chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Bronchospasm, Dyspnoea, Pharyngeal swelling
Clinical narrative: bronchospasm, dyspnea, minimal throat swelling. symptoms duration, 3-4 hours after onset. I took a Benadryl.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chills, Exposure to SARS-CoV-2, Oropharyngeal pain
Clinical narrative: Recieved vaccine dose 1 on 1/5/21, recieved dose 2 on 1/25/21. Was exposed to COVID19 on 3/10/21, developed symptoms (chills, body aches, sore throat, runny nose, weakness)  on 3/12/21 and tested positive for COVID on 3/13/21 via rapid and PCR.  Still recovering from symptoms on 3/15/21 (still body aches, weakness, runny nose, congested feeling). Health Department and lab facility unable to hold specimen for variant testing.  Per CDC guidelines, reporting this since I am a healthcare provider and was fully vaccinated since 1/25/21.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Recieved vaccine dose 1 on 1/5/21, recieved dose 2 on 1/25/21. Was exposed to COVID19 on 3/10/21, developed symptoms (chills, body aches, sore throat, runny nose, weakness)  on 3/12/21 and tested positive for COVID on 3/13/21 via rapid and PCR.  Still recovering from symptoms on 3/15/21 (still body aches, weakness, runny nose, congested feeling). Health Department and lab facility unable to hold specimen for variant testing.  Per CDC guidelines, reporting this since I am a healthcare provider and was fully vaccinated since 1/25/21.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pain of skin, Pruritus, Urticaria
Clinical narrative: Hives on lower back, sides of torso, under both arms pits/shoulders, inner thighs, and behind the knees. Itchy and becoming painful on third day of symptom.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Pt received both Pfizer COVID-19 vaccines on 1/27/2021 and 2/17/2021.  Pt reported a cough on 3/8/2021, around the same time her daughter was admitted inpatient for COVID-19 (had not received vaccine yet).  PCP tested her for COVID-19 via SARS-CoV-2 PCR on 3/8/2021 and it was positive.   Pt has only had mild symptoms thus far.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: Worst Headache ever For 2 days, Achy, Fatigue (but better than Covid).
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, White blood cell count increased
Clinical narrative: shortness of breath, cough, increased wbc.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Rosacea
Clinical narrative: Caused a flare up of rosacea on both sides of my face and nose. I had bumps and redness. I noticed it the day after the injection. Today is day 3 and it is slowly getting better but still there.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Retching, Tremor
Clinical narrative: I got out of bed at my normal time of 5 AM and proceeded to the bathroom to urinate, feeling fine. Just before starting to urinate, I started sweating profusely and shaking and so turned around and sat down on the toilet. I then sweat even more as if I was in the shower, and shook violently. I then started feeling very nauseous, but I was shaking so badly that I had to very carefully  hold the toilet  to turn around to kneel down in front of the toilet. I heaved a number of times, but nothing came up. I finally stopped shaking and sat on the floor in front of the toilet for a while, and the sweating got less. After a short time, I got up and walked slowly to a recliner, about 30' away. The nausea had gone away by then and the sweating had subsided. My wife brought me blanket and I rested till 7:30 AM.  I had a cup of coffee about 8 AM, and a bowel of cereal at 9 AM. I have been fine ever since then, no more reactions, thank goodness. That one was horrible.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Gait disturbance, Pyrexia
Clinical narrative: Unable to walk without falling down High High Fever 105-106
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Night sweats, Pain
Clinical narrative: Chills, body aches, night sweats, exhaustion. Started about 8 hours after receiving the shot and lasted about 48 hours.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash macular
Clinical narrative: The morning after I got the vaccine I noticed a rash all over my body in the form of bright red blotches from approximately 1" across. Several are angry looking. Generally not itchy. On legs, torso & arms. Approximately 2 dozen blotches. I am now on day 3 post inoculation and the blotches have not faded. No difficulty breathing.  Vaccine was administered by Pharmacist.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Eyelid irritation, Hypoaesthesia, Swelling face
Clinical narrative: Right eyelid felt funny, like it was swelling but it visually looked ok.  About 30 min after I left the vaccination site I notice my face (cheek area)  seemed to feel numb and swollen.   This all went away after a few hours.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chills, Fatigue, Pyrexia, Rash macular
Clinical narrative: about 5 hours post vaccination, patient started experiencing fever with severe chills and shaking. she then noticed some splotchy skin on her face, neck, and chest, but there was no itching. she went to a pharmacy near her home to get some benadryl, and the pharmacy there helped her get some benadryl and tylenol and called the paramedics. she was send to the emergency room where they observed her for about 3 hours. her blood pressure was slightly elevated (167/85 per patient) when she arrived, but stabilized. she was sent home around 1:30 am on 3/13. she said the next day, she was extremely tired, but by 3/14, she was her usual active self.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: about 5 hours post vaccination, patient started experiencing fever with severe chills and shaking. she then noticed some splotchy skin on her face, neck, and chest, but there was no itching. she went to a pharmacy near her home to get some benadryl, and the pharmacy there helped her get some benadryl and tylenol and called the paramedics. she was send to the emergency room where they observed her for about 3 hours. her blood pressure was slightly elevated (167/85 per patient) when she arrived, but stabilized. she was sent home around 1:30 am on 3/13. she said the next day, she was extremely tired, but by 3/14, she was her usual active self.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Cooling therapy, Fatigue, Headache
