chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: M
Vaccine: HPV9
Symptoms: Throat tightness, Thyroid function test normal, Urticaria, Vomiting
Clinical narrative: Patient developed exercise-induced anaphylaxsis following this vaccine. By fall of 2014, he was unable to exercise fully without breaking into hives, vomiting and requiring a visit to the ER due to constriction of air flow in his throat.  When exercising, his legs would begin to tingle and his body would develop hives and his face would swell.   In April of 2015, patient was diagnosed with exercise induced anaphylaxsis and  was tested for allergies by a local allergist.  He had never been allergic to anything but had now developed a life threatening allergy  to shellfish, treenuts. and a variety of fruits. He has has over ten ER visits and requires an Epipen with him at all times.  Patient began losing his hair shortly after the first dose of Gardisil in July 2013 (Lot No. H021861). Mood swings and depression also presented and his mental outlook was severely affected.   In April of 2019, patient was unable to walk  due to dizziness and weakness and was incorrectly diagnosed with "Labyrinthitis".   In August 2019, patient visited a primary care doctor to see why his hands, feet, and scalp were numba and tingling. Thyroid was checked but levels were normal.  Another bout of dizziness and loss of balance presented in  early  February 2020.  Following a visit and MRI with an ENT, the patient was rushed to the hospital on Feburary 24th where a battery of blood tests and a spinal tap confirmed multiple layers of lesions in his brain - he was diagnosed with MS.  He is currently a patient with a doctor.
Age: 89.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site discomfort, Injection site swelling
Clinical narrative: When injection was removed from site and bandage. Immediately the site started swelling into a bump or circular shape. Medical assistant called LVN and the nurse had looked at the site and asked patient if feeling well. Nurse called Dr. to inspect the site and asked for if patient was feeling well, and asked of medication taken. Patient stated not feeling any other symptoms and that he just felt a small discomfort on the injection site. Doctor recommend to place a ice pack on the site, which was given to the patient by nurse. Patient was advise to keep observation for any unusual or symptoms  on the site and contact the clinic immediately.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Injected limb mobility decreased, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Patient noted notable redness, tenderness and swelling 10/2/2020, and on 10/3/2020 noted swelling, stiffness, and pain along clavicle, neck on left shoulder with also some limited range of motion.  As of 10/08/2020 swelling, pain, and mobility were all notably improved.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Musculoskeletal stiffness, Neck pain, Swelling, Tenderness
Clinical narrative: Patient noted notable redness, tenderness and swelling 10/2/2020, and on 10/3/2020 noted swelling, stiffness, and pain along clavicle, neck on left shoulder with also some limited range of motion.  As of 10/08/2020 swelling, pain, and mobility were all notably improved.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Injection site swelling, Pain
Clinical narrative: Patient called on 9/29/2020 to say she is still having pain on lying down,15 days after getting her flu-shot. She said the pain radiates from the injection site to above her elbow and towards the shoulder. Still has a little swelling at the injection site. She had not taken any over-the counter analgesia for the pain. She could move the arm on all directions. She was advised to take some otc analgesia, apply a cold compress to the swelling and Call her Primary care Physician. The next day, on follow up, she said she felt some relief by taking tylenol and applying a heating pad.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR
Symptoms: Injection site reaction, Rash, Rash papular, Urticaria
Clinical narrative: Localized reaction at site of injection. Distal urticarial rash to right ankle and posterior calf. Diffuse coalescing papular rash to groin, upper legs and posterior thighs with interspersed lace like rash to lower extremities.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Malaise, Pyrexia
Clinical narrative: Fever, shivers, malase
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Chest X-ray, Computerised tomogram, Full blood count, Injection site pain, Metabolic function test
Clinical narrative: onset of severe right shoulder pain 1 day following injection
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: X-ray limb
Clinical narrative: onset of severe right shoulder pain 1 day following injection
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash
Clinical narrative: Patient developed a rash covering the front and back of her body from head to hips.  The rash was itchy and patient stated that she used Benadryl and hydrocortisone cream with the Benadryl not helping and the cream helping minimally.  She was seen at her primary care doctor's office who suggested that she not get the second shot.  Patient was given Prednisone 20mg tablets to take 2 tablets once daily for 5 days on 10/9/20 because she is still having symptoms.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Headache, Myalgia, Nausea, Syncope
Clinical narrative: Muscle aches, head ache, nausea, dizziness, fainting, BP 85/54 at 8am day after vaccine, gradually feeling better over the course of the morning with mostly improved by 12pm. Took regular doses of acetaminophen (2 tablets, 500mg).
Age: 10.0
Sex: F
Vaccine: FLUC4
Symptoms: Presyncope
Clinical narrative: Vasovagal reaction, patient began to faint but did not lose consciousness. Parents administered AMMONIA inhalant and water. Patient recovered and was able to walk and talk.
Age: 54.0
Sex: F
Vaccine: FLUR4, PNC13
Symptoms: Blood alkaline phosphatase, Burning sensation, Cellulitis, Cough, Injection site erythema
Clinical narrative: Feeling feverish (but no fever), body aches (especially spine) and coughing within hours of getting the vaccine.  Left arm became swollen and red from the shoulder to elbow. Doctor prescribed antibiotics after 3 days and that lead to a burning sensation and spreading of rash.
