chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: M
Vaccine: TDAP
Symptoms: Bone pain, Feeling hot, Hypoaesthesia, Impaired work ability, Insomnia
Clinical narrative: On 6/20/19 patient reported pain to the left arm that started the day after he received the Tdap vaccine. Denied pain with the injection. Some soreness on day 2 and 3. Since then pain has felt deeper and worse, like in the bone. Worse when lifting arm and hand. Difficult to sleep and sleep, Struggling at work. Pain throughout the day and night. Some numbness and warmth to the fingers.
Age: 46.0
Sex: M
Vaccine: TDAP
Symptoms: Pain, Pain in extremity
Clinical narrative: On 6/20/19 patient reported pain to the left arm that started the day after he received the Tdap vaccine. Denied pain with the injection. Some soreness on day 2 and 3. Since then pain has felt deeper and worse, like in the bone. Worse when lifting arm and hand. Difficult to sleep and sleep, Struggling at work. Pain throughout the day and night. Some numbness and warmth to the fingers.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Peripheral swelling
Clinical narrative: Swelling of entire thigh near the site of injection
Age: 15.0
Sex: F
Vaccine: HPV9
Symptoms: Fatigue, Headache, Injection site pain, Pyrexia
Clinical narrative: Fever, pain at site and mainly Severe headache- to the point  laying down in a dark room , even after taking Tylenol- which she NEVER requests because she hates to take pills! Additionally she had fatigue- which is not even listed as a possible side effect.   'What you need to know' sheet was given to us after the vaccine, with NO information verbally stated. I think that the sheet needs to be given out BEFORE any vaccine and people strongly encouraged to read the sheets with the strongly probable  ( and 10% or more is strongly probable) You have a trust issue and giving sheets out after the fact and basically sending people away to bear the brunt of any side effects breaks trust.    What if my daughter had to go to work that evening? She needs to have enough information to plan.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Abdominal pain upper, Influenza, Injection site erythema, Injection site pain
Clinical narrative: Redness, swelling, soreness of site Flu symptoms Stomach pain/upset Leg cramps Pain radiating up into shoulder and neck from abdomen
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Muscle spasms, Musculoskeletal pain, Neck pain, Pain
Clinical narrative: Redness, swelling, soreness of site Flu symptoms Stomach pain/upset Leg cramps Pain radiating up into shoulder and neck from abdomen
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Injection site redness and tenderness. Feels hard per patient and itchy.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Fever, chills, headache
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Oedema peripheral, Tremor
Clinical narrative: PATIENT STARTED HAVE SHAKES AND SHIVERS AND ELEVATED TEMPERATURE THE SAME NIGHT. ALSO SOME SWELLING UNDER THE ARM. PATIENT DAD SAME SYMPTOMS UPON PREVIOUS ADMINISTRATION AND SYMPTOMS SUBSIDED IN A COUPLE OF DAYS. TOLD PATIENT THAT IF SYMPTOMS GET WORSE, THEY NEED TO SEEK MEDICAL ATTENTION.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 5cmx2cm reddened, painful, and  warm area noted to (L) upper arm  at site of injection with associated  fatigue & chills
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia, Rash
Clinical narrative: Fever, pain all over body. Rash upper elbow, pain
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema
Clinical narrative: Left shoulder with erythema extending about 10 cm up to clavicle and 3cm distal region. Posterior arm with 3cm area of erythema. Adverse effect began within 24 hrs of receiving vaccine.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Injection site pain, Injection site pruritus, Skin warm, Swelling
Clinical narrative: pt presents with complaint of mi pain and itchiness on site. RN noted area:  redness, warm, raised and little tender to touch vital signs are stable vaccine was administered subcutaneously errouneously by RN.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Tenderness
Clinical narrative: pt presents with complaint of mi pain and itchiness on site. RN noted area:  redness, warm, raised and little tender to touch vital signs are stable vaccine was administered subcutaneously errouneously by RN.
Age: 72.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Loss of personal independence in daily activities, Mobility decreased, Pain in extremity
Clinical narrative: Starting during the injection, a great amount of pain. difficulty moving arm. Extremely limited range of motion continues with severe pain when moving the arm beyond a very limited range. Numerous activities are very negatively affected, including dressing, bathing, tasks inside (cleaning, laundry, making the bed, etc.) and outside the house(trimming shrubs, spreading mulch, etc.) and more, tasks requiring use of the left upper arm, things I was able to do with this arm prior to the vaccine injection. Need help to do these things. Sleep is often interrupted due to pain. Also, can't do my exercises needing use of left arm. I'd hoped that with time, things would get better. They have not. I started this form awhile ago. It's been over four months now with no sign of improvement A downloaded file was used.  I've had difficulty sending the completed form to you.   The person at your number was unable to help, although she tried.
Age: 72.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Joint range of motion decreased, Limb discomfort, Loss of personal independence in daily activities, Sleep disorder
Clinical narrative: Starting during the injection, a great amount of pain. difficulty moving arm. Extremely limited range of motion continues with severe pain when moving the arm beyond a very limited range. Numerous activities are very negatively affected, including dressing, bathing, tasks inside (cleaning, laundry, making the bed, etc.) and outside the house(trimming shrubs, spreading mulch, etc.) and more, tasks requiring use of the left upper arm, things I was able to do with this arm prior to the vaccine injection. Need help to do these things. Sleep is often interrupted due to pain. Also, can't do my exercises needing use of left arm. I'd hoped that with time, things would get better. They have not. I started this form awhile ago. It's been over four months now with no sign of improvement A downloaded file was used.  I've had difficulty sending the completed form to you.   The person at your number was unable to help, although she tried.
