chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Nausea, Pain, Reading disorder
Clinical narrative: I was warned of mild flu-like symptoms, however, by 9 p.m. on 10/15/19, I began suffering severe body aches (my eyelids hurt and I had difficulty even reading) and nausea.  I felt EVEN worse on 10/16/19 with my fever beginning approximately 2:50 p.m. at 99 degrees which advanced to 102 by 4 p.m.   I contacted my primary care physician, and spoke with his nurse she advised that if I continued to worsen to go to an urgent care.  Thankfully, my temperature was normal by daybreak, however, I continue to feel exhausted with some MILD flu-like symptoms.  I did have the flu vaccine approximately 7 hours prior to the Shingrix.  I was not told by anyone that both vaccines taken in the same 24 hour period could be detrimental.  I am a Medical Technologist, but no longer work in the field and had no idea what could happen until I became very ill.   I am unsure as the safety of taking the second Shingrix vaccine.  Please make sure this vaccine is much safer!
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site swelling, Peripheral swelling
Clinical narrative: Swelling extending from injection site down to the tips of multiple fingers
Age: 77.0
Sex: F
Vaccine: FLUA3
Symptoms: Abdominal pain lower, Back pain, Injection site pain, Limb discomfort
Clinical narrative: Patient contacted pharmacy to let us know she started having pain at the injection site which radiated up to her shoulder as well as pain in lower right quadrant (below the rib cage) which radiated into her back exactly 1 week AFTER administration.  Patient stated she did not have any injection site pain, redness, or swelling immediately following vaccine administration.  The pain in her lower right quadrant did subside after 2 days and the pain at the injection site and her shoulder was subsiding and feeling better as of 4 days post initial reaction.  No other signs or symptoms were reported, no other immunizations were received, and no new medications had been started at this time.  The patient did not report any difficulty or extreme pain with raising her right arm but stated she just had discomfort when doing so.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Electrocardiogram normal, Head injury, Headache, Injection site erythema, Injection site haemorrhage
Clinical narrative: The day after receiving vaccine, patient  had a low-grade fever and when she got into the shower she "passed out".  Mom heard a noise and found her on the bathtub floor.  Patient was conscious and remembers event.  Hit side of head on tub.  Mom took her to ED and there her EKG was normal and she was dx with syncope  and sent home. Today patient returned to our clinic for f/u from ED visit.  She still had a low-grade fever (100) and mild headache.  I noticed her left deltoid area was erythematous, warm to touch, and edematous covering the entire deltoid area.  There was also a 1 cm ecchymosis noted on upper left deltoid (assuming where needle insertion for one of the vaccines).  I encouraged dad to alternate ice and heat to left upper arm and gave an rx for Keflex if redness and swelling worsened over the weekend.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site oedema, Injection site warmth, Loss of consciousness, Pyrexia, Syncope
Clinical narrative: The day after receiving vaccine, patient  had a low-grade fever and when she got into the shower she "passed out".  Mom heard a noise and found her on the bathtub floor.  Patient was conscious and remembers event.  Hit side of head on tub.  Mom took her to ED and there her EKG was normal and she was dx with syncope  and sent home. Today patient returned to our clinic for f/u from ED visit.  She still had a low-grade fever (100) and mild headache.  I noticed her left deltoid area was erythematous, warm to touch, and edematous covering the entire deltoid area.  There was also a 1 cm ecchymosis noted on upper left deltoid (assuming where needle insertion for one of the vaccines).  I encouraged dad to alternate ice and heat to left upper arm and gave an rx for Keflex if redness and swelling worsened over the weekend.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction, Injection site swelling, Rash, Rash pruritic
Clinical narrative: WITHIN 3 HOURS OF RECEIVING THE VACCINE, THE PATIENT DEVELOPED A LOCALIZED ITCHY RASH AND SWELLING JUST BELOW THE INJECTION SITE ON HER ARM.  NEITHER THE ITCH NOR THE SWELLING SPREAD BEYOND THE UPPER ARM.  EACH SYMPTOM LASTED ABOUT 2 DAYS.  OBTAINED SOME RELIEF BY ICYING THE AREA AFFECTED.  PATIENT STATES THAT SHE HAS NEVER HAD THIS FOLLOWING A FLU VACCINE.
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Immediate post-injection reaction, Injection site infection, Injection site pain
Clinical narrative: 10/18/19 1500 - TC from client's daughter, stating her father received flu and pneumonia vaccines at the Center flu clinic on 10/16/19. He complained immediately following injection of pain and burning at the site. These symptoms continued so client was seen by Dr. Client's daughter states Dr. concluded the injection sites were infected, and his pending surgery would need to be cancelled.  Client is diabetic and also has hx/o psoriasis.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Injection site discolouration
Clinical narrative: extended soreness in left elbow several weeks after injection on left arm. noticed some discoloration of skin around injection site for several days
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Back pain, Erythema, Neck pain, Pain in extremity, Swelling
Clinical narrative: pt had redness and swelling below the injection site and complained of pain in arm radiating to neck and back
Age: 57.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Fatigue, Headache, Influenza like illness, Myalgia
Clinical narrative: Flu-like symptoms. Moderate chills, headache, body and muscle aches, very fatigued, very tender or soreness in UNDERARMS. Mostly gone about 18 hrs after they started. Had similar symptoms on the 2nd series of the shot but not quite as severe.