Age: 54.0
Sex: F
Vaccine: FLUR4, PNC13
Symptoms: Injection site swelling, Neutrophil count increased, Pain, Pyrexia, Rash
Clinical narrative: Feeling feverish (but no fever), body aches (especially spine) and coughing within hours of getting the vaccine.  Left arm became swollen and red from the shoulder to elbow. Doctor prescribed antibiotics after 3 days and that lead to a burning sensation and spreading of rash.
Age: 54.0
Sex: F
Vaccine: FLUR4, PNC13
Symptoms: Spinal pain
Clinical narrative: Feeling feverish (but no fever), body aches (especially spine) and coughing within hours of getting the vaccine.  Left arm became swollen and red from the shoulder to elbow. Doctor prescribed antibiotics after 3 days and that lead to a burning sensation and spreading of rash.
Age: 67.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Chills, Diarrhoea
Clinical narrative: patient reported chills and diarrhea starting the day after the vaccine
Age: 43.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Pruritus, Rash, Urticaria
Clinical narrative: Patient received the shot w/o problems according the patient chart on 9/29/2020. Than on 10/9/2020 patient call and stated she has  rash / hives /skin red  all over her body and itching . I believe patient reported  it started on Monday night and got worst . Patient saw the dermatologist  today (10/9/2020)) and was tx there .  Patient stated dermatologist wanted  to know what can for vaccine  live or inactivated .  I informed patient the MMR is always a live vaccine . Patient was schedule for appt here  today also , but  cancelled it .  Se we were unable to see the rash/reaction: only what was reported to us .Patient stated she will f/u with dermatologist on 10/16/2020.
Age: 56.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Dizziness, Feeling abnormal, Headache, Malaise, Vomiting
Clinical narrative: Patient was given Tdap and flu clinic at around 1:30 pm of Sept 28, 2020 (Mon), and patient came back to the vaccination room after one hour and was saying that she felt sick and awful. She was feeling a little faint. I told her to sit down and relax. Let her drank water. Told her and assured her that sometimes some people had more reaction of the vaccine but according to the record nausea and vomiting is a possible adverse effect. Let her sat on the Human resource room which was only few step away. Checked on her regularly. She was still feeling is around 3:20p and asked what she was feeling. Had a slight headache and asked if somebody have tylenol but only one has aleve. Asked patient to eat a little cracker and took the Aleve. 15 mins after she still felt ill. Asked her husband to pick her up. Upon leaving the premises, patient vomited outside the area. Patient still felt ill the following day but felt better after 3rd to 4th day.
Age: 33.0
Sex: M
Vaccine: FLUR4
Symptoms: Chest pain, Cough, Malaise, Sneezing
Clinical narrative: The patient called the pharmacy today 10/09/20 to report that ever since he received the immunization, he is feeling sick. He did not have any problems before being immunized. He is experiencing cough, chest pain, and sneeze. Patient stated he is going over to the clinic now to get checked out.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Neuralgia, Pain, Paraesthesia, Pyrexia
Clinical narrative: She developed a fever, and on her left leg, she developed burning pain and tingling in the nerve going up her leg. Eruptions/bubbles are present along the nerve line. Doctor gave her Valtrex and gabapentin
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: She developed a fever, and on her left leg, she developed burning pain and tingling in the nerve going up her leg. Eruptions/bubbles are present along the nerve line. Doctor gave her Valtrex and gabapentin
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain, Abdominal pain upper, Asthenia, Decreased appetite, Dizziness
Clinical narrative: Weak feeling, light headed, dizzy, lathargic, slight stomach ache, no appetite , ears ring, tenitis, body hurts. very high blood pressure with  no fever. This feeling got so bad that I went to the emergency room. Spent 7 hours and was released  with some counter meds for pain, nausea, and muscle spasm,  still feel this a little bit going into day 3.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Hypertension, Hyponatraemia, Lethargy, Myalgia, Pain
Clinical narrative: Weak feeling, light headed, dizzy, lathargic, slight stomach ache, no appetite , ears ring, tenitis, body hurts. very high blood pressure with  no fever. This feeling got so bad that I went to the emergency room. Spent 7 hours and was released  with some counter meds for pain, nausea, and muscle spasm,  still feel this a little bit going into day 3.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Tinnitus
Clinical narrative: Weak feeling, light headed, dizzy, lathargic, slight stomach ache, no appetite , ears ring, tenitis, body hurts. very high blood pressure with  no fever. This feeling got so bad that I went to the emergency room. Spent 7 hours and was released  with some counter meds for pain, nausea, and muscle spasm,  still feel this a little bit going into day 3.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, itchiness, swelling about quarter size around injection site.  Started today, 2 days after injection.  No medication taken yet, may take Benadryl.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Sleep disorder
Clinical narrative: Patient reported having pain and swelling at the injection site. Uncomfortable feeling at night when sleeping on the side of the injection.
