chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Erythematous, itchy rash developed around site of vaccine.
Age: 79.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Blood creatinine increased, Blood culture negative, Cellulitis, Computerised tomogram abnormal, Diarrhoea
Clinical narrative: Left arm/deltoid with erythema and swelling, tenderness. Worsened over 2 days, so came to ED. Had fever. Leukocytosis. Reported muscle aches, diarrhea, headache, nausea. Was admitted for cellulitis, IV antibiotics. Per patient, he got both vaccinations in this LEFT arm. Per Clinic records, they recorded RIGHT deltoid.
Age: 79.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Leukocytosis
Clinical narrative: Left arm/deltoid with erythema and swelling, tenderness. Worsened over 2 days, so came to ED. Had fever. Leukocytosis. Reported muscle aches, diarrhea, headache, nausea. Was admitted for cellulitis, IV antibiotics. Per patient, he got both vaccinations in this LEFT arm. Per Clinic records, they recorded RIGHT deltoid.
Age: 79.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Myalgia, Nausea, Oedema, Pyrexia, Skin hypertrophy
Clinical narrative: Left arm/deltoid with erythema and swelling, tenderness. Worsened over 2 days, so came to ED. Had fever. Leukocytosis. Reported muscle aches, diarrhea, headache, nausea. Was admitted for cellulitis, IV antibiotics. Per patient, he got both vaccinations in this LEFT arm. Per Clinic records, they recorded RIGHT deltoid.
Age: 79.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: White blood cell count increased
Clinical narrative: Left arm/deltoid with erythema and swelling, tenderness. Worsened over 2 days, so came to ED. Had fever. Leukocytosis. Reported muscle aches, diarrhea, headache, nausea. Was admitted for cellulitis, IV antibiotics. Per patient, he got both vaccinations in this LEFT arm. Per Clinic records, they recorded RIGHT deltoid.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Lip swelling, Pruritus
Clinical narrative: Pruritus to face and neck, erythema and inflammation around lips, pruritis and erythema to axilla, arms, abdomen and groin.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Herpes zoster, Influenza like illness, Injection site erythema, Injection site pruritus
Clinical narrative: FLU LIKE SYMPTONS FOR 2 DAYS, THEN MIGRAINES, BACK OF HEAD PAIN, SWOLLEN FACE, FOR 4 DAYS. WENT BACK TO PHARMACIST AFTER FLU SYMPTONS WHO TOLD ME TO TAKE 2 BENEDRYL AND IBPROFEN EVERY 4-6 HOURS. ARM AT INJECTIION SITE TURNED VERY RED AND ITCHY. WITHIN 10 DAYS OF RECEIVING THE INJECTION I HAD A SHINGLES OUTBREAK AND IMMEDIATELY STARTED VALTREX.  iT WAS GONE IN 5 DAYS. THE FIRST INJECTION OF THE SERIES BASICALLY HAD NO SIDE EFFECTS OTHER THAN A SORE ARM.  IF I HAD ANY CLUE I WAS GOING TO BE THIS SICK WITH THE 2ND INJECTIION I WOULD NOT HAVE TAKEN IT AND I HAVE TOLD EVERYONE NOT TO DO IT. I WAS SO VERY SICK.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Migraine, Swelling face
Clinical narrative: FLU LIKE SYMPTONS FOR 2 DAYS, THEN MIGRAINES, BACK OF HEAD PAIN, SWOLLEN FACE, FOR 4 DAYS. WENT BACK TO PHARMACIST AFTER FLU SYMPTONS WHO TOLD ME TO TAKE 2 BENEDRYL AND IBPROFEN EVERY 4-6 HOURS. ARM AT INJECTIION SITE TURNED VERY RED AND ITCHY. WITHIN 10 DAYS OF RECEIVING THE INJECTION I HAD A SHINGLES OUTBREAK AND IMMEDIATELY STARTED VALTREX.  iT WAS GONE IN 5 DAYS. THE FIRST INJECTION OF THE SERIES BASICALLY HAD NO SIDE EFFECTS OTHER THAN A SORE ARM.  IF I HAD ANY CLUE I WAS GOING TO BE THIS SICK WITH THE 2ND INJECTIION I WOULD NOT HAVE TAKEN IT AND I HAVE TOLD EVERYONE NOT TO DO IT. I WAS SO VERY SICK.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: Patient woke up at 2am with "body Tremer" this lasted until 4am.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia, Vomiting
Clinical narrative: Redness and swelling at site of injection. Low grade fever and vomiting. TYLENOL, applying ice, and Ibuprofen. Pt was seen in office on 5/18/17 and was given prescriptions for KEFLEX and Prednisolone.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site bruising, Injection site discolouration, Injection site erythema, Injection site swelling
Clinical narrative: KINRIX was given (5th Dtap and 4th Polio) in RT, the next day mom noticed her thigh was swollen and she had a large area of erythema covering approximately 50% of the front of her thigh. Today mom called to report that although the swelling and erythema eventually resolved, her thigh is still discolored. It appears bruised 5 weeks later.
