chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Rash vesicular
Clinical narrative: This initial spontaneous report was received from a lawyer regarding a case in litigation and refers to a male patient of unknown age. No information was provided regarding concomitant medications, concurrent conditions or medical history. On or about 08-JUN-2012, the patient was inoculated with ZOSTAVAX at a clinic as recommended for routine adult health maintenance for the prevention of shingles (dose, route, and lot # not provided). The vaccine did not prevent shingles as intended and the patient subsequently contracted a persistent strain of herpes zoster. On or about 31-AUG-2015, the patient was treated at the same clinic for a blistering vesicular outbreak which was diagnosed as herpes zoster or shingles. As a direct and proximate result of the ZOSTAVAX vaccine, and/or despite receiving ZOSTAVAX for long-term prevention of shingles, the patient suffered painful injuries and damages, and required extensive medical care and treatment. As a further proximate result, the patient has suffered and will continue to suffer significant medical expenses, and pain and suffering, and other damages. The outcome of the events was unknown. Causality assessment was related. Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Rash vesicular
Clinical narrative: This initial spontaneous report was received from a lawyer regarding a case in litigation and refers to a female patient of unknown age. No information was provided regarding concomitant medications, concurrent conditions or medical history. In 2012 the patient was inoculated with ZOSTAVAX at a pharmacy as recommended for routine adult health maintenance for the prevention of shingles (dose, route, and lot # not provided). The vaccine did not prevent shingles as intended and the patient subsequently contracted a persistent strain of herpes zoster. In 2013, the patient was treated in the Emergency Department (ED) for a blistering vesicular outbreak which was diagnosed as herpes zoster or shingles. As a direct and proximate result of the ZOSTAVAX vaccine, and/or despite receiving ZOSTAVAX for long-term prevention of shingles, the patient suffered painful injuries and damages, and required extensive medical care and treatment. As a further proximate result, the patient has suffered and will continue to suffer significant medical expenses, and pain and suffering, and other damages. The outcome of the events was unknown. Causality assessment was related. Additional information has been requested.
Sex: U
Vaccine: IPV
Symptoms: Product storage error
Clinical narrative: Initial information received on 31-Aug-2018 regarding an unsolicited valid non-serious case received from a nurse. This case is linked with cases 2018SA248595 for 4 years old patient, same reporter. This case involves a 20 years old patient (gender was not reported) who received vaccine IPV (VERO) [IPOL] (lot number N1J451M, expiry date not reported) via intramuscular route in arm not specified on 09-Aug-2018. The patients past medical history, medical treatment(s), vaccination(s) and family history were not provided. It was an actual medication error due to incorrect product storage. It was also reported that there was temperature excursion with Ipol 11.2C 1hr 12 mins. It was unknown whether the patient had any adverse event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Sex: U
Vaccine: DTAPIPVHIB
Symptoms: Product preparation issue
Clinical narrative: Initial information received on 05-Sep-2018 regarding an unsolicited valid non-serious case received from a other health professional. This case involves adult patient (age and gender not reported), who was vaccinated with a dose of PENTACEL (Batch number, expiry date, dose, dose in series, route and site of administration were not reported) on an unknown date. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications were not reported. It was also a case of actual medication error due to inappropriate reconstitution technique because the following vaccine was not reconstituted with the DTap/Polio before it was injected. It was unknown if any adverse event was occurred or not following the vaccination. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender- none.
Sex: U
Vaccine: TDAP
Symptoms: Occupational exposure to product, Skin laceration, Syringe issue
Clinical narrative: Initial information received on 07-Sep-2018 regarding an unsolicited valid non-serious case received from a health care professional. This is the case of occupational exposure which stated that when the flange broke it cut the medical office assistants finger (unknown finger). The vaccine involved was ADACEL and was given on 06-Jul-2018 (batch number: U5875AA, expiry date: 14-Feb-2020). The patients past medical history, medical treatment(s), vaccination(s) and family history were not provided. This is also a product issue case due to the flange on the syringe broke while the vaccine was being given. Case description: The patient was not cut. The route and site is unknown. The frequency was 1. The dose is 0.5ml and the strength is standard. The ADACEL was an immunization. It was unclear whether the flange was cracked before administering to patient. (Other relevant tests included no lab data.) It was not reported if the patient received a corrective treatment. The outcome of the event when the flange broke it cut the medical office assistants finger (unknown finger) was not reported.
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Initial information received on 07-Sep-2018 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 65 years old female patient who experienced swelling and redness two inches below, while she received vaccine FLUZONE HIGH DOSE. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medication not reported. On 05-Sep-2018, the patient received a dose of suspect INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE lot UI994AD via unknown route. On an unknown date, The patient developed a non-serious swelling and redness two inches below. (vaccination site inflammation) 2 hours following the administration of INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE. Final diagnosis was swelling and redness two inches below. Lab test not reported. It was not reported if the patient received a corrective treatment. The patient outcome is reported as Not Applicable for swelling and redness two inches below..
