chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: Differential white blood cell count normal, Erythema, Full blood count normal, Haemoglobin normal, Immune thrombocytopenic purpura
Clinical narrative: Patient developed swelling, erythema, itching, and warmth on left arm a few hours after receiving the above vaccinations. Over the course of the next day, the arm became more swollen and spread around the side of her arm. She took ibuprofen and diphenhydramine to relieve the discomfort. Symptoms continued to worsen, and medical care sought at local ER. She was prescribed the following medications: -Cephalexin 500 mg every 12 hours for 7 days -Hydroxyzine 25 mg every 8 hours for 5 days -Prednisone 20 mg once daily for 5 days Left arm showed improvement after initiation of above therapy. Meanwhile, patient started to develop small red dots on her left wrist and later on anterior thighs, lower legs, and bilateral upper arms. Continued cephalexin but held prednisone and hydroxyzine. Subsequently diagnosed with idiopathic thrombocytopenic purpura (thought to be secondary to the vaccinations) which has led to multiple hospitalizations.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: Injection site reaction, Limb discomfort, Metabolic function test normal, Peripheral swelling, Platelet count decreased
Clinical narrative: Patient developed swelling, erythema, itching, and warmth on left arm a few hours after receiving the above vaccinations. Over the course of the next day, the arm became more swollen and spread around the side of her arm. She took ibuprofen and diphenhydramine to relieve the discomfort. Symptoms continued to worsen, and medical care sought at local ER. She was prescribed the following medications: -Cephalexin 500 mg every 12 hours for 7 days -Hydroxyzine 25 mg every 8 hours for 5 days -Prednisone 20 mg once daily for 5 days Left arm showed improvement after initiation of above therapy. Meanwhile, patient started to develop small red dots on her left wrist and later on anterior thighs, lower legs, and bilateral upper arms. Continued cephalexin but held prednisone and hydroxyzine. Subsequently diagnosed with idiopathic thrombocytopenic purpura (thought to be secondary to the vaccinations) which has led to multiple hospitalizations.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: Pruritus, Rash, Rash erythematous, Skin warm, Ultrasound scan normal
Clinical narrative: Patient developed swelling, erythema, itching, and warmth on left arm a few hours after receiving the above vaccinations. Over the course of the next day, the arm became more swollen and spread around the side of her arm. She took ibuprofen and diphenhydramine to relieve the discomfort. Symptoms continued to worsen, and medical care sought at local ER. She was prescribed the following medications: -Cephalexin 500 mg every 12 hours for 7 days -Hydroxyzine 25 mg every 8 hours for 5 days -Prednisone 20 mg once daily for 5 days Left arm showed improvement after initiation of above therapy. Meanwhile, patient started to develop small red dots on her left wrist and later on anterior thighs, lower legs, and bilateral upper arms. Continued cephalexin but held prednisone and hydroxyzine. Subsequently diagnosed with idiopathic thrombocytopenic purpura (thought to be secondary to the vaccinations) which has led to multiple hospitalizations.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: Limb discomfort, Metabolic function test normal, Peripheral swelling, Platelet count decreased, Pruritus
Clinical narrative: Patient developed swelling, erythema, itching, and warmth on left arm a few hours after receiving the above vaccinations. Over the course of the next day, the arm became more swollen and spread around the side of her arm. She took ibuprofen and diphenhydramine to relieve the discomfort. Symptoms continued to worsen, and medical care sought at local ER. She was prescribed the following medications: -Cephalexin 500 mg every 12 hours for 7 days -Hydroxyzine 25 mg every 8 hours for 5 days -Prednisone 20 mg once daily for 5 days Left arm showed improvement after initiation of above therapy. Meanwhile, patient started to develop small red dots on her left wrist and later on anterior thighs, lower legs, and bilateral upper arms. Continued cephalexin but held prednisone and hydroxyzine. Subsequently diagnosed with idiopathic thrombocytopenic purpura (thought to be secondary to the vaccinations) which has led to multiple hospitalizations.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: Rash, Rash erythematous, Skin warm, Ultrasound scan normal, White blood cell count normal
Clinical narrative: Patient developed swelling, erythema, itching, and warmth on left arm a few hours after receiving the above vaccinations. Over the course of the next day, the arm became more swollen and spread around the side of her arm. She took ibuprofen and diphenhydramine to relieve the discomfort. Symptoms continued to worsen, and medical care sought at local ER. She was prescribed the following medications: -Cephalexin 500 mg every 12 hours for 7 days -Hydroxyzine 25 mg every 8 hours for 5 days -Prednisone 20 mg once daily for 5 days Left arm showed improvement after initiation of above therapy. Meanwhile, patient started to develop small red dots on her left wrist and later on anterior thighs, lower legs, and bilateral upper arms. Continued cephalexin but held prednisone and hydroxyzine. Subsequently diagnosed with idiopathic thrombocytopenic purpura (thought to be secondary to the vaccinations) which has led to multiple hospitalizations.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP
Symptoms: Contusion, Pain, Pruritus, Swelling
Clinical narrative: Massive swelling, pain, itchiness and bruising.
