chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: DTAPIPV, IPV, MNQ, TDAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Initial information received on 06-Sep-2018 regarding an unsolicited valid non-serious case received from an other health professional. This case involves a 12 years old patient of unknown gender who received QUADRACEL on 21-Aug-2018 instead of their fourth dose of ADACEL and third dose of IPOL. The patient's past vaccination(s) included IPOL POLIO VACCINE with 2 dose prior to 21-Aug-2018. And DTAP with three out of the four dose prior to 21-Aug-2018. The patient's past medical history, medical treatment(s) and family history were not provided. Concomitant medications included MENACTRA for Immunization and also include Pediatric Hep. On an unknown date, the patient received a third dose of suspect IPV (VERO) lot number not reported via unknown route. On an unknown date, the patient received a Fourth dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE lot number not reported via unknown route. On 21-Aug-2018, the patient received a Fourth dose of suspect DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE lot C5497AA via unknown route in the left deltoid. It was a case of actual medication error due to Wrong vaccine administered and also for Inappropriate age at vaccine administration as patient received QUADRACEL at age of 12 years hence QUADRACEL was for the patient up to six years of age. It was not reported that any adverse reaction occurred or not. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal discomfort, Nausea, Pruritus, Rash generalised
Clinical narrative: Itching 45min after injection. Progressive worse full body rash, stomach upset acid stomach nausea.
Age: 24.0
Sex: F
Vaccine: FLU4
Symptoms: Diplopia, Dizziness, Feeling hot, Hypersensitivity, Vision blurred
Clinical narrative: Patient complained of overall feeling of warmth about 30 min after injection-became increasingly dizzy with vision disturbances-double vision and blurred vision. Sent to hospital where fluids were administered and patient observed. Atypical allergic reaction diagnosed at hospital.
Age: 17.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain upper, Erythema multiforme, Laboratory test, Nausea, Oropharyngeal pain
Clinical narrative: 9/5 Sore throat and body aches. 9/6 stomach ache/nausea. 9/9 covered in Hives -none allergy pill calamine lotion. 9/9 Urgent Care - methylprednisolone/BENADRYL. 9/9 Emergency Room - Cetirizine.
Age: 17.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Urticaria
Clinical narrative: 9/5 Sore throat and body aches. 9/6 stomach ache/nausea. 9/9 covered in Hives -none allergy pill calamine lotion. 9/9 Urgent Care - methylprednisolone/BENADRYL. 9/9 Emergency Room - Cetirizine.
Age: 82.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Contusion
Clinical narrative: Bruising noted to (L) arm 22 cm x 11 cm. Pt denies pain or warmth to (L) arm.
Age: 0.67
Sex: M
Vaccine: DTAP, IPV
Symptoms: Irritability, Mouth breathing, Pharyngitis, Pyrexia, Rhinorrhoea
Clinical narrative: Patient woke up from nap warm with a fever, also with nasal discharged, and irritability.
Age: 0.67
Sex: M
Vaccine: DTAP, IPV
Symptoms: Teething
Clinical narrative: Patient woke up from nap warm with a fever, also with nasal discharged, and irritability.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Atrial fibrillation, Condition aggravated, Cough, Diarrhoea
Clinical narrative: She received vaccine 7/31. On 8/4 she began to have joint aching, nausea, diarrhea, fever and then a low-grade cough. When she came to ER she had temp of 101, rapid A. Fib and a RUL infiltrate. Treated for CAP but no organism identified and fever persisted 4 txs with IV LEVAQUIN.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Lung infiltration, Nausea, Pneumonia, Pyrexia
Clinical narrative: She received vaccine 7/31. On 8/4 she began to have joint aching, nausea, diarrhea, fever and then a low-grade cough. When she came to ER she had temp of 101, rapid A. Fib and a RUL infiltrate. Treated for CAP but no organism identified and fever persisted 4 txs with IV LEVAQUIN.
Age: 6.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Mother specifies that after the PNEUMOVAX 23 vaccine was administered on the left arm there was swelling, she complained of pain, it was warm to touch, redness and fever. She was examined by doctor and was prescribed Cephalexin 250mg/oral/6ml/every 8 hours for 7 days.
Age: 6.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Mother specifies that after the PNEUMOVAX 23 vaccine was administered on the left arm there was swelling, she complained of pain, it was warm to touch, redness and fever. She was examined by doctor and was prescribed Cephalexin 250mg/oral/6ml/every 8 hours for 7 days.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Received immunizations Wednesday, 8/22/18. Wednesday night noticed arm "a little swollen, but child not complaining of pain. The swelling continued and on Friday morning noticed significant more swelling, red, and warm to touch, still no complaints of pain. Friday, 8/24/18, child presented in clinic with Right Deltoid swollen, red, and warm to touch. Diagnosed as Cellulitis and treated with Cephalexin 250mg/5ml 1 tsp bid x 7 days.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: Received immunizations Wednesday, 8/22/18. Wednesday night noticed arm "a little swollen, but child not complaining of pain. The swelling continued and on Friday morning noticed significant more swelling, red, and warm to touch, still no complaints of pain. Friday, 8/24/18, child presented in clinic with Right Deltoid swollen, red, and warm to touch. Diagnosed as Cellulitis and treated with Cephalexin 250mg/5ml 1 tsp bid x 7 days.