Age: 57.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Pain, Tenderness
Clinical narrative: Flu-like symptoms. Moderate chills, headache, body and muscle aches, very fatigued, very tender or soreness in UNDERARMS. Mostly gone about 18 hrs after they started. Had similar symptoms on the 2nd series of the shot but not quite as severe.
Age: 51.0
Sex: F
Vaccine: FLUC4
Symptoms: Immediate post-injection reaction, Peripheral swelling
Clinical narrative: PATIENT IMMEDIATELY HAD A SWOLLEN ARM.  WAS OFFERED BENADRYL AND/OR EPIPEN. SHE DECLINED BOTH. NO ICE PACKS WERE AVAILABLE. KEPT THE PATIENT UNDER OBSERVATION FOR 10-20 MINUTES.  SHE SAID SHE FELT FINE AND LEFT
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling abnormal, Loss of consciousness
Clinical narrative: felt everything was "dark" then passed out, lost consciousness rather briefly then came about.
Age: 68.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria
Clinical narrative: Hive from elbow to Shoulder on injection arm. Itchy. Red.
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Body temperature increased, Dizziness, Headache
Clinical narrative: HEADACHE, DIZZINESS, OVER 102 DEGREES FAHRENHEIT TEMPERATURE - TOOK TYLENOL FOR SYMPTOMS
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Throat irritation
Clinical narrative: Patient was fine with no issues after administration around 3:30pm. Patient came back to the store later on in the evening after 7 pm reporting that she was itchy and a little red on her chest. She reported her throat being scratchy. Patient reported that she hadn't taken anything and wasn't sure what was going on and felt she may be having a reaction to the vaccine. Asked patient if they had trouble breathing or and swelling of tongue/throat or tightening of the airway which she reported no. Counseled patient to take benadryl for the hives and if symptoms worsen or she is having trouble breathing to go to the ER. Asked patient to verify correct information and to provide us with a doctor's contact to reach out to.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Anaphylactic reaction, Cyanosis, Erythema, Lethargy, Swelling face
Clinical narrative: Anaphylaxis: diffuse erythema and urticarial, facial swelling, vomiting, lethargy, perioral cyanosis
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Urticaria, Vomiting
Clinical narrative: Anaphylaxis: diffuse erythema and urticarial, facial swelling, vomiting, lethargy, perioral cyanosis
Age: 65.0
Sex: F
Vaccine: FLUR4, PPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient said the day after immunizations were given (10/17/19), the outside of her right arm was red and warm to the touch. The area was above elbow to below shoulder. She went to Center on Friday (10/18/19).  Dr put her on an antibiotic.
Age: 41.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria
Clinical narrative: Large red, itchy, and hive outbreak on the site of the injection.
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills
Clinical narrative: Patient experienced chills but has resolved since late last night. Patient is doing better
Age: 31.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Abdominal discomfort, Diarrhoea, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: red hot swollen sore injection site, diarrhea and upset stomach
Age: 31.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: red hot swollen sore injection site, diarrhea and upset stomach
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Pruritus, Urticaria
Clinical narrative: 2 hours after shot started to get hives and itchy on certain parts of the body, also had some difficultly breathing for 24 hours. After 24 hours, breathing was better but hives and itchy on right upper thigh, left and right arm/hand, and left side of torso and chest. After 48 hours from shot, there has been no improvement in reaction.
Age: 83.0
Sex: F
Vaccine: FLUA3, VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Rash, Rash erythematous
Clinical narrative: Patient says she developed a red band all the way around her left arm near the Shingrix injection site  1-2 days after she received Shingrix. She also mentioned the area became hard and raised 1-2 days after the Shingrix shot. The patient started developing red bumps all over her body except her face 11 days after the vaccine (10-15-19).
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site bruising, Injection site discolouration, Injection site erythema, Swelling
Clinical narrative: Patient reported having redness and swelling for a few days after getting Fluzone HD vaccination. Large area of bruising appeared afterward on the deltoid muscle around the injection site. Bruising did not subsided 7 days after vaccination, thought it appears less red and more purplish. She has no fever or flu like symptoms. She is able to go to work these days.
Age: 71.0
Sex: F
Vaccine: FLUA3, VARZOS
Symptoms: Facial paralysis, Rash erythematous
Clinical narrative: PATIENT DEVELOP RED BUMPS (HIVES) AND HER LEFT SIDE OF FACE ( SIDE OF THE LEFT LIP -DROOPING).  PATIENT TAKE CLARITIN FOR 3-5 DAYS ALONG WITH CONTINUOUSLY MASSAGE HER FACE.  PATIENT RETURN TO PHARMACY THE FOLLOWING WEEK TO INFORM THE PHARMACY ABOUT THE REACTION.
