chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Anaphylactic reaction, Anaphylactic shock
Clinical narrative: This case was reported by a pharmacist via sales rep and described the occurrence of anaphylactic reaction in a adult patient who received FLUARIX QUADRIVALENT. In September 2015, the patient received FLUARIX QUADRIVALENT. On an unknown date, less than a month after receiving FLUARIX QUADRIVALENT, the patient experienced anaphylactic reaction (serious criteria hospitalization and GSK medically significant). On an unknown date, the outcome of the anaphylactic reaction was unknown. It was unknown if the reporter considered the anaphylactic reaction to be related to FLUARIX QUADRIVALENT. Additional details were provided as follows: The pharmacist reported to the sales representative that many employees recently the FLUARIX QUADRIVALENT injection at their facility and seven 7 experienced events. This case is for one of the 2 patients who experienced an anaphylactic shock. (Refer case US2015137458 for the 2nd patient who experienced anaphylactic shock).
Sex: U
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: This case was reported by a pharmacist via sales rep and described the occurrence of injection site erythema in a adult patient who received FLUARIX QUADRIVALENT. In September 2015, the patient received FLUARIX QUADRIVALENT. On an unknown date, less than a month after receiving FLUARIX QUADRIVALENT, the patient experienced injection site erythema and injection site swelling. On an unknown date, the outcome of the injection site erythema and injection site swelling was unknown. It was unknown if the reporter considered the injection site erythema and injection site swelling to be related to FLUARIX QUADRIVALENT. Additional details were received as follows: This case was not previously reported to anyone. The case was one of the 7 cases reported for adverse events experienced by the 7 patients vaccinated with FLUARIX QUADRIVALENT, at the same facility. This case was regarding the patient who experienced more than usual redness and swelling at injection site. The cases reported for other 6 patients were US2015137455 and US2015137458 (anaphylactic shock), and US2015137461, US2015137462, US2015137464 (redness and swelling at injection site) and US2015137460 (full body rash). There were many employees were vaccinated at the same facility with the FLUARIX QUADRIVALENT, among them 7 patients experienced events.
Age: 1.64
Sex: M
Vaccine: DTAP, HEPA, HIBV, PNC13
Symptoms: Pyrexia, Tonic convulsion
Clinical narrative: Pt. is a 19 month old ex-25 week preemie, normally developing for gestation. S/P grade IV bilat IVH at birth. Behind imz; vaccine listed below provided 9/21/15-high fever, 104 degrees within 6 hours with tonic, but not clonic seizure, lasted <5 min. Hospitalized x 4 days.
Age: 0.4
Sex: F
Vaccine: MEN
Symptoms: Brain operation, Cerebrovascular accident, Deafness, Meningitis pneumococcal, Seizure
Clinical narrative: Initial unsolicited report received from a consumer on 19 September 2015. This case involves a 05-months-old female patient who was vaccinated with a dose of Meningococcal vaccine [batch number, route, dose in series and site of administration were not reported] on an unknown date. The patient's medical history and concomitant medications were not reported. On an unknown date, following the vaccination, the patient had developed streptococcal pneumonia meningitis, strokes, seizures, 2 brain surgery and loss hearing 100 percent in her right ear and 1/2 in her left and some speech delays. It was reported that due to streptococcal pneumonia meningitis the patient went from happy baby to death doors within hours. The patient was in the hospital for a month and half fighting for her life. Laboratory data and corrective treatment were not reported. On an unknown date, the patient was recovered from streptococcal pneumonia meningitis, strokes, seizures and loss hearing 100 percent in her right ear and 1/2 in her left. The patient was not recovered from some speech delays. Upon medical review, the case was considered as serious due to important medical event: some speech delays and loss hearing 100 percent in her right ear and 1/2 in her left. List of documents held by sender: none.
Age: 0.4
Sex: F
Vaccine: MEN
Symptoms: Speech disorder developmental
Clinical narrative: Initial unsolicited report received from a consumer on 19 September 2015. This case involves a 05-months-old female patient who was vaccinated with a dose of Meningococcal vaccine [batch number, route, dose in series and site of administration were not reported] on an unknown date. The patient's medical history and concomitant medications were not reported. On an unknown date, following the vaccination, the patient had developed streptococcal pneumonia meningitis, strokes, seizures, 2 brain surgery and loss hearing 100 percent in her right ear and 1/2 in her left and some speech delays. It was reported that due to streptococcal pneumonia meningitis the patient went from happy baby to death doors within hours. The patient was in the hospital for a month and half fighting for her life. Laboratory data and corrective treatment were not reported. On an unknown date, the patient was recovered from streptococcal pneumonia meningitis, strokes, seizures and loss hearing 100 percent in her right ear and 1/2 in her left. The patient was not recovered from some speech delays. Upon medical review, the case was considered as serious due to important medical event: some speech delays and loss hearing 100 percent in her right ear and 1/2 in her left. List of documents held by sender: none.
Age: 70.0
Sex: M
Vaccine: PNC13
Symptoms: Leukocytosis
Clinical narrative: This is a spontaneous report from a non-clinical study program, by a contactable physician. A 70-year-old male patient of an unspecified ethnicity received PREVNAR 13, via an unspecified route of administration at single dose on 28Jul2015. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient experienced leukocytosis that required hospitalization on 29Jul2015 09:41. The outcome of the event was unknown.