Clinical narrative: First symptom was headache that would not go away with medicine.  Then after dinner chills started and would not go away even though  I was covered in blankets by a fire.  I was also very tired.  In the evening around 8 or 9 my temperature was 103 and my resting heartbeat was 120.  I took medicine and also put a cold compress on my forehead.  I was able to sleep that night and the next day I had a low grade fever most of the day (99-100) and was tired and a little chilly.  I only took medicine around dinner time and got extra sleep that night.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Pyrexia
Clinical narrative: First symptom was headache that would not go away with medicine.  Then after dinner chills started and would not go away even though  I was covered in blankets by a fire.  I was also very tired.  In the evening around 8 or 9 my temperature was 103 and my resting heartbeat was 120.  I took medicine and also put a cold compress on my forehead.  I was able to sleep that night and the next day I had a low grade fever most of the day (99-100) and was tired and a little chilly.  I only took medicine around dinner time and got extra sleep that night.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Head discomfort, Injection site pain, Injection site swelling
Clinical narrative: Approximately 7.5 hours after the vaccine I woke up with severe/violent chills/shakes. Fever unknown. I sat in a hot bath for about an hour and they stopped. When I got out I took ibprophen and went back to bed. Soon they started again and I piled on a weighted blanket to get them to calm down and eventually fell asleep. I also had a lot of head heaviness and pressure during this time. The next morning I woke up with body aches from all the tensing up and felt week and still had head pressure. By midday I was back to normal. Still some injection site soreness and swelling her today, Monday 3/15.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Tension, Tremor
Clinical narrative: Approximately 7.5 hours after the vaccine I woke up with severe/violent chills/shakes. Fever unknown. I sat in a hot bath for about an hour and they stopped. When I got out I took ibprophen and went back to bed. Soon they started again and I piled on a weighted blanket to get them to calm down and eventually fell asleep. I also had a lot of head heaviness and pressure during this time. The next morning I woke up with body aches from all the tensing up and felt week and still had head pressure. By midday I was back to normal. Still some injection site soreness and swelling her today, Monday 3/15.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Blood test normal, Computerised tomogram normal, Feeling abnormal, Loss of consciousness
Clinical narrative: Starting the next day after shot -- Brain fog, inability to answer/track questions and surroundings,  these symptoms lasted 2 days ending in unconsciousness at 72 hours after the shot.  Taken to ER, where he aroused.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal
Clinical narrative: Starting the next day after shot -- Brain fog, inability to answer/track questions and surroundings,  these symptoms lasted 2 days ending in unconsciousness at 72 hours after the shot.  Taken to ER, where he aroused.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rash erythematous, Swelling
Clinical narrative: sore arm , swelling and red rash
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site reaction, Malaise, Nausea
Clinical narrative: On evening of day 8, 3/12  after receiving Moderna, 1st shot, Itchy red rash around injection site On evening of day 9 , 3/13 chills, nausea,, headache. Itchy rash a little bigger - applied Benadryl cream which helped Day 10, 3/14  Rash hot and itchy, applied Benadryl.  Feeling unwell but no chills Day 11, 3/15  Rash still there, headache
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: On evening of day 8, 3/12  after receiving Moderna, 1st shot, Itchy red rash around injection site On evening of day 9 , 3/13 chills, nausea,, headache. Itchy rash a little bigger - applied Benadryl cream which helped Day 10, 3/14  Rash hot and itchy, applied Benadryl.  Feeling unwell but no chills Day 11, 3/15  Rash still there, headache
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary lymphadenectomy, Injection site erythema, Injection site pain, Injection site pruritus, Pain in extremity
Clinical narrative: Initially just a sore arm; however, on day 7 post vaccine (3/9), I developed a red patch (approx 10 cm) over the injection site accompanied by burning and itching.  On day 8 (3/10) post vaccine, I developed additional red patches on the front and back of the L upper arm and L axillary lymphadenopathy and tenderness.  These symptoms have gotten progressively worse.     After reading an article from the New England Journal of Medicine on delayed reactions, I started taking Allegra 180 mg daily (starting 3/15).  Now just watching for improvement and hopefully resolution of this "Covid arm".
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Initially just a sore arm; however, on day 7 post vaccine (3/9), I developed a red patch (approx 10 cm) over the injection site accompanied by burning and itching.  On day 8 (3/10) post vaccine, I developed additional red patches on the front and back of the L upper arm and L axillary lymphadenopathy and tenderness.  These symptoms have gotten progressively worse.     After reading an article from the New England Journal of Medicine on delayed reactions, I started taking Allegra 180 mg daily (starting 3/15).  Now just watching for improvement and hopefully resolution of this "Covid arm".