Age: 68.0
Sex: F
Vaccine: FLUA3
Symptoms: Peripheral swelling, Skin reaction, Skin warm
Clinical narrative: Patient has had a red arm, swelling under the arm for a couple of days. Arm is warm to the touch
Age: 13.0
Sex: F
Vaccine: FLU4
Symptoms: Loss of consciousness, Nervousness, Syncope
Clinical narrative: patient received vaccination. patient appeared very nervous about the vaccine. Patient and her mother went to the front of the store to get something to drink at which time the patient fainted for a moment. The patient quickly came to, we assisted her for a few moments then she recovered and was able to walk out of the store. The patient's mother also stated that she had not eaten dinner yet that day. called to check on the patient later in the evening and her mother stated that she was doing well.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Dyspnoea, Pharyngeal swelling, Tremor
Clinical narrative: SHORTNESS OF BREATH, THROAT SWILLING, TREMORS
Age: 1.58
Sex: F
Vaccine: DTAPHEPBIP, PNC13, UNK
Symptoms: Alanine aminotransferase, Aspartate aminotransferase, Balance disorder, Daydreaming, Diarrhoea
Clinical narrative: diarrhea, vomiting, off and on fevers, dizzy, equilibrium issues, day dreaming, falling, bruising extremely easy, liver damage
Age: 1.58
Sex: F
Vaccine: DTAPHEPBIP, PNC13, UNK
Symptoms: Dizziness, Fall, Hepatic enzyme increased, Increased tendency to bruise, Liver injury
Clinical narrative: diarrhea, vomiting, off and on fevers, dizzy, equilibrium issues, day dreaming, falling, bruising extremely easy, liver damage
Age: 1.58
Sex: F
Vaccine: DTAPHEPBIP, PNC13, UNK
Symptoms: Pyrexia, Vomiting, White blood cell count decreased
Clinical narrative: diarrhea, vomiting, off and on fevers, dizzy, equilibrium issues, day dreaming, falling, bruising extremely easy, liver damage
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Induration, Pruritus, Tenderness
Clinical narrative: REDNESS,TENDERNESS,ITCHING,HARD ON TOUCH
Age: 65.0
Sex: F
Vaccine: FLUA4
Symptoms: Arthralgia, Mobility decreased, Pain in extremity
Clinical narrative: Pain radiating from shoulder down entire arm, patient notes throbbing in middle of night and unable to lift arm without pain
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Wrong product administered
Clinical narrative: Pt should have rec'd PNEUMOVAX 23.  WAS GIVEN pREVNAR IN ERROR
Age: 68.0
Sex: F
Vaccine: FLUR4
Symptoms: Diarrhoea, Fatigue, Influenza like illness, Pain, Pyrexia
Clinical narrative: patient experiencing flulike symptoms including fatigue, fever, aches, vomiting and diarrhea.
Age: 68.0
Sex: F
Vaccine: FLUR4
Symptoms: Vomiting
Clinical narrative: patient experiencing flulike symptoms including fatigue, fever, aches, vomiting and diarrhea.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Asthenia, Chest discomfort, Chills, Dyspnoea, Headache
Clinical narrative: Patient presented to pharmacy with guardian for 3rd dose of Gardasil 9. Patient has no history of adverse reaction to previous 2 doses or influenza vaccine. Guardian contacted pharmacy approximately 5 hours post administration because patient was complaining of severe headache, chills, nausea, chest pressure, weakness, shortness of breath, and feeling "throat was closing." Guardian was advised to call 911 or go to nearest emergency room. Per guardian, patient was seeing at PCP office then transported to emergency room via EMS. Per guardian, patient is now feeling better and waiting covid-19 results at home.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Nausea, SARS-CoV-2 test negative, Throat tightness
Clinical narrative: Patient presented to pharmacy with guardian for 3rd dose of Gardasil 9. Patient has no history of adverse reaction to previous 2 doses or influenza vaccine. Guardian contacted pharmacy approximately 5 hours post administration because patient was complaining of severe headache, chills, nausea, chest pressure, weakness, shortness of breath, and feeling "throat was closing." Guardian was advised to call 911 or go to nearest emergency room. Per guardian, patient was seeing at PCP office then transported to emergency room via EMS. Per guardian, patient is now feeling better and waiting covid-19 results at home.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising
Clinical narrative: Patient complained of having a blue bruise on her arm, the site of vaccination.  Pt does NOT complain of redness, soreness, pain, fever, or warm to the touch.
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Erythema, Peripheral swelling, Wrong technique in product usage process
Clinical narrative: swelling redness bruise
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Patient experienced redness, heat, and pain at injection site. Pharmacist referred her to Urgent Care, where she was diagnosed with Cellulitis. Patient received antibiotic therapy.