Sex: U
Vaccine: FLU4
Symptoms: Rash generalised
Clinical narrative: This case was reported by a pharmacist via sales rep and described the occurrence of generalized rash in a adult patient who received FLUARIX QUADRIVALENT. In September 2015, the patient received FLUARIX QUADRIVALENT. On an unknown date, less than a month after receiving FLUARIX QUADRIVALENT, the patient experienced generalized rash. On an unknown date, the outcome of the generalized rash was unknown. It was unknown if the reporter considered the generalized rash to be related to FLUARIX QUADRIVALENT. Additional details were received as follows: This case was not previously reported to anyone. The case was one of the 7 cases reported for adverse events experienced by the 7 patients vaccinated with FLUARIX QUADRIVALENT, at the same facility. This case was regarding the patient who experienced full body rash after the vaccination. The cases reported for other 6 patients were US2015137455 and US2015137458 (anaphylactic shock), and US2015137461, US2015137462, US2015137463, US2015137464 (redness and swelling at injection site). There were many employees were vaccinated at the same facility with the FLUARIX QUADRIVALENT, among them 7 patients experienced events.
Sex: U
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: This case was reported by a pharmacist via sales rep and described the occurrence of injection site erythema in a adult patient who received FLUARIX QUADRIVALENT. In September 2015, the patient received FLUARIX QUADRIVALENT. On an unknown date, less than a month after receiving FLUARIX QUADRIVALENT, the patient experienced injection site erythema and injection site swelling. On an unknown date, the outcome of the injection site erythema and injection site swelling were unknown. It was unknown if the reporter considered the injection site erythema and injection site swelling to be related FLUARIX QUADRIVALENT. Additional details received as follows: The case was one of the 7 cases reported for adverse events experienced by the 7 patients vaccinated with FLUARIX QUADRIVALENT, at the same facility. This case was regarding the patient who experienced more than usual redness and swelling at injection site. The cases reported for the other 6 patients were US2015137455 and US2015137458 (anaphylactic shock), and US2015137462, US2015137463, US2015137464 (redness and swelling at injection site) and US2015137460 (full body rash). There were many employees were vaccinated at the same facility with the FLUARIX QUADRIVALENT, among them 7 patients experienced events.
Age: 14.0
Sex: F
Vaccine: HEP, HPV9, MNQ, TDAP, VARCEL
Symptoms: Crying, Headache, Hypoacusis, Pallor
Clinical narrative: AFTER RECEIVING VACCINES NURSE OBSERVED CLIENT CRYING AND COMPLAINING OF A HEADACHE, COLOR PALE B/P 77/44 PULSE 66. HEAD WAS PLACED BETWEEN KNEES AND AMMONIA INHALANT USED. CLIENT SITTING UP NOTED CLIENTS COLOR IMPROVING B/P 121/88/PULSE 88. CLIENT BEGAN COMPLAINING OF NOT HEARING B/P 63/34 PULE 67, COLOR PALE. ICED PLACED TO BACK OF NECK HEAD PLACED BETWEEN KNEES. CLIENT SITTING UP COLOR IMPROVING, CLIENT DRINKING WATER, EATING A LOLLIPOP B/P 104/44 PULSE 79. OXYGEN PLACED. 911 EMERGENCY CALLED AND TRANSPOERTED CLIENT TO HOSPITAL.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site warmth, Peripheral swelling
Clinical narrative: Swelling radiating down arm away from injection site, warmth on touch, slight itching.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient's husband stopped by the pharmacy on 10/2/2015 to report that his wife described the site around her Zostavax injection as red and swollen. He said that his wife did not report any itching. He also said that she was currently out of town so he had not seen the rash in person. He inquired about what he could tell his wife to do for her symptoms and I told him to have his wife apply ice to the area and take some diphenhydramine in case of allergic reaction. I plan on following-up with the patient in a couple days and also told him to call if the symptoms do not improve.
Age: 14.0
Sex: M
Vaccine: FLU4
Symptoms: Rash, Urticaria
Clinical narrative: Patient started developing rash/hives on the back of his knees 1.5 hours after the shot.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Extreme soreness of left arm for about 3 weeks.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Migraine, Pain in extremity
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of migraine in a 32-year-old female patient who received FLUARIX QUADRIVALENT (batch number A9SY5 ?, expiry date 30th June 2016). On 25th September 2015, the patient received FLUARIX QUADRIVALENT (intramuscular) .5 ml. On 25th September 2015, less than a day after receiving FLUARIX QUADRIVALENT, the patient experienced migraine and injection site pain. On an unknown date, the outcome of the migraine and injection site pain were not recovered/not resolved. The reporter considered the migraine to be probably related to FLUARIX QUADRIVALENT. The reporter considered the injection site pain to be related to FLUARIX QUADRIVALENT. Additional details were received as follows: On 25th September 2015, at 9.30, the patient received FLUARIX QUADRIVALENT (intramuscularly in left deltoid). The patient experienced migraine and sore arm. The reported batch number for FLUARIX QUADRIVALENT (A9SY5), did not exist as per sales base, however no clarification could be obtained.