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Headache, Heavy menstrual bleeding, Injection site pain, Pruritus
Clinical narrative: soreness in arm at injection site that worsened the next day, heavier than usual period, scalp extremely itchy for a few hours after vaccination, elevated blood pressure, headaches
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Oedema peripheral, Pain, Urticaria
Clinical narrative: Edema of left upper arm. redness, pain of area , it looked a giant sized hive. It is beginning to resolve. Tomorrow will be 1 week since I had the vaccine and it was my second
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Cardiomegaly, Death
Clinical narrative: Client found dead by a family member.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Headache, Myalgia
Clinical narrative: 3-12-21: Lower back muscle pain/cramping.  Slight fatigue. 3-13-21: Dull headache, fatigue,  3-14-21: Headache, chills, nausea, muscle fatigue, fever, night sweats.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Night sweats, Pyrexia
Clinical narrative: 3-12-21: Lower back muscle pain/cramping.  Slight fatigue. 3-13-21: Dull headache, fatigue,  3-14-21: Headache, chills, nausea, muscle fatigue, fever, night sweats.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Epiglottitis, Headache, Intensive care, Laryngeal stenosis
Clinical narrative: Patient was vaccinated on 3/9/21 at facility in the morning. She developed a headache later that day. She woke up on 3/10/21 around 1145 with facial/neck swelling, urticaria,  and shortness of breath and presented to the ER at 1250. Upon arrival she was given 50mg benadryl IVP, 20mg Pepcid IVP, and 125mg Solu-medrol IVP. Soft tissue neck xray showed subglottic narrowing and thickened epiglottis. She had some improvement after IV medications but was admitted to ICU for observation overnight. She was discharged 3/12/2021 in stable conditions on steroids and antihistamines. Pt's vaccine card did not list vaccine lot number. I reached out to facility for the lot number and have not heard back.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Spinal X-ray abnormal, Swelling, Swelling face, Urticaria
Clinical narrative: Patient was vaccinated on 3/9/21 at facility in the morning. She developed a headache later that day. She woke up on 3/10/21 around 1145 with facial/neck swelling, urticaria,  and shortness of breath and presented to the ER at 1250. Upon arrival she was given 50mg benadryl IVP, 20mg Pepcid IVP, and 125mg Solu-medrol IVP. Soft tissue neck xray showed subglottic narrowing and thickened epiglottis. She had some improvement after IV medications but was admitted to ICU for observation overnight. She was discharged 3/12/2021 in stable conditions on steroids and antihistamines. Pt's vaccine card did not list vaccine lot number. I reached out to facility for the lot number and have not heard back.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Oedema peripheral, Swollen tongue
Clinical narrative: Patient was vaccinated on 3/9/21 at facility in the morning. She developed a headache later that day. She woke up on 3/10/21 around 1145 with facial/neck swelling, urticaria,  and shortness of breath and presented to the ER at 1250. Upon arrival she was given 50mg benadryl IVP, 20mg Pepcid IVP, and 125mg Solu-medrol IVP. Soft tissue neck xray showed subglottic narrowing and thickened epiglottis. She had some improvement after IV medications but was admitted to ICU for observation overnight. She was discharged 3/12/2021 in stable conditions on steroids and antihistamines. Pt's vaccine card did not list vaccine lot number. I reached out to facility for the lot number and have not heard back.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: About 2 days later around injection site developed a rash from left upper arm lasting 5-7 days.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dysstasia, Gait disturbance, Multiple sclerosis, Vaccine positive rechallenge
Clinical narrative: Unable to stand from seated position and a lot of difficulty walking (Have MS )
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain in extremity, Pyrexia
Clinical narrative: Sore arm, chills, fever, headache and fatigue
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Chills, Dizziness, Headache, Hypotension
Clinical narrative: Vomitting, off balance, dizziness, fever, chills, low blood pressure, headache, sore arm
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Vomitting, off balance, dizziness, fever, chills, low blood pressure, headache, sore arm
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy, Inappropriate schedule of product administration
Clinical narrative: Pt given scheduled and ordered TDAP vaccine at 28 weeks gestation today. Given early 12 days after COVID-19 vaccine last received on 3/3/2021. Recommended that pt receive at 14 days per literature review online.  Pt notified HCT RN of receipt receipt of COVID vaccine after TDAP vaccine administered today. Chart reviewed and pt received vaccine within KP and documentation of COVID-19 vaccine not seen or noticed by HCT RN prior to administration. No adverse reactions noted s/p immunization. Doctors notified. Dr. to beside to assess pt. No reactions noted.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Lethargy, Nausea, Pain, Pyrexia