Age: 72.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: X-ray
Clinical narrative: Starting during the injection, a great amount of pain. difficulty moving arm. Extremely limited range of motion continues with severe pain when moving the arm beyond a very limited range. Numerous activities are very negatively affected, including dressing, bathing, tasks inside (cleaning, laundry, making the bed, etc.) and outside the house(trimming shrubs, spreading mulch, etc.) and more, tasks requiring use of the left upper arm, things I was able to do with this arm prior to the vaccine injection. Need help to do these things. Sleep is often interrupted due to pain. Also, can't do my exercises needing use of left arm. I'd hoped that with time, things would get better. They have not. I started this form awhile ago. It's been over four months now with no sign of improvement A downloaded file was used.  I've had difficulty sending the completed form to you.   The person at your number was unable to help, although she tried.
Age: 1.0
Sex: F
Vaccine: HEPA
Symptoms: Rash erythematous
Clinical narrative: started having erythematous circular rash 1 day after vaccines given that progressed 1 week afterwards and diagnosed with possible cellulitis.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: fever, chills, fatigue, body aches all over.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Cyanosis, Fatigue, Flushing, Unresponsive to stimuli, Vomiting
Clinical narrative: About 11 hours after receiving his MMR vaccine patient began to get very tiered, his lips turned blue and he was unresponsive for about 10 min, then he vomited but remained very flushed and unresponsive for another 10 min. The peramedics were called and had him go to our local ER.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Rash
Clinical narrative: Rash covering arm and legs
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right thigh with extensive swelling and redness. Redness and swelling from injection site to knee. Improved by 6/29 without intervention.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Fatigue, Myalgia
Clinical narrative: FATIGUE, aching joint and muscle pain, mild shivering
Age: 63.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Abdominal pain upper, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: No symptoms other than significant pain in arm during the daytime after the injections. Took ibuprofen at 5pm for arm pain.  By 10 PM feeling general achiness, including headache and stomach ache. Fever rose to 101.9F (baseline norm is 97.1-97.4F) by 2AM.  With regular ibuprofen, the fever remained in the 98-100 range over the next 2 days.  Temperature returned to normal 97.4 on 06/28 about 72 hours after the injection Significant pain in arm continued for 4+ days. Never was significant swelling or any sign of bruise.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Muscular weakness, Myalgia, Pyrexia
Clinical narrative: chills, fever greater than 100 degrees, muscle pain and weakness
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Adverse reaction, Chills, Malaise, Mobility decreased, Pain
Clinical narrative: PATIENT CALLED PHARMACY AT 10:40AM 6/29/2019 AND LEFT A MESSAGE INDICATING SHE HAD AN ADVERSE REACTION THAT STARTED AT 10:30PM ON 6/28/2019 AND LASTED ALL NIGHT UNTIL 5:00 AM 6/29/2019.. PATIENT INDICATED SHE WAS IN PAIN, COULD NOT TURN OVER IN BED, WAS SICK WITH FEVER AND CHILLS.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: PATIENT CALLED PHARMACY AT 10:40AM 6/29/2019 AND LEFT A MESSAGE INDICATING SHE HAD AN ADVERSE REACTION THAT STARTED AT 10:30PM ON 6/28/2019 AND LASTED ALL NIGHT UNTIL 5:00 AM 6/29/2019.. PATIENT INDICATED SHE WAS IN PAIN, COULD NOT TURN OVER IN BED, WAS SICK WITH FEVER AND CHILLS.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Impaired work ability
Clinical narrative: I did have a reaction to the first injection in February; however the second is much worse. Although I just had the shot last night, I do not get sick easily and symptoms are exactly as described on the CDC: Fatigue, muscle pain, headache, shivering, fever, stomach pain, or nausea.  Great nausea.  Unable to work.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: I did have a reaction to the first injection in February; however the second is much worse. Although I just had the shot last night, I do not get sick easily and symptoms are exactly as described on the CDC: Fatigue, muscle pain, headache, shivering, fever, stomach pain, or nausea.  Great nausea.  Unable to work.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash pruritic
Clinical narrative: Itchy rash on arms, legs, and neck.  Advised to use OTC hydrocortisone cream and calamine.  She will follow-up with her doctor Monday.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain, Limb discomfort, Malaise
Clinical narrative: Immediately, upon injection I felt a pain that went down my arm to my elbow.  About an hour later my arm stated to ache and it was hard to move it.  By 6PM I could not lift my arm, I could barely move it, and it was painful.  By 9PM I called the pharmacy and asked what to do - it was severely painful and uncomfortable even just hanging by my side or sitting in my lap.  They said to take Ibuprofen and use ice.  I did that.  I slept poorly but by morning, I could move my arm somewhat and the pain was subsiding.  I was able to use my arm some that day, though I could not raise it very high or hold it out to my side and by the next day I had complete movement and just a bit of soreness.  The shot was given by a Pharmacy trainee - it was his first Shingrix shot.  The Pharmacist watched but did not advise him at all.  I told them of the immediate pain down my arm and they said nothing.  I wondered then if he had hit a nerve.  It seems possible now.  I did not feel completely well the day after the shot, which I think is a normal reaction, as is the mild soreness I still feel.  The extreme pain and immobility of my arm the day of the shot does NOT seem at all normal.  I WILL call my doctor on Monday!
