chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: PNC13, UNK
Symptoms: Abdominal pain upper, Chills, Feeling cold, Headache
Clinical narrative: chills; headache; stomachache; This is a spontaneous report from a contactable consumer. An adult female patient in her late 40's or early 50's received pneumococcal 13-valent conjugate vaccine (diphtheria CRM197 protein) (PREVNAR 13), via an unspecified route of administration in right arm/shoulder area on 29Sep2020 at a single dose for immunization and influenza vaccine via an unspecified route of administration in left arm/shoulder area on 29Sep2020 at an unspecified dose for immunization, in the workplace clinic.The patient's medical history and concomitant medications were not reported. On an unspecified date in Sep2020, the patient was having chills, headache, and stomachache and was going home because she couldn't get warm. The outcome of the events was recovering.  No follow-up attempts are needed; Information about the lot/ batch number could not be obtained.
Sex: U
Vaccine: PNC13, UNK
Symptoms: Abdominal pain upper, Feeling cold, Headache
Clinical narrative: chill/can't get warm; headache; stomach ache; This is a spontaneous report from a contactable consumer. A patient of unspecified age and gender received pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) (PREVNAR 13, solution for injection in pre-filled syringe, lot number and expiry date unknown), via an unspecified route of administration, on 29Sep2020, at single dose, for immunization and; influenza vaccine (INFLUENZA VACCINE), via an unspecified route of administration, on 29Sep2020, at unknown dosage, for immunization. The patient's medical history and concomitant medications were not reported. The patient had a flu shot and Prevnar 13 shot yesterday and from an unspecified date in 2020 the patient was having the chill, headache and stomach ache, therefore the patient was going home and further stated that he/she can't get warm. The outcome of the events was unknown.  No follow-up attempts are needed. No further information is expected; information about the lot/batch number cannot be obtained.
Sex: F
Vaccine: UNK
Symptoms: Flank pain, Pain in extremity
Clinical narrative: great deal of pain under her arm, and down her side; This is a spontaneous report from a contactable healthcare professional. A 73-year-old female patient started to receive pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) (lot number and expiration date unknown) at a single dose for immunisation. Medical history and concomitant medications were not reported. The patient received the updated pneumonia vaccine. She stated that she was expecting the injection site to be sore, but she had unusual reaction -- great deal of pain under her arm, and down her side. It  started the day after and lasted few days. There was no rash/redness. The MD was not aware. The outcome of the event was recovered.
Sex: F
Vaccine: PNC13
Symptoms: Cough, Exposure to communicable disease, Injection site bruising, Injection site nodule, Respiratory tract congestion
Clinical narrative: the next day developed cough, runny nose and chest congestion; the next day developed cough, runny nose and chest congestion; the next day developed cough, runny nose and chest congestion; Has bruise and knot at injection site; Has bruise and knot at injection site; This is a spontaneous report from a contactable consumer (patient). This female consumer of an unspecified age received pneumococcal 13-val conjugate vaccine (dipht crm197 protein) (PREVNAR 13) via an unspecified route of administration on 23Sep2020 at single dose for immunisation. Relevant medical history and concomitant medications were not reported. The day after the vaccination, on 24Sep2020, the patient developed cough, runny nose and chest congestion and on an unspecified date in 2020 she had  bruise and knot at injection site. The patient stated that she was awaiting test results for Corona Virus, as she was exposed to a friend that was positive. At the time of the report, the outcome of the events was unknown.  No follow-up attempts are possible, information about batch number cannot be obtained.
Sex: F
Vaccine: PNC13
Symptoms: Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: the next day developed cough, runny nose and chest congestion; the next day developed cough, runny nose and chest congestion; the next day developed cough, runny nose and chest congestion; Has bruise and knot at injection site; Has bruise and knot at injection site; This is a spontaneous report from a contactable consumer (patient). This female consumer of an unspecified age received pneumococcal 13-val conjugate vaccine (dipht crm197 protein) (PREVNAR 13) via an unspecified route of administration on 23Sep2020 at single dose for immunisation. Relevant medical history and concomitant medications were not reported. The day after the vaccination, on 24Sep2020, the patient developed cough, runny nose and chest congestion and on an unspecified date in 2020 she had  bruise and knot at injection site. The patient stated that she was awaiting test results for Corona Virus, as she was exposed to a friend that was positive. At the time of the report, the outcome of the events was unknown.  No follow-up attempts are possible, information about batch number cannot be obtained.
Sex: U
Vaccine: FLUC3, PNC13
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Rash and swelling was noted at injection site; Rash and swelling was noted at injection site; This is a spontaneous report from a contactable nurse. A patient of unspecified age and gender received pneumococcal 13-valent conjugate vaccine [diphtheria crm197 protein] (PREVNAR 13; solution for injection in pre-filled syringe; unknown lot number and expiration date) at single dose and influenza vaccine inact sag 3v (FLUCELVAX) at an unknown dosing regimen, both via an unspecified route of administration from an unspecified date to an unspecified date for immunization. The patient's medical history and concomitant medications were not reported. The patient inquired if Prevnar 13 can be e given simultaneously with Flucelvax and wanted a yes or no answer only. During the call, it was mentioned that the patient received Prevnar 13 with a flu vaccine, and the patient experienced rash and swelling was noted at injection site. It was stated that there was no contraindications were noted in PI with concomitant admin of flu vaccine. The agent tried to explain that there were some information in PI that addresses concomitant admintration with flu vaccine (from studies) however caller insisting on yes/no answer and the was unable to complete explanation. The agent offered to forward her inquiry but the caller declined. The outcome of the events was unknown.   No follow-up attempts are needed; information about lot/batch number cannot be obtained.
