chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Discomfort, Erythema, Inflammation, Mobility decreased, Musculoskeletal stiffness
Clinical narrative: The day after immunization patient experienced redness and inflammation surrounding the arm from elbow to shoulder plus partially across her back. Also her arm was very sore and stiff to be almost immobile. For about 7 days after the area was irritated and itching with contact with clothing being uncomfortable. The injection sites themselves showed no specific reactions.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain in extremity, Pruritus, Skin irritation
Clinical narrative: The day after immunization patient experienced redness and inflammation surrounding the arm from elbow to shoulder plus partially across her back. Also her arm was very sore and stiff to be almost immobile. For about 7 days after the area was irritated and itching with contact with clothing being uncomfortable. The injection sites themselves showed no specific reactions.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Erythema, Heart rate increased, Pain in extremity, Skin warm
Clinical narrative: Patient had shortness of breath, increased heart rate, redness, warmth, pain in arm less than 12 hrs after SHINGRIX injection. Patient went to emergency dpt and was treated with prednisone and BENADRYL.
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt received 18 month shots  (DTap and Hep A) on 09/17/2018. On 09/18/2018 at 8pm, pt's father noticed swelling at the site of the shot accompanied with local redness. Swelling reached about the size of a palm. On 09/19/2018 pt's mother came in to have reaction checked.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Bacterial test negative, Blood albumin normal, Blood bilirubin normal
Clinical narrative: Patient became dizzy and had a syncopal event at school on 9/18/18. This occured about 24 hours after receiving the meningococcal and Tdap vaccinations on 9/17/18 (I am not sure which brand name vaccinations these were). She was brought to the ER where she was hypotensive (88/42).  She received three 1 liter normal saline boluses and her hypotension resolved. She had associated headache and low grade fever of 100.4 F, so symptoms may have been related to an accompanying viral illness. She was admitted for observtion and sent home in less than 24 hours.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood magnesium normal
Clinical narrative: Patient became dizzy and had a syncopal event at school on 9/18/18. This occured about 24 hours after receiving the meningococcal and Tdap vaccinations on 9/17/18 (I am not sure which brand name vaccinations these were). She was brought to the ER where she was hypotensive (88/42).  She received three 1 liter normal saline boluses and her hypotension resolved. She had associated headache and low grade fever of 100.4 F, so symptoms may have been related to an accompanying viral illness. She was admitted for observtion and sent home in less than 24 hours.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Blood phosphorus decreased, Blood potassium normal, Blood sodium normal, Blood thyroid stimulating hormone decreased, Blood urea decreased
Clinical narrative: Patient became dizzy and had a syncopal event at school on 9/18/18. This occured about 24 hours after receiving the meningococcal and Tdap vaccinations on 9/17/18 (I am not sure which brand name vaccinations these were). She was brought to the ER where she was hypotensive (88/42).  She received three 1 liter normal saline boluses and her hypotension resolved. She had associated headache and low grade fever of 100.4 F, so symptoms may have been related to an accompanying viral illness. She was admitted for observtion and sent home in less than 24 hours.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Blood urine absent, Carbon dioxide normal, Dizziness, Eosinophil percentage decreased, Fibrin D dimer normal
Clinical narrative: Patient became dizzy and had a syncopal event at school on 9/18/18. This occured about 24 hours after receiving the meningococcal and Tdap vaccinations on 9/17/18 (I am not sure which brand name vaccinations these were). She was brought to the ER where she was hypotensive (88/42).  She received three 1 liter normal saline boluses and her hypotension resolved. She had associated headache and low grade fever of 100.4 F, so symptoms may have been related to an accompanying viral illness. She was admitted for observtion and sent home in less than 24 hours.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Glucose urine absent, Haematocrit normal, Haemoglobin normal, Headache, Hypotension
Clinical narrative: Patient became dizzy and had a syncopal event at school on 9/18/18. This occured about 24 hours after receiving the meningococcal and Tdap vaccinations on 9/17/18 (I am not sure which brand name vaccinations these were). She was brought to the ER where she was hypotensive (88/42).  She received three 1 liter normal saline boluses and her hypotension resolved. She had associated headache and low grade fever of 100.4 F, so symptoms may have been related to an accompanying viral illness. She was admitted for observtion and sent home in less than 24 hours.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Lymphocyte percentage decreased, Monocyte percentage, Neutrophil percentage increased, Nitrite urine absent, Platelet count normal
Clinical narrative: Patient became dizzy and had a syncopal event at school on 9/18/18. This occured about 24 hours after receiving the meningococcal and Tdap vaccinations on 9/17/18 (I am not sure which brand name vaccinations these were). She was brought to the ER where she was hypotensive (88/42).  She received three 1 liter normal saline boluses and her hypotension resolved. She had associated headache and low grade fever of 100.4 F, so symptoms may have been related to an accompanying viral illness. She was admitted for observtion and sent home in less than 24 hours.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Protein total normal, Protein urine absent, Pyrexia, Red blood cell count normal, Red blood cells urine negative