Sex: F
Vaccine: IPV, MMR, MNQ, TDAP, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Initial information received on 07-Sep-2018 regarding an unsolicited valid non-serious case received from other health professional. This case involves a 15 years old female patient who was vaccinated with a dose of ADACEL (Batch number, expiry date, dose, dose in series, route and site of administration was not reported) on 27-Nov-2017. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. The patient's concomitant medications included IPOL; MMR and MENACTRA for Immunization. It was a case of actual medication error due to extra dose administered. No adverse events had been reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Age: 70.0
Sex: M
Vaccine: MENB
Symptoms: Hypoaesthesia, Peripheral swelling
Clinical narrative: Patient developed arm swelling shortly after vaccination that lasted 7-8 days. When swelling improved, he developed intermittent left 5th finger numbness and left arm numbness that occurs daily and lasts 5-15 minutes before resolving spontaneously. Denies pain or tingling associated with the numbness.
Age: 56.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: 09/14/18 @ 2:30 pm, patient called and complained about redness and itching at site of IMZ injection (left arm). We advised patient to see her PCP and we will follow up with Dr. She received two vaccines FLUZONE QUAD and PNEUMOVAX 23. Rx 6795664,  Rx 6795673-09/11/2018.
Age: 86.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site pruritus, Injection site reaction, Injection site swelling, Injection site warmth, Rash erythematous
Clinical narrative: Itching, red/rash area the size of palm of her hand on 9/14/18 pm (had gotten larger since yesterday), little swollen, and hot to the touch around the site of injection.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Influenza like illness, Pain
Clinical narrative: Chills especially all night. Bad body aches which felt like the flu. Headache.
Age: 55.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Erythema, Pruritus, Rash generalised, Swelling
Clinical narrative: PATIENT CAME IN TODAY AND REPORTED THAT AFTER SHE GOT HER VACCINATION ON 09/07/18 (FOR FLUARIX AND PNEUMOVAX 23) SHE WENT HOME AND LATER IN THE EVENING AROUND 7PM  STARTED ITCHING AND NOTICED RASHES ALL OVER HER BODY. SHE ALSO DEVELOPED SWELLINGS THAT WERE RED. ACCORDING TO HER  THE ITCHING AND RASHES WERE VERY BAD BUT SHE DID NOT REPORT TO ANY MEDICAL FACILITY, INSTEAD SHE PURCHASED ANTI-ITCH MEDICATION FROM A STORE IN TOWN (THIS COULD HAVE BEEN (DIPHENHYDRAMINE). SHE HAD THIS REACTION FOR UP TO 2 DAYS BUT THEN SHE BEGAN TO HAVE SOME RELIEVE AFTER THE 2 DAYS. SHE SHOWED ME HER SKIN AND IT LOOKED RED BUT ALL THE SWELLING HAD GONE DOWN AND SHE SAID SHE WAS FEELING OK. WHEN ASKED IF SHE HAD ANY REACTION TO VACCINES IN THE PAST SHE SAID NO. SHE HAD FLU SHOTS IN THE PAST WITH NO REACTION. THE PNEUMOVAX, SHE GUESSED COULD BE THE CULPRIT. I INFORMED HER THAT I WOULD REPORT TO THE VAERS AND TO HER DOCTOR.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Immediate post-injection reaction, Injection site mass, Local reaction, Pain
Clinical narrative: I gave pt her flu shot and immediately she developed a large lump at inj site. The lump was about the size of a quarter. Pt reported some pain and lightheadedness. Ice pack was applied and she layed down for 5min. Site was evaluated by NP who had just seen pt and likely local reaction. Pt left without further incident.
Age: 36.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Feeling abnormal, Heart rate increased
Clinical narrative: PATIENT STATED DIZZINEES, COMPLAINED ABOUT INCREAsed heart rate, he went to restoom twice, he stated he was feeling worse and about to faint, so called 911.
Age: 0.58
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Blood test, Corrective lens user, Developmental delay, Electroencephalogram, Nuclear magnetic resonance imaging
Clinical narrative: Patient has a seizure we took him to the ER they said he was fine, the next day he had another seizure took him to the ER said he was fine but afterwords could not hold up his head and was at a newborn state. Currently he has for specialist with kids on the move, he was not able to do anything including roll over Until he was 18 months old.
Age: 0.58
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Posture abnormal, Seizure, Visual impairment
Clinical narrative: Patient has a seizure we took him to the ER they said he was fine, the next day he had another seizure took him to the ER said he was fine but afterwords could not hold up his head and was at a newborn state. Currently he has for specialist with kids on the move, he was not able to do anything including roll over Until he was 18 months old.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Abnormal redness, swelling and burning at site of injection that developed approx 8hr after the injection. The redness progressed primarily down the arm a few inches. Patient stated she had been taking Tylenol to help with the pain.  She said the reaction was improving and I advised her to take Benadryl as well to help.