Age: 49.0
Sex: F
Vaccine: FLU4, PPV, TDAP
Symptoms: Erythema, Injected limb mobility decreased, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Pt states that she fell asleep, woke up arms was sore, was cleaning around the house, later that night, left arm started hurting, was very sore, could not lift left arm up, then woke up next morning for work and arms was very red and swollen. Went to pharmacy, was told she had a reaction to it. Put a hot rag on it last night, helped decreased the soreness. States that left arm is still sore and very warm, but it has improved.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Muscular weakness, Paraesthesia
Clinical narrative: L deltoid erythema (6.5m x 7cm) with sore/itching to site at L deltoid. Neuromuscular weakness and parasthesia to L lower leg extending just above knee, mild weakness on exam. Parasthesia L forearm.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Pruritus, Vaccination site erythema
Clinical narrative: Erythema and Redness at site of vaccine. Red itchy spots on back.
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Allergy to vaccine, Brain scan normal, Discomfort, Eye swelling, Hypersensitivity
Clinical narrative: Swelling at itching at the shot site within one hour, red circle warm to touch expanded throughout the day. Lasted at the injection site 4 days without getting worse. Within 2 days, mild itching throughout all parts of body. Severe itching on scalp. Day 5, noticed bumps on scalp - hot and itching. That night at 2am, entire body covered with large welts - bilateral in  many places (same spot on each arm, same spots on hips, buttocks) and smaller ones throughout entire body. Took BENADRYL, woke up to the hives subsided but head swollen and extreme pressure in back of neck, forehead protruding, eyes extremely swollen and distorted, one eye off center. Went to ER immediately, had Brain scan to be sure swelling/pressure not caused by bleeding in the brain. Scan results normal. Treated with BENADRYL and MOTRIN - Diagnosis - Allergic Reaction. Followed up with my own Dr the next day, prescribed prednisone 10 mg a day for 5 days, then drop to 5 mg a day. Diagnosis - allergic to recent Flu vaccination and advised not to have any in the future.
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Metamorphopsia
Clinical narrative: Swelling at itching at the shot site within one hour, red circle warm to touch expanded throughout the day. Lasted at the injection site 4 days without getting worse. Within 2 days, mild itching throughout all parts of body. Severe itching on scalp. Day 5, noticed bumps on scalp - hot and itching. That night at 2am, entire body covered with large welts - bilateral in  many places (same spot on each arm, same spots on hips, buttocks) and smaller ones throughout entire body. Took BENADRYL, woke up to the hives subsided but head swollen and extreme pressure in back of neck, forehead protruding, eyes extremely swollen and distorted, one eye off center. Went to ER immediately, had Brain scan to be sure swelling/pressure not caused by bleeding in the brain. Scan results normal. Treated with BENADRYL and MOTRIN - Diagnosis - Allergic Reaction. Followed up with my own Dr the next day, prescribed prednisone 10 mg a day for 5 days, then drop to 5 mg a day. Diagnosis - allergic to recent Flu vaccination and advised not to have any in the future.
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Pruritus generalised, Rash, Skin warm, Swelling face
Clinical narrative: Swelling at itching at the shot site within one hour, red circle warm to touch expanded throughout the day. Lasted at the injection site 4 days without getting worse. Within 2 days, mild itching throughout all parts of body. Severe itching on scalp. Day 5, noticed bumps on scalp - hot and itching. That night at 2am, entire body covered with large welts - bilateral in  many places (same spot on each arm, same spots on hips, buttocks) and smaller ones throughout entire body. Took BENADRYL, woke up to the hives subsided but head swollen and extreme pressure in back of neck, forehead protruding, eyes extremely swollen and distorted, one eye off center. Went to ER immediately, had Brain scan to be sure swelling/pressure not caused by bleeding in the brain. Scan results normal. Treated with BENADRYL and MOTRIN - Diagnosis - Allergic Reaction. Followed up with my own Dr the next day, prescribed prednisone 10 mg a day for 5 days, then drop to 5 mg a day. Diagnosis - allergic to recent Flu vaccination and advised not to have any in the future.
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Swelling at itching at the shot site within one hour, red circle warm to touch expanded throughout the day. Lasted at the injection site 4 days without getting worse. Within 2 days, mild itching throughout all parts of body. Severe itching on scalp. Day 5, noticed bumps on scalp - hot and itching. That night at 2am, entire body covered with large welts - bilateral in  many places (same spot on each arm, same spots on hips, buttocks) and smaller ones throughout entire body. Took BENADRYL, woke up to the hives subsided but head swollen and extreme pressure in back of neck, forehead protruding, eyes extremely swollen and distorted, one eye off center. Went to ER immediately, had Brain scan to be sure swelling/pressure not caused by bleeding in the brain. Scan results normal. Treated with BENADRYL and MOTRIN - Diagnosis - Allergic Reaction. Followed up with my own Dr the next day, prescribed prednisone 10 mg a day for 5 days, then drop to 5 mg a day. Diagnosis - allergic to recent Flu vaccination and advised not to have any in the future.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Heart rate increased, Malaise, Vomiting
