chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: The patient came in with a larger red area where she got her ZOSTAVAX. She said it felt warm to the touch and was a little itchy. She said it was fine after she got it and showed up after about a day or so.  She did pilates yesterday and the red spot has gotten bigger since.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Throat tightness, Tremor
Clinical narrative: Patient departed the clinic to drive home and became dizzy and shakey. Patient felt as though her throat was closing.
Age: 16.0
Sex: F
Vaccine: HPV9
Symptoms: Lymphadenopathy, Pain, Pyrexia, Urticaria
Clinical narrative: This spontaneous report as received from a nurse practitioner refers to a 16-year-old female non-pregnant patient with a history of brain tumours. The patient was allergic to azithromycin causing complete body swelling and cephalosporins causing hives. There were no concomitant medications. On approximately 16-AUG-2017 (reported as 5 weeks before an adverse event onset), the patient was vaccinated with a dose of GARDASIL 9 intramuscularly (dose, lot number not reported). On 20-SEP-2017, the patient broke out in hives from head to toe on, five weeks to the day from receiving a dose of GARDASIL 9. The Nurse Practitioner also reported that the patient had fever, body aches and swollen lymph nodes. The patient was given prednisone intramuscularly and BENADRYL orally on the same day which did not help much. The reporter prescribed oral prednisone and ZANTAC 300mg on 21-SEP-2017. The outcome of the events was reported as recovering/resolving. The events were considered life-threatening by the reporter (reported also as they could lead to the life-threatening event).  The relationship between vaccination with GARDASIL 9 and the events was not reported.
Sex: U
Vaccine: MMRV
Symptoms: Expired product administered, No adverse event
Clinical narrative: This spontaneous report was received from a certified medical assistant and refers to a patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On 26-SEP-2017, the patient was vaccinated with an expired dose of PROQUAD expiration date: 22-SEP-2017 (dose, route of administration and lot# were not reported). There were no adverse symptoms reported. PROQUAD did not have any temperature excursions prior to administration.
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report was received from a registered nurse referring to a patient of unknown age and gender. No information was provided regarding the patient's medical history, concurrent conditions or concomitant medications. On 06-SEP-2017, the patient was vaccinated with improperly stored PROQUAD lot # N012490 and expiration date on 17-OCT-2018, subcutaneously (dose was not reported) for prophylaxis; which was reconstituted with properly stored sterile diluent (MRK). The doses of PROQUAD were exposed to a temperature excursion of 15 degrees Fahrenheit (°F) to 46 °F (19°F) during a time frame of 10 minutes which was detected by the data logger. There was no prior temperature excursion, no adverse events were reported and no product quality complaints were present. This is one of the two reports received from the same source. Sender's Comments: US-009507513-1709USA011998.
Sex: F
Vaccine: VARZOS
Symptoms: Injection site reaction
Clinical narrative: This spontaneous report was received from a female patient of unknown age who was referring to herself. There was no information regarding the patient's medical history, concomitant medications, drug reactions or allergies provided. On an unknown date, the patient was vaccinated with ZOSTAVAX in injection for prophylaxis (dose, lot number and expiration date were not provided). On an unknown date, the patient experienced reaction at the injection site. The outcome of the event was unknown. The relatedness between the event and ZOSTAVAX was not reported.
Age: 18.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Chills, Erythema, Flushing, Headache, Pain
Clinical narrative: This is a spontaneous report from a contactable physician. A 18-year-old female patient received TRUMENBA (Lot# S26985, Exp date 01Jan2019), intramuscular in arm right, on 16Aug2017 at approximately 12:30 PM, at 0.5 ml single, for immunisation and the 2nd dose of MENACTRA (Lot# U5567CA, Exp date 28Jun2018), intramuscular in arm left, on 16Aug2017 at approximately 12:30 PM, at 0.5 ml, for immunisation. The patient's medical history was not reported. Concomitant medications were none. The patient previously took the 1st dose of MENACTRA in Dec2006 for immunisation with no adverse effect.  On 16Aug2017 the patient experienced rash on face, cheeks were red and flushed, headache, fever, chills, body aches, arm sore on the arm that received TRUMENBA. The events were considered medically significant. The arm sore recovered on an unspecified date in Aug2017, all other events recovered on 17Aug2017. The events were considered related to TRUMENBA, and unknown if related to MENACTRA (except for arm sore which was considered as unrelated). Sender's Comments: 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, as appropriate. The case will be reassessed if additional information becomes available.