Age: 10.0
Sex: M
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Indication for age not correct
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Feeling abnormal, Headache, Somnolence
Clinical narrative: I took the shot on 10-8-2020 at around 12:00pm.  Went home was fine until around 10:10pm and got sleepy Took a shower and felt better for a time.. Went to bed around 1:00am on 10-9-2020.  Slept until 10:15 in the morning. got up and had a headache and then eat breakfast.  Had appt with someone and was fine.. after that around noon i was not feeling good very sleepy and laid down around 200pm and got up at around 600pm. Still have a slight headache but feeling much better
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: RED, PAINFULL, HOT, SWOLLEN X 4 DAYS ALL AROUND INJECTION SITE AND MOST OF UPPER ARM.  PATIENT TOOK TYLENOL FOR PAIN.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Diarrhoea, Injection site pain, Injection site pruritus, Injection site swelling, Nausea
Clinical narrative: Patient experienced nausea, diarrhea, pain in site area, swollen, itchy.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: patient said he developed a rash on the vaccinated arm 2 days following the vaccine, went to an urgent care clinic on 10/9/2020 where he was treated with antivirals and gabapentin
Age: 64.0
Sex: M
Vaccine: FLUR4
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine was given after a needle was attached for over 24 hours in the fridge. Patient is not experiencing any side effects at this time and would like another vaccine to be administered.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Anaphylactic reaction, Anxiety, Dyspnoea, Pharyngeal swelling, Wheezing
Clinical narrative: Prior to administration I did speak to patient over what to generally expect  from the vaccine and ask her to stay in the store for 15 minutes after to watch for any adverse reactions and let her know they can happen but are not common.  She agreed to have the vaccine because she has been smoking and had a cough from  smoking ( no Covid symptoms) .Administered Pneumovax 23 in left deltoid at 10:35 am. Within one or two minutes as patient stood up she felt her throat was swelling and she began having difficulty breathing. She was gasping for air but able to talk. I asked tech to bring me the emergency kit. I had the EpiPen ready to administer but she was afraid for me to inject it. As we spoke about how the shot would work, her breathing improved. I took her blood pressure at 10:45am and it was 164/86 and pulse was 80. Her anxiety was also improving. At 10:49 am the ambulance paramedics arrived and I provided  patient details and history of incident. The paramedic listened to her chest and said he could hear some wheezing , recommending her to be seen by a doctor. She agreed to go to get checked out. They took about 10 min. to evaluate and then prepare patient for transport.
Age: 77.0
Sex: F
Vaccine: FLU4, PNC13, VARZOS
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Pt says worst pain ever in her right arm from shoulder to fingertips.  Advise OTC pain relief. Pt received gabapentin 100mg taking 1-3 capsules at bedtime from doctor.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Loss of personal independence in daily activities, Pain
Clinical narrative: Pain Limited movement of right arm/Pain in bicep radiating to scapula/. Unable to do ADL?S saw my NP on Sept 28 due to severe pain, and unable to use right arm without severe pain.PT ordered. No. Relief to this date Of. 10/09/2020.  I have had 2 PT appointments.  No change even with Mild Passive exercises.
Age: 17.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient stated after receiving vaccine, the next day she woke up with arm red, area of where vaccine was placed was swollen, and itchy. Patient stated swelling lasted 2 days.
Age: 84.0
Sex: F
Vaccine: FLUA4, PPV
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: -right arm swollen, red, and hot to the touch (Fluad Quad given in R arm)  -pharmacy notified by RN at Facility on 10/9 around 2 pm
Age: 80.0
Sex: F
Vaccine: FLUA4, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: The patient's arm was swollen and red She said it hurt and was kind of itchy.
Age: 59.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Erythema, Pain, Pyrexia, Swelling
Clinical narrative: Per Mother of child, pt developed pain, swelling and redness 2.3 hrs after injection and fever 103 degrees that evening. Pt was taken to urgent care and treated with Bactrim for a possible cellulitis (taken to UC on 9/26) Fever resolved after 2 days and redness resolved after 4-5 days.
Age: 81.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Rash on upper L body chest over shoulders & back. Red, raised, bumpy, no blisters Fading more every day. The rash is itchy. Gave her Zyrtec 10mg qd & Hydrocortisone 1% Cr prn
Age: 18.0
Sex: F
Vaccine: FLU4
Symptoms: Cold sweat, Dizziness, Hypoaesthesia oral, Nausea, Oxygen saturation normal
Clinical narrative: Patient came back to facility about 1 hour after receiving the flu shot. She complained of feeling lightheaded, nausea, and clammy skin Pharmacy protocol says a this point to monitor for worsening or improving condition. At about 12:30, she start complaining of tingling in her right upper lip and numbness in her tongue. I had my technician call 911 and I monitored her until EMS arrived. She refused an Epipen, which is advised in pharmacy protocol. EMS arrived within 5 minutes and took over the situation. They took her vitals, etc and ultimately advised her to further monitor and take benadryl. I called the patient at 7PM and the symptoms had disappeared after taking the benadryl.
Age: 18.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia oral
Clinical narrative: Patient came back to facility about 1 hour after receiving the flu shot. She complained of feeling lightheaded, nausea, and clammy skin Pharmacy protocol says a this point to monitor for worsening or improving condition. At about 12:30, she start complaining of tingling in her right upper lip and numbness in her tongue. I had my technician call 911 and I monitored her until EMS arrived. She refused an Epipen, which is advised in pharmacy protocol. EMS arrived within 5 minutes and took over the situation. They took her vitals, etc and ultimately advised her to further monitor and take benadryl. I called the patient at 7PM and the symptoms had disappeared after taking the benadryl.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient received flu shot on 10-5-20. Redness had spread by the next day with swollen and warm to touch at site & itchy and & pain. He went to urgent care the next day 10-6-20. He was told to use hot packs and started antibiotic and Primary rechecked 2days later
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: Erythema, raised, Hot area Started on 10/8/20 @ 4 cm round. on 10/9/20 size increased to 8X7 cm. Painful to touch. No Systemic response. No Resp, Cardiac, Only Local. Treated ice, ibuprofen + Benadryl (emp. is allergic prednisone)
Age: 52.0
Sex: F
Vaccine: FLUC4
Symptoms: Lip swelling, Swelling face
Clinical narrative: Patient called pharmacy between 4-5 pm. She reported "lips swelling up." She reported taking Benadryl. She was advised by the pharmacist to go to the ER if condition worsened. At follow up check at 7 pm, patient reported ER visit due to "face swelling" where she received a steroid shot and was discharged.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site pain, Pain, Pruritus, Swelling
Clinical narrative: Pt returned 10-9-20 reporting itching, redness, and swelling. Tender at injection site. Achiness for a couple days. Referred to PCP for immediate care due to possible cellulitis. Pt filled scrip for Keflex.