Clinical narrative: Mom reported patient had vague sense of not feeling well, said heart rate increased to 186 bpm and she vomited. She was taken into ED and given IV fluids with HR 150 which then normalized and sent home from ED. She awoke the next morning at home and was back to normal.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Rash erythematous, Urticaria
Clinical narrative: Pinkish/red rash and hives all over stomach, back, neck, face, and head.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Cardiac imaging procedure normal, Chest X-ray normal, Chest discomfort, Chills, Computerised tomogram thorax normal
Clinical narrative: 22 y/o old AD male presentig to clinic for profile recommended by Cardiology after recent ER visit and subsequent hospitalization. Pt went to the ER on 23OCT18 for chest pressure associated with cough, SOB, rash and fatigue. He had had smallpox and anthrax vaccination on 11OCT18. Pt states chest pressure symptoms began following a ruck march on 18OCT18. By 20OCT18, he had developed fatigue, chills, subjective fevers, sweats, disorientation, and rounded papular, non-blanching, mildly pruritic, non-ulcerative rash that began on L flank/buttock, and spread to R and L shoulders/upper arm, neck, face, and R arm. During PT on 23OCT18, the patient had non-radiating diffuse chest pressure, fatigue, SOB, and cough and could not complete PT. Symptoms were improved with rest, worse with exertion/movement. Ibuprofen seemed to numb the pressure, but did not help. Pt had elevated cardiac enzymes in ER and was admitted to hospital and observed x 2 days, over which time the rash resolved but some chest pressure still remained at time of discharge and currently. TEE, CT, Cardiac MRI, and chest x-ray during hospital stay were unremarkable. No travel. Recently completed work 9/18. No orthopnea, edema. Patient had multifocal PNA treated with Levaquin 5 months ago. No surgeries, allergies, medications, FH of sudden cardiac death or autoimmune disease.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Cough, Disorientation, Dyspnoea, Echocardiogram normal, Fatigue
Clinical narrative: 22 y/o old AD male presentig to clinic for profile recommended by Cardiology after recent ER visit and subsequent hospitalization. Pt went to the ER on 23OCT18 for chest pressure associated with cough, SOB, rash and fatigue. He had had smallpox and anthrax vaccination on 11OCT18. Pt states chest pressure symptoms began following a ruck march on 18OCT18. By 20OCT18, he had developed fatigue, chills, subjective fevers, sweats, disorientation, and rounded papular, non-blanching, mildly pruritic, non-ulcerative rash that began on L flank/buttock, and spread to R and L shoulders/upper arm, neck, face, and R arm. During PT on 23OCT18, the patient had non-radiating diffuse chest pressure, fatigue, SOB, and cough and could not complete PT. Symptoms were improved with rest, worse with exertion/movement. Ibuprofen seemed to numb the pressure, but did not help. Pt had elevated cardiac enzymes in ER and was admitted to hospital and observed x 2 days, over which time the rash resolved but some chest pressure still remained at time of discharge and currently. TEE, CT, Cardiac MRI, and chest x-ray during hospital stay were unremarkable. No travel. Recently completed work 9/18. No orthopnea, edema. Patient had multifocal PNA treated with Levaquin 5 months ago. No surgeries, allergies, medications, FH of sudden cardiac death or autoimmune disease.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Hyperhidrosis, Myocardial necrosis marker increased, Pneumonia, Pyrexia, Rash papular
Clinical narrative: 22 y/o old AD male presentig to clinic for profile recommended by Cardiology after recent ER visit and subsequent hospitalization. Pt went to the ER on 23OCT18 for chest pressure associated with cough, SOB, rash and fatigue. He had had smallpox and anthrax vaccination on 11OCT18. Pt states chest pressure symptoms began following a ruck march on 18OCT18. By 20OCT18, he had developed fatigue, chills, subjective fevers, sweats, disorientation, and rounded papular, non-blanching, mildly pruritic, non-ulcerative rash that began on L flank/buttock, and spread to R and L shoulders/upper arm, neck, face, and R arm. During PT on 23OCT18, the patient had non-radiating diffuse chest pressure, fatigue, SOB, and cough and could not complete PT. Symptoms were improved with rest, worse with exertion/movement. Ibuprofen seemed to numb the pressure, but did not help. Pt had elevated cardiac enzymes in ER and was admitted to hospital and observed x 2 days, over which time the rash resolved but some chest pressure still remained at time of discharge and currently. TEE, CT, Cardiac MRI, and chest x-ray during hospital stay were unremarkable. No travel. Recently completed work 9/18. No orthopnea, edema. Patient had multifocal PNA treated with Levaquin 5 months ago. No surgeries, allergies, medications, FH of sudden cardiac death or autoimmune disease.
