date, the patient experienced pruritus. On an unknown date, the outcome of the injection site erythema, injection site warmth, injection site swelling, injection site muscle pain and pruritus were unchanged. It was unknown if the reporter considered the injection site erythema, injection site warmth, injection site swelling, injection site muscle pain and pruritus to be related to SHINGRIX. Additional details were provided as follows: The age at vaccination was not reported. The patient received SHINGRIX in left arm. Within 2 hours after getting the vaccine the patient experienced redness, heat, swelling, raised area, and muscle pain at the injection site. In 2018, less than a week after receiving SHINGRIX, the patient experienced itching. The patient had denied permission to contact their physician. No further details were provided by the patient. Advised patient to follow up with her health care provider.
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of injection site bruising in a 87-year-old female patient who received SHINGRIX (batch number 27K24, expiry date 2nd February 2021) for prophylaxis. Previously administered products included  SHINGRIX(1st dose received on unknown date). On an unknown date, the patient received the 2nd dose of SHINGRIX (intramuscular) .5 ml. On an unknown date, 3 days after receiving SHINGRIX, the patient experienced injection site bruising. On an unknown date, the outcome of the injection site bruising was not recovered/not resolved. The reporter considered the injection site bruising to be possibly related to SHINGRIX. Additional details were reported as follows: Approximately 3 days after administration of the second dose of SHINGRIX, the patient experienced large bruised area around the injection site.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Erythema, Influenza like illness, Injection site pruritus, Injection site rash
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of pain in arm in a 75-year-old female patient who received SHINGRIX for prophylaxis. On 19th June 2018, the patient received the 1st dose of SHINGRIX (intramuscular). In June 2018, less than a day after receiving SHINGRIX, the patient experienced pain in arm, swelling arm, sleeplessness, injection site itching and injection site rash. On 1st July 2018, the patient experienced injection site warmth. On an unknown date, the patient experienced muscle pain, joint pain, influenza-like symptoms and erythema. The patient was treated with hydrocortisone, BENADRYL and Anti-Itch Cream (Antihistamine)). On an unknown date, the outcome of the pain in arm, swelling arm, injection site itching and injection site warmth were not recovered/not resolved and the outcome of the sleeplessness, injection site rash and erythema were recovered/resolved and the outcome of the muscle pain and joint pain were not reported and the outcome of the influenza-like symptoms was unknown. The reporter considered the pain in arm, swelling arm, sleeplessness, influenza-like symptoms, injection site itching, injection site rash, injection site warmth and erythema to be related to SHINGRIX. It was unknown if the reporter considered the muscle pain and joint pain to be related to SHINGRIX. Additional details were provided as follows: The caller stated within 12 hours of receiving her first shot of SHINGRIX the patient experienced pain in her arm with swelling that was bulging. The patient stated she iced it on and off all day and went back to the drug store where she received the vaccine. A pharmacist caller her physician, who stated this, was a reaction to the vaccine and advised not to get the second dose. The patient stated she couldn't sleep because of the pain in her arm, she was having muscular and joint pain also and felt like she had flu like symptoms due to the joint and muscle pain. The patient stated 4 to 5 days later she had a severe itch over the injection area, and a rash. She was taking BENADRYL and an anti-itch cream. She went to see her doctor and he prescribed hydrocortisone on or around 6 by 25. The patient stated the rash, itching, swelling and redness finally resolved, but last night she developed itching and slight swelling again with warmth to touch on the area of the injection.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Insomnia, Myalgia, Pain in extremity, Peripheral swelling
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of pain in arm in a 75-year-old female patient who received SHINGRIX for prophylaxis. On 19th June 2018, the patient received the 1st dose of SHINGRIX (intramuscular). In June 2018, less than a day after receiving SHINGRIX, the patient experienced pain in arm, swelling arm, sleeplessness, injection site itching and injection site rash. On 1st July 2018, the patient experienced injection site warmth. On an unknown date, the patient experienced muscle pain, joint pain, influenza-like symptoms and erythema. The patient was treated with hydrocortisone, BENADRYL and Anti-Itch Cream (Antihistamine)). On an unknown date, the outcome of the pain in arm, swelling arm, injection site itching and injection site warmth were not recovered/not resolved and the outcome of the sleeplessness, injection site rash and erythema were recovered/resolved and the outcome of the muscle pain and joint pain were not reported and the outcome of the influenza-like symptoms was unknown. The reporter considered the pain in arm, swelling arm, sleeplessness, influenza-like symptoms, injection site itching, injection site rash, injection site warmth and erythema to be related to SHINGRIX. It was unknown if the reporter considered the muscle pain and joint pain to be related to SHINGRIX. Additional details were provided as follows: The caller stated within 12 hours of receiving her first shot of SHINGRIX the patient experienced pain in her arm with swelling that was bulging. The patient stated she iced it on and off all day and went back to the drug store where she received the vaccine. A pharmacist caller her physician, who stated this, was a reaction to the vaccine and advised not to get the second dose. The patient stated she couldn't sleep because of the pain in her arm, she was having muscular and joint pain also and felt like she had flu like symptoms due to the joint and muscle pain. The patient stated 4 to 5 days later she had a severe itch over the injection area, and a rash. She was taking BENADRYL and an anti-itch cream. She went to see her doctor and he prescribed hydrocortisone on or around 6 by 25. The patient stated the rash, itching, swelling and redness finally resolved, but last night she developed itching and slight swelling again with warmth to touch on the area of the injection.