Age: 18.0
Sex: M
Vaccine: FLU4
Symptoms: Epistaxis, Fall, Skin laceration, Syncope
Clinical narrative: The patient was given a vaccination and told to stay in the area for 15 to 20 minutes to be sure there were no adverse reactions.  The patient experienced syncope about 5 minutes following the vaccination.  The patient fell and suffered a cut on the nose, bleeding, and possible broken nose.  The patient was placed on a bench to lie down and given a cold compress and water to drink.  The patient had already phoned his mother by that time and she  showed up a few minutes later.  The patient had not reported any adverse effects prior to my initial contact with him after the vaccination when he asked for something to stop the bleeding from his nose.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site bruising, Injection site discolouration, Swelling
Clinical narrative: Patient reported having redness and swelling for a few days after getting Fluzone HD vaccination. Large area of bruising appeared afterward on the deltoid muscle around the injection site. Bruising did not subsided 7 days after vaccination, though it appears more purplish. She has no fever or flu like symptoms. She is otherwise alert without fever, without pain, and without flu like symptoms.
Age: 81.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site pruritus, Pain in extremity
Clinical narrative: Patient came in 10/18 and said that her arm was still sore a week after her flu vaccination, and she had some "itching" near the injection area. She said her symptoms were confined to the injection area and started "a few days after the vaccine." No rash, redness, or swelling present. Patient denies any decrease in range of motion. Patient said she used some "body lotion", and this "helped" her itching. She was advised to continue using a moisturizer since this seemed to help her itchy skin and was told she could take an oral pain reliever if necessary to help with the pain in her arm. She was advised to follow up with her physician if symptoms did not resolve/got worse.
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Mobility decreased, Pyrexia
Clinical narrative: Patient said she went to ER 10/18/19 after she received the pneumovax-23 on 10/16/19. She said she couldn't lift her arm, it was very red, she had fever and the doctor had to administer IV antibiotics
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient has been having pain in his arm since he received the flu shot.  Patient's wife stated that the patient had an injury in the past in the same arm so she is not sure what is causing the pain.  He tried ibuprofen and ice but is still having pain. It  was recommended that he see his doctor about the pain.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives, itching
Age: 66.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Erythema, Immediate post-injection reaction, Pain, Pain in extremity, Swelling
Clinical narrative: Pt. noticed right arm swollen and tender muscle on 10/15/19, Day after 10/14/19 vaccine of Pneumovax 23 on 10/16 - 10/18 arm was swallow all the way to finger tips and Pt. went to primary.
Age: 66.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Myalgia, Peripheral swelling
Clinical narrative: Pt. noticed right arm swollen and tender muscle on 10/15/19, Day after 10/14/19 vaccine of Pneumovax 23 on 10/16 - 10/18 arm was swallow all the way to finger tips and Pt. went to primary.
Age: 79.0
Sex: F
Vaccine: FLUC4
Symptoms: Ecchymosis, Injection site erythema, Petechiae
Clinical narrative: Left deltoid with 14cm x 11cm of erythema, petechiae, and ecchymoses
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Back pain, Chest pain, Dizziness, Dysstasia, Flushing
Clinical narrative: Patient came back to the pharmacy around five minutes after getting second vaccine (Pneumovax 23 @ 10:02 am) and complained of flushing and dizziness. She couldn't stand up on her own due to the dizziness and had to lean on husband for support. She sat down and reported chest pain and extreme lower back pain. The paramedics were called and once they evaluated her, they took her to the hospital. We spoke to the husband around 2:10pm that same afternoon and he stated patient was feeling better but she needed to stay over night at the hospital to run more tests and be monitored. We spoke to the patient a couple days later and she was fine. She was told by the hospital that they weren't sure why she had that experience and that it was not due to the vaccines.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Pt received a pneumonia immunization on 10/17/2019 1:45 PM. After Pt went home, she stated she started having arm pain, then during the night her arm swelled, and she had severe itching with increased swelling and pain. Pt called today 10/18/2019 and reported the listed symptoms and stated the itching had decreased, but there was still pain and swelling. No other systemic symptoms reported.
Age: 10.0
Sex: M
Vaccine: HPV4, MMRV
Symptoms: Nausea, Tinnitus, Tremor, Vomiting
Clinical narrative: ear ringing, N/V, shaking
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy, Pruritus, Throat irritation
Clinical narrative: Pruritus over body and itchy throat. Pt transported via EMS to hospital for monitoring.
Age: 59.0
Sex: M
Vaccine: FLU4
Symptoms: Pruritus, Rash macular, Stevens-Johnson syndrome
Clinical narrative: PATIENT REPORTED RED, ITCHY BLOTCHES COVERING A SIGNIFICANT PORTION OF HIS BODY. HE STATED THAT IT BEGAN THE DAY AFTER THE VACCINE AND IS STILL OCCURRING TWO WEEKS LATER. HE HAS VISITED THE EMERGENCY DEPARTMENT AND A DERMATOLOGIST AND REPORTS THAT BOTH HAVE ADVISED HIM THAT THEY BELIEVE IT IS STEVENS-JOHNSON SYNDROME.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Abdominal pain upper, Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: 6/18/19 Arm hurt to touch; red;inflammed,swollen  6/19/19 @10am to all day  stomach cramps and pain and fever, arm red from the area of shot to elbow, hard and very painful  6/20 to 21/19 arm hurt  6/22/ 19 got better  almost went to ED
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pyrexia, Rash
Clinical narrative: 6/18/19 Arm hurt to touch; red;inflammed,swollen  6/19/19 @10am to all day  stomach cramps and pain and fever, arm red from the area of shot to elbow, hard and very painful  6/20 to 21/19 arm hurt  6/22/ 19 got better  almost went to ED
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Abdominal pain upper, Erythema, Inflammation, Injection site erythema, Injection site induration
Clinical narrative: 6/18/19 Arm hurt to touch; red;inflammed,swollen  6/19/19 @10am to all day  stomach cramps and pain and fever, arm red from the area of shot to elbow, hard and very painful  6/20 to 21/19 arm hurt  6/22/ 19 got better  almost went to ED
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Pain, Pain in extremity, Pyrexia, Swelling
Clinical narrative: 6/18/19 Arm hurt to touch; red;inflammed,swollen  6/19/19 @10am to all day  stomach cramps and pain and fever, arm red from the area of shot to elbow, hard and very painful  6/20 to 21/19 arm hurt  6/22/ 19 got better  almost went to ED
Age: 31.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Abdominal discomfort, Diarrhoea, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient described a large red, swollen area, that was "hot" to the touch.