Age: 74.0
Sex: F
Vaccine: FLUA4
Symptoms: Pruritus, Rash, Swelling
Clinical narrative: Patient says she developed swelling and a rash at about 7 PM the day of vaccine. The next day it started to itch all around the area. She applied ice and took Benadryl.
Age: 65.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Doctors office called and stated patient had swelling of right arm, pain and redness in the arm.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Injection site warmth
Clinical narrative: left arm at site of injection was warm and painful to touch that progressively got worse after 2 days
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Eye swelling, Pruritus, Urticaria
Clinical narrative: 10-8 Patient called reporting hives, itching and swollen eyes Advised her to take Benadryl every 4-6 hrs and soak in oatmeal bath and report to MD. Called 10-9 and patient doing much better with mild itching remaining.
Age: 71.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Pharmacist gave me flu shot at 9:39 am site injection left arm - to high up on arm.  By noon shoulder swelled to size of grapefruit, swelling spread to clavicle and neck.  I could not move my left arm at all or use my fingers.  The pain was excruciating left side of my upper body and arm.   I went back to CVS scared and saw the Pharmacist.  I  bought ibuprofen and took two on the spot.  I went back home Pharmacist called me for a week to make sure I was still breathing (I live alone) I am still suffering weeks later and made appointments with medical doctor / GP to treat Bursitis, the fluid sack caused by and at the injection site.  I am lucky to be alive.
Age: 71.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Bursitis, Fear, Injected limb mobility decreased, Injection site reaction, Injection site swelling
Clinical narrative: Pharmacist gave me flu shot at 9:39 am site injection left arm - to high up on arm.  By noon shoulder swelled to size of grapefruit, swelling spread to clavicle and neck.  I could not move my left arm at all or use my fingers.  The pain was excruciating left side of my upper body and arm.   I went back to CVS scared and saw the Pharmacist.  I  bought ibuprofen and took two on the spot.  I went back home Pharmacist called me for a week to make sure I was still breathing (I live alone) I am still suffering weeks later and made appointments with medical doctor / GP to treat Bursitis, the fluid sack caused by and at the injection site.  I am lucky to be alive.
Age: 71.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Pain, Pain in extremity, Product administered at inappropriate site, Swelling
Clinical narrative: Pharmacist gave me flu shot at 9:39 am site injection left arm - to high up on arm.  By noon shoulder swelled to size of grapefruit, swelling spread to clavicle and neck.  I could not move my left arm at all or use my fingers.  The pain was excruciating left side of my upper body and arm.   I went back to CVS scared and saw the Pharmacist.  I  bought ibuprofen and took two on the spot.  I went back home Pharmacist called me for a week to make sure I was still breathing (I live alone) I am still suffering weeks later and made appointments with medical doctor / GP to treat Bursitis, the fluid sack caused by and at the injection site.  I am lucky to be alive.
Age: 55.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Blood pressure orthostatic decreased, Dizziness, Hyperhidrosis, Presyncope
Clinical narrative: Stinging/burning at injection site immediately. Within 2 minutes, patient became weak, feeling like they were going to faint. Patient laid down on floor and elevated feet. Patient began sweating profusely across entire body. The weakness continued and patient unable to stand. 911 was called. One EMT arrived, patient blood pressure was very, very low and continues to drop. Patient transported to hospital. IV Catheter placed, IV fluids were administered, O2 was given, and EKG started. Blood pressure began to rise in ambulance. At ER, patient was evaluated, bloodwork drawn, EKG monitoring and blood pressure monitoring continued. IV fluids (1500 ml total) were given. After 3 hours, patient was stable, vital signs stable, and patient was discharged.
Age: 55.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Anaemia, Asthenia, Dizziness, Electrocardiogram, Full blood count abnormal
Clinical narrative: Stinging/burning at injection site immediately. Within 2 minutes, patient became weak, feeling like they were going to faint. Patient laid down on floor and elevated feet. Patient began sweating profusely across entire body. The weakness continued and patient unable to stand. 911 was called. One EMT arrived, patient blood pressure was very, very low and continues to drop. Patient transported to hospital. IV Catheter placed, IV fluids were administered, O2 was given, and EKG started. Blood pressure began to rise in ambulance. At ER, patient was evaluated, bloodwork drawn, EKG monitoring and blood pressure monitoring continued. IV fluids (1500 ml total) were given. After 3 hours, patient was stable, vital signs stable, and patient was discharged.
