chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain upper, Asthenia, Dizziness, Exposure during pregnancy, Foetal death
Clinical narrative: I was fine that morning at work. Was 7 months pregnant. At Dr. appointment I was told I needed Tdap vaccine, was not told any risk. I went home felt weak, dizzy and stomach pain. The same day my unborn baby died. This happened within 7 hours of the vaccine.
Age: 26.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Chest X-ray, Computerised tomogram head, Dizziness, Dyspnoea, Full blood count
Clinical narrative: SOB, dizzy, O2 Sats dropped, assisted to bed, red blotchy spots, swelling to face, itching abdomen. Medications given. Pt to ICU overnight - not responding to question for 30 min.
Age: 26.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Intensive care, Laboratory test, Oxygen saturation decreased, Pruritus, Rash macular
Clinical narrative: SOB, dizzy, O2 Sats dropped, assisted to bed, red blotchy spots, swelling to face, itching abdomen. Medications given. Pt to ICU overnight - not responding to question for 30 min.
Age: 26.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Swelling face, Unresponsive to stimuli
Clinical narrative: SOB, dizzy, O2 Sats dropped, assisted to bed, red blotchy spots, swelling to face, itching abdomen. Medications given. Pt to ICU overnight - not responding to question for 30 min.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site reaction, Local swelling, Nausea, Pain in extremity
Clinical narrative: Started approximately 36 hours after vaccinated. Arm red, swollen and painful. Patient taking OTC analgesics and applying ice pack. Nausea and vomiting first day after vaccination. Skin around injection site peeled off.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Skin exfoliation, Vomiting
Clinical narrative: Started approximately 36 hours after vaccinated. Arm red, swollen and painful. Patient taking OTC analgesics and applying ice pack. Nausea and vomiting first day after vaccination. Skin around injection site peeled off.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red hot and swollen to injection site R thigh. Apply warm compres, TYLENOL or IBU PRN.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Reported 2 days later. Evening of - reports was red, swollen. 9-4-14 charge RN looked at swollen, red at site, burning from site to elbow. 9-5-14 swollen, red, warm at site welt 4mm-7 1/2mm. She had only used ice 1-2x.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Reported 2 days later. Evening of - reports was red, swollen. 9-4-14 charge RN looked at swollen, red at site, burning from site to elbow. 9-5-14 swollen, red, warm at site welt 4mm-7 1/2mm. She had only used ice 1-2x.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: Patient presented with swollen upper arm above and below injection site. Called pharmacy I referred her to her doctor. They told her to use cool compresses and if she developed "orange peel" skin to go to ER. As of 9/12/14 doing fine.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Hypoaesthesia, Pyrexia, Tremor
Clinical narrative: Patient received flu shot (Hi dose) on 9-12-14 at about 9:23AM. She started having high fever (about 101.4 degrees F), shivering (shaking), numbness in fingers, chilling all at about 5:30 PM after she came back from work. Feeling better the next day.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site swelling
Clinical narrative: At site of injection there was immediate bump and I gave patient cold pack to apply. I spoke to patient 3 hours later and her arm was almost back to normal.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Broke out in hives, body wide same day after receiving influenza vaccine. OTC BENADRYL, steroids rec'd.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Erythema and swelling in area to injection site of about 6 cm 1 day after vaccination, associated with itching.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Blood glucose, Blood pressure orthostatic, Depressed level of consciousness, Dizziness, Hyperhidrosis
Clinical narrative: After flu administration and PPD, staff felt dizzy, lightheaded, immediately after. After 2-3 min. walked back to classroom but passed out. Chang in LOC lowered to mat, 911 called, O2 at 2L/,min, VS taken. Pale, diaphoretic noted. BP 114/73, HR-71, O2 Sat=97%.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Loss of consciousness, Pallor, Urine analysis
Clinical narrative: After flu administration and PPD, staff felt dizzy, lightheaded, immediately after. After 2-3 min. walked back to classroom but passed out. Chang in LOC lowered to mat, 911 called, O2 at 2L/,min, VS taken. Pale, diaphoretic noted. BP 114/73, HR-71, O2 Sat=97%.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hyperhidrosis, Injected limb mobility decreased, Pain in extremity, Syncope
Clinical narrative: Aching in arm, unable to move arm (right arm only). Also sweating and fainting about 12 hrs after vaccine.
Age: 29.0
Sex: F
Vaccine: ANTH, SMALL, TYP
Symptoms: Anaphylactic reaction, Autonomic nervous system imbalance, Biopsy bone marrow normal, C-kit gene mutation, Chills
Clinical narrative: The patient was in her normal (excellent) state of health with no significant past medical history upon entering service on 2 Feb 2010. She was vaccinated on 30 March 2011 with smallpox, typhoid and anthrax vaccines. She described feeling ill immediately after these vaccines to include symptoms of fever, chills, nausea and fatigue. Symptoms slowly progressed in nature to include GI symptoms, dysautonomia and frank anaphylactic episodes. Anaphylactic episodes were associated with elevated serum tryptase and urinary histamine levels. Patient eventually diagnosed with MCAS after mastocytosis and monoclonal disorders were ruled out. Patient failed treatment with imatinib but is currently being successfully managed with sutent (tyrosine kinase inhibitor). Patient has known somatic gene mutation of kit gene on exon 11 (F584C) causing gain of function mutation.