Clinical narrative: Recd vaccine at around 6PM Friday March 12, started having symptoms at around 4AM Sat the 15th:  horrible headache, fever, nausea, body aches.  Lasted all day Saturday, started feeling better Sunday morning.  As of Monday morning (the 15th), feeling a bit of lethargy but otherwise much better and back to "normal".  this is the first time in my experience of taking vaccines of having this kind of reaction.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: COVID arm. Circular red patch at injection site with swelling and itching. Started 7 days after injection and increased in size and swelling for 2 days. Swelling began to go down some on day 3.  This is day 3 3/15/2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Mr Omere was COVID positive on 5/12/2020, and subsequently had several negative tests. Received his first dose of the Moderna vaccine on 2/11/2021. Had a routine covid test as part of his job requirements on 2/19/2021, and tested positive. He was asymptomatic. He has since completed his isolation period.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Blood pressure increased, Flushing, Nausea, Paraesthesia
Clinical narrative: Flushed with nausea, increased blood pressure, tingling in arm & feet; bp decreased, o2 levels normal, ambulance dispatched & patient transported to ER for further exam
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Skin warm, Swelling
Clinical narrative: COVID arm - swelling, pain, heat and redness (4 inches by 3 inches) about 7 days after vaccine.  It is not 13 days after my vaccine and the redness, swelling, heat and pain are dissipating.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Contusion, Oedema peripheral, Rash
Clinical narrative: Light bruising, swelling and soreness in both armpits. Burning rash running down on both sides starting from bottom of armpits. Left armpit and rash worst than right side. Received vaccine in left arm
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Lymph node pain, Rash
Clinical narrative: Pain under left arm (lymph nodes) developed 5 days after shot. Body rash (no rash on injection site) on elbows, hands, arms, hips, chest, back, feet, groin, and abdomen developed 6 days after shot - typically resides after a few hours, but recurs daily and has grown larger and in more diverse places over time.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Chills, fever 100.1, nausea, headache, body aches Recovered within 24 hours
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Headache, Nausea
Clinical narrative: One hour after injection: blurry vision, funny taste in mouth, weak, dizzy. Two hours later: had to go to bed so weak. Chills, achy especially in knees and ankles, severe headache  Evening felt itchy all over and a fever blister erupted.  Soak with sweat thru the night. Nauseated. Today(4th) day ringing in my ears, headache, still very weak.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Night sweats, Oral herpes, Pain, Pruritus, Taste disorder
Clinical narrative: One hour after injection: blurry vision, funny taste in mouth, weak, dizzy. Two hours later: had to go to bed so weak. Chills, achy especially in knees and ankles, severe headache  Evening felt itchy all over and a fever blister erupted.  Soak with sweat thru the night. Nauseated. Today(4th) day ringing in my ears, headache, still very weak.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Vision blurred
Clinical narrative: One hour after injection: blurry vision, funny taste in mouth, weak, dizzy. Two hours later: had to go to bed so weak. Chills, achy especially in knees and ankles, severe headache  Evening felt itchy all over and a fever blister erupted.  Soak with sweat thru the night. Nauseated. Today(4th) day ringing in my ears, headache, still very weak.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous, Rash pruritic, Skin burning sensation
Clinical narrative: Wife states patient started experiencing a red rash on arm that fades to pink 1 week after shot administered. Wife states that rash burns and is itchy to patient. Wife states she went online and found what she believes is called "Covid arm." Wife states they have been doing benadyrl and cold rag on arm to help with symptoms.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyskinesia
Clinical narrative: Patient reports that she has been shaking with chills since for 72 hours straight since receiving the vaccine. She reports that she cannot get her body to stop shaking.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain lower, Fatigue, Feeding disorder, Feeling hot, Headache
Clinical narrative: EXTREME fatigue, headache,  inability to eat, pain left and right side at the high of the waist, thirst, feeling hot had to rest.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Decreased appetite, Fatigue, Headache, Nausea
Clinical narrative: Approximately 24 hours after vaccine, had symptoms very similar to when I had Covid in January - tired, queasy stomach, headache, no appetite.  Thought I was doing better after 48 hours but had a relapse last night with fever and chest pains.  When I take a deep breath, feel pain in my chest.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Approximately 24 hours after vaccine, had symptoms very similar to when I had Covid in January - tired, queasy stomach, headache, no appetite.  Thought I was doing better after 48 hours but had a relapse last night with fever and chest pains.  When I take a deep breath, feel pain in my chest.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Eczema, Rash