Age: 22.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Rash pruritic, Scan with contrast normal
Clinical narrative: 22 y/o old AD male presentig to clinic for profile recommended by Cardiology after recent ER visit and subsequent hospitalization. Pt went to the ER on 23OCT18 for chest pressure associated with cough, SOB, rash and fatigue. He had had smallpox and anthrax vaccination on 11OCT18. Pt states chest pressure symptoms began following a ruck march on 18OCT18. By 20OCT18, he had developed fatigue, chills, subjective fevers, sweats, disorientation, and rounded papular, non-blanching, mildly pruritic, non-ulcerative rash that began on L flank/buttock, and spread to R and L shoulders/upper arm, neck, face, and R arm. During PT on 23OCT18, the patient had non-radiating diffuse chest pressure, fatigue, SOB, and cough and could not complete PT. Symptoms were improved with rest, worse with exertion/movement. Ibuprofen seemed to numb the pressure, but did not help. Pt had elevated cardiac enzymes in ER and was admitted to hospital and observed x 2 days, over which time the rash resolved but some chest pressure still remained at time of discharge and currently. TEE, CT, Cardiac MRI, and chest x-ray during hospital stay were unremarkable. No travel. Recently completed work 9/18. No orthopnea, edema. Patient had multifocal PNA treated with Levaquin 5 months ago. No surgeries, allergies, medications, FH of sudden cardiac death or autoimmune disease.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient was given only the Adjuvant suspension no adverse reaction was reported.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Albumin CSF normal, Blood culture negative, CSF glucose normal, CSF immunoglobulin decreased, CSF protein increased
Clinical narrative: Low dose influenza IIZ4 vaccination given. Patient developed significant altered mental status, fever.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: CSF red blood cell count positive, CSF white blood cell count negative, Computerised tomogram head normal, Cryptococcus test, Enterovirus test negative
Clinical narrative: Low dose influenza IIZ4 vaccination given. Patient developed significant altered mental status, fever.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Gram stain negative, Herpes simplex test negative, Influenza virus test negative, Legionella test, Mental status changes
Clinical narrative: Low dose influenza IIZ4 vaccination given. Patient developed significant altered mental status, fever.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Mycoplasma test negative, Polymerase chain reaction, Pyrexia, Streptococcus test negative, Urine analysis normal
Clinical narrative: Low dose influenza IIZ4 vaccination given. Patient developed significant altered mental status, fever.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Loss of consciousness, Speech disorder
Clinical narrative: After patient received MENACTRA vaccine she became "foggy" in her words. Offered her to lay down, but refused. I told her to wait in office for a few minutes. She sat in chair in room. About 5 min later Mom rang for help and patient was passing out. Entered room and got patient to floor and elevated legs. As soon as legs were elevated patient came to. Dr. entered room and asked patient a few questions. Patient oriented to time and place, knew her name. Got patient up on table. At 5 minutes checked vitals sitting and BP was 90/62 P-74. Checked on patient again at 30 min, stood up and felt much better. Standing BP 104/60 P-74.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: Severe Shoulder pain. Increasing pain in left shoulder over the course of the following 3 weeks and continuing.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Fatigue, Injected limb mobility decreased, Injection site pain, Injection site reaction, Musculoskeletal stiffness
Clinical narrative: Within a few hours, upper arm where injected became stiff and very painful, resulting in limited mobility of the arm. Later  that evening, my whole body became tired, achy and it lasted all night and into the next day.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Pain
Clinical narrative: Within a few hours, upper arm where injected became stiff and very painful, resulting in limited mobility of the arm. Later  that evening, my whole body became tired, achy and it lasted all night and into the next day.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site warmth, Pain in extremity, Peripheral swelling
Clinical narrative: Patient came to pharmacy with a swollen right arm and extreme pain. She could not lift her arm. Her upper arm was red, warm to touch that was spreading.
Age: 72.0
Sex: U
Vaccine: FLU3, PPV, VARZOS
Symptoms: Nausea, Pain in extremity
Clinical narrative: Arm pain and nausea for 10 days.
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Pruritus, Urticaria
Clinical narrative: Day one no reaction, days 2-6 mild itching, Hives began on day 7. Photo of arm on day 7 available.
Age: 66.0
Sex: M
Vaccine: FLUA3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: REPORTING DUE TO PATIENT RECEIVING TWO PREVNAR 13 VACCINATIONS ONE ON 7/9/18 AT MD OFFICE AND ONE FROM THE PHARMACY 10/27/18 PATIENT HASN'T REPORTED ANY ADVERSE EVENTS.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient states below injection site, warm, red area size of palm of her had. Pharmacist recommended to make appointment with doctor.
Age: 90.0
Sex: F
Vaccine: FLUA3
Symptoms: Inappropriate schedule of product administration, Vomiting
Clinical narrative: The patient got a flu vaccine on 10/03/2018 at a local pharmacy with no adverse effects. She then went to a flu clinic at her housing center on  the morning of 10/31/2018 not realizing she had already been vaccinated. The patient had some vomiting after eating lunch around 2pm on 10/31(the day of this report) but felt fine afterwards. I was told to report the fact that she got 2 vaccines inadvertently regardless if adverse reaction when I emailed the CDC.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Blood pressure increased, C-reactive protein, Full blood count, Headache, Lipids
Clinical narrative: On 10/24 am-started to not feel well, but began to feel worse in the evening. Headaches started-as long as the patient was laying down still she felt ok. Similar symptoms to a migraine headache (light made headache worse). On 10/25-patient experienced swelling of the face under the right eye to the chin and puffiness on right hand and instep of right foot. On 10/26-went in to see Dr.  and swelling had progressed to just above right eyebrow. Dr. confirmed it was a reaction from the vaccine. Blood pressure was 160/92 (normal blood pressure is 120 something per patient).  Everything else appeared normal. Doctor prescribed Medrol dose pak to start on 10/26 and doctor advised patient to drink plenty of water. Also took 2 Tylenol Extra Strength for headache. Has continued on the Tylenol to help with the headaches-has not helped with the headaches.  Headaches have gotten worse which prompted a call to the doctor on 10/31. Waiting to hear back from the doctor.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Malaise, Metabolic function test, Peripheral swelling, Photophobia, Red blood cell sedimentation rate
Clinical narrative: On 10/24 am-started to not feel well, but began to feel worse in the evening. Headaches started-as long as the patient was laying down still she felt ok. Similar symptoms to a migraine headache (light made headache worse). On 10/25-patient experienced swelling of the face under the right eye to the chin and puffiness on right hand and instep of right foot. On 10/26-went in to see Dr.  and swelling had progressed to just above right eyebrow. Dr. confirmed it was a reaction from the vaccine. Blood pressure was 160/92 (normal blood pressure is 120 something per patient).  Everything else appeared normal. Doctor prescribed Medrol dose pak to start on 10/26 and doctor advised patient to drink plenty of water. Also took 2 Tylenol Extra Strength for headache. Has continued on the Tylenol to help with the headaches-has not helped with the headaches.  Headaches have gotten worse which prompted a call to the doctor on 10/31. Waiting to hear back from the doctor.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Serum ferritin, Swelling face, Vitamin B12
Clinical narrative: On 10/24 am-started to not feel well, but began to feel worse in the evening. Headaches started-as long as the patient was laying down still she felt ok. Similar symptoms to a migraine headache (light made headache worse). On 10/25-patient experienced swelling of the face under the right eye to the chin and puffiness on right hand and instep of right foot. On 10/26-went in to see Dr.  and swelling had progressed to just above right eyebrow. Dr. confirmed it was a reaction from the vaccine. Blood pressure was 160/92 (normal blood pressure is 120 something per patient).  Everything else appeared normal. Doctor prescribed Medrol dose pak to start on 10/26 and doctor advised patient to drink plenty of water. Also took 2 Tylenol Extra Strength for headache. Has continued on the Tylenol to help with the headaches-has not helped with the headaches.  Headaches have gotten worse which prompted a call to the doctor on 10/31. Waiting to hear back from the doctor.