Age: 29.0
Sex: F
Vaccine: ANTH, SMALL, TYP
Symptoms: Fatigue, Gastrointestinal disorder, Gene mutation identification test positive, Histamine normal, Immediate post-injection reaction
Clinical narrative: The patient was in her normal (excellent) state of health with no significant past medical history upon entering service on 2 Feb 2010. She was vaccinated on 30 March 2011 with smallpox, typhoid and anthrax vaccines. She described feeling ill immediately after these vaccines to include symptoms of fever, chills, nausea and fatigue. Symptoms slowly progressed in nature to include GI symptoms, dysautonomia and frank anaphylactic episodes. Anaphylactic episodes were associated with elevated serum tryptase and urinary histamine levels. Patient eventually diagnosed with MCAS after mastocytosis and monoclonal disorders were ruled out. Patient failed treatment with imatinib but is currently being successfully managed with sutent (tyrosine kinase inhibitor). Patient has known somatic gene mutation of kit gene on exon 11 (F584C) causing gain of function mutation.
Age: 29.0
Sex: F
Vaccine: ANTH, SMALL, TYP
Symptoms: Malaise, Nausea, Pyrexia, Tryptase increased
Clinical narrative: The patient was in her normal (excellent) state of health with no significant past medical history upon entering service on 2 Feb 2010. She was vaccinated on 30 March 2011 with smallpox, typhoid and anthrax vaccines. She described feeling ill immediately after these vaccines to include symptoms of fever, chills, nausea and fatigue. Symptoms slowly progressed in nature to include GI symptoms, dysautonomia and frank anaphylactic episodes. Anaphylactic episodes were associated with elevated serum tryptase and urinary histamine levels. Patient eventually diagnosed with MCAS after mastocytosis and monoclonal disorders were ruled out. Patient failed treatment with imatinib but is currently being successfully managed with sutent (tyrosine kinase inhibitor). Patient has known somatic gene mutation of kit gene on exon 11 (F584C) causing gain of function mutation.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site swelling, Lymphadenopathy
Clinical narrative: Pt reported swelling at injection site immediately which progresed to swollen glands under arm of injection site as well as neck region. Pt seen on 9/18/14 treated with antibiotic (Augmentin).
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site cellulitis, Injection site erythema, Injection site inflammation, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, warmth and inflammation at site of injection.
Age: 59.0
Sex: M
Vaccine: DTAP, PPV
Symptoms: Arthralgia, Asthenia, Dizziness, Feeling hot, Headache
Clinical narrative: Soreness at injection sites (each arm). Headache. Lethargy, weakness, dizziness. Felt warm, but temperature tested normal. Pain in neck, shoulders, elbows, wrists, hips, thighs, knees and ankles. Took Advil and Tylenol during day. Rested.  Seem to have recovered in about 24 to 36 hours.
Age: 59.0
Sex: M
Vaccine: DTAP, PPV
Symptoms: Injection site pain, Musculoskeletal pain, Neck pain
Clinical narrative: Soreness at injection sites (each arm). Headache. Lethargy, weakness, dizziness. Felt warm, but temperature tested normal. Pain in neck, shoulders, elbows, wrists, hips, thighs, knees and ankles. Took Advil and Tylenol during day. Rested.  Seem to have recovered in about 24 to 36 hours.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Chills, Headache, Local swelling, Muscle spasms
Clinical narrative: Patient started to have headache that evening 30 minutes after vaccine was given.  Was up all night with muscle cramps in legs, arms and neck. Experienced large red area up to shoulder on vaccine arm.  Also experienced lower back and kidney aches with chills. Patient called MD and sent her back to pharmacy on 9/19 where her symptoms had improved. Recommended IBU or APAP for sore/swelled arm that was fading.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Renal pain
Clinical narrative: Patient started to have headache that evening 30 minutes after vaccine was given.  Was up all night with muscle cramps in legs, arms and neck. Experienced large red area up to shoulder on vaccine arm.  Also experienced lower back and kidney aches with chills. Patient called MD and sent her back to pharmacy on 9/19 where her symptoms had improved. Recommended IBU or APAP for sore/swelled arm that was fading.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: C/o extreme pain to arm states was better after 2 days past immunization then got worse again.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chest X-ray normal, Chills, Computerised tomogram head normal, Electrocardiogram normal
Clinical narrative: Patient received flu shot at PCP office on 9/17/2014.  Later that evening she experienced sudden symptoms including chills on and off, generalized weakness, and fever (99.9). Patient woke up in the middle of the night to use the bathroom, but could not get out of bed to do so. She tried a few times and then became scared and laid back down. On 9/18/2014 the patient presents to the emergency because her symptoms are persistent.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Fear, Lumbar puncture, Lymphocyte count decreased, Lymphocyte percentage decreased, Microbiology test normal
Clinical narrative: Patient received flu shot at PCP office on 9/17/2014.  Later that evening she experienced sudden symptoms including chills on and off, generalized weakness, and fever (99.9). Patient woke up in the middle of the night to use the bathroom, but could not get out of bed to do so. She tried a few times and then became scared and laid back down. On 9/18/2014 the patient presents to the emergency because her symptoms are persistent.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Neutrophil percentage increased, Pyrexia, White blood cell count normal
Clinical narrative: Patient received flu shot at PCP office on 9/17/2014.  Later that evening she experienced sudden symptoms including chills on and off, generalized weakness, and fever (99.9). Patient woke up in the middle of the night to use the bathroom, but could not get out of bed to do so. She tried a few times and then became scared and laid back down. On 9/18/2014 the patient presents to the emergency because her symptoms are persistent.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous
Clinical narrative: Had small red bump which became bigger, approx. 20 cm diameter.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Diarrhoea, Nausea, Nodule
Clinical narrative: Said she had a knot in her arm and it hurt, while patient felt nauseous with diarrhea. I felt her arm today (it was red around the area that had been vaccinated) and it was hot compared to remainder of arm. She is applying ice right now. We also recommended taking an antihistamine.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Induration, Scratch, Skin warm
Clinical narrative: When child got undressed for bath time mother noticed a red raised area on the back of Left arm.  Mother states area is larger today. Child has a red induration which is warm to touch. Area measures 51/2 cm at widest part x 7 cm at longest part. Child denies itching or pain.  Area looks like she has scratch marks in it.