Sex: F
Vaccine: VARZOS
Symptoms: Adverse event, Arthralgia, Burning sensation, Influenza like illness, Malaise
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of joint pain in a 67-year-old female patient who received SHINGRIX for prophylaxis. Previously administered products included ZOSTAVAX (received 3 years before the date of reporting). In April 2018, the patient received SHINGRIX. On an unknown date, less than a year after receiving SHINGRIX, the patient experienced joint pain, burning sensation, pruritus, sickness, influenza-like symptoms and adverse event. The patient was treated with BENADRYL and topical Steroid Cream. On an unknown date, the outcome of the joint pain, burning sensation, pruritus, sickness, influenza-like symptoms and adverse event were unknown. It was unknown if the reporter considered the joint pain, burning sensation, pruritus, sickness, influenza-like symptoms and adverse event to be related to SHINGRIX. Additional details were provided as follows: In late April 2018, the patient received SHINGRIX and four days after shot on inside of shot arm developed 5 cm raised irregular circle burning and itching. Pharmacy said it did not act like allergy. On an unknown day, 2 weeks later Dermatologist Doctor said it was hard to know but the patient took BENADRYL twice a day for 3 days then high dose steroid cream to area twice a day for 3 days. Since the Doctor cannot find if one seemingly hepatic type lesion amounts to an allergy reaction and no one told him. The reporter asked have you heard of this type of reaction. There was no local reaction 5 inches lateral to it at injection site but was very sick for 2 days with joint pain, HA and general feeling of flu like symptoms. The patient was wondering should get 2nd dose but no one could advise. After receiving clarification abbreviation for HA event was not clear hence adverse event was coded.
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of joint pain in a 67-year-old female patient who received SHINGRIX for prophylaxis. Previously administered products included ZOSTAVAX (received 3 years before the date of reporting). In April 2018, the patient received SHINGRIX. On an unknown date, less than a year after receiving SHINGRIX, the patient experienced joint pain, burning sensation, pruritus, sickness, influenza-like symptoms and adverse event. The patient was treated with BENADRYL and topical Steroid Cream. On an unknown date, the outcome of the joint pain, burning sensation, pruritus, sickness, influenza-like symptoms and adverse event were unknown. It was unknown if the reporter considered the joint pain, burning sensation, pruritus, sickness, influenza-like symptoms and adverse event to be related to SHINGRIX. Additional details were provided as follows: In late April 2018, the patient received SHINGRIX and four days after shot on inside of shot arm developed 5 cm raised irregular circle burning and itching. Pharmacy said it did not act like allergy. On an unknown day, 2 weeks later Dermatologist Doctor said it was hard to know but the patient took BENADRYL twice a day for 3 days then high dose steroid cream to area twice a day for 3 days. Since the Doctor cannot find if one seemingly hepatic type lesion amounts to an allergy reaction and no one told him. The reporter asked have you heard of this type of reaction. There was no local reaction 5 inches lateral to it at injection site but was very sick for 2 days with joint pain, HA and general feeling of flu like symptoms. The patient was wondering should get 2nd dose but no one could advise. After receiving clarification abbreviation for HA event was not clear hence adverse event was coded.
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: This case was reported by a physician via sales rep and described the occurrence of injection site pain in a adult female patient who received SHINGRIX for prophylaxis. On an unknown date, the patient received SHINGRIX at an unknown dose. On an unknown date, less than a week after receiving SHINGRIX, the patient experienced injection site pain. On an unknown date, the outcome of the injection site pain was unknown. It was unknown if the reporter considered the injection site pain to be related to SHINGRIX. Additional details were provided as follows: The age at vaccination was not reported. After getting the first shot of SHINGRIX vaccine, next day the patient came to pick up something from the Doctor's office, when health care professional saw the patient asked her how she was doing. The patient complained of injection site pain. The health care professional also mentioned she gave to 5 patients 4 of them did not call back.
Sex: U
Vaccine: MENB
Symptoms: Injection site pain
Clinical narrative: This case was reported by a physician via sales rep and described the occurrence of injection site pain in an unspecified number of patients who received BEXSERO for prophylaxis. On an unknown date, the patient received BEXSERO at an unknown dose. On an unknown date, unknown after receiving BEXSERO, the patient experienced injection site pain. On an unknown date, the outcome of the injection site pain was unknown. It was unknown if the reporter considered the injection site pain to be related to BEXSERO. Additional details were provided as follows: The age at vaccination was not applicable for this report. The physician was speaking to her general experience and not a specific patient. She said she had experienced a high incidence of injection site pain with BEXSERO.
