chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: M
Vaccine: FLU4, HEPA
Symptoms: Fall, Loss of consciousness
Clinical narrative: Patient received AFLURIA QUAD on left arm in the muscle then he received HAVRIX on right arm in the muscle. After HAVRIX administration, he immediately passed out and fell on his body with chest and torso touching the floor. We turned him to have him lay flat on this back. He soon regained consciousness. We told him to put his both feet up. He told us he didn't know he fell. We watched him closely. He said he was doing fine so he got slowly and could walk normally. After having him sit down, we watched him closely again. He said he was doing okay and he didn't have any issues so he left the pharmacy.
Age: 27.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Erythema, Pyrexia
Clinical narrative: Pt had flu shot in the morning 11:20 am and started to experience mild fever and redness on her face and inside of her palm, insisting that reaction started after lunch time (around noon). She didn't have any shortness of breath or any other swelling symptoms. We advised pt to take OTC Tylenol and Benadryl tablets and advised her to go ER if she happen to experience any breathing/ swelling problem.
Age: 27.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Pyrexia
Clinical narrative: Pt had flu shot in the morning 11:20 am and started to experience mild fever and redness on her face and inside of her palm, insisting that reaction started after lunch time (around noon). She didn't have any shortness of breath or any other swelling symptoms. We advised pt to take OTC Tylenol and Benadryl tablets and advised her to go ER if she happen to experience any breathing/ swelling problem.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Loss of personal independence in daily activities, Nausea, Pyrexia
Clinical narrative: Fever and Nausea--Better 9/23/18 AM worked Then occured again and missed work 9/24/18 and better 9/24/18, No problem just wanted to report adverse reaction which didn't happen with first dose.
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Tenderness at site 1 hour after injection, large red circle around site 1 day after.
Age: 62.0
Sex: M
Vaccine: FLU4
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness, tingling and radiating from shoulder to hand.
Age: 77.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Headache, Injection site rash, Nausea, Pain
Clinical narrative: Full Body aches, nausea, headache, rash at injection site. Patient stated he stayed in bed for 2 days and used 1 Aleve 220mg tablet for pain on the second day. Patient reported symptoms were resolving today 9/28/2018, however still had some body aches. All AEs have been known with this vaccine, however they seemed more pronounced than normal in this patient. Advised patient to continue to monitor symptoms and use OTC pain medications for body aches. Directed patient to be seen by doctor if any new symptoms arise or current symptoms become worse.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Headache, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Headache, body aches, joint pain, fever, malaise. Site reaction- redness, pain, swelling, itching.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Malaise, Pain, Pyrexia
Clinical narrative: Headache, body aches, joint pain, fever, malaise. Site reaction- redness, pain, swelling, itching.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: At 4am woke up with fever (103.8), chills, body aches.  Used Motrin to control fever and body aches.
Age: 6.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Local reaction, Pain in extremity
Clinical narrative: Patient has received flu vaccine yearly.  The evening of the vaccine the patient complained of arm pain (the arm the vaccine was given).  The next morning at school the patient was seen by the school nurse due to arm pain and had a 2 x 2 cm area of redness and swelling of skin around the injection site.  In the office approximately four hours later the patient had a local reaction that was 3x 3 cm.   This appears to be a local reaction to the vaccine.  Since it is the beginning of flu vaccine season I am reporting in case this became an issue with this product or lot number.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Dizziness, Hypotension, Injection site pain, Pyrexia
Clinical narrative: Muscle ache at injection site within 2 hours. Approximately 8 hours later, chills. Then at 6am fever, dizziness, fainted, ringing in ears, low blood pressure. Lasted for 3 more hours. Pedialyte, oyster crackers, 400mg Advil and rest helped aid recovery.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Syncope, Tinnitus
Clinical narrative: Muscle ache at injection site within 2 hours. Approximately 8 hours later, chills. Then at 6am fever, dizziness, fainted, ringing in ears, low blood pressure. Lasted for 3 more hours. Pedialyte, oyster crackers, 400mg Advil and rest helped aid recovery.
Age: 12.0
Sex: M
Vaccine: FLU4, IPV, VARCEL
Symptoms: Drooling, Eye pain, Facial asymmetry, Facial paralysis, Headache
Clinical narrative: In the evening of the day after he received his vaccines he developed L eye pain, temporal headache, and photophobia. The next morning he had bilateral eye pain, photophobia, and temporal headache, as well as L sided facial swelling and facial nerve paralysis (an asymmetrical smile where the L side was drooping with drooling).
Age: 12.0
Sex: M
Vaccine: FLU4, IPV, VARCEL
Symptoms: Photophobia, Swelling face
Clinical narrative: In the evening of the day after he received his vaccines he developed L eye pain, temporal headache, and photophobia. The next morning he had bilateral eye pain, photophobia, and temporal headache, as well as L sided facial swelling and facial nerve paralysis (an asymmetrical smile where the L side was drooping with drooling).
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient presented 1 week after vaccination with mild case of shingles.