Sex: F
Vaccine: PNC13
Symptoms: Extra dose administered, Fatigue
Clinical narrative: She was 76 years old;This was her 3rd pneumococcal 13-valent conjugate vaccine in 4 years; feels okay but tired; This is a spontaneous report from a contactable physician. A 76-year-old female patient received pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) (PREVNAR 13), via an unspecified route of administration, in 2016 (first dose; lot number M51193), in 2017 (second dose; lot number S58702) and on 18Sep2020 (third dose; lot number 300051971022) at a single dose for immunisation. Medical history included ongoing hypertension, ongoing hyperglycaemia, and ongoing hyperlipids; all were diagnosed before receiving the vaccines. There were no concomitant medications. The patient went to the hospital for the flu shot. They also offered her pneumococcal 13-valent conjugate vaccine. She was 76 years old and she didn't go there asking for it, but was offered it. The patient asked if she was due. They gave it to her. The doctor received a report and they looked at her chart. This was her 3rd pneumococcal 13-valent conjugate vaccine in 4 years. She had one in 2016, one in 2017, and one in 2020. The doctor doesn't know if there is a problem with her getting three. She has contacted the patient. The patient said she feels okay but tired. She generally feels tired though so the doctor wouldn't consider that a new feeling. Outcome of the events was unknown.  No follow-up attempts are needed. No further information is expected.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Skin discolouration, Skin exfoliation
Clinical narrative: Arm was discolored and peeling; Arm was discolored and peeling; This is a spontaneous report from a contactable consumer (pharmacy intern). A 65-year old female patient received pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein)(PREVNAR 13; lot number: CM1131; NDC number: 00005197102; expiry date: Apr2022) intramuscular, on 08Sep2020, at 0.5 mL, single, for immunisation/vaccination. The patient's medical history and concomitant medications were not reported. The patient received pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) vaccine on 08Sep2020, and a day or so later, she came in and stated her arm was discolored and peeling. The outcome of the events was unknown.  No follow-up attempts are needed. No further information is expected.
Sex: F
Vaccine: PNC13
Symptoms: Skin discolouration, Skin exfoliation
Clinical narrative: arm discolored and her skin was peeling off; arm discolored and her skin was peeling off; This is a spontaneous report from a contactable pharmacist. A female patient of an unspecified age received pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) (PREVNAR 13), via an unspecified route of administration on an unspecified date at single dose for immunisation. The patient's medical history and concomitant medications were not reported. The patient received pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) on an unspecified date and the next day arm was discolored and her skin was peeling off. The reporter asked if this is common.  No follow-up attempts are needed. Information regarding batch/lot number cannot be obtained.
Sex: U
Vaccine: PNC13
Symptoms: Burning sensation
Clinical narrative: She hears it "burns a little"; This is a spontaneous report from a contactable pharmacist via Pfizer sales representative. A patient received pneumococcal 13-val conj vac (dipht crm197 protein) (PREVNAR 13), unknown on an unspecified date at SINGLE DOSE for immunisation. The patient medical history and concomitant medications were not reported. The patient experienced she hears it "burns a little" on an unspecified date. The outcome of the event was unknown.  No follow-up attempts are possible; information about lot/batch number cannot be obtained.
Sex: F
Vaccine: UNK, UNK, UNK
Symptoms: Hypersensitivity
Clinical narrative: Allergies: Amoxicillin, Aspirin, Metformin, Pneumococcal vaccine; Allergies: Amoxicillin, Aspirin, Metformin, Pneumococcal vaccine; This is a spontaneous report from a contactable Physician. An 81-year-old female patient received pneumococcal 13-val conj vac (dipht crm197 protein) (manufacturer unknown), via an unspecified route of administration on an unspecified date at single dose for immunization; co-suspect drug included amoxicillin (manufacturer unknown), acetylsalicylic acid (ASPIRIN), and metformin (manufacturer unknown), with route of administration, therapy date, dose and indication unspecified. The patient's medical history and concomitant medications were not reported. The patient experienced allergies to amoxicillin, acetylsalicylic acid, metformin, pneumococcal vaccine on an unspecified date.  The action taken in response to the event for amoxicillin, acetylsalicylic acid and metformin was unknown. The outcome of the event was unknown.   Pfizer is a Marketing Authorization Holder of pneumococcal 13-val conj vac (dipht crm197 protein) and was a Marketing Authorization Holder of amoxicillin in the country of incidence or the country where the product was purchased (if different). This may be a duplicate report if another Marketing Authorization Holder of pneumococcal 13-val conj vac (dipht crm197 protein) and amoxicillin has submitted the same report to the regulatory authorities.  No follow-up attempts are needed. No further information is expected.
Age: 57.0
Sex: F
Vaccine: FLU4, FLUC4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient has received two flu shots within 2 days apart. Followed up with the patient 1 week after her second flu shot dose and she has NO adverse effect and did not have any adverse effect right afterwards as well.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Joint range of motion decreased
Clinical narrative: Patient explains immediate pain at time of administration. Loss of range of motion and physical therapy to regain motion.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Myalgia, Pyrexia
Clinical narrative: Fever, myalgia. Patient vaccinated by employer during scheduled flu clinic for employees.