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Poor quality sleep
Clinical narrative: Immediately, upon injection I felt a pain that went down my arm to my elbow.  About an hour later my arm stated to ache and it was hard to move it.  By 6PM I could not lift my arm, I could barely move it, and it was painful.  By 9PM I called the pharmacy and asked what to do - it was severely painful and uncomfortable even just hanging by my side or sitting in my lap.  They said to take Ibuprofen and use ice.  I did that.  I slept poorly but by morning, I could move my arm somewhat and the pain was subsiding.  I was able to use my arm some that day, though I could not raise it very high or hold it out to my side and by the next day I had complete movement and just a bit of soreness.  The shot was given by a Pharmacy trainee - it was his first Shingrix shot.  The Pharmacist watched but did not advise him at all.  I told them of the immediate pain down my arm and they said nothing.  I wondered then if he had hit a nerve.  It seems possible now.  I did not feel completely well the day after the shot, which I think is a normal reaction, as is the mild soreness I still feel.  The extreme pain and immobility of my arm the day of the shot does NOT seem at all normal.  I WILL call my doctor on Monday!
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Asthenia, Chills, Erythema, Fatigue
Clinical narrative: Pain, Redness, Swelling, High Fever, Chills, Stomach Pain, Neck Pain, Headache Pain, General Tiredness and Weakness
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Neck pain, Pain, Pyrexia, Swelling
Clinical narrative: Pain, Redness, Swelling, High Fever, Chills, Stomach Pain, Neck Pain, Headache Pain, General Tiredness and Weakness
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site reaction, Injection site warmth
Clinical narrative: PT EXPERIENCING LARGE, EXPANDING RED AREA  AT THE INJECTION SITE. WARM TO THE TOUCH.  PT REPORTS IT WAS PRESENT AT HER FIRST DOSE BUT NOT AS LARGE.   SHE REPORTED THAT IT WAS  ABOUT 5X4 INCHES ON 06/28 AND TODAY IT IS MUCH LARGER.  SHE CAME TO THE PHARMACY TO REPORT THE REACTION.  SHE HAS BEEN USING ICE AND BENEDRYL AS TREATMENT- SHE WAS ADVISED TO USE UP TO 300 MG PER DAY OF BENEDRYL.  SHE WAS ALSO ADVISED TO REPORT TO EMERGENCY DEPARTMENT IF EXPERIENCING ANY FEVER AND/OR BREATHING ISSUES.  SHE DECLINED TO SEEK MEDICAL TREATMENT AT THIS TIME.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site reaction, Rash erythematous, Rash pruritic
Clinical narrative: Pt states she had 3.5 inch by 2.5 inch bruise surrounding injection site as well as a red itchy rash above and below injection site.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Influenza, Pain, Somnolence
Clinical narrative: Pt states he had excessive sleepiness, real bad aches and pains all over, and flu symptoms.   Lasted more than 5 days  pt reportedly took advil and Tylenol.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site pain, Injection site warmth, Mobility decreased, Pyrexia
Clinical narrative: Fever, chills, vomiting, Arm immobility, Pain and Heat from Chin down to past Elbow on the side where the shot was given,, 2 days Arm and shoulder are still sore on 3rd day but other adverse effects are gone.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: Fever, chills, vomiting, Arm immobility, Pain and Heat from Chin down to past Elbow on the side where the shot was given,, 2 days Arm and shoulder are still sore on 3rd day but other adverse effects are gone.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Breath sounds abnormal, Discomfort, Hypopnoea, Lip swelling, Rash erythematous
Clinical narrative: Mom noticed several small 2 cm white raised bumps appearing on patient's arms and back within 2 hours of vaccine administration. These white bumps quickly developed into larger red pruritic bumps which spread over patient's scalp, neck, trunk, arms, and legs. Within 15 mins, parents drove patient back to pediatrician's office for evaluation. In the car, he began to exhibit signs of respiratory distress - he was taking swallow breaths, had audible upper airway sounds (not stridor or wheezing, but sounded like an adult when they're handling post-nasal drip), and looked very uncomfortable. Did not shows signs of tongue swelling, complete airway obstruction, apnea, or cyanosis. His lips were swollen in the area where there were hives. Upon arrival at the pediatrician's office, patient was given Benadryl, which quickly alleviated his respiratory symptoms and skin findings.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Rash pruritic, Respiratory distress, Urticaria
Clinical narrative: Mom noticed several small 2 cm white raised bumps appearing on patient's arms and back within 2 hours of vaccine administration. These white bumps quickly developed into larger red pruritic bumps which spread over patient's scalp, neck, trunk, arms, and legs. Within 15 mins, parents drove patient back to pediatrician's office for evaluation. In the car, he began to exhibit signs of respiratory distress - he was taking swallow breaths, had audible upper airway sounds (not stridor or wheezing, but sounded like an adult when they're handling post-nasal drip), and looked very uncomfortable. Did not shows signs of tongue swelling, complete airway obstruction, apnea, or cyanosis. His lips were swollen in the area where there were hives. Upon arrival at the pediatrician's office, patient was given Benadryl, which quickly alleviated his respiratory symptoms and skin findings.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Rash generalised
Clinical narrative: Patient experienced mild fever day after vaccination then three days after exhibited rash over entire body
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site erythema, Injection site pruritus, Injection site swelling, Pruritus
Clinical narrative: patient states she had severe swelling at the site the morning after receiving vaccine. Patient states she  has a red itchy patch at the injection site. Patient stated she has experienced several red itchy patches on her body since receiving the vaccine. She showed me a current red itchy patch of her left side.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Localized redness/Warmth/Swelling (Worst was experienced on the second day but has since decreased)
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Muscle fatigue, Muscular weakness
Clinical narrative: The day following the immunization the patient experienced muscle weakness and fatigue to the extent that it was difficult to move. The patient reports improvement on the 2nd day after immunization but still experiencing muscle weakness and fatigue
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Fatigue, Postural orthostatic tachycardia syndrome
Clinical narrative: Patient described extreme fatigue after receiving second Shingrix vaccine. She said she was in bed for about a month after the vaccine, that it worsened her POTS.