Age: 68.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Headache, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient states on 9/26 PM right arm (where Pneumovax was administered) was very sore and he was unable to raise it. Patient also states headache started and that lasted until 9/28. On 9/27 arm became red and swollen and this traveled from injection site to just below right arm elbow by 9/28/18 when patient reported to pharmacy. Arm is very warm  to the touch but pain is subsiding some.
Age: 68.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Pain in extremity, Skin warm
Clinical narrative: Patient states on 9/26 PM right arm (where Pneumovax was administered) was very sore and he was unable to raise it. Patient also states headache started and that lasted until 9/28. On 9/27 arm became red and swollen and this traveled from injection site to just below right arm elbow by 9/28/18 when patient reported to pharmacy. Arm is very warm  to the touch but pain is subsiding some.
Age: 1.0
Sex: M
Vaccine: MMR, PNC13, VARCEL
Symptoms: Pyrexia, Seizure
Clinical narrative: Seizure with fever after the seizure,
Age: 42.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Inflammation, Skin warm
Clinical narrative: Redness, warmth, and inflammation on upper arm.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Feeling abnormal
Clinical narrative: Patient complained of upset stomach and throat "feeling funny".
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Chills, Headache, Nausea, Neck pain
Clinical narrative: Patient had fever and chills about 1.5 hours after receiving the vaccine. Six hours later, patient had extreme joint pain, headache and severe neck pain and nausea. The symptoms last for about 48 hours and today (09/28/18) patient feels a little better.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: Patient had fever and chills about 1.5 hours after receiving the vaccine. Six hours later, patient had extreme joint pain, headache and severe neck pain and nausea. The symptoms last for about 48 hours and today (09/28/18) patient feels a little better.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria, Lip pruritus, Pruritus
Clinical narrative: 39-y-o employee received an influenza vaccine on Wednesday 26 SEP reports experiencing pruritus, erythema, and urticaria around the site of injection and by early evening this reaction spread to her neck, chest, abdomen, bilateral arms and upper thighs.  When she arrived home from work, the employee reports she took Benadryl 25mg, Claritin 40mg, and Zantac 300mg with some relief. This morning, she reports taking the same doses of medications.  On 27 SEP, she reported that most of her hives have subsided, but she still is experiencing pruritus especially around the injection site, lips, and hairline.  Employee reports that she has not experienced a prior reaction to any vaccine. She denies exposure to any known allergy during this time period.  She reports that she feels like this after she has received morphine, which is a medication allergy for her.  After phone interview, employee was briefly visited at her work area.  On physical exam: calm, A&Ox3, no signs of emergency/immediate threat to life; noticed employee occasionally scratching arms, legs, eyebrows, and areas close to her mouth during conversation. HEENT: no erythema, no swelling of tongue or pharynx; chest and neck: erythematous anterior without urticaria. L deltoid: noticeable erythema at injection site with an erythematous, 4 mm diameter, raised wheal.  The area approximately 2 cm away from the injection site also was erythematous.  Employee has continued taking Benadryl, Claritin, and Zantac, and was prescribed a low dose burst of prednisone.  She reports symptoms have improved.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: 39-y-o employee received an influenza vaccine on Wednesday 26 SEP reports experiencing pruritus, erythema, and urticaria around the site of injection and by early evening this reaction spread to her neck, chest, abdomen, bilateral arms and upper thighs.  When she arrived home from work, the employee reports she took Benadryl 25mg, Claritin 40mg, and Zantac 300mg with some relief. This morning, she reports taking the same doses of medications.  On 27 SEP, she reported that most of her hives have subsided, but she still is experiencing pruritus especially around the injection site, lips, and hairline.  Employee reports that she has not experienced a prior reaction to any vaccine. She denies exposure to any known allergy during this time period.  She reports that she feels like this after she has received morphine, which is a medication allergy for her.  After phone interview, employee was briefly visited at her work area.  On physical exam: calm, A&Ox3, no signs of emergency/immediate threat to life; noticed employee occasionally scratching arms, legs, eyebrows, and areas close to her mouth during conversation. HEENT: no erythema, no swelling of tongue or pharynx; chest and neck: erythematous anterior without urticaria. L deltoid: noticeable erythema at injection site with an erythematous, 4 mm diameter, raised wheal.  The area approximately 2 cm away from the injection site also was erythematous.  Employee has continued taking Benadryl, Claritin, and Zantac, and was prescribed a low dose burst of prednisone.  She reports symptoms have improved.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Irregular breathing, Pyrexia, Tremor
Clinical narrative: PATIENT EXPERIENCED CHILLS, SHAKING, AND IRREGULAR BREATHING. THIS BEGAN ABOUT 2 HOURS POST VACCINATION AND LASTED ABOUT 1 & 1/2 HOURS. AFTERWARDS PATIENT CALMED DOWN AND BEGAN TO FEEL WELL ENOUGH TO SLEEP FOR AWHILE. UPON WAKING SHE FELT MUCH BETTER EXCEPT FOR A POSSIBLE MILD FEVER.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Abdominal discomfort, Headache, Influenza like illness, Musculoskeletal stiffness, Pain
Clinical narrative: Patient states that within 2.5-3 hours after the shot on Tuesday 9/25/18, she experienced stiffness, aches, headache, and a fever of 102 F. She took TYLENOL and the fever was still 100 F on Thursday but decreased to 99.2 F on Friday. She is still achy, stiff, and has an upset stomach and other flu-like symptoms as of Friday 9/28/18.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pyrexia
Clinical narrative: Patient states that within 2.5-3 hours after the shot on Tuesday 9/25/18, she experienced stiffness, aches, headache, and a fever of 102 F. She took TYLENOL and the fever was still 100 F on Thursday but decreased to 99.2 F on Friday. She is still achy, stiff, and has an upset stomach and other flu-like symptoms as of Friday 9/28/18.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Abdominal discomfort, Headache, Injection site pain, Musculoskeletal stiffness, Pain
Clinical narrative: Patient states that within 2.5-3 hours after the shot on Tuesday 9/25/18, she experienced stiffness, aches, headache, and a fever of 102 F. She took TYLENOL and the fever was still 100 F on Thursday but decreased to 99.2 F on Friday. She is still achy, stiff, and has an upset stomach and other flu-like symptoms as of Friday 9/28/18.
