chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.25
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Vaccination site nodule
Clinical narrative: Approximately 1.5 inch subcutaneous nodule developed on left thigh at site of vaccination. It is unknown exactly when nodule first appeared however it was noticed the day after the vaccination.  Day of and day after vaccination child wanted to sit and be held all day long, extremely fussy and child was constantly rubbing injection site.  Child returned to clinic 12/9/2019 for a persistent cough and to show the doctor the nodule on the left thigh. On 12/10/2019 ( 4 weeks and 1 day after injection ) a rash that looks like two interlocking rings of small red and pink bumps appeared on left thigh directly behind injection site.  Since the vaccination, child continues to rub leg several times a day and patient will not sleep on left side of body, possibly the nodule is causing leg pain or soreness.
Age: 86.0
Sex: M
Vaccine: FLU4
Symptoms: Contusion, Injection site bruising
Clinical narrative: patient reported bruising that spread from the  shoulder where the vaccine was applied down to his palms.
Age: 26.0
Sex: M
Vaccine: HEPA, HPV9, TYP
Symptoms: Syncope
Clinical narrative: After approximately 2 minutes of the administration of documented vaccines, patient had a vasovagal syncope episode that lasted for 5 seconds.  Patient is alert and oriented x3, no residual effects noted.  Patient's vital signs are: BP: 99/60 mmhg, R: 18, HR: 68 bpm, pulze 0x 98%, Temp: 98.5f.  Patient was able to recall words  apple and  yellow after 4 minutes of being told these words.    Patient was observed for 34 minutes after the above event. Patient went home.
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site pain, Magnetic resonance imaging, Product administered at inappropriate site
Clinical narrative: Patient described substantial pain in his shoulder immediately following the administration of his influenza vaccination, and noted that at the time he felt that the location of administration seemed higher than normal.  Patient has seemed medical direction from his primary physician as well as receiving an MRI on the shoulder in question.  As of 1/25/20, the patient noted a reduction in pain, but it is not 100% improved as of yet.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Feeling hot, Swelling
Clinical narrative: Swelling, redness, heat.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Influenza, Pain
Clinical narrative: Flu symptoms-fever, chill, exhaustion, headache, body aches.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Flu symptoms-fever, chill, exhaustion, headache, body aches.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Back pain, Chills, Fatigue, Headache, Pain in extremity
Clinical narrative: Very sore arm, headache, chills, lower back pain,  tiredness......mostly one day
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Malaise
Clinical narrative: Splitting headache that started three hours after vaccine and has lasted over 7 days, to the point of making her sick.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Severe flu-like symptoms, fever of 101 degrees Fahrenheit, extreme body chills, red and swollen injection site similar to size of a baseball per patient
Age: 85.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Pruritus
Clinical narrative: As reported by patient's son, extreme throbbing pain in arm after vaccination.  Went to ER that same night (1/23/20) and received morphine for pain, which resulted in widespread itching.  Saw urgent care the next day (1/24/20), received Zpak, Benadryl, Hydrocodone.  No swelling or bruising at injection site.
Age: 70.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Skin lesion, Squamous cell carcinoma
Clinical narrative: pt returned to pharmacy with a red, hard, raised area on arm that he stated was where injection was given. pt has spot excised and it was found to be squamous cell carcinoma.