Age: 1.0
Sex: M
Vaccine: HEP, HEPA, MMR, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: 11/29/17 patient was dx with chicken pox.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient's arm below the inject site to the elbow area is swelling, red and feeling hot.
Age: 10.0
Sex: F
Vaccine: FLU4
Symptoms: Memory impairment, Seizure like phenomena, Syncope
Clinical narrative: Patient had seizure like action about 3 minutes after her flu shot, in her seat, and lasted about 3-5 seconds. Once she came out of the event she did not remember what happened and was stated she was "okay". Had patient sit down for 15 minutes to monitor her. Checked on patient every 5 minutes with no episodes that continued. Patient parents did not want to call 911 and did not want her take her to the ER, but wanted to monitor her. Discussed with patient's parents that they do not have a new PCP due to them recently moving here. Management was informed and parents did not want to file an incident report. After 15 minutes elapsed parents opted to go about their time. Will follow up with parents tomorrow. Follow up with patient, mother states they took her to urgent care the same night and it was diagnosed as fainting with seizure like action. They are not concern and patient went to school.
Age: 85.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Site was sore for 2 days, then it began to swell and was red at warm to the touch. She stated severe itching. She went to the doctor on 10/30 and was prescribed Medrol dosepak. When she came to pic up the prescription, her arm was no longer swollen but was red from around the injection site to the elbow. She stated the itching had improved and it was no longer warm to the touch.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pain in extremity, Paraesthesia
Clinical narrative: Arm and hand hurt constantly, fingers on outside tingle. Some days it hurts more than others. Fingers also hurt, throb, and have almost the same feeling as when you hit your "funny bone," but the feeling never goes away entirely.
Age: 17.0
Sex: F
Vaccine: HPV9
Symptoms: Differential white blood cell count, Dizziness, Dysstasia, Full blood count, Headache
Clinical narrative: Dizziness, headache, inability to stand up on and off.
Age: 17.0
Sex: F
Vaccine: HPV9
Symptoms: Metabolic function test, Mononucleosis heterophile test
Clinical narrative: Dizziness, headache, inability to stand up on and off.
Age: 66.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Chills, Erythema, Musculoskeletal stiffness, Peripheral swelling
Clinical narrative: Day 1...stiffness in afternoon and chills in the evening. Day 3...Swelling and redness above the elbow at bicep.
Age: 26.0
Sex: M
Vaccine: HPV9
Symptoms: Asthenia, Dizziness, Feeling hot, Nausea
Clinical narrative: Patient received second HPV vaccine. Approximately 1 hour later he became hot, felt faint, nauseated, weak. Returned to Student Health Center and was evaluated. Symptoms lasted approximately 2 hours. Vital signs were stable and examination of patient was normal.
Age: 23.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Nasal congestion, Pain, Rhinorrhoea, Sinus congestion
Clinical narrative: Runny nose, sinus congestion, nose congestion, headache, body aches.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Asthma, Cough, Dyspnoea, Headache, Ocular hyperaemia
Clinical narrative: Severe headache, fever of 100 degrees, asthma symptoms (cough, difficulty in catching breath), bloodshot eyes.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: Severe headache, fever of 100 degrees, asthma symptoms (cough, difficulty in catching breath), bloodshot eyes.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Adult dose given. No negative outcomes noted.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Type III immune complex mediated reaction
Clinical narrative: Patient went to ER who reported that they had a Arthus reaction. Was told by ER to take ibuprofen especially but also acetaminophen as needed for discomfort. Apply cool compresses over next 1 to 2 days. Was told this might continue to worsen over the first day but then should start to improve. They do not expect to have fever or increasing redness after 48 hr. If she does return to ER.