Age: 31.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Rash macular
Clinical narrative: On the evening of 9/8/17, I started to develop mild pain around the injection site. Overnight 9/8-9/9 I was awoken by severe pain around the injection site. The next day I began to develop redness and a splotchy rash near the injection site. Throughout the course of the day on 9/9, the pain and redness progressively became worse. On Sunday, 9/10, the redness/rash and severe pain began to travel down my left arm. This continued on Monday, 9/11 when I notified my PMD. At this point, the redness/rash and associated pain almost reached my elbow. On Tuesday, 9/12 the symptoms started to improve and by the end of that week, the redness and pain were gone. Supportive treatments included ibuprofen, topical diphenhydramine cream, and hydrocortisone cream.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Chest X-ray, Computerised tomogram, Dyspnoea, Injection site rash, Rash generalised
Clinical narrative: Rash from injection site covering body, shortness of breath. Oral BENADRYL, IV BENADRYL, Nebulizer treatment.
Age: 40.0
Sex: F
Vaccine: FLUC4
Symptoms: Dysphonia, Eyelid oedema, Fatigue
Clinical narrative: My reaction started around 10 pm on 30 Nov 17 with unexplained hoarseness. puffy eyes, and fatigue.  No signs of coughing or sneezing. I woke up this morning, 1 Dec 17 around 04:25 with swollen right eye, mainly underneath my eye. I am fatigue, which is never the normal reaction of my body functions.
Age: 43.0
Sex: M
Vaccine: PPV
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: High fever, ranging between 102 and 104 degrees. Unable to move arm without severe pain. Unlike anything I've felt before. Started 11/29/17 in evening. Continues to present. Taking TYLENOL for fever.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: Within 24 hours of flu injection, patient began experiencing severe right arm pain, which radiated throughout entire arm. This pain worsened over a 10-14 day period. On PE, patient had no external abnormalities, but could not abduct beyond 100 degrees without severe pain.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Erythema, Swelling
Clinical narrative: Redness and swelling for one week. Vesicles one week later. Rotated TYLENOL and Ibuprofen.
Age: 34.0
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Vaccine was administered too soon. "Does not meet minimum interval from last dose". Vaccine #1 was administered 10/9/17. #2 was administered 11/29/17.
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: L post. deltoid pain since time of injection until date of evaluation at clinic, 11/30/17.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Confusional state, Decreased appetite, Fatigue, Gait inability
Clinical narrative: My husband an I took the BOOSTRIX injection,0.5 ml in our arms at Pharmacy. In less than 24 hours we suffered from extreme muscle ache, confusion and physical fatigue. We we unable to perform daily activities of activity like walking to restroom and minimal sitting upright. We also experienced severe headaches and lack of appetite. The symptoms resembled a flu. We both were tested and flu came back negative. We are heading to second week after the injection and my husband's symptoms have only worsen. He has periods of weakness and lack of energy.
Age: 57.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Influenza virus test negative, Loss of personal independence in daily activities, Myalgia
Clinical narrative: My husband an I took the BOOSTRIX injection,0.5 ml in our arms at Pharmacy. In less than 24 hours we suffered from extreme muscle ache, confusion and physical fatigue. We we unable to perform daily activities of activity like walking to restroom and minimal sitting upright. We also experienced severe headaches and lack of appetite. The symptoms resembled a flu. We both were tested and flu came back negative. We are heading to second week after the injection and my husband's symptoms have only worsen. He has periods of weakness and lack of energy.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Ear pain, Fatigue, Influenza like illness, Injection site pain, Nausea
Clinical narrative: FLUZONE High Dose vaccine on 11/17/17. Severe arm pain (in arm receiving vaccine) extending across shoulder to neck began 3 hours later and lasted 2 to 3 days, then it became moderate pain for 2 more days. No swelling at injection site. Pain did not respond to ibuprofen. Extreme fatigue. Runny nose and productive cough began 2-1/2 days after vaccine. No sore throat. Low-grade fever. Mild nausea. Earache. Flu-like symptoms continued for 7+ days.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Neck pain, Pain in extremity, Productive cough, Pyrexia, Rhinorrhoea
Clinical narrative: FLUZONE High Dose vaccine on 11/17/17. Severe arm pain (in arm receiving vaccine) extending across shoulder to neck began 3 hours later and lasted 2 to 3 days, then it became moderate pain for 2 more days. No swelling at injection site. Pain did not respond to ibuprofen. Extreme fatigue. Runny nose and productive cough began 2-1/2 days after vaccine. No sore throat. Low-grade fever. Mild nausea. Earache. Flu-like symptoms continued for 7+ days.
Age: 7.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Fall, Head injury, Loss of consciousness
Clinical narrative: Received vaccines at approximately 7:50AM. While leaving the building about 8:10AM was witnessed by other patients, child fell forward and hit her head on floor. Reported that child lost consciousness for about 1 minute. When staff alerted child was sitting in chair alert and oriented. 911 notified. V/S 78/48, P 78, R 19. Upon EMS arrival mom refused transport to ER. Mom educated on S/S of concussion and head injury precautions.
Age: 77.0
Sex: M
Vaccine: FLU4, PPV, FLUX, PPV
Symptoms: Discomfort, Injection site erythema, Injection site swelling, Pain in extremity, Peripheral swelling
Clinical narrative: Day of injection, 6pm discomfort by 9pm the pain in my left arm was on a scale of 1-10 was a 13-15 the worse pain I have ever had in 77 yrs, now two days later quite a bit of discomfort and swelling from my left shoulder down my arm within 5 inches from my wrist, with a considerable amount of redness on the site of the swelling.
Age: 77.0
Sex: M
Vaccine: FLU4, PPV, FLUX, PPV
Symptoms: Insomnia, Limb discomfort, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Day of injection, 6pm discomfort by 9pm the pain in my left arm was on a scale of 1-10 was a 13-15 the worse pain I have ever had in 77 yrs, now two days later quite a bit of discomfort and swelling from my left shoulder down my arm within 5 inches from my wrist, with a considerable amount of redness on the site of the swelling.