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Pain in extremity, Tremor
Clinical narrative: This case was reported by a physician via sales rep and described the occurrence of pain in arm in a male patient who received SHINGRIX for prophylaxis. On an unknown date, the patient received the 1st dose of SHINGRIX. On an unknown date, less than a year after receiving SHINGRIX, the patient experienced pain in arm, tremor and chills. On an unknown date, the outcome of the pain in arm, tremor and chills were recovered/resolved. It was unknown if the reporter considered the pain in arm, tremor and chills to be related to SHINGRIX. Additional details were reported as follows: The age at vaccination was not reported. The patient experienced arm pain, shaking and chills which resolved after about 18 hours. This case US2018GSK119849 was identified as duplicate of case US2018GSK119919. Case US2018GSK119919 was deleted and all future correspondence will be added in the present case US2018GSK119849 which stands as case of record for this patient. The reporter agreed to be followed up.
Sex: M
Vaccine: VARZOS
Symptoms: Influenza like illness
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of influenza like illness in a male patient who received SHINGRIX for prophylaxis. In April 2018, the patient received SHINGRIX. On an unknown date, less than a year after receiving SHINGRIX, the patient experienced influenza like illness. On an unknown date, the outcome of the influenza like illness was unknown. It was unknown if the reporter considered the influenza like illness to be related to SHINGRIX. Additional details were reported as follows: The age at vaccination was not reported. The patient's concomitant product included AMBIEN as needed for sleep. The reporter volunteered at a free medical clinic. She said one of the physicians who volunteer told her that, he felt like he had the flu following his SHINGRIX vaccination. The reporter thought that, the patient received the SHINGRIX vaccine around April 2018 but was not sure. The reporter declined to answer any questions. She said she would tell the physician to contact GlaxoSmithKline to report his symptoms and further related details. The reporter would not answer questions because she had not got the physician's permission, and it was unknown if she granted permission to be contacted by GSCP because she said she would prefer the physician to call GlaxoSmithKline himself and that she did not want to report on his behalf without his permission. No further details provided. This case has been linked with case US2018117635, rpeorted by the same reporter.
Sex: M
Vaccine: MENB
Symptoms: Feeling abnormal, Mental status changes
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of mental status changes in a male patient who received BEXSERO for prophylaxis. On 7th June 2018, the patient received the 2nd dose of BEXSERO. In June 2018, less than a month after receiving BEXSERO, the patient experienced mental status changes (serious criteria hospitalization) and unstable feeling (serious criteria hospitalization). On an unknown date, the outcome of the mental status changes and unstable feeling were unknown. It was unknown if the reporter considered the mental status changes and unstable feeling to be related to BEXSERO. Additional details were provided as follows: This case was reported by a CIH (not otherwise specified) who was also the mother of the patient. The age at vaccination was not reported. The patient had been unstable i.e. mental status changed and was in acute psychiatric hospital care since receiving his dose of BEXSERO vaccine. The mother was highly concerned that the BEXSERO vaccine injured the patient's brain. The mother of the patient asked for advice.
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: This case was reported by a physician via interactive digital media and described the occurrence of pain in arm in a adult male patient who received SHINGRIX for prophylaxis. Previously administered products included SHINGRIX (1st dose received on unknown date). On 1st July 2018, the patient received the 2nd dose of SHINGRIX. On 1st July 2018, less than a day after receiving SHINGRIX, the patient experienced pain in arm. On an unknown date, the outcome of the pain in arm was unknown. It was unknown if the reporter considered the pain in arm to be related to SHINGRIX. Additional details were reported as follows: The age at vaccination was not reported. The patient stated that, the vaccine was reactogenic in terms of arm soreness for him presumably from the AS01 adjuvant containing MPL and QS21. As someone who also developed recombinant protein vaccines the reporter understand the need for such adjuvants.
Age: 12.0
Sex: M
Vaccine: HPV9, HPV9
Symptoms: Chest pain, Dizziness, Heart rate decreased, Hypoaesthesia, Hypotension
Clinical narrative: Dizziness,chest pain, numbness, palpitation,low blood pressure and heart rate, resolved in 1 hour. Dizziness and numbness persisting.
Age: 12.0
Sex: M
Vaccine: HPV9, HPV9
Symptoms: Palpitations
Clinical narrative: Dizziness,chest pain, numbness, palpitation,low blood pressure and heart rate, resolved in 1 hour. Dizziness and numbness persisting.
Age: 12.0
Sex: M
Vaccine: HPV9, HPV9
Symptoms: C-reactive protein, Dizziness, Dyspnoea, Full blood count, Hypoaesthesia
Clinical narrative: Dizziness,chest pain, numbness, palpitation,low blood pressure and heart rate, resolved in 1 hour. Dizziness and numbness persisting.