Age: 11.0
Sex: M
Vaccine: PNC13, TDAP
Symptoms: Wrong product administered
Clinical narrative: Patient given pneumonia (PREVNAR - 13) instead of meningitis.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site reaction, Skin lesion
Clinical narrative: 2 circular lesions at the site of the injection. She was placed on BACTRIM and mupirocin. Will follow-up in one week.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Gastrooesophageal reflux disease
Clinical narrative: Patient was given a vaccine Tuesday morning 1037am (8/28/18). Patient also picked up and started a MEDROL DOSE Pak. On Wednesday night patient experienced acid reflux (very severely) and measured her blood pressure which was at 200/95. Currently Thursday BP at 124/85.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Day after injection began redness, swelling and itching of left upper arm from below injection site to above elbow on the outer portion of the arm.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Headache, Nausea, Pain
Clinical narrative: Weakness, body aches, headache, nausea for about 40 hours.
Age: 54.0
Sex: M
Vaccine: FLU4, PPV, PPV, UNK
Symptoms: Headache, Mobility decreased, Myalgia, Nausea
Clinical narrative: Wife called and complained about patient having headache, severe muscle pain, nausea, because of pain patient cannot move. Right now patient is admitted in hospital.
Age: 54.0
Sex: M
Vaccine: FLU4, PPV, PPV, UNK
Symptoms: Asthenia, Chills, Choking, Cough, Headache
Clinical narrative: Wife called and complained about patient having headache, severe muscle pain, nausea, because of pain patient cannot move. Right now patient is admitted in hospital.
Age: 54.0
Sex: M
Vaccine: FLU4, PPV, PPV, UNK
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site rash, Rash, Rash generalised
Clinical narrative: Wife called and complained about patient having headache, severe muscle pain, nausea, because of pain patient cannot move. Right now patient is admitted in hospital.
Age: 54.0
Sex: M
Vaccine: FLU4, PPV, PPV, UNK
Symptoms: Skin discolouration, Skin warm
Clinical narrative: Wife called and complained about patient having headache, severe muscle pain, nausea, because of pain patient cannot move. Right now patient is admitted in hospital.
Age: 29.0
Sex: F
Vaccine: PPV
Symptoms: Mobility decreased, Peripheral swelling
Clinical narrative: Patient got vaccine on 9/9. Came to pharmacy on 9/12 complaining of swollen arm and "unable to move it." Did not complain of other symptoms. Stated that she saw PCP 9/12 and was prescribed ADVIL. We had not received it yet.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Confusional state, Disorientation, Dysphagia, Paraesthesia, Pruritus
Clinical narrative: The vaccine contained A/Michigan/45/2015 (H1N1)pdm09-like virus; an A/Singapore/INFIMH-10-0019/2016; AND B/Colorado/60/2017-like virus (B/Victoria/2/87 lineage). Quadrivalent vaccine also includes a B/Phuket/3073/2013-like (B/Yamagata lineage) virus. The symptoms were: itching and tingling and I took ZYRTEC; I went back to the room where the nurse was because I began to have the increase need to swallow. Approximately 10 minute later, I became disorientated, confused, and unable to respond. The nurse gave me EPI and BENADRYL. The ambulance was called and I was given more BENADRYL in the ambulance. At the hospital I was given DECADRON and BENADRYL again. I was observed for 3 hours and released. I am scheduling appointments with my allergist and primary doctor.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Unresponsive to stimuli
Clinical narrative: The vaccine contained A/Michigan/45/2015 (H1N1)pdm09-like virus; an A/Singapore/INFIMH-10-0019/2016; AND B/Colorado/60/2017-like virus (B/Victoria/2/87 lineage). Quadrivalent vaccine also includes a B/Phuket/3073/2013-like (B/Yamagata lineage) virus. The symptoms were: itching and tingling and I took ZYRTEC; I went back to the room where the nurse was because I began to have the increase need to swallow. Approximately 10 minute later, I became disorientated, confused, and unable to respond. The nurse gave me EPI and BENADRYL. The ambulance was called and I was given more BENADRYL in the ambulance. At the hospital I was given DECADRON and BENADRYL again. I was observed for 3 hours and released. I am scheduling appointments with my allergist and primary doctor.