Age: 70.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Injection site reaction, Injection site swelling, Injection site vesicles, Skin lesion removal, Squamous cell carcinoma
Clinical narrative: pt returned to pharmacy with a red, hard, raised area on arm that he stated was where injection was given. pt has spot excised and it was found to be squamous cell carcinoma.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Back pain, Body temperature increased, Headache, Injection site erythema
Clinical narrative: In a little over 12 hours after receiving vaccine, I had a temperature over 104.3, a severe pounding headache, stiff joints, no energy, extreme lethargy and back and neck pain.  The injection site was also extremely tender, red and swollen about the size of a half of a baseball.  I took over the counter acetaminophen and ibuprofen around the clock for the whole day.  I did not go see my doctor, as I had no energy or will to move out of the bed.  By Thursday,  1/23, only a day and a half after receiving vaccine, I woke up and felt 85% better.  Only issues were I still had a low grade fever fluctuating between 99-100.7 and of course the arm swelling and pain.  All other symptoms have dissipated.  Now it's Saturday, 1/25, I have no other symptoms except the arm swelling (which doesn't seem to be improving) and pain.  I have been taking ibuprofen and applying cold packs to the site.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling, Joint stiffness, Lethargy, Neck pain
Clinical narrative: In a little over 12 hours after receiving vaccine, I had a temperature over 104.3, a severe pounding headache, stiff joints, no energy, extreme lethargy and back and neck pain.  The injection site was also extremely tender, red and swollen about the size of a half of a baseball.  I took over the counter acetaminophen and ibuprofen around the clock for the whole day.  I did not go see my doctor, as I had no energy or will to move out of the bed.  By Thursday,  1/23, only a day and a half after receiving vaccine, I woke up and felt 85% better.  Only issues were I still had a low grade fever fluctuating between 99-100.7 and of course the arm swelling and pain.  All other symptoms have dissipated.  Now it's Saturday, 1/25, I have no other symptoms except the arm swelling (which doesn't seem to be improving) and pain.  I have been taking ibuprofen and applying cold packs to the site.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: In a little over 12 hours after receiving vaccine, I had a temperature over 104.3, a severe pounding headache, stiff joints, no energy, extreme lethargy and back and neck pain.  The injection site was also extremely tender, red and swollen about the size of a half of a baseball.  I took over the counter acetaminophen and ibuprofen around the clock for the whole day.  I did not go see my doctor, as I had no energy or will to move out of the bed.  By Thursday,  1/23, only a day and a half after receiving vaccine, I woke up and felt 85% better.  Only issues were I still had a low grade fever fluctuating between 99-100.7 and of course the arm swelling and pain.  All other symptoms have dissipated.  Now it's Saturday, 1/25, I have no other symptoms except the arm swelling (which doesn't seem to be improving) and pain.  I have been taking ibuprofen and applying cold packs to the site.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Patient came to pharmacy in p.m. of 01/23/2020 stating arm in which vaccine had been administered was painful since receiving, and stated unable to lift arm fully.  Upon exam of patient's arm, I noticed a very faint area of possible previous inflammation, which if was the site of administration, appeared to be well within the zone of best practice.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site induration, Injection site reaction, Myalgia, Pain, Rash erythematous
Clinical narrative: I presented the morning after the injection with an approximately 10 cm diameter circular reddened rash with mild induration at the injection site. It is also accompanied by muscle pain when palpated or when the affected limb is used. I have taken Motrin 40mg every 6 hours for pain and hopeful anti-inflammatory effects.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Patient has a 1inch by 1inch red spot about 1/2 below the injection sight of the Shingrix after their 2nd shot in the series. Patient didn't take any course of treatment but this started a couple days after receiving the vaccine. The red spot has been slowly decreasing over time.
Age: 12.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Rash, Syncope
Clinical narrative: Within 10-15 minutes after giving her boostrix and fluarix, patient fainted twice. Rashes developed on her arms about 20 minutes after vaccination. Paramedics came and took her to the hospital.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Headache, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Immediate headache, nausea, fever, chills, sweats, vomiting, migraine, diarrhea
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Migraine, Nausea, Pyrexia, Vomiting
Clinical narrative: Immediate headache, nausea, fever, chills, sweats, vomiting, migraine, diarrhea
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood pressure increased, Blood thyroid stimulating hormone, Chest X-ray, Differential white blood cell count, Electrocardiogram