Clinical narrative: Patient became dizzy and had a syncopal event at school on 9/18/18. This occured about 24 hours after receiving the meningococcal and Tdap vaccinations on 9/17/18 (I am not sure which brand name vaccinations these were). She was brought to the ER where she was hypotensive (88/42).  She received three 1 liter normal saline boluses and her hypotension resolved. She had associated headache and low grade fever of 100.4 F, so symptoms may have been related to an accompanying viral illness. She was admitted for observtion and sent home in less than 24 hours.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Specific gravity urine decreased, Syncope, Troponin normal, Urine bilirubin decreased, Urine ketone body absent
Clinical narrative: Patient became dizzy and had a syncopal event at school on 9/18/18. This occured about 24 hours after receiving the meningococcal and Tdap vaccinations on 9/17/18 (I am not sure which brand name vaccinations these were). She was brought to the ER where she was hypotensive (88/42).  She received three 1 liter normal saline boluses and her hypotension resolved. She had associated headache and low grade fever of 100.4 F, so symptoms may have been related to an accompanying viral illness. She was admitted for observtion and sent home in less than 24 hours.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Urobilinogen urine, White blood cell count normal, White blood cells urine negative, pH urine normal
Clinical narrative: Patient became dizzy and had a syncopal event at school on 9/18/18. This occured about 24 hours after receiving the meningococcal and Tdap vaccinations on 9/17/18 (I am not sure which brand name vaccinations these were). She was brought to the ER where she was hypotensive (88/42).  She received three 1 liter normal saline boluses and her hypotension resolved. She had associated headache and low grade fever of 100.4 F, so symptoms may have been related to an accompanying viral illness. She was admitted for observtion and sent home in less than 24 hours.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema
Clinical narrative: LARGE REDNESSS IN THE AREA.
Age: 56.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Arthralgia, Atrial fibrillation, Condition aggravated, Erythema, Injection site erythema
Clinical narrative: Day 1 my entire arm (right) with the pneumonia vaccine turn bright red and much swelling, and large lump, right should froze, progressively left should and all other joints hurt/stiffened  with intermittent BLINDING  pain in my knees. Total body swelling and all muscles turn very hard I remained in this state for some time. I ended up with AFib. I felt like I almost died from this. I don't think anyone reported this. One of my Drs listed MF59c1 adjuvent as the culprit, but I just contacted CDC and they tell me that it is not even in PPSV23. I am wanting to get a flu shot but I am terrified to do so.
Age: 56.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site joint movement impairment, Injection site joint pain, Injection site swelling, Joint stiffness, Limb mass
Clinical narrative: Day 1 my entire arm (right) with the pneumonia vaccine turn bright red and much swelling, and large lump, right should froze, progressively left should and all other joints hurt/stiffened  with intermittent BLINDING  pain in my knees. Total body swelling and all muscles turn very hard I remained in this state for some time. I ended up with AFib. I felt like I almost died from this. I don't think anyone reported this. One of my Drs listed MF59c1 adjuvent as the culprit, but I just contacted CDC and they tell me that it is not even in PPSV23. I am wanting to get a flu shot but I am terrified to do so.
Age: 56.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Myosclerosis, Periarthritis, Peripheral swelling, Swelling
Clinical narrative: Day 1 my entire arm (right) with the pneumonia vaccine turn bright red and much swelling, and large lump, right should froze, progressively left should and all other joints hurt/stiffened  with intermittent BLINDING  pain in my knees. Total body swelling and all muscles turn very hard I remained in this state for some time. I ended up with AFib. I felt like I almost died from this. I don't think anyone reported this. One of my Drs listed MF59c1 adjuvent as the culprit, but I just contacted CDC and they tell me that it is not even in PPSV23. I am wanting to get a flu shot but I am terrified to do so.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling of body temperature change, Hypoaesthesia, Muscular weakness, Pain, Pain in extremity
Clinical narrative: I do not know if the above selected flu shot is the one received. I do not have any paperwork. Check with the pharmacy. Received a flu shot on 09/10 in the morning. Woke up 2AM the next day with severe pain in all limbs. Alternated between feeling hot and cold with a likely fever. Limb pain relieved some with ibuprofen. Had significant pain with movement for the next three days. Experienced muscle weakness throughout body but most prominently in the forearms. Great pain even with lifting less than 20 lbs objects. Some pain even in operating door handles or a steering wheel. By the third day some numbness was experienced in my hands. Pain was mostly relieved by the fourth day with muscle weakness lingering. After one week I was at about 80% strength in arms. Back to normal at about day 9.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: I do not know if the above selected flu shot is the one received. I do not have any paperwork. Check with the pharmacy. Received a flu shot on 09/10 in the morning. Woke up 2AM the next day with severe pain in all limbs. Alternated between feeling hot and cold with a likely fever. Limb pain relieved some with ibuprofen. Had significant pain with movement for the next three days. Experienced muscle weakness throughout body but most prominently in the forearms. Great pain even with lifting less than 20 lbs objects. Some pain even in operating door handles or a steering wheel. By the third day some numbness was experienced in my hands. Pain was mostly relieved by the fourth day with muscle weakness lingering. After one week I was at about 80% strength in arms. Back to normal at about day 9.