Age: 12.0
Sex: M
Vaccine: HPV9, HPV9
Symptoms: Metabolic function test, Red blood cell sedimentation rate
Clinical narrative: Dizziness,chest pain, numbness, palpitation,low blood pressure and heart rate, resolved in 1 hour. Dizziness and numbness persisting.
Age: 78.0
Sex: M
Vaccine: TDAP
Symptoms: Myalgia
Clinical narrative: Pt complaining of pain to the muscle area of shot when bumped or touched. Pain started on 6/9/2018. Does not hurt to move up or down, backward or forward. Able to lift objects without pain. Pain  with touch or bumping. No redness, swelling or heat to area. Encouraged to see doctor for concern.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Myalgia, Nausea, Pain, Pain in extremity
Clinical narrative: Woke with body aches, muscle aches, very sore arm. Now have Fever of 3 degrees,  body aches, headache, muscle ache, queasy
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Woke with body aches, muscle aches, very sore arm. Now have Fever of 3 degrees,  body aches, headache, muscle ache, queasy
Age: 58.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Dyspnoea, Muscle spasms
Clinical narrative: Patient received 2 vaccinations on 7/7/18, SHINGRIX and PNEUMOVAX 23. Pt returned to pharmacy on 7/11 and stated that she has been having muscle spasms since receiving the 2 vaccinations. Stated that she had already had a pneumonia vaccination in the past and was concerned that the shingles vaccination was the cause. Patient stated that she had back surgery several years ago and said that the spasms originated at the site of her surgery and extended towards her abdomen which in turn felt like it was squeezing her lungs making it difficult to breathe. Patient stated that at injection sites there was no reaction or spasms. Patient stated however that the spasms started in the evening after receiving the immunizations earlier in the day. Advised patient that back/muscle spasms were not listed as side effects in either vaccinations list of side effects unless the spasm occurs at the site of injection. Advised patient that if they chose to do so, they should contact their PCP or go to an urgent care clinic for further evaluation if the symptoms continue as it may not be related to immunizations at all but may be a condition that has coincidentally begun. Because patient reported that she was having a difficult time breathing, she should seek medical attention if breathing difficulty continues. Advised patient that report would be made to vaccine adverse reaction reporting site (VAERS) in order to provide documentation to the manufacturer and the CDC if similar side effects have an increase in occurrences. NOTE: Patient able to ambulate and speak clearly at the time she revisited the pharmacy. No visible signs of distress at the time of vaccination or when she returned 4 days later to report side effect.
Age: 20.0
Sex: F
Vaccine: MNQ
Symptoms: Asthenia, Feeling abnormal, Feeling hot, Vision blurred, Visual impairment
Clinical narrative: ABOUT 5 MINUTES AFTER INJECTION PATIENT STATED SHE WAS FEELING DIFFERENT. HER VISION WAS BLURRY AND GETTING DARK, SHE WAS HOT AND WEAK. THE PHARMACIST TOOK HER BACK INTO THE IMZ BOOTH AND SAT HER DOWN. HE GOT HER AN ICE PACK, GLASS OF WATER, A PILLOW FOR HER TO REST HER HEAD ON AND ATTEMPTED TO TAKE HER BLOOD PRESSURE. MEANWHILE  A TECHNICIAN INSIDE THE PHARMACY CALLED 911. PARAMEDICS ARRIVED IN ABOUT 15 MINUTES, TALKED WITH PATIENT THEN TOOK HER OUTSIDE TO THE AMBULANCE TO RUN VITALS. SEVERAL MINUTES LATER PATIENT WALKED BACK INTO THE PHARMACY WITH HER MOTHER AND WAS FEELING BETTER. THE PHARMACIST WILL FOLLOW UP WITH A CALL TO CHECK ON HER LATER TODAY AND TOMORROW.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Back pain, Feeling hot, Mobility decreased, Pain in extremity
Clinical narrative: ABOUT 5-10 MINUTES AFTER RECEIVING THE VACCINE, PATIENT HAS SHARP PAIN THROUGH HER HIPS, BACK, ARMS. SHE COULD NOT MOVE HER RIGHT LEG. SHE DESCRIBED IT AS THE HEAT WAS GOING IN AND THROUGH HER BODY. AFTER SITTING DOWN FOR ABOUT 10 MINUTES, THE SYMPTOMS SUBSIDED.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Dizziness, Dysphonia, Ear congestion
Clinical narrative: Tiredness, dizziness, body aches, joint pain, headache, nasal/ear congestion, hoarse throat, shivering, digestive cramping, excessive sweating during night, soreness at injection site. I had several episodes of shivering during the day. All other symptoms mentioned above, with the exception of the excessive sweating, lasted for most of the day. I slept for approximately 6 extra hours during daytime and missed work. My first SHINGRIX injection (in early April) was symptom free, except for some soreness around the injection site.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Gastrointestinal pain, Headache, Hypersomnia, Impaired work ability
Clinical narrative: Tiredness, dizziness, body aches, joint pain, headache, nasal/ear congestion, hoarse throat, shivering, digestive cramping, excessive sweating during night, soreness at injection site. I had several episodes of shivering during the day. All other symptoms mentioned above, with the exception of the excessive sweating, lasted for most of the day. I slept for approximately 6 extra hours during daytime and missed work. My first SHINGRIX injection (in early April) was symptom free, except for some soreness around the injection site.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Nasal congestion, Night sweats, Pain
Clinical narrative: Tiredness, dizziness, body aches, joint pain, headache, nasal/ear congestion, hoarse throat, shivering, digestive cramping, excessive sweating during night, soreness at injection site. I had several episodes of shivering during the day. All other symptoms mentioned above, with the exception of the excessive sweating, lasted for most of the day. I slept for approximately 6 extra hours during daytime and missed work. My first SHINGRIX injection (in early April) was symptom free, except for some soreness around the injection site.