Age: 59.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blister, Blister rupture, Chills, Injection site erythema, Migraine
Clinical narrative: Within 1-2 hours I developed migraine, then the injection site erythema, 2nd day all started. Severe pain in left arm NOT at injection site but more medially but nothing there. By 6pm driving home, was febrile, had shaking chills, couldn't keep my eyes open and the L. arm pain was so bad that I had to open and close my car door with the right. At 1:30am was woken up when I rolled on my left arm with sharp pain and that's when I noticed blisters, 2 big ones which confluenced into one HUGE and painful one and numerous small ones. Large one burst when I tried to cover it to go to pharmacy and see the pharmacist, mainly serous fluid drained.  Now area looks like 2nd degree burn and painful. W/ 1st shingrix felt like I had the flu and was in bed for 3 days. Never had a problem w/ Zostovax.
Age: 59.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pain in extremity, Pyrexia, Secretion discharge, Skin exfoliation, Sleep disorder
Clinical narrative: Within 1-2 hours I developed migraine, then the injection site erythema, 2nd day all started. Severe pain in left arm NOT at injection site but more medially but nothing there. By 6pm driving home, was febrile, had shaking chills, couldn't keep my eyes open and the L. arm pain was so bad that I had to open and close my car door with the right. At 1:30am was woken up when I rolled on my left arm with sharp pain and that's when I noticed blisters, 2 big ones which confluenced into one HUGE and painful one and numerous small ones. Large one burst when I tried to cover it to go to pharmacy and see the pharmacist, mainly serous fluid drained.  Now area looks like 2nd degree burn and painful. W/ 1st shingrix felt like I had the flu and was in bed for 3 days. Never had a problem w/ Zostovax.
Age: 59.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Somnolence, Tremor, Wound treatment
Clinical narrative: Within 1-2 hours I developed migraine, then the injection site erythema, 2nd day all started. Severe pain in left arm NOT at injection site but more medially but nothing there. By 6pm driving home, was febrile, had shaking chills, couldn't keep my eyes open and the L. arm pain was so bad that I had to open and close my car door with the right. At 1:30am was woken up when I rolled on my left arm with sharp pain and that's when I noticed blisters, 2 big ones which confluenced into one HUGE and painful one and numerous small ones. Large one burst when I tried to cover it to go to pharmacy and see the pharmacist, mainly serous fluid drained.  Now area looks like 2nd degree burn and painful. W/ 1st shingrix felt like I had the flu and was in bed for 3 days. Never had a problem w/ Zostovax.
Age: 59.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blister, Chills, Injection site erythema, Injection site pain, Migraine
Clinical narrative: Within 1-2 hours I developed migraine, then the injection site erythema, 2nd day all started. Severe pain in left arm NOT at injection site but more medially but nothing there. By 6pm driving home, was febrile, had shaking chills, couldn't keep my eyes open and the L. arm pain was so bad that I had to open and close my car door with the right. At 1:30am was woken up when I rolled on my left arm with sharp pain and that's when I noticed blisters, 2 big ones which confluenced into one HUGE and painful one and numerous small ones. Large one burst when I tried to cover it to go to pharmacy and see the pharmacist, mainly serous fluid drained.  Now area looks like 2nd degree burn and painful. W/ 1st shingrix felt like I had the flu and was in bed for 3 days. Never had a problem w/ Zostovax.