Age: 18.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Injection site erythema, Injection site swelling, Pain in extremity, Peripheral swelling
Clinical narrative: Pt reports getting a flu vaccine at the Flu Shot Clinic that was held on 10/7. Pt states on 10/10 she woke up with a red, swollen and sore left arm. Pt had a noticeable red/raised area at injection site with a white pustulal that is still intact. Saw provider today at the clinic was prescribed antibiotic.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Condition aggravated, Pain, Pyrexia, Rash erythematous
Clinical narrative: Streaking red rash and low grade fever x 24 hours; pain to higher degree than expected
Age: 53.0
Sex: M
Vaccine: FLUC4, VARZOS
Symptoms: Body temperature increased, Fatigue, Injection site pain, Pain
Clinical narrative: Temperature of 99.0, Entire body aches, Extreme fatigue, Extremely sore arm at injection site
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Cough, Diarrhoea, Lethargy, Nausea, Pyrexia
Clinical narrative: Patient reported fever, lethargy, nausea, vomiting, diarrhea and dry cough.
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: SARS-CoV-2 test negative, Vomiting
Clinical narrative: Patient reported fever, lethargy, nausea, vomiting, diarrhea and dry cough.
Age: 83.0
Sex: M
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: PATIENT MENTIONED THAT THE DAY AFTER THE SHOT HE GOT RASH ON HIS BACK AND ON THE OPPOSITE SHOULDER OF WHER HE GOT THE INJECTION.
Age: 48.0
Sex: F
Vaccine: FLUC4
Symptoms: Fatigue, Pain, Pain in extremity
Clinical narrative: Severe Entire Body Aches, Severe Sore Arm, Extreme fatigue
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Scab, Varicella, Varicella post vaccine
Clinical narrative: Shingrix vaccine Reactions to vaccination: chicken pox rash.  I was traveling I thought at first I had mosquito bites  But they were in odd places where clothing covers.  Eventually they were on my belly, back, thighs, folds around my elbows and knees.  That?s when I began to suspect an out break of chicken pox! They are starting to scab over as of yesterday October 11.     As a child I had chicken pox,  I cared for all four of my children when they had chicken pox!  Has this happened to anyone else?
Age: 65.0
Sex: F
Vaccine: FLUA3
Symptoms: Contusion, Pain
Clinical narrative: patient had significant bruising in her arm (5+ inches) in size even 1 week after the vaccine. She is still having pain a week later as well.
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Swelling
Clinical narrative: Large area localized swelling
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Decreased appetite, Erythema, Headache, Myalgia, Nausea
Clinical narrative: Muscle Aches, headache, Nausea, no appetited and fever of over 101 for 1-1/2 days.  Arm was a little sore, red a swollen.  In bed for almost 2 days and thought I had a the flu or even COVID.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Muscle Aches, headache, Nausea, no appetited and fever of over 101 for 1-1/2 days.  Arm was a little sore, red a swollen.  In bed for almost 2 days and thought I had a the flu or even COVID.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Dyspepsia, Hypersomnia
Clinical narrative: Beginning the day after the shot, I did not have much strength and my stomach became very acidy. On Wednesday after the shot, I slept practically all day. Thursday through Saturday my strength came back some, but my stomach was still very acidy. Sunday, the 11th, I was better and had more strength. Today, Monday the 12th, I feel much better but still have an acid-stomach. I?ve been told by the pharmacist at my regular pharmacy store that reactions should really only last a couple of days, but mine lasted a week.
Age: 41.0
Sex: F
Vaccine: FLUR4
Symptoms: Agitation, Limb discomfort, Pain in extremity, Peripheral swelling
Clinical narrative: Pt called to report a reaction from the flu shot. She has some swelling in her arm about 2"x2" and her arm feels "heavy and sore". She sounded very agitated and was concerned about dealing with "student pharmacists". Recommended her  Benadryl and ibuprofen and to watch the site. . Explained that there are always possibilities of experiencing a localized reaction with any vaccine. She was worried about nerve damage. She is not experiencing any other symptoms and will keep an eye on it.
Age: 18.0
Sex: M
Vaccine: FLU4, MENB
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia
Clinical narrative: History of headache, muscle ache joint pain for last 2 days after getting the 2 shots with fever 101. Given Motrin and benadryl.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Rash, Rash pruritic
Clinical narrative: Light rash on chest from lower neck to navel, somewhat itchy No raised skin, lasted 4 days. Attempted to see a dermotologist, refused. (rash resolved itself 2 days later). Periodic itchiness pops-up and disappears in a variety of body locations to date, Benadryl, Noxema resolve it. All of this may have nothing to do w/Shingrix shot I report this only due to chronology of imoculation/Sx but I have experienced itchy skin in past and rash may have been due to exposure to sun (limited but possible - I don't specifically recall sitting in sun long enough to get a sunburn but may have happened).