Sex: U
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: This case was reported by a pharmacist via sales rep and described the occurrence of injection site erythema in a adult patient who received FLUARIX. In September 2015, the patient received FLUARIX. On an unknown date, less than a month after receiving FLUARIX, the patient experienced injection site erythema and injection site swelling. On an unknown date, the outcome of the injection site erythema and injection site swelling were unknown. It was unknown if the reporter considered the injection site erythema and injection site swelling to be related to FLUARIX. Additional details were received as follows: This case was not previously reported to anyone. The case was one of the 7 cases reported for adverse events experienced by the 7 patients vaccinated with FLUARIX, at the same facility. This case was regarding the patient who experienced more than usual redness and swelling at injection site. The cases reported for other 6 patients were US2015137455 and US2015137458 (anaphylactic shock), and US2015137461, US2015137463, US2015137464 (redness and swelling at injection site) and US2015137460 (full body rash). There were many employees were vaccinated at the same facility with the FLUARIX, among them 7 patients experienced events.
Sex: U
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: This case was reported by a pharmacist via sales rep and described the occurrence of injection site erythema in a adult patient who received FLUARIX QUADRIVALENT. In September 2015, the patient received FLUARIX QUADRIVALENT. On an unknown date, less than a month after receiving FLUARIX QUADRIVALENT, the patient experienced injection site erythema and injection site swelling. On an unknown date, the outcome of the injection site erythema and injection site swelling were unknown. It was unknown if the reporter considered the injection site erythema and injection site swelling to be related to FLUARIX QUADRIVALENT. Additional details were received as follows: This case was not previously reported to anyone. The case was one of the 7 cases reported for adverse events experienced by the 7 patients vaccinated with FLUARIX QUADRIVALENT, at the same facility. This case is regarding the patient who experienced more than usual redness and swelling at injection site. The cases reported for other 6 patients were US2015137455 and US2015137458 (anaphylactic shock), and US2015137461, US2015137462, US2015137463 (redness and swelling at injection site) and US2015137460 (full body rash). There were many employees were vaccinated at the same facility with the FLUARIX QUADRIVALENT, among them 7 patients experienced events.
Age: 13.0
Sex: F
Vaccine: FLU3, HEPA, HPV4
Symptoms: Throat tightness
Clinical narrative: Pt. c/o throat tightness.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: Patient complained of soreness and pain in her arm. Her fingers were little bit numb after the shot per patient. We were notified of this on 10/2/14, and the shot was administered on 8/31/15. Called doctor and doctor's office will follow up with patient.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node in left armpit. Reported to pharmacy on 10-2-15 FLUARIX administered on 9-30-15 at 2:30 pm. On 10-2-15 patient states lymph node is still  swollen but improving.
Age: 5.0
Sex: F
Vaccine: FLUN4
Symptoms: Rash macular, Urticaria
Clinical narrative: Given nasal FLUMIST in office at 3:30 pm. At around 7pm after patient was done swimming she noticed hives and red blotches all over. No fever or trouble breathing. Called on call and told to give BENADRYL, after BENADRYL patient was fine, hives went away.
Age: 82.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Red, swollen, painful, itchy. I recommended ice and BENADRYL. Pt went to walk in and saw Dr and she recommended the same, if not better they want her to go to hospital.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Corneal endotheliitis, Iritis, Keratitis, Rash, Rash vesicular
Clinical narrative: A few days following the shingles vaccination the patient developed a vesicular rash in a V1 and V2 dermatomal distribution on the right face. Right eye Ocular manifestation also occured, including; iritis, endothelialitis, and keratitis. Concern now is that cornea will have scarring resulting in permanent vision loss without surgery in the right eye.
Age: 5.0
Sex: F
Vaccine: FLUN4
Symptoms: Pallor, Vomiting
Clinical narrative: Patient vomited and became pale about 2 hours after being administered the LAIV (intranasal influenza vaccine.) No history of prior reaction to vaccine nor egg allergy nor allergy of any kind. Resolved within 15 minutes, patient felt well and was stable.
Age: 49.0
Sex: M
Vaccine: FLUX
Symptoms: Disorientation, Flushing, Headache, Malaise, Pyrexia
Clinical narrative: Severe headache, malaise, flushing or low grade fever, disorientation. Slept 10.5 hours the night of 9/30 and felt relatively normal the next day.
Age: 66.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Asthenia, Chills, Diarrhoea, Malaise, Pyrexia
Clinical narrative: Chills, then it went on to vomiting, chills, 104 fever, very ill, weak, diarrhea.
Age: 66.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Vomiting
Clinical narrative: Chills, then it went on to vomiting, chills, 104 fever, very ill, weak, diarrhea.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Pain, Rash erythematous, Rash pruritic
Clinical narrative: It started with a red itchy rash on feet that moved up his legs and then onto hands and shoulders over the next 3 hours.  He c/o itchiness and pain with the rash.  Area around the injection site was red, also.  Went to the ER at 10:45 PM and was given Benadryl before returning home.  Most of the rash was gone the next day.
Age: 36.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Myalgia, Pyrexia
Clinical narrative: 36 YO female presented for primary care intake exam on 07/23/2015.  Patient qualified for and was given Pneumovax 23.  Patient called primary care on 07/25/2015 with complaints of injection site being red and sore, having muscle aches, and a fever of 102.3°F.  Fever decreased with use of ibuprofen.  Patient instructed to continue use of pain reliever/fever reducer and to apply a warm moist pack to the arm and to seek medical care within 24 hours if the condition worsened.  Follow-up phone call to patient on 07/27/2015 revealed patient was seen at urgent care clinic and was treated with cephalexin 400mg and Medrol pack. Patient was told by urgent care clinic that she had cellulitis.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Fatigue, Feeling abnormal, Headache, Injection site pain
Clinical narrative: Dizziness, Nearly immediate and severe headache, fever, brain fog, pain at injection site, nausea, neck pain, fatigue.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Neck pain, Pyrexia
Clinical narrative: Dizziness, Nearly immediate and severe headache, fever, brain fog, pain at injection site, nausea, neck pain, fatigue.