Age: 1.31
Sex: M
Vaccine: FLUX, MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Fever 102+, rash covering face and chest.
Age: 0.53
Sex: M
Vaccine: DTAP, FLUX, HEP, IPV, PPV, RVX
Symptoms: Biopsy bone marrow abnormal, Hypoplastic anaemia, Lymphadenopathy, Pyrexia
Clinical narrative: Fever up to 104 for 3 days. Was taken to hospital about 3 months later due to swollen lymph nodes all over and high fever.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site urticaria, Pyrexia
Clinical narrative: Low grade fever, and hives at administration site.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Injection site swelling, itching. Swelling starts in tricep area at injection site and spreads toward deltoid and elbow. Some discoloration (pink/red). Chlorpheniramine 4mg every 4 to 6 hours started. Patient returned 9/19/14 and swelling had increased. Patient noted warmth. States that adult varicella vaccine resulted in similar reaction. At this time a change to diphenhydramine was recommended. Also advised a visit to the prescribing provider to recommend any additional treatment.
Age: 1.06
Sex: M
Vaccine: HEPA, MMR, PPV, VARCEL
Symptoms: Pyrexia, Varicella post vaccine
Clinical narrative: Pt presented with fever and rash consistent with varicella.
Age: 81.0
Sex: F
Vaccine: MEA
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: PATIENT REPORTED SMALL RED RAISED RASH THE "SIZE OF HER LITTLE FINGER AT THE SITE OF INJECTION".
Age: 22.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site warmth, Local swelling
Clinical narrative: Bump on left arm, pink around site and warm to touch.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Hyperhidrosis, Nausea, Pyrexia
Clinical narrative: Felt nausea, low grade fever, headache and diaphoretic continues to have these symptoms 3 days later.
Age: 44.0
Sex: M
Vaccine: FLU3
Symptoms: Death, Myocardial infarction
Clinical narrative: Pt received influenza vaccination previous day and passed away from believed to be heart attack the following morning. An autopsy is being performed.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Local swelling, Skin warm
Clinical narrative: Arm hot, swollen, and red. 3 inches in diameter, next day spread to 8 inches and called physican who told her to put on warm compress.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Rash generalised
Clinical narrative: Patient developed bumps on arms and other body.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Vaccination site bruising
Clinical narrative: Bruising below the area of vaccination.
Age: 66.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Pruritus generalised
Clinical narrative: Itching at various locations over body, starting about 6 hours post vaccination.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site discolouration, Injection site haemorrhage, Injection site pain, Injection site swelling
Clinical narrative: Internal hemorrhage of upper left arm. Arm appears purple/black, as one enormous bruise, from shoulder to elbow laterally. Area is painful and swollen. Today is 9-19-14 and symptoms have only worsened, not improved. Patient has even sought care from the emergency department at local hospital.
Age: 53.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Chest pain, Cough, Lung infection, Oropharyngeal pain, Pain
Clinical narrative: Started with runny nose then later that evening went to severe congestion in head (sinus). Next day (9/16) had severe congestion in head and sore throat and body aches. That night started having a severe cough and chest hurting. Continued to get worse went to doctor on 9/17. Doctor stated had an upper respiratory infection that traveled down into right lung. Received a shot and prescription for antibiotics and steroids.
Age: 53.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Rhinorrhoea, Sinus congestion, Upper respiratory tract infection
Clinical narrative: Started with runny nose then later that evening went to severe congestion in head (sinus). Next day (9/16) had severe congestion in head and sore throat and body aches. That night started having a severe cough and chest hurting. Continued to get worse went to doctor on 9/17. Doctor stated had an upper respiratory infection that traveled down into right lung. Received a shot and prescription for antibiotics and steroids.