Age: 18.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Pain in extremity, Pyrexia, Rash
Clinical narrative: This is a spontaneous report from a contactable physician. A 18-year-old female patient received TRUMENBA (Lot# S26985, Exp date 01Jan2019), intramuscular in arm right, on 16Aug2017 at approximately 12:30 PM, at 0.5 ml single, for immunisation and the 2nd dose of MENACTRA (Lot# U5567CA, Exp date 28Jun2018), intramuscular in arm left, on 16Aug2017 at approximately 12:30 PM, at 0.5 ml, for immunisation. The patient's medical history was not reported. Concomitant medications were none. The patient previously took the 1st dose of MENACTRA in Dec2006 for immunisation with no adverse effect.  On 16Aug2017 the patient experienced rash on face, cheeks were red and flushed, headache, fever, chills, body aches, arm sore on the arm that received TRUMENBA. The events were considered medically significant. The arm sore recovered on an unspecified date in Aug2017, all other events recovered on 17Aug2017. The events were considered related to TRUMENBA, and unknown if related to MENACTRA (except for arm sore which was considered as unrelated). Sender's Comments: 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, as appropriate. The case will be reassessed if additional information becomes available.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Blister, Cellulitis, Erythema, Oedema peripheral, Skin warm
Clinical narrative: Right arm, anterior inlet, shoulder and upper back with edema, tense, large area of erythema and warmth extending 17 cm down arm from shoulder and 14 cm of circumference of arm. Non tender, no drainage, but small blisters near elbow. Treated with prednisolone BID x 5 days and AUGMENTIN BID x 10 days for diagnosed cellulitis.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Tension
Clinical narrative: Right arm, anterior inlet, shoulder and upper back with edema, tense, large area of erythema and warmth extending 17 cm down arm from shoulder and 14 cm of circumference of arm. Non tender, no drainage, but small blisters near elbow. Treated with prednisolone BID x 5 days and AUGMENTIN BID x 10 days for diagnosed cellulitis.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: THE PATIENT PRESENTED TO THE PHARMACY FIVE DAYS AFTER RECEIVING THE VACCINE COMPLAINING OF REDNESS, SWELLING, WARMTH, AND PAIN AT INJECTION SITE AND SURROUNDING AREA. THIS WAS ACCOMPANIED WITH FATIGUE. THESE SYMPTOMS STARTED THE SAME DAY THAT THE VACCINE WAS ADMINISTERED.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Pain, Pyrexia
Clinical narrative: She began to feel feverish and have body aches several hours after vaccine. States joint pain was thing she was most concerned about. She presents today and is being evaluated by a provider. Temp = 99.2 today.
Age: 0.5
Sex: M
Vaccine: DTAPIPV
Symptoms: Wrong drug administered
Clinical narrative: KINRIX given instead of PEDIARIX. DOH was contacted and explained that immunization will count as long as timing is correct, and it is.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site hypersensitivity
Clinical narrative: The patient noticed a redness in her left arm the night of the shot. The redness continued to get worse. The next day, the patient came back to the pharmacy to show the pharmacist. The redness began right below the injection site and extended down to just above the elbow when observed by the pharmacist. The redness wrapped the entire way around the arm. The patient was instructed to see a provider to have it evaluated. The patient was called the next day and it was confirmed by the provider that it was an allergic reaction and no infection was present. The patient was given anti-inflammatories. She said it was improving at that point.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Blood glucose normal, Fall, Pallor, Presyncope, Sluggishness
Clinical narrative: Patient had a fainting episode while checking out of the office. Fell backward, had tonic-clonic movements and came to immediately when he was placed on his side. Very pale on exam, heart and lungs normal sounds. Responsive but sluggish. HR 51, O2 99%, BP 60/50, T 98.4, glucose 104. Gave juice, watched and waited, color began to come back. Repeat vitals at 5-10 minute HR 105, O2 98%, BP 63/45. Continued to monitor in the office. BP at 11:25 78/40, HR 103, 99%. Able to sit up and walk around the office without problem. Discussed likely vasovagal episode with mom, will discuss vaccines in the future, possibly separate them or keep him in observation afterward.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Syncope, Tonic clonic movements
Clinical narrative: Patient had a fainting episode while checking out of the office. Fell backward, had tonic-clonic movements and came to immediately when he was placed on his side. Very pale on exam, heart and lungs normal sounds. Responsive but sluggish. HR 51, O2 99%, BP 60/50, T 98.4, glucose 104. Gave juice, watched and waited, color began to come back. Repeat vitals at 5-10 minute HR 105, O2 98%, BP 63/45. Continued to monitor in the office. BP at 11:25 78/40, HR 103, 99%. Able to sit up and walk around the office without problem. Discussed likely vasovagal episode with mom, will discuss vaccines in the future, possibly separate them or keep him in observation afterward.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Joint range of motion decreased, Joint swelling, Pain, Pain in extremity
Clinical narrative: Patient experienced "sharp, shooting pain" as well as numbness and tingling in her right arm after injection. Patient tried treating with ice and NSAIDs with no relief. Patient returned to MD's office for further evaluation the next day. Swelling, tenderness, and limited range of motion in right elbow noted. Patient prescribed prednisone taper x 10 days and percocet 1 tab Q6HPRN for pain.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia, Tenderness
Clinical narrative: Patient experienced "sharp, shooting pain" as well as numbness and tingling in her right arm after injection. Patient tried treating with ice and NSAIDs with no relief. Patient returned to MD's office for further evaluation the next day. Swelling, tenderness, and limited range of motion in right elbow noted. Patient prescribed prednisone taper x 10 days and percocet 1 tab Q6HPRN for pain.
Age: 32.0
Sex: M
Vaccine: FLU4, HEP
Symptoms: Erythema, Induration, Pruritus, Skin warm
Clinical narrative: Redness, induration, warmth, itchy.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Swelling
Clinical narrative: Redness, swelling size of golf ball 1 hour after vaccine per mother of patient. Mother informed to keep close eye on breathing issues and to use OTC Motrin/Benadryl along with ice packs and massaging the area.