Age: 16.0
Sex: F
Vaccine: FLU4, MENB, MNQ
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Patient c/o of Left arm pain and was given TYLENOL for pain. At noon the following day 9/19/18 was sent to the nurses office for vomiting. At 2:50 school nurse called to report fever of 102.0 F.
Age: 94.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Injection site erythema
Clinical narrative: Red marks running down arm from injection site to down below the elbow. Diagnosed as cellulitis.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site induration, Injection site warmth, Rash macular
Clinical narrative: Patient reported having hardness (3-4 inch area) and warmth at the injection site the day of the vaccine injection into the left deltoid (PNEUMOVAX). On 9-18-18, the hardness spread to the inner part of the arm and the warmth continued. Also, she noticed her arm started getting red and "splotchy." The patient immediately took BENADRYL in case she was indeed having an allergic reaction. BENADRYL seemed to have helped with the redness and rash. The patient called the pharmacy on 9-19-18 to report her findings and the hardness seems to have gone done a bit (2-3 inch area) at the injection site. Reporter also notified her PCP to document in her chart.
Age: 43.0
Sex: F
Vaccine: FLUR4
Symptoms: Back pain, Chest pain, Muscle spasms, Musculoskeletal stiffness
Clinical narrative: Stiffness in left arm, neck and right shoulder; Chest pain, back pain and lots of cramping in chest and back.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Blood test, Fatigue, Headache, Neuralgia
Clinical narrative: Patient reported nerve pain, headache, tiredness, and weakness. Reported symptoms to patient's primary care doctor, via voicemail message at office.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Noticed reaction of itchy, red, and hot.
Age: 61.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Asthenia, Myalgia, Pyrexia
Clinical narrative: Patient received vaccinations on 9/18/18 at around 5-6PM and went home. At 1AM, patent woke up with a fever, muscle pain and body weakness. He did not take any pain medications. Patient called pharmacy at 4:08PM to complain of adverse reactions.
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Rash vesicular
Clinical narrative: Information has been received from a lawyer regarding a case in litigation concerning a male patient (age unknown). The patient's medical history, concurrent conditions and concomitant medication use were not provided. In 2011, the patient was vaccinated with ZOSTAVAX, (lot# and route unknown) as recommended for routine adult health maintenance for the prevention of shingles. The vaccine did not prevent shingles as intended, and the patient subsequently contracted a persistent strain condition of herpes zoster or shingles. In 2015, the patient was treated at a medical center 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 significant medical expenses, and pain and suffering, and other damages. Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Rash vesicular
Clinical narrative: This initial spontaneous report was received on 18-SEP-2018 from a lawyer regarding a case in litigation and refers to a female patient of unknown age. No information was provided regarding medical history, concurrent conditions, or concomitant medications. In 2007, the patient was inoculated with ZOSTAVAX at a medical facility as recommended for routine adult health maintenance for the prevention of shingles (dose, route, and indication not provided). The vaccine did not prevent shingles as intended and the patient subsequently contracted a persistent strain of herpes zoster, also known as shingles and other complications. On or about 20-SEP-2016, the patient was treated at the same medical facility for a blistering vesicular outbreak that was diagnosed as a severe herpes zoster or shingles. As a direct and proximate result of ZOSTAVAX vaccine, and/or despite receiving ZOSTAVAX for the long-term prevention of shingles, the patient suffered painful injuries and damages and required extensive medical care and treatment. As a direct and proximate result of these malfunctions, 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: Information has been received from a lawyer regarding a case in litigation concerning a female patient of unknown age. No information was received regarding the patient's past medical history, concurrent conditions, or concomitant medication. On an unknown date in 2007, the patient was inoculated with ZOSTAVAX (lot number, dosage, and route of administration not provided) by a physician, as recommended for routine adult health maintenance for the prevention of shingles. The ZOSTAVAX did not prevent shingles as intended, and the patient subsequently contracted a persistent strain of herpes zoster, also known as shingles and other complications. On an unknown date in 2014, the patient was treated at an urgent care center for a blistering vesicular outbreak that was diagnosed as severe herpes zoster or shingles. The outcome of the events is unknown. As a direct and proximate result of ZOSTAVAX vaccine, and/or despite receiving ZOSTAVAX for the 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. Additional information has been requested.