Age: 81.0
Sex: M
Vaccine: PNC13, TDAP
Symptoms: Injection site rash, Rash
Clinical narrative: Both Tdap and PREVNAR 13 was given on left deltoid (IM). Patient was fine after given the vaccines on 0707/2018. We received prescriptions for Triamcinolone ointment and Calamine lotion on 07/10/2018. We contacted patient and discovered the prescriptions were for the severe rash on left arm from deltoid down to middle of forearm.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Per pt, area of injection site was "sore" and "red, itchy, warm to touch" and the sensation radiated into biceps area the following days after the injection, but resolved after several days/weeks.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy, Foetal death, Foetal hypokinesia, Ultrasound antenatal screen abnormal
Clinical narrative: Pregnant patient had Tdap on 7/6/18. Noted absence of fetal movement on 7/7/18, no fetal movement x 4 days. Sought medical care on 7/10/18 - IUFD confirmed by Ultrasound. Denies travel, recent illness, no history of trauma. States the only thing that was different was receipt of a vaccine the day prior to the change/lack of fetal movement.
Age: 21.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Dizziness, Fall
Clinical narrative: Approximately 5 minutes after the immunization, patient felt light-headed and weak and fell to the ground. Patent was aided to sit down on a chair and a pharmacy staff offered a bottle of water and patient rested for about 10 minutes and walked away voluntarily without any further problem. We informed patient of any further adverse reactions in the future.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Patient stopped by pharmacy to show red (flat, not raised) circle around injection site that had not disappeared nearly a month after vaccine.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling
Clinical narrative: Right arm swelling at injection site started day of injection.
Age: 51.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Computerised tomogram, Endoscopy, Flatulence, Gastric disorder, Gastrooesophageal reflux disease
Clinical narrative: 1st shot given 3/22/2018. Developed stomach and gas problems within 3 weeks. Went to hospital for multiple visits incuding Er. Developed acid reflux symptoms and Ulcer. Also noted Mesenteric Lymphadenitis. Most disturbing was weight loss of 25 pounds. Plan taking FMLA . .
Age: 51.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Lymphadenitis, Nuclear magnetic resonance imaging, Ulcer, Ultrasound scan, Weight decreased
Clinical narrative: 1st shot given 3/22/2018. Developed stomach and gas problems within 3 weeks. Went to hospital for multiple visits incuding Er. Developed acid reflux symptoms and Ulcer. Also noted Mesenteric Lymphadenitis. Most disturbing was weight loss of 25 pounds. Plan taking FMLA . .
Age: 51.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: X-ray
Clinical narrative: 1st shot given 3/22/2018. Developed stomach and gas problems within 3 weeks. Went to hospital for multiple visits incuding Er. Developed acid reflux symptoms and Ulcer. Also noted Mesenteric Lymphadenitis. Most disturbing was weight loss of 25 pounds. Plan taking FMLA . .
Age: 51.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Gastric ulcer, Gastrointestinal disorder, Inflammation, Nuclear magnetic resonance imaging, Weight decreased
Clinical narrative: 1st shot given 3/22/2018. Developed stomach and gas problems within 3 weeks. Went to hospital for multiple visits incuding Er. Developed acid reflux symptoms and Ulcer. Also noted Mesenteric Lymphadenitis. Most disturbing was weight loss of 25 pounds. Plan taking FMLA . .