Age: 44.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site urticaria, Local reaction
Clinical narrative: Significant local reaction to injection of flu vaccine, localized  pain, redness, swelling, raised like a "hive"  approximately size of entire palm to injection site lasting 1-2 days so far.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Dysgeusia, Dysphagia, Oropharyngeal pain
Clinical narrative: Patient reported having a sore throat with a "weird taste" in her mouth. She said she also had trouble swallowing. She went to see her primary doctor and was treated for her reactions. She is ok now.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Discomfort, Erythema, Injection site erythema, Injection site induration, Injection site inflammation
Clinical narrative: Swelling of arm and hardness at the injection site with redness and heat. This was followed during the night by swelling of the entire upper arm with redness, heat, and muscular discomfort. By the next evening there was a band of red inflammation of about 2" in width circling the lower bicep that was swollen above the already swollen arm. This was accompanied by difficulty using the arm as well as some localized itching. This lasted for 3 days. However the itching has continued throughout various parts of my body with no set pattern. Sometimes there are hives or welt or red streaks. The areas affected the worst are the palms of my hands, between the fingers, scalp, chin, shins, and back of my neck. It is slowly resolving but at times is extremely uncomfortable.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site reaction, Injection site swelling, Injection site warmth, Musculoskeletal discomfort, Musculoskeletal disorder
Clinical narrative: Swelling of arm and hardness at the injection site with redness and heat. This was followed during the night by swelling of the entire upper arm with redness, heat, and muscular discomfort. By the next evening there was a band of red inflammation of about 2" in width circling the lower bicep that was swollen above the already swollen arm. This was accompanied by difficulty using the arm as well as some localized itching. This lasted for 3 days. However the itching has continued throughout various parts of my body with no set pattern. Sometimes there are hives or welt or red streaks. The areas affected the worst are the palms of my hands, between the fingers, scalp, chin, shins, and back of my neck. It is slowly resolving but at times is extremely uncomfortable.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Peripheral swelling, Pruritus, Urticaria
Clinical narrative: Swelling of arm and hardness at the injection site with redness and heat. This was followed during the night by swelling of the entire upper arm with redness, heat, and muscular discomfort. By the next evening there was a band of red inflammation of about 2" in width circling the lower bicep that was swollen above the already swollen arm. This was accompanied by difficulty using the arm as well as some localized itching. This lasted for 3 days. However the itching has continued throughout various parts of my body with no set pattern. Sometimes there are hives or welt or red streaks. The areas affected the worst are the palms of my hands, between the fingers, scalp, chin, shins, and back of my neck. It is slowly resolving but at times is extremely uncomfortable.
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Peripheral swelling, Skin striae
Clinical narrative: PATIENT SAID WOKE UP 10/27 WITH RED SWOLLEN ARM. ARM CONTINUED TO SWELL AND MONDAY 10/29 PATIENT WENT TO MD. WITH RED SWOLLEN ARM NOW WITH A RED STREAK GOING DOWN THE ARM.  MD PRESCRIBE KEFLEX.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Influenza A virus test, Influenza B virus test, Injection site swelling, Pyrexia
Clinical narrative: 3-4 cm round swollen area at injection site, 100.3 fever, headache.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Child's grandma called to report that child's right arm is somewhat red and swollen.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Administered pneumonia vaccine to right upper arm. Reaction noted 10/24/18 evening. Pt was seen in office with  redness swelling and hot to the touch at vaccine site. MD accessed pt and ordered IM Benadryl 1 mL. Medication administer to patient. Pt left in stable condition.
Age: 0.33
Sex: F
Vaccine: RV5
Symptoms: Pyrexia, Vomiting
Clinical narrative: Baby spiked a fever above 102 degrees and developed profuse vomiting.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Patient stated she woke up on 10/31/18 (3 days after injection) with severe arm pain right beside injection site. The pain was severe enough that she couldn't move her arm. She stated she had mild pain previously that she took ibuprofen which seemed to help; however, the pain seemed to increase. Injected was given 10/28/18. Recommended patient call PCP and follow-up with us if needed.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pruritus, Injection site urticaria, Pruritus, Urticaria
Clinical narrative: Hives tracking from injection site to left scapula, associated itching within 2 hours from injection; following morning faint rash extended to right scapula. Gave PO and topical BENADRYL and CLARITIN, itching resolved promptly, hives were fading within 1-2 hours. No rash elsewhere, injection site itself looked ok. No oral/facial involvement. She otherwise felt fine.
Age: 61.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Injection site cellulitis, Peripheral swelling, Pruritus
Clinical narrative: PREVNAR given in R deltoid on 26 Oct 2018, pt reports arm becoming red 28 Oct 2018 which became worse. Pt walked into clinic on 10/31/18 to have arm assessed. Was seen by Dr. in clinic diagnosed with Cellulitis of R bicep and given Dicloxacillin 250 mg one tab by mouth four times a day and Diphenhydramine 25 mg one capsule by mouth every six hours as needed for itching and swelling of arm.
Age: 40.0
Sex: F
Vaccine: FLUC4
Symptoms: Borrelia test, Facial paralysis, Full blood count, Hypoaesthesia, Metabolic function test
Clinical narrative: Approximately 24 hours post flu vaccination, patient developed left sided facial numbness and tingling that started near her mouth and moved to the upper aspect of her face. Noted to have left sided mouth drooping.
Age: 40.0
Sex: F
Vaccine: FLUC4
Symptoms: Paraesthesia
Clinical narrative: Approximately 24 hours post flu vaccination, patient developed left sided facial numbness and tingling that started near her mouth and moved to the upper aspect of her face. Noted to have left sided mouth drooping.