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Rash vesicular
Clinical narrative: This initial spontaneous report was received on 18-SEP-2018 from a lawyer regarding a case in litigation and refers to a male patient of unknown age. No information was provided regarding medical history, concurrent conditions, or concomitant medications. In 2016, the patient was inoculated with ZOSTAVAX at a medical group as recommended for routine adult health maintenance for the prevention of shingles (dose, route, and indication not provided). The vaccine did not prevent shingles as intended and the patient subsequently contracted a persistent strain of herpes zoster, also known as shingles and other complications. Later in 2016, the patient was treated at the same medical group for a blistering vesicular outbreak that was diagnosed as a severe herpes zoster or shingles. As a direct and proximate result of ZOSTAVAX vaccine, and/or despite receiving ZOSTAVAX for the long-term prevention of shingles, the patient suffered painful injuries and damages and required extensive medical care and treatment. As a direct and proximate result of these malfunctions, 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.
Age: 81.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt came in around 9:10 am on 9/19. Left arm was red down to the elbow. Felt warm to the touch. Pt said was painful when he touched the affected area. Iced area with no relief. I advised pt to immediately go to  immediate care since he felt redness was spreading. Immediate care doctor stated area was infected and gave pt cephalexin, an antibiotic. Will follow up with patient tomorrow.
Age: 0.08
Sex: F
Vaccine: DTAP
Symptoms: Abnormal behaviour, Decreased eye contact, Hyporesponsive to stimuli, Hypotonia, Hypotonic-hyporesponsive episode
Clinical narrative: Patient experienced a hypotonic-hyporesponsive episode within hours of receiving the vaccine.   She had an acute diminution in sensory awareness accompanied by a loss of consciousness. She was able to be awakened but did not return to normal behavior for remainder of the day. Following days she had improvement of hypo-responsiveness, however exhibited a regression of motor skills and eye contact.  Most symptoms resolved with five days, except hypotonia which has been diagnosed and remains to this day.
Age: 0.08
Sex: F
Vaccine: DTAP
Symptoms: Loss of consciousness, Motor dysfunction, Sensory disturbance
Clinical narrative: Patient experienced a hypotonic-hyporesponsive episode within hours of receiving the vaccine.   She had an acute diminution in sensory awareness accompanied by a loss of consciousness. She was able to be awakened but did not return to normal behavior for remainder of the day. Following days she had improvement of hypo-responsiveness, however exhibited a regression of motor skills and eye contact.  Most symptoms resolved with five days, except hypotonia which has been diagnosed and remains to this day.
Age: 62.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Chills, Fatigue, Headache, Injection site pain, Sleep disorder
Clinical narrative: My sleep was suddenly interrupted by extreme chills and violent shivering followed by headache,  close to midnight the night of the vaccine. Had to get under a very hot electric blanket to calm down and stop the chills. Next day just felt worn out. Injection site still very sore even 3 days later. This was my 2nd shingles shot; I had no reaction the first time, other than the soreness at the injection site lasted about a week.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Head banging, Hypersomnia, Influenza like illness, Pain
Clinical narrative: Like a flu, headache, body ache, no energy, fever, slept all day.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Like a flu, headache, body ache, no energy, fever, slept all day.
Age: 42.0
Sex: M
Vaccine: MMR
Symptoms: Pulse absent, Respiration abnormal, Seizure like phenomena, Unresponsive to stimuli
Clinical narrative: While having blood drawn at 11:31 am, which was also after vaccine was given became nonresponsive with seizure like activity, agonal respirations and no pulse for less than a minute. Patient placed in supine position and quickly regained consciousness before further intervention was needed. He became alert and oriented while on the phone with 911. 911 was called at 11:32 am. 11:33 am vitals were BP 160/86 P 71 and R 20. 11:39 am vitals were BP 128/81, P 81, R 20, 11:44 am vitals BP113/75, P 79, R 24. EMS arrived recommended transport to hospital, patient declined and signed refusal with EMS.   11:51 am Sitting vitals BP 134/93, P 86 pulse ox 97%. Standing BP 146/95 P 90. Patient stayed for twenty more minutes without incident. Left with no acute distress.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: Patient called, concerned that a rash with white spots on her lower arm before elbow was caused by flu shot. Recommended to see doctor, but they stated they did not have one. Recommended to try hydrocortisone cream. We followed up with patient next day and patient states rash was gone.
Age: 15.0
Sex: M
Vaccine: HPV9
Symptoms: Abdominal pain upper, Blood glucose normal, Fall, Gaze palsy, Loss of consciousness
Clinical narrative: 15 year old male presents with c/o General concerns HPV vaccine. Denies any other concerns. Administered 2nd dose of HPV vaccine and talked to the mother for a few minutes about if the patient had any side effects from first vaccine and mother stated that he did not. Then advised mother to schedule for the 3rd HPV vaccine after January 20th. Mother came out of the room and was scheduling appointment for 3rd HPV vaccine when patient fell on the floor and he was rigid and his eyes were rolled in the back of his head. 911 was called. Patient then became conscious and started talking. Patient stated that his stomach was hurting. Patient had his blood pressure and pulse taken. Blood pressure was 98/66 and pulse was 80 bpm. Patient was put in a room for further evaluation and the paramedics showed up and took the patient to the ED.