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Balance disorder, Body temperature decreased, Ear pain, Fatigue
Clinical narrative: Note: Patient is 5'1" / wgt 101lbs. / Excellent health / Age 79 / Petite on AED for Ideopathic seizure disorder Adverse Reactions: 1) 09/02 - Bleeding from site (Am not on blood thinners/never bled before 2) 09/03 - Not dizzy but felt like walking off balance (But wasn't) Temp 96.7 (AM); Normal 07.7 (Afternoon) 3) 09/03-4 Am Author - Too weak to work on writing projects spent most of 2 days feeling too tired to think clearly about writing 4) 09/03 For next 2 1/2 wks stiffness in RT upper arm "Left" ear ache (Inner ear)  Comment: Concern as a professional whether larger dose given to petite person is what caused reactions? Do I need (65+) dose 0.7 ml? Why was I not advised that dose was stronger than 0.5 mL of prior yrs?? *Thank  you for the courtesy of a response.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Impaired work ability, Injection site haemorrhage, Injection site reaction, Mental impairment, Musculoskeletal stiffness
Clinical narrative: Note: Patient is 5'1" / wgt 101lbs. / Excellent health / Age 79 / Petite on AED for Ideopathic seizure disorder Adverse Reactions: 1) 09/02 - Bleeding from site (Am not on blood thinners/never bled before 2) 09/03 - Not dizzy but felt like walking off balance (But wasn't) Temp 96.7 (AM); Normal 07.7 (Afternoon) 3) 09/03-4 Am Author - Too weak to work on writing projects spent most of 2 days feeling too tired to think clearly about writing 4) 09/03 For next 2 1/2 wks stiffness in RT upper arm "Left" ear ache (Inner ear)  Comment: Concern as a professional whether larger dose given to petite person is what caused reactions? Do I need (65+) dose 0.7 ml? Why was I not advised that dose was stronger than 0.5 mL of prior yrs?? *Thank  you for the courtesy of a response.
Age: 75.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site pain, Loss of personal independence in daily activities, Pain, Paraesthesia
Clinical narrative: 1. Tingling Pins & needle in arm, hand, finges, toes, leg  2. Shooting pain in area of injection to shoulber especially when I extend arm toward the back of my body to reach or getting dressed or undressed. Sometimes when my arm is just relaxed. It has slowed me down for sure even putting my seat belt on. Pharmacist told me to go to my doctor after speaking to him Dr. Visit 9/16/20 Doctor said injection was given improperly, maybe hitting nerve or muscle, not sure. told me to try heat. I have been told to wait each time I talk to phamacist at corporate office to see if it improves. I have tried to be patient and do what is right. As of today it is still giving me issues. I have been favoring my arm so I won't have pain. I am very afraid to have any more vaccine shots to be honest. pain also below injection site just above elbow. Kind of all over the place.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Breast swelling, Injection site pain, Oedema peripheral, Peripheral swelling, Pyrexia
Clinical narrative: Soreness to site, swollen arm up to armpit and breast, fever
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Lip swelling, Rash, Swelling face, Throat tightness
Clinical narrative: rash on face; facial swelling; throat was tightening but no trouble breathing; swollen lips; This is a spontaneous report from a contactable healthcare professional and physician. A 16-year-old female patient received the first dose of meningococcal group b rlp2086 (TRUMENBA) strength: 0.5 ml, lot no: CM1497, expiration date: 30Jun2022, via an unspecified route of administration in left deltoid on 26Mar2020 12:02 at 0.5 mL, single for immunization. The patient's medical history was not reported. Concomitant medications included meningococcal vaccine a/c/y/w conj (dip tox) (MENACTRA) lot no: U6575AA, expiration date: 08May2021, and diphtheria vaccine toxoid, pertussis vaccine acellular, tetanus vaccine toxoid (TDAP) lot no: U6621BA, expiration date: 21Mar2022, both received on 26Mar2020 for immunization. The patient previously received TDAP and MENACTRA doses as it was reported that TDAP and Menactra vaccines had been administered before to the patient with no adverse reaction. The healthcare professional wanted to know if it is okay to give second dose of TRUMENBA if patient had an adverse reaction to it on 27Mar2020. The female patient was 16 years old at the time of events: rash on face, facial swelling, throat was tightening but no trouble breathing, and swollen lips. She said the patient also got 2 other vaccines administered at the same time, but the TRUMENBA was the only new vaccine. She stated that the doctor would like to know if it is recommended to give the second TRUMENBA vaccine, since the patient may have had a possible reaction to TRUMENBA. She added that after receiving the TRUMENBA vaccine, the patient had a rash on her face the following morning (27May2020) and tried cetirizine cetirizine (ZYRTEC). The rash got worse, with the patient experiencing facial swelling, and saying it felt like her throat was getting tight, but the patient's throat was not closing. The patient did not have any trouble breathing. The patient was given a steroid and an epinephrine (EPI-PEN) injection because the patient's lips were swollen, as well. No relevant tests done. The patient recovered from the events.   No follow-up attempts are needed. No further information is expected.; Sender's Comments: Based on the close temporal relationship, the association between the events "rash on face, facial swelling, throat was tightening but no trouble breathing, and swollen lips" with TRUMENBA can not be fully excluded.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Headache, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Patient explained had redness and swelling from her shoulder to her elbow. Also experienced itching, pain, headache, gastrointestinal discomfort and warm to the touch. Patient explained has gone done since the initial occurrence but is still having discomfort.
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Skin warm
Clinical narrative: Patient explained had redness and swelling from her shoulder to her elbow. Also experienced itching, pain, headache, gastrointestinal discomfort and warm to the touch. Patient explained has gone done since the initial occurrence but is still having discomfort.
Age: 52.0
Sex: F
Vaccine: FLUA4
Symptoms: Headache, Hyperhidrosis, Nausea, Scab, Swelling face
Clinical narrative: Scabs, sweats, headache, nausea. swollen jaw.  Pt treated herself at home with ibuporphen and imetrex.