Age: 1.0
Sex: F
Vaccine: FLU4, HIBV, MMR, PNC13, VARCEL
Symptoms: Drug administered to patient of inappropriate age, Injection site mass
Clinical narrative: Patient was given influenza preservative free 3 years and older on 9-27-17, lot #U5896DA, instead of the influenza 6-35 mths. Lead staff notified as of 10:45AM. Lead staff notified the health dept. Lead staff advised to call the parent of the patient. Called and left message for mom at 2:29 PM to return my phone call. Mom returned my phone call @ 3:15PM I asked how the patient was doing? Mom stated that patient is doing "AMAZING". She has been her normal self ever since her shots yesterday. Mom rubbed her legs down with baby oil last night, she had a little lump. She wasn't fussy or whining at all. She slept ALL night. I then explained to mom of that the patient received the Influenza 0.5ml preservative free (age 3 years and older) and she would have received the Influenza 6-35 mths, 0.25ml  In two separate doses. I verbalized to the mom that I was SO SORRY, and I am very upset about this situation. I explained to her that I take my job and patients very seriously. She said that she understood. I advised patient's mom per individual from the county health dept stated: said the child/parent may notice increased redness/swelling/tenderness at injection site. There should not be any other concerns. The vaccine will not be repeated or replaced for patient. The individual will do her magic in the database so that it shows child is not due for a 2nd dose. Mom did state she was a little upset but nothing she can do about it now. Mom said she is running around playing and doing all of her normal routine. Mom stated that she wouldn't have know that, anything was wrong if I hadn't called. She did appreciate me calling to let her know of the situation. She is going to let her husband know. Her last comment to me was that she still wanted me to give her daughter her next set of shots. I apologized again. I finished the call with mom at 3:26PM.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pain
Clinical narrative: Pain in left deltoid muscle when extending arm in most directions since she received the vaccination on 9/5/2017. Going to see nurse practitioner tomorrow for regular check up and to evaluate her left deltoid muscle.
Age: 63.0
Sex: F
Vaccine: FLUX
Symptoms: Blood pressure decreased, Dehydration, Diarrhoea, Eructation, Erythema
Clinical narrative: Woke up by extreme gas and belching, couldn't get out of toilet vomiting and diarrhea. By 7 am, palm of hands were itchy uncontrollably, by 9am head and neck itchiness then spread to feet. It was uncontrollable, it was embarrassing. Went to doctor on 9/26 by 9:30am, there were no hives, just redness, BP low at 89/57 (normal usually at 120/70). Given 2 prescriptions for: Hydroxyzine HCL 25mg, Ondansetron 40 mg. Doctor said BP low due to dehydration. First doses helped for the itch, good for 4 hours. Woke itching again, took another dose early (1 hour) slept for a couple of hours and woke up itchy again. By then had 3 Ibuprofen in the last 24 hours, help with vomiting. On Wednesday morning woke up left eye swollen and shut and all over the body covered in welts. Called the doctor office again and nurse suggested BENADRYL and anti-itch cream; was not asked to come to the doctor. BENADRYL helped somewhat, welts not as bad, also not as itchy. Eyes still puffy and doctor called yesterday to check in to check if the throat was not closing up; breathing was fine. BP fine as well.
Age: 63.0
Sex: F
Vaccine: FLUX
Symptoms: Eyelid oedema, Flatulence, Pruritus, Pruritus generalised, Urticaria
Clinical narrative: Woke up by extreme gas and belching, couldn't get out of toilet vomiting and diarrhea. By 7 am, palm of hands were itchy uncontrollably, by 9am head and neck itchiness then spread to feet. It was uncontrollable, it was embarrassing. Went to doctor on 9/26 by 9:30am, there were no hives, just redness, BP low at 89/57 (normal usually at 120/70). Given 2 prescriptions for: Hydroxyzine HCL 25mg, Ondansetron 40 mg. Doctor said BP low due to dehydration. First doses helped for the itch, good for 4 hours. Woke itching again, took another dose early (1 hour) slept for a couple of hours and woke up itchy again. By then had 3 Ibuprofen in the last 24 hours, help with vomiting. On Wednesday morning woke up left eye swollen and shut and all over the body covered in welts. Called the doctor office again and nurse suggested BENADRYL and anti-itch cream; was not asked to come to the doctor. BENADRYL helped somewhat, welts not as bad, also not as itchy. Eyes still puffy and doctor called yesterday to check in to check if the throat was not closing up; breathing was fine. BP fine as well.