Age: 47.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Chills, Fatigue, Hyperhidrosis, Nausea
Clinical narrative: Severe joint pain, nausea, chills, fatigue, sweats lasting 48 hours, symptoms eased slightly with ibuprofen.
Age: 53.0
Sex: M
Vaccine: FLU4
Symptoms: Aphagia, Chills, Headache, Hyperhidrosis, Nausea
Clinical narrative: Severe headache, fever, 100 degrees, body aches, intractable nausea, inability to eat, chills, sweats.
Age: 53.0
Sex: M
Vaccine: FLU4
Symptoms: Pain, Pyrexia
Clinical narrative: Severe headache, fever, 100 degrees, body aches, intractable nausea, inability to eat, chills, sweats.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Erythema, swelling and warmth over the injection site and the surrounding area measuring 7 cm x 6 cm in diameter.   No pain, no itching, no fever.
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Drug administered at inappropriate site, Injection site discomfort, Injection site joint pain, Injection site pain, Injection site reaction
Clinical narrative: Patient complained of severe pain on that arm that lasted longer than usual.
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Muscle tightness, Musculoskeletal stiffness, Pain, X-ray normal
Clinical narrative: Patient complained of severe pain on that arm that lasted longer than usual.
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient complained of severe pain on that arm that lasted longer than usual.
Age: 67.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Full blood count, Injection site erythema, Injection site warmth, Metabolic function test
Clinical narrative: Fever, arm pain, injection site red and hot. Diagnosed with severe cellulitis, admitted to hospital for IV antibiotics. Sx began 24 hours after injection.
Age: 67.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Pain in extremity, Pyrexia, White blood cell count increased
Clinical narrative: Fever, arm pain, injection site red and hot. Diagnosed with severe cellulitis, admitted to hospital for IV antibiotics. Sx began 24 hours after injection.
Age: 67.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Chills, Impaired work ability, Laboratory test, Pain
Clinical narrative: Fever, arm pain, injection site red and hot. Diagnosed with severe cellulitis, admitted to hospital for IV antibiotics. Sx began 24 hours after injection.
Age: 67.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Pyrexia, Tremor
Clinical narrative: Fever, arm pain, injection site red and hot. Diagnosed with severe cellulitis, admitted to hospital for IV antibiotics. Sx began 24 hours after injection.
Sex: U
Vaccine: PPV
Symptoms: Expired drug administered, No adverse event
Clinical narrative: This spontaneous report as received from a pharmacist refers to a patient of unknown age and gender. Medical history and concurrent conditions were not reported. On 09-SEP-2014, the patient was vaccinated with PNEUMOVAX 23 lot # J004080, expiration date 22-AUG-2014, 0.5 ml, intramuscular. Secondary and concomitant therapies were not reported. The pharmacist reported that a patient received an expired dose of PNEUMOVAX 23 on 09-SEP-2014. No adverse effect reported. Additional information has been requested.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Breast pain, Erythema, Influenza like illness, Mass, Muscle mass
Clinical narrative: This spontaneous report was received from a 55 year old female patient with penicillin allergy who was not pregnant reporting on herself. On 07-SEP-2014 the patient was vaccinated with PNEUMOVAX lot # K007773, expiration date: 01-MAY-2015 in the arm (dose and route of administration were not reported). On 08-SEP-2014 (1 day after the patient was vaccinated (also reported as 07-SEP-2014)) the patient experienced flu-like symptoms that include body aches and high fever of 102F. Patient also experienced a lump that was lower than the injection site at the muscle in the patient's arm. She also experienced pain and a red line that traveled from the muscle where the lump was located to the patient's right breast. It was very sore when patient lifted her right hand. She did not seek medical attention. The outcome the events was unkown. Additional information has been requested.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia, Pain, Pyrexia
Clinical narrative: This spontaneous report was received from a 55 year old female patient with penicillin allergy who was not pregnant reporting on herself. On 07-SEP-2014 the patient was vaccinated with PNEUMOVAX lot # K007773, expiration date: 01-MAY-2015 in the arm (dose and route of administration were not reported). On 08-SEP-2014 (1 day after the patient was vaccinated (also reported as 07-SEP-2014)) the patient experienced flu-like symptoms that include body aches and high fever of 102F. Patient also experienced a lump that was lower than the injection site at the muscle in the patient's arm. She also experienced pain and a red line that traveled from the muscle where the lump was located to the patient's right breast. It was very sore when patient lifted her right hand. She did not seek medical attention. The outcome the events was unkown. Additional information has been requested.
Sex: U
Vaccine: VARZOS
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: This spontaneous report was received from a medical assistant concerning a patient of unknown age and gender. Medical history and concurrent conditions were not reported. On 11-SEP-2014,t he patient was vaccinated with the second dose of ZOSTAVAX (dose, lot number, expiration date and route were not reported). Co-suspect and concomitant therapies were not reported. Medical assistant reported that patient received ZOSTAVAX on 24-JUL-2013. Patient inadvertently received a second ZOSTAVAX on 11-SEP-2014. No adverse effects were noted. Additional information has been requested.