Age: 68.0
Sex: M
Vaccine: FLUA3
Symptoms: Contusion, Musculoskeletal pain, Nuclear magnetic resonance imaging, Pain, Swelling
Clinical narrative: Experienced pain and bruising in shoulder and arm. Swollen and painful to push and touch. Has been going on for 2 weeks.
Age: 71.0
Sex: M
Vaccine: FLUA3
Symptoms: Mobility decreased
Clinical narrative: Patient states that he cannot lift arm after the vaccine was administered.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Palpitations
Clinical narrative: Headache, palpitations.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Rash
Clinical narrative: Patient came back next day with rash and blisters on injected arm.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle fatigue, Pruritus generalised
Clinical narrative: Systemic itching - head to toe and mild overall muscle fatigue. I started using BENADRYL about 12 hours after injection. By day three I was using maximum dose printed on OTC label. By day four the itching was subsiding but I still have mild itching on arms, legs and torso.
Age: 52.0
Sex: F
Vaccine: FLUC4, VARZOS
Symptoms: Chills, Headache, Musculoskeletal stiffness, Nausea, Pain
Clinical narrative: Severe shaking, chills, headache, nausea, radiating soreness and arm stiffness in injected arm, 102.5 fever.
Age: 52.0
Sex: F
Vaccine: FLUC4, VARZOS
Symptoms: Pyrexia, Tremor
Clinical narrative: Severe shaking, chills, headache, nausea, radiating soreness and arm stiffness in injected arm, 102.5 fever.
Age: 29.0
Sex: F
Vaccine: FLUR4, TDAP
Symptoms: Asthenia, Chest discomfort, Exposure during pregnancy, Pharyngeal oedema
Clinical narrative: Pt. is pregnant (not sure how many months) she said she felt weak and her throat swelled up, felt pressure on chest for 30 minutes. She went to ER. ER doctor couldn't find anything wrong with her. She told pharmacist she has a latex allergy. Rph found out Boostrix may be cause of reaction since rubber cap tip is made of latex. Pt did mark "no allergy to latex" on consent form. but came back to pharmacy 2 weeks later to tell us she does have allergy to latex.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Patient's entire upper arm was red, raised and swollen.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Pyrexia, Tremor
Clinical narrative: Patient's wife reported adverse reaction of fever, shakes and diarhhea. Wife reported slight improvement after bed rest within the hour.
Age: 75.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Joint range of motion decreased, Mobility decreased, Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: On day of vaccination, after dinner, patient said that he started to experience pain across the upper arm near shoulder. He described it as tendonitis with "lightning bolt pain." He also described pain as throbbing. He has had limited range of motion since then and cannot raise his arm properly. Patient took 2 tablets of acetaminophen 500 mg to help manage pain last night. Said will use ice and ibuprofen today.
Age: 75.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Tendonitis
Clinical narrative: On day of vaccination, after dinner, patient said that he started to experience pain across the upper arm near shoulder. He described it as tendonitis with "lightning bolt pain." He also described pain as throbbing. He has had limited range of motion since then and cannot raise his arm properly. Patient took 2 tablets of acetaminophen 500 mg to help manage pain last night. Said will use ice and ibuprofen today.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR
Symptoms: Erythema, Injection site reaction, Peripheral swelling, Rash papular
Clinical narrative: Pt woke up with red swollen feet, no peeling. Red papules on leg, trunk - worse today.
Age: 33.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site pain, Pain
Clinical narrative: Significant pain in the area, worse with flexion of his shoulder x 2 weeks. This is concerning for "SIRVA" or shoulder injury related to vaccine administration or an adverse reaction related to the vaccine. Pain following TdaP is not uncommon but this is prolonged.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Axillary pain, Chest pain, Ear pain, Eye pain
Clinical narrative: 9/13/18 - Around 1:00pm patient went to the eye doctor. Her eyes were dilated using and eye drop called TROPI-PHEN. Patient received vaccination around 4:10pm and drove home. As soon as she arrived at home around 4:45pm she noticed that the floor felt as if it were shaking and her legs were shaking. She then developed a severe headache with sinus pressure and pain around her eyes, teeth and ears. She stated she had trouble keeping her eyes open. She also developed pain all over her body that felt different from her fibromyalgia pain. 9/14/18 - Patient stated she continues to have a headache and pains all over her body. She also developed a severe sharp pain that started under her arm and felt as if it were moving towards her chest which she felt about 4 times. She stated that she feels weak and developed a fever in the morning. She took TYLENOL 650mg (2 tablets) around 10:30am and checked her temperature at 11:30am (101 degrees F). A repeat check of her temperature around 1:15pm was 99 degrees F. She has an appointment scheduled today 9/14/18 at 3:30pm with Associate who works in the same office as her primary care physician.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal, Headache, Pain, Paranasal sinus discomfort, Pyrexia