Age: 63.0
Sex: F
Vaccine: FLUX
Symptoms: Vomiting
Clinical narrative: Woke up by extreme gas and belching, couldn't get out of toilet vomiting and diarrhea. By 7 am, palm of hands were itchy uncontrollably, by 9am head and neck itchiness then spread to feet. It was uncontrollable, it was embarrassing. Went to doctor on 9/26 by 9:30am, there were no hives, just redness, BP low at 89/57 (normal usually at 120/70). Given 2 prescriptions for: Hydroxyzine HCL 25mg, Ondansetron 40 mg. Doctor said BP low due to dehydration. First doses helped for the itch, good for 4 hours. Woke itching again, took another dose early (1 hour) slept for a couple of hours and woke up itchy again. By then had 3 Ibuprofen in the last 24 hours, help with vomiting. On Wednesday morning woke up left eye swollen and shut and all over the body covered in welts. Called the doctor office again and nurse suggested BENADRYL and anti-itch cream; was not asked to come to the doctor. BENADRYL helped somewhat, welts not as bad, also not as itchy. Eyes still puffy and doctor called yesterday to check in to check if the throat was not closing up; breathing was fine. BP fine as well.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Neck pain, Pain in extremity
Clinical narrative: Pain in arm radiating into neck.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Anaphylactic reaction, Erythema, Pruritus generalised, Swelling
Clinical narrative: GENERAL PRURITIS AT ARMS, UPPER BACK, ANTERIOR CHEST, W/ REDNESS AND SLIGHT SWELLING. AT SCALP THERE IS ITCHING ONLY. TREATMENT INCLUDES ORAL BENADRYL NIGHT OF EVENT AND DAY AFTER. ALSO TREATED WITH HYDROCORTISONE CREAM THE DAY AFTER. BOTH EFFECTIVE. SENT HOME FROM WORK. ADVISED TO CALL 911 FOR S/SX ANAPHLAXIS.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Gait disturbance, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: within 2 hours, injection site was red, swollen and warm to touch, and hot. In 5 hours I was so fatigued I could barely walk. I went to bed. In the morning, my arm was still sore, but otherwise I felt better.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: within 2 hours, injection site was red, swollen and warm to touch, and hot. In 5 hours I was so fatigued I could barely walk. I went to bed. In the morning, my arm was still sore, but otherwise I felt better.
Age: 90.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Muscular weakness, Pain in extremity
Clinical narrative: States unable to move arm, having increased weakness and pain.
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Contusion, Injection site bruising
Clinical narrative: Approximately 24 hours after vaccine was administered, patient reported diffuse bruising on left arm, starting approximately half way between elbow & deltoid, and continuing approximately 5 inches down forearm from the elbow. Patient did not report any redness, tenderness, or warmth/heat where bruising occurred. Patient did not seek any medical attention, nor did he notify the administering pharmacy until 9/21/17.
Age: 77.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Erythema, Feeling hot, Pain, Swelling
Clinical narrative: Redness, heat, pain, swelling
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Biopsy skin abnormal, Pityriasis rosea, Rash
Clinical narrative: 3 days later, he broke out it an rash that was diagnosed as pityriasis rosacea. The rash worsened significantly and the patient was sent to dermatology.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient reported a raised, red and warm to the touch area around the injection site.. a little itching and pain .. It started the morning after the vaccine and when I saw it was still the same 2 days after.  Ice pack was used on arm.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Soreness at first, followed by redness which carried down to elbow. Arm has a fever that began 9/27/17 in the am. Bit of swelling as well.
Age: 82.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site reaction, Pain in extremity, Skeletal injury, X-ray limb
Clinical narrative: Patient came into the pharmacy on 9/21/17 with his arm in a sling complaining of immense pain. Patient claims that the needle hit the bone causing blood to pool in his joints because he is on blood thinners. The patient claims that the pooled blood was pushing against the bone causing it to separate. Patient got the following prescriptions on the following days: Oxycodone/APAP 5/325mg #10 on 9/21/17, Oxycodone/APAP 5/325mg #20 on 9/22/17, Oxycodone/APAP 5/325mg #15 on 9/25/17, and Oxycodone/APAP 5/325mg #30 on 9/28/17 all from different doctors from different practices.
Age: 56.0
Sex: F
Vaccine: PNC13
Symptoms: Inflammation, Pain
Clinical narrative: Significant arm inflammation extending through neck region. Painful. Lasted 4 days
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Feeling abnormal
Clinical narrative: Patient received the shot and then came back to the pharmacy with the chief complaint of shortness of breath. She also described herself as feeling "off." We administered liquid diphenhydramine and after about 10 minutes the patient felt better and then left with no further complications.
Age: 55.0
Sex: M
Vaccine: FLU4
Symptoms: Cellulitis
Clinical narrative: Patient developed cellulitis.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness to left arm, proximal to MMRV injection site. Treatment - in office benadryl and ordered to take at home q6 hrs.
Age: 69.0
Sex: M
Vaccine: FLUC4
Symptoms: Urticaria
Clinical narrative: Employee received Flu vaccine on 9/26/17. Employee reported 9/28/17 raised hives from waist down.
Age: 59.0
Sex: F
Vaccine: FLUC4
Symptoms: Diarrhoea, Hyperhidrosis, Injection site erythema, Injection site oedema, Injection site swelling
Clinical narrative: Employee received vaccine on 9/25/17. Employee reported nausea, diarrhea, sweating and pale complexion on 9/26/17. Employee reported localized swelling redness and edema at injection site on 9/27/17.
Age: 59.0
Sex: F
Vaccine: FLUC4
Symptoms: Nausea, Pallor
Clinical narrative: Employee received vaccine on 9/25/17. Employee reported nausea, diarrhea, sweating and pale complexion on 9/26/17. Employee reported localized swelling redness and edema at injection site on 9/27/17.