Age: 54.0
Sex: M
Vaccine: FLU4
Symptoms: Fall, Hypoaesthesia
Clinical narrative: Patient states that while he was sitting at his home when attempted to stand up did not feel his legs which did not leave him stand. This lasted for approximately for five minutes and caused him concerned. He said that he did not feel any tingle either. This was a one-time episode and has not been repeated.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dry mouth, Eyelid oedema, Myalgia, Nasal congestion
Clinical narrative: I experienced severe pain in the arm vaccinated, eyes were nearly swollen shut with mucous discharge, stuffy nose, post nasal drip, dry mouth, muscle pain and chills.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Secretion discharge, Upper-airway cough syndrome
Clinical narrative: I experienced severe pain in the arm vaccinated, eyes were nearly swollen shut with mucous discharge, stuffy nose, post nasal drip, dry mouth, muscle pain and chills.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood glucose increased, Chills, Fatigue, Heart rate increased, Insomnia
Clinical narrative: I would like to notify you that I did indeed have a bad reaction to the shingles vaccine. That evening my blood sugars spiked to 300s, I was severely chilled, I had some rapid heart beating, I had shooting pains in my shoulders and feet, I yawned uncontrollably followed by incontrollable weird need to stretch. I could not sleep at all. The following day my blood sugars continued to be high but otherwise besides exhaustion I seem fine. I am hesitant about getting any kind of booster - indeed I am scared to do so.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal pain, Pain in extremity, Yawning
Clinical narrative: I would like to notify you that I did indeed have a bad reaction to the shingles vaccine. That evening my blood sugars spiked to 300s, I was severely chilled, I had some rapid heart beating, I had shooting pains in my shoulders and feet, I yawned uncontrollably followed by incontrollable weird need to stretch. I could not sleep at all. The following day my blood sugars continued to be high but otherwise besides exhaustion I seem fine. I am hesitant about getting any kind of booster - indeed I am scared to do so.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Blood test, Computerised tomogram head, Seizure
Clinical narrative: Patient began seizure activity 3 days after receiving Flu Vaccine. Patient transported 9-1-1 to the local hospital. Patient not admitted.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV9
Symptoms: Myalgia
Clinical narrative: Per mother description to Provider, several months after injection patient suffered myalgia's.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye swelling, Injection site discomfort, Pain, Periorbital swelling, Rash papular
Clinical narrative: Right eye inner canthus swelling beginning on 09/09/2018 with increased periorbital swelling by end of day. Left arm injection site discomfort but no skin reaction. Awakened on 09/10/2018 with both eyes swollen, right more than left. Papular type rash on both sides of face to include cheeks and chin. Painful.
Age: 14.0
Sex: F
Vaccine: FLU4, HEPA, HPV9
Symptoms: Urticaria
Clinical narrative: Hives bilateral arms, chest and face within minutes of vaccine, patient observed and evaluated by PA in office and advised to take BENADRYL and if any throat swelling, tongue swelling difficulty breathing to call 911.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Fatigue, Injection site erythema, Myalgia
Clinical narrative: Following administration of both BEXSERO vaccines (0 and 6 months), patient developed fatigue and myalgias. He also developed redness at the injection site. Treatment was supportive.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Cellulitis, Skin warm, Swelling
Clinical narrative: There was an area of marked cellulitis to below, but proximal to injection site of Dtap. It was hot to touch and swollen. Treated with Tylenol and motrin, bactrim, and hydrocortisone cream. Improved.
Age: 17.0
Sex: F
Vaccine: HPV9, MENB, MNQ
Symptoms: Injection site erythema, Injection site pain, Localised infection, Musculoskeletal pain, Pain
Clinical narrative: Patient complained of 2 of the 3 injection sites as being red, painful. Hurts to move arm in the shoulder area. No fever. Provider noted that it was not an adverse reaction to the vaccines but diagnosed as a local infection of skin and subcutaneous tissue. Patient was prescribed cephalexin 250 MG, encouraged fluids and rest. Acetaminophen or ibuprofen as needed for fever or pain. Call office if not improving or worsens.
Age: 17.0
Sex: F
Vaccine: HPV9, MENB, MNQ
Symptoms: Skin infection
Clinical narrative: Patient complained of 2 of the 3 injection sites as being red, painful. Hurts to move arm in the shoulder area. No fever. Provider noted that it was not an adverse reaction to the vaccines but diagnosed as a local infection of skin and subcutaneous tissue. Patient was prescribed cephalexin 250 MG, encouraged fluids and rest. Acetaminophen or ibuprofen as needed for fever or pain. Call office if not improving or worsens.
Age: 39.0
Sex: M
Vaccine: HEP, PPV
Symptoms: Pain, Swelling
Clinical narrative: Swelling and pain night after vaccine.
Age: 84.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Cough, Pyrexia, Respiratory tract congestion
Clinical narrative: Patient had high fever of 102.6 axillary a few hours after vaccines. He also developed cough and congestion.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Pain, Rash macular, Skin warm, Swelling
Clinical narrative: Swelling, soreness, hot to touch. 3 quarter sized red, non-raised blotches or patches.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Rash vesicular
Clinical narrative: Initial pain at injection site. Became worse overnight. 2 or 3 days post injection developed a rash that appears adjacent to injection site and appears to be shingles.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus generalised, Rash erythematous, Rash pustular
Clinical narrative: Patient states noticed red bumps that had pustules and they were very itchy all over body.
Age: 69.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Hyperhidrosis, Injection site erythema, Injection site swelling, Nausea
Clinical narrative: Sweating, nausea, redness and swelling of left upper arm.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Swelling, Urticaria
Clinical narrative: SWELLING, HIVES.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue
Clinical narrative: Shivering, feeling tired.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Herpes zoster, Rash
Clinical narrative: Patient began running a 101 temperature on Saturday morning and later developed a rash on her face. Confirmed with her dermatologist that she does in fact have a case of the Shingles.
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report was received from a medical assistant and unspecified reporter refers to a patient of unknown age and gender. The patient's pertinent medical history, concomitant therapies, drug reactions or allergies were not reported. On 16-AUG-2018, the patient was vaccinated with improperly stored dose of PROQUAD, lot # N034561, expiration date: 03-JUN-2019, (dose and route of administration were not provided) for prophylaxis (incorrect product storage). The vaccine was reconstituted with sterile diluent which was properly stored. The vaccine underwent a temperature excursion -14 to -10 degrees Celsius for 3 hours and 30 minutes. Digital data logger was involved. No adverse effects were reported. No product quality complaint (PQC) was involved. This is one of several reports received from the same reporter. Sender's Comments: US-009507513-1808USA006154: US-009507513-1809USA004439: US-009507513-1809USA004440: US-009507513-1809USA004441: US-009507513-1809USA004442: US-009507513-1809USA004443: US-009507513-1809USA004444: US-009507513-1809USA004446: US-009507513-1809USA004447: US-009507513-1809USA004448: US-009507513-1809USA004449.