Age: 77.0
Sex: M
Vaccine: FLU4, PPV, FLUX, PPV
Symptoms: Skin reaction, Tenderness
Clinical narrative: Day of injection, 6pm discomfort by 9pm the pain in my left arm was on a scale of 1-10 was a 13-15 the worse pain I have ever had in 77 yrs, now two days later quite a bit of discomfort and swelling from my left shoulder down my arm within 5 inches from my wrist, with a considerable amount of redness on the site of the swelling.
Age: 69.0
Sex: M
Vaccine: FLU4
Symptoms: Alcohol use disorder, Drooling, Eructation, Negativism, Skin discolouration
Clinical narrative: Excessive drooling and belching, green skin color and vinegar based smell, excessive alcohol intake, nihilism.
Age: 69.0
Sex: M
Vaccine: FLU4
Symptoms: Skin odour abnormal
Clinical narrative: Excessive drooling and belching, green skin color and vinegar based smell, excessive alcohol intake, nihilism.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Deafness, Injection site swelling, Tinnitus
Clinical narrative: Pt developed ringing in her ears and loss of hearing within an hour of receiving the vaccine. She also had swelling in the arm the vaccine was given in.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site warmth, Nausea
Clinical narrative: Patient received vaccine on 11/28/17. Patient came into the pharmacy on 12/1/17 to complain about the reaction. He said the reaction started the night of 11/28. He has a softball size ring near the injection site. The ring is hot, red, and sensitive to the touch. He said it has not gotten worse or better since 11/28. The patient also experienced chills and nausea throughout the last couple of days. I called his primary care physician to explain the reaction and we set up an appointment today at 2:15pm for him.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Eye irritation, Injection site pruritus, Nasal discomfort
Clinical narrative: Employee initially reported itching at the site of vaccination. Then approx. 2 hours later was seen with complaints of itching and burning of the nose and eyes.
Age: 4.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Injection site swelling, Vomiting
Clinical narrative: Pain and swelling in right thigh where flu vaccine was administered. Vomiting x 1.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site irritation, Injection site swelling, Local reaction
Clinical narrative: Localized reaction - red irritation around injection site with minor swelling. Care Giver put hydrocortisone on area and gave BENADRYL - minor swelling went down - then took to the physician.
Age: 19.0
Sex: M
Vaccine: HPV4, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Round red, warm, elevated area surrounding site where vaccine was given. Youth complained of pain at site. Treated with Ice and Ibuprofen.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Next evening pt. C/O warmth, redness at site, no fever. On 11/1/17, pt. was here in office. Site red and swollen, and warm to touch redness was 15 cm x 14 cm. Since then swelling has resolved.
Age: 48.0
Sex: M
Vaccine: PNC13
Symptoms: Blood creatinine increased, Blood urine present, Chills, Chromaturia, Decreased appetite
Clinical narrative: Pain at injection site, headache, nausea, loss of appetite, achy muscles, loss of sleep, chills, night sweats, dizziness, swelling at injection site, dark urine, blood in urine, red rash at injection site/treatment included missing 2 days work to rest, drinking large amounts of water/Five days after receiving vaccine I still have swelling of arm, itchy red rash and dark urine.
Age: 48.0
Sex: M
Vaccine: PNC13
Symptoms: Dizziness, Headache, Impaired work ability, Injection site pain, Injection site reaction
Clinical narrative: Pain at injection site, headache, nausea, loss of appetite, achy muscles, loss of sleep, chills, night sweats, dizziness, swelling at injection site, dark urine, blood in urine, red rash at injection site/treatment included missing 2 days work to rest, drinking large amounts of water/Five days after receiving vaccine I still have swelling of arm, itchy red rash and dark urine.
Age: 48.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site swelling, Insomnia, Myalgia, Nausea, Night sweats
Clinical narrative: Pain at injection site, headache, nausea, loss of appetite, achy muscles, loss of sleep, chills, night sweats, dizziness, swelling at injection site, dark urine, blood in urine, red rash at injection site/treatment included missing 2 days work to rest, drinking large amounts of water/Five days after receiving vaccine I still have swelling of arm, itchy red rash and dark urine.
Age: 48.0
Sex: M
Vaccine: PNC13
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Pain at injection site, headache, nausea, loss of appetite, achy muscles, loss of sleep, chills, night sweats, dizziness, swelling at injection site, dark urine, blood in urine, red rash at injection site/treatment included missing 2 days work to rest, drinking large amounts of water/Five days after receiving vaccine I still have swelling of arm, itchy red rash and dark urine.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia
Clinical narrative: Numbness of face, hands, thighs.
Age: 54.0
Sex: F
Vaccine: FLUC4, TDAP
Symptoms: Contusion, Hypoaesthesia, Pain
Clinical narrative: Extremely sore day after escalating to pain/numbness within 3 days. Bruised-still bruised on 19 Nov when picture was taken. As of 1 Dec 2017 still constant ache, with numbness down to forefinger/thumb area. Has stabilized at a lower grade ache and numbness (similar to as when you arm is awaking from being asleep).
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis
Clinical narrative: Cellulitis of (L) upper extremity -start KEFLEX, cool compresses.
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Fatigue, Injection site erythema, Injection site mass, Malaise
Clinical narrative: Mom reports that child has "a soft ball sized red lump on the back of the right arm" when MMR vaccine was given. No fever. Mom reports child has been "tired and says she doesn't feel well."