Age: 33.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Eye swelling, Eyelid function disorder, Gait disturbance, Grip strength decreased, Vision blurred
Clinical narrative: On 08/20/2018, patient presented with swollen eyes and was treated with 25mg diphenhydramine. On 08/21/2018, patient presented to acute care again with continued swollen eyes and blurry vision with no change in symptoms. She reported to the provider that the diphenhydramine given the day before did not improve symptoms. She was then prescribed prednisone 20mg daily for 10 days. The patient was referred out to an ophthalmologist and neurologist because she continued to have weakness of her eyelids and difficulty walking and holding items. Case is still under investigation with health care providers.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Chest X-ray normal, Chills, Dehydration, Feeling cold
Clinical narrative: Severe chill, weakness, freezing cold 3 days after the first SHINGRIX. Productive cough developed the after that. Chest X ray showed no pneumonia 6 days after the shot. Patient was instructed to take Robitussin and Tylenol. He felt better now and was advised to take Gatorade and light food for dehydration.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Productive cough
Clinical narrative: Severe chill, weakness, freezing cold 3 days after the first SHINGRIX. Productive cough developed the after that. Chest X ray showed no pneumonia 6 days after the shot. Patient was instructed to take Robitussin and Tylenol. He felt better now and was advised to take Gatorade and light food for dehydration.
Age: 93.0
Sex: M
Vaccine: VARZOS
Symptoms: Contusion, Pain in extremity
Clinical narrative: Pt caregiver states arm pain, and a bruise in the deltoid region. Bruise faded after a week, arm pain persists.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient complains of sore arm 6 days after shot.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Immediate post-injection reaction, Nasopharyngitis, Nausea, Neck pain
Clinical narrative: Right after injection, patient had severe arm and neck pain. Later on that day patient also had chill, ache and nausea. The next day, patient was having a cold. Today (09/28/2018) patient feels okay.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pain in extremity
Clinical narrative: Right after injection, patient had severe arm and neck pain. Later on that day patient also had chill, ache and nausea. The next day, patient was having a cold. Today (09/28/2018) patient feels okay.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Malaise, Myalgia, Nausea, Pharyngeal paraesthesia
Clinical narrative: Patient stated that about 24 hours after receiving the vaccine, patient did not feel well. Patient had nausea, muscle aches, chill, tickle in throat. Patient had to leave work on 09/28/2018 to rest at home.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Haemorrhage, Injection site rash
Clinical narrative: Two days after getting shot, patient noticed a rash spreading from her bicep off from where the shot was administered. Patient noticed there was potential bleeding, but it came from an area different from where she received vaccination. Patient states it was not painful and there was no itching, that rash has stopped spreading.
Age: 18.0
Sex: F
Vaccine: FLUC4
Symptoms: Loss of consciousness, Presyncope
Clinical narrative: Patient had a vasovagal reaction after receiving the shot. Patient told her mom, who was standing next to her that she felt funny a couple of minutes after receiving the injection, then she passed out into her mother's arms.  Pharmacist on duty, grabbed, epi-pen and blood pressure cuff, and instructed technician to call 911 and have manager in charge bring me the AED. When pharmacist reached the patient, she was conscious. Blood pressure was monitored and was within normal limits.  The pharmacist and a bystander spoke to her and asked her questions while we waited for paramedics to arrive.  The paramedics arrived roughly 5 to 10 minutes later and she was given the all clear.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Nausea
Clinical narrative: Patient felt dizzy upon injection and later felt symptoms of nausea.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Cellulitis, Dehydration, Diarrhoea, Malaise
Clinical narrative: The immunization was administered at 2:00 pm on 9/22/18.  At around 4:00 pm on 9/22, she started experiencing an unsettled stomach and diarrhea.  She didn't feel well throughout the weekend and followed up with her PCP on Monday, 9/24/2018.  At this point, her arm was swollen and she was severely dehydrated due to the diarrhea.  Her doctor is treating her with Keflex and Prednisone for cellulitis and she has been instructed to drink fluids for dehydration.  She was able to go back to work on 9/27/2018.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Peripheral swelling
Clinical narrative: The immunization was administered at 2:00 pm on 9/22/18.  At around 4:00 pm on 9/22, she started experiencing an unsettled stomach and diarrhea.  She didn't feel well throughout the weekend and followed up with her PCP on Monday, 9/24/2018.  At this point, her arm was swollen and she was severely dehydrated due to the diarrhea.  Her doctor is treating her with Keflex and Prednisone for cellulitis and she has been instructed to drink fluids for dehydration.  She was able to go back to work on 9/27/2018.