Age: 60.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Patient started having itching and redness at injection site.  Both continued to the next day
Age: 63.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Decreased appetite, Fatigue, Nausea, Pyrexia
Clinical narrative: Low level fever (99.9), tiredness, nausea, loss of appetite
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation, Injection site pain
Clinical narrative: Patient states that vaccine administration site became red, inflamed, "hard", and incredibly sore. She states it resolved on its own.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site oedema, No reaction on previous exposure to drug
Clinical narrative: August 17, 2020: Prevnar 13 given R. arm (IM?).   August 19-21, 2020: Noticed redness below & adjacent to injection site approx. 4cmx6cm in size. August 22-23, 2020: Progressively growing redness with edema noted extending from injection site to elbow.  I have photos. August 24, 2020: Called Dr. and was seen same day.  Put on Keflex for one week. *This Prevnar 13 vaccination is the first time I have ever had an adverse reaction to any vaccination!
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Body temperature increased, Chills, Cough, Fatigue
Clinical narrative: 2020-10-08 16:30:00   Joint pain, primarily in knees and hips 2020-10-08 18:45:00   Persistent cough, pain in lt upper lung lobe. 2020-10-08 22:30:00   Severe chills and fatigue. Went to bed. Temp: unavailable. 2020-10-09 01:30:00   Fever and chills gone, evidence of diaphoresis while sleeping. Temp: 99.1 F 2020-10-09 08:45:00   Teeth pain. Temp: 99.1 Pain and swelling at injection site. 2020-10-09 11:30:00   Lower sinus and soft palate sensitivity. 2020-10-09 14:15:00   Significant headache involving upper sinus and eustachians bilat. 2020-10-09 18:00:00   All sx greatly resolved. 2020-10-10 10:13:00   No sx.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Injection site swelling, Night sweats, Palatal disorder, Pulmonary pain
Clinical narrative: 2020-10-08 16:30:00   Joint pain, primarily in knees and hips 2020-10-08 18:45:00   Persistent cough, pain in lt upper lung lobe. 2020-10-08 22:30:00   Severe chills and fatigue. Went to bed. Temp: unavailable. 2020-10-09 01:30:00   Fever and chills gone, evidence of diaphoresis while sleeping. Temp: 99.1 F 2020-10-09 08:45:00   Teeth pain. Temp: 99.1 Pain and swelling at injection site. 2020-10-09 11:30:00   Lower sinus and soft palate sensitivity. 2020-10-09 14:15:00   Significant headache involving upper sinus and eustachians bilat. 2020-10-09 18:00:00   All sx greatly resolved. 2020-10-10 10:13:00   No sx.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Sinus disorder, Sinus headache, Toothache
Clinical narrative: 2020-10-08 16:30:00   Joint pain, primarily in knees and hips 2020-10-08 18:45:00   Persistent cough, pain in lt upper lung lobe. 2020-10-08 22:30:00   Severe chills and fatigue. Went to bed. Temp: unavailable. 2020-10-09 01:30:00   Fever and chills gone, evidence of diaphoresis while sleeping. Temp: 99.1 F 2020-10-09 08:45:00   Teeth pain. Temp: 99.1 Pain and swelling at injection site. 2020-10-09 11:30:00   Lower sinus and soft palate sensitivity. 2020-10-09 14:15:00   Significant headache involving upper sinus and eustachians bilat. 2020-10-09 18:00:00   All sx greatly resolved. 2020-10-10 10:13:00   No sx.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Pyrexia, Skin lesion
Clinical narrative: Patient received first Shingrix injection on Friday, 10/9/20 and developed fever, chills, and shingles-like lesions on Saturday, 10/10/20.  The patient reported several lesions developed on her scalp and forehead, one lesion on each breast, 2-3 lesions on abdomen, and left palm was itchy.  The patient called her doctor Monday morning, 10/12/20, who advised her to notify the pharmacy.  The patient received no treatment for the lesions.  As of Monday, 10/12/20, the lesions were reportedly fading.
Age: 48.0
Sex: F
Vaccine: FLUC4
Symptoms: Cough, Dyspnoea, Throat irritation, Wheezing
Clinical narrative: Pt States the evening she got her flu shot she experienced shortness of breath, wheezing, itchy throat, coughing.  She took a benadryl and it was resolved shortly therafter with no issues.  Pt has gotten flu shot before with no current medical concerns.
Age: 18.0
Sex: F
Vaccine: MNQ, MENB, MNQ
Symptoms: Erythema, Injection site reaction, Rash, Rash erythematous, Urticaria
Clinical narrative: At site started   red rash arm and legs.   hive like , face red,   welts on legs.