Age: 15.0
Sex: M
Vaccine: HPV9
Symptoms: Muscle rigidity
Clinical narrative: 15 year old male presents with c/o General concerns HPV vaccine. Denies any other concerns. Administered 2nd dose of HPV vaccine and talked to the mother for a few minutes about if the patient had any side effects from first vaccine and mother stated that he did not. Then advised mother to schedule for the 3rd HPV vaccine after January 20th. Mother came out of the room and was scheduling appointment for 3rd HPV vaccine when patient fell on the floor and he was rigid and his eyes were rolled in the back of his head. 911 was called. Patient then became conscious and started talking. Patient stated that his stomach was hurting. Patient had his blood pressure and pulse taken. Blood pressure was 98/66 and pulse was 80 bpm. Patient was put in a room for further evaluation and the paramedics showed up and took the patient to the ED.
Age: 53.0
Sex: F
Vaccine: DTAP, FLU4
Symptoms: Chills, Injection site induration, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Left arm is swelling and pain; Hard at injected site; Patient has fever and chill.
Age: 55.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia, Bed rest, Dizziness, Headache
Clinical narrative: Severe headache, generalized joint pain, severe dizziness....; ADVIL, bedrest for 48hrs...; Better now, still slightly dizzy.
Age: 73.0
Sex: M
Vaccine: FLUA3, FLUA3
Symptoms: Asthenia, Loss of personal independence in daily activities, Mobility decreased, Musculoskeletal disorder, Pain
Clinical narrative: He reported that there was no pain at the time of injection, then felt a lot of pain at 4 pm, then could barely move his arm by 6 pm, by 9 pm he could not move his shoulder at all and was in extreme pain if bumped. He lost strength in his arm and hand and could not even get his shirt on and had to have his wife help him dress. Some function has returned to his hand but he is still having trouble with the strength.
Age: 73.0
Sex: M
Vaccine: FLUA3, FLUA3
Symptoms: Tenderness
Clinical narrative: He reported that there was no pain at the time of injection, then felt a lot of pain at 4 pm, then could barely move his arm by 6 pm, by 9 pm he could not move his shoulder at all and was in extreme pain if bumped. He lost strength in his arm and hand and could not even get his shirt on and had to have his wife help him dress. Some function has returned to his hand but he is still having trouble with the strength.
Age: 73.0
Sex: M
Vaccine: FLUA3, FLUA3
Symptoms: Injected limb mobility decreased, Pain, Pain in extremity, Poor quality drug administered
Clinical narrative: He reported that there was no pain at the time of injection, then felt a lot of pain at 4 pm, then could barely move his arm by 6 pm, by 9 pm he could not move his shoulder at all and was in extreme pain if bumped. He lost strength in his arm and hand and could not even get his shirt on and had to have his wife help him dress. Some function has returned to his hand but he is still having trouble with the strength.
Age: 69.0
Sex: F
Vaccine: PNC13
Symptoms: Diarrhoea, Injection site rash, Nausea
Clinical narrative: Nausea Diarrhea, rash around injections site.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Pyrexia
Clinical narrative: Fever, no other symptoms.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Blood culture negative, Body temperature increased, Hypotension, Intensive care, Tachycardia
Clinical narrative: 6 hours post injection had sever shaking, low b/p, tachycardia-144 called squad temp 103, bp went as low as 70/40 only came up after iv SOLU MEDROL did not respond to 5 liters of normal saline.  Preventive antbxs but blood cultures neg at hospital.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Tremor, White blood cell count normal
Clinical narrative: 6 hours post injection had sever shaking, low b/p, tachycardia-144 called squad temp 103, bp went as low as 70/40 only came up after iv SOLU MEDROL did not respond to 5 liters of normal saline.  Preventive antbxs but blood cultures neg at hospital.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Red, swollen arm.
Age: 0.17
Sex: F
Vaccine: FLU4
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Flu vaccine inadvertently given to a 2 month old.
Age: 13.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: START YESTERDAY WITH SMALL RED CIRCLE ABOUT THE SIZE OF A DIME, TODAY THE AREA IS 47MM AND WARM TO TOUCH. PATIENT STATES WAS ITCHING EARLIER, BUT NOT NOW. HAS USE ICE PACK AND WAS INSTRUCTED TO USE BENADRYL OR HYDROCORTISONE CREAM.