Age: 59.0
Sex: F
Vaccine: FLUC4
Symptoms: Impaired driving ability, Mobility decreased, Neck pain, Pain in extremity
Clinical narrative: Patient came into pharmacy ten days after receiving vaccination. She said she was experiencing a significant amount of pain in her arm, starting the day after receiving the flu shot. Patient said she can hardly lift her arm or turn her steering wheel and that the pain is now radiating up her neck.  We strongly suggested she contact her doctor to discuss these symptoms and be evaluated.  She called her doctor from the pharmacy and doctor suggested she go to the ER.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site discomfort, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient presented to Pharmacy on 9/28/18 to report she had been at the clinic at Hospital due to excessive itching and redness in her left arm where she had gotten the PNEUMOVAX vaccine on 9/27/18. She indicated it started itching one hour after the vaccination but didn't seek medical help until the next day. Her arm was swollen, red and she was in alot of discomfort due to the itching.  The clinic advised her to take BENADRYL and marked her arm with a circle and told her to go to the ER if the swelling and redness went outsied the mark.
Age: 62.0
Sex: M
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site urticaria
Clinical narrative: Patient received Fluarix immunization in left arm at approximately 1030am. Immediately upon inject patient developed quarter size welt at the site of injection. Was given a cold compress to see if swelling decreased, as well as a 10ml dose of Benadryl a few moments later. Patient reported no pain, no dizziness, no shortness of breath. Said he was fine. Size of self had not gotten larger before patient left pharmacy roughly 15 minutes later. Called patient later on in afternoon and he said the welt had gone down and he was in no pain still.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Blood test, Developmental delay, Electroencephalogram, Nuclear magnetic resonance imaging, Seizure
Clinical narrative: The same day she got all she shots she had a seizure and was hospitalized for 3 days. She is now developmental delayed.
Age: 63.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Erythema, Skin warm
Clinical narrative: The patient reported that her arm is red, hot and warm to the touch.
Age: 81.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Injection site rash
Clinical narrative: Patient was administered both PNEUMOVAX 23 and SHINGRIX in the same arm and developed a significant rash around the injection site. Patient was administered the vaccines on 9/26/18 and presented to the pharmacy with an order for keflex after being evaluated by his physician.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Oropharyngeal pain, Pyrexia
Clinical narrative: AFTER VACCINATION EARLIER IN DAY, SAME EVENING PATIENT REPORTS FEVER OF 101 AND 102 WHILE TAKING IBUPROFEN. PATIENT CONTINUED WITH FEVER FOLLOWING DAY OF 102 WITH IBUPROFEN USE. ON THIRD DAY UPON COUNSELING, PATIENT REPORTS FEVER WITH SORE THROAT WHILST TAKING IBU 400 MG Q6H BUT REPORTS FEELING BETTER THAN PAST TWO DAYS. PATIENT REPORTED TO MD AND MD OFFICE COUNSELED AND TOLD PATIENT COMMON SIGN/RXN OF VACCINE.
Age: 91.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Mobility decreased
Clinical narrative: PATIENT STATES SWELLING AT INJECTION SITE AND DIFFICULTY MOVING HER ARM.
Age: 35.0
Sex: F
Vaccine: VARCEL
Symptoms: Incorrect route of product administration
Clinical narrative: Right after patient left I realized that vaccine was given IM instead of SQ when complete injection site on vaccine administration record and informed consent form. I called Merck to check for effectiveness and adverse effects or needs to re-vaccination might have cause due to wrong route of administration. I received a verbal and fax from Merck to confirm no needs for re-vaccination or  any side effects due to intramuscular injection.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Injection site erythema, Oral herpes, Pain in extremity, Pruritus
Clinical narrative: My arm got very sore after the shot. The next day it started getting red at the injection site and then the red traveled down to my elbow. My arm got very hot to touch. I felt like I could not lift my arm. It stayed this way for about a 10 days. Then it started to itch intensely. About 8 days after the shot I got this huge fever blister on and inside of my lip. It was a very sore, large blister that has taken two weeks to heal even slightly.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin warm
Clinical narrative: My arm got very sore after the shot. The next day it started getting red at the injection site and then the red traveled down to my elbow. My arm got very hot to touch. I felt like I could not lift my arm. It stayed this way for about a 10 days. Then it started to itch intensely. About 8 days after the shot I got this huge fever blister on and inside of my lip. It was a very sore, large blister that has taken two weeks to heal even slightly.