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Cough, Hypersensitivity, Myalgia, Rash
Clinical narrative: PT EXPERIENCED MUSCLE PAIN IN THE AFTERNOON OF IM ADMINISTRATION ON 10/17. STARTING 10/19 AM, PT STARTED HAVING RASH THAT SPREAD AS BIG AS WHOLE HAND DOWN TO ALMOST HER ELBOW. PT WENT TO URGENT CARE DUE TO COUGH UNRELATED TO VACCINE AND DR AT URGENT CARE CONFIRMED IT WAS  MORE OF AN ALLERGIC REACTION. NO TEST OR TREATMENT WAS ORDERED BY DR. INFORMED PT TO NOTIFY PHARMACY.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Diarrhoea, Discomfort, Headache
Clinical narrative: Unknown lot and dose number. Beginning about midnight of the day of the injection, I awakened with a significant headache, and aches to my back, hips, neck, many joints in all. By today, I was running a fever of 101 degrees, headache and achy joints and muscles continued. Some diarrhea. I do not feel well enough to follow my regular routine today, though TYLENOL reduces the discomfort somewhat.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Myalgia, Neck pain, Pyrexia
Clinical narrative: Unknown lot and dose number. Beginning about midnight of the day of the injection, I awakened with a significant headache, and aches to my back, hips, neck, many joints in all. By today, I was running a fever of 101 degrees, headache and achy joints and muscles continued. Some diarrhea. I do not feel well enough to follow my regular routine today, though TYLENOL reduces the discomfort somewhat.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling abnormal, Injection site pruritus, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: The client developed a low grade fever (100-101 degrees F) at 1600 on 10/18/2018. She described feeling "icky". The client was given ibuprofen shortly after. By the AM on 10/19/2018 the injection site area was swollen. The client received BENADRYL at this time. She felt better in the AM of 10/19/2018, however the arm was swollen to baseball size. The arm was warm to the touch and extremely itchy for the client. These symptoms lasted throughout the next couple days. The arm remained slightly swollen for a week following the immunization injection.
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Right bicep started itching, and bicep and triceps became swollen. Arm almost back to normal on 10/31/18.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Dizziness, Headache, Hyperaesthesia, Injection site reaction
Clinical narrative: 24 hours after, achy muscles and joints, headache, and extremely hot, sensitivie to touch injection site. 25 hours after that, mild dizziness.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Myalgia
Clinical narrative: 24 hours after, achy muscles and joints, headache, and extremely hot, sensitivie to touch injection site. 25 hours after that, mild dizziness.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site induration, Injection site pain, Pruritus, Skin lesion
Clinical narrative: Day 2 awoke with 2.5 inch induration at injection site. Soreness. Day 3 developed multiple itchy bite-like lesions on left forearm with one small linear area; itchy but no vesicles; few on right forearm. Day 4 developed one lesion on forehead. Day 5 all areas fading. Other than itching, no other symptoms.  Able to work and perform usual ADLs.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Induration, Local reaction, Paraesthesia, Swelling
Clinical narrative: Hardness, swelling, redness and tingling; localized.
Age: 59.0
Sex: M
Vaccine: FLUX
Symptoms: Atrial fibrillation, Blood thyroid stimulating hormone, Gait disturbance, Glycosylated haemoglobin, Neuropathy peripheral
Clinical narrative: Difficulty walking. It started on the 7th of this month with slowness to his walking, then sensory deficit started in his feet and has over the course of the last 2 weeks ascended to the level of the midthighs.
Age: 59.0
Sex: M
Vaccine: FLUX
Symptoms: Sensory loss, Treponema test, Vitamin B1, Vitamin B12
Clinical narrative: Difficulty walking. It started on the 7th of this month with slowness to his walking, then sensory deficit started in his feet and has over the course of the last 2 weeks ascended to the level of the midthighs.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Flushing, Heart rate increased, Nausea, Paraesthesia, Productive cough
Clinical narrative: INCREASE HR, FLUSHING, NAUSEA, PHLEGM IN THROAT-CONSTRICTING, TINGLING IN ARM. WENT FOR A WALK TO CALM THEMSELVES DOWN, DECREASE HR. SYMPTOMS INCREASED DURING THE DAY. PT TOOK BENADRYL BEFORE GOING TO BED. PER PT DID NOT FEEL THE NEED FOR AN EPIPEN. WOKE UP MONDAY MORNING FEELING MUCH BETTER, SYMPTOMS SUBSIDED EXCEPT SOME TINGLING STILL IN THE ARM. ALL OF THIS WAS REPORTED TO ME ON TUESDAY EVENING APPROX 5PM.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Injection site pain, Myalgia
Clinical narrative: Debilitating chills, muscle aches, joint pain. Occurred twice on 10/30/18 and once on 10/31/18. Alleviated with ibuprofen and rest. Soreness at injection site.
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Asthenia, Feeling abnormal, Head discomfort, Hyperhidrosis
Clinical narrative: Achy flu like symptoms and general malaise, sweats, weakness, convulsions, joint pain, leg pain, muscle pain, lethargy, trouble sleeping, head pressure, headache, itchy, inability to function, foggy.
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Influenza like illness, Insomnia, Lethargy, Loss of personal independence in daily activities, Malaise
Clinical narrative: Achy flu like symptoms and general malaise, sweats, weakness, convulsions, joint pain, leg pain, muscle pain, lethargy, trouble sleeping, head pressure, headache, itchy, inability to function, foggy.