Clinical narrative: 9/13/18 - Around 1:00pm patient went to the eye doctor. Her eyes were dilated using and eye drop called TROPI-PHEN. Patient received vaccination around 4:10pm and drove home. As soon as she arrived at home around 4:45pm she noticed that the floor felt as if it were shaking and her legs were shaking. She then developed a severe headache with sinus pressure and pain around her eyes, teeth and ears. She stated she had trouble keeping her eyes open. She also developed pain all over her body that felt different from her fibromyalgia pain. 9/14/18 - Patient stated she continues to have a headache and pains all over her body. She also developed a severe sharp pain that started under her arm and felt as if it were moving towards her chest which she felt about 4 times. She stated that she feels weak and developed a fever in the morning. She took TYLENOL 650mg (2 tablets) around 10:30am and checked her temperature at 11:30am (101 degrees F). A repeat check of her temperature around 1:15pm was 99 degrees F. She has an appointment scheduled today 9/14/18 at 3:30pm with Associate who works in the same office as her primary care physician.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Somnolence, Toothache, Tremor
Clinical narrative: 9/13/18 - Around 1:00pm patient went to the eye doctor. Her eyes were dilated using and eye drop called TROPI-PHEN. Patient received vaccination around 4:10pm and drove home. As soon as she arrived at home around 4:45pm she noticed that the floor felt as if it were shaking and her legs were shaking. She then developed a severe headache with sinus pressure and pain around her eyes, teeth and ears. She stated she had trouble keeping her eyes open. She also developed pain all over her body that felt different from her fibromyalgia pain. 9/14/18 - Patient stated she continues to have a headache and pains all over her body. She also developed a severe sharp pain that started under her arm and felt as if it were moving towards her chest which she felt about 4 times. She stated that she feels weak and developed a fever in the morning. She took TYLENOL 650mg (2 tablets) around 10:30am and checked her temperature at 11:30am (101 degrees F). A repeat check of her temperature around 1:15pm was 99 degrees F. She has an appointment scheduled today 9/14/18 at 3:30pm with Associate who works in the same office as her primary care physician.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient came in to pharmacy on 9/14/2018 with a large red swollen area that was hot to the touch at the injection site.   She stated that this had begun a couple days after the injection on 9/10/2018.    She was advised to take Benadryl, Tylenol or Advil if needed and ice the area.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Vaccine positive rechallenge
Clinical narrative: Great soreness at injection location. The shot itself caused no discomfort. Pain started about 3 hours after injection. I had the same results after the first injection.
Age: 86.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: LEFT UPPER ARM SWELLING, REDNESS AND PAIN.
Age: 69.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Burning sensation, Feeling hot
Clinical narrative: Burning/hot sensation all over the body especially when in bed, she gets up out of bed and starts walking around.
Age: 64.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Inflammation, Peripheral swelling
Clinical narrative: The left arm was swollen and inflammed later on in the evening the same day of the immunization. The patient came to the pharmacy the day after the vaccine and was observed by associate who recommended ice and BENADRYL. I called her later on that evening and the next day and they said that the swelling was going down but still lingering.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Erythema, Insomnia, Lymphadenopathy, Pain
Clinical narrative: 1st night: fever, swelling, pain, redness, stomach upset, sleeplessness. 2nd and 3rd  day: heat, redness, extreme swelling, pain/soreness, swollen lymph nodes.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Skin warm, Swelling
Clinical narrative: 1st night: fever, swelling, pain, redness, stomach upset, sleeplessness. 2nd and 3rd  day: heat, redness, extreme swelling, pain/soreness, swollen lymph nodes.
Age: 68.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site warmth, Peripheral swelling
Clinical narrative: Pt received both FLUAD and PNEUMOVAX in left arm. Patient states almost right away her arm swelled to softball size and with in 2 hours was red and hot down to the elbow. She went to primary doctor 2 days later and was given BACTRIM for cellulitis.
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Rash
Clinical narrative: Per patient she developed a rash after showering on 9/13/18 10am, she went to the doctor and was diagnosed with cellulitis. Patient received Clindamycin 300mg three times a day for 10 days as treatment
Age: 29.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Pt reported itchiness, soreness and redness around the injection areas. She noticed the symptoms on 9/13 one day after vaccines. She came to see me on 9/14 and I suggested TYLENOL, BENADRYL and cold compress.
Age: 23.0
Sex: M
Vaccine: HEP, HPV9, MENB
Symptoms: Chills, Condition aggravated, Cough, Dizziness, Oropharyngeal pain
Clinical narrative: Patient here c/o sore throat for 3 d, then started getting a rash on face and body yesterday. Noted a little light headedness briefly last night. He did have 3 immunizations yesterday: HPV, men B and hep B. He had some congestion 4 and 5 d ago, sl chills, no fever, rare cough. No throat closing, no resp distress, no GI sx. + rash (diffuse erythematous, macular rash on chest and back, coalesced on neck, alittle on face, some on upper arms). Take Zyrtec, Claritin or similar for rash for the next few days. RTC if any worsening sx, or if antihistamines not helping. ER prn sudden change for the worse, difficulty breathing, etc. Lukewarm showers. Rest, increase fluids, can take decongestant if needed for URI sx.