Age: 5.0
Sex: M
Vaccine: MMRV
Symptoms: Injection site swelling, Rash generalised
Clinical narrative: This spontaneous report was received from a licensed register nurse concerning a 5 year old male patient with no pertinent medical history or drug reaction/allergies. In August 2014 (reported as on an unspecified date in August 2014), the patient was vaccinated with a dose of (Oka-Merck) PROQUAD (dose, dose number, lot number, expiration date and route were not reported) on left arm, for vaccination. Other suspect therapies included KINRIX. No concomitant therapies were reported. The licensed registered nurse reported that one day of the administration (reported as on an unspecified date in August 2014), the patient experienced swelling at the injection site of the (Oka-Merck) PROQUAD (left arm) and a body rash which looked like hives. In 2014 (reported as on an unspecified date), the symptoms were resolved. Patient seek medical attention at the reporter's office. No lab diagnostics studies were performed. Additional information has been requested.
Age: 13.0
Sex: U
Vaccine: HPV4
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from a license practical nurse (L.P.N.) refers to a 13 year old patient. The patient's medical history was not reported. On 13-AUG-2014 the patient received a dose of GARDASIL (Lot # J006850, exp. date 31-MAR-2016; dose and route were not reported) that were exposed to a supported temperature excursion. No adverse experience has been observed or reported. Also, it was reported not all doses with this lot # were affected by the temperature excursion, it was not known which clients received the affected doses. None of the clients have reported an adverse event from receiving the vaccine. This is one of several cases from the same source. Additional information has been requested.
Age: 90.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth, Pain, Rash
Clinical narrative: Redness and warmth at injection site patient described 2 inch rash. Pain resolved, rash still apparent at 8pm 9/18.
Age: 75.0
Sex: F
Vaccine: PNC13
Symptoms: Hypoaesthesia, Neck pain, Pain in extremity, Skin warm, Swelling
Clinical narrative: Patient reported that approximately 2 hours after vaccine was given her arm was very sore. It became worse as the night progressed. She tried cold compress but that seemed to make it hurt worse so she put heating pad on it. Kept her up most of the night. Was seen in ER on 9/17. Complained of pain up to neck, area was hot to touch and swollen. Had numbness in hand and fingers.
Age: 6.0
Sex: F
Vaccine: HEPA
Symptoms: Borrelia test, Swelling face, VIIth nerve paralysis, Viral titre
Clinical narrative: Right sided facial nerve palsy - unable to move right side of face starting day 3 post-vaccination. No fever. 9/13-15 swelling right side face. 9/15 Palsy began. T. 97.6 degrees F. 9/17 Office visit - Acyclovir and prednisolone x 5 days started.
Age: 27.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 15 mm hard ball shaped bump at TDAP injection site with erythema, warmth, pain. Client notes s/s started 72 hrs after TDAP received and the bump has gotten smaller, but still present.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Paraesthesia oral, Throat tightness
Clinical narrative: Pt received AFLURIA. After about 5 mins pt started feeling tingling of lips and tightening of throat. Pt was having difficulty breathing. Gave pt one dose of EPIPEN 0.3 mg. Pt breathing improved. Called 911. Pt left clinic in ambulance.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Varicella
Clinical narrative: Patient developed a mild case of chickenpox. Pt consulted a dermatologist and was treated with hydroxyzine syrup for itching.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Rash erythematous
Clinical narrative: Pt woke up the morning after receiving flu vaccine with red raised rash to legs, arms and torso, being treated with oral and topical BENADRYL.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Atelectasis, Back pain, Bronchitis, Chest X-ray abnormal, Chest pain
Clinical narrative: Chest pain, back pain, painful respiration (within hours post-vaccine). Treated by physician as bronchitis. Muscle relaxer also ordered along with antibiotic.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Painful respiration
Clinical narrative: Chest pain, back pain, painful respiration (within hours post-vaccine). Treated by physician as bronchitis. Muscle relaxer also ordered along with antibiotic.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Pain, Pyrexia
Clinical narrative: Fever 100 degrees F. Cough. Body aches.
Age: 1.93
Sex: M
Vaccine: HIBV, PNC13, VARCEL
Symptoms: Injection site papule, Injection site rash, Injection site swelling
Clinical narrative: He developed thigh swelling that same day that lasted a few days. About one week after his shots, he developed discrete bumpy rash at site of vaccines. Rash faded away eventually the following week.
Age: 1.26
Sex: M
Vaccine: DTAP, HIBV, PNC13
Symptoms: Administration site reaction, Erythema, Skin warm, Swelling
Clinical narrative: Severe swelling, redness at administration site, also with warm to touch.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema, Immediate post-injection reaction, Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: Pt given DTAP x 4 up to 18 mos no reaction. Given KINRIX on 9/16/14 left arm deltoid area immediately got warm and red. BENADRYL and compress applied with ice and continued. Pt returned 9/18/14. Still pruritic, erythematous, swollen, not indurated and told to continue present regimen.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Swelling
Clinical narrative: Pt given DTAP x 4 up to 18 mos no reaction. Given KINRIX on 9/16/14 left arm deltoid area immediately got warm and red. BENADRYL and compress applied with ice and continued. Pt returned 9/18/14. Still pruritic, erythematous, swollen, not indurated and told to continue present regimen.