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: No adverse event
Clinical narrative: None stated.
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Bursitis, Musculoskeletal pain
Clinical narrative: Patient reports that has had shoulder pain since the vaccination. It started the morning after the vaccination and was not muscular. Patient indicated that rest and anti-inflammatory medications were used to manage symptoms. Exercise continues to cause pain in the shoulder similar to bursitis.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Insomnia, Pain, Vaccination site rash
Clinical narrative: Patient reported to the pharmacy 2 days post-vaccine with an overly red rash approx 3" in diameter at the vaccination area. Patient reported pain and having trouble sleeping the night before.
Age: 38.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Fever, chills, muscle aches --shot was given at 9:00am on 09/27/17 and patient started adverse effects at 11:00am, outcome--unknown at this time...patient stated she would just have to get over it.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient had a swollen, red, painful injection site reaction.
Age: 69.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: ZOSTER(ZOSTAVAX): RASH, REDNESS, AND ITCHING; FLUZONE HIGH DOSE REDNESS ONLY.  I RECOMMENDED PT TO TAKE  BENADRYL 25MG (OTC); 1HR 15MINS AFTER, WE CALLED TO CHECK HOW SHE WAS DOING, PT INDICATED THAT SHE FELT MUCH BETTER.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pain in extremity
Clinical narrative: Within an hour of getting the flu shot, my arm became very sore and painful, with severe pain when I even tried to lift the arm, move it or even grasp anything. I took ibruprofen, which TBH hasnt helped much.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema
Clinical narrative: A customer came in Thursday who received pneumo & flu shot Tuesday and she had a red patch on her arm. It was lower than the injection site and not connected. She didn't complain of any other issues. She said she was going to contact her doctor but came in to see if we could tell her which shot caused it. She got both in the same arm so I couldn't say.
Age: 2.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Vaccination error
Clinical narrative: Pt. was given MENACTRA Vaccine in error.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Feeling abnormal, Injection site pain, Mobility decreased, Pain in extremity, Pyrexia
Clinical narrative: Pt states that after his vaccination, he was in bed for 3 days feeling miserable with a fever. He couldn't lift his arm at all for the first day but now can lift it halfway. It doesn't hurt as much now but the site is tender to the touch.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: PT LEFT ARM (DELTOID REGION) SWELLED UP AND WAS WARM AND RED. SYMPTOMS BEGAN THE NEXT MORNING (12 TO 18 HOURS LATER) AFTER RECEIVING THE VACCINES THE DAY BEFORE. IT WAS A LARGE AREA OF 6 INCHES REDNESS WHEN SHE CAME IN TO THE PHARMACY 9/28/17.  I RECOMMENDED SHE BE SEEN BY THE DR. THEY WENT TO THE CLINIC AND RECEIVED A STEROID SHOT AND A ANTIBIOTIC SHOT. AND WAS TOLD TO ICE IT AND ALTERNATE WITH HEAT AND THEN FOLLOW UP IN THE NEXT MORNING.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Mobility decreased, Musculoskeletal pain
Clinical narrative: Severe Shoulder Pain and Immobility. Better today but still mobility.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Headache, Hyperhidrosis, Swelling
Clinical narrative: Swelling, hot/sweating, headache.
Age: 86.0
Sex: F
Vaccine: FLUA3
Symptoms: Blister, Peripheral swelling, Rash
Clinical narrative: Patient's arm got swollen, he developed a rash with a blister.
Age: 28.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain, Blood test normal, Chest X-ray normal, Chest discomfort, Chest pain
Clinical narrative: I took the first VIVOTIF at 6:13 PM Central Time on an empty stomach and with a glass of water. At around 8:00 PM, though it could be a little before that but probably not much after, I felt a ringing in my ears and lightheaded. I wasn't particularly concerned. My housemate noticed that my face looked ashen. However, around that time, I remember feeling kind of hot in my face. When I took my face make-up off, I noticed that my face was flushed red. When I went to bed, I had trouble going to sleep because I felt pressure and discomfort in my chest. However, I did not link it to the vaccine because I have never had an adverse reaction to a vaccination before. On Wednesday at work, I felt a little sluggish and had some abdominal pain though I think it was relatively mild. I am not sure, however, because at this time I was still not alarmed and just thought this was probably normal. I think I was experiencing pressure in my chest, but I am not sure for the same reason (that I was not paying much attention to it). Then, driving home around 4:35/4:40 PM, I felt pressure in my chest and suddenly a sharp stabbing pain near the area of my heart. It throbbed in that area sharply for maybe 15 minutes. I felt a few pains below my left breast as well. The pressure felt strong on the left side of my chest. I felt a mild pain on the back of my left arm. I went to a walk-in ER. I am still feeling chest pressure and periodic dull pain in my upper left chest and have been lightheaded all day.