Age: 23.0
Sex: M
Vaccine: HEP, HPV9, MENB
Symptoms: Rash generalised, Rash macular, Respiratory tract congestion
Clinical narrative: Patient here c/o sore throat for 3 d, then started getting a rash on face and body yesterday. Noted a little light headedness briefly last night. He did have 3 immunizations yesterday: HPV, men B and hep B. He had some congestion 4 and 5 d ago, sl chills, no fever, rare cough. No throat closing, no resp distress, no GI sx. + rash (diffuse erythematous, macular rash on chest and back, coalesced on neck, alittle on face, some on upper arms). Take Zyrtec, Claritin or similar for rash for the next few days. RTC if any worsening sx, or if antihistamines not helping. ER prn sudden change for the worse, difficulty breathing, etc. Lukewarm showers. Rest, increase fluids, can take decongestant if needed for URI sx.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Nausea, Peripheral swelling
Clinical narrative: Swelling on whole arm (injection site area), nausea.
Age: 50.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Dyspnoea, Feeling abnormal, Immediate post-injection reaction, Nausea, Unresponsive to stimuli
Clinical narrative: I injected the Flu shot first then after I injected the SHINGRIX shot the patient immediately stated to space out. Patient did not respond to any commands for about 15 to 30 seconds. After that the patient started to respond, but then started to feel like vomiting. After that the patient started to  say her vision was starting to go blurry which then it quickly resolved. After that resolved she started to say she was having trouble breathing, but resolved quickly. The patient started to feel better after that.
Age: 50.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Vision blurred
Clinical narrative: I injected the Flu shot first then after I injected the SHINGRIX shot the patient immediately stated to space out. Patient did not respond to any commands for about 15 to 30 seconds. After that the patient started to respond, but then started to feel like vomiting. After that the patient started to  say her vision was starting to go blurry which then it quickly resolved. After that resolved she started to say she was having trouble breathing, but resolved quickly. The patient started to feel better after that.
Age: 80.0
Sex: M
Vaccine: FLU3, PPV, VARZOS
Symptoms: Injection site erythema, Injection site infection
Clinical narrative: Pt stated the injection site remained red, unlike the flu and SHINGRIX site on the other arm. He saw his doctor who thought it may have gotten infected.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site reaction, Pain, Peripheral swelling, Pyrexia
Clinical narrative: The patient called 1 day after receiving the PNEUMOVAX and high dose flu shot. She said that the night of the shots she had a fever of 100 and her left arm was red, swollen to the touch, and had some hives. She had been taking ibuprofen which was helping  with the fever. I recommended she apply a cold compress to the injection site and also continue to take ibuprofen for pain/fever. I also recommended she take BENADRYL to help with the injection site reaction.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Urticaria
Clinical narrative: The patient called 1 day after receiving the PNEUMOVAX and high dose flu shot. She said that the night of the shots she had a fever of 100 and her left arm was red, swollen to the touch, and had some hives. She had been taking ibuprofen which was helping  with the fever. I recommended she apply a cold compress to the injection site and also continue to take ibuprofen for pain/fever. I also recommended she take BENADRYL to help with the injection site reaction.
Age: 24.0
Sex: F
Vaccine: UNK
Symptoms: Frustration tolerance decreased, Immediate post-injection reaction, Injected limb mobility decreased, Loss of personal independence in daily activities, Myalgia
Clinical narrative: The day i had the shot (given by one of the front desk girls) i immediately felt nauseas and fever, when i was about to faint, staff and doctor helped me get on my feet. As days passed by my muscles started to hurt. A week later i was not able to do daily activities such as closing my bag, waiving arm while walking, lifting my arm or dressing. When i called the doctor office about this explaining the details, physican assistant advised that pain in muscle is normal since shot is given in the muscle i should allow 2 weeks for it to get better and go to ER only if i was not able to move my arm at all (physcian assistant also asked if there was swelling). I became more cautious as im not able to lift my arm at all. I researched some of the reasons this could happen and found out that it could happen if the injection was given too high; could cause rotator cuff injury/disability. I found out online that i could see an orthopedic doctor for this but i feel bad that i was not given this information by my doctor as this is something that could get worse over time. I am very frustrated and i want to make sure that i dont face any negligence with the office that gave me the shot. They seemed truly caring but I am not sure if something serious happened as i have school and work it may take time for me to see a doctor and i had too much stress not to report this now.