Age: 18.0
Sex: F
Vaccine: MNQ, MENB, MNQ
Symptoms: Erythema, Eye swelling, Hyperventilation, Urticaria
Clinical narrative: At site started   red rash arm and legs.   hive like , face red,   welts on legs.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site swelling
Clinical narrative: Immediately after injecting vaccine the surrounding area swelled to about the size  of a golf ball. Since this was at a pharmacy with a clinic inside, I took the patient next door to have it looked at. The NP stated it just appeared to be tissue swelling and sometimes happens with different preservatives. Pt was  instructed to go about her day and come back if the swelling did not go down in about an hour. I called the patient later that day to check on her and she stated the swelling went down by the time she went home and she was feeling fine.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Cellulitis, Erythema, Pain in extremity, Skin warm
Clinical narrative: Pt's arm became red and started hurting  on Saturday afternoon.  Sunday it got worse and the redness and warmth was spreading.  Pt's Mom called the pharmacy and was advised to call their MD office.  MD office called in prescription for Keflex 250mg/5ml.  Pt came and picked up medication.  Pt was taking prescription Keflex as well as Ibuprofen and applying ice. Sunday night, pt complained pain was worse and parents took pt to ER.  ER dx cellulitis and prescribed Bactrim susp.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Pt. had a reaction at the injection site as reported by the patient. She had redness on the arm, her arm was hard to touch. The Dr gave her prednisone and she also took some tylenol. She is all fine now
Sex: U
Vaccine: VARZOS, VARZOS
Symptoms: Asthenia, Back pain, Erythema, Eye irritation, Feeling hot
Clinical narrative: - Day of vaccination, eyes began to burn and face was hot. Took Tylenol, Singular, and eye drops. That evening symptoms persisted.  Left arm was slightly sore & red,  eyes still burning, back pain, began feeling weak. Continued meds. Redness began to spread further. Adv'd to take Benadryl per vaccine administrator. Arm is now slightly red, skin has thickened up. Feeling better, but seeing Doctor tomorrow.
Sex: U
Vaccine: VARZOS, VARZOS
Symptoms: Pain in extremity, Skin hypertrophy
Clinical narrative: - Day of vaccination, eyes began to burn and face was hot. Took Tylenol, Singular, and eye drops. That evening symptoms persisted.  Left arm was slightly sore & red,  eyes still burning, back pain, began feeling weak. Continued meds. Redness began to spread further. Adv'd to take Benadryl per vaccine administrator. Arm is now slightly red, skin has thickened up. Feeling better, but seeing Doctor tomorrow.
Sex: U
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Eye colour change, Eye irritation, Fatigue, Hypersensitivity
Clinical narrative: - Day of vaccination, eyes began to burn and face was hot. Took Tylenol, Singular, and eye drops. That evening symptoms persisted.  Left arm was slightly sore & red,  eyes still burning, back pain, began feeling weak. Continued meds. Redness began to spread further. Adv'd to take Benadryl per vaccine administrator. Arm is now slightly red, skin has thickened up. Feeling better, but seeing Doctor tomorrow.
Sex: U
Vaccine: VARZOS, VARZOS
Symptoms: Injection site rash, Pain, Rash, Rash erythematous, Skin discolouration
Clinical narrative: - Day of vaccination, eyes began to burn and face was hot. Took Tylenol, Singular, and eye drops. That evening symptoms persisted.  Left arm was slightly sore & red,  eyes still burning, back pain, began feeling weak. Continued meds. Redness began to spread further. Adv'd to take Benadryl per vaccine administrator. Arm is now slightly red, skin has thickened up. Feeling better, but seeing Doctor tomorrow.
Sex: U
Vaccine: VARZOS, VARZOS
Symptoms: Skin induration, Skin texture abnormal, Skin tightness
Clinical narrative: - Day of vaccination, eyes began to burn and face was hot. Took Tylenol, Singular, and eye drops. That evening symptoms persisted.  Left arm was slightly sore & red,  eyes still burning, back pain, began feeling weak. Continued meds. Redness began to spread further. Adv'd to take Benadryl per vaccine administrator. Arm is now slightly red, skin has thickened up. Feeling better, but seeing Doctor tomorrow.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: red, slightly swollen and warm to touch
Age: 56.0
Sex: M
Vaccine: FLU4
Symptoms: Radiculitis brachial
Clinical narrative: Possible brachial neuritis with associated  symptoms.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Diplopia, Dizziness, Fatigue, Headache, Myalgia
Clinical narrative: Sudden onset of dizziness, nausea, vomiting, double vision, myalgia, fatigue, headache.  Symptoms started two days following Fluzone administration. Patient presented to hospital four days following administration of vaccine.  Concern for Acute Disseminated Encephalomyelitis (ADEM)
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Vomiting
Clinical narrative: Sudden onset of dizziness, nausea, vomiting, double vision, myalgia, fatigue, headache.  Symptoms started two days following Fluzone administration. Patient presented to hospital four days following administration of vaccine.  Concern for Acute Disseminated Encephalomyelitis (ADEM)
Age: 69.0
Sex: M
Vaccine: FLUA4
Symptoms: Muscle spasms
Clinical narrative: Severe back spasms- upper back to epigastric with severe pain. lasted Friday night and all day Saturday.  Early Sunday morning it finally passed.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Pyrexia
Clinical narrative: Patient states she had high fever 101.7 and nausea. She contacted er staff and was told to rest, if symptoms got worse to come in. Patient states feeling better but wanted to report reaction and to see if common.