Age: 73.0
Sex: F
Vaccine: FLUR4
Symptoms: Hypersensitivity, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Two hours after the immunization, the pt. had soreness in the bicep area (frontal to the injection site). The same evening, the patient felt soreness in the entire upper arm. On the next day following injection, the patients arm was red and swollen and hot to the touch (entire upper arm). She called me and I advised her to see her physician. Pt. was able to get into her physician but was only able to see "a resident or fellow" Dr. Dr. felt it was an allergic reaction and pt. was placed on Hydroxyzine 25 mg. at bedtime and Triamcinolone .5% cream to apply twice per day until itching resolved. I was not initially told about C/O itching. Today, 09/28/2018, the pt. claims she only has a very faint pink mark to the bicep area. Otherwise, she feels good. Explained the FLUBLOK vaccine and encouraged her to get another vaccine in the future that is not cell derived.
Age: 73.0
Sex: F
Vaccine: FLUR4
Symptoms: Pain in extremity, Pruritus
Clinical narrative: Two hours after the immunization, the pt. had soreness in the bicep area (frontal to the injection site). The same evening, the patient felt soreness in the entire upper arm. On the next day following injection, the patients arm was red and swollen and hot to the touch (entire upper arm). She called me and I advised her to see her physician. Pt. was able to get into her physician but was only able to see "a resident or fellow" Dr. Dr. felt it was an allergic reaction and pt. was placed on Hydroxyzine 25 mg. at bedtime and Triamcinolone .5% cream to apply twice per day until itching resolved. I was not initially told about C/O itching. Today, 09/28/2018, the pt. claims she only has a very faint pink mark to the bicep area. Otherwise, she feels good. Explained the FLUBLOK vaccine and encouraged her to get another vaccine in the future that is not cell derived.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site infection
Clinical narrative: Pt. stating after getting infection, she got infection at the site of injection. She had to go to MD to get treated.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Cough, Fatigue, Palpitations, Pyrexia
Clinical narrative: Fever, fatigue, chills, cough, palpitations.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Depressed level of consciousness, Eye movement disorder, Seizure, Urinary incontinence
Clinical narrative: The patient told me she gets dizzy after vaccine. I told her to remain in chair and to call me if she needed anything. A few minutes later she told me she felt like she was going to pass out. I got my tech to stay w/her so she wouldn't hit the floor, we got her some water. My tech told me she was having a seizure and I called 911 (EMS) to come. She precoded her mother's phone number before this and I called her mom to come to the pharmacy. I called her mother again when she was on the way and let her know I called 911 and EMS was coming. After her mom got here I was told to cancel EMS which I did the patient had her arms pulled up to her, eyes rolled, and patient urinated per tech. Her mother stayed and then they left together. Patient also told tech that she did fine with last year's flu shot.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Blindness, Cardiac monitoring, Dizziness, Dyspnoea, Feeling hot
Clinical narrative: Approximately a few minutes after immunization, patient started feeling really hot, dizziness, prickly pain from head to toe, then things went black (she could not see anything but remained conscious) and had trouble breathing due to throat swelling. EPI-PEN was administered and EMT arrived and advised patient to go to Emergency room for further care and observation. Patient was given prednisone in emergency room and was observed. Patient was discharged with additional doses of prednisone for the next few days. Provider treating patient in ER.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pharyngeal oedema
Clinical narrative: Approximately a few minutes after immunization, patient started feeling really hot, dizziness, prickly pain from head to toe, then things went black (she could not see anything but remained conscious) and had trouble breathing due to throat swelling. EPI-PEN was administered and EMT arrived and advised patient to go to Emergency room for further care and observation. Patient was given prednisone in emergency room and was observed. Patient was discharged with additional doses of prednisone for the next few days. Provider treating patient in ER.
Age: 1.17
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Urticaria
Clinical narrative: Hives all parts of body.
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Body temperature increased, Fatigue, Headache, Pain, Pain in extremity
Clinical narrative: Temp 99.2, body aches, (R) arm soreness, headache, fatigue.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Onset - 9/28/18. Awoke and arm (R-deltoid) red and warm over site. Size of reaction 75 x 75 mm.
Age: 56.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Vaccination complication
Clinical narrative: I will get more information soon. But I was told that the patient has experienced severe vaccines adverse reaction the day after he received the vaccines.
Age: 64.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, swollen and warm to touch at injection site she received on 9/26/18 and came to RX w/cc on 9/28/18 at 8:00 am. Pt went to PT 1st as instructed by RPh and was given triamcinolone cream and doxycycline 100 mg caps.
Age: 20.0
Sex: F
Vaccine: MENB
Symptoms: Erythema, Headache, Injection site bruising, Injection site mass, Pain
Clinical narrative: Day of injection red and warm. 2nd day more red, sore, developed headache. 3rd day same then developed bruise and lump where given.
Age: 20.0
Sex: F
Vaccine: MENB
Symptoms: Skin warm
Clinical narrative: Day of injection red and warm. 2nd day more red, sore, developed headache. 3rd day same then developed bruise and lump where given.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Pain, Tremor
Clinical narrative: Chills, shaking, soreness all over, over 2 days. Rest, Ibuprofen, TYLENOL for treatment.