Age: 55.0
Sex: M
Vaccine: FLU4
Symptoms: Headache, Influenza, Palpitations
Clinical narrative: Palpitations, headache, flu symptoms.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Redness and itching at injection site.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Severe pain after receiving a flu vaccine which has gotten worse since the event. Patient has seen a doctor over the issue who recommends she receive an MRI.
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Vaccination site swelling
Clinical narrative: 9-29-15 pt had vaccine returned around 20 min later showed me, 2 x 2 round swollen area 1-1 1/2" below vaccination site ice was applied.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Pain
Clinical narrative: Got allergy after the flu shots, it pains and 99 degrees F temperature.
Age: 11.0
Sex: M
Vaccine: FLUN4, MENB
Symptoms: Diarrhoea, Pyrexia, Viral infection, Vomiting
Clinical narrative: Patient developed severe viral like illness with fever, vomiting and diarrhea 48 hours after vaccine. Went to Emergency room for treatment.
Age: 71.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: The day after receive the vaccines I could not lift my left arm for 3 days because of the pain. I sought no medical attention. Although the pain is almost gone it's been over a month! Previously I've had many flu shots 2 pneumonia with no effects at all.
Age: 1.58
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Aphasia, Autism spectrum disorder, Crying, Dysgeusia, Dyspepsia
Clinical narrative: 1st 24 hrs-72 hrs high fevers 103-104 degrees with TYLENOL. Constant crying, lethargic: continued spotting fevers through next 2-3 weeks, staring blankly, shaking head, crying, screaming. Lost all speech of aprx 50-70 words, started screaming a lot. Did not use speech again until 3 1/2 years-echolalia diagnosed autism age 5 yrs.
Age: 1.58
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Echolalia, Hyperacusis, Lethargy, Parosmia, Pyrexia
Clinical narrative: 1st 24 hrs-72 hrs high fevers 103-104 degrees with TYLENOL. Constant crying, lethargic: continued spotting fevers through next 2-3 weeks, staring blankly, shaking head, crying, screaming. Lost all speech of aprx 50-70 words, started screaming a lot. Did not use speech again until 3 1/2 years-echolalia diagnosed autism age 5 yrs.
Age: 1.58
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Screaming, Staring, Tremor
Clinical narrative: 1st 24 hrs-72 hrs high fevers 103-104 degrees with TYLENOL. Constant crying, lethargic: continued spotting fevers through next 2-3 weeks, staring blankly, shaking head, crying, screaming. Lost all speech of aprx 50-70 words, started screaming a lot. Did not use speech again until 3 1/2 years-echolalia diagnosed autism age 5 yrs.
Age: 78.0
Sex: M
Vaccine: FLUX
Symptoms: Migraine
Clinical narrative: Migraine headaches.
Age: 48.0
Sex: F
Vaccine: FLUC3
Symptoms: Loss of consciousness, Mental status changes, Throat tightness
Clinical narrative: Altered mental status within 5min. Constricting of the airway. Complete lost of consciousness within 15 min.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Skin warm
Clinical narrative: 24 hours after flu vaccine pt reported mild erythema with no induration and hot to touch, site aprox 4x4 radius. Site was marked and re-evaluated next day with increased site spreading of erythema and hot to touch.
Age: 1.27
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: I was in contact with my grandchild soon after her immunization as well as other family members. My nephew contracted shingles. My husband and I both have suffered from skin rashes, chronic and re-occurring hives, pressure in the head, headaches and joint pain which have not been sufficiently diagnosed by health providers. I believe these health issues may be directly related to the varicella vaccine.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Neck pain, Pain in extremity
Clinical narrative: Arm woke patient up and was very painful. Proceeded to be painful for a week after. Patient reports having to wear a sling for arm. Advil helps a little bit. Patient is trying to get in to see her doctor. Patient also says that neck is starting to hurt as well.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Pain, Throat tightness
Clinical narrative: Throat felt like it was closing and difficult breathing, and soreness to the body.  I went to the doctor 2 days later and told him about my reaction to the shot and he told me to report it.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Bedridden, Chills, Fatigue, Headache
Clinical narrative: Chills, low grade fever, body aches, headache behind eyes, weakness, fatigue, tiredness. This lasted an entire week. I was bedridden one full day on 9/29/2015 and a partial day on 9/28/2015. On 09/30/2015 I resumed normal activities.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pyrexia
Clinical narrative: Chills, low grade fever, body aches, headache behind eyes, weakness, fatigue, tiredness. This lasted an entire week. I was bedridden one full day on 9/29/2015 and a partial day on 9/28/2015. On 09/30/2015 I resumed normal activities.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Cellulitis, Dysphagia, Erythema, Injection site swelling, Throat irritation