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report was received from a medical assistant and unspecified reporter refers to a patient of unknown age and gender. The patient's pertinent medical history, concomitant therapies, drug reactions or allergies were not reported. On 20-AUG-2018, the patient was vaccinated with improperly stored dose of PROQUAD, lot # N034561, expiration date: 03-JUN-2019, (dose and route of administration were not provided) for prophylaxis. The vaccine was reconstituted with sterile diluent which was properly stored. The vaccine underwent a temperature excursion -14 to -10 degrees Celsius for 3 hours and 30 minutes. Digital data logger was involved. No adverse effects were reported. No product quality complaint (PQC) was involved. This is one of several reports received from the same reporter. Sender's Comments: US-009507513-1808USA006154: US-009507513-1809USA004439: US-009507513-1809USA004440: US-009507513-1809USA004441: US-009507513-1809USA004442: US-009507513-1809USA004443: US-009507513-1809USA004444: US-009507513-1809USA004445: US-009507513-1809USA004447: US-009507513-1809USA004448: US-009507513-1809USA004449.
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report was received from a medical assistant and unspecified reporter refers to a patient of unknown age and gender. The patient's pertinent medical history, concomitant therapies, drug reactions or allergies were not reported. On 28-AUG-2018, the patient was vaccinated with improperly stored dose of PROQUAD, lot # N034561, expiration date: 03-JUN-2019, (dose and route of administration were not provided) for prophylaxis (incorrect product storage). The vaccine was reconstituted with sterile diluent which was properly stored. The vaccine underwent a temperature excursion -14 to -10 degrees Celsius for 3 hours and 30 minutes. Digital data logger was involved. No adverse effects were reported. No product quality complaint (PQC) was involved. This is one of several reports received from the same reporter. Sender's Comments: US-009507513-1808USA006154: US-009507513-1809USA004439: US-009507513-1809USA004440: US-009507513-1809USA004441: US-009507513-1809USA004442: US-009507513-1809USA004443: US-009507513-1809USA004444: US-009507513-1809USA004445: US-009507513-1809USA004446: US-009507513-1809USA004448: US-009507513-1809USA004449.
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report was received from a medical assistant and unspecified reporter refers to a patient of unknown age and gender. The patient's pertinent medical history, concomitant therapies, drug reactions or allergies were not reported. On 28-AUG-2018, the patient was vaccinated with improperly stored dose of PROQUAD, lot # N034561, expiration date: 03-JUN-2019, (dose and route of administration were not provided) for prophylaxis. The vaccine was reconstituted with sterile diluent which was properly stored. The vaccine underwent a temperature excursion -14 to -10 degrees Celsius for 3 hours and 30 minutes. Digital data logger was involved. No adverse effects were reported. No product quality complaint (PQC) was involved. This is one of several reports received from the same reporter. Sender's Comments: US-009507513-1808USA006154: US-009507513-1809USA004439: US-009507513-1809USA004440: US-009507513-1809USA004441: US-009507513-1809USA004442: US-009507513-1809USA004443: US-009507513-1809USA004444: US-009507513-1809USA004445: US-009507513-1809USA004446: US-009507513-1809USA004447: US-009507513-1809USA004449.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test normal, Pulmonary embolism
Clinical narrative: Patient developed a pulmonary embolus within the week following the immunization.
Age: 0.08
Sex: M
Vaccine: RV5
Symptoms: Blood test, Dehydration, Diarrhoea, Haematochezia, Intensive care
Clinical narrative: Vomiting 4/5/2018. Dehydration 4/5/2018. Irritability 3/25/2018. Diarrhea 4/5/2018. Fever 4/5/2018. Blood In stool 4/5/2018.
Age: 0.08
Sex: M
Vaccine: RV5
Symptoms: Irritability, Pyrexia, Ultrasound scan, Vomiting
Clinical narrative: Vomiting 4/5/2018. Dehydration 4/5/2018. Irritability 3/25/2018. Diarrhea 4/5/2018. Fever 4/5/2018. Blood In stool 4/5/2018.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site warmth, Pain in extremity
Clinical narrative: Patient returned to pharmacy today with redness on the right arm at injection site and spreading to lower upper arm. Red areas were warm to the touch. Pt also complained of arm pain.
Age: 13.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Cough, Fatigue, Pain, Pyrexia, Rash erythematous
Clinical narrative: Vaccines given 9/5/2018. Fever started 9am  on 9/9/18 and ended 9/10/18. Also felt achy and tired. Slight cough. Rash started morning of 9/11/2018. Fine pink macular rash over arms, legs and trunk. Also has spots on his face that are open and honey crusted lesions. Facial rash is getting better.