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Myalgia, Pain, Pruritus, Seizure
Clinical narrative: Achy flu like symptoms and general malaise, sweats, weakness, convulsions, joint pain, leg pain, muscle pain, lethargy, trouble sleeping, head pressure, headache, itchy, inability to function, foggy.
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Chills, Fatigue, Gait disturbance, Head discomfort
Clinical narrative: Achy flu like symptoms and general malaise, sweats, weakness, convulsions, joint pain, leg pain, muscle pain, lethargy, trouble sleeping, head pressure, headache, itchy, inability to function, foggy.
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Insomnia, Malaise, Muscle twitching, Pain in extremity, Pyrexia
Clinical narrative: Achy flu like symptoms and general malaise, sweats, weakness, convulsions, joint pain, leg pain, muscle pain, lethargy, trouble sleeping, head pressure, headache, itchy, inability to function, foggy.
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Seizure, Speech disorder, Vaccine positive rechallenge
Clinical narrative: Achy flu like symptoms and general malaise, sweats, weakness, convulsions, joint pain, leg pain, muscle pain, lethargy, trouble sleeping, head pressure, headache, itchy, inability to function, foggy.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Lymphadenopathy, Peripheral swelling
Clinical narrative: The patient reported a swollen left arm, and swollen lymph nodes in the axillary area. These symptoms lasted 3-4 days according to the patient. The patient saw her primary care provider who told the patient to report her symptoms to the pharmacy.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Oropharyngeal pain
Clinical narrative: Pt states that she developed a chest rash the evening of immunization. She developed a large red, hard lump at the injection site accompanied with pain. She developed a sore throat as well. The chest rash resolved in 1 week and the red lump on the arm resolved in 11 days.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Pt states that she developed a chest rash the evening of immunization. She developed a large red, hard lump at the injection site accompanied with pain. She developed a sore throat as well. The chest rash resolved in 1 week and the red lump on the arm resolved in 11 days.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Anxiety, Dizziness, Electrocardiogram, Palpitations
Clinical narrative: Dizziness, feeling of heart palpitations, anxiety.
Age: 28.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Pain in extremity
Clinical narrative: PATIENT STATES ARM WAS SORE DUE TO IMZ. SHE WENT TO DR AND DR DIAGNOSED HER WITH CELLULITIS.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Extensive swelling of vaccinated limb, Injection site erythema, Injection site pain
Clinical narrative: Patient reports day of vaccination 10/16/18, mild local reaction that improved 10/17/18, but then starting 10/18/18 increased swelling, redness and pain of whole right arm that worsened. Patient was seen in office 10/20/2018 and was noted to have significant swelling and redness to > 50 % of the right arm, due to lapse of time, unsure if direct vaccine reaction or subsequent cellulitis, prescribed NSAID and antibiotic with improvement in symptoms.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Pain in extremity
Clinical narrative: Patient reports day of vaccination 10/16/18, mild local reaction that improved 10/17/18, but then starting 10/18/18 increased swelling, redness and pain of whole right arm that worsened. Patient was seen in office 10/20/2018 and was noted to have significant swelling and redness to > 50 % of the right arm, due to lapse of time, unsure if direct vaccine reaction or subsequent cellulitis, prescribed NSAID and antibiotic with improvement in symptoms.
Age: 41.0
Sex: M
Vaccine: FLU4
Symptoms: Bursitis, Injected limb mobility decreased, Loss of personal independence in daily activities, Pain in extremity, Product administered at inappropriate site
Clinical narrative: Patient received IM flu vaccine L deltoid region. System confirms inj site was 5cm superior and 3cm posterior to belly of deltoid muscle, 1cm below acromion, directly into subacrominal bursa. Pharmacist was tall and standing, patient was sitting. Pain and limited ROM same arm with onset over next 3hr, persistent over next 6wk and counting. No prior pain, injury, surgery or any problems with this shoulder. Patient presented to Sports Med physician 5wk after inj (10/24/2018) and was Dx'd with SIRVA - deltoid bursitis due to erroneous direct inj of vaccine into subacromial bursa. Clinical outcome TBD at this point, no improvement with pain or ROM at 5wk - difficulty or inability with ADL including dressing reaching for alarm clock, washing hands (repeated supination and pronation), exercise, etc. Pharmacy manager was informed of incident, they reported never having heard of SIRVA and were unable to confirm vaccine lot number due to blurry scanned file.
Age: 41.0
Sex: M
Vaccine: FLU4
Symptoms: Shoulder injury related to vaccine administration
Clinical narrative: Patient received IM flu vaccine L deltoid region. System confirms inj site was 5cm superior and 3cm posterior to belly of deltoid muscle, 1cm below acromion, directly into subacrominal bursa. Pharmacist was tall and standing, patient was sitting. Pain and limited ROM same arm with onset over next 3hr, persistent over next 6wk and counting. No prior pain, injury, surgery or any problems with this shoulder. Patient presented to Sports Med physician 5wk after inj (10/24/2018) and was Dx'd with SIRVA - deltoid bursitis due to erroneous direct inj of vaccine into subacromial bursa. Clinical outcome TBD at this point, no improvement with pain or ROM at 5wk - difficulty or inability with ADL including dressing reaching for alarm clock, washing hands (repeated supination and pronation), exercise, etc. Pharmacy manager was informed of incident, they reported never having heard of SIRVA and were unable to confirm vaccine lot number due to blurry scanned file.