Clinical narrative: Swelling on the left deltoid at the site of the vaccine, red streak running down arm, throat itchy and difficulty swallowing.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Dysphagia, Erythema, Hypersensitivity, Hypoaesthesia, Injection site erythema
Clinical narrative: Swelling on the left deltoid at the site of the vaccine, red streak running down arm, throat itchy and difficulty swallowing.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Injection site swelling, Paraesthesia, Pharyngeal oedema, Throat irritation
Clinical narrative: Swelling on the left deltoid at the site of the vaccine, red streak running down arm, throat itchy and difficulty swallowing.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Balance disorder, Dysstasia, Feeling abnormal, Muscular weakness, Pain in extremity
Clinical narrative: Approximately 20 minute episode of shaky, "wobbly" legs, to the point of having difficulty standing. Subsequent urinary incontinence.  Stated that she "could not stop" peeing.  She is potty trained, and has had no accidents in 6+ months.  Leg shakiness and weakness resolved within an hour but she said they still felt funny/achy.  Bladder control problems continued through the evening but resolved by next day.  Reported to doctor's office who advised to monitor and call back if any other developments.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor, Urinary incontinence
Clinical narrative: Approximately 20 minute episode of shaky, "wobbly" legs, to the point of having difficulty standing. Subsequent urinary incontinence.  Stated that she "could not stop" peeing.  She is potty trained, and has had no accidents in 6+ months.  Leg shakiness and weakness resolved within an hour but she said they still felt funny/achy.  Bladder control problems continued through the evening but resolved by next day.  Reported to doctor's office who advised to monitor and call back if any other developments.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site erythema, Injection site haematoma, Injection site haemorrhage, Injection site swelling
Clinical narrative: Bleeding at injection site and hematoma the size of approx. 6mm.  Patient returned 10/02/2015 and had a bruise at injection site, swelling and redness approx 2-3 inches around injection site.  Patient has applied a cold pack and Pharmacist recomended chlorphineramine.  Patient was advised to watch for any worsening of symptoms and seek medical attention if needed.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site streaking, Injection site swelling, Lymph node pain
Clinical narrative: L Deltoid Swollen for 2 days. Red circle around injection site 5 mm. diameter. Red streak ventral deltoid, down to axilla for 1 day. Painful axillary lymph node for 2 days.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Arthralgia, Asthenia, Blood test, Chest pain, Dizziness
Clinical narrative: 9/27/15 Monday, Day 1 Headache right after shot, unable to sleep.  Tuesday, Day 2 Headache in the morning, Unable to sleep, weakness Wednesday, Day 3 Insomnia, weakness. Thursday, Day 4 Dizziness in morning, weakness, insomnia. Friday, Day 5, Insomnia, weakness Saturday, Day 6, Insomnia, weakness. Sunday, Day 7, Insomnia, weakness, urinary output decrease. Monday, Day 8, Insomnia only slept 2 hours, urinary output decrease, weakness. Tuesday, Day 9, Insomnia right arm and left leg pain in joints, chest begins to hurt off and on, urinary output decrease. Wednesday Day 10, appointment with primary to follow up on symptoms. Dr. prescribes 1 mg of melatonin to help with sleep. Insomnia right arm and left leg pain in joints, chest begins to hurt off and on, urinary output decrease. Pain in legs. Spotting at night 7:00 PM. Menstration begins too early, I had already had my period around Sept. 10. Thursday Day 11, insomnia persists. Slept like 3 hrs then 1. Period is continuing. Pain in legs. Burning sensation in stomach. Feel weak. Numbness on right part of face. Dr. visit at walk in clinic. Blood tests were run. 10/2/15 Friday Day 12, insomnia persists. Period continues now have thick blood clots. Weakness continues.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Dyspepsia, Headache, Hypoaesthesia, Immediate post-injection reaction, Insomnia
Clinical narrative: 9/27/15 Monday, Day 1 Headache right after shot, unable to sleep.  Tuesday, Day 2 Headache in the morning, Unable to sleep, weakness Wednesday, Day 3 Insomnia, weakness. Thursday, Day 4 Dizziness in morning, weakness, insomnia. Friday, Day 5, Insomnia, weakness Saturday, Day 6, Insomnia, weakness. Sunday, Day 7, Insomnia, weakness, urinary output decrease. Monday, Day 8, Insomnia only slept 2 hours, urinary output decrease, weakness. Tuesday, Day 9, Insomnia right arm and left leg pain in joints, chest begins to hurt off and on, urinary output decrease. Wednesday Day 10, appointment with primary to follow up on symptoms. Dr. prescribes 1 mg of melatonin to help with sleep. Insomnia right arm and left leg pain in joints, chest begins to hurt off and on, urinary output decrease. Pain in legs. Spotting at night 7:00 PM. Menstration begins too early, I had already had my period around Sept. 10. Thursday Day 11, insomnia persists. Slept like 3 hrs then 1. Period is continuing. Pain in legs. Burning sensation in stomach. Feel weak. Numbness on right part of face. Dr. visit at walk in clinic. Blood tests were run. 10/2/15 Friday Day 12, insomnia persists. Period continues now have thick blood clots. Weakness continues.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Metrorrhagia, Pain in extremity, Thrombosis, Urine output decreased