Age: 13.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Rash macular, Scab, Skin lesion
Clinical narrative: Vaccines given 9/5/2018. Fever started 9am  on 9/9/18 and ended 9/10/18. Also felt achy and tired. Slight cough. Rash started morning of 9/11/2018. Fine pink macular rash over arms, legs and trunk. Also has spots on his face that are open and honey crusted lesions. Facial rash is getting better.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Cough, Incomplete course of vaccination, Respiratory tract congestion, Tinnitus
Clinical narrative: 5/5/18 Tinnitus very loud, increased congestion and heavy coughing for 9 weeks. 6/6/18 saw ENT and got Azelastine for tinnitus which I still have. Congestion and coughing necessitated excessive use of meds for 9 weeks.
Age: 27.0
Sex: F
Vaccine: RAB
Symptoms: Chills, Diarrhoea, Hyperhidrosis, Lip swelling, Muscle spasms
Clinical narrative: One hour after vaccine started getting muscles twitching and cramping. That night got fever, chills, sweating. Took ibuprofen. Next day vomiting. On second day swollen lip. No fever, no breathing problems. Seen by doctor on Aug. 20th. Still had diarrhea and some arm twitching. Advised by doctor she should not repeat vaccine unless done in hospital setting.
Age: 27.0
Sex: F
Vaccine: RAB
Symptoms: Muscle twitching, Pyrexia, Vomiting
Clinical narrative: One hour after vaccine started getting muscles twitching and cramping. That night got fever, chills, sweating. Took ibuprofen. Next day vomiting. On second day swollen lip. No fever, no breathing problems. Seen by doctor on Aug. 20th. Still had diarrhea and some arm twitching. Advised by doctor she should not repeat vaccine unless done in hospital setting.
Age: 3.0
Sex: M
Vaccine: IPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: NONE. VACCINE WAS SIMPLY GIVEN EARLY 25 DAYS BEFORE HIS 4TH BIRTHDAY.
Age: 1.08
Sex: M
Vaccine: MMRV
Symptoms: Febrile convulsion, Influenza A virus test positive, Pyrexia, Streptococcus test negative
Clinical narrative: Febrile seizure 3 days post vaccine; fever 102.0 axillary at time of seizure.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Myalgia, Nausea
Clinical narrative: Temp of 101. Muscle ache. Nausea.
Age: 63.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm, Tenderness
Clinical narrative: Patient presented with a red and swollen arm. It reached all the way to his elbow. It was sore and tender to touch. There was also warmth to it. It began 2 hours after he received the vaccination and was still occurring this afternoon, more than 24 hours later.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Contusion, Crying, Hyperhidrosis, Nausea, Syncope
Clinical narrative: Nurse administered vaccine to child, left room to print immunization record and upon return, child was sobbing. Child and mother left clinic room and went to waiting room. A second nurse entered the waiting room to call another patient back and the child had fainted by the chairs near the front entrance. Nurse and a different patient helped child to chair. Small bruise noted above eyebrow of right eye. Child was diaphoretic and c/o nausea. Ice pack to forehead and back of neck, and orange juice provided. Mother and child left after about 20 minutes of child sitting in chair without difficulty.
Age: 32.0
Sex: M
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: Patient here for varicella vaccine to satisfy requirements. Patient informed me today that he DID in fact have chicken pox as a child, but denied having the disease at the first appointment.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient developed shingles symptoms 8 days after administration of SHINGRIX vaccine.
Age: 73.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Herpes zoster
Clinical narrative: Started getting shingles after a week.
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Patient came in to our public health dept, where he was given the SHINGRIX vaccine 6 days ago, to report that he now has shingles. He said he broke out in a rash about 3 days after receiving the vaccine. It started on the left side of his back, spread to his left side and left abdomen. It looks like a red rash with some darker raised areas. He said it is painful to the touch and itchy.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Rash erythematous, Skin warm
Clinical narrative: Red rash warm to touch over entire upper arm and shoulder.
Age: 6.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Musculoskeletal stiffness, Urticaria
Clinical narrative: Mother called and stated that patient had hives and stiff arms and legs within 24 hours of getting immunizations. Mother called Dr.'s nurse and she advised mother to give benedryl and call and report to the Health Dept.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature, Chills, Fatigue, Headache, Influenza like illness
Clinical narrative: Flu like symptoms including headache, temperature, body aches, chills, extreme fatigue, sore throat, shakiness, I read that these are common symptoms, but it has been two weeks and the fatigue and pain are not improving.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Oropharyngeal pain, Pain, Tremor
Clinical narrative: Flu like symptoms including headache, temperature, body aches, chills, extreme fatigue, sore throat, shakiness, I read that these are common symptoms, but it has been two weeks and the fatigue and pain are not improving.
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Pain in extremity, Swelling
Clinical narrative: Redness, swelling and pain in left arm post immunization.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest pain, Musculoskeletal pain, Pain in extremity, Pyrexia
Clinical narrative: Pt called to say she was having an adverse reaction from SHINGRIX around 7pm 9/11/18. She received the shot around 10:30-11am that same day she said, and around 3:30pm, she started experiencing an ache in her arm that spread to her chest and shoulder areas. She rated the pain about a 2-3 on a 10 scale. She said she also felt like she had a fever, but she had not checked her temperature. I told her my recommendation was to go to ER to have it checked out in case it was a heart attack. She said she was a nurse and knew it was not chest pain that she needed to go to hospital for. I stressed the ER visit several times but she wanted to "wait it out." I called her today (9/12/18) to check on her, and she said she was doing much better and not having those symptoms anymore.