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Decreased appetite, Nausea, Pain, Pruritus
Clinical narrative: Soreness, 2 inch circle, joint pain, fever, loss of appetite, nausea (on 7/6/18) recommended Ice for 20 minutes, TYLENOL and/or ibuprofen and BENADRYL as needed. Itching, and fever (on 7/8/18) continue with BENADRYL and ibuprofen.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Soreness, 2 inch circle, joint pain, fever, loss of appetite, nausea (on 7/6/18) recommended Ice for 20 minutes, TYLENOL and/or ibuprofen and BENADRYL as needed. Itching, and fever (on 7/8/18) continue with BENADRYL and ibuprofen.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: PATIENT REPORTED SWELLING AND PAIN IN HER ARM DOWN TO THE MIDDLE OF HER FOREARM. NO REDNESS.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site haemorrhage, Injection site induration, Injection site pain, Injection site vesicles
Clinical narrative: Patient developed a raised bubble under the skin at injection site. Patient said vaccine hurt more than previous vaccines that she had received in her lifetime. The patient bled through barrier bandage. Barrier bandage was changed to a regular band aid after multiple alcohol swabs were use clean area and sooth area. Patient said that she did not feel pain during applied pressure to injection site after administration. The raised bubble was hard to touch. Patient refused a cotton swab under the band aid as she said it made the injection site hurt. Patient was advised to take acetaminophen or NSAID to sooth pain and an antihistamine if she was able to take one to help with any interaction. Patient waited about 30 minutes before leaving to allow pharmacist to apply  pressure to the site. She said that she felt better before leaving and was told that the pharmacist would contact her the next day to follow up.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Decreased appetite, Headache, Injection site bruising, Injection site erythema, Injection site mass
Clinical narrative: Vaccines were administered on June 27, 2018 around 1:20pm. Patient developed a red, itchy rash on injection site on left anterolateral thigh where IPV vaccine was administered. 3 inches in diameter that remained for 8 days. Patient also had bruise and hard lump under the skin on right anterolateral thigh where DTaP vaccine was administered that has remained without diminishing currently. Patient woke up in middle of night/early morning on July 3, 2018 unable to keep her arms and legs still and was running a low grade fever. She slept until 10:45am on July 4, 2018. Temperature was 100.9 axillary. She continued to run fever through-out the day and night. At 17:05 on July 4, 2018, temperature was 104.4 axillary. She complained of a severe headache, Right arm and leg pain and was very lethargic. Lack of appetite since date of vaccinations.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site pruritus, Injection site rash, Lethargy, Pain in extremity, Pyrexia
Clinical narrative: Vaccines were administered on June 27, 2018 around 1:20pm. Patient developed a red, itchy rash on injection site on left anterolateral thigh where IPV vaccine was administered. 3 inches in diameter that remained for 8 days. Patient also had bruise and hard lump under the skin on right anterolateral thigh where DTaP vaccine was administered that has remained without diminishing currently. Patient woke up in middle of night/early morning on July 3, 2018 unable to keep her arms and legs still and was running a low grade fever. She slept until 10:45am on July 4, 2018. Temperature was 100.9 axillary. She continued to run fever through-out the day and night. At 17:05 on July 4, 2018, temperature was 104.4 axillary. She complained of a severe headache, Right arm and leg pain and was very lethargic. Lack of appetite since date of vaccinations.
Age: 30.0
Sex: M
Vaccine: JEV1
Symptoms: Burning sensation
Clinical narrative: Patient developed burning sensation on forearms and calves starting approximately 7 hour after administration of the vaccine, that would last between 30 minutes to 1 hour then would resolve and recur approximately 3-4 times per day. Patient reported this adverse event 7 days post vaccination and reported that it was still ongoing.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Hyperhidrosis, Nausea, Pain
Clinical narrative: 101.5 fever for two days, extreme sweating, aching of entire body, nausea, headache, exhaustion.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: 101.5 fever for two days, extreme sweating, aching of entire body, nausea, headache, exhaustion.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Pain and redness at site of PPSV23 from 7/9/18. Pt states lump did not appear until today.
Age: 41.0
Sex: F
Vaccine: HEPA, IPV
Symptoms: Palpitations
Clinical narrative: A few minutes after patient received vaccinations she complained of having heart palpitations. Patient waited in waiting room for 15 minutes before she notified staff of the symptom. Once patient notified staff of the symptom she was immediately taken to a treatment room and assessed. Vitals including HR, BP, pulse ox were taken. Patient denied any SOB, Difficulty breathing, hives, rashes, generalized pain or anxiety. Patient not diaphoretic or pale. All vitals WNL. Patient also questioned about any previous reactions to vaccinations or heart conditions. Patient stated she had never had a previous vaccine related reaction, however she had experienced heart palpitations previously in 2010. Patient stated the episode in 2010 was not related to vaccinations and that she had seen her PCM for that incident and was no longer taking any medications for a cardiac nature. Patient stated the heart palpitations were lessening in severity and she was feeling better than before. Patient remained in clinic waiting area for a further 30 minutes to  be observed. Patient counseled she should go to the ER to be evaluated and follow up with her PCM.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Antinuclear antibody, Arthralgia, Autoimmune thyroiditis, Blood creatine phosphokinase, Blood test