Age: 71.0
Sex: F
Vaccine: FLUA3
Symptoms: Headache, Injection site bruising, Injection site erythema, Nausea, Vertigo
Clinical narrative: On the morning of 9/27/18, the patient noticed redness and bruising at injection site. On the morning of 9/28/18, the patient started experiencing vertigo, nausea, and headaches.
Age: 84.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Hypotension, Pain
Clinical narrative: Patient reported: "Unbearable throbbing" the night of getting vaccine. Pt went to ER and was found to have "low BP" of 103/71 mmHg and was given saline (NaCl 0.9%).
Age: 4.0
Sex: M
Vaccine: DTAP, FLU4, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: Redness, bump; given diphenhydramine liquid, 12.5 mg/5 ml, 8 ml orally 3 times a day, 3 days.
Age: 59.0
Sex: F
Vaccine: FLUR4
Symptoms: C-reactive protein, Chest discomfort, Electrocardiogram, Erythema, Feeling abnormal
Clinical narrative: The employee came to me stating "I don't feel right. I just got a flu shot and my chest feels heavy." I took her to the clinic for vital signs. BP 243/123, P 112, O2 Sat 97%. She denied chest pain or SOB. She took 25 mg po BENADRYL and I put her in a w/c and took her to the E.D. after she finally allowed me to take her. Her face was red and she was A + O.
Age: 59.0
Sex: F
Vaccine: FLUR4
Symptoms: Full blood count, Metabolic function test, X-ray
Clinical narrative: The employee came to me stating "I don't feel right. I just got a flu shot and my chest feels heavy." I took her to the clinic for vital signs. BP 243/123, P 112, O2 Sat 97%. She denied chest pain or SOB. She took 25 mg po BENADRYL and I put her in a w/c and took her to the E.D. after she finally allowed me to take her. Her face was red and she was A + O.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Vitreous floaters
Clinical narrative: Patient was administered AFLURIA QUADRIVALENT IM in the left arm per standard operating procedures on 09/25/2018. On 09/28/2018 the patient called the pharmacy at 05:20 PM and reported that on the morning of 09/26/2018 two "floaters" appeared in her right eye's field of vision. The "floaters" were described as "shadows that moved with the eye" and there were two of them, "a big one and a little one". The patient reported that they have not gone away as of 09/28/2018, and she was instructed to contact her doctor as soon as she could.
Sex: M
Vaccine: BCG
Symptoms: Ill-defined disorder, Laboratory test
Clinical narrative: This spontaneous report was received from a Pharmacist referring to an infant male patient of unspecified age. The patient's concurrent conditions and medical history were not reported. There was no concomitant medication reported. On an unknown date, the patient was vaccinated with a dose of unspecified bcg live (manufacturer unknown) (administered in an unspecified country) (dose, route, anatomical location, lot number and expiration date were not reported) for prophylaxis. Subsequently, on an unknown date, the patient was hospitalized to receive treatment at specific hospital with "disseminated disease". Routine lab work was performed but the results were not provided. At the reporting time, the patient was currently hospitalized. The outcome of the adverse event was reported as not recovered. The causality assessment was not provided.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Fever of 100.3 and achy all over.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, IPV, RV1
Symptoms: Gait disturbance, Loss of consciousness, Respiratory arrest, Resuscitation, Speech disorder developmental
Clinical narrative: Within 20 min of getting vaccines she passed out and stopped breathing. Would not wake and needed cpr. Had to take her to the hospital.
Age: 14.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Abdominal pain upper, Blood test, Body temperature decreased, Electrocardiogram, Headache
Clinical narrative: Stomach ache, intense headache, faint, sweating, paleness,  drop in body temperature.
Age: 14.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Hyperhidrosis, Pallor, Syncope
Clinical narrative: Stomach ache, intense headache, faint, sweating, paleness,  drop in body temperature.
Age: 67.0
Sex: F
Vaccine: FLUA3
Symptoms: Hyperhidrosis, Nausea
Clinical narrative: Extreme nausea and perspiration--continued for one hour until Emetrol dose.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema
Clinical narrative: Patient reported a red patch at the injection site.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Fever, Chills, Headache, and Muscle Ache.
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP, MMR
Symptoms: Discomfort, Gait inability, Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: Severe pain and swelling in left thigh. Won't walk and high fever 103-104. Red marks and dots on leg. Very uncomfortable. Non weight bearing on the left leg.
Age: 3.0
Sex: M
Vaccine: DTAPHEPBIP, MMR
Symptoms: Injection site swelling, Pyrexia, Weight bearing difficulty
Clinical narrative: Severe pain and swelling in left thigh. Won't walk and high fever 103-104. Red marks and dots on leg. Very uncomfortable. Non weight bearing on the left leg.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Hypertension, Insomnia, Mobility decreased
Clinical narrative: Patient's wife called Today 9/29/2018, stating  that her husband has a very bad joint paint and he can't sleep and he can barely move and his blood preassure is high exceeding 160 and that he has been like this for the past two days. He didn't have any reaction to the first dose per wife.  I informed the wife that she has to take patient to the ER.