Clinical narrative: 9/27/15 Monday, Day 1 Headache right after shot, unable to sleep.  Tuesday, Day 2 Headache in the morning, Unable to sleep, weakness Wednesday, Day 3 Insomnia, weakness. Thursday, Day 4 Dizziness in morning, weakness, insomnia. Friday, Day 5, Insomnia, weakness Saturday, Day 6, Insomnia, weakness. Sunday, Day 7, Insomnia, weakness, urinary output decrease. Monday, Day 8, Insomnia only slept 2 hours, urinary output decrease, weakness. Tuesday, Day 9, Insomnia right arm and left leg pain in joints, chest begins to hurt off and on, urinary output decrease. Wednesday Day 10, appointment with primary to follow up on symptoms. Dr. prescribes 1 mg of melatonin to help with sleep. Insomnia right arm and left leg pain in joints, chest begins to hurt off and on, urinary output decrease. Pain in legs. Spotting at night 7:00 PM. Menstration begins too early, I had already had my period around Sept. 10. Thursday Day 11, insomnia persists. Slept like 3 hrs then 1. Period is continuing. Pain in legs. Burning sensation in stomach. Feel weak. Numbness on right part of face. Dr. visit at walk in clinic. Blood tests were run. 10/2/15 Friday Day 12, insomnia persists. Period continues now have thick blood clots. Weakness continues.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Fatigue, Insomnia, Pain, Vaginal haemorrhage
Clinical narrative: 9/27/15 Monday, Day 1 Headache right after shot, unable to sleep.  Tuesday, Day 2 Headache in the morning, Unable to sleep, weakness Wednesday, Day 3 Insomnia, weakness. Thursday, Day 4 Dizziness in morning, weakness, insomnia. Friday, Day 5, Insomnia, weakness Saturday, Day 6, Insomnia, weakness. Sunday, Day 7, Insomnia, weakness, urinary output decrease. Monday, Day 8, Insomnia only slept 2 hours, urinary output decrease, weakness. Tuesday, Day 9, Insomnia right arm and left leg pain in joints, chest begins to hurt off and on, urinary output decrease. Wednesday Day 10, appointment with primary to follow up on symptoms. Dr. prescribes 1 mg of melatonin to help with sleep. Insomnia right arm and left leg pain in joints, chest begins to hurt off and on, urinary output decrease. Pain in legs. Spotting at night 7:00 PM. Menstration begins too early, I had already had my period around Sept. 10. Thursday Day 11, insomnia persists. Slept like 3 hrs then 1. Period is continuing. Pain in legs. Burning sensation in stomach. Feel weak. Numbness on right part of face. Dr. visit at walk in clinic. Blood tests were run. 10/2/15 Friday Day 12, insomnia persists. Period continues now have thick blood clots. Weakness continues.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Adverse reaction, Blood test, Chest pain, Dizziness, Dyspepsia
Clinical narrative: 9/27/15 Monday, Day 1 Headache right after shot, unable to sleep.  Tuesday, Day 2 Headache in the morning, Unable to sleep, weakness Wednesday, Day 3 Insomnia, weakness. Thursday, Day 4 Dizziness in morning, weakness, insomnia. Friday, Day 5, Insomnia, weakness Saturday, Day 6, Insomnia, weakness. Sunday, Day 7, Insomnia, weakness, urinary output decrease. Monday, Day 8, Insomnia only slept 2 hours, urinary output decrease, weakness. Tuesday, Day 9, Insomnia right arm and left leg pain in joints, chest begins to hurt off and on, urinary output decrease. Wednesday Day 10, appointment with primary to follow up on symptoms. Dr. prescribes 1 mg of melatonin to help with sleep. Insomnia right arm and left leg pain in joints, chest begins to hurt off and on, urinary output decrease. Pain in legs. Spotting at night 7:00 PM. Menstration begins too early, I had already had my period around Sept. 10. Thursday Day 11, insomnia persists. Slept like 3 hrs then 1. Period is continuing. Pain in legs. Burning sensation in stomach. Feel weak. Numbness on right part of face. Dr. visit at walk in clinic. Blood tests were run. 10/2/15 Friday Day 12, insomnia persists. Period continues now have thick blood clots. Weakness continues.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Headache, Hypoaesthesia, Insomnia, Menstruation irregular, Metrorrhagia
Clinical narrative: 9/27/15 Monday, Day 1 Headache right after shot, unable to sleep.  Tuesday, Day 2 Headache in the morning, Unable to sleep, weakness Wednesday, Day 3 Insomnia, weakness. Thursday, Day 4 Dizziness in morning, weakness, insomnia. Friday, Day 5, Insomnia, weakness Saturday, Day 6, Insomnia, weakness. Sunday, Day 7, Insomnia, weakness, urinary output decrease. Monday, Day 8, Insomnia only slept 2 hours, urinary output decrease, weakness. Tuesday, Day 9, Insomnia right arm and left leg pain in joints, chest begins to hurt off and on, urinary output decrease. Wednesday Day 10, appointment with primary to follow up on symptoms. Dr. prescribes 1 mg of melatonin to help with sleep. Insomnia right arm and left leg pain in joints, chest begins to hurt off and on, urinary output decrease. Pain in legs. Spotting at night 7:00 PM. Menstration begins too early, I had already had my period around Sept. 10. Thursday Day 11, insomnia persists. Slept like 3 hrs then 1. Period is continuing. Pain in legs. Burning sensation in stomach. Feel weak. Numbness on right part of face. Dr. visit at walk in clinic. Blood tests were run. 10/2/15 Friday Day 12, insomnia persists. Period continues now have thick blood clots. Weakness continues.