Clinical narrative: Following the vaccine I developed a sore arm followed by fever, headache and general feeling of nausea and unwellness. By morning, my fever and headache were relentless so I remained in bed. By afternoon my heart was racing and blood pressure had spiked to 165/112 with a pulse rate of 155. ( normal BP is in the 95/60 range with pulse below 60.  My husband took me to the Medical Center where my bp was recorded at 155/95 pulse, 139 and temperature 99.1
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Full blood count, Headache, Heart rate increased, Influenza A virus test, Influenza B virus test
Clinical narrative: Following the vaccine I developed a sore arm followed by fever, headache and general feeling of nausea and unwellness. By morning, my fever and headache were relentless so I remained in bed. By afternoon my heart was racing and blood pressure had spiked to 165/112 with a pulse rate of 155. ( normal BP is in the 95/60 range with pulse below 60.  My husband took me to the Medical Center where my bp was recorded at 155/95 pulse, 139 and temperature 99.1
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Lipase, Liver function test, Malaise, Metabolic function test, Nausea
Clinical narrative: Following the vaccine I developed a sore arm followed by fever, headache and general feeling of nausea and unwellness. By morning, my fever and headache were relentless so I remained in bed. By afternoon my heart was racing and blood pressure had spiked to 165/112 with a pulse rate of 155. ( normal BP is in the 95/60 range with pulse below 60.  My husband took me to the Medical Center where my bp was recorded at 155/95 pulse, 139 and temperature 99.1
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Palpitations, Platelet count, Polymerase chain reaction, Pyrexia, Troponin T
Clinical narrative: Following the vaccine I developed a sore arm followed by fever, headache and general feeling of nausea and unwellness. By morning, my fever and headache were relentless so I remained in bed. By afternoon my heart was racing and blood pressure had spiked to 165/112 with a pulse rate of 155. ( normal BP is in the 95/60 range with pulse below 60.  My husband took me to the Medical Center where my bp was recorded at 155/95 pulse, 139 and temperature 99.1
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: PAIN AT THE SIGHT OF INJECTION - INJECTION SITE AREA WAS HARD, RED AND BURNING SENSATION FOR THE FIRST 24 HOURS - VISITED EMERGENCY DEPT - PT WAS PRESCRIBED ANTIBIOTICS AT ER. SHE IS FEELING FINE AND COUNTINUING WITH ANTIBIOTICS UNTIL ALL TAKEN
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Magnetic resonance imaging, Musculoskeletal pain, Pain in extremity, Product administered at inappropriate site
Clinical narrative: A Trainee gave me the shot too high in my shoulder!!!  No supervision at all.  I have had so much pain in my shoulder and arm. Have had a cortisone shot, 7 physical therapy sessions and a MRI.  Nothing helping with the pain.
Age: 15.0
Sex: F
Vaccine: MENB
Symptoms: Musculoskeletal pain, Vomiting
Clinical narrative: Moderate to severe shoulder pain escalated as time went by and  vomit at 6:30pm
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injection site pain, Injection site reaction, Neuralgia
Clinical narrative: Fever, chills, severe body aches and massive headache, and pain at site of injection all started  about 4 hours after vaccine which lasted  about36 hrs.  After the fever subsided and body aches lessened, a mild yet painful rash  appeared on the arm 1.5 inches from injection site.  Occasionally, I felt momentary sharp nerve pain on various parts of my body including areas below left breast, at the junction  between thigh and abdomen, below left nostril, right tricep, and various locations on back.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia, Rash
Clinical narrative: Fever, chills, severe body aches and massive headache, and pain at site of injection all started  about 4 hours after vaccine which lasted  about36 hrs.  After the fever subsided and body aches lessened, a mild yet painful rash  appeared on the arm 1.5 inches from injection site.  Occasionally, I felt momentary sharp nerve pain on various parts of my body including areas below left breast, at the junction  between thigh and abdomen, below left nostril, right tricep, and various locations on back.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: fatigue, pain ar injection site, weakness, shivering, headache, fever (102)
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: fatigue, pain ar injection site, weakness, shivering, headache, fever (102)
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Crying, Injection site erythema, Injection site swelling, Injection site warmth, Vomiting
Clinical narrative: Patient began exhibiting injection site redness, swelling, and warmth that was discovered approximately 6 hours post administration.   At approximately 0245 on 26JAN2020, patient awoke crying and vomited twice within 30-45 minute period.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Myalgia
Clinical narrative: Pain and swelling at site and mylagia lasting 24 hours. Muscle pain in arm continuing one week later. The pain spread  from injection in a band around the injection site.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood test, CSF test, Dizziness, Magnetic resonance imaging, Nausea
Clinical narrative: Pt. woke 11/11/18 about 4 a.m. dizzy and nauseous.  Presented to ER 11/12/18 when symptoms worsened.  11/26/18 saw Dr. (neurologist).  Per Dr. the zoster vaccine "may have led to peripheral immune stimulation and led to a vestibular neuronitis".
Age: 78.0
Sex: U
Vaccine: FLUA3, FLUA3
Symptoms: Injection site discomfort, Injection site pain
Clinical narrative: Muscle soreness and discomfort in the area of the shot.