Age: 32.0
Sex: M
Vaccine: FLU4
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out twice after vaccination.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling
Clinical narrative: Patient said she had swelling near the injection site. The following day the swelling went to bicep area, and then the day following the swelling went near her elbow. I found of the incident 3 days after the patient got the vaccination. I called to follow up and her symptoms are much improved then they were in previous days.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Dermatitis contact, Rash erythematous, Rash pruritic, Skin burning sensation, Urticaria
Clinical narrative: Red rash over neck and upper chest with welt-like bumps and intense itching/burning started 8/16/18. Initially treated at home with 1% hydrocortisone and BENADRYL 25-50 mg for approximately one and a half weeks - not effective.  Seen at clinic - provider indicated uncertainty regarding cause and prescribed the following: triple antibiotic - 1% silver sulfadiazine cream - 1% clotrimazole cream (mixed together and applied to affected area twice daily and at bedtime) as well as valacyclovir 1gm TID. No improvement was noted - burning and itching became unbearable. Went to Emergency Department on 9/7/18 and was advised to discontinue previous treatments.  Diagnosis was contact dermatitis of neck and face - was prescribed 40mg of prednisone x 12 days with a 6-day taper. Symptoms improved, but have returned with completion of steroid course.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Paraesthesia
Clinical narrative: Got the Zoster SHINGRIX vaccination at store. Day after vaccination started feeling tingling inside left thumb. Vax was in left arm. About 10 years ago I had a herpetic whitlow on right index finger for about 6 months. Reaction to Zoster SHINGRIX felt and looked much like prior whitlow. It's gone now. Treated it with ZOVIRAX cream for first month. ZOVIRAX helped some. Second month I got Rx for VALTREX (1000mg, 2x/day, 5 days and continued ZOVIRAX. Condition resolved after 2nd month. Discussed subj with PA at Annual Physical on 14 Sep. We decided it would be best not to get another shot.
Age: 47.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Patient developed a bulls eye rash on left deltoid. It is itchy according to patient. Patient was instructed to inform MD. No treatment was suggested. No outcome has been established yet.
Age: 68.0
Sex: M
Vaccine: PNC13
Symptoms: Oropharyngeal pain, Pain, Productive cough
Clinical narrative: Body aches, Throat pain, Phlegm for 7 days post shot.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Patient currently experiencing pain, swelling, redness and itching covering 3/4 of her left arm. She started taking ibuprofen on 09/28/2018 for pain and swelling. Symptoms continued to worsen. Patient starting BENADRYL 50mg every 6 hours on 09/29/2018. Will contact doctor if reactions continues to worsen.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Patient currently experiencing pain, swelling, redness and itching covering 3/4 of her left arm. She started taking ibuprofen on 09/28/2018 for pain and swelling. Symptoms continued to worsen. Patient starting BENADRYL 50mg every 6 hours on 09/29/2018. Will contact doctor if reactions continues to worsen.
Age: 74.0
Sex: F
Vaccine: FLUC4, PNC13
Symptoms: Oropharyngeal pain, Pain, Productive cough
Clinical narrative: Sore throat, Body aches, Phlegm for 7 days post shot.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Patient called and reported that she her left arm is red, sore and hot. She stated that her arms are keeping swelling from the deltoid to the elbow. She also reported that it is itching. Pt is to take dyphenhydramine, and tylenol to alleviate some of her symptoms.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Asthenia, Chills, Dry mouth, Headache
Clinical narrative: Severe body aches, severe shivering, headache, weakness, dizziness, dry mouth, upset stomach, severe pain at injection site--all lasting from the nite of the shot thru late evening the next day.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Pain
Clinical narrative: Severe body aches, severe shivering, headache, weakness, dizziness, dry mouth, upset stomach, severe pain at injection site--all lasting from the nite of the shot thru late evening the next day.
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Neck pain, Oropharyngeal pain
Clinical narrative: Patient reported pain and swelling in arm injection site, pain radiating to neck, and a sore throat. Symptoms started the day of the injection (9/24/18) and resolved on 9/29/18 without needing treatment.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Neck pain, Oropharyngeal pain
Clinical narrative: Patient's husband reports soreness and swelling at injection site, pain radiating to neck, and sore throat. Onset of symptoms on 9/29, 5 days after administration on 9/24.
Age: 68.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: The patient presents red area, with itching and hot, swollen.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Sensation of foreign body
Clinical narrative: Patient returned to stoer approx 3 hrs after shot stating felt like something was stuck in her chest or throat and she had been coughing since getting shot. No other symptoms reported. Advised if continue seek medical attention and referred to on-site minute clinic for further asessment if patient wished.
Age: 53.0
Sex: M
Vaccine: FLUX, PPV, FLU4, PPV, TDAP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Patient states he received the pneumococcal and flu vaccine both in left deltoid. Left arm upper arm reddened and painful. Patient states he received the vaccine at his work through services provided by pharmacy.
Age: 53.0
Sex: M
Vaccine: FLUX, PPV, FLU4, PPV, TDAP
Symptoms: Erythema, Injection site erythema, Injection site swelling, Pyrexia, Swelling
Clinical narrative: Patient states he received the pneumococcal and flu vaccine both in left deltoid. Left arm upper arm reddened and painful. Patient states he received the vaccine at his work through services provided by pharmacy.