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Herpes zoster, Musculoskeletal pain, Neck pain, Pain, Pain in extremity
Clinical narrative: Patient received vaccine and pain started later that evening.  Pain became worse over time and began radiating down arm, up neck and around shoulder. She went to ER on 11/18/2017 and was diagnosed with shingles in that area.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Dizziness, Headache, Myalgia, Pain in extremity
Clinical narrative: Headache, most of the night, dizzy, joint and muscle aches, jaw pain, spiked a fever at 1:30 AM around 102, skin aches and the left arm pain. Couldn't sleep on that side. Fever is down to 100.2 at 9am.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Pain in jaw, Pain of skin, Pyrexia
Clinical narrative: Headache, most of the night, dizzy, joint and muscle aches, jaw pain, spiked a fever at 1:30 AM around 102, skin aches and the left arm pain. Couldn't sleep on that side. Fever is down to 100.2 at 9am.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Autopsy, Blood electrolytes decreased, Death, Dehydration, Diarrhoea
Clinical narrative: Decedent was in his usual state of health on a 4 month wellness check on 10/12/2017, at which time he received the ROTATEQ vaccination (among others). Decedent presented to pediatrician on 10/16/2017 for fussiness, irritability, and nausea. He continued to have nausea, vomiting, and diarrhea and his parents transported him to the hospital that evening. He arrived to the hospital in critical condition. He died shortly thereafter on 10/17/2017 at 0100 following an emergent bedside exploratory laparotomy that revealed diffuse intestinal necrosis without an identified cause.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Enterococcus test positive, Explorative laparotomy, Gastrointestinal necrosis, Irritability, Nausea
Clinical narrative: Decedent was in his usual state of health on a 4 month wellness check on 10/12/2017, at which time he received the ROTATEQ vaccination (among others). Decedent presented to pediatrician on 10/16/2017 for fussiness, irritability, and nausea. He continued to have nausea, vomiting, and diarrhea and his parents transported him to the hospital that evening. He arrived to the hospital in critical condition. He died shortly thereafter on 10/17/2017 at 0100 following an emergent bedside exploratory laparotomy that revealed diffuse intestinal necrosis without an identified cause.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Rotavirus test positive, Vomiting
Clinical narrative: Decedent was in his usual state of health on a 4 month wellness check on 10/12/2017, at which time he received the ROTATEQ vaccination (among others). Decedent presented to pediatrician on 10/16/2017 for fussiness, irritability, and nausea. He continued to have nausea, vomiting, and diarrhea and his parents transported him to the hospital that evening. He arrived to the hospital in critical condition. He died shortly thereafter on 10/17/2017 at 0100 following an emergent bedside exploratory laparotomy that revealed diffuse intestinal necrosis without an identified cause.
Age: 65.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Erythema, Pain in extremity, Skin warm, Swelling, Urticaria
Clinical narrative: Very sore and achy right arm - more than usual. Redness, swelling hot welt area about an inch below the injection site. Area went from top of arm to fully below arm about 2in x 5in in size. This lasted 4-5 days.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy, Foetal death, Stillbirth
Clinical narrative: We had a healthy and normal pregnancy up until this vaccine was administered at 34 weeks. We experienced fetal demise and endured the stillbirth of our son shortly after receiving it. 3lb 2.6oz and 18" long at birth.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Injection site pain, Skin warm
Clinical narrative: Patient was administered influenza vaccine and immediately complained of pain at injection site. After approximately 30 minutes, patient complained of arm feeling warm and turning red. Noted change and immediately gave Benadryl 25mg orally. Monitored for any respiratory issues.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling, and tenderness at injection site starting 1 day after shot and continuing 4 days later.
Age: 57.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain in extremity
Clinical narrative: Right arm redness and pain 5cm x4cm diameter.
Age: 72.0
Sex: F
Vaccine: FLUC4
Symptoms: Acoustic stimulation tests abnormal, Deafness unilateral
Clinical narrative: Woke up deaf in left ear - treated with high dosage of prednisone. Complete hearing restored after 4 days.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dry mouth, Erythema, Feeling hot, Injection site erythema, Injection site pain
Clinical narrative: Rash and redness around neck, front and back. Felt very warm but wasn't running a temperature. Felt soreness in area of left arm where both shots were given -- which were spaced at least one inch apart. Also had redness and rash in shot area. Lasted about a week. My head also felt itchy but not the entire time. Mouth felt funny but just kept drinking fluids.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site rash, Pruritus, Rash, Thirst
Clinical narrative: Rash and redness around neck, front and back. Felt very warm but wasn't running a temperature. Felt soreness in area of left arm where both shots were given -- which were spaced at least one inch apart. Also had redness and rash in shot area. Lasted about a week. My head also felt itchy but not the entire time. Mouth felt funny but just kept drinking fluids.
Age: 19.0
Sex: F
Vaccine: FLU4
Symptoms: Anion gap normal, Basophil count normal, Basophil percentage, Blood albumin normal, Blood alkaline phosphatase normal
Clinical narrative: 11/22/2017: dull left lateral thigh pain that resovled in 3-4 days. 11/27/2017-11/28/2017: burning sensation in bilateral anterior thighs and bottoms of feet that resolved in 1 day. 11/29/2017: cramping in bilateral hamstrings that resolved in 1 day 11/30/2017: seen in Urgent Care for right cheek numbness in a V2 distribution. 21/1/2017: seen in Neurology clinic. Area of numbness in smaller and sensation returning to baseline.