Age: 78.0
Sex: U
Vaccine: FLUA3, FLUA3
Symptoms: Discomfort
Clinical narrative: Muscle soreness and discomfort in the area of the shot.
Age: 1.0
Sex: M
Vaccine: UNK, UNK, UNK
Symptoms: Blood test normal, Excessive eye blinking, Eye movement disorder, Head titubation
Clinical narrative: Eyes rolling in the  back of head, bobbing of head, eye lids blinking very fast. Happened 3 times in one day. One at 1:15 PM, second at 5 PM, and than third time at 8:30 PM on 01/23/2020
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Redness just below the injection site, warm to touch and mild diffuse pain. No fever reported.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Chills, Dizziness, Injection site pain, Malaise
Clinical narrative: Malaise, nausea/vomiting, dizziness, left, lower back pain, chills, low fever, extremely sore injection site
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Malaise, nausea/vomiting, dizziness, left, lower back pain, chills, low fever, extremely sore injection site
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Condition aggravated, Erythema, Essential tremor, Headache
Clinical narrative: My pulse went up to 142 the morning of the shot (Tuesday). I did drop down, but remained higher than normal for a couple days.  I woke up in the middle of the night (Tuesday-Wednesday) with a pulse just over 100 and my normal resting pulse is around 60. My face was bright red on Wednesday and it looked like sunburn. It was better the next day. I was very shaky. I do have an essential tremor that usually just affects my hand, but the night of the shot and the next day it was exaggerated to the point that even my legs were shaking. I also had the common side effects of a headache, muscle aches, sore arm, chills, and slightly nauseous.  Most of the side effects have improved at this point, although I still feel like I am recovering from the event.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Heart rate increased, Middle insomnia, Myalgia, Nausea, Pain in extremity
Clinical narrative: My pulse went up to 142 the morning of the shot (Tuesday). I did drop down, but remained higher than normal for a couple days.  I woke up in the middle of the night (Tuesday-Wednesday) with a pulse just over 100 and my normal resting pulse is around 60. My face was bright red on Wednesday and it looked like sunburn. It was better the next day. I was very shaky. I do have an essential tremor that usually just affects my hand, but the night of the shot and the next day it was exaggerated to the point that even my legs were shaking. I also had the common side effects of a headache, muscle aches, sore arm, chills, and slightly nauseous.  Most of the side effects have improved at this point, although I still feel like I am recovering from the event.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Tremor
Clinical narrative: My pulse went up to 142 the morning of the shot (Tuesday). I did drop down, but remained higher than normal for a couple days.  I woke up in the middle of the night (Tuesday-Wednesday) with a pulse just over 100 and my normal resting pulse is around 60. My face was bright red on Wednesday and it looked like sunburn. It was better the next day. I was very shaky. I do have an essential tremor that usually just affects my hand, but the night of the shot and the next day it was exaggerated to the point that even my legs were shaking. I also had the common side effects of a headache, muscle aches, sore arm, chills, and slightly nauseous.  Most of the side effects have improved at this point, although I still feel like I am recovering from the event.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Erythema, Heart rate increased, Hypersensitivity, Pain
Clinical narrative: My pulse went up to 142 the morning of the shot (Tuesday). I did drop down, but remained higher than normal for a couple days.  I woke up in the middle of the night (Tuesday-Wednesday) with a pulse just over 100 and my normal resting pulse is around 60. My face was bright red on Wednesday and it looked like sunburn. It was better the next day. I was very shaky. I do have an essential tremor that usually just affects my hand, but the night of the shot and the next day it was exaggerated to the point that even my legs were shaking. I also had the common side effects of a headache, muscle aches, sore arm, chills, and slightly nauseous.  Most of the side effects have improved at this point, although I still feel like I am recovering from the event.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Palpitations, Tremor
Clinical narrative: My pulse went up to 142 the morning of the shot (Tuesday). I did drop down, but remained higher than normal for a couple days.  I woke up in the middle of the night (Tuesday-Wednesday) with a pulse just over 100 and my normal resting pulse is around 60. My face was bright red on Wednesday and it looked like sunburn. It was better the next day. I was very shaky. I do have an essential tremor that usually just affects my hand, but the night of the shot and the next day it was exaggerated to the point that even my legs were shaking. I also had the common side effects of a headache, muscle aches, sore arm, chills, and slightly nauseous.  Most of the side effects have improved at this point, although I still feel like I am recovering from the event.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Dizziness, Fatigue, Headache