Age: 48.0
Sex: F
Vaccine: FLUX
Symptoms: Hypoaesthesia, Pharyngeal hypoaesthesia
Clinical narrative: Face and throat on left side went slightly numb for about 15 minutes.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Headache, Pruritus, Swelling
Clinical narrative: Patient reported redness, swelling, itching near injection site. Area of redness and swelling was not at injection site but lower on arm and more forward. Patient also reported headache but was unsure if that was associated with reaction or due to concern over reaction. Symptoms improving with time. Patient saw prescriber for other Rx and to get order for BENADRYL.
Age: 19.0
Sex: M
Vaccine: FLU4
Symptoms: Headache, Nausea, Pyrexia
Clinical narrative: Headache, severe nausea, mild fever beginning one hour after vaccination.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Pain, Rash erythematous
Clinical narrative: Patient reported symptoms of pain and a rash that went down her arm. The rash was red and bumps. It started that night after the vaccine and lasted 3-4 days until it started to get better.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Erythema, Peripheral swelling
Clinical narrative: The patient came to pharmacy 9/19/18 and showed us her left arm which was swollen and had red patches and also a  red area that wrapped around her arm going down to the elbow. She said the reaction began 9/18/18  but was much better today on 9/19/18. I told her to take an antihistamine, use antihistamine cream & ice pack to bring down redness & swelling.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Nausea, Pain, Peripheral swelling, Tenderness
Clinical narrative: On 09/19/18 around 12:30 PM patient called to report adverse events related to her high dose flu shot received on 09/15/18. Patient reported having to visit the emergency room around 8:00PM due to swollen arm, temperature of 102.0, nausea, pain, generalized pain from the top of her head to the bottom of her feet and toes with tenderness specially on her neck. She stated that the ER provider told her that the shot was too much for her body and ended up receiving IV fluids, Morphine drip and stayed at the ER overnight. As of 9/19/18 patient stated she was still nauseated and with generalized pain, needing to stay in bed.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: PATIENT COMPLAINED THAT 24 HOURS AFTER INJECTION, SOME SWELLING AND REDNESS OCCURRED AND SPREADED DOWN ON HER LEFT ARM. HER ARM WAS SORED AND FELT WARM TO THE TOUCH.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Patient reported that the injection area started itching at around 230pm on 9/18/2018, she thought it was from the bandaid. The area became swollen, red, itching and sore. As of 9/19/2018, the area is still swelling, sore, red and itching. Advised patient to take BENADRYL for the itching and TYLENOL for the pain and soreness. Patient will update reporting pharmacist on her symptoms.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Feeling of body temperature change, Lethargy, Pyrexia, Syncope
Clinical narrative: Patient started feeling feverish the evening of the immunizations, then felt hot and cold alternating through the night. Patient then fainted briefly in the shower early the next morning. Patient felt lethargic through the day the day after the immunizations.
Age: 55.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Arm got swollen and red and significant itching, also right palm was itchy and still is 09/19/2018.
Age: 22.0
Sex: M
Vaccine: HEPA
Symptoms: Expired product administered, No adverse event
Clinical narrative: Member administered HEP A vaccine. After vaccination, it was discovered that vaccine was expired. Expiration was 9/11/2018. Member monitored and zero adverse reactions noted.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Fatigue, Pain in extremity, Photosensitivity reaction, Pyrexia
Clinical narrative: Sensitivity to sunlight, redness and sore arm, fatigue and low grade fever.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Cold sweat, Decreased appetite, Listless, Loss of consciousness
Clinical narrative: Evening of second shot, patient experienced cold sweats, no appetite, was listless and "passed out".
Age: 13.0
Sex: M
Vaccine: DTAP
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Wrong vaccine given. Should have received Tdap as patient is 13 YO.
Age: 59.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Patient stated for the first 5 days there was pain at injection site then the next 3 days itch and rash.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling, Product administered at inappropriate site
Clinical narrative: Pt presented 9 days post vaccine complaining that she experienced local redness and swelling in the vaccinated arm. She provided a photo showing a bruised area lower than midway below her right arm, several inches above the elbow. She stated that the bruised area was due to an improperly administered vaccine. I explained that vaccines are given in the thickest part of the upper deltoid area, which is approximately six inches away from the area she was complaining of the bruise. I stated that the bruising she showed was unlikely caused by the vaccine, and asked if she bruised the arm in a different way perhaps. She said that she was certian that the vaccine was given in the area of bruising and that the cause was without question. I apologized and said that I truly was sorry that she experienced this and that our primary concern was her well being. I asked if she brought the concern of possible improper vaccine technique at the time of vaccination and she said no, she did not. I then asked her if there was anything else I could do to address her concerns and she said that she was sastified with the apology and was currently having no other symptoms related to the vaccine.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Peripheral swelling
Clinical narrative: Lips swollen, arm swollen, appear to be possible hive. Patient did start a new medication MACROBID, which could have led to possible adverse reaction.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Heart rate increased, Injection site reaction, Injection site swelling, Pain, Rash macular
Clinical narrative: Injection site reaction with diffuse swelling and blotches present from shoulder to elbow. Patient reports elevated heart rate and pain. Patient presented to the Emergency Room and was treated with BENADRYL and Prednisone. Arm is improving as of the following day.