Age: 67.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site rash
Clinical narrative: RASH AROUND INJECTION SITE.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Body temperature increased, Discomfort, Tremor
Clinical narrative: Patient described extremity tremors, elevated temperature, severe discomfort all resulting in ER visit with 1 day admission.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Injection site erythema, Injection site warmth, Pain in extremity, Pruritus
Clinical narrative: She said her arm started itching about 15 minutes after the vaccine once she was in the car on the way home. A large red circle that was hot to the touch formed around the vaccine site. She said a pain going up her arm developed later that night and she woke up with a headache. The patient had used aleve to help with the headache but it did not help much. I suggested that she try alternating tylenol with the aleve and to get some benadryl to see if that would help the reaction go down. I told her I would follow-up with her tomorrow (9/13) to see how she was feeling.
Age: 54.0
Sex: F
Vaccine: FLUC4
Symptoms: Rash
Clinical narrative: Patient develop rash to both arms and legs on 9/111/18 one day after receiving vaccine. She has been taking Benadryl but no improvement in rash yet.
Age: 53.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Erythema, Mobility decreased, Pain, Skin warm, Swelling
Clinical narrative: Patient stated that she experienced significant swelling, redness and warmth in her right arm.  She also had pain and movement difficulty.
Age: 71.0
Sex: F
Vaccine: FLUA3
Symptoms: Erythema, Paraesthesia oral, Pruritus
Clinical narrative: Tingling of lips, red spot near injection site, itching. Liquid Benadryl administered with improvement of symptoms.
Age: 7.0
Sex: F
Vaccine: DTAP
Symptoms: Borrelia test, Computerised tomogram head, Full blood count, Headache, Mononucleosis heterophile test
Clinical narrative: Severe Headache and fever for 13+ days.
Age: 7.0
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia, Streptococcus test, West Nile virus test
Clinical narrative: Severe Headache and fever for 13+ days.
Age: 66.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient reported redness and heat at the immunization site but no fever.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Muscle spasms, Pyrexia
Clinical narrative: Fever that reached 101.5 for about 12 hours, muscle spasms.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash generalised, Rash pruritic
Clinical narrative: Fine, itchy rash on face and rest of body.
Age: 54.0
Sex: F
Vaccine: HEP
Symptoms: Lacrimation increased, Throat irritation
Clinical narrative: Patient reports itchy throat and watery eyes approximately 30 minutes after vaccine. Dr. assess patient and ordered BENADRYL 25 PO x1. Medication taken with water without any swallowing complications. Monitored patient for 1 hour. Patient reassessed after one hour, patient reported itchy throat and watery eyes relieved.
Age: 64.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Chills, Cough, Fatigue, Headache, Myalgia
Clinical narrative: 08/01/2018, six PM experieced nausea, headache, feverish, shivering, muscle aches throughout the night. Tired the next few days. 08/10/2018, respiratory infection, severe coughing and copious amount of nasal mucous, 3 nights of extreme coughing. To date a slight lingering cough. 08/18/2018, 10AM back of upper arms and upper forehead developed red, raised, itchy rash lasting 2 days treaated with BENADRYL.
Age: 64.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Nausea, Pyrexia, Rash erythematous, Rash pruritic, Respiratory tract infection
Clinical narrative: 08/01/2018, six PM experieced nausea, headache, feverish, shivering, muscle aches throughout the night. Tired the next few days. 08/10/2018, respiratory infection, severe coughing and copious amount of nasal mucous, 3 nights of extreme coughing. To date a slight lingering cough. 08/18/2018, 10AM back of upper arms and upper forehead developed red, raised, itchy rash lasting 2 days treaated with BENADRYL.
Age: 50.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Diarrhoea, Myalgia, Pyrexia, Vaccination site pain
Clinical narrative: High fever (104) that night, the next day was 103 for 24 hours dropped to 102 then was 101.8 for several days. Myalgia, diarrhea for 24 hours and arm soreness at vaccination site . 1 week to recovery.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Skin warm, Swelling, Tenderness
Clinical narrative: Swelling, warmth, tenderness.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Cardiac disorder, Cardiac stress test, Laboratory test, Pyrexia, Renal disorder
Clinical narrative: Febrile 102 degrees, kidney and heart problems.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Loss of consciousness
Clinical narrative: Patient blacked out about 5 seconds after getting the injection. Pt reports that she does not tolerate needles well, normally this only happens during a blood draw. Pt had stated she had not eaten much today and might have had low blood sugar.
Age: 58.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Altered state of consciousness, Dizziness
Clinical narrative: Patient got very dizzy almost passing out. While sometimes people get dizzy just by thinking about a shot the patient extent of dizziness prompted this report. Patient at no point lost consciousness but we had her lay on the floor with legs raised, applied a cold compress to neck and wrists and provided drinking water. Patient blood pressure was within normal parameters after dizziness improved and patient went home assisted by her husband. Patient's husband believes it was a combination of two shots. Patient never had a reaction to the flu shot but has once passed out after giving blood.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Severe pain in the left shoulder and have difficulty moving the left arm where a shot was given.  The pain level was 9 out of 10 (Most Severe).