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV, PPV, VARCEL
Symptoms: Diet refusal, Dysphagia, Irritability, Pyrexia, Rhinorrhoea
Clinical narrative: After 12 months shot my baby starting having fever 102.4 is the highest after 2 days.. then Baby refused to eat.. then runny nose and whinny.. even nursing he doesn't do it like he usually do and seems like having hard time to swallow.
Age: 80.0
Sex: F
Vaccine: FLUA3
Symptoms: Dizziness, Hypoaesthesia, Hypoaesthesia oral, Loss of personal independence in daily activities
Clinical narrative: Pt received vaccination around 2 pm. Later in the day, she began to experience dizziness. In addition, she is experiencing numbness on the left side of her mouth and upper left arm. Since yesterday, the dizziness has decreased, but is still present. Pt has been able to do normal activities of daily living, including laundry and other things around house.
Age: 42.0
Sex: M
Vaccine: FLU4
Symptoms: Rash, Rash generalised, Vasculitis
Clinical narrative: Experienced a rash all over body after vaccine (maybe after 1 to 2 days) and tried Calamine lotion OTC. That didn't work so went to MD and they diagnosed him with vasculitis, had  different severity rashes all over his body and face so they gave him MEDROL Dose pack 9/3/18. He finished the pack and still wasn't better so went out of town and MD gave another MEDROL Pack and betamethasone cream. This helped but rash came back a few days later. MD gave him Prednisone 20 mg starting as 60 mg taper on 9/20/18. The rash is now going away.
Age: 90.0
Sex: M
Vaccine: FLU3
Symptoms: Contusion, Rash erythematous, Scab
Clinical narrative: Patient came to the pharmacy and presented a yellow bruise and a pink/red rash with a scab in the middle. This was located on his lower arm, but not in the deltoid area. The patient reported that the rash appeared over the last few days and he has never experienced this type of reaction after being vaccinated.
Age: 19.0
Sex: M
Vaccine: FLU4
Symptoms: Loss of personal independence in daily activities, Musculoskeletal pain, Pain, Product administered at inappropriate site
Clinical narrative: Patient received vaccination 2 weeks ago. During the following weeks, patient complained of pain in shoulder when sleeping, and abducting or adducting arm. Difficulty in dressing himself. After 12 days, patient's mother called the pharmacy for the first time to inform us that patient was experiencing pain still after 2 weeks. Mother informed us that she watched immunizer insert needle, pull it out, and then reinsert it lower. She figured that the initial shot was inserted too high.  Nothing was injected during the initial injection. Mom stated patient was icing shoulder with minimal relief.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Injection site nodule, Injection site warmth, Joint swelling, Paraesthesia
Clinical narrative: Large knot around injection site, hot to touch occuring within 2hrs. Pain in elbow, elbow joint. Swelling into forearm with initial pain occuring. Swelling/tingling in the ring finger as described by patient.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Peripheral swelling
Clinical narrative: Large knot around injection site, hot to touch occuring within 2hrs. Pain in elbow, elbow joint. Swelling into forearm with initial pain occuring. Swelling/tingling in the ring finger as described by patient.
Age: 26.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site mass, Oropharyngeal pain, Pain
Clinical narrative: Red lump at injection site. Mild soreness. Sore throat.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Erythema
Clinical narrative: Bruising on arm, redness.
Age: 29.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Peripheral swelling
Clinical narrative: Patient states she contracted cellulitis from being immunized. Swollen and red upper arm.
Age: 65.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Chills, Dizziness, Headache, Hyperhidrosis, Nausea
Clinical narrative: Pt called on 9/27/18 stating that starting within a few hours of  receiving the vaccinations she felt very nauseous and lightheaded. Over the next few hours she experienced chills, sweating, headache, and vomited multiple times. She had to call into work on 9/27/18. She stated that she felt much better after about 24 hours receiving the vaccines.
Age: 65.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Vomiting
Clinical narrative: Pt called on 9/27/18 stating that starting within a few hours of  receiving the vaccinations she felt very nauseous and lightheaded. Over the next few hours she experienced chills, sweating, headache, and vomited multiple times. She had to call into work on 9/27/18. She stated that she felt much better after about 24 hours receiving the vaccines.
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Rash began under upper left arm (same arm as injection) several hours  after injection, then spread to other arm, low back, buttocks, legs. RASH - pinpoint, red,  like sandpaper, ITCHY, seems to be worse medially.
Age: 75.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Platelet count decreased, Platelet count normal
Clinical narrative: Catastrophic loss of blood platelets from 140,000 to 8,000 following second vaccination.
Age: 75.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Contusion, Platelet count decreased
Clinical narrative: Catastrophic loss of blood platelets from 140,000 to 8,000 following second vaccination.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Injection site pain, Muscular weakness
Clinical narrative: Patient experienced pain and weakness in the arm, in the area of the injection. Pain and limited mobility are still a factor at this time. She is going to physical therapy to try to improve movement and pain.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Myalgia
Clinical narrative: Bruise and sore muscle for the first couple of days but the sore muscle has continued.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Nausea, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: 100.3F fever, nausea, vomiting, headache, arm soreness