Age: 19.0
Sex: F
Vaccine: FLU4
Symptoms: Blood bicarbonate normal, Blood bilirubin normal, Blood calcium normal, Blood chloride increased, Blood creatine phosphokinase normal
Clinical narrative: 11/22/2017: dull left lateral thigh pain that resovled in 3-4 days. 11/27/2017-11/28/2017: burning sensation in bilateral anterior thighs and bottoms of feet that resolved in 1 day. 11/29/2017: cramping in bilateral hamstrings that resolved in 1 day 11/30/2017: seen in Urgent Care for right cheek numbness in a V2 distribution. 21/1/2017: seen in Neurology clinic. Area of numbness in smaller and sensation returning to baseline.
Age: 19.0
Sex: F
Vaccine: FLU4
Symptoms: Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood thyroid stimulating hormone normal
Clinical narrative: 11/22/2017: dull left lateral thigh pain that resovled in 3-4 days. 11/27/2017-11/28/2017: burning sensation in bilateral anterior thighs and bottoms of feet that resolved in 1 day. 11/29/2017: cramping in bilateral hamstrings that resolved in 1 day 11/30/2017: seen in Urgent Care for right cheek numbness in a V2 distribution. 21/1/2017: seen in Neurology clinic. Area of numbness in smaller and sensation returning to baseline.
Age: 19.0
Sex: F
Vaccine: FLU4
Symptoms: Blood urea normal, Borrelia test negative, Burning sensation, Eosinophil percentage, Haematocrit normal
Clinical narrative: 11/22/2017: dull left lateral thigh pain that resovled in 3-4 days. 11/27/2017-11/28/2017: burning sensation in bilateral anterior thighs and bottoms of feet that resolved in 1 day. 11/29/2017: cramping in bilateral hamstrings that resolved in 1 day 11/30/2017: seen in Urgent Care for right cheek numbness in a V2 distribution. 21/1/2017: seen in Neurology clinic. Area of numbness in smaller and sensation returning to baseline.
Age: 19.0
Sex: F
Vaccine: FLU4
Symptoms: Haemoglobin normal, Hypoaesthesia, Lymphocyte count normal, Lymphocyte percentage, Mean cell haemoglobin concentration normal
Clinical narrative: 11/22/2017: dull left lateral thigh pain that resovled in 3-4 days. 11/27/2017-11/28/2017: burning sensation in bilateral anterior thighs and bottoms of feet that resolved in 1 day. 11/29/2017: cramping in bilateral hamstrings that resolved in 1 day 11/30/2017: seen in Urgent Care for right cheek numbness in a V2 distribution. 21/1/2017: seen in Neurology clinic. Area of numbness in smaller and sensation returning to baseline.
Age: 19.0
Sex: F
Vaccine: FLU4
Symptoms: Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count increased, Monocyte percentage increased, Muscle spasms
Clinical narrative: 11/22/2017: dull left lateral thigh pain that resovled in 3-4 days. 11/27/2017-11/28/2017: burning sensation in bilateral anterior thighs and bottoms of feet that resolved in 1 day. 11/29/2017: cramping in bilateral hamstrings that resolved in 1 day 11/30/2017: seen in Urgent Care for right cheek numbness in a V2 distribution. 21/1/2017: seen in Neurology clinic. Area of numbness in smaller and sensation returning to baseline.
Age: 19.0
Sex: F
Vaccine: FLU4
Symptoms: Neutrophil count, Neutrophil percentage, Pain in extremity, Platelet count normal, Protein total normal
Clinical narrative: 11/22/2017: dull left lateral thigh pain that resovled in 3-4 days. 11/27/2017-11/28/2017: burning sensation in bilateral anterior thighs and bottoms of feet that resolved in 1 day. 11/29/2017: cramping in bilateral hamstrings that resolved in 1 day 11/30/2017: seen in Urgent Care for right cheek numbness in a V2 distribution. 21/1/2017: seen in Neurology clinic. Area of numbness in smaller and sensation returning to baseline.
Age: 19.0
Sex: F
Vaccine: FLU4
Symptoms: Red blood cell count normal, Red cell distribution width normal, Thyroxine normal, White blood cell count normal
Clinical narrative: 11/22/2017: dull left lateral thigh pain that resovled in 3-4 days. 11/27/2017-11/28/2017: burning sensation in bilateral anterior thighs and bottoms of feet that resolved in 1 day. 11/29/2017: cramping in bilateral hamstrings that resolved in 1 day 11/30/2017: seen in Urgent Care for right cheek numbness in a V2 distribution. 21/1/2017: seen in Neurology clinic. Area of numbness in smaller and sensation returning to baseline.
Age: 0.17
Sex: F
Vaccine: RV1
Symptoms: Vomiting projectile
Clinical narrative: Non bilious non projectile vomiting occurring 3 to 4 times 1 day after administration.
Age: 68.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site mass, Limb injury, Musculoskeletal pain, Vaccination complication
Clinical narrative: Patient is complaining of prolonged shoulder pain. Patient states that there was a "lump" at the injection site (now gone), and that her shoulder continues to ache to this day. Patient states that she saw a chiropractor, who diagnosed her with "Shoulder Injury Related To Immunization." Patient states a family friend's daughter, who is a doctor, suggested that a nerve may have been struck during immunization.