Age: 55.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Hyperhidrosis, Hypocalcaemia, Immediate post-injection reaction, Injection site pain, Laboratory test abnormal
Clinical narrative: Stinging/burning at injection site immediately. Within 2 minutes, patient became weak, feeling like they were going to faint. Patient laid down on floor and elevated feet. Patient began sweating profusely across entire body. The weakness continued and patient unable to stand. 911 was called. One EMT arrived, patient blood pressure was very, very low and continues to drop. Patient transported to hospital. IV Catheter placed, IV fluids were administered, O2 was given, and EKG started. Blood pressure began to rise in ambulance. At ER, patient was evaluated, bloodwork drawn, EKG monitoring and blood pressure monitoring continued. IV fluids (1500 ml total) were given. After 3 hours, patient was stable, vital signs stable, and patient was discharged.
Age: 55.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Oxygen therapy
Clinical narrative: Stinging/burning at injection site immediately. Within 2 minutes, patient became weak, feeling like they were going to faint. Patient laid down on floor and elevated feet. Patient began sweating profusely across entire body. The weakness continued and patient unable to stand. 911 was called. One EMT arrived, patient blood pressure was very, very low and continues to drop. Patient transported to hospital. IV Catheter placed, IV fluids were administered, O2 was given, and EKG started. Blood pressure began to rise in ambulance. At ER, patient was evaluated, bloodwork drawn, EKG monitoring and blood pressure monitoring continued. IV fluids (1500 ml total) were given. After 3 hours, patient was stable, vital signs stable, and patient was discharged.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Dizziness, Dyspnoea, Extra dose administered, Hepatitis B antibody negative
Clinical narrative: My dental program required me to get another 3 series of Hep B vaccines because my body apparently was not immune to the antibodies, so I went to get 3 series again. About 2 hours after I was injected with the vaccine, I started to get a migraine then I experienced dizziness, couldn't breathe, weak and drowsy, and I could not stand up straight either. This went on for about two days. I did not visit a doctors office, I could not afford to go at the time.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Migraine, Posture abnormal, Somnolence
Clinical narrative: My dental program required me to get another 3 series of Hep B vaccines because my body apparently was not immune to the antibodies, so I went to get 3 series again. About 2 hours after I was injected with the vaccine, I started to get a migraine then I experienced dizziness, couldn't breathe, weak and drowsy, and I could not stand up straight either. This went on for about two days. I did not visit a doctors office, I could not afford to go at the time.
Age: 9.0
Sex: U
Vaccine: FLU4
Symptoms: Dyspnoea
Clinical narrative: PATIENT HAD SHORTNESS OF BREATH 2 MINUTES AFTER INJECTION
Age: 73.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Limb discomfort, Mobility decreased
Clinical narrative: patient received vaccine that day and went home. once they got home they stated that both of their legs  felt heavy, like lead, and they had to lay on the ground. they could not get up for 2 hours. this is not the usual reaction to a vaccine, but the patient does not take any prescriptions so it cannot be from any prescribed meds.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Myalgia, Nasopharyngitis
Clinical narrative: Got second dose on Wednesday afternoon. Felt extreme fatigue about 24 hours after, Thursday afternoon. Took a 2 hour nap. Also body aches/muscle soreness that seemed to exceed what I?d expect from normal workouts.  Friday morning felt fine until afternoon when severe fatigue set in - almost exactly 48 hours after I got the shot. Took a 1 hour nap and felt ok afterward.  But Friday night into Saturday did not sleep well. Had severe headache in middle of the night, and woke up feeling like I had a head cold, and feeling some chills. Headache resolved with Tylenol.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Sleep disorder
Clinical narrative: Got second dose on Wednesday afternoon. Felt extreme fatigue about 24 hours after, Thursday afternoon. Took a 2 hour nap. Also body aches/muscle soreness that seemed to exceed what I?d expect from normal workouts.  Friday morning felt fine until afternoon when severe fatigue set in - almost exactly 48 hours after I got the shot. Took a 1 hour nap and felt ok afterward.  But Friday night into Saturday did not sleep well. Had severe headache in middle of the night, and woke up feeling like I had a head cold, and feeling some chills. Headache resolved with Tylenol.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema multiforme, Rash, Urticaria
Clinical narrative: Woke up the morning of 10/2/2020 (day following vaccines) with rash on body.  Rash improved with Benadryl.  Mother did not contact office until 10/8/2020.  Had been having rash daily since then.  Seen in our office.  The rash was a mix of urticaria and erythema multiforme type lesions.  It was on her upper arms, back, chest, abdomen, buttocks, upper legs.  She had no other findings.
Age: 57.0
Sex: F
Vaccine: FLUX, VARZOS
Symptoms: Chills, Fatigue, Hyperhidrosis, Nausea, Pyrexia
Clinical narrative: fever, chills, nausea. sweats and chills, fatigue
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Immediate post-injection reaction, Urticaria
Clinical narrative: Immediately after injecting patient had bruising and a large welt form
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Anxiety, Chills, Decreased appetite, Malaise, Nausea
Clinical narrative: On September 24 about 2 hours after the shot, I just wasn?t feeling well - no appetite and a bit nauseous. About 10 PM of the injection day I began to shiver although I wasn?t cold. My teeth were shattering and I couldn?t stop shaking. I woke my husband up worried that I was having an adverse reaction. I took Benedryl and Tylenol and around 11:00 PM, the shaking subsided. Then I began to run a fever for the next 32 or so hours. After the fever broke, I finally felt better on the28th.