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Skin warm, Swelling
Clinical narrative: Pt reported red, hot swelling around area that started the night of the vaccine that got worse by the time she woke up. Pt went to Urgent Care where she was diagnosed with cellulitis and prescribed doxycycline and prednisone.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Influenza like illness, Nausea, Neck pain
Clinical narrative: Flu like symptoms including nausea, chills generalized pain, headache and neck ache. Severe symptoms for 2 days. By day 4 symptoms resolved. Arm pain was expected. I have never reacted to any vaccine in the past to this degree.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity
Clinical narrative: Flu like symptoms including nausea, chills generalized pain, headache and neck ache. Severe symptoms for 2 days. By day 4 symptoms resolved. Arm pain was expected. I have never reacted to any vaccine in the past to this degree.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Haemorrhage, Immediate post-injection reaction, Pain in extremity
Clinical narrative: Patient states that arm was immediately sore and was still bleeding 9 hours later; He also states that the imz was given high on arm.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Inflammation, Injection site erythema, Injection site swelling
Clinical narrative: Patient came back with local inflammatory response (redness and kind of big swelling at site of injection (right arm).
Age: 80.0
Sex: M
Vaccine: TTOX
Symptoms: Arthralgia, Back pain, Blood culture negative, Blood test normal, Borrelia test negative
Clinical narrative: My father received a tetanus shot on 8/31 because he stepped on a wire. On 9/6, he woke up not feeling well. 9/7- severe pain in ear, neck and throat. Went back to Dr and flu test negative and ear clear. 9/8- awoke with neuropathy flare up in feet along with severe lower back pain. Couldn't swallow Admitted to hospital. All test negative other than some arthritis and bone spurs. 9/9 discharged home. Slept all day. 9/10 back to dr having difficulty swallowing, stiff neck, shoulders killing him. 9/11 back to dr with stiff neck, jaw pain, unable to swallow, aching all over. 9/12- back to Dr with above symptoms and now having bad hip pain and pain in back of head. Admitted back to hospital. Still in hospital awaiting consults from neurologist, infectious disease, more testing. All test are coming back negative so far which leads me to believe this is a reaction to the vaccine.
Age: 80.0
Sex: M
Vaccine: TTOX
Symptoms: Computerised tomogram abdomen normal, Computerised tomogram abnormal, Computerised tomogram head normal, Dysphagia, Ear pain
Clinical narrative: My father received a tetanus shot on 8/31 because he stepped on a wire. On 9/6, he woke up not feeling well. 9/7- severe pain in ear, neck and throat. Went back to Dr and flu test negative and ear clear. 9/8- awoke with neuropathy flare up in feet along with severe lower back pain. Couldn't swallow Admitted to hospital. All test negative other than some arthritis and bone spurs. 9/9 discharged home. Slept all day. 9/10 back to dr having difficulty swallowing, stiff neck, shoulders killing him. 9/11 back to dr with stiff neck, jaw pain, unable to swallow, aching all over. 9/12- back to Dr with above symptoms and now having bad hip pain and pain in back of head. Admitted back to hospital. Still in hospital awaiting consults from neurologist, infectious disease, more testing. All test are coming back negative so far which leads me to believe this is a reaction to the vaccine.
Age: 80.0
Sex: M
Vaccine: TTOX
Symptoms: Exostosis, Headache, Influenza virus test negative, Malaise, Musculoskeletal pain
Clinical narrative: My father received a tetanus shot on 8/31 because he stepped on a wire. On 9/6, he woke up not feeling well. 9/7- severe pain in ear, neck and throat. Went back to Dr and flu test negative and ear clear. 9/8- awoke with neuropathy flare up in feet along with severe lower back pain. Couldn't swallow Admitted to hospital. All test negative other than some arthritis and bone spurs. 9/9 discharged home. Slept all day. 9/10 back to dr having difficulty swallowing, stiff neck, shoulders killing him. 9/11 back to dr with stiff neck, jaw pain, unable to swallow, aching all over. 9/12- back to Dr with above symptoms and now having bad hip pain and pain in back of head. Admitted back to hospital. Still in hospital awaiting consults from neurologist, infectious disease, more testing. All test are coming back negative so far which leads me to believe this is a reaction to the vaccine.
Age: 80.0
Sex: M
Vaccine: TTOX
Symptoms: Musculoskeletal stiffness, Neck pain, Neuropathy peripheral, Oropharyngeal pain, Pain
Clinical narrative: My father received a tetanus shot on 8/31 because he stepped on a wire. On 9/6, he woke up not feeling well. 9/7- severe pain in ear, neck and throat. Went back to Dr and flu test negative and ear clear. 9/8- awoke with neuropathy flare up in feet along with severe lower back pain. Couldn't swallow Admitted to hospital. All test negative other than some arthritis and bone spurs. 9/9 discharged home. Slept all day. 9/10 back to dr having difficulty swallowing, stiff neck, shoulders killing him. 9/11 back to dr with stiff neck, jaw pain, unable to swallow, aching all over. 9/12- back to Dr with above symptoms and now having bad hip pain and pain in back of head. Admitted back to hospital. Still in hospital awaiting consults from neurologist, infectious disease, more testing. All test are coming back negative so far which leads me to believe this is a reaction to the vaccine.