Age: 29.0
Sex: F
Vaccine: DTAP
Symptoms: Arthralgia, Fatigue, Feeling abnormal, Inflammation, Peripheral swelling
Clinical narrative: swelling of arm; fatigue; joint pain for months after incident; fever; brain fog; inflammation
Age: 29.0
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: swelling of arm; fatigue; joint pain for months after incident; fever; brain fog; inflammation
Age: 36.0
Sex: F
Vaccine: FLUC4
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Associate broke out in an itchy, red bumpy rash on neck and bilateral arms a couple of hours post vaccine.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Blood test normal, Chest X-ray normal, Chest discomfort, Chills
Clinical narrative: Later that evening at 7pm, felt achiness in upper legs. At 2:30 a.m. woke with sweating, fever/chills, difficulty hearing, felt chest pressure like having a heart attack, bad headache, weakness, couldn't drink water bottle. Went to the ER after that.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Electrocardiogram normal, Fluid intake reduced, Headache, Hyperhidrosis, Hypoacusis
Clinical narrative: Later that evening at 7pm, felt achiness in upper legs. At 2:30 a.m. woke with sweating, fever/chills, difficulty hearing, felt chest pressure like having a heart attack, bad headache, weakness, couldn't drink water bottle. Went to the ER after that.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Pregnancy test negative, Pyrexia
Clinical narrative: Later that evening at 7pm, felt achiness in upper legs. At 2:30 a.m. woke with sweating, fever/chills, difficulty hearing, felt chest pressure like having a heart attack, bad headache, weakness, couldn't drink water bottle. Went to the ER after that.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Dizziness, Dry mouth, Hyperhidrosis, Nervousness
Clinical narrative: was feeling lightheaded, sweaty, heart racing, paleness, weakness within 20 minutes of receiving high dose flu vaccine. Brought to the pharmacy room. 11:50am her blood pressure 140/80, pulse was 83-88, O2 sat 100%. 12:50pm pulse 83 BP 110/70, O2 sat 100%. She continuously felt shaky and had a dry mouth. We continually asked if she had any trouble breathing or if she was feeling itchy. Injection site looked normal. At 1:12pm she was able to walk and didn't feel weak. Took her to her car in wheelchair. Her sister was there and she is going to keep an eye on her for the rest of the day.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Pallor, Palpitations
Clinical narrative: was feeling lightheaded, sweaty, heart racing, paleness, weakness within 20 minutes of receiving high dose flu vaccine. Brought to the pharmacy room. 11:50am her blood pressure 140/80, pulse was 83-88, O2 sat 100%. 12:50pm pulse 83 BP 110/70, O2 sat 100%. She continuously felt shaky and had a dry mouth. We continually asked if she had any trouble breathing or if she was feeling itchy. Injection site looked normal. At 1:12pm she was able to walk and didn't feel weak. Took her to her car in wheelchair. Her sister was there and she is going to keep an eye on her for the rest of the day.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Back pain, Mobility decreased, Neck pain
Clinical narrative: PATIENT STARTED HAVING NECK PAIN THE NEXT DAY AFTER GETTING THE VACCINE.  TWO DAYS LATER, THE PAIN MOVED TO HER LOWER BACK AND LEFT SHOULDER.  THE NECK PAIN CONTINOUED FOR ABOUT 10 DAYS WITH LIMITED NECK MOVEMENT
Age: 71.0
Sex: M
Vaccine: FLU4
Symptoms: Contusion
Clinical narrative: Bruising to left arm 1 week post vaccination.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Antibody test, Blood thyroid stimulating hormone, Full blood count, Immediate post-injection reaction, Injection site erythema
Clinical narrative: Intense itching without rash occurring 7 days after injection.  Patient had mild erythema around injection site immediately after injection, which resolved.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Metabolic function test, Pruritus, Thyroxine free
Clinical narrative: Intense itching without rash occurring 7 days after injection.  Patient had mild erythema around injection site immediately after injection, which resolved.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Syncope
Clinical narrative: Patient received immunization and while walking around the store about 10 minutes later said her head hurt then fainted
Age: 71.0
Sex: F
Vaccine: FLUA3
Symptoms: Chills, Dyspnoea, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: fever chills body aches, shortness of breath ,  large local lump, reddness, soarness at site of injetion , I was siclkfpr over 10 days my primary physician is aware I had a virtual visit with the NP on Oct 1  I was put on a medrol pack  and albuterol inhalerand also hd a covid test on Oct 2  which was negtive, I had a follow up visit with my primary physician again on Oct 5 , my symptoms hd still not resolved in termss of shortness of breath
Age: 71.0
Sex: F
Vaccine: FLUA3
Symptoms: Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: fever chills body aches, shortness of breath ,  large local lump, reddness, soarness at site of injetion , I was siclkfpr over 10 days my primary physician is aware I had a virtual visit with the NP on Oct 1  I was put on a medrol pack  and albuterol inhalerand also hd a covid test on Oct 2  which was negtive, I had a follow up visit with my primary physician again on Oct 5 , my symptoms hd still not resolved in termss of shortness of breath
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Inflammation, Pain, Peripheral swelling, Pyrexia
Clinical narrative: 3 hours post vaccine, pt started feeling achy and started to have a low grade fever. the next morning pt reports a fever of 103 degrees F, body aches, diarrhea, swollen arm (6 inches in diameter with heat and inflammation). The fever lasted 4 nights. temp has been normal since night of day 4. took advil ATC during rection.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin warm
Clinical narrative: 3 hours post vaccine, pt started feeling achy and started to have a low grade fever. the next morning pt reports a fever of 103 degrees F, body aches, diarrhea, swollen arm (6 inches in diameter with heat and inflammation). The fever lasted 4 nights. temp has been normal since night of day 4. took advil ATC during rection.