Age: 15.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Injection site vesicles
Clinical narrative: Patient received GARDASIL vaccine in (L) upper arm. Patient developed small subdermal vesicle approx. 1 1/2" from injection site. Possible hive? Patient observed x 20 minutes and vesicle improved but did not resolve.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Headache, Local swelling, Neck pain, Pain in extremity
Clinical narrative: (R) arm red area 4 1/4 in x 3 in, swollen area. Hot to touch, painful to touch. Arm sore to use, pain into neck causing headache, unable lay on (R) side.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Skin warm, Tenderness
Clinical narrative: (R) arm red area 4 1/4 in x 3 in, swollen area. Hot to touch, painful to touch. Arm sore to use, pain into neck causing headache, unable lay on (R) side.
Age: 19.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 8/29/14  VCZ 2 administered SQ left upper arm - 5-10 mins after receiving, student reported left arm didn't feel right. Dr into examine: injection site reddened, warm, tender to touch. Redness resolved as swelling, warmth approximately 30 mms. Plan ice to area, Ibuprofen, BENADRYL 25 mg every 6 hrs to 14 as needed. 9/1/14 1240 p reports was improving til yest increased pain increased heat ? Immunization ran with ? early cellulitis - started on KEFLEX 500 mg TID x 10 days. 9/3/14 F/U visit, sxs much improved.
Age: 21.0
Sex: M
Vaccine: MNQ
Symptoms: Chills, Feeling hot, Flushing, Headache
Clinical narrative: HA and feeling hot 12 hrs after injection. No pain or irritation at vaccine site. Examined 7 hrs after onset of sx. Pt had no fever but was flushed chills. PE was wnl.
Age: 24.0
Sex: U
Vaccine: MMR
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: No adverse events.
Age: 52.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site cellulitis, Injection site swelling
Clinical narrative: Left arm  where injection site pt arm swelled, went to urgent care and diagnosed with cellulitis.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Malaise, Pyrexia
Clinical narrative: 4" area increased erythema and swelling to (L) deltoid, subjective fever and malaise.
Age: 15.0
Sex: M
Vaccine: HEPA, HPV4, MNQ, VARCEL
Symptoms: Chest discomfort
Clinical narrative: Pt. given school immis x 4 at 2:25 PM. Mom states child had tightness of chest 15 min post injections. Went to Dr office, observed x 30 min and they gave him epinephrine inj.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site nodule, Injection site swelling
Clinical narrative: Immediate injection site swelling (nodule). No pain/discomfort. Swelled to nodule site w/in 2 min. No redness. No dizziness/light headed. Swelling began to clear in size after 12 min.
Age: 21.0
Sex: F
Vaccine: RAB
Symptoms: Abdominal pain upper, Nausea, Vomiting
Clinical narrative: After 3rd vaccine had stomach pains, nausea, vomiting.
Sex: U
Vaccine: VARZOS
Symptoms: Erythema, Inflammation, Pruritus, Swelling
Clinical narrative: Redness, swelling, inflammation and slight itchiness. Dr prescribed cephalexin 500 mg 28, one by mouth 4 times daily x 7 days.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Pain
Clinical narrative: Body aches.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Eye discharge, Ocular hyperaemia, Pain
Clinical narrative: Both of patients eyes turned "bloodshot" red. There were yellow residues in the corner of eyes. Patient also experienced some full body aches and chills. Patient took some Ibuprofen, 1/2 BENADRYL, Vitamin C.
Age: 51.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Vaccine administered 9/16, pt came back into pharmacy 9/29. Pt presented with a raised red area at injection site. Pt stated it felt like it was full of fluid the previous night. Rph contact pts PCP and agreed it was an injection site reaction. No treatment necessary.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis
Clinical narrative: Develop cellulitis. Treated w/ 10 day course of Cephalexin.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt had swelling and pain and redness in her right arm to neck - PNEUMOVAX site. Also 101 degree F fever, HA and aches. Severe tiredness. She is getting better but still feels very tired.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Pt had swelling and pain and redness in her right arm to neck - PNEUMOVAX site. Also 101 degree F fever, HA and aches. Severe tiredness. She is getting better but still feels very tired.
Age: 1.51
Sex: M
Vaccine: MMR
Symptoms: Erythema, Injection site pruritus, Peripheral swelling
Clinical narrative: Swelling of left leg and redness after vaccine. Itching at vaccine site BENADRYL used for itching.
Sex: M
Vaccine: FLU4
Symptoms: Chills, Diarrhoea, Nausea, Vomiting
Clinical narrative: Nausea, vomiting, chills and diarrhea.
Age: 91.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Large red rash on right arm below area of injection site.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria, Pruritus, Rash
Clinical narrative: Patient noted a couple days after vaccination noted redness and swelling around shot area. Had itching - so used hydrocortisone. Saw PCP on 9/15 told her to watch. Today noted hives around injection site and up and under arm. Rash resolving.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Dysgeusia, Hypoaesthesia, Oedema mouth, Paraesthesia, Pruritus
Clinical narrative: Pt received FLUVIRIN vaccination around 4:20pm on 9/17, at around 4:40pm patient returned to pharmacy reporting left side facial numbness, swelling in mouth, metallic taste in mouth and itching on neck and left face - pt given liq Diphenhydramine 50mg at 4:45pm - BP at 4:47pm was 127/104 pulse 70, BP at 4:53pm 138/111 and pt reports itching as resolving and swelling going down (still tingling and metallic taste). BP at 5:07pm 127/104 pulse 70. Pt declined 911 and left at 5:17pm. Advised to take more BENADRYL around 10pm.