Age: 28.0
Sex: F
Vaccine: TYP
Symptoms: Dizziness, Electrocardiogram normal, Erythema, Feeling hot, Flushing
Clinical narrative: I took the first VIVOTIF at 6:13 PM Central Time on an empty stomach and with a glass of water. At around 8:00 PM, though it could be a little before that but probably not much after, I felt a ringing in my ears and lightheaded. I wasn't particularly concerned. My housemate noticed that my face looked ashen. However, around that time, I remember feeling kind of hot in my face. When I took my face make-up off, I noticed that my face was flushed red. When I went to bed, I had trouble going to sleep because I felt pressure and discomfort in my chest. However, I did not link it to the vaccine because I have never had an adverse reaction to a vaccination before. On Wednesday at work, I felt a little sluggish and had some abdominal pain though I think it was relatively mild. I am not sure, however, because at this time I was still not alarmed and just thought this was probably normal. I think I was experiencing pressure in my chest, but I am not sure for the same reason (that I was not paying much attention to it). Then, driving home around 4:35/4:40 PM, I felt pressure in my chest and suddenly a sharp stabbing pain near the area of my heart. It throbbed in that area sharply for maybe 15 minutes. I felt a few pains below my left breast as well. The pressure felt strong on the left side of my chest. I felt a mild pain on the back of my left arm. I went to a walk-in ER. I am still feeling chest pressure and periodic dull pain in my upper left chest and have been lightheaded all day.
Age: 28.0
Sex: F
Vaccine: TYP
Symptoms: Insomnia, Pain in extremity, Pallor, Sluggishness, Tinnitus
Clinical narrative: I took the first VIVOTIF at 6:13 PM Central Time on an empty stomach and with a glass of water. At around 8:00 PM, though it could be a little before that but probably not much after, I felt a ringing in my ears and lightheaded. I wasn't particularly concerned. My housemate noticed that my face looked ashen. However, around that time, I remember feeling kind of hot in my face. When I took my face make-up off, I noticed that my face was flushed red. When I went to bed, I had trouble going to sleep because I felt pressure and discomfort in my chest. However, I did not link it to the vaccine because I have never had an adverse reaction to a vaccination before. On Wednesday at work, I felt a little sluggish and had some abdominal pain though I think it was relatively mild. I am not sure, however, because at this time I was still not alarmed and just thought this was probably normal. I think I was experiencing pressure in my chest, but I am not sure for the same reason (that I was not paying much attention to it). Then, driving home around 4:35/4:40 PM, I felt pressure in my chest and suddenly a sharp stabbing pain near the area of my heart. It throbbed in that area sharply for maybe 15 minutes. I felt a few pains below my left breast as well. The pressure felt strong on the left side of my chest. I felt a mild pain on the back of my left arm. I went to a walk-in ER. I am still feeling chest pressure and periodic dull pain in my upper left chest and have been lightheaded all day.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Pyrexia
Clinical narrative: Patient expericenced a slight fever and a hoarse throat.
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Swelling
Clinical narrative: Patient reports itching at the site around 9pm (she applied anti-itch cream and it resolved; she reports that a bump developed around 10 pm but was resolved by the next morning.
Age: 10.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Discomfort, Injection site erythema, Pain
Clinical narrative: Pt reported mild pain/discomfort after the injection. Pt left the facility. Returned around 7pm. Mother reported that pain increased, and pt had teeth chattering. Pt given ibuprofen by mother and 25mg of benadryl in office and ice pack. Pt declined SOB, wheezing, swelling of face/lips. vs 134/82, 100% o2 room air, 100bpm, 24 rr, t 99.5, LCTA, Heart sounds unremarkable. Site noted to have blanchable area or redness. Pt able to move arm with full rom.  Pt followed up with provider 20 mins later. reported feeling better. pt declined to be reassessed.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood pressure decreased, Laboratory test, Malaise, Pain, Syncope
Clinical narrative: Patient stated that she felt fine until 3 to 4am the day after she felt sick went to the bathroom thinks she fainted at least 3 times. Her husband saw her and take her emergency room about 10am. Her blood pressure at emergency room was low about 65 to 69. He was discharged to go home at 130pm on the same day. After 48 hours her pain level was at 3 out of 10.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Insomnia, Rash
Clinical narrative: Patient is complaining of rash that started two days after the flu shot. It's only on the arm that the flu shot was on. She has used hydrocortisone and Benadryl to help sleep at night.
Age: 74.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Injection site erythema, Peripheral swelling
Clinical narrative: Patient returned to pharmacy on 8/28/2017 to report redness and swelling the left arm; redness covered entire upper arm area.  Patient reports that he noticed the reaction the night before (8/27/2017).
Age: 16.0
Sex: F
Vaccine: FLU4, MNQ
Symptoms: Pruritus generalised, Urticaria
Clinical narrative: Patient developed itching and hives all over the body a few hours after receiving the Flu shot and the MENVEO vaccines at her annual Check up visit. There was no trouble breathing or airway swelling. There was no vomit or GI upset.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Patient received FLUZONE HIGH DOSE on 9-16-17. Patient came to the pharmacy on 9-28-17. The patient had been seen earlier in the day by her PCP because of pain in her shoulder going down her arm on the arm she got the vaccine. Patient said she has been experiencing this pain for close to 2 weeks.
Age: 81.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Pruritus
Clinical narrative: PATIENTR REPORTS SEVERE ITCHING ON LEFT ARM. ITCH HAS TRAVELED TO CHEST.