Clinical narrative: About an hour after receiving my second dose of the Shingrix vaccine I had swelling and pain at the injection site and by 13 hours after my second dose the injection site on my left arm also had a red rash that was about 4 inches long by 2  inches wide.  Also, at about 13 hours after receiving my second dose, I developed a severe headache, felt dizzy, my heart was pounding, I had the chills and was shivering.  I also felt very tired and by 17 hours out I threw up and at 24 hours out I threw up again.  By 36 hours out from my second dose I still had an upset stomach but was able to hold some food down and by about 52 hours out I was feeling pretty much back to normal.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site reaction, Injection site swelling, Palpitations, Rash erythematous
Clinical narrative: About an hour after receiving my second dose of the Shingrix vaccine I had swelling and pain at the injection site and by 13 hours after my second dose the injection site on my left arm also had a red rash that was about 4 inches long by 2  inches wide.  Also, at about 13 hours after receiving my second dose, I developed a severe headache, felt dizzy, my heart was pounding, I had the chills and was shivering.  I also felt very tired and by 17 hours out I threw up and at 24 hours out I threw up again.  By 36 hours out from my second dose I still had an upset stomach but was able to hold some food down and by about 52 hours out I was feeling pretty much back to normal.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: About an hour after receiving my second dose of the Shingrix vaccine I had swelling and pain at the injection site and by 13 hours after my second dose the injection site on my left arm also had a red rash that was about 4 inches long by 2  inches wide.  Also, at about 13 hours after receiving my second dose, I developed a severe headache, felt dizzy, my heart was pounding, I had the chills and was shivering.  I also felt very tired and by 17 hours out I threw up and at 24 hours out I threw up again.  By 36 hours out from my second dose I still had an upset stomach but was able to hold some food down and by about 52 hours out I was feeling pretty much back to normal.
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Musculoskeletal pain, Rash, Rash pruritic
Clinical narrative: Chills,  Painful Shoulder, itchy rash on torso
Age: 70.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: The patient called us at 3:15pm on 1/25/20 and said that his right arm (Pneumovax 23 given) started swelling in the evening  of 1/23 and it was very painful . He also had a fever on 1/23 and 1/24. He took Tylenol on 1/23 ,  1/24 & 1/25. He no longer has a fever and the arm is less painful on 1/25.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Nausea
Clinical narrative: Pt is an RN.  Pt developed a raised red warm area approx. 2cm at injection site within an hour of injection.   Tried application of ice.  Pt described nausea w/o vomiting for the first 24 hr period.  By 24hr the redness at the site had increased to 10cm, and became extremely tender and sensitive to touch and/or motion.  Pt tried application of a topical lidocaine patch to the affected area, which offered some relief.  Patient came to the pharmacy at approx. 48hr post injection (Saturday, Jan 25, 2020) She described the reaction and I observed the area, which still appeared as she described.  II told the pt that I would file a VAERS report, that if the reaction didn't resolve or worsened, to seek medical attention immediately.  I also advised that she notify her primary care physician, and seek her guidance on the remaining dose in the series.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Pt is an RN.  Pt developed a raised red warm area approx. 2cm at injection site within an hour of injection.   Tried application of ice.  Pt described nausea w/o vomiting for the first 24 hr period.  By 24hr the redness at the site had increased to 10cm, and became extremely tender and sensitive to touch and/or motion.  Pt tried application of a topical lidocaine patch to the affected area, which offered some relief.  Patient came to the pharmacy at approx. 48hr post injection (Saturday, Jan 25, 2020) She described the reaction and I observed the area, which still appeared as she described.  II told the pt that I would file a VAERS report, that if the reaction didn't resolve or worsened, to seek medical attention immediately.  I also advised that she notify her primary care physician, and seek her guidance on the remaining dose in the series.