Age: 13.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Muscular weakness, Pain in extremity, Product administered at inappropriate site, Shoulder injury related to vaccine administration
Clinical narrative: Patient received shoulder injury.  Suspect SIRVA.  Shoulder pain developed within 48 hours of receiving vaccine.  Patient still with pain and weakness of the right arm 2 weeks later.  Patient went through drive thru flu shot clinic and shot was administered in the car through the car window.  Patient reports it was administered high up.
Age: 13.0
Sex: F
Vaccine: FLU4
Symptoms: Ultrasound scan
Clinical narrative: Patient received shoulder injury.  Suspect SIRVA.  Shoulder pain developed within 48 hours of receiving vaccine.  Patient still with pain and weakness of the right arm 2 weeks later.  Patient went through drive thru flu shot clinic and shot was administered in the car through the car window.  Patient reports it was administered high up.
Age: 75.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Pain in extremity
Clinical narrative: Patient stated that her arm was extremely sore for 6 days after receiving the vaccinations and she had to take APAP for relief.
Age: 89.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Fall, Head injury, Limb injury, Syncope
Clinical narrative: Patient recieved High-Dose Fluzone on 09/21/2020 and the following morning was light-headed/dizzy and fainted. This resulted in patient falling hitting his headd and leg and being admitted to the hospital for evaluation. Today, patient is still experiencing dizziness and light-headedness.
Age: 73.0
Sex: F
Vaccine: FLU4, PPV, VARZOS
Symptoms: Asthenia, Chills, Erythema, Fatigue, Headache
Clinical narrative: Patient experienced extreme fatigue/lethargy, severe headache, painful and swollen arms, extreme erythema in left arm, and shivering. Patient stated that she had no energy to get out of bed and could not lift her arms. These events occurred the evening after the vaccinations were administering.
Age: 73.0
Sex: F
Vaccine: FLU4, PPV, VARZOS
Symptoms: Injected limb mobility decreased, Lethargy, Pain in extremity, Peripheral swelling
Clinical narrative: Patient experienced extreme fatigue/lethargy, severe headache, painful and swollen arms, extreme erythema in left arm, and shivering. Patient stated that she had no energy to get out of bed and could not lift her arms. These events occurred the evening after the vaccinations were administering.
Age: 67.0
Sex: M
Vaccine: UNK, UNK, UNK
Symptoms: Abdominal pain upper, Arthralgia, Chills, Headache, Impaired driving ability
Clinical narrative: On 10/5 at approx 12 pm he received flu, pneumovax and shinrix vaccine. About 2 hours after leaving the office, was driving and started to feel off. This increased while driving to point he felt unsafe driving. Later that night fever and chills so severe that stomach hurt because he was so chilled and balled up with the pain in muscles and joints. Did not take his temp. Felt bad enough he was scared and thought he might be having a stroke. Since that time symptoms have come and gone. First night did not take anything. Today took tylenol but not sure it helped as feels so bad. No cough, SOB, chest pain, stomach symptoms, ST a bit, maybe scratchy. Has had bad HA on and off with all of this too.  Arm is red where he got the 2 shots and is tender to the touch. Also reports rash on back.
Age: 67.0
Sex: M
Vaccine: UNK, UNK, UNK
Symptoms: Injection site erythema, Injection site pain, Malaise, Myalgia, Pyrexia
Clinical narrative: On 10/5 at approx 12 pm he received flu, pneumovax and shinrix vaccine. About 2 hours after leaving the office, was driving and started to feel off. This increased while driving to point he felt unsafe driving. Later that night fever and chills so severe that stomach hurt because he was so chilled and balled up with the pain in muscles and joints. Did not take his temp. Felt bad enough he was scared and thought he might be having a stroke. Since that time symptoms have come and gone. First night did not take anything. Today took tylenol but not sure it helped as feels so bad. No cough, SOB, chest pain, stomach symptoms, ST a bit, maybe scratchy. Has had bad HA on and off with all of this too.  Arm is red where he got the 2 shots and is tender to the touch. Also reports rash on back.
Age: 67.0
Sex: M
Vaccine: UNK, UNK, UNK
Symptoms: Rash, SARS-CoV-2 test negative, Throat irritation
Clinical narrative: On 10/5 at approx 12 pm he received flu, pneumovax and shinrix vaccine. About 2 hours after leaving the office, was driving and started to feel off. This increased while driving to point he felt unsafe driving. Later that night fever and chills so severe that stomach hurt because he was so chilled and balled up with the pain in muscles and joints. Did not take his temp. Felt bad enough he was scared and thought he might be having a stroke. Since that time symptoms have come and gone. First night did not take anything. Today took tylenol but not sure it helped as feels so bad. No cough, SOB, chest pain, stomach symptoms, ST a bit, maybe scratchy. Has had bad HA on and off with all of this too.  Arm is red where he got the 2 shots and is tender to the touch. Also reports rash on back.
Age: 14.0
Sex: F
Vaccine: FLUC4
Symptoms: Cold sweat, Dizziness, Dyspnoea, Hyperhidrosis, Malaise
Clinical narrative: Patient's mother reported patient became clammy, sweaty, and dizzy several minutes after receiving vaccine.  Approximately 15 minutes after receiving vaccine, the patient's mother reported to the pharmacy that she wasn't feeling well.  The patient was seated when I was called over to check on her.  She was sweaty and reported that she was dizzy and had "heavy breathing" but no chest tightness.  After drinking some water and sitting for approximately 10 additional minutes, she said she was feeling better and her parents said they would keep an eye on her.  Parents reported at a later date that the patient was back to normal an hour later.