Age: 59.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pyrexia
Clinical narrative: Within 1-2 hours I developed migraine, then the injection site erythema, 2nd day all started. Severe pain in left arm NOT at injection site but more medially but nothing there. By 6pm driving home, was febrile, had shaking chills, couldn't keep my eyes open and the L. arm pain was so bad that I had to open and close my car door with the right. At 1:30am was woken up when I rolled on my left arm with sharp pain and that's when I noticed blisters, 2 big ones which confluenced into one HUGE and painful one and numerous small ones. Large one burst when I tried to cover it to go to pharmacy and see the pharmacist, mainly serous fluid drained.  Now area looks like 2nd degree burn and painful. W/ 1st shingrix felt like I had the flu and was in bed for 3 days. Never had a problem w/ Zostovax.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Alopecia, Alopecia universalis, Biopsy skin abnormal, Pruritus
Clinical narrative: Received injection Sunday afternoon.  Early Monday morning (2/4/2019), head started itching badly.  Wednesday (2/6/2019), hair started falling out in clumps.  By the following Wednesday (2/13/2019) most of my hair had fallen out.  Within a couple of weeks, I had no hair anywhere on my body. Still 5 months later still have no hair anywhere and none looks as if it is growing back.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Chills, Fatigue, Injection site pain, Nausea
Clinical narrative: Very sore arm around injection site Backache Fatigue Nausea Chills Began 24 hours after immunization
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Measles post vaccine
Clinical narrative: Measles vaccine rash -
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site erythema, Injection site induration, Injection site pain, Pain
Clinical narrative: 6/27 fevers, chills aches 6/28 injection site redness, hard, and painful
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: 6/27 fevers, chills aches 6/28 injection site redness, hard, and painful
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Adenocarcinoma of the cervix, Biopsy cervix, Biopsy cervix normal, Cervicectomy, Colposcopy
Clinical narrative: Ended up with Adenocarcinoma In Situ due to the HPV 18 strain (found out bout the diagnosis in sept 2018 approx). Had part of my cervix removed in May 2019 by Dr. Margins came back negative (no more cancer was found)
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Papilloma viral infection, Smear cervix
Clinical narrative: Ended up with Adenocarcinoma In Situ due to the HPV 18 strain (found out bout the diagnosis in sept 2018 approx). Had part of my cervix removed in May 2019 by Dr. Margins came back negative (no more cancer was found)
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Diarrhoea, Disorientation, Erythema
Clinical narrative: 11 hours after receiving the shot, I had a sudden onset of side effects.  Swollen arm, warm to touch - expected.  Unexpected were the other reported side effects.  Sudden onset of:  shivering, slight disorientation, nausea, diarrhea, blurred vision, aches, fever (99.2 - 100.2 over the next 8 hours), very weak and tired, muscle aches.  Symptoms lessened about 16 hours after onset.  Symptoms gone after about 30 hours from time of shot.  I did not feel myself until the afternoon of Friday, 6/28/19.  Albeit, my arm is still red, swollen and sore as of 6/29/2019.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Feeling abnormal, Myalgia, Nausea, Pain
Clinical narrative: 11 hours after receiving the shot, I had a sudden onset of side effects.  Swollen arm, warm to touch - expected.  Unexpected were the other reported side effects.  Sudden onset of:  shivering, slight disorientation, nausea, diarrhea, blurred vision, aches, fever (99.2 - 100.2 over the next 8 hours), very weak and tired, muscle aches.  Symptoms lessened about 16 hours after onset.  Symptoms gone after about 30 hours from time of shot.  I did not feel myself until the afternoon of Friday, 6/28/19.  Albeit, my arm is still red, swollen and sore as of 6/29/2019.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia, Skin warm, Vision blurred
Clinical narrative: 11 hours after receiving the shot, I had a sudden onset of side effects.  Swollen arm, warm to touch - expected.  Unexpected were the other reported side effects.  Sudden onset of:  shivering, slight disorientation, nausea, diarrhea, blurred vision, aches, fever (99.2 - 100.2 over the next 8 hours), very weak and tired, muscle aches.  Symptoms lessened about 16 hours after onset.  Symptoms gone after about 30 hours from time of shot.  I did not feel myself until the afternoon of Friday, 6/28/19.  Albeit, my arm is still red, swollen and sore as of 6/29/2019.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Fever, chills, malaise, extreme fatigue, site redness, induration and swelling from about 18 hours after injection through about 40 hours after injection. Experienced similar reaction following Shingrix #1 vaccination, but never before to any other vaccine. I have received all recommended yearly flu vaccines without incident.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Pyrexia
Clinical narrative: Fever, chills, malaise, extreme fatigue, site redness, induration and swelling from about 18 hours after injection through about 40 hours after injection. Experienced similar reaction following Shingrix #1 vaccination, but never before to any other vaccine. I have received all recommended yearly flu vaccines without incident.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Fatigue, Insomnia, Pain, Pyrexia
Clinical narrative: light fever in late evening, went to bed around 11:00 pm, fever began to peak by midnight  sever shaking for several hours, mild headache did not sleep much until ca 4 am, exhausted the following day shoulder somewhat swollen, redness over much of outer shoulder persisted for 3 days, with pain and redness gone by Saturday 29
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Swelling, Tremor