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia, Tremor
Clinical narrative: On September 24 about 2 hours after the shot, I just wasn?t feeling well - no appetite and a bit nauseous. About 10 PM of the injection day I began to shiver although I wasn?t cold. My teeth were shattering and I couldn?t stop shaking. I woke my husband up worried that I was having an adverse reaction. I took Benedryl and Tylenol and around 11:00 PM, the shaking subsided. Then I began to run a fever for the next 32 or so hours. After the fever broke, I finally felt better on the28th.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site infection
Clinical narrative: patient reported an infection at injection site.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Pain in extremity, Rash
Clinical narrative: Patient experienced pain and rash on the arm from the shoulder to the elbow. It started on 10/07 at night. On 10/10, the patient came to reported and she said that it is getting better. Advice her to take Ibuprofen and Benadryl and let her PCP know.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Pruritus, Urticaria
Clinical narrative: Bumpy hives (some reddish, some whitish) on thighs, buttocks and backs of arms, mildly itchy (woke me up before 5 a.m.).  A 1% hydrocortisone cream alleviated the itchiness, and the treated hives subsided in ~ an hour.  I seem OK now but thought I'd report this side effect as it is not listed in the literature I received.  Also sometimes hives has come back so I'm not sure yet whether they have been resolved.  The sore/achy arm was expected and doesn't bother me.  I noticed that my paperwork has the right arm checked as the injection site but this it an error: the injection was in my left arm.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Pruritus, Urticaria
Clinical narrative: I received the injection at aprox 1:40 pm. After midnight while I was attempting to fall asleep I began itching, especially the tops of my feet. I found a raised welt on my breast the size of a quarter. I got up at 1:30 am to take an antihistamine pill as the itching had worsened. Shortly thereafter I broke out in hives. They covered my arms, hands, back of thighs, and legs. About 45 minutes after taking a single 10 mg pill of Loratadine, the hives and itching subsided.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus
Clinical narrative: prolonged itching around injection site for 6+ weeks, severe, about 6 inch diameter, no prolonged redness or swelling or pain past 1-2 days
Age: 83.0
Sex: F
Vaccine: FLUA4
Symptoms: Flank pain, Neck pain, Pain in extremity
Clinical narrative: Pain down left side, neck pain, and leg pain
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Ageusia, Anosmia, Decreased appetite, Fatigue, Insomnia
Clinical narrative: A few hrs after I rec'd the flu vaccine, I was fatigued, sleepy. Went to bed about 10pm. Began to ache all over. No headache. Got worse. Could not sleep. Took Tylenol 500 mg and Benadryl 50 mg. No sleep all night. Got up about 7am. Made coffee. Realized I had no taste or smell when I tried to drink the coffee. Slightly nauseated. No congestion. No appetite. Exhausted. Took another Tylenol 500 mg and Benadryl and just sat on the couch. Exhausted and achey. Took another Tylenol 500 mg and Benadryl and went to bed about 2pm. Woke up, took temperature: 100 degrees F. Back to sleep. Got up about 6pm. Still exhausted, achey. Fed my dogs. Went back to bed about 8pm. Woke up about 10:30pm and felt perfectly normal. No temp, no aches. Taste/smell gradually returned the next day, but no other symptoms. Got Covid test on Oct 8, 2020. Results: Negative. Still feeling well. Got Covid test for documentation and to R/O Covid.
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Pain, SARS-CoV-2 test negative, Somnolence
Clinical narrative: A few hrs after I rec'd the flu vaccine, I was fatigued, sleepy. Went to bed about 10pm. Began to ache all over. No headache. Got worse. Could not sleep. Took Tylenol 500 mg and Benadryl 50 mg. No sleep all night. Got up about 7am. Made coffee. Realized I had no taste or smell when I tried to drink the coffee. Slightly nauseated. No congestion. No appetite. Exhausted. Took another Tylenol 500 mg and Benadryl and just sat on the couch. Exhausted and achey. Took another Tylenol 500 mg and Benadryl and went to bed about 2pm. Woke up, took temperature: 100 degrees F. Back to sleep. Got up about 6pm. Still exhausted, achey. Fed my dogs. Went back to bed about 8pm. Woke up about 10:30pm and felt perfectly normal. No temp, no aches. Taste/smell gradually returned the next day, but no other symptoms. Got Covid test on Oct 8, 2020. Results: Negative. Still feeling well. Got Covid test for documentation and to R/O Covid.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Headache, Influenza, Insomnia
Clinical narrative: Sore arm (4-5 hrs); flu like symptoms (6-7 hrs) - full on flu symptoms, pain in muscles, joints, headache, fever (102 F) chills, insomnia (7-15 hrs).
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Sore arm (4-5 hrs); flu like symptoms (6-7 hrs) - full on flu symptoms, pain in muscles, joints, headache, fever (102 F) chills, insomnia (7-15 hrs).
Age: 78.0
Sex: F
Vaccine: FLU4
Symptoms: Musculoskeletal stiffness
Clinical narrative: Patient complains of stiffness in upper arm above the elbow extending up to shoulder starting the day after receiving the shot. She states she used an unspecified pain relief cream and a cold compress on the area.