Age: 24.0
Sex: F
Vaccine: UNK
Symptoms: Nausea, Presyncope, Pyrexia, Stress
Clinical narrative: The day i had the shot (given by one of the front desk girls) i immediately felt nauseas and fever, when i was about to faint, staff and doctor helped me get on my feet. As days passed by my muscles started to hurt. A week later i was not able to do daily activities such as closing my bag, waiving arm while walking, lifting my arm or dressing. When i called the doctor office about this explaining the details, physican assistant advised that pain in muscle is normal since shot is given in the muscle i should allow 2 weeks for it to get better and go to ER only if i was not able to move my arm at all (physcian assistant also asked if there was swelling). I became more cautious as im not able to lift my arm at all. I researched some of the reasons this could happen and found out that it could happen if the injection was given too high; could cause rotator cuff injury/disability. I found out online that i could see an orthopedic doctor for this but i feel bad that i was not given this information by my doctor as this is something that could get worse over time. I am very frustrated and i want to make sure that i dont face any negligence with the office that gave me the shot. They seemed truly caring but I am not sure if something serious happened as i have school and work it may take time for me to see a doctor and i had too much stress not to report this now.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Musculoskeletal stiffness, Pyrexia, Urticaria
Clinical narrative: High fever (103)  for more than 48 hours.  Arm so stiff, couldn't move it. Hives all up and down arm and on neck.  Arm has remained slightly painful to raise, even 6 months later.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMR, VARCEL
Symptoms: Herpes zoster, Varicella virus test positive
Clinical narrative: (2) doses of varicella given. One at 16 months and other at 4 yrs of age. Patient developed shingles on 3-5-15 at 5 yrs 8 months. Wound cx positive for varicella zoster.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Herpes zoster, Skin lesion, Varicella virus test positive
Clinical narrative: Patient received both doses of varicella vaccines and developed shingles at age of 9 yrs old. Patient came in with (2) small lesions; sent to dermatologist, and they diagnosed shingles.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Chills, Injection site erythema, Irritability, Pain, Pyrexia
Clinical narrative: Child was seen on 9/12/18 for well child visit. Received immunizations but was also screened for possible UTI. Was given Rx for BACTRIM. Mom took child to ER on evening of after child developed fever of 101 axillary at home. Child vomited x 2 at home. Per ER documentation child arrived with temp of 100.5 axillary, with complaints of body pains, chills, irritability, and mild redness at upper left arm. Mom told ER that she had not given child BACTRIM due to vomiting. Child was evaluated and discharged to home with diagnosis of fever.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Vomiting
Clinical narrative: Child was seen on 9/12/18 for well child visit. Received immunizations but was also screened for possible UTI. Was given Rx for BACTRIM. Mom took child to ER on evening of after child developed fever of 101 axillary at home. Child vomited x 2 at home. Per ER documentation child arrived with temp of 100.5 axillary, with complaints of body pains, chills, irritability, and mild redness at upper left arm. Mom told ER that she had not given child BACTRIM due to vomiting. Child was evaluated and discharged to home with diagnosis of fever.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Redness and heat on site.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Rash macular
Clinical narrative: Patient called reporting reaction to flu vaccine given yesterday, 9-13-18. (R) upper thigh swollen, red, blotchy down to knee. Told to use cold compress, take BENADRYL and Ibuprofen every 6 hours.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Erythema, Induration, Pyrexia
Clinical narrative: Red, feverish and hard. Presented like a cellulitis case.
Age: 52.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Chills, Local reaction, Oropharyngeal pain, Pain
Clinical narrative: Local reaction - 2 inch diameter, chills, sore throat, body aches. Symptoms began 12 hours after injection. Home care instructions given.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Influenza like illness, Injection site erythema, Malaise
Clinical narrative: After 12 hours of dose rigors, fever, shaking, weakness, malaise, flu-like symptoms all which lasted from Mon. to Thur. On Friday Sept 14, 2018 still had redness at injection site, weakness (flu-like symptoms), malaise. Per patient husband is physician and gave TYLENOL, MOTRIN and BENADRYL.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Tremor
Clinical narrative: After 12 hours of dose rigors, fever, shaking, weakness, malaise, flu-like symptoms all which lasted from Mon. to Thur. On Friday Sept 14, 2018 still had redness at injection site, weakness (flu-like symptoms), malaise. Per patient husband is physician and gave TYLENOL, MOTRIN and BENADRYL.
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Rash
Clinical narrative: Patient return to office with swelling, erythema and exanthema to right upper thigh after vaccines administered on 9/10/18. Mother denied patient having any fever, chills, vomiting, diarrhea or difficulty breathing. Patient was prescribed TYLENOL and hydroxyzine. Advised mother to RTO if rash does not resolve in 7-10 days.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Rash, Skin warm
Clinical narrative: Day after SHINGRIX, on left arm, start to show redness and felt the heat around the redness. Per patient, is it non-itchy rash, no difficulty of breathing or swallowing. Recommend ZYRTEC and if symptom get worse call MD or urgent care.