Clinical narrative: light fever in late evening, went to bed around 11:00 pm, fever began to peak by midnight  sever shaking for several hours, mild headache did not sleep much until ca 4 am, exhausted the following day shoulder somewhat swollen, redness over much of outer shoulder persisted for 3 days, with pain and redness gone by Saturday 29
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Headache, Pyrexia
Clinical narrative: Fever, aching joints, severe headache
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Anxiety, Chills, Headache, Myalgia, Nocturia
Clinical narrative: moderate muscle pain, headache, shivering, anxiety and not sleeping well, frequent restroom trips overnight --six or seven times
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Poor quality sleep
Clinical narrative: moderate muscle pain, headache, shivering, anxiety and not sleeping well, frequent restroom trips overnight --six or seven times
Age: 19.0
Sex: F
Vaccine: HEPA
Symptoms: Loss of consciousness, Seizure, Syncope
Clinical narrative: Patient fainted after vaccine was administered and began convulsing.  Emergency services were called immediately.  Patient regained consciousness after approximately 30 seconds.  EMS personnel monitored patient and she was able to leave without treatment
Age: 54.0
Sex: F
Vaccine: DTAP, PPV
Symptoms: Inflammation, Peripheral swelling, Skin reaction
Clinical narrative: Arm swelling, red and inflamed
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash pruritic
Clinical narrative: Developed itchy rash across stomach and abdomen starting about 5 hours after the injection and beginning to dissipate about 12 hours later
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site pain, Nausea, Pain
Clinical narrative: I RECEIVED SHOT AT APPROX.  8:00AM, FRIDAY, JUNE 28, 2019, IN THE LEFT UPPER SHOULDER/ARM AREA AT THE STATION OF DR., AT THE CLINIC.  I HAD NO IMMEDIATE REACTION, BUT BY 1;00PM MY LEFT SHOULDER NSTARTED TO FEEL VERY TIGHT.  I TRIED STRETCHING IT. BY 3:00PM I STARTED GETTING WORSE AND WORSE ACHE IN LEFT SHOULDER AREA. IT GOT TO THE POINT THAT I COULD NOT RAISE MY ARM WITHOUT SEVERE3 PAIN. I WENT HOME AND TOOK TYLENOL , 2 PILLS AND WENT TO BED.  ALSO USED ICE PACK ON SHOULDER.  THE PAIN SUBSIDED A LITTLE, BUT RETURNED AS SOON AS TYLENOL WORE OFF.  TOOK 2 MORE TYLENOL AGAIN HELPED A LITTLE BUT STILL SEVERE PAIN WITH ANY MOVEMENT. NEXT DAY WAS NAUSEATED.. THE SHOULDER WAS SOMEWHAT BETTER AND BY THE  30TH IT WAS CONSIDERABLY BETTER.
Age: 1.5
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Erythema, Oedema, Skin warm
Clinical narrative: Edema and erythema, warmth approximately 6 cm in diameter. Lasted 3 days. No treatment.
Age: 20.0
Sex: F
Vaccine: MNQ
Symptoms: Hyperhidrosis, Loss of consciousness, Nausea
Clinical narrative: patient has a history of feeling nauseous after immunizations.  This was the first time that she had lost consciousness after a immunization.  After she gained consciousness she was sweating but okay and left after the paramedics checked her vitals.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, muscle aches, fever, shivering, fatigue
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Gait disturbance, Middle insomnia, Muscle tightness
Clinical narrative: Pt called on 06/30/19 stating that she had a "severe" reaction to her 2nd dose of Shingrix administered 06/29/19.  Patient received dose #2 on 06/29/19 and stated that around 1:30am on 06/30/19, she awoke with a very sore arm.  She took 400mg of ibuprofen at that time.  Shortly thereafter, she developed a fever of 103F, vomitted 4 times, could not walk well due to muscle tension/muscle tightening, was trembling and had teeth chattering.  Of note, she had no diarrhea.  Patient reported this reaction to me at 12:30pm on 06/30/19.  At time of reporting, patient stated she was feeling much better apart from feeling weak.  She took 400mg of ibuprofen at 10am and reported no fever at this time.    I inquired about any adverse reactions following her first dose of Shingrix on 04/05/19.  She stated that the first dose gave her flu-like symtoms she described as "achy, tired, lethargic" but no GI adverse reactions.    I explained to patient that I would be writing up this reaction on VAERS and thanked her for alerting me.  I also asked her to let her primary care provider know.   I do not have record of her PCP as she only gets vaccines at this pharmacy, no medications.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Pyrexia, Tremor, Vaccination complication, Vomiting
Clinical narrative: Pt called on 06/30/19 stating that she had a "severe" reaction to her 2nd dose of Shingrix administered 06/29/19.  Patient received dose #2 on 06/29/19 and stated that around 1:30am on 06/30/19, she awoke with a very sore arm.  She took 400mg of ibuprofen at that time.  Shortly thereafter, she developed a fever of 103F, vomitted 4 times, could not walk well due to muscle tension/muscle tightening, was trembling and had teeth chattering.  Of note, she had no diarrhea.  Patient reported this reaction to me at 12:30pm on 06/30/19.  At time of reporting, patient stated she was feeling much better apart from feeling weak.  She took 400mg of ibuprofen at 10am and reported no fever at this time.    I inquired about any adverse reactions following her first dose of Shingrix on 04/05/19.  She stated that the first dose gave her flu-like symtoms she described as "achy, tired, lethargic" but no GI adverse reactions.    I explained to patient that I would be writing up this reaction on VAERS and thanked her for alerting me.  I also asked her to let her primary care provider know.   I do not have record of her PCP as she only gets vaccines at this pharmacy, no medications.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Peripheral swelling, Rash pustular
Clinical narrative: postules and arm swelling
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site nodule, Injection site pain, Nodule
Clinical narrative: Patient reported injection site pain that turned into knot. The knot began on the front of her left shoulder and has traveled to her back. She went to the doctor and received a steroid shot which temporary relieved pain, but she still has pain and a knot on her back. She went to get a massage and that moved the knot upwards to the top of her shoulder, but she still has pain in her left shoulder.