Clinical narrative: Mild eczema on back of both feet when going to vaccination site. 24 hours after vaccination rapid worsening of eczema with spreading to lower legs, back of knees and thighs as well as inside or arms. Still present in quite severe form on large portions of legs and arms.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Body temperature increased, Chills, Headache
Clinical narrative: Severe headache, chills, temperature, sore and swelled arm at injection site, very sore in left arm lymph nodes, achy muscles and joints, nausea.  Rested, Ibuprofen every 4 hours, fever broke at midnight.  Today, no chills, temperature or headache.  Very weak, arm still sore and swollen, and muscles and joints still achy.  Rest.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Lymph node pain, Myalgia, Nausea
Clinical narrative: Severe headache, chills, temperature, sore and swelled arm at injection site, very sore in left arm lymph nodes, achy muscles and joints, nausea.  Rested, Ibuprofen every 4 hours, fever broke at midnight.  Today, no chills, temperature or headache.  Very weak, arm still sore and swollen, and muscles and joints still achy.  Rest.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: chills,fever and headache
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Rash, Urticaria
Clinical narrative: Rash, Itching, Whelps, Redness, Swollen arm
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Large red rash above elbow on left arm, at injection site and well below.  Larger than the rash after first injection. Warm to the touch.  Appeared morning after shot and lasted five days.  A little itchy.  No trouble, really?just looked big and red.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cardiac arrest, Endotracheal intubation, Mental status changes, Pyrexia
Clinical narrative: Admitted with altered mental status, generalized weakness, and fever. Went into cardiac arrest and required intubation. Currently with questionable seizure activity and requiring warming.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Headache, Neck pain
Clinical narrative: Severe headache  Arm soreness radiating to neck and down back Chills Fatigue
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Severe headache  Arm soreness radiating to neck and down back Chills Fatigue
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neck pain, Pyrexia
Clinical narrative: Headache, Neck ache, then Fever 3/13/2021 10:30 evening headache started thru the night, Sunday 03/14/2021 fever started thru out the day until Monday morning 03/15/2021 then slight headache again
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Chills, Hyperhidrosis, Hyposmia, Pain
Clinical narrative: I had Covid in December, 2020. Test result positive on 12/16, tested 12/15. Symptom's then were- chills, complete body sweats (soaking), fever (spiked to 102F, but would subside quickly), intense body aches and pain, lost taste and smell.  All symptom's lasted for apprx 3 weeks, except sense and smell, that took  3 + additional weeks to return to almost pre-covid.  I drank pedialyte and cranberry juice, took EmergenC, a daily Multi as well as extra vitamins C and D everyday.  For pain a took 6-800 mg of Ibuprofen as needed.  Did not lose my appetite.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I had Covid in December, 2020. Test result positive on 12/16, tested 12/15. Symptom's then were- chills, complete body sweats (soaking), fever (spiked to 102F, but would subside quickly), intense body aches and pain, lost taste and smell.  All symptom's lasted for apprx 3 weeks, except sense and smell, that took  3 + additional weeks to return to almost pre-covid.  I drank pedialyte and cranberry juice, took EmergenC, a daily Multi as well as extra vitamins C and D everyday.  For pain a took 6-800 mg of Ibuprofen as needed.  Did not lose my appetite.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Muscle strain, Pain in jaw, Pruritus
Clinical narrative: Abdominal and back rash - have tried creams to resolve itching and appearance. Still some on my back. Abdomen rash has cleared.   Chest pain, right sided. Pain through jaw and shoulder. Felt as if I pulled a muscle. Slept a few hours and it was gone; had it not been gone when I woke up, I would?ve went to the ER.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Abdominal and back rash - have tried creams to resolve itching and appearance. Still some on my back. Abdomen rash has cleared.   Chest pain, right sided. Pain through jaw and shoulder. Felt as if I pulled a muscle. Slept a few hours and it was gone; had it not been gone when I woke up, I would?ve went to the ER.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Pt received a Moderna vaccine for her first injection and a Pfizer vaccine for her second injection 1 month later. Patient received both moderna and pfizer vaccine. At this time she does not have any concerning symptoms. We discussed not knowing the efficacy because it has yet to be studied. Also, discussed there is no need for antibody testing at this time. If she does develop any covid symptoms she should get tested. She is to continue to follow CDC guidelines pertaining to social distancing and wearing a mask. Did submit her information to our Event reporting system .