Age: 78.0
Sex: F
Vaccine: FLUA3, VARZOS
Symptoms: Axillary pain, Injection site erythema, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Painful (whole arm - especially in area injection and arm-pit), swollen and red, size of tennis ball. Verified it is on the right arm.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Gait inability
Clinical narrative: Patient was given the flu shot then she left with her son. A few minutes later, the son came back and reported that his mom has pain in her hip and she can't walk. We took a chair where she was, so she can sit down. She rested in the chair for a while, then they left the store.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Pallor, Presyncope
Clinical narrative: The patient experienced a mild yet not complete fainting. Was pale yet responsive. Rested for 15 minutes then became normal.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Joint swelling, Pain, Rash, Swelling
Clinical narrative: Redness, rashes, on upper arm, swelling around elbow area, painful to touch.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Injected limb mobility decreased, Injection site discolouration, Injection site erythema, Injection site nodule
Clinical narrative: Severe swelling, red and heat radiating off entire upper arm, turned purplish, large knot, could not move arm at all for 1 day, limited mobility for several days after also, fever, .....but #1 worst symptom was the pain. It was incredibly painful, and the swelling made my left arm 3x's bigger then my right arm. I have amazing pictures, looks like I have elephantiasis of the arm. Still have small amounts of lingering pain, feels like some limited mobility still but seems to slowly be getting better. I also had a severe headache. I iced my arm on and off for 2 days -heat coming off my arm would melt the ice packs.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Injection site warmth, Moaning, Pain in extremity, Pyrexia
Clinical narrative: Severe swelling, red and heat radiating off entire upper arm, turned purplish, large knot, could not move arm at all for 1 day, limited mobility for several days after also, fever, .....but #1 worst symptom was the pain. It was incredibly painful, and the swelling made my left arm 3x's bigger then my right arm. I have amazing pictures, looks like I have elephantiasis of the arm. Still have small amounts of lingering pain, feels like some limited mobility still but seems to slowly be getting better. I also had a severe headache. I iced my arm on and off for 2 days -heat coming off my arm would melt the ice packs.
Age: 21.0
Sex: F
Vaccine: FLU4, HEP, VARCEL
Symptoms: Disorientation, Dizziness, Fall, Head injury, Syncope
Clinical narrative: Lightheaded, disoriented, faint (patient fell and may have sustained a bump on head due to falling).
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Cerebrovascular accident
Clinical narrative: The patient did not have an adverse reaction to the immunization. There was no redness or inflammation or hives. Patient was fine when the vaccine was administered but about 15 minutes after the vaccination was administered. Patient presented back to the pharmacy and started showing signs of a stroke. Patient was then taken away on an ambulance. This event is likely unrelated to the administration of vaccine but reporting as it happened within 30 minutes of administering the vaccine.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Induration, Limb mass, Pain, Peripheral swelling, Pyrexia
Clinical narrative: Swelling in arm, hard lump at the back of arm, pain, fever.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Decreased appetite, Fatigue, Pain, Swelling
Clinical narrative: Slight swelling/pain. Loss of appetitue, fatigue and weakness.
Age: 69.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: High fever, chills, headache, muscle aches and fatigue.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Skin warm
Clinical narrative: PATIENT PRESENTED TO THE PHARMACY ON THE AFTERNOON OF SEPTEMBER 14, 2018 WITH THE LOWER PART OF HER UPPER ARM SLIGHTLY RED AND WARM TO THE TOUCH. SHE REPORTED NO FEVER OR PAIN. WE TALKED ABOUT ICE AND BENADRYL. SHE CAME BACK MORNING OF SEPTEMBER 15, 2018 WITH NO IMPROVEMENT HOWEVER, NOT WORSENING. I RECOMMENDED HAVING IT CHECKED OUT AT WALK-IN CARE. PATIENT REFUSED AT THIS TIME BUT WILL GO IF IT GETS WORSE.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site erythema, Injection site oedema, Oedema peripheral, Pruritus
Clinical narrative: Erythema, edema inferior to vaccine site.  Itching on left hand palm with slight edema/erythema.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site rash
Clinical narrative: Rash traveling down right arm from injection site.
Age: 37.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia, Back pain, Chills, Diarrhoea, Headache
Clinical narrative: Fever: 102 (24hrs), chills, skin sensitivity, joint pain, headache, tinnitus, back pain, diarrhea, nausea.
Age: 37.0
Sex: F
Vaccine: FLUC4
Symptoms: Hyperaesthesia, Nausea, Pyrexia, Tinnitus
Clinical narrative: Fever: 102 (24hrs), chills, skin sensitivity, joint pain, headache, tinnitus, back pain, diarrhea, nausea.
Age: 45.0
Sex: M
Vaccine: TDAP
Symptoms: Axillary pain, Oedema peripheral
Clinical narrative: Left axilla pain and swelling. Started on antibiotics on 9/15/18
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Feeling of body temperature change
Clinical narrative: Woke up on 9/12 feeling extreme dizziness that lead to nausea and vomiting.  Also felt tired with alternating hot and cold (fever and chills).  Had all-over muscle soreness, shakiness, and weakness.  These symptoms lasted the entire day, with the shakiness lasting throughout the next day 9/13 as well.  Got some relief from OTC meclizine and Emetrol 9/12 mid-day for the extreme dizziness, nausea and vomiting.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Nausea, Pyrexia, Tremor, Vomiting
Clinical narrative: Woke up on 9/12 feeling extreme dizziness that lead to nausea and vomiting.  Also felt tired with alternating hot and cold (fever and chills).  Had all-over muscle soreness, shakiness, and weakness.  These symptoms lasted the entire day, with the shakiness lasting throughout the next day 9/13 as well.  Got some relief from OTC meclizine and Emetrol 9/12 mid-day for the extreme dizziness, nausea and vomiting.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Audiogram, Deafness unilateral
Clinical narrative: Deafness of left ear, being treated with 60 mgm of Prednisone daily for 7 days.