Age: 45.0
Sex: M
Vaccine: MMR
Symptoms: Seizure
Clinical narrative: seizure within 24 hours of vaccination
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Fatigue, Injection site pain, Injection site swelling
Clinical narrative: pain, swelling at injection site. fever chills ,  tiredness,   vomiting,  upset stomach  overall soreness in muscles
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pyrexia, Vomiting
Clinical narrative: pain, swelling at injection site. fever chills ,  tiredness,   vomiting,  upset stomach  overall soreness in muscles
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC13, VARCEL
Symptoms: Decreased appetite, Pyrexia, Somnolence, Urticaria, Vomiting
Clinical narrative: Day after shots threw up 1 time, had a fever of 99.2 . Day 2 after shots began to get hives. Day 3 after shots has thrown up 2 times and is very sleepy. Decreased appetite.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: swelling, warm to touch, red at site of injection patient has been doing cool compressions to help with swelling. asked patient to monitor and if gets worse or no improvement to contact md
Age: 28.0
Sex: F
Vaccine: MMR
Symptoms: Dizziness, Vomiting
Clinical narrative: PATIENT HAD EPISODE OF DIZZINESS AND VOMITING. PATIENT WAS GIVEN SOMETHING SWEET, SALTY, AND WATER. SYMPTOMS RESOLVED AFTER ABOUT 15 MINUTES.
Age: 1.0
Sex: F
Vaccine: HEP, HEPA, MMR, VARCEL
Symptoms: Rash, Rash macular, Rash papular
Clinical narrative: 7 days later macular and fewer popular red rash in groin and arm and right ear. no fevers or illness.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site warmth
Clinical narrative: hot to touch at injection site three days after injection; sore as well
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: -2.5 inch diameter red, swollen, painful welt at injection site (lasting 4 days before diminishing on day 5) -Headache  each day (ongoing now for 5 days) -itchy rash across entire trunk of body and inside of arms (lasting 4 days before diminishing on day 5)
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash pruritic, Urticaria
Clinical narrative: -2.5 inch diameter red, swollen, painful welt at injection site (lasting 4 days before diminishing on day 5) -Headache  each day (ongoing now for 5 days) -itchy rash across entire trunk of body and inside of arms (lasting 4 days before diminishing on day 5)
Age: 11.0
Sex: F
Vaccine: FLU4, MNQ
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Patient states that she felt pain right away after getting the vaccines in her left upper arm. One vaccine was given  just bellow  ( ~1 inch below) the other.  The recollection of the Medical Assistant who gave the vaccines, stated that she thinks the Flu was more proximal and the Menacta was more distal. Patient stated that the  pain persisted and did not fell worse or better than initially. She was treated with Ibuprofen orally at her home.  The following day,  1/22/20, the area where the vaccine was administered became swollen, hot, hard, itchy and angry red and extended down her lateral arm 1/2 way to her left elbow. On 1/23/20 she returned to medical clinic where the above exam was confirmed.
Age: 11.0
Sex: F
Vaccine: FLU4, MNQ
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Patient states that she felt pain right away after getting the vaccines in her left upper arm. One vaccine was given  just bellow  ( ~1 inch below) the other.  The recollection of the Medical Assistant who gave the vaccines, stated that she thinks the Flu was more proximal and the Menacta was more distal. Patient stated that the  pain persisted and did not fell worse or better than initially. She was treated with Ibuprofen orally at her home.  The following day,  1/22/20, the area where the vaccine was administered became swollen, hot, hard, itchy and angry red and extended down her lateral arm 1/2 way to her left elbow. On 1/23/20 she returned to medical clinic where the above exam was confirmed.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Chills, Erythema, Groin pain, Musculoskeletal stiffness
Clinical narrative: Upper arm swelling, hot and red began after a couple of hours.  Area initially the size of a grapefruit but continued to grow to cover most of upper arm. Joint pain, muscle pain, chills. Worst pain in groin area, hip socket and left leg. Stiffness. Symptoms began to subside after 40 hours. Patient is taking Tylenol.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Upper arm swelling, hot and red began after a couple of hours.  Area initially the size of a grapefruit but continued to grow to cover most of upper arm. Joint pain, muscle pain, chills. Worst pain in groin area, hip socket and left leg. Stiffness. Symptoms began to subside after 40 hours. Patient is taking Tylenol.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash papular, Rash pruritic
Clinical narrative: Iitchy, raised rash on legs, abdomen, arm. Patient advised to see MD or urgent care
Age: 59.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Insomnia, Pain in extremity