Age: 68.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injected limb mobility decreased, Limb injury, Pain in extremity, Vaccination complication
Clinical narrative: Patient is complaining of prolonged shoulder pain. Patient states that there was a "lump" at the injection site (now gone), and that her shoulder continues to ache to this day. Patient states that she saw a chiropractor, who diagnosed her with "Shoulder Injury Related To Immunization." Patient states a family friend's daughter, who is a doctor, suggested that a nerve may have been struck during immunization.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Blister, Erythema, Skin warm
Clinical narrative: Blister formation -- day one post vaccination 11/28. Presented to office 12/1 with redness / warmth. Possible localized infection at this point vs allergic response.
Age: 59.0
Sex: U
Vaccine: FLUC4
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 23.0
Sex: F
Vaccine: RAB
Symptoms: Vomiting
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of vomiting in a 23-year-old female patient who received RABAVERT. The patient's past medical history included animal bite (she was bitten on her back by a bat). Concomitant products included RABAVERT and RABAVERT. On 20th November 2017, the patient received the 3rd dose of RABAVERT. In November 2017, less than a week after receiving RABAVERT, the patient experienced vomiting. On an unknown date, the outcome of the vomiting was unknown. It was unknown if the reporter considered the vomiting to be related to RABAVERT. Additional details were reported as follows: The reporter was the patient's mother. The patient's mother was an employee of the facility where the vaccine was given to her daughter and because the mother was questioning the process and how the vaccine was given. The reporter had been told by hospital administrator's she was causing trouble. The reporter noted the bat was not caught and was trying to just be an advocate for her daughter. She stated she was told by site manager of facility that the manufacturer had been contacted and everything was fine. This was 1 of 3 cases, reported by same reporter for same patient.
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: This case was reported by a other health professional via sales rep and described the occurrence of pain in arm in female patient who received FLULAVAL QUADRIVALENT. On an unknown date, the patient received FLULAVAL QUADRIVALENT. On an unknown date, unknown after receiving FLULAVAL QUADRIVALENT, 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 FLULAVAL QUADRIVALENT. Additional details were provided as follows: The age at the vaccination was not reported. The reporter collected adverse event report. The clinic manager asked the patient (staff member) what was experience with FLULAVAL immunization and the patient stated arm hurt for days following administration. The other reporter thought it was related to shot but one other patient commented that they thought administration technique of immunizer may have contributed. None of the immunizations led to hospitalization. This case has been linked to case US2017GSK183784 and US2017GSK182496, reported by same reporter for same event.
Age: 36.0
Sex: M
Vaccine: FLUC4
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Patient states that the whole arm is sore and is getting progressively worse. Since last night (11/30) he now has tingling and numbness in fingers.
Age: 14.0
Sex: M
Vaccine: FLUC4
Symptoms: Muscular weakness, Myalgia, Paraesthesia
Clinical narrative: Myalgia, Muscle weakness, Tingling in hands and feet.
Age: 1.5
Sex: M
Vaccine: FLU4, HEPA
Symptoms: Blood test, Blood test abnormal, Body temperature increased, Dehydration, Gait disturbance
Clinical narrative: Nurse noted patient tolerated injection within normal limits. No adverse reaction noted by the nurse after the vaccinations were administered. At home and four hours after the vaccinations, patient's mother noticed hives and a rash over both of patient's legs. He began to run a temperature of 101.80 F and started to shake uncontrollably. Patient would scream when he tried to walk. The vaccination area appeared red and bruised. Mother stated that she then called the doctor's office. The next day patient's temperature raised to 103 F. He became lethargic and began vomiting. The rash had continued to spread to his arms and back. Mother took him to the hospital. He was admitted and released the next day. Mother reported that patient returned to health soon after he was released from the hospital. The hospital treated patient for dehydration. According to mother, the doctor does not want patient to receive this years 2nd flu vaccine. Patient receiving the next years flu vaccine has not been determined, according to mother.
Age: 1.5
Sex: M
Vaccine: FLU4, HEPA
Symptoms: Injection site erythema, Injection site rash, Injection site urticaria, Lethargy, Rash
Clinical narrative: Nurse noted patient tolerated injection within normal limits. No adverse reaction noted by the nurse after the vaccinations were administered. At home and four hours after the vaccinations, patient's mother noticed hives and a rash over both of patient's legs. He began to run a temperature of 101.80 F and started to shake uncontrollably. Patient would scream when he tried to walk. The vaccination area appeared red and bruised. Mother stated that she then called the doctor's office. The next day patient's temperature raised to 103 F. He became lethargic and began vomiting. The rash had continued to spread to his arms and back. Mother took him to the hospital. He was admitted and released the next day. Mother reported that patient returned to health soon after he was released from the hospital. The hospital treated patient for dehydration. According to mother, the doctor does not want patient to receive this years 2nd flu vaccine. Patient receiving the next years flu vaccine has not been determined, according to mother.
Age: 1.5
Sex: M
Vaccine: FLU4, HEPA
Symptoms: Screaming, Tremor, Vaccination site bruising, Vomiting
Clinical narrative: Nurse noted patient tolerated injection within normal limits. No adverse reaction noted by the nurse after the vaccinations were administered. At home and four hours after the vaccinations, patient's mother noticed hives and a rash over both of patient's legs. He began to run a temperature of 101.80 F and started to shake uncontrollably. Patient would scream when he tried to walk. The vaccination area appeared red and bruised. Mother stated that she then called the doctor's office. The next day patient's temperature raised to 103 F. He became lethargic and began vomiting. The rash had continued to spread to his arms and back. Mother took him to the hospital. He was admitted and released the next day. Mother reported that patient returned to health soon after he was released from the hospital. The hospital treated patient for dehydration. According to mother, the doctor does not want patient to receive this years 2nd flu vaccine. Patient receiving the next years flu vaccine has not been determined, according to mother.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Blood creatine phosphokinase, Full blood count, Injection site pain, Musculoskeletal pain, Pain in extremity
Clinical narrative: Patient reports pain to his left deltoid radiating down his arm, some pain to scapula ever since the flu vaccine was given on 11/20/17.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Red blood cell sedimentation rate
Clinical narrative: Patient reports pain to his left deltoid radiating down his arm, some pain to scapula ever since the flu vaccine was given on 11/20/17.