Age: 25.0
Sex: F
Vaccine: HPV4, HPV4, HPV4
Symptoms: Pain in extremity, Urine analysis, Urine output decreased
Clinical narrative: 9/27/15 Monday, Day 1 Headache right after shot, unable to sleep.  Tuesday, Day 2 Headache in the morning, Unable to sleep, weakness Wednesday, Day 3 Insomnia, weakness. Thursday, Day 4 Dizziness in morning, weakness, insomnia. Friday, Day 5, Insomnia, weakness Saturday, Day 6, Insomnia, weakness. Sunday, Day 7, Insomnia, weakness, urinary output decrease. Monday, Day 8, Insomnia only slept 2 hours, urinary output decrease, weakness. Tuesday, Day 9, Insomnia right arm and left leg pain in joints, chest begins to hurt off and on, urinary output decrease. Wednesday Day 10, appointment with primary to follow up on symptoms. Dr. prescribes 1 mg of melatonin to help with sleep. Insomnia right arm and left leg pain in joints, chest begins to hurt off and on, urinary output decrease. Pain in legs. Spotting at night 7:00 PM. Menstration begins too early, I had already had my period around Sept. 10. Thursday Day 11, insomnia persists. Slept like 3 hrs then 1. Period is continuing. Pain in legs. Burning sensation in stomach. Feel weak. Numbness on right part of face. Dr. visit at walk in clinic. Blood tests were run. 10/2/15 Friday Day 12, insomnia persists. Period continues now have thick blood clots. Weakness continues.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Cellulitis, Erythema, Influenza like illness, Peripheral swelling, Skin warm
Clinical narrative: Bad Flu like symptons without fever for 2 -3 days. Started evening of shot. Arm swollen Red hot, swelleng redness continues for 4 days. Went to the Dr and was put on Keflex for Cellulitis.
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Contusion, Mobility decreased, Pain in extremity, Swelling
Clinical narrative: Terrible arm pain/bruising the first couple of days; could not lift arm past chest; could not lift any weighted objects.  Took ibuprofen for pain. Gained back mobility in arm, and swelling/bruising decreased after about 3 days. Over the course of the past year, shoulder pain flares up frequently (daily/every other day).  Seems to be getting worse over time.  Pain (sharp/throbbing) is present even with little activity: laying in bed, sitting at desk/computer. Applying pressure on the injection site yields a bruising pain as well. Frequently taking ibuprofen and Aleve for pain, as well as applying menthol creams/sticks.
Age: 74.0
Sex: F
Vaccine: PNC13, TDAP
Symptoms: Nodule, Pruritus, Rash, Rash erythematous
Clinical narrative: Exactly a week after receiving the vaccines client reports that she started to itch and then noticed a knot the size of a tiny mosquito bite. She then happened to pull her sleeve up and look at the area that was itching and that is when she noticed a bright red skin rash the shape of a softball.  Client reports symptoms lasted a couple of days following the immunization.  She reports taking Benadryl to help her pruritis.
Age: 42.0
Sex: M
Vaccine: FLUC3, TDAP
Symptoms: Expired product administered
Clinical narrative: Gave expired flu vaccine.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Rash pruritic
Clinical narrative: Itchy rash, returned to clinic after 3 days of itchy rash on arms and legs. Not typical hives.
Age: 43.0
Sex: M
Vaccine: TDAP, TYP
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Subjective: Patient reported that after a day, the Left arm injection area became very sore, and it was difficult to lift his arm.  He took Advil and Tylenol, now on 10/01/2015, has full use of his arm.  It has become red, swollen and now has a red bump on it.  Denies any fever, generalized hives, or breathing difficulties. Objective:  The affected site is at the Left deltoid, and it displays a 4 cm transverse X 12.5 cm longitudinal area of erythema, with a central vesicle approx 4 mm in size.  There is no active drainage from the site.  There is a very mild amount of induration.  There are no areas of redness or tenderness elsewhere on the arm. Plan:  Affected area cleansed with alcohol.  He is encouraged to apply warm compresses for 5-10 min. TID as needed for comfort, may use cool compresses if itching.  Provided him with triple antibiotic ointment and Band-Aids.  He is to apply the ointment and the bandage if the site opens or drains, and return to clinic tomorrow afternoon.
Age: 43.0
Sex: M
Vaccine: TDAP, TYP
Symptoms: Injection site vesicles
Clinical narrative: Subjective: Patient reported that after a day, the Left arm injection area became very sore, and it was difficult to lift his arm.  He took Advil and Tylenol, now on 10/01/2015, has full use of his arm.  It has become red, swollen and now has a red bump on it.  Denies any fever, generalized hives, or breathing difficulties. Objective:  The affected site is at the Left deltoid, and it displays a 4 cm transverse X 12.5 cm longitudinal area of erythema, with a central vesicle approx 4 mm in size.  There is no active drainage from the site.  There is a very mild amount of induration.  There are no areas of redness or tenderness elsewhere on the arm. Plan:  Affected area cleansed with alcohol.  He is encouraged to apply warm compresses for 5-10 min. TID as needed for comfort, may use cool compresses if itching.  Provided him with triple antibiotic ointment and Band-Aids.  He is to apply the ointment and the bandage if the site opens or drains, and return to clinic tomorrow afternoon.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Decreased appetite, Pain, Somnolence
Clinical narrative: Approximately 4 hours after injection.  All over body ached.  Fever, Loss of appetite, Wanted to just sleep.  No treatment.  Went home from work, didn't work the next day and only 1/2 day after that.
Age: 26.0
Sex: F
Vaccine: VARCEL
Symptoms: Headache, Neck pain, Pyrexia, Rash generalised, Rash papular
Clinical narrative: Generalized papular rash, intermittent fever, sore neck and headache.  Seen at ED on 9-28-2015, diagnosed with headache and sore neck of unknown origin.
Age: 32.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Patient had a tender knot that came up 2 days after administration of influenza vaccine. It occurred in the lymph node of the same arm the vaccine was administered.