Age: 46.0
Sex: M
Vaccine: FLU4, HEPA
Symptoms: Erythema, Erythema of eyelid
Clinical narrative: Patient called stating he had redness on forehead, cheeks, and some around his eyes .
Age: 51.0
Sex: F
Vaccine: HEPA, PPV, TDAP
Symptoms: Pain in extremity, Rash macular
Clinical narrative: Patient had soreness and blotchy redness on right arm.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Inflammation, Peripheral swelling, Skin warm
Clinical narrative: PATIENT DESCRIBED REDNESS AND INFLAMMATION IN INJECTION ARM. IT FEELS HOT TO THE TOUCH AND IS SWOLLEN TO HER ELBOW.
Age: 65.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Headache, Influenza, Mobility decreased, Pain, Pain in extremity
Clinical narrative: Sore arm as expected.  Flu symptoms more severe with second dose than with first.  First dose had flu-like symptoms for 2-3 days.  More severe flu-like symptoms with second dose.  Body aches woke me up in the middle of the night - took one extra strength acetaminophen and 1 Aleve.  At 9am took another dose of each.  Body aches, headache, arm extremely sore, difficulty raising arm.
Age: 65.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Vaccine positive rechallenge
Clinical narrative: Sore arm as expected.  Flu symptoms more severe with second dose than with first.  First dose had flu-like symptoms for 2-3 days.  More severe flu-like symptoms with second dose.  Body aches woke me up in the middle of the night - took one extra strength acetaminophen and 1 Aleve.  At 9am took another dose of each.  Body aches, headache, arm extremely sore, difficulty raising arm.
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Left thigh is 15x15 area of redness, swelling, itching and painful.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Headache, Injection site erythema, Injection site pain, Insomnia, Pain in extremity
Clinical narrative: Patient experienced high fever, sore arm, redness at injection site and headache from PNEUMOVAX 23 and FLUZONE HD shots. Patient did not inform pharmacy until evening of 9/12/18. On 9/6/18 after receiving immunizations she had trouble sleeping and tightness around head. Then the next day had a fever of 102 with injection site red and painful. On 9/8/18 fever down to 100 and on a liquid diet. As of today 9/12/18 patient is feeling better but still soreness and redness at injection site. Patient states that she does not want to seek any medical attention and believes this will resolve on its own.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Tension headache
Clinical narrative: Patient experienced high fever, sore arm, redness at injection site and headache from PNEUMOVAX 23 and FLUZONE HD shots. Patient did not inform pharmacy until evening of 9/12/18. On 9/6/18 after receiving immunizations she had trouble sleeping and tightness around head. Then the next day had a fever of 102 with injection site red and painful. On 9/8/18 fever down to 100 and on a liquid diet. As of today 9/12/18 patient is feeling better but still soreness and redness at injection site. Patient states that she does not want to seek any medical attention and believes this will resolve on its own.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: Pts mom called 90 mins after vaccine was given and said her daughter complained of a numb thumb immediately after the shot. She said it is getting better, but it is still numb. We told her that was not a usual reaction and recommended taking her to her pediatrician for follow up.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache
Clinical narrative: Constant headache. Headache located mostly in lower right of head. Have had it 24/7 since shot.  Headache medication will relieve for a few hours, but it comes right back.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Feeling cold, Headache, Influenza like illness, Pain in extremity
Clinical narrative: Chills, shivering, headache and general flu-like feeling. Arm very sore.
Age: 88.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Hives lasted for 4 days.
Age: 71.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Back pain, Hypoaesthesia, Injected limb mobility decreased, Injection site joint pain, Injection site pain
Clinical narrative: Shot for Flu, right Arm....high up on arm...stay tender longer than before.....pneumonia shot...injection in shoulder - high up right arm,  arm started throbbing, became hard to move, pain moved to entire arm, upper right shoulder, in my up right side of the back, continued to my neck then behind my right ear...arm felt as if my bones had twisted around,..couldn't hold arm up, held down and pain was consistent. Numbness set in...went to emergency.....gave pain pill, didn't stop pain...home, took TYLENOL for 4 day, pain remains but not,. still hurting very bad, in muscles, around shoulder where bone connects......went to my primary doctor.....arm to be put in sling...continue rotations of arm shoulder, taking pain pills.....pain remains..uncomfortable, unable to do normal funtions at this time.