Age: 1.83
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: CSF protein increased, Chronic inflammatory demyelinating polyradiculoneuropathy, Eyelid ptosis, Gait inability, Guillain-Barre syndrome
Clinical narrative: Patient was admitted to Hospital on 7/21/17 for bilateral lower extremity weakness- unable to walk, LP revealed elevated protein, MRI also consistent with Guillain-Barre syndrome. Also had some ptosis. Patient was treated with IVIG and sent home with PT/OT follow up outpatient. She approached baseline function before her second admission on 10/9/17 for similar symptoms. It was thought to be a reactivation for Guillain-Barre so she was retreated with IVIG and discharged with neurology follow up.  She reached baseline function before her third admission on 11/6/17 for bilateral lower extremity weakness and bilateral ptosis. She was treated with a third dose of IVIG, but chronic inflammatory demyelinating polyneuropathy (CIDP) could not be ruled out. Was also recognized she received DTaP vaccine about 5-6 weeks before onset of initial symptoms in July. She has been discharged with neurology, ID, oncology, and rheumatology follow up.
Age: 1.83
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Immunoglobulin therapy, Muscular weakness, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Patient was admitted to Hospital on 7/21/17 for bilateral lower extremity weakness- unable to walk, LP revealed elevated protein, MRI also consistent with Guillain-Barre syndrome. Also had some ptosis. Patient was treated with IVIG and sent home with PT/OT follow up outpatient. She approached baseline function before her second admission on 10/9/17 for similar symptoms. It was thought to be a reactivation for Guillain-Barre so she was retreated with IVIG and discharged with neurology follow up.  She reached baseline function before her third admission on 11/6/17 for bilateral lower extremity weakness and bilateral ptosis. She was treated with a third dose of IVIG, but chronic inflammatory demyelinating polyneuropathy (CIDP) could not be ruled out. Was also recognized she received DTaP vaccine about 5-6 weeks before onset of initial symptoms in July. She has been discharged with neurology, ID, oncology, and rheumatology follow up.
Age: 60.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Nodule, Pain in extremity
Clinical narrative: PATIENT CAME TO PHARMACY TODAY ON 12-1-17 AND REPORTED A SMALL KNOT IN ARM THAT IS GETTING BETTER BUT STILL THERE AND SOME SORENESS. SHE JUST WANTED TO LET ME KNOW SINCE VACCINATION WAS GIVEN ON 11-3-17 IN THE LEFT ARM. NOTHING VISIBLE ON THE SKIN. TRIED TO FEEL IT, COULD SOMEWHAT FEEL WHEN ARM WAS FLEXED, COULD NOT FEEL WHEN ARM WAS RELAXED. TOLD HER I WOULD CONTACT HER NURSE PRACTIONER WHO SHE SEES SOON FOR AN APPOINTMENT. TOLD HER I WOULD CHECK ON HER WEEKLY TO MAKE SURE CONTINUING TO IMPROVE.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: The patient self reported that she had swelling, redness, itching, and hardening of the arm slightly below the sight of the injection on the arm. She said that she also felt nausea, fatigue, and malaise on 11/30/17, but that she felt better on 12/1/17. The arm was still red though. She said that she took some OTC BENADRYL. She also stated that she failed to mention (or put on the VAR) that she had a reaction when she received her Shingles injection (swelling and itching of the arm).
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Malaise, Nausea
Clinical narrative: The patient self reported that she had swelling, redness, itching, and hardening of the arm slightly below the sight of the injection on the arm. She said that she also felt nausea, fatigue, and malaise on 11/30/17, but that she felt better on 12/1/17. The arm was still red though. She said that she took some OTC BENADRYL. She also stated that she failed to mention (or put on the VAR) that she had a reaction when she received her Shingles injection (swelling and itching of the arm).
Age: 42.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Pain in extremity
Clinical narrative: Pain in my arm that did not go away in a day or a week.  Over a month later I still get twinges of pain when I move my arm certain ways.
Age: 16.0
Sex: M
Vaccine: FLU4, HPV9, MNQ
Symptoms: Dizziness
Clinical narrative: Patient was given MENACTRA IM in RD. Patient was then given the Flu and HPV9 in LD. A minute later patient's father opened the door and stated to me (vaccine administrator) that his son was dizzy. Dr. was informed and acted immediately asking patient to lay down and take fluids. 5 minutes later 4:21 PM, patients BP was 98/56.  Dr. was informed. The Doctor then examined the patients' heart, then asked him to remain laying down and to take more fluids. 12 minutes later, 4:33pm BP was 105/60. Dr. was informed. The Doctor again asked him to remain laying down for a few more minutes. 20 minutes later 4:53pm, BP was 105/64. Dr. was informed. The Doctor examined him again before releasing him.
Age: 1.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: FLUZONE 0.5ml was administered to 12 month old instead of age-appropriate 0.25ml dose - no ill effects reported, MD notified.