Age: 21.0
Sex: M
Vaccine: UNK
Symptoms: Aggression
Clinical narrative: Very aggressive and violent behavior including punching walls, breaking plates, hitting family members. Behavior has continued into the following day.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Dry skin, Injection site pruritus, Injection site reaction, Injection site urticaria
Clinical narrative: Patient describes a red looking welt form at injection site the next day after shot, pt also said the main symptom she is experiencing is itching and it has continued every day since. Pt said she put  NEOSPORIN on it with a Band-Aid a few days later, and then tried hydrocortisone/applied to site to help with the itching. When patient presented to the pharmacy on, she showed me the site which looked like a healing sore, some dry skin, slightly red and said it mainly just itches every day.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis
Clinical narrative: PATIENT HAS CELLULITIS THAT EXTENDS FROM INJECTION SITE AROUND THE ARM AND DOWN TO THE ELBOW.
Age: 65.0
Sex: M
Vaccine: FLUA3, PNC13, TDAP, VARZOS
Symptoms: Pain, Pruritus, Rash
Clinical narrative: Patient experienced large, elevated rash on left arm. Initially expanded to approximately 6 inches wide for 3 days and currently stable. Itchy, painful.
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Burning sensation, Injection site reaction, Rash macular
Clinical narrative: I was told that shortly after injection the patient complained of a burning sensation in her arm. The next day the patient's parents made us aware of a splotchy rash that spread from the injection site in the deltoid all the way down to the wrist. The burning sensation was still occurring. I instructed the patient to take antihistamines and ibuprofen and if it worsens or continues to seek further care and let us know.
Age: 1.5
Sex: F
Vaccine: HEPA
Symptoms: Autism spectrum disorder, Coma, Decreased eye contact, Developmental delay, Electroencephalogram
Clinical narrative: Signs of seizures (undiagnosed) comatose state body stiffness and convulsions signs of autism no eye contact not walking nonverbal will not stand to be touched developmental delays.
Age: 1.5
Sex: F
Vaccine: HEPA
Symptoms: Gait inability, Hyperaesthesia, Musculoskeletal stiffness, Nuclear magnetic resonance imaging brain, Seizure
Clinical narrative: Signs of seizures (undiagnosed) comatose state body stiffness and convulsions signs of autism no eye contact not walking nonverbal will not stand to be touched developmental delays.
Age: 1.5
Sex: F
Vaccine: HEPA
Symptoms: Speech disorder
Clinical narrative: Signs of seizures (undiagnosed) comatose state body stiffness and convulsions signs of autism no eye contact not walking nonverbal will not stand to be touched developmental delays.
Age: 77.0
Sex: F
Vaccine: FLUA3
Symptoms: Diarrhoea
Clinical narrative: Patient experienced severe diarrhea, which may have already resolved.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site rash, Pruritus
Clinical narrative: Patient had a itching reaction, injection site had minor rash.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: PAIN IN ARM.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal, Influenza like illness, Myalgia, Pain in extremity, Peripheral swelling
Clinical narrative: Patient reports flu-like symptoms including muscle aches and fever. Left arm has been "sore so bad" and slightly swollen, and patient reports feeling "terrible after the flu shot, and it's never happened before". Patient has been instructed to continue TYLENOL 1000 mg every 8 hours for fever and to contact MD in the morning for any possible instructions as patient has had a history of lung conditions and pneumonia due to her COPD. Patient has also been instructed that if swelling progresses outside of the arm (such as face or mouth), she should seek emergency attention. Based on patient's report, her adverse reaction to the flu shot may just be a more violent response of common side effects from the shot. However, as patient has never had such a reaction before, it will be reported here.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Patient reports flu-like symptoms including muscle aches and fever. Left arm has been "sore so bad" and slightly swollen, and patient reports feeling "terrible after the flu shot, and it's never happened before". Patient has been instructed to continue TYLENOL 1000 mg every 8 hours for fever and to contact MD in the morning for any possible instructions as patient has had a history of lung conditions and pneumonia due to her COPD. Patient has also been instructed that if swelling progresses outside of the arm (such as face or mouth), she should seek emergency attention. Based on patient's report, her adverse reaction to the flu shot may just be a more violent response of common side effects from the shot. However, as patient has never had such a reaction before, it will be reported here.
Age: 70.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Local reaction
Clinical narrative: Local reaction on left arm, possible signs of infection.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Influenza like illness, Pain, Pyrexia
Clinical narrative: Flu-like symptoms within 12 hours: slight fever, headache, chills, body aches.