Age: 81.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Erythema, Injection site erythema, Injection site pruritus, Injection site swelling, Pruritus
Clinical narrative: PATIENTR REPORTS SEVERE ITCHING ON LEFT ARM. ITCH HAS TRAVELED TO CHEST.
Age: 74.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Injection site pain, Injection site urticaria
Clinical narrative: I received a high-dose flu shot on September 27, 2017, on the left arm. The next morning there was some soreness of the arm, at the site of the flu shot. Then later I discovered three small pimple-size hives around the site of the injection. At this time, I feel normal (except for a very small lingering cold) and fine.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Insomnia, Mobility decreased, Pain in extremity
Clinical narrative: Lack of sleep, pain in arm, inability to lift any objects, redness and swelling around site. Pharmacist drew circle around location of site to monitor the swelling.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain
Clinical narrative: Pt reported pain night of immunization. Day 2 pt reported increasing pain and possible fever- pt presented to pharmacy on day 3 with area of redness and possible swelling, but symptoms appear to be improving.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain in extremity, Pruritus, Pyrexia, Tremor
Clinical narrative: Patient said she started with a fever and shaking around 7pm on 9/25/17 (the same day she received the vaccines). The fever and shaking lasted 2 days. On 9/28/17 she came to the pharmacy and she had a red welt like soreness on her arm. She said it was itchy, but slowly getting better. I suggested a cool wet washcloth and light application of hydrocortisone cream.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Injection site pain, Injection site pruritus, Injection site swelling, Peripheral swelling
Clinical narrative: Pt states having pain/swelling/itching at injection site approximately 24hrs post injection. Pt presented at pharmacy 3 days post injection. Pt's left arm was red, swollen and warm to touch. Pt states using TYLENOL for pain and applying an ice pack to the injection site which decreased swelling and pain.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Skin warm
Clinical narrative: Pt states having pain/swelling/itching at injection site approximately 24hrs post injection. Pt presented at pharmacy 3 days post injection. Pt's left arm was red, swollen and warm to touch. Pt states using TYLENOL for pain and applying an ice pack to the injection site which decreased swelling and pain.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site bruising, Injection site pain, Injection site swelling
Clinical narrative: FUZONE HD was given to the patient in the left arm first, then PNEUMOVAX was given in the right arm. The patients left arm started to swell around the injection site and to bruise. She said she did not feel pain nor was in distress. An ice pack was applied to the site. She was monitored for 30 minutes and said she was fine to go home. I contacted her in the evening and she stated it had not changed and was just sore. She was advised to seek advice from her PCP if necessary.
Age: 80.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Erythema, Injection site erythema, Injection site swelling, Peripheral swelling
Clinical narrative: Per daughter, redness and swelling at the injection sites then extended to arms and hands. The patient then presented to the pharmacy with the swelling on the right hand and near the elbow of the left arm.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain upper, Eye swelling, Lip swelling, Loss of personal independence in daily activities, Malaise
Clinical narrative: On 9-21 mother picked child up from school child complains of not feeling well. 9-22-child woke up with bottom lip swollen and under eyes swollen-Mother took child to PCP-seen by Nurse practitioner-Dx as a viral infection. As day went on child C/O neck pain, stomach pain itching. Rash on face, back, legs, swollen feet, toes. Mother took child to ED at Medical. MD Dx of reaction to Flu vaccine. Mother states MD at Medical Center Dx child as reaction to flu vaccine. Prescribed Prednisone and told mother give BENADRYL and Ibuprofen. On Sunday 9-24-17 child continue with rash and stated pain in neck and stomach. Mother took child back to Medical Center and the doctor increased Prednisone dose and continued with BENADRYL and Ibuprofen. Child was out of school until 9-28-17. Mother states has called and nurse (school) stated child in clinic and C/O not feeling well again. Mother also appeared. The child has a thickness to her Tongue on 9-22-17 along with the other symptoms stated. Mother states that went away. Mother states "has taken the Flu shot ever since she could take it and has never had any issues." Mother reported to Health Department on 9-28-17.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Neck pain, Peripheral swelling, Pruritus, Rash, Tongue disorder
Clinical narrative: On 9-21 mother picked child up from school child complains of not feeling well. 9-22-child woke up with bottom lip swollen and under eyes swollen-Mother took child to PCP-seen by Nurse practitioner-Dx as a viral infection. As day went on child C/O neck pain, stomach pain itching. Rash on face, back, legs, swollen feet, toes. Mother took child to ED at Medical. MD Dx of reaction to Flu vaccine. Mother states MD at Medical Center Dx child as reaction to flu vaccine. Prescribed Prednisone and told mother give BENADRYL and Ibuprofen. On Sunday 9-24-17 child continue with rash and stated pain in neck and stomach. Mother took child back to Medical Center and the doctor increased Prednisone dose and continued with BENADRYL and Ibuprofen. Child was out of school until 9-28-17. Mother states has called and nurse (school) stated child in clinic and C/O not feeling well again. Mother also appeared. The child has a thickness to her Tongue on 9-22-17 along with the other symptoms stated. Mother states that went away. Mother states "has taken the Flu shot ever since she could take it and has never had any issues." Mother reported to Health Department on 9-28-17.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Viral infection
Clinical narrative: On 9-21 mother picked child up from school child complains of not feeling well. 9-22-child woke up with bottom lip swollen and under eyes swollen-Mother took child to PCP-seen by Nurse practitioner-Dx as a viral infection. As day went on child C/O neck pain, stomach pain itching. Rash on face, back, legs, swollen feet, toes. Mother took child to ED at Medical. MD Dx of reaction to Flu vaccine. Mother states MD at Medical Center Dx child as reaction to flu vaccine. Prescribed Prednisone and told mother give BENADRYL and Ibuprofen. On Sunday 9-24-17 child continue with rash and stated pain in neck and stomach. Mother took child back to Medical Center and the doctor increased Prednisone dose and continued with BENADRYL and Ibuprofen. Child was out of school until 9-28-17. Mother states has called and nurse (school) stated child in clinic and C/O not feeling well again. Mother also appeared. The child has a thickness to her Tongue on 9-22-17 along with the other symptoms stated. Mother states that went away. Mother states "has taken the Flu shot ever since she could take it and has never had any issues." Mother reported to Health Department on 9-28-17.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Haemoptysis, Vomiting
Clinical narrative: Pt. said as an outcome of flu shot she have severe diarrhea, vomiting and was splitting blood. Had to go to ER.