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Myalgia, Pyrexia, Sleep disorder
Clinical narrative: About 6 hours after receiving the Janssen shot, I came down with a fever, muscle aches and chills. My fever peaked at about midnight with a temperature of 101.8. At that point, I took two Tylenol. Had a rough night and didn't sleep well. Continued taking Tylenol the following day to manage the low grade fever. I seem to back mostly back to normal today (two days after receiving the vaccine), however I do still have soreness in my left arm where I got the shot and some residual aches and pains.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Eye swelling, Lacrimation increased, Pruritus
Clinical narrative: Left eye began watering, itching, swelling. Itching under left breast.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Lymphadenopathy, Pain in extremity
Clinical narrative: Arm soreness, Chills throughout the day on 03/13, Swollen and painful Lymph Node near left armpit 03/14. Shot was administered to Left arm.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Gastrooesophageal reflux disease, Lymphadenopathy, Neck mass
Clinical narrative: 10 Minutes following the vaccine I experience G.I (Gastro intestinal) issues, upset stomach. The following day my neck felt as if there was a lump in it, probably from swollen lymph nodes. As days pass I had several sinus attacks, Acid reflux, and being weak in general. Which I dont regularly have. I am still experiencing a lump like feeling in my throat.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Sensation of foreign body, Sinusitis
Clinical narrative: 10 Minutes following the vaccine I experience G.I (Gastro intestinal) issues, upset stomach. The following day my neck felt as if there was a lump in it, probably from swollen lymph nodes. As days pass I had several sinus attacks, Acid reflux, and being weak in general. Which I dont regularly have. I am still experiencing a lump like feeling in my throat.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rash morbilliform, Rash pruritic
Clinical narrative: on 03/13/2021 a Measles-Like itchy rash presented itself. It is still present today
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Cough, Decreased activity, Decreased appetite, Diarrhoea
Clinical narrative: Patient reports signs/symptoms of: slight cough, one episode of diarrhea, soreness at the vaccination site, nausea, fatigue, decreased appetite, decreased activity, and right, lower back pain. I recommend: increasing fluids, alternating acetaminophen and ibuprofen every three hours, a heating pad for the back pain. Outcome is yet to be determined as she was just seen today for symptoms.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Vaccination site pain
Clinical narrative: Patient reports signs/symptoms of: slight cough, one episode of diarrhea, soreness at the vaccination site, nausea, fatigue, decreased appetite, decreased activity, and right, lower back pain. I recommend: increasing fluids, alternating acetaminophen and ibuprofen every three hours, a heating pad for the back pain. Outcome is yet to be determined as she was just seen today for symptoms.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Erythema, Musculoskeletal stiffness, Neuropathy peripheral
Clinical narrative: I received dose 1 of Pfizer COVID-19 vaccine on Feb 24.  The initial symptoms starting Feb 25 were somnolence, mild muscle stiffness and dizziness that lasted approx 5-6 days but gradually resolved.  Approx 3 days after the shot I developed chills, which took approx 2 weeks to resolve.  As for neurologic symptoms, approx 6 days after the shot, I experienced a worsening of my peripheral neuropathy that is still ongoing >2 weeks since dose 1 (normally very mild at baseline and mostly limited to the feet).  This exacerbation manifested primarily as stockings/gloves sensation to the mid-calves and elbows/mid-upper arms. I have also experienced some tingling in hand/feet and a notable cold sensation in the feet (worst in the toes- when I step into hot water in the shower, the feet/toes become quite painful and a transient blotchy redness appears on the feet).  The stockings/gloves sensation and foot coldness persist though approx 50% better than when it started.  No muscle weakness or myalgias accompany these symptoms.  I am concerned about receiving my 2nd dose on March 26 given the ongoing presence of symptoms from the first.  I have scheduled an appt to discuss with my Rheumatologist. My Neurologist is unsure I should receive 2nd dose.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral coldness, Rash macular, Sensory disturbance
Clinical narrative: I received dose 1 of Pfizer COVID-19 vaccine on Feb 24.  The initial symptoms starting Feb 25 were somnolence, mild muscle stiffness and dizziness that lasted approx 5-6 days but gradually resolved.  Approx 3 days after the shot I developed chills, which took approx 2 weeks to resolve.  As for neurologic symptoms, approx 6 days after the shot, I experienced a worsening of my peripheral neuropathy that is still ongoing >2 weeks since dose 1 (normally very mild at baseline and mostly limited to the feet).  This exacerbation manifested primarily as stockings/gloves sensation to the mid-calves and elbows/mid-upper arms. I have also experienced some tingling in hand/feet and a notable cold sensation in the feet (worst in the toes- when I step into hot water in the shower, the feet/toes become quite painful and a transient blotchy redness appears on the feet).  The stockings/gloves sensation and foot coldness persist though approx 50% better than when it started.  No muscle weakness or myalgias accompany these symptoms.  I am concerned about receiving my 2nd dose on March 26 given the ongoing presence of symptoms from the first.  I have scheduled an appt to discuss with my Rheumatologist. My Neurologist is unsure I should receive 2nd dose.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Sizeable rash appeared at and surrounding injection site 13 days after injection.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Pain, Physical examination