Age: 61.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Nausea, Nodule, Pain, Peripheral swelling
Clinical narrative: nausea, headache, swollon arm with nodule, hot to touch, and pain
Age: 61.0
Sex: F
Vaccine: HEP
Symptoms: Skin warm
Clinical narrative: nausea, headache, swollon arm with nodule, hot to touch, and pain
Age: 62.0
Sex: F
Vaccine: PNC13
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Injection site pain
Clinical narrative: Fever, chills, muscle pain, fatigue, headache, reduced appetite, injection site pain and swelling, sleepiness
Age: 62.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site swelling, Myalgia, Pyrexia, Somnolence
Clinical narrative: Fever, chills, muscle pain, fatigue, headache, reduced appetite, injection site pain and swelling, sleepiness
Age: 34.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Fatigue, Headache, Muscle fatigue, Nausea
Clinical narrative: fever, chills, severe headache, nausea, fatigue, muscle fatigue
Age: 34.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: fever, chills, severe headache, nausea, fatigue, muscle fatigue
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Body temperature increased, Injection site warmth, Pruritus
Clinical narrative: local arm itching, heat/hot at site, had temp of 101 degrees day after shot
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Influenza like illness, Injection site erythema, Injection site pain
Clinical narrative: Injection site: swollen red sore.  Fever, headache, fatigue, pain.  Felt like I had a horrible flu.  Arm is STILL red and swollen and spread although slightly minimized each day.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Pain, Pyrexia
Clinical narrative: Injection site: swollen red sore.  Fever, headache, fatigue, pain.  Felt like I had a horrible flu.  Arm is STILL red and swollen and spread although slightly minimized each day.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Ear pain, Erythema, Pain in extremity, Skin warm
Clinical narrative: Patient called pharmacy on Sunday morning  6/30/2019 complaining about red sore arm, that felt warm and said it felt like the pain was traveling up his ear.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test, Headache, Urine analysis, Vomiting, X-ray
Clinical narrative: Headache, vomiting that lasted for a week.  Went to ER on day 4 and had I.V. and anti-nausea med.  Finally recovered day 10.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling
Clinical narrative: swollen at the injection site
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling, Pruritus, Skin warm, Urticaria
Clinical narrative: Upper arm swells, large red patch develops and itches like crazy.  Itching goes underarm near armpit also.  Skin is hot
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site pain, Pyrexia
Clinical narrative: The Shingrix shot was injected in to my left upper arm at 2:55 pm on Saturday, June 15, 2019.  At 9:00 pm my deltoid muscle was very sore.  At 8:00 am on Sunday, which was the next day, I had a 102 degree fever that lasted until 6:00 pm that same day.  I had no nausea.  Simply a high fever and extreme fatigue.  I stayed in bed all day and drank fluids.  The injection site was sore for 3 days.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Myalgia, Nausea
Clinical narrative: tired, muscle pain, nausea, shivering
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Musculoskeletal stiffness, Pain in extremity, Skin warm
Clinical narrative: Patient had large area of warm red skin about softball size. It was not raised or swollen but said arm was stiff and sore as well. She had been using ice to keep any swelling down. Went to Doctor to have it checked and was given an antibiotic (Cephalexin) to take to prevent cellulitis (according to patient).
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site reaction, Pain in extremity, Rash erythematous
Clinical narrative: PATIENT REPORTED DEVELOPING A RED RASH LIKE APPEARANCE AROUND INJECTION SITE 2 DAYS FOLLOWING SHINGRIX ADMINISTRATION. RASH DEVELOPED IN THE EVENING BUT LOOKED MUCH BETTER IN THE MORNING, WAS MORE OF JUST REDNESS IN THE MORNING RATHER THAN RASH LIKE. TOOK BENADRYL AND CONTINUED TO IMPROVE.  REDNESS ACCOMPANIED BY ARM SORENESS WHICH HAS ALSO IMPROVED. COUNSELED PATIENT TO CONTINUE WITH BENADRYL FOR REDNESS, IBUPROFEN AND ICE PACK FOR SORENESS/SWELLING,  AND TO CALL IF SYMPTOMS WORSEN.
Age: 67.0
Sex: M
Vaccine: UNK
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Injection site warmth, Migraine
Clinical narrative: Patient had migraine level headaches on 06/29/18.  By 6:00 PM both headaches and body aches were gone. Arm was no longer sore. Then on 6/30/2019 his arm swelled at the point of injection, it is hot, has approximately a 4 inch diameter hard swelling around the point of injection. He also has another swollen patch above the area of swelling toward his neck. The arm hurts again at the point of injection.