Clinical narrative: My daughter received her 1st dose of the HPV vaccine on 6/19/17. At the beginning of July 2017, she began complaining of pain in her right wrist. I first brushed it off as growing pains, as she was an 11 year old female. She continued to complain off and on throughout the months following, August, September and October. In October of 2017, I decided to call and schedule an appointment with her pediatrician to discuss the wrist pain. Her doctor ordered an x-ray for the right wrist and also ordered blood work to be done due to patient (my daughter) losing a decent amount of weight since her physical (which was also the day she received the vaccine, 6/19/17). The x-ray came back showing thinning of the bone and inflammation around the joint in the wrist. The blood work came back and showed issues with her thyroid levels. We were then referred to two different specialists in another city, an endocrinologist and a rheumatologist. Within the next 3 weeks, patient was diagnosed with Juvenile Arthritis and Autoimmune Thyroiditis. She had never had a medical issue in the past and there is no family history of autoimmune diseases like these. Since then, the endocrinologist has got the thyroid issues under control for now with medication. The arthritis continues to be a major issue in her life. We went to occupational therapy in November of 2017 and were released in January of 2018 due to loss of all range of motion in the wrist. She is on naproxen, folic acid, methotrexate, vitamin D and levothyroxine for the juvenile arthritis and the autoimmune thyroiditis. An MRI from February of 2018 has confirmed that her wrist has permanent irreparable damage. We return to the rheumatologist on July 26th, 2017 to have another MRI to determine the next course of treatment.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: C-reactive protein, Full blood count, Juvenile idiopathic arthritis, Urine analysis, Weight decreased
Clinical narrative: My daughter received her 1st dose of the HPV vaccine on 6/19/17. At the beginning of July 2017, she began complaining of pain in her right wrist. I first brushed it off as growing pains, as she was an 11 year old female. She continued to complain off and on throughout the months following, August, September and October. In October of 2017, I decided to call and schedule an appointment with her pediatrician to discuss the wrist pain. Her doctor ordered an x-ray for the right wrist and also ordered blood work to be done due to patient (my daughter) losing a decent amount of weight since her physical (which was also the day she received the vaccine, 6/19/17). The x-ray came back showing thinning of the bone and inflammation around the joint in the wrist. The blood work came back and showed issues with her thyroid levels. We were then referred to two different specialists in another city, an endocrinologist and a rheumatologist. Within the next 3 weeks, patient was diagnosed with Juvenile Arthritis and Autoimmune Thyroiditis. She had never had a medical issue in the past and there is no family history of autoimmune diseases like these. Since then, the endocrinologist has got the thyroid issues under control for now with medication. The arthritis continues to be a major issue in her life. We went to occupational therapy in November of 2017 and were released in January of 2018 due to loss of all range of motion in the wrist. She is on naproxen, folic acid, methotrexate, vitamin D and levothyroxine for the juvenile arthritis and the autoimmune thyroiditis. An MRI from February of 2018 has confirmed that her wrist has permanent irreparable damage. We return to the rheumatologist on July 26th, 2017 to have another MRI to determine the next course of treatment.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: X-ray
Clinical narrative: My daughter received her 1st dose of the HPV vaccine on 6/19/17. At the beginning of July 2017, she began complaining of pain in her right wrist. I first brushed it off as growing pains, as she was an 11 year old female. She continued to complain off and on throughout the months following, August, September and October. In October of 2017, I decided to call and schedule an appointment with her pediatrician to discuss the wrist pain. Her doctor ordered an x-ray for the right wrist and also ordered blood work to be done due to patient (my daughter) losing a decent amount of weight since her physical (which was also the day she received the vaccine, 6/19/17). The x-ray came back showing thinning of the bone and inflammation around the joint in the wrist. The blood work came back and showed issues with her thyroid levels. We were then referred to two different specialists in another city, an endocrinologist and a rheumatologist. Within the next 3 weeks, patient was diagnosed with Juvenile Arthritis and Autoimmune Thyroiditis. She had never had a medical issue in the past and there is no family history of autoimmune diseases like these. Since then, the endocrinologist has got the thyroid issues under control for now with medication. The arthritis continues to be a major issue in her life. We went to occupational therapy in November of 2017 and were released in January of 2018 due to loss of all range of motion in the wrist. She is on naproxen, folic acid, methotrexate, vitamin D and levothyroxine for the juvenile arthritis and the autoimmune thyroiditis. An MRI from February of 2018 has confirmed that her wrist has permanent irreparable damage. We return to the rheumatologist on July 26th, 2017 to have another MRI to determine the next course of treatment.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash, Scab
Clinical narrative: Patient has these extremely painful raised spots all over his back. It is spaced out but is all over his back. Some of the affected areas are scabbed as well. Patient also went to see a specialist and even his specialist said in all his years he has never seen anything like that and thinks that it could be attributed to the vaccine and gave the patient antiviral therapy.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Anaphylactic reaction, Chills, Eyelid oedema, Hypoaesthesia, Lip swelling
Clinical narrative: Patient came in today and reported an anaphylactic like reaction to the first shingles shot -- said her left side of face was numb and swollen including the areas around her eyes, nose and mouth. She  said she had chills and chattering teeth and some tingling around the mouth and nose. Also reported a low grade fever. Her MD has all the information on her reaction.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia, Paraesthesia oral, Pyrexia, Swelling face
Clinical narrative: Patient came in today and reported an anaphylactic like reaction to the first shingles shot -- said her left side of face was numb and swollen including the areas around her eyes, nose and mouth. She  said she had chills and chattering teeth and some tingling around the mouth and nose. Also reported a low grade fever. Her MD has all the information on her reaction.