Clinical narrative: widespread muscle and joint pain, worse in bilateral posterior knee ligaments and bilateral shoulders and bilateral hands, he states that getting out of chair was difficult, Range of motion slightly restricted due to pain and tight muscles, sensation intact, capillary refill normal in all extremities
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Patient isolation, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: COVID positive on 5/14/2020. Then had several negative tests. Received two doses of the Moderna vaccine on 1/4/2021 and 2/1/2021. Tested covid negative on 2/22/2021. Was retested as part of the protocol for her job on 2/26/2021, and tested positive. She was asymptomatic. Sequencing was not able to be performed. She then had two negative covid tests on 3/1/2021 and 3/2/2021 (all tests were PCR tests.) She has now completed her isolation period.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site haemorrhage, Peripheral swelling
Clinical narrative: Given the Janssen covid-19 Vaccine EUA at pharmacy.  Left arm swelled right away and I lost around  3 tablespoons of blood from the vaccine site.  I am concerned that the vaccine came out of the arm with the blood.  I was asked to wait 30 min before going home.  The bleeding stopped after 30 seconds.  Swelling went down over next hour.  No other side effects.  I am concerned that I may not be vaccinated if the vaccine came out of the arm with the blood.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Fatigue, Glossodynia, Headache, Lip pain
Clinical narrative: 15 hours after vaccine - Tingling/swelling of lips and tongue, headache, back of neck stiff.  Next day not as bad. Third day - intense tingling pinpricks on hands, feet, ankles, scalp. Large bumps on back of tongue and throat.  Called COVID hotline.  Take Benadryl- go to ER if breathing becomes an issue.  Fourth day better with Benadryl. Fifth day - exhausted, back of throat swollen, hard to swallow, now itchy on hands, feet. Went to urgent care. ?Don?t know what to tell you?.  Continue Benadryl.  By 7th day, most symptoms gone. Tongue and lips sore. Occasional itching.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Musculoskeletal stiffness, Oropharyngeal pain, Paraesthesia, Paraesthesia oral
Clinical narrative: 15 hours after vaccine - Tingling/swelling of lips and tongue, headache, back of neck stiff.  Next day not as bad. Third day - intense tingling pinpricks on hands, feet, ankles, scalp. Large bumps on back of tongue and throat.  Called COVID hotline.  Take Benadryl- go to ER if breathing becomes an issue.  Fourth day better with Benadryl. Fifth day - exhausted, back of throat swollen, hard to swallow, now itchy on hands, feet. Went to urgent care. ?Don?t know what to tell you?.  Continue Benadryl.  By 7th day, most symptoms gone. Tongue and lips sore. Occasional itching.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Pruritus, Swollen tongue, Tongue disorder
Clinical narrative: 15 hours after vaccine - Tingling/swelling of lips and tongue, headache, back of neck stiff.  Next day not as bad. Third day - intense tingling pinpricks on hands, feet, ankles, scalp. Large bumps on back of tongue and throat.  Called COVID hotline.  Take Benadryl- go to ER if breathing becomes an issue.  Fourth day better with Benadryl. Fifth day - exhausted, back of throat swollen, hard to swallow, now itchy on hands, feet. Went to urgent care. ?Don?t know what to tell you?.  Continue Benadryl.  By 7th day, most symptoms gone. Tongue and lips sore. Occasional itching.
Age: 96.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Eye pain, Fatigue, Headache, Pain in extremity
Clinical narrative: 3/12/21 Headache and soreness in eyes Extremely tired Soreness in arm
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Diarrhoea, Headache
Clinical narrative: Two hrs after receipt began to feel achy, and had a headache.  As the night progressed she felt worse.  C/O chills nausea, diarrhea and back and hip pains.  Went away after 48 hrs.  Night of 3/14/21 state itchy, blotchy rash appeared on left arm below site of vaccine administration.  Some swelling.  Has taken a benadryl and applied topical corticosteroids.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Nausea, Pruritus
Clinical narrative: Two hrs after receipt began to feel achy, and had a headache.  As the night progressed she felt worse.  C/O chills nausea, diarrhea and back and hip pains.  Went away after 48 hrs.  Night of 3/14/21 state itchy, blotchy rash appeared on left arm below site of vaccine administration.  Some swelling.  Has taken a benadryl and applied topical corticosteroids.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Menstruation delayed, Vaginal haemorrhage
Clinical narrative: Vaginal blood spotting starting 2/26 Current late period  Headache everyday since
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Tremor
Clinical narrative: Headache  chills tremors
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 1st Moderna COVID-19 vaccine on 2/18/21 and in error received the 2nd booster 1 week too soon on 3/11/21, patient should have received her 2nd Moderna vaccine on 3/18/21.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: 30 mins after receiving vaccine, pt. c/o "throat tightening" similar to a reaction she had after an allergy shot 5yrs ago.  States she took oral Benadryl before coming to the POD.  Received 25mg Benadryl IM at 1020.  Felt relief of throat tightening by 1030 and left with family member who was driving her.  Slept rest of day.  No further sequelae.  Reported incident to her PCP and allergist.  Is seeking guidance from them about 2nd dose.  States PCP has Pfizer vaccine in office.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Vaccination site swelling