Age: 67.0
Sex: M
Vaccine: UNK
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient had migraine level headaches on 06/29/18.  By 6:00 PM both headaches and body aches were gone. Arm was no longer sore. Then on 6/30/2019 his arm swelled at the point of injection, it is hot, has approximately a 4 inch diameter hard swelling around the point of injection. He also has another swollen patch above the area of swelling toward his neck. The arm hurts again at the point of injection.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Dyspnoea
Clinical narrative: patient was given vaccine about 4:25-4:30 pm 6/30/2019.  patient and husband were in booth after immunization while talking with me.  she said she was fine and they left. she came back almost immediately and stated she just needed to sit down as she felt a little dizzy and as though it was a little difficult to catch her breath.  I asked her if she had ever had a reaction like this before and she said she did once before when she was stung by a bee.  when that happened she took benadryl and felt better.  she sat down and tried to slow her breathing.  she put her head down towards her knees while I got a cold compress for her neck and one for her forehead.  i had her take her jacket off to cool down.  I asked her if she wanted me to call an ambulance or direct her to an urgent care and she said no.  she said she felt similar to when she had the bee sting and asked for a dose of benadryl.  i confirmed with market manager that it was ok to administer 10 ml (25mg) of liquid benadryl.  I checked patient's blood pressure at about 445 and it was 122/73, pulse 79.  Patient said that was slightly high for her.  I sat with her and her husband for a few minutes, checking on her.  After about 15 minutes she stated she was feeling a little better.   I took her blood pressure again when she said she wanted to go and it was 117/71 pulse 78. she stated she felt much better.  we discussed the current symptoms and to call 911 should they exacerbate.  she confirmed she had benadryl if needed.  I advised I would call her tonight to check on her.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Oropharyngeal pain
Clinical narrative: Patient called on 06/29 and complained she got a sore throat two days after receiving the vaccine  .  She called her doctor and he advised taking a Benadryl and go to the urgent care .
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Fatigue, Impaired work ability, Influenza like illness
Clinical narrative: Next day; some pain at injection site, flu like symptoms; feeling tired and week, shivering, fever, nausea, muscle aches. Had to leave work and go to bed. Could not function normally the day after the injection. Same symptoms continued the second day after the injection with slight improvement later in the day, however a slightly raised rash appeared between my neck and shoulders with the same rash at the injection site.  All these symptoms continued into and throughout day three which is the time of this report. Generally the flu like symptoms improve each day, however the extent of the side effects was much more intense and encompassing than any other vaccine I have every received.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site rash, Myalgia, Nausea, Pyrexia
Clinical narrative: Next day; some pain at injection site, flu like symptoms; feeling tired and week, shivering, fever, nausea, muscle aches. Had to leave work and go to bed. Could not function normally the day after the injection. Same symptoms continued the second day after the injection with slight improvement later in the day, however a slightly raised rash appeared between my neck and shoulders with the same rash at the injection site.  All these symptoms continued into and throughout day three which is the time of this report. Generally the flu like symptoms improve each day, however the extent of the side effects was much more intense and encompassing than any other vaccine I have every received.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Next day; some pain at injection site, flu like symptoms; feeling tired and week, shivering, fever, nausea, muscle aches. Had to leave work and go to bed. Could not function normally the day after the injection. Same symptoms continued the second day after the injection with slight improvement later in the day, however a slightly raised rash appeared between my neck and shoulders with the same rash at the injection site.  All these symptoms continued into and throughout day three which is the time of this report. Generally the flu like symptoms improve each day, however the extent of the side effects was much more intense and encompassing than any other vaccine I have every received.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye movement disorder, Feeling abnormal, Immediate post-injection reaction, Loss of consciousness, Nausea
Clinical narrative: Patient reuqested Shingrix vaccine. Prior to injection patient stated she wasn't feeling good and was getting a vertigo attack but still wanted to get the vaccine. However  immediately after injection said she doesn't feel good and passed out after injection. Her eyes rolled into the back of her head, she leaned her head back and lost all color. She went out of conciousness. We laid her on the floor. She was still breathing. She regained conciousness within appx. 10 seconds. Patient then felt nauseous and vomitted. Patient fully regained conciousness. Her last event recalled was finishing the vaccine and. She was alert and knew place and time. Patient appeared stable and was taken by EMS  to hospital.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pallor, Vomiting
Clinical narrative: Patient reuqested Shingrix vaccine. Prior to injection patient stated she wasn't feeling good and was getting a vertigo attack but still wanted to get the vaccine. However  immediately after injection said she doesn't feel good and passed out after injection. Her eyes rolled into the back of her head, she leaned her head back and lost all color. She went out of conciousness. We laid her on the floor. She was still breathing. She regained conciousness within appx. 10 seconds. Patient then felt nauseous and vomitted. Patient fully regained conciousness. Her last event recalled was finishing the vaccine and. She was alert and knew place and time. Patient appeared stable and was taken by EMS  to hospital.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Headache, Lip swelling, Myalgia
Clinical narrative: bottom lip swollen, muscle ache, severe headache, upset stomach
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Musculoskeletal chest pain, Pain, Painful respiration
Clinical narrative: Patient reported to the pharmacy today (6/30/19) that she started to experience pain on her right rib-case when she is breathing in and out. She feels fatigue, shivering and pain on the right side of her body.
Age: 65.0
Sex: F
Vaccine: PNC13, VARZOS
Symptoms: Chills, Pyrexia
Clinical narrative: Pt developed fever and chill at night.