Age: 80.0
Sex: M
Vaccine: TTOX
Symptoms: Pain in jaw, Spondylitis, Streptococcus test negative
Clinical narrative: My father received a tetanus shot on 8/31 because he stepped on a wire. On 9/6, he woke up not feeling well. 9/7- severe pain in ear, neck and throat. Went back to Dr and flu test negative and ear clear. 9/8- awoke with neuropathy flare up in feet along with severe lower back pain. Couldn't swallow Admitted to hospital. All test negative other than some arthritis and bone spurs. 9/9 discharged home. Slept all day. 9/10 back to dr having difficulty swallowing, stiff neck, shoulders killing him. 9/11 back to dr with stiff neck, jaw pain, unable to swallow, aching all over. 9/12- back to Dr with above symptoms and now having bad hip pain and pain in back of head. Admitted back to hospital. Still in hospital awaiting consults from neurologist, infectious disease, more testing. All test are coming back negative so far which leads me to believe this is a reaction to the vaccine.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Adverse event
Clinical narrative: Patient had his yearly well child exam on 9/5/18 along with DTaP, MMRV, Hep A the vaccine known as KINRIX was given in his left arm.
Age: 78.0
Sex: M
Vaccine: FLU3
Symptoms: Borrelia test negative, Mobility decreased, Scan brain
Clinical narrative: Night of Sep 6 body froze up-could not get out of bed w/o help. Could not left arms above head. Dr ordered brain scan to rule out stroke await results. Chiropractor. Scheduled appt w/neurologist upcoming.
Age: 12.0
Sex: M
Vaccine: HPV9
Symptoms: Lip swelling, Urticaria
Clinical narrative: Patient woke with hives on 9/7/18 on bilateral arms. Hives spread to full body and lips swelled despite PO BENADRYL. Pt was taken to urgent care for treatment. Hives and swelling of both lips continued despite 50 mg PO BENADRYL q 6 hours through current. No report of SOB, difficulty swallowing, itchiness of throat or mouth. Denies new foods, soaps, lotions, detergents etc. Seen for follow-up at our office on 9/11/18 for continued symptoms. Previous HPV-9 valent given 3/3/18.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Patient said she felt very "achy" and "sore". She also had a fever. As of today, 9/12/18 she said the fever is gone but she doesn't feel 100% better. She took THERAFLU on Tuesday 9/11/18 for fever and aches.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Headache, Lethargy, Pyrexia, Tremor
Clinical narrative: Mother called to report that patient had fever, headache, shakiness, and lethargy shortly after receiving vaccine at office visit on 9/7/18. Patient was roomed for office visit with PCP at 3:57PM and mom called to report patient symptoms at 6:40PM. Mother advised by on call nurse to give MOTRIN and monitor if symptoms not resolved to return call to office. Status checked patient on 9/8/18 and patient symptoms had resolved.
Age: 41.0
Sex: M
Vaccine: FLU4
Symptoms: Confusional state, Disorientation, Dizziness, Fall, Haemorrhage
Clinical narrative: I gave patient the flu vaccine. I thought he was okay afterward. He stood up and walked back into the pharmacy. I did not realize that he was dizzy, lightheaded or had any adverse reactions. We had been talking and laughing. I saw him walk to the computer terminal and it looked like he rested his head on the terminal, and I thought he was joking, but before I could say anything, he fell straight on the floor. He partially landed on a box and partially on the mat. He laid face down in the floor, and his wife, who happened to be visiting the pharmacy, rushed to his side, while I called 911. She turned him over and he was bleeding in several places, due to the fall. He was unconscious for about 30 seconds and then he started talking. He said he was okay but he seemed confused and a little disoriented. I was on the phone with 911 so I didn't hear the entire conversation. He laid there as we took the instructions of the 911 operator and gave him clean paper towels to wipe his head, and ice pack and waited on the EMT people to arrive. The EMT people arrived shortly after, and they helped him out of the pharmacy. I did notice that his coloring was pale as he left.
Age: 41.0
Sex: M
Vaccine: FLU4
Symptoms: Loss of consciousness, Pallor
Clinical narrative: I gave patient the flu vaccine. I thought he was okay afterward. He stood up and walked back into the pharmacy. I did not realize that he was dizzy, lightheaded or had any adverse reactions. We had been talking and laughing. I saw him walk to the computer terminal and it looked like he rested his head on the terminal, and I thought he was joking, but before I could say anything, he fell straight on the floor. He partially landed on a box and partially on the mat. He laid face down in the floor, and his wife, who happened to be visiting the pharmacy, rushed to his side, while I called 911. She turned him over and he was bleeding in several places, due to the fall. He was unconscious for about 30 seconds and then he started talking. He said he was okay but he seemed confused and a little disoriented. I was on the phone with 911 so I didn't hear the entire conversation. He laid there as we took the instructions of the 911 operator and gave him clean paper towels to wipe his head, and ice pack and waited on the EMT people to arrive. The EMT people arrived shortly after, and they helped him out of the pharmacy. I did notice that his coloring was pale as he left.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Pt. states upper part of arm was red and swollen for approximately 3 days.
Age: 65.0
Sex: M
Vaccine: PNC13, VARZOS
Symptoms: Burning sensation, Pain
Clinical narrative: Small area of right thigh felt like it was on fire. Day by day has spread to other areas of thigh. It started on inside of thigh and spread across the top day by day and each area continues to hurt. It's not a constant issue, but it comes and goes. Skin looks normal. Pt had to see MD about the pain. He was prescribed tramadol that has taken the edge off the pain. He is also taking ibuprofen. Taking both medications has helped a great deal. Patient still reports the issue spreading as of today 9/12/18. Patient will see his MD before his tramadol runs out. Patient stated that the MD thinks perhaps the shingles vaccine is messing with the nervous system-just a theory.