Clinical narrative: vaccination site red, swollen and very itchy. I used Cortisone cream to alleviate the itch and ice pack to calm the swelling. Taking Extra-Strength Tylenol every 6 hours and still experiencing the same adverse signs....will continue self-treatment.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Dysphagia, Dyspnoea, Hyperhidrosis, Nausea
Clinical narrative: At 09:21 am Stated tightness in throat, diaphoresis, and nausea. At 09:24 am was given; 1 ml Benedryl IM left deltoid. Started feeling relief at 09:30 am, then approximately 14 minutes later had tightness in throat again, stated having no difficulty breathing or swallowing. Called 911 at 09:45 am. O2 sat and heart rate were within normal range, elevated BP 153/93 lying and 163/103 sitting left arm. Agreed to go to ED with medical team at 09:55 am. walked out with paramedic.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: At 09:21 am Stated tightness in throat, diaphoresis, and nausea. At 09:24 am was given; 1 ml Benedryl IM left deltoid. Started feeling relief at 09:30 am, then approximately 14 minutes later had tightness in throat again, stated having no difficulty breathing or swallowing. Called 911 at 09:45 am. O2 sat and heart rate were within normal range, elevated BP 153/93 lying and 163/103 sitting left arm. Agreed to go to ED with medical team at 09:55 am. walked out with paramedic.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Hyperhidrosis, Pain
Clinical narrative: Extreme body aches, severe headache, chills, fever of 104, dizziness, blurry vision, perspiration.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vision blurred
Clinical narrative: Extreme body aches, severe headache, chills, fever of 104, dizziness, blurry vision, perspiration.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Feeling abnormal, Heart rate increased, Supraventricular tachycardia
Clinical narrative: Pfizer-BioNTech COVID- 19 Vaccine EUA: During the post-observation period, vaccine recipient reported that they were feeling funny. She stated that she was fine and didnt need to be checked. EMS wanted to be sure and took her to a private area to place her on an EKG monitor. She was experiencing supraventricular tachycardia with heart rates in 170s. EMS placed an IV and administered IV fluids, adenosine 6 mg, and diltiazem 20 mg. Her heart rate went to the 140s and was transported to the emergency department.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bedridden, Decreased appetite, Fatigue, Headache
Clinical narrative: Pain and swelling at injection site - unable to raise arm above head  Treated with Tylenol.  Resolved in 36 hours. Severe generalized headache, myalgia, arthralgia, extreme fatigue, loss of appetite, but no fever.  No analgesic helped symptoms.  Required bedrest for three full days.  Symptoms resolved after four days.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Mobility decreased, Myalgia
Clinical narrative: Pain and swelling at injection site - unable to raise arm above head  Treated with Tylenol.  Resolved in 36 hours. Severe generalized headache, myalgia, arthralgia, extreme fatigue, loss of appetite, but no fever.  No analgesic helped symptoms.  Required bedrest for three full days.  Symptoms resolved after four days.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Diarrhoea, Fatigue, Poor quality sleep, Pyrexia
Clinical narrative: Fatigue, Sore back, restless sleep, small temp, diarrhea
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: Sore left upper arm by 5pm, 3-13-21. Very tired, muscular aches whole body, chills/feverish, headache overnight to present, nausea. abdominal cramping and diarrhea x 2 days. Feels like 'the flu'.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Myalgia, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Sore left upper arm by 5pm, 3-13-21. Very tired, muscular aches whole body, chills/feverish, headache overnight to present, nausea. abdominal cramping and diarrhea x 2 days. Feels like 'the flu'.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, very tired, headache
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Blood insulin abnormal, Blood insulin increased
Clinical narrative: Decreased insulin sensitivity/spiking blood sugars
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Cough, Diarrhoea, Oropharyngeal pain
Clinical narrative: "CC: Sore throat Symptoms:  Cough:no Shortness of breath: no Difficulty breathing: no Loss of taste: no Loss of smell: no ------------------------  Fever > 100.4: no Subjective fever: Chills: no Rigors: no Myalgias: no Headache: yes Sore throat:yes Diarrhea: no Nausea/Vomiting: no Nasal congestion/rhinorrhea:yes  Additional symptoms:PND"
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Upper-airway cough syndrome
Clinical narrative: "CC: Sore throat Symptoms:  Cough:no Shortness of breath: no Difficulty breathing: no Loss of taste: no Loss of smell: no ------------------------  Fever > 100.4: no Subjective fever: Chills: no Rigors: no Myalgias: no Headache: yes Sore throat:yes Diarrhea: no Nausea/Vomiting: no Nasal congestion/rhinorrhea:yes  Additional symptoms:PND"
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Feeling hot, Headache, Nasopharyngitis
Clinical narrative: Headache,  fatigue, cold and hot.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Loss of personal independence in daily activities, Pain of skin, Rash
Clinical narrative: Received Johnson & Johnson single dose shot at 1:45pm Friday 3/5/2021. Mild injection site pain and fatigue for the next two days. Patient then present with one-sided rash, painful extending from right shoulder, down past right buttock and onto right thigh.  Shingles was excluded as possible diagnosis (patient has history of shingles and has also received the shingles vaccine).  Topical ointment and spray was prescribed. No change as of yet. Patient reports water and clothing causes intense pain.  Rash is a deep reddish purple color.