Sex: U
Vaccine: HPV4
Symptoms: Abdominal pain upper, Fatigue, Nausea
Clinical narrative: This spontaneous report as received from a physician via a company representative revers to 4 patients of unknown age and gender. On an unknown date the patients were vaccinated with their first dose of GARDASIL (lot#, dose and route unspecified). The reporter stated that all four patients reported that a week later, they still had nausea, stomach pains and fatigue on an unspecified date. No treatment was administered. The outcome of stomach pains, fatigue and nausea was reported as not recovered. Additional information has been requested.
Sex: U
Vaccine: HPV4
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report was received from medical assistant refers to 3 unspecified patients of unknown age and gender. On an unknown date the patients were vaccinated with an improperly stored dose of GARDASIL (dose, route of administration and lot # were not reported). No adverse effects reported. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Expired drug administered, No adverse event
Clinical narrative: This spontaneous report was received from a pharmacist refers to a patient of unkonwn age and gender. Medical history and concurrent conditions were not reported. On 11-SEP-2014, the patient was vaccinated with a dose of PNEUMOVAX 23, (dose, dose number and route were not reported) lot # J004064, expiration date 06-AUG-2014. Co-suspect and concomitant therapies were not reported. The pharmacist reported that an expired dose of PNEUMOVAX 23 was administered to the patient yesterday, 11-SEP-2014. No adverse effect reported. Additional information has been requested.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Influenza like illness, Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: This spontaneous report was received from a 60 year old female consumer, reporting on herself with hypertension. On 08-SEP-2014, the patient was vaccinated with a dose of ZOSTAVAX (dose and frequency reported as 1 ZOSTAVAX injection (dose number, lot number, expiration date and route were not reported) for prevention of shingles. Concomitant therapies included lisinopril (manufacturer unknown). Patient reported that on 08-SEP-2014, she experienced redness at the injection site after being administered ZOSTAVAX vaccine and there was a small lump. The patient also felt heat around the injection site area. On 09-SEP-2014 (reported as next day), the redness that was only surrounding the injection site, "grew" to about four to five diameters. The same day; the redness went from the injection site, all the way down to her elbow following the under muscle of her arm in a streak like pattern. Patient also experienced flu-like symptoms that included high fever, shaking, and soreness in her joints. At the time of the report the outcome of the event were unknown. Patient received treatment with ibuprofen, BENADRYL and BENADRYL cream. Patient did not seek for medical attention for the adverse events. Additional information has been requested.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Tremor
Clinical narrative: This spontaneous report was received from a 60 year old female consumer, reporting on herself with hypertension. On 08-SEP-2014, the patient was vaccinated with a dose of ZOSTAVAX (dose and frequency reported as 1 ZOSTAVAX injection (dose number, lot number, expiration date and route were not reported) for prevention of shingles. Concomitant therapies included lisinopril (manufacturer unknown). Patient reported that on 08-SEP-2014, she experienced redness at the injection site after being administered ZOSTAVAX vaccine and there was a small lump. The patient also felt heat around the injection site area. On 09-SEP-2014 (reported as next day), the redness that was only surrounding the injection site, "grew" to about four to five diameters. The same day; the redness went from the injection site, all the way down to her elbow following the under muscle of her arm in a streak like pattern. Patient also experienced flu-like symptoms that included high fever, shaking, and soreness in her joints. At the time of the report the outcome of the event were unknown. Patient received treatment with ibuprofen, BENADRYL and BENADRYL cream. Patient did not seek for medical attention for the adverse events. Additional information has been requested.
Age: 49.0
Sex: M
Vaccine: FLUX
Symptoms: Cough, Headache, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: Persistant cough, sore throat, headache, runny nose.
Age: 6.0
Sex: M
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: High fever of 104°+ lasting for three days so far. We are alternating Tylenol and Motrin and can only get the fever as low as 102°. As the medicine wears off, the fever returns to 103-104°. We are currently on the third day and his temperature is 103.1° with Motrin.
Age: 40.0
Sex: F
Vaccine: FLUX, TD
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Rash on deltoid, mild redness and swelling at site.
Age: 67.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site swelling
Clinical narrative: PAIN AND SWELLING AT INJECTION SITE LEFT DELTOID, DECREASED LIMB MOBILITY (PALM DOWN ELBOW LOCKED ARM LIFT TO APPROXIMATELY 45 DEGREES).
Age: 43.0
Sex: M
Vaccine: FLUX
Symptoms: Choking, Dyspnoea
Clinical narrative: I woke up choking, difficulty breathing. After a few minutes it cleared up.