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Almost immediately after receiving a shingles vaccine, injection site developed hard, red lump - which was warm to the touch. Lump continues to be painful to the touch. Received the vaccine on 9/21/17 and today is 9/25/17. Hard part of the lump is about 3 inches by 3 inches. I'm a 50 year-old female, in generally good health. Since receiving the vaccine, lump has not reduced in size and continues to be red, swollen, painful and warm to the touch. My husband expressed concern when he touched my arm and felt the injection site reaction - he was especially shocked at the warmth of the red lump.
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth
Clinical narrative: Almost immediately after receiving a shingles vaccine, injection site developed hard, red lump - which was warm to the touch. Lump continues to be painful to the touch. Received the vaccine on 9/21/17 and today is 9/25/17. Hard part of the lump is about 3 inches by 3 inches. I'm a 50 year-old female, in generally good health. Since receiving the vaccine, lump has not reduced in size and continues to be red, swollen, painful and warm to the touch. My husband expressed concern when he touched my arm and felt the injection site reaction - he was especially shocked at the warmth of the red lump.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Lymphadenopathy
Clinical narrative: Two swollen anterior cervical lymph nodes one 5 mm, one 2-3 mm. No itching. No hives. No distress. Talking no distress. Discharged to home at 12 pm.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: Warm stinging lump the size of an orange at injection site. Office examining. Gave KEFLEX for treatment.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site swelling
Clinical narrative: Patient received her flu shot on 9/26/17. It was placed by Medical Assistant. On 9/26/17 at 8:28 pm patient sent me a video of her swollen arm where she received her flu shot. She decided to go to the doctor to figure out what was going on. She took off of work on 9/27/17 to visit her doctor.
Age: 54.0
Sex: M
Vaccine: FLU4, PNC13
Symptoms: Headache, Injection site erythema, Injection site swelling, Malaise, Nausea
Clinical narrative: 5 days of fever, malaise. Headache, nausea. Red, swollen injection site.
Age: 54.0
Sex: M
Vaccine: FLU4, PNC13
Symptoms: Pyrexia
Clinical narrative: 5 days of fever, malaise. Headache, nausea. Red, swollen injection site.
Age: 61.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Muscle spasms, Pain
Clinical narrative: Patient came into the pharmacy at 10:25 AM on 9/28/17 to report an adverse event from the shots he had received 2 days ago. The patient reported mild swelling in his left upper arm that night and also experienced muscle spasms and soreness over his entire body. He stated the muscle spasms and aches have mostly gone away. He reported using marijuana oil (called CBD oil) and applying topically which seemed to help. Mild redness present in left deltoid. Patient has no symptoms of respiratory distress, itching around injection site or nausea. Patient also reported having both vaccines before but no record of previous pneumonia on record in Alert.
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: Pt. fainted after receiving FLUZONE QUADRIVALENT shot. Staff laid pt. down on exam table with pillow under his head. An icepack was applied under both arms. Recovered quickly. Observed by NP. Pt. rested until he felt better.
Age: 13.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Injection site erythema, Injection site pain, Musculoskeletal stiffness
Clinical narrative: Soreness and redness at inj. site. Afebrile. C/O stiff neck.
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Grip strength decreased, Pain in extremity
Clinical narrative: Patient's arm was sore for 1 week. He could not grip anything.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Erythema, Pain, Pyrexia, Swelling, Urticaria
Clinical narrative: Swelling, redness, fever (welps). Tx: TYLENOL, MOTRIN for pain; Prednisolone 15/5 1 tsp. BID x 6 days for swelling.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: Approximately 18 hours after vaccination. Initial Sx were arm aching, hard to lift and swelling. Then was a band of redness around arm approx. 5 inches below injection site. Pt. used calamine lotion and iced area. Appears to be resolving.
Age: 74.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: One inch redness and sore at injection area.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: Swelling at sight of injection.