Age: 56.0
Sex: F
Vaccine: HEPAB, MMR, TYP
Symptoms: Pruritus, Rash
Clinical narrative: 11-13-17 CLT report on approx 10/30/17 she developed a minor, fine rash on chest, back and back of neck. No other Sx. CLT states within past few days the rash had become more prominent and spread in those areas. Rash very itchy. CLT states she used hydrocortisone cream to control itch. Advised CLT to have an evaluation by a provider and get provider opinion on receiving a booster MMR vaccine that she is due to receive end of November 2017. 11-27-17 CLT came into the outpatient clinic for #2 TWINRIX immunization. Client states rash on her back, neck and chest has not gone away and is persisting. CLT has an appt. with her PCP on 11-30-17 to have rash evaluated. CLT has decided to get titers done for measles, mumps and rubella to see if she had developed protective antibodies after MMR dose given on 10/26/17. Client stated she will find out from her provider on 11-30-17 if ok to get #2 MMR vaccination if titers come back negative.
Age: 0.33
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC13, RV1
Symptoms: Limb mass
Clinical narrative: Mother reports lumps in both legs, dime size. Denies redness or tenderness.
Age: 1.25
Sex: F
Vaccine: DTAP, FLU4, HIBV, PNC13
Symptoms: Erythema, Skin warm
Clinical narrative: No reaction. VIS given to mother. VIS date 8/7/15.
Age: 1.0
Sex: M
Vaccine: FLU4, HEPA, MMR, VARCEL
Symptoms: Full blood count, Laboratory test, Rash generalised, Rash morbilliform
Clinical narrative: Patient developed rash on 11/16/17-9d after vaccines. Seen in ER 11/19 and 11/20; office 11/22/17. Widespread rash which looked like measles. According to Red Book, can occur in 2% of patients receiving MMR.
Age: 72.0
Sex: M
Vaccine: FLUA3
Symptoms: Arthralgia, Borrelia test negative, Chills, Chromaturia, Culture urine
Clinical narrative: 11-20-17 prescribed for evaluation after 3 days of chills, rash, joint pain. Also noted diarrhea and dark urine. Flu vaccine administered on 11-15 Loratadine 10mg daily prescribed. Doxycycline 100 mg twice daily for 10 days. Loratadine for rash, Doxy for possible Lyme which was negative.
Age: 72.0
Sex: M
Vaccine: FLUA3
Symptoms: Diarrhoea, Influenza A virus test, Influenza B virus test, Rash, Urine analysis
Clinical narrative: 11-20-17 prescribed for evaluation after 3 days of chills, rash, joint pain. Also noted diarrhea and dark urine. Flu vaccine administered on 11-15 Loratadine 10mg daily prescribed. Doxycycline 100 mg twice daily for 10 days. Loratadine for rash, Doxy for possible Lyme which was negative.
Age: 38.0
Sex: F
Vaccine: FLUC4
Symptoms: Injected limb mobility decreased
Clinical narrative: Patient reports decreased arm mobility following flu shot resulting in a need for doctor visit and Physical therapy.
Age: 77.0
Sex: F
Vaccine: FLUA3
Symptoms: Arthralgia, Bone pain, Musculoskeletal pain, Pain in extremity
Clinical narrative: Severe shoulder, arm, elbow and even bone pain 10/12/17-Saw Primary Dr-She sent me to a rheumatology Dr. Saw him on 10/20/17 He gave me a shot-cortisone, prednisone-it helped the pain, and I was in pain. Pain eased up for a while but continued to have pain-took 2-500mg TYLENOL it would calm the pain for about 3 hrs and pain would come back. Saw Dr again ->on back.
Age: 83.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Arthralgia, Chills, Injection site erythema, Injection site pain, Pain in extremity
Clinical narrative: Pain and swelling both arms, redness at sites of inj., pains all joints inch. Fingers. Admin ADVIL (3x200mg) every 4 hrs; awoke at 630 AM with shaking chills; took 2 TYLENOL (500mg) every 4 hrs., forced fluids, lasted 2 days w/severe aches and pains; then began to subside; 4th day normal, but sore left shoulder for 8 week.
Age: 83.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Peripheral swelling, Tremor
Clinical narrative: Pain and swelling both arms, redness at sites of inj., pains all joints inch. Fingers. Admin ADVIL (3x200mg) every 4 hrs; awoke at 630 AM with shaking chills; took 2 TYLENOL (500mg) every 4 hrs., forced fluids, lasted 2 days w/severe aches and pains; then began to subside; 4th day normal, but sore left shoulder for 8 week.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Joint swelling, Ultrasound scan normal, X-ray limb normal, X-ray of pelvis and hip normal
Clinical narrative: Pain in hip, knee, swollen ankle-left side X-rays of hip and knee. Sonogram of lower left leg (all negative) Physical therapy-twice a week visit to orthopaedic doctor-prescribed NAPROSYN (did not use-too many side effects).
Age: 9.0
Sex: M
Vaccine: TDAP
Symptoms: Bordetella test, Cough, Erythema, Injection site erythema, Injection site swelling
Clinical narrative: Patient was seen for cough on 11/28/17 after exposure to pertussis at school. He had a pertussis PCR done and was placed on BACTRIM. He was subjectively warm but no documented fever. He received a Tdap on 11/28/2017 as well. On 11/29/2017 his entire left arm from shoulder to wrist developed redness, warmth and swelling with tender left armpit. BENADRYL was given with cold compress with benefit. Mom states he had fever to 101 F x 2 days.