Age: 63.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Erythema, Local swelling, Pruritus, Skin warm
Clinical narrative: Patient reported the localized area was swollen, red, hot to the touch and was itching.  No problems with movement and no fever.  Advised cool compress and Benadryl as needed.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising
Clinical narrative: Large bruise developed on arm, below injection site.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site mass, Injection site pain
Clinical narrative: Large painful lump, along with severe bruising, at the injection site.  Still have these symptoms three weeks later.
Age: 56.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Neck pain, Pain in extremity, Skin warm, Swelling
Clinical narrative: Patient experienced severe pain through arm and neck with redness, swollen and heat in the next day of receiving the vaccination and it lasted for 3 days.  Patient took pain medications and got better after that.  He is doing ok now.
Age: 1.01
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site rash, Pyrexia, Rash, Rash vesicular, Rhinorrhoea
Clinical narrative: Mild fever, runny nose, skin rash (resembles chickenpox) originating on abdomen, spread to limbs and face.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus generalised
Clinical narrative: Reddened areas around neck and upper torso, and back with generalized itching.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised, Rash
Clinical narrative: Rash, generalized itching.
Age: 66.0
Sex: F
Vaccine: DTAP, HEPA, PNC13
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: THE DAUGTHER CALLED AND SAID PATIENT GOT SWEELING ON LEFT HAND SIDE DOWN TO ELBOW AND GOT FEVER.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Lip swelling, Pruritus, Urticaria
Clinical narrative: Severe itching, hives to body, and swelling of the upper lip.  Per patient, took Benadryl to relieve symptoms.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Woke up, got out of bed and was very dizzy.  Reported symptom to clinic nurse who informed her this was a serious side effect of flu vaccine.  Patient/employee contacted Employee Health Nurse who asked clinic nurse to check BP which was WNL.  Instructed by Employee Health Nurse to hydrate well today.  Dizziness has lessened as day has progressed.
Age: 48.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Insomnia, Pain, Pyrexia, Tenderness, Weight bearing difficulty
Clinical narrative: Severe pain began in bicep almost 6 hours after receiving vaccines. Within an hour of onset, I was unable to even move a finger without it causing excruciating pain in my entire upper arm (like a red hot poker had been inserted with a thousand hot needles extending with movement). For the next 3 days I was unable to sleep and or move because of pain, despite the pain medications and muscle relaxants I take. Pain has very gradually subsided but a week after receiving vaccines, I still have considerable pain with movement and to touch, and I'm unable to lift or carry anything without added pain. There was never any swelling or redness, but I did have a fever between 101.1 and 102.3 for the first 3 days.
Age: 64.0
Sex: M
Vaccine: PNC13, VARZOS
Symptoms: Insomnia
Clinical narrative: Patient could not sleep the whole night.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dyspnoea, Pain, Paraesthesia, Pyrexia
Clinical narrative: Aching, fever, chills, tingling in fingers and hands, rash on trunk, difficulty taking a deep breath.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Aching, fever, chills, tingling in fingers and hands, rash on trunk, difficulty taking a deep breath.
Age: 72.0
Sex: F
Vaccine: FLU3, PNC13, VARZOS
Symptoms: Erythema, Pain in extremity
Clinical narrative: Pt stated arm was sore for 3-4 days post-injection.  After 3rd day she looked at her arm and noticed redness, 2 days later she called pharmacy since it was still red, then she came back to rx the following day.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Hearing impaired, Hyperhidrosis, Injection site paraesthesia, Pallor, Peripheral coldness
Clinical narrative: Patient stated she felt tingling at site of injection, difficulty hearing, cold arm, sweaty under arm along side of body, face was pale. She requested and drank orange juice. RPh offered Benadryl and a wheelchair and medical assistance of urgent care if needed. The primary care provider was paged and stated the patient did not need diphenhydramine. It was more like a near syncope event (vasovagal reaction). If she does not feel better after ten more minutes, then seek ER followup, otherwise she is authorized to go home.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Presyncope
Clinical narrative: Patient stated she felt tingling at site of injection, difficulty hearing, cold arm, sweaty under arm along side of body, face was pale. She requested and drank orange juice. RPh offered Benadryl and a wheelchair and medical assistance of urgent care if needed. The primary care provider was paged and stated the patient did not need diphenhydramine. It was more like a near syncope event (vasovagal reaction). If she does not feel better after ten more minutes, then seek ER followup, otherwise she is authorized to go home.
Age: 25.0
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Heart rate irregular, Immediate post-injection reaction, Injection site pain, Palpitations
Clinical narrative: Laid down due to fever and started having palpations and feeling my heart beat irregular. Then 10/2/2015 arm is very swollen and welped and warm to the touch and very sensitive. Still having palpitations and having a little discomfort in my sternum area, but its tolerable. Definitely second guessing getting the shot.
Age: 25.0
Sex: F
Vaccine: FLUX
Symptoms: Peripheral swelling, Pyrexia, Skin warm, Tenderness, Urticaria
Clinical narrative: Laid down due to fever and started having palpations and feeling my heart beat irregular. Then 10/2/2015 arm is very swollen and welped and warm to the touch and very sensitive. Still having palpitations and having a little discomfort in my sternum area, but its tolerable. Definitely second guessing getting the shot.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Nodule, Pain in extremity
Clinical narrative: Patient had pain in the same arm.  She had a knot in the muscle in her forearm, and she has numbness in her hand and fingers.
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site induration, Injection site nodule
Clinical narrative: Hard knot and redness at injection site.