Age: 2.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, soreness, red and warm to touch, spreading to shoulder and arm centered on injection site.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Arthralgia, Injection site pain, Mobility decreased, Neck pain
Clinical narrative: Pt states when she received the PNEUMOVAX around 4pm today and it was painful and burned.  She called me around 850pm and said when she went home the pain continued and went up to her neck and all the way down her right side to her hip. She says the pain is severe and she is not able to move very much. I advised her to ice the area and take some TYLENOL. She stated if the pain does not get better or worsens she will go to the ER.
Age: 67.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Injection site pain, Nerve injury
Clinical narrative: After immunization, patient has been experiencing pain on the site of injection and has been receiving physical therapy.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Fall, Head injury, Impaired work ability, Joint injury
Clinical narrative: While walking to the he playground for duty, I fell to the left side. I passed out for an unknown amount of time. I injured both hands, left knee, left hip, left elbow, left shoulder and left side of my head. I was transported to the nearest ED where I was examined and x-rayed. I am very stiff and sore from the shot. I was unable to return to work on day one. I was limited on day two because of soreness and dizziness. I received chiropractic treatment on day two. I am continuing to ice and limit my activity.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Limb injury, Loss of consciousness, Musculoskeletal stiffness, Pain, X-ray limb normal
Clinical narrative: While walking to the he playground for duty, I fell to the left side. I passed out for an unknown amount of time. I injured both hands, left knee, left hip, left elbow, left shoulder and left side of my head. I was transported to the nearest ED where I was examined and x-rayed. I am very stiff and sore from the shot. I was unable to return to work on day one. I was limited on day two because of soreness and dizziness. I received chiropractic treatment on day two. I am continuing to ice and limit my activity.
Age: 59.0
Sex: F
Vaccine: TD, VARZOS
Symptoms: Deafness unilateral, Middle insomnia, Pyrexia
Clinical narrative: Loss hearing 100% right ear. I received the 1st shingle shot went to sleep woke up in the middle of the night with a high fever took aspirin at 4:00 AM woke up at 10 AM with whistling and my ear went blank could not hear nothing called my doctor they told me to go to walk in clinic at pharmacy at 11:30 AM-she told me it was a reaction from the shingle shot that it will take a couple of days. I never got my hearing back. I have been back to my doctor on the 27th of July seen by MD was prescribed prednisone 10 mg tablets and was sent to Otolaryngology and have seen him several times since my last appointment was on 9-17-18 and I still have no hearing!!
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Back pain, Chest discomfort, Chest pain, Groin pain
Clinical narrative: Patient received flu shot and went home and immediately started new treatment with Lisinopril. That evening started having groin, hip and back pain feeling like have a cold in spine and difficulty moving around, took hot shower that night and next am to help move. Also complaining about pain (tightness) across chest. As of 9/19/18 5:47 pm chest, groin and hip are both better but back pain persists. Patient says feels like muscle and joint tightness equals pain. Patient has not spoken or seen doctors of today.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Joint stiffness, Mobility decreased, Muscle tightness, Nasopharyngitis
Clinical narrative: Patient received flu shot and went home and immediately started new treatment with Lisinopril. That evening started having groin, hip and back pain feeling like have a cold in spine and difficulty moving around, took hot shower that night and next am to help move. Also complaining about pain (tightness) across chest. As of 9/19/18 5:47 pm chest, groin and hip are both better but back pain persists. Patient says feels like muscle and joint tightness equals pain. Patient has not spoken or seen doctors of today.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Joint range of motion decreased, Pain, Peripheral swelling, Pyrexia
Clinical narrative: Fever, swollen arm, abnormal range of motion, severe pain. Swelling going down-Pain improving. Revised form Pt said swelling going down and pain improving.
Age: 0.08
Sex: M
Vaccine: DTAPIPVHIB, HEP, HEPA, PNC13, RV5
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None stated.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Body temperature increased, Crying, Diet refusal, Irritability
Clinical narrative: Pt. had PENTACEL/PREVNAR/ROTATEQ 10/28/18. Mom stated soon after shots patient became excessively fussy and inconsolable for more than 3 hrs. Pt. was crying inconsolably and would not breast feed. Mom finally calmed her down with TYLENOL and going in shower with patient. Pt. had 100 degree F temp. After calming down she slept well and was fine.
Age: 53.0
Sex: F
Vaccine: HEP
Symptoms: Injection site bruising, Otitis media
Clinical narrative: I was diagnosed with otitis media 2 days after having received the shot. I also have bruising at the injection site.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEP, MMRV, PNC13
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Swelling of (L) upper arm, hot to touch, pain with shoulder movement evening of vaccine administration. Following day "very swollen" with ROM although some improvement from NOC before. No fluctuance or drainage.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Swelling, Tenderness
Clinical narrative: Muscular pain of left upper arm to elbow. Swelling and tenderness.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Product preparation issue
Clinical narrative: Diluent was given only, not mixed with vaccine powder.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Redness and inflammation - 33.5cm width, 13 cm length distal to the injection site.