Age: 1.36
Sex: M
Vaccine: HIBV, MMR
Symptoms: Crying, Decreased appetite, Dyspraxia, Eye movement disorder, Food aversion
Clinical narrative: Lost all sounds unable to move around laid on the floor for almost two weeks high fever no sign of improvement even after seeing our doctor a few times after shot.  Stopped eating foods of almost every kind.
Age: 1.36
Sex: M
Vaccine: HIBV, MMR
Symptoms: Immediate post-injection reaction, Malaise, Mobility decreased, Pyrexia
Clinical narrative: Lost all sounds unable to move around laid on the floor for almost two weeks high fever no sign of improvement even after seeing our doctor a few times after shot.  Stopped eating foods of almost every kind.
Age: 62.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Dysphonia, Nausea, Vomiting
Clinical narrative: Patient reported experiencing nausea/vomiting and hoarseness approximately 4 hours after receiving two immunizations. Hoarseness continued into following day.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Diarrhoea, Dysphonia, Electrocardiogram, Foreign body sensation in eyes
Clinical narrative: First gritty eyes and swollen throat, followed by hoarseness, occasional cough, then vomiting and diarrhea. Went to walk in clinic. Given sodium chloride (NS) 0.9% injection, SOLU-MEDROL 125 mg injection and BENADRYL 50 mg/ml injection solution intravenously .
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngeal oedema, Streptococcus test, Vomiting
Clinical narrative: First gritty eyes and swollen throat, followed by hoarseness, occasional cough, then vomiting and diarrhea. Went to walk in clinic. Given sodium chloride (NS) 0.9% injection, SOLU-MEDROL 125 mg injection and BENADRYL 50 mg/ml injection solution intravenously .
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Chills
Clinical narrative: CHILLS ON DATE OF ADMIN AS WELL AS 6 DAYS LATER; MAY HAVE BEEN DUE TO COLD WEATHER.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Feeling cold, Influenza like illness, Pyrexia
Clinical narrative: Severe flu-like symptoms.  Uncontrollable shivering with cold for 2.5 hours.  Then fever of 102 degrees.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Electrocardiogram, Electrocardiogram ambulatory, Ventricular extrasystoles
Clinical narrative: Sudden onset of premature ventricular contractions (constant and multiple) a few hours after vaccination.  Saw internist the next day and on 9/16.  EKGs both days.  He referred me to a cardiologist, who I saw on 9/17.
Age: 24.0
Sex: F
Vaccine: JEV1, TDAP
Symptoms: Blindness, Dizziness, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Symptoms started within 30 seconds of administration of vaccine, patient became diaphoretic, reported loss of vision and light headedness. Patient given juice, and monitored. Patient's symptoms resolved within 10 minutes of vaccine administration and left the office under their own power without assistance shortly afterwards.
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Hypoaesthesia, Paraesthesia
Clinical narrative: Facial numbness, tingling, redness on face and neck area treated with 50 mg of Benadryl.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain
Clinical narrative: WITHIN 15 MINUTES OF RECEIVING VACCINE PT COMPLAINED OF SEVERE LOWER BACK PAIN.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Dysarthria, Foetal monitoring, Headache, Local swelling, Paraesthesia
Clinical narrative: Flashy vision, slurred speech, delayed verbalization after thought. Gradually improved. Headache started, right arm and hand got swollen and tingly. Right side of mouth and face got tingly as well as partial right side of inside of throat.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Photopsia, Speech disorder
Clinical narrative: Flashy vision, slurred speech, delayed verbalization after thought. Gradually improved. Headache started, right arm and hand got swollen and tingly. Right side of mouth and face got tingly as well as partial right side of inside of throat.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction, Injection site swelling, Rash erythematous, Rash pruritic
Clinical narrative: Patient described waking up with reddish rash located approximately 4-5 inches below the site if the IM injection.  Rash was NOT hot to touch, but there was some minor swelling.  Rash was slightly itchy.  Rash was about the size of half a dollar bill.  Patient stated that rash had gotten smaller over the course of the day.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Local swelling, Pain in extremity
Clinical narrative: Injection site sore, not red, not swollen remains pain level 2-3 (1-10 scale). Thumb on same arm is painful to use since given shot, not red, some swelling, no tingling, pain level 6-7 without acetaminophen; w/acetaminophen pain level 2-3 at rest. Pain in both worsens when uses arm and thumb. Has used Advil and acetaminophen past few days inconsistently. Applied some heat.
Age: 18.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: While intending to administer a influenza vaccination to a patient, I had inadvertently admininstered a Zostavax (that was intended for her mother).  The patient is an 18 year old female with no health problems.  The Zostavax was administer with a 5/8" needle in the left deltoid.(potentially IM).  The patient has yet to have any adverse reaction to the vaccination.  I am simply reporting the vaccine administration error as was recommended on the CDC website.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Fever (101 degrees oral), muscle aches, severe headache during the night (4 hrs.). Took ibuprofen at 5:00 am and felt fine by 7:00 am.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Asthenia, Fatigue, Feeling abnormal, Pain
Clinical narrative: Sore all over body, very tired and felt weak. No fever was reported. Pt had to take off one day of work to rest. Pt felt bad for 2-3 days.