Age: 31.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Patient described a large red, swollen area, that was "hot" to the touch.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia oral, Lip swelling
Clinical narrative: swelling of lip and numbness on left side of mouth
Age: 68.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Injection site swelling, Swelling
Clinical narrative: significant swelling of right shoulder, scapula region,  and arm
Age: 57.0
Sex: F
Vaccine: FLUR4
Symptoms: Diarrhoea, Erythema, Injection site erythema, Injection site swelling, Vomiting
Clinical narrative: Vomiting, diarrhea, facial redness, swelling/redness of injection site, started the evening of receiving the vaccine and resolved about 36 hours later
Age: 80.0
Sex: M
Vaccine: FLUR4
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Product administered at inappropriate site
Clinical narrative: Patient was given immunization  not in the deltoid muscle. It was given low. There is an injection site reaction. (Redness/ swelling/ pain/ itching). The red area was a large area.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Injection on Tuesday 10/15/2019. Patient called on 10/17/2019 reports itching, redness and swelling at injection site "described as larger than a silver dollar".  Patient also reports headache.  Advised anti-histamine & Tylenol & Cold.  Suggested report issue for records to PCP.  Suggest seek medical attention of issue worsen or lasts more than 5days.  Noted that this year received HD version which may account for the reaction.  Patient states never had had reaction to any vaccination in past nor to adhesives in past.  10/19/19 patient states has resolved.
Age: 43.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Periorbital swelling, Swelling face
Clinical narrative: PATIENT EXPERIENCED LOCALIZED PAIN AS WELL AS PAIN ALONG HIS ENTIRE LEFT SIDE OF HIS BODY. PATIENT ALSO DEVELOPED SWELLING AROUND HIS EYES AND FACE. ADVISED PATIENT TO SEEK MEDICAL ATTENTION DUE TO THE FACIAL SWELLING.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Gait disturbance, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Patient was limping, got fever overnight, woke up limping. Leg swelling from knee to upper thigh with redness all over the top of the leg. It became obvious around 10:00 am. He was seen by the clinic at 5:00 pm, who advised Zyrtec, and possibly Keflex if no response to Zyrtec.
Age: 66.0
Sex: F
Vaccine: FLUR4, PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Red, swollen, painful when movement. (NOT hot to the touch, NOT painful when touches it, only painful with movement)
Age: 66.0
Sex: M
Vaccine: TDAP
Symptoms: Gait inability, Headache, Hypoaesthesia
Clinical narrative: patient noticed numbness in both arms on 10/15 by night time had a headache on 10/16 could not walk was numb all over. currently hospitalized in hospital.
Age: 8.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Skin warm, Swelling
Clinical narrative: Severe swelling, hot to the touch, painful
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives  (NOT immediately after receiving injection and NOT at injection site).  Approximately 36 hours after receiving injection, woke up with hives on buttocks and upper thigh...very itchy.  Went to doctor that day...my primary care physician assistant says this is an atypical reaction.  Began taking Allegra (60 mg. every 12 hours) which cleared the hives.  Stopped about a week later....hives returned in 48 hours.  I have been repeating this cycle of taking Allegra  for a week, then stopping.  Hives continue to appear after about 48 hours every time...it has been four weeks now.  I am NOT prone to getting hives...have only had them twice before in my life.  Once from eating shellfish at age 16.  Once when I found out I am allergic to penicillin (in my 30's)...was diagnosed with serum sickness.  Hives lasted 18 months that time...took a strong antihistamine (Periactin was the name, I believe) to control hives.  This current episode of hives cannot be attributed to any factor other than the Fluzone-high dose injection.  I have not eaten anything out of the ordinary, have not used any new soaps or laundry detergent.   It appears that I may have to take Allegra for many weeks, if not months, before the reaction goes away.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Injection site reaction including arm swelling, redness, tenderness, hot, patient also reported fever of 101 F
Age: 85.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Contusion, Erythema, Mobility decreased, Pain, Swelling
Clinical narrative: SWELLING, BRUISING, REDNESS, PAIN, DIFFICULTY MOVING ARM.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Erythema, Pain, Skin warm
Clinical narrative: Within 24 hours of injection, patient presented with a red mark on her left arm. It  was warm to the touch. Patient took ibuprofen and came in to the pharmacy on 10/19. She was achy and had chills, also.
Age: 48.0
Sex: M
Vaccine: FLU4
Symptoms: Depressed level of consciousness, Syncope
Clinical narrative: Patient reported previous dizziness/near faint with flu vaccine 15 years ago, had other vaccines since then without issue, has not had flu vaccine since. Within approximately 5 minutes of vaccine administration patients wife called out to me that he was fainting. He was sitting in a chair barely conscious. I had another employee call 911 while I tended to him. Provided water and paper towels, assisted him to the floor and had him sit with his head between his knees while we waited for EMS to arrive.
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Back pain, Diarrhoea, Fatigue, Loss of personal independence in daily activities, Neck pain
Clinical narrative: Diarrhea (for 3 weeks!), Arm pain, neck and back pain, fatigue - missed work the day after vaccine.
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Pain in extremity, Parasite stool test negative, Stool analysis normal
Clinical narrative: Diarrhea (for 3 weeks!), Arm pain, neck and back pain, fatigue - missed work the day after vaccine.
Age: 74.0
Sex: M
Vaccine: PPV
Symptoms: Administration site swelling, Injection site erythema, Injection site pain
Clinical narrative: Patient reported to the pharmacy 10/19/19 to report swelling, tenderness, and redness at the site of administration. It appeared to spread from shoulder down to elbow. I told the patient it appeared to be in the realm of a normal reaction to me, as it had no system effects, no issues with range of motion or ability use arm/arm function. I told the patient if the swelling became uncomfortable to let us know (it was not at this point) and if the affected area spread to let us know, and if there was any issues with the use of the arm to inform us and seek medical advise from a physician.
Age: 62.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Nausea, Pain, Pyrexia, Rash
Clinical narrative: Patient has had a rash, redness, low grade fever, nausea, and soreness for 7+ days
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site haemorrhage, Injection site swelling
Clinical narrative: after vaccination  site bled so a cotton ball was held to the site.  after removal of the cotton ball I noticed the site was visible swollen about the size of  a penny.  within 1 minute the site had swelled to the size of a half dollar.   pt reported no trouble breathing and no pain at site.  site was not red but swollen.  instructed pt wife who was with him to drive him top the nearest urgent care for evaluation.
Age: 23.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity, Product administered at inappropriate site
Clinical narrative: Pt reported that flu shot was given too high and that she has experienced arm pain and difficulty lifting arm above shoulder since the day following the injection on a subsequent visit to the pharmacy about a month later. She states she "felt it in her fingertips" when the injection was administered as though a nerve was struck, but did not say anything at the time. She has not pursued any treatment beyond ice, rest, and ibuprofen.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Ear discomfort, Headache, Influenza like illness, Pain, Paranasal sinus discomfort
Clinical narrative: Flu like symptoms including headache, sinus pressure, light sensitivity, body ache, slight fever 99.5f, malaise. Treated with Tylenol, fluids, and bed rest. Next morning headache and body aches gone. Some pressure remains in ears.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Photophobia, Pyrexia
Clinical narrative: Flu like symptoms including headache, sinus pressure, light sensitivity, body ache, slight fever 99.5f, malaise. Treated with Tylenol, fluids, and bed rest. Next morning headache and body aches gone. Some pressure remains in ears.
Age: 53.0
Sex: F
Vaccine: FLUR4
Symptoms: Erythema, Hypersensitivity, Peripheral swelling, Skin warm, Urticaria
Clinical narrative: Patient contacted the administering pharmacist after receiving her vaccine.  She reported that her arm became red, swollen and warm the evening after receiving the flu vaccine. She also developed hives.  She presented to a nurse (patient is a teacher and presented to the school nurse) who told her it was likely she was experiencing an allergic reaction to the vaccine.  Patient was able to return to work normally the next day. Patient had received the same vaccine last year with no allergic reaction and has no history of allergy to any previous vaccine.
Age: 65.0
Sex: M
Vaccine: FLUR4, PNC13
Symptoms: Blood glucose increased, Fatigue, Frequent bowel movements, Insomnia, Oropharyngeal pain
Clinical narrative: Patient states experiencing fatigue, throat hurts, can't sleep, increased blood sugar, increased bowel movements.  He has tried taking tylenol and vitamin C. He cannot take NSAIDs due to being a kidney transplant patient.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling hot, Flushing, Hypertension, Tachycardia, Tremor
Clinical narrative: Reporter is unaware of type of flu shot given, it was administered at another clinic (see #17 above).  Please contact patient's mother for more information about the shot Patient has tachycardia and hypertension as well as tremors and internal feelings of heat/flushing without fever or diaphoresis.
Age: 74.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Patient returned to the pharmacy today 10/19/2019 to report pain, swelling, redness in most of right arm for about 4 days after vaccination.  Pt denied any itching/hives or calor.  All symptoms have resolved.  Pt did not seek any medical treatment.  She simply wished to report what had happened and ask if it were normal.
Age: 74.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Peripheral swelling
Clinical narrative: Patient returned to the pharmacy today 10/19/2019 to report pain, swelling, redness in most of right arm for about 4 days after vaccination.  Pt denied any itching/hives or calor.  All symptoms have resolved.  Pt did not seek any medical treatment.  She simply wished to report what had happened and ask if it were normal.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Urticaria
Clinical narrative: Patient received vaccine and ended up going to the doctor because it turned red and had welts. charge nurse called us to inform us it looked like it was given subq just from the anatomical site. we did not hear from the patient as of yet about the adverse reaction, this report is filled based off of information given to us by the head nurse.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Hypersensitivity, Syncope
Clinical narrative: Sudden onset of physical weakness, with muted sounds.   In trying to walk, I fainted.  Fainting lasted seconds.  the whole episode from onset to awakening from fainting lasted less than 5 minutes.    Upon awakening, allergic reaction had ended, with no residual symptoms.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dizziness, Fatigue, Headache, Loss of consciousness
Clinical narrative: Patient felt lightheaded and passed out around 7:30 pm on 10/18/19 for a very short time.  She tried to get up and passed out again. She passed out the third time  and had to be carried out to the car to get home.  These events were happened within 20 minutes.  She felt chill for several hours after she got home and had a bad night of restless sleep.  She also had a bad headache and felt very tired the next day.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Poor quality sleep
Clinical narrative: Patient felt lightheaded and passed out around 7:30 pm on 10/18/19 for a very short time.  She tried to get up and passed out again. She passed out the third time  and had to be carried out to the car to get home.  These events were happened within 20 minutes.  She felt chill for several hours after she got home and had a bad night of restless sleep.  She also had a bad headache and felt very tired the next day.
Age: 67.0
Sex: F
Vaccine: FLUA3
Symptoms: Erythema, Pruritus
Clinical narrative: Patient came in about an hour afterwards complaining of itching.  After looking at the patient, she was showing signs of redness through face, neck and chest.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pruritus, Red blood cell abnormality, Skin warm, Swelling
Clinical narrative: Pain, Red, swollen, warm to touch, itchy, lasted over 1 week.
Age: 59.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Pain in extremity
Clinical narrative: Patient had a red arm that covered most of his upper arm with slight soreness associated.
Age: 74.0
Sex: F
Vaccine: FLUA3, VARZOS
Symptoms: Feeding disorder, Influenza like illness, Malaise
Clinical narrative: patient describes she was terribly ill and sick for 5 days. started about 30  minutes after injection. flu like symptoms. not able to eat.
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Limb mass, Swelling
Clinical narrative: red swollen and hard lump on arm
Age: 57.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site pain, Joint range of motion decreased, Mobility decreased
Clinical narrative: Pain at injection site 5/10 with limited ROM as donor reports that he is unable to lift his right arm above his head
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Fatigue, Mobility decreased
Clinical narrative: Patient woke up reporting fatigue pain in her hips which was intense enough to limit mobility.
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Redness, warmth, swelling, mild pruritis, onset about 20-24 hours after injection
Age: 57.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Axillary mass, Erythema, Lethargy, Nausea, Swelling
Clinical narrative: Patient called and complained of redness, swelling, nausea, lumps under the arm, and lethargy.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Facial paralysis
Clinical narrative: Reaction started 09/07/19Doctor visit diagnosed Bells Palsy, right side of face. Prescribed Prednisone and antiviral
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Pain in extremity, Peripheral swelling, Pyrexia, Rash
Clinical narrative: about 2 hours after vaccine - pt experienced swelling in the arm of vaccine all the way down to elbow and up her neck as well.  Pt also had intense pain in the arm along with fever as well. pt had a rash on arm also.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Malaise, Neck pain
Clinical narrative: headache, neck pain, general malaise
Age: 20.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Blood glucose normal, Feeling abnormal, Loss of consciousness
Clinical narrative: The patient was given the fluarix vaccine in the left arm and was completely fine. The patient was then administered the Gardasil-9 in the right arm before the patient said "that didn't feel too good," before he passed out/possible seizure for 10 seconds and 911 was called immediately. The patient regained consciousness after about 15 seconds from the time he had lost consciousness  was coherent, alert, and oriented.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Inflammation, Injection site induration, Injection site nodule, Injection site warmth
Clinical narrative: I had a patient, that came in to the pharmacy today, 10/19/2019, that received her 2nd shingrix vaccination on Thursday 10/17/2019, woke up Friday morning with an inflamed arm. I looked at her arm and it was a 6x6 inflamed area on her left arm distal to the injection site. The injection site had a hard knot. I felt the area and it was warm to the touch. She said that she had taken Tylenol and has used an ice pack to help relieve the fever in the inflamed area. I asked if the 1st injection of the shingrix back in July had caused her any issue, she said that is did not. I advised her to keep taking the Tylenol, keep an eye on the area and to call us if it doesn't resolve in the next day or two to three days.
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Patient came into pharmacy on 10-04-19 and her arm was red, slightly swollen, and hot to the touch from her elbow down but not painful. No other alarming symptoms no fever, breathing ok, no other feelings of distress. She stated that it started on 10-03-19 and has moved down her arm. Advised her to take a benadryl and if curremnt cymptoms got worse or she was feeling distress or having trouble breathing to go to the urgent care. Called pt on 10-06-19 to follow-up and she said after she took the benadryl the redness and swelling went away on 10-05-19 so she stopped the benadryl (only had one dose on the night of 10-4) but when she woke up sunday morning on 10-06-19 the redness was back. but she was still feeling otherwise fine. advised to take another benadryl and follow-up with provider on monday if needed.
Age: 36.0
Sex: F
Vaccine: FLU4, HEPA
Symptoms: Loss of consciousness, Syncope, Urinary incontinence
Clinical narrative: On 10-18-2019 I administered both vaccines listed in this report. Shortly after receiving both of her vaccines, the patient fainted while seated at the private consultation area and lost control of her bladder. I was able to hold the patient up in the chair which prevented her from falling to the ground. Then I immediately instructed my technicians to call 911. After making sure the patient was breathing, I began to check for consciousness. After a few seconds she regained her consciousness. While my technician was on the phone with 911, I asked the patient if she is OK and if she would like the ambulance to come. The patient said that she is OK and does not want them to come. Naturally she felt embarrassed, so I used the divider to give her some privacy. She also informed me that she did not eat. I offered her banana bread and water. This appeared to help the patient. Shortly after she contacted her family, they were able to come and take her and her two children. Approximately at 7 pm that evening, I called the patient to make sure she and kids were OK. She thanked me  and informed me that they are doing well.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Malaise, Pyrexia
Clinical narrative: PATIENT HAD REDNESS AND SWELLING , WARM AROUND INJECTION SITE , MILD FEVER , DID NOT FEEL WELL  FOR A COUPLE OF DAYS . SHE DID NOT GO TO DOCTOR  IS FEELING BETTER NOW
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: PATIENT REPORTS SORENESS AT INJECTION SITE AND LIMITED RANGE OF MOTION LASTING GREATER THAN 7 DAYS FOLLOWING VACCINE ADMINISTRATION.
Age: 18.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Injection site swelling, Pharyngeal swelling, Throat irritation
Clinical narrative: unknown site gave influenza vaccination 1hr prior to arrival at Urgent care 10/15. Reaction described as pain/swelling at injection site and burning throat. Patient was given Benadryl 25mg po and decadron 8mg po and instructed to go to emergency department should symptoms return. 10/16 @ 1458 patient presents to ED with throat swelling. It is reported that patient had been taking Benadryl 25mg po q6h. patient was given 125mg solu-Medrol, 20mg famotidine while in ED with resolution of symptoms.
Age: 7.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Mom reported pt had redness, hard bump at injection site that traveled down his arm. It lasted a week and then went away.  During the week, pt was given ibuprofen OTC.
Age: 48.0
Sex: M
Vaccine: FLU4
Symptoms: Swelling, Tenderness
Clinical narrative: Patient's right under arm was swollen and tender to the touch. Patient went to ER and was told that is was a normal side effect to this year's flu vaccination.  Patient was advised to take Benadryl as needed.
Age: 55.0
Sex: F
Vaccine: FLUR4, PPV
Symptoms: Axillary pain, Cellulitis, Erythema, Pain in extremity, Swelling
Clinical narrative: Patient developed cellulitis as diagnosed by APRN.  Patient sought medical treatment 10/19/19. Prescribed cephalexin, prednisone, triamcinolone oint., and topical aspercreme w/lidocaine. When she reported to the pharmacy, area looks red and swollen. Patient reports pain in arm (deltoid/bicep) and armpit. Outcome TBD.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema
Clinical narrative: Redness down left arm from shot area to above elbow.  Counseled patient to take otc benadryl and keep an eye on area. If worsens, to see medical care from physician.
Age: 61.0
Sex: F
Vaccine: FLUC4
Symptoms: Chills, Dry throat, Lip swelling, Oropharyngeal pain, Pain
Clinical narrative: Initially chills, achy, and sore arm, but then ok. Then that evening/next morning developed lip swelling and rash. Then now sore throat and no so dry. Said had to go to urgent care and they gave a cortisone shot and Medrol dosepak
Age: 61.0
Sex: F
Vaccine: FLUC4
Symptoms: Pain in extremity, Rash
Clinical narrative: Initially chills, achy, and sore arm, but then ok. Then that evening/next morning developed lip swelling and rash. Then now sore throat and no so dry. Said had to go to urgent care and they gave a cortisone shot and Medrol dosepak
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Injection site reaction, Myalgia
Clinical narrative: Daily headache for 10 days. Entire left arm muscle extreme soreness for 14 days.
Age: 32.0
Sex: F
Vaccine: HPV9
Symptoms: Limb injury, Muscular weakness, Pain, X-ray normal
Clinical narrative: Shoulder injury; immediate pain with sleeping, lifting arm, reaching, and weakness in arm
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Pain in extremity
Clinical narrative: Patient called pharmacy complaining of extreme arm pain and a lack of mobility in the shoulder region
Age: 61.0
Sex: F
Vaccine: FLUR4
Symptoms: Pruritus, Urticaria
Clinical narrative: Started to develop itchy hives on the left side of my trunk by 8 p.m. that night.  Saw the doctor the next day.  I was worried it might be the beginning of Shingles.  Doctor was not sure but prescribed ValAcyclovir just in case.  I took 3 of the ValAcyclovir a day for a week.  During that week there was no improvement and the hives spread across my left side and over to my back and then finally to my right side.  At the time of my second office visit on 10/18/2019 they were starting to come out on my upper arms.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness, Pain, Pyrexia
Clinical narrative: Flu-like symptoms: fever, chills, general aches.  Came home from work early, took acetaminophen, took a nap for a few hours.  Temperature after nap was 100.4 (I did not measure before)
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Asthma, Chills, Condition aggravated, Dizziness
Clinical narrative: painful at site of injection, arm stiff, muscle pain, headache, fatigue, stomach pain, nausea, cold/shivering, dizziness, increased asthma symptoms, beginning 30 minutes after the shot. Effects lasted three days.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Injection site pain, Musculoskeletal stiffness, Myalgia
Clinical narrative: painful at site of injection, arm stiff, muscle pain, headache, fatigue, stomach pain, nausea, cold/shivering, dizziness, increased asthma symptoms, beginning 30 minutes after the shot. Effects lasted three days.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Nasopharyngitis, Nausea
Clinical narrative: painful at site of injection, arm stiff, muscle pain, headache, fatigue, stomach pain, nausea, cold/shivering, dizziness, increased asthma symptoms, beginning 30 minutes after the shot. Effects lasted three days.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Gait disturbance, Pyrexia, Tremor
Clinical narrative: admitted to hospital for high fever, tremors trouble walking
Age: 52.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness
Clinical narrative: Pt felt lightheaded after vaccine. Stated feeling faint. Monitored BP: 1st reading 77/47 HR 51 at 6:19pm. Call 911 - did 2nd reading 6:22pm 97/58 HR 65. Emergency services arrived BP 101 normal. Pt declined further care. Pt stated did not eat for the day. Had smoothie at 4pm. History of low blood pressure.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash
Clinical narrative: Pt called 10/16/2019 and concern about a rash/itch she has on her stomach, which she describes like she's been "branded", pt denies any pus or new products she is using.  Recommended pt to seek medical attention or see her PCP right away. In addition, I also called her PCP, I spoke to employee and they will reach us to pt.   On 10/17/19, I called pt to follow-up, she states that the MD she d seen is not sure if rash is associated with the shingrix. The provider still recommended for her to received the 2nd shot 2 month after receiving the 1st shot. Pt was prescribed and antibiotic treatment. Pt also indicated that eash seems to be getting better.
Sex: M
Vaccine: FLUX
Symptoms: Antinuclear antibody negative, Blood creatine phosphokinase increased, Blood glucose normal, Blood urine absent, C-reactive protein
Clinical narrative: Flu shot received 10/7/19. Had fever achiness x1d. Rode mountain bike, x 2 days in a Row. 10/10/19 developed severe myalgias; started proximal arms & legs; proceeded distally. 1st visit 10/13 hematuria increased + on dip stick; initial CPK 682 10/16/19 CPK decreased to 260 symptoms improved. Next F/U 2-3wks 10/19/19 phone call. Pt feels great; walking Normal Reasons for CDC Consultation Presentation Compatible with Rhabdomyolysis. Is this common after flu shots? Recommendations regarding Future Flu shots. Please advise
Sex: M
Vaccine: FLUX
Symptoms: Haematuria, Myalgia, Pain, Pyrexia, Red blood cell sedimentation rate normal
Clinical narrative: Flu shot received 10/7/19. Had fever achiness x1d. Rode mountain bike, x 2 days in a Row. 10/10/19 developed severe myalgias; started proximal arms & legs; proceeded distally. 1st visit 10/13 hematuria increased + on dip stick; initial CPK 682 10/16/19 CPK decreased to 260 symptoms improved. Next F/U 2-3wks 10/19/19 phone call. Pt feels great; walking Normal Reasons for CDC Consultation Presentation Compatible with Rhabdomyolysis. Is this common after flu shots? Recommendations regarding Future Flu shots. Please advise
Sex: M
Vaccine: FLUX
Symptoms: Rhabdomyolysis, Rheumatoid factor negative, Streptococcus test negative, Urine analysis normal
Clinical narrative: Flu shot received 10/7/19. Had fever achiness x1d. Rode mountain bike, x 2 days in a Row. 10/10/19 developed severe myalgias; started proximal arms & legs; proceeded distally. 1st visit 10/13 hematuria increased + on dip stick; initial CPK 682 10/16/19 CPK decreased to 260 symptoms improved. Next F/U 2-3wks 10/19/19 phone call. Pt feels great; walking Normal Reasons for CDC Consultation Presentation Compatible with Rhabdomyolysis. Is this common after flu shots? Recommendations regarding Future Flu shots. Please advise
Age: 62.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Mass, Nodule
Clinical narrative: Patient returned to clinic on 10/9/19 complaining of having local injection site reaction with swelling, redness and warmth the evening of 8/27/19 after receiving MMR vaccine. Redness & swelling subsided after a few days but a "knot" mass has not resolved. Patient wants to know if it is related to the vaccination.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever 102, aching body, pain on injection arm
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Dyspnoea, Feeling cold, Nausea
Clinical narrative: First started out with being achey all over then about 1 hour later became so cold no fever as I check numbers times then became weak and nausea and then became sob check sats they were 70. Started using inhaler and neb tx for the next hour. Finally got the o2 sats up in lower 80's was going to go to the hospital but I figured they would do the same as I was doing. This lasted until after midnight until I got my o2 sats in low 90's. About 0100 the sob finally resolved. I started feeling normal about 0200.