Age: 64.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Vision blurred
Clinical narrative: Blurry vision with wavy lines for about 10 minutes. Followed by a strong frontal headache about a half hour later which didn?t respond to Motrin. Headache lasted approximately five hours
Age: 63.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Headache, Nausea, Pyrexia
Clinical narrative: fever - 102 degrees - chills - headache - nausea lasted for 8 hours
Age: 64.0
Sex: M
Vaccine: FLUR4, VARZOS
Symptoms: Fatigue, Injection site pain, Pyrexia
Clinical narrative: General fatigue, soreness in left shoulder, low grade fever 99.2 degrees at 36 hours
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain, Diarrhoea, Haematochezia
Clinical narrative: Patient reports abdominal pain and significant diarrhea the day following  Fluzone HD vaccination.  Patient also notes  blood in the stool.  Patient was recommended/referred to urgent care or other care for evaluation of bloody stool. Patient called in this morning and it is unclear if she is seeking care for her symptoms.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Hyperhidrosis, Malaise, Pallor
Clinical narrative: Patient receiving her immunizations, 2 injections and 1 nasal flu mist.  After flu mist and Tdap administered while sitting on the exam table, patient stated she didn't feel well. Patient pale in color, diaphoretic. Patient was laid back on exam table, BP-97/65, HR-56, ice pack applied to forehead. Patient stated she had not eaten or drank any fluids prior to coming in for her office visit. Small sips of water given along with a sucker, mother at table side. Monitored patient for 15 minutes, asymptomatic. Patient was discharged from the office per order alert, ambulatory, and in stable condition accompanied by her mother
Age: 20.0
Sex: F
Vaccine: FLUC4
Symptoms: Condition aggravated, Loss of consciousness, Syncope
Clinical narrative: Patient infornmed me of possibility of fainting after injection of vaccine. Patient reported that it has happened in the past. After injecting the patient in the right arm patient fainted for roughly about 5 seconds. Paitent woke up and was instructed to lie down and raise feet. Patient was asked if they needed an ambulance called and they refused. Water was given to patient and patient was instructed to stay in store for 20 minutes. After that patient said they felt fine and left with her father.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Neck pain, Pain, Pyrexia
Clinical narrative: Significant upper body and neck aches morning of 10/09 . Fever of 100.4F in am of 10/09 . Fatigue on 10/09. All symptoms subsided by 10/10
Age: 40.0
Sex: F
Vaccine: FLUC4
Symptoms: Headache, Urticaria
Clinical narrative: Sudden onset of hives from chest to entire face and immediate onset of painful headache
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Asthenia, Headache, Injection site erythema, Injection site pruritus
Clinical narrative: Extreme swelling, redness, itching at injection site.  Nausea, weakness, joint and muscle pain, fever 101degrees.  Headache, syncopal episode
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Myalgia, Nausea, Pyrexia, Syncope
Clinical narrative: Extreme swelling, redness, itching at injection site.  Nausea, weakness, joint and muscle pain, fever 101degrees.  Headache, syncopal episode
Age: 77.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Influenza like illness, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: On 10/6/2020, Patient came in requesting flu shot, after reviewing patient profile and consent form, administrator asked if she wanted the pneumonia vaccine as well. Patient agreed. She administered Fluzone HD and Pneumovax 23 to patient, both IMZ on the left arm. Saturday 10/10/2020, patient called pharmacy to report adverse event. Patient states she experienced "flu like symptoms that knocked her off her feet for 2 days." She reports redness on her left arm from shoulder down to the elbow. It was hot, sore, and red. She took a benadryl and tylenol like I had advised on the day of immunizations and another dose yesterday 10/9/2020. Patient is feeling better today and just calling us for feedback.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: red, warm right away that day.  2 days later, injection site cleared up, but the red, warm area had migrated down her arm, slight raised area of definite demarcation.  Pt had relief with ice, only iced once, advised to ice a couple times per day and be seen immediately if worse.  No s/sx of anaphylaxis, no other worries.
Age: 45.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: redness and swelling with fever patient is taking tylenol and meloxicam patient is getting slightly better. counseled patient to ice, elevate, and continue taking nsaid (ibuprofen after finishing meloxicam) and tylenol
Age: 14.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Chills, Headache, Pyrexia, Vomiting
Clinical narrative: High Fever 103.5 Chills Headache General Joint pain  Vomiting
Age: 13.0
Sex: M
Vaccine: FLUC4
Symptoms: Presyncope
Clinical narrative: pt had a vasovagal reaction about 2 minutes after receiving the vaccine. no prior history of this reaction. pt was layed supine and given fluids until symptoms resolved. vitals were monitored
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: Incoherent, Loss of consciousness, Tremor
Clinical narrative: Patient presented as a walk up at a flu drive. Patient tolerated injection well, initially. Patient's mother returned to the clinic with him about 10 minutes later, stating that she "thinks he had a seizure in the car". She states that he lost consciousness and "shook" and was incoherent for about 30 seconds before waking back up.
Age: 70.0
Sex: F
Vaccine: FLUA4
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 4.0
Sex: F
Vaccine: FLU4
Symptoms: Local reaction
Clinical narrative: Large local reaction, 2in.3in
Age: 16.0
Sex: F
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received FluBlok which is indicated for 18 and older, unless in clinical setting or rx for FluBlok written by doctor, given to the pharmacy
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Pruritis around chest/throat occurred within 10 minutes of injection; migrated to scalp; resolved 30 minutes after recieving  diphenhydramine 25 mg orally.  **Also got flu vaccination (Fluzone lot #UT7058LA) but has not had reaction to flu vaccinations in the past**