Age: 56.0
Sex: F
Vaccine: HEPA, TDAP, TYP
Symptoms: Malaise, Slow response to stimuli, Unresponsive to stimuli
Clinical narrative: Pt later disclosed to me that she had passed out from a "pain medication injection" before at urgent care. 59 y/o female presented to the clinic for vaccinations. She denied previous reaction to vaccines and or chronic illnesses. BP prior to vaccines was 102/64. HR 53. received Tdap at the right deltoid. tolerated well. Two minutes later, typhoid injection at the left deltoid was done. Pt tolerated well. 2 minutes later. Hep A injection was administered left deltoid since she is right-handed. Within 1 minute, pt verbalized not feeling well, became slow to respond, her eyes were wide open, but stopped responding verbally. We attempted to acquire a BP but she jerked at the BP cuff inflation process. She slowly closed her eyes. Sternum rub done. pt opened her eyes right away. 5 seconds later, she returned full consciousness and asked what happened. BP 134/70. HR 50 at this time. Pt then transferred to the exam table from chair to lay down. She felt better in 5 minutes. Had water, and walked to another chair waiting for family to pick her up. She then left ambulatory with husband and son 1 hr later.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Erythema, Fatigue, Pain in extremity
Clinical narrative: Shivering, felt tired, sore arm and redness below injection site for several days.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site induration, Malaise, Middle insomnia
Clinical narrative: Headache awakening me during night immediately after vaccine, malaise next day but not incapacitating. Sore arm with redness and firmness for one week after injection, just below injection site.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Headache awakening me during night immediately after vaccine, malaise next day but not incapacitating. Sore arm with redness and firmness for one week after injection, just below injection site.
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of drug administration, No adverse event
Clinical narrative: No adverse event. The injection was given subcutaneously instead of intramuscular.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of drug administration, No adverse event
Clinical narrative: No adverse event. The injection was given subcutaneously instead of intramuscular.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of drug administration, No adverse event
Clinical narrative: No adverse event. The injection was given subcutaneously instead of intramuscular.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye irritation, Eye pain, Eye pruritus
Clinical narrative: PATIENT COMPLAINED OF SEVERE EYE PAIN, IRRITATION AND ITCHING.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site erythema, Injection site pain, Malaise, Myalgia
Clinical narrative: Extreme malaise. Muscle aches. Chills Arm soreness and redness around injection site of about three inches in diameter.
Age: 46.0
Sex: M
Vaccine: VARCEL
Symptoms: Delusion, Dizziness, HIV test negative, Pyrexia, Rash
Clinical narrative: Fever starting approximately 7/6/18 (subjective, did not measure temp), also feels dizzy, delusional. Sat 7/7/18 developed red bumps on chest, back, and face which has stayed since then, no spread, not itchy. No pus out of lesions, however some have pus appearance. Of note received varicella vaccine on 6/21/18.
Age: 46.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash erythematous, Rash pustular, Treponema test negative, Varicella virus test positive
Clinical narrative: Fever starting approximately 7/6/18 (subjective, did not measure temp), also feels dizzy, delusional. Sat 7/7/18 developed red bumps on chest, back, and face which has stayed since then, no spread, not itchy. No pus out of lesions, however some have pus appearance. Of note received varicella vaccine on 6/21/18.
Sex: F
Vaccine: HPV9
Symptoms: Induration, Mass, Tenderness
Clinical narrative: After receiving the HPV shot my daughter has developed a huge lump under her skin that is hard and painful to the touch.
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site erythema, Injection site warmth, Nausea, Pain
Clinical narrative: Reaction to the second shingles vaccine - 3 days of chills, fever, aches and nausea. Localized redness and heat (fist size) at injection site lasting one month.
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Reaction to the second shingles vaccine - 3 days of chills, fever, aches and nausea. Localized redness and heat (fist size) at injection site lasting one month.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Myalgia
Clinical narrative: I experienced a severe headache, fever, shivering, chills, body aches, fatigue, muscle pain, swelling and rash on my arm, and belly pain after receiving my second SHINGRIX vaccine. The only side affect I experienced with the first shot was a very sore upper arm that lasted 5 days. It is day three and I am still feeling fatigued.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Peripheral swelling, Pyrexia, Rash
Clinical narrative: I experienced a severe headache, fever, shivering, chills, body aches, fatigue, muscle pain, swelling and rash on my arm, and belly pain after receiving my second SHINGRIX vaccine. The only side affect I experienced with the first shot was a very sore upper arm that lasted 5 days. It is day three and I am still feeling fatigued.