Clinical narrative: at the time of administration patient was offered to get vaccinated on vaccine on each arm, but patient wanted both on the R arm  as she preferred to only have one sore arm. patient came this weekend and informed pharmacy that her arm is still sore from the 1/15/2020 vaccination and that she can not sleep on that side
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Malaise, Pain, Pyrexia
Clinical narrative: 103 F fever, body aches, malaise, soreness & swelling at injection site
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Anxiety, Electrocardiogram normal, Musculoskeletal disorder, Pain in extremity, Tenderness
Clinical narrative: very severe pain in left arm; sensitive to touch;  inability to use entire arm and high anxiety as I have a history of CVD we called 911; ambulance attendant said he thought it was reaction to vaccination not heart attack as my other signs appeared normal but could not be sure so I was transported to Hospital Emergency after receiving an EKG, hospital staff advised I was okay and clear to leave if I wanted to I took an Aleve when I got home and lorazepam 1 mg from an existing Rx supply I have. I was much better next day. Full recovery in 48 hours.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Injection site erythema, Pain in extremity, Rash
Clinical narrative: Extremely sore arm on the 5th day after injection. Red ring around injection site about the size of a half dollar that was not there after initial injection. Then Shingles outbreak on my forehead.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Abdominal distension, Contusion, Diarrhoea, Fatigue
Clinical narrative: Tenderness, slight swelling, bruising, and pain on movement of arm gradually subsided over the following week. Bruise is still visible. Stomach upset (discomfort, reflux, loose bowels) began the following day and persisted for several days. Fatigue continued for a full week.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Gastrooesophageal reflux disease, Pain, Pain in extremity, Tenderness
Clinical narrative: Tenderness, slight swelling, bruising, and pain on movement of arm gradually subsided over the following week. Bruise is still visible. Stomach upset (discomfort, reflux, loose bowels) began the following day and persisted for several days. Fatigue continued for a full week.
Age: 74.0
Sex: F
Vaccine: TDAP
Symptoms: Dry skin, Injection site pruritus
Clinical narrative: The patient stated she did not have a reaction from the vaccination that she received on 1/18/20 - no swelling, pain, or redness at the injection site, and no other adverse reactions. After she took a shower on 1/24/20 (6 days after the immunization), her arm was itching in the general area where she received her shot.  Her skin was extremely dry so she was going to try moisturizer and hydrocortisone cream, and had Benadryl at home.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Pruritus, Throat irritation, Throat tightness
Clinical narrative: Within 10 minutes, she had itching all over, itching in throat, very short of breath, felt like throat was closing. She was given epinephrine x2, solumedrol, benadryl and pepcid in the ED. It resolved within 1 hour.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Condition aggravated, Dyspnoea, Erythema, Fatigue
Clinical narrative: Low energy/ weakness; fatigue; occasional panting with minor activity such as walking; redness right shoulder; she developed a red raised area on her right shoulder that was 2.5 x 2.5 inches.; pneumonia; breathing issues; sore arm; she felt poorly; This case was reported by a consumer via call center representative and described the occurrence of pneumonia in a 69-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Concurrent medical conditions included respiratory infection (had sinus infections, bronchitis, pneumonia in 2004 to present), sinus infection and bronchitis.   On 15th October 2019, the patient received the 2nd dose of Shingrix (intramuscular). On 16th October 2019, 1 days after receiving Shingrix and an unknown time after starting azithromycin, the patient experienced pain in arm and feels poorly. On 17th October 2019, the patient experienced pneumonia (serious criteria GSK medically significant), difficulty breathing, localized erythema and swollen joints. On an unknown date, the patient experienced weakness, fatigue and tachypnea. The patient was treated with azithromycin and doxycycline. On an unknown date, the outcome of the pneumonia, difficulty breathing, weakness and fatigue were recovering/resolving and the outcome of the pain in arm and localized erythema were resolved with sequelae and the outcome of the swollen joints, feels poorly and tachypnea were unknown.   It was unknown if the reporter considered the pneumonia, difficulty breathing, weakness, fatigue, pain in arm, localized erythema, swollen joints, feels poorly and tachypnea to be related to Shingrix.  Additional details were reported as follows: The day after receiving vaccine she felt poorly and her right arm was sore. The patient reported that 2 days after receiving vaccine she developed breathing difficulties and she went to visit the doctor and was diagnosed with pneumonia. The patient stated that she took Azithromycin for a few days and it did not improve her condition, so she went back to the doctor and was prescribed doxycycline. After a few days of taking doxycycline, her condition did not improved. In addition to the breathing issues, patient also developed weakness, fatigue and low energy. Patient stated that she had occasional panting with minor activity such as walking. The patient started seeing an acupuncturist and her condition was slowly started to improve.  On 17th October 2019, she developed a red raised area on her right shoulder that was 2.5 by 2.5 inches. The doctor gave her a dose of steroids and the redness went away. The Patient stated that prior to receiving the 2nd dose of Shingrix, she was active and energetic. The reporter consented to follow up.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling abnormal, Injection site erythema, Injection site swelling, Joint swelling, Pain in extremity
Clinical narrative: Low energy/ weakness; fatigue; occasional panting with minor activity such as walking; redness right shoulder; she developed a red raised area on her right shoulder that was 2.5 x 2.5 inches.; pneumonia; breathing issues; sore arm; she felt poorly; This case was reported by a consumer via call center representative and described the occurrence of pneumonia in a 69-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Concurrent medical conditions included respiratory infection (had sinus infections, bronchitis, pneumonia in 2004 to present), sinus infection and bronchitis.   On 15th October 2019, the patient received the 2nd dose of Shingrix (intramuscular). On 16th October 2019, 1 days after receiving Shingrix and an unknown time after starting azithromycin, the patient experienced pain in arm and feels poorly. On 17th October 2019, the patient experienced pneumonia (serious criteria GSK medically significant), difficulty breathing, localized erythema and swollen joints. On an unknown date, the patient experienced weakness, fatigue and tachypnea. The patient was treated with azithromycin and doxycycline. On an unknown date, the outcome of the pneumonia, difficulty breathing, weakness and fatigue were recovering/resolving and the outcome of the pain in arm and localized erythema were resolved with sequelae and the outcome of the swollen joints, feels poorly and tachypnea were unknown.   It was unknown if the reporter considered the pneumonia, difficulty breathing, weakness, fatigue, pain in arm, localized erythema, swollen joints, feels poorly and tachypnea to be related to Shingrix.  Additional details were reported as follows: The day after receiving vaccine she felt poorly and her right arm was sore. The patient reported that 2 days after receiving vaccine she developed breathing difficulties and she went to visit the doctor and was diagnosed with pneumonia. The patient stated that she took Azithromycin for a few days and it did not improve her condition, so she went back to the doctor and was prescribed doxycycline. After a few days of taking doxycycline, her condition did not improved. In addition to the breathing issues, patient also developed weakness, fatigue and low energy. Patient stated that she had occasional panting with minor activity such as walking. The patient started seeing an acupuncturist and her condition was slowly started to improve.  On 17th October 2019, she developed a red raised area on her right shoulder that was 2.5 by 2.5 inches. The doctor gave her a dose of steroids and the redness went away. The Patient stated that prior to receiving the 2nd dose of Shingrix, she was active and energetic. The reporter consented to follow up.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Pneumonia, Tachypnoea
Clinical narrative: Low energy/ weakness; fatigue; occasional panting with minor activity such as walking; redness right shoulder; she developed a red raised area on her right shoulder that was 2.5 x 2.5 inches.; pneumonia; breathing issues; sore arm; she felt poorly; This case was reported by a consumer via call center representative and described the occurrence of pneumonia in a 69-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Concurrent medical conditions included respiratory infection (had sinus infections, bronchitis, pneumonia in 2004 to present), sinus infection and bronchitis.   On 15th October 2019, the patient received the 2nd dose of Shingrix (intramuscular). On 16th October 2019, 1 days after receiving Shingrix and an unknown time after starting azithromycin, the patient experienced pain in arm and feels poorly. On 17th October 2019, the patient experienced pneumonia (serious criteria GSK medically significant), difficulty breathing, localized erythema and swollen joints. On an unknown date, the patient experienced weakness, fatigue and tachypnea. The patient was treated with azithromycin and doxycycline. On an unknown date, the outcome of the pneumonia, difficulty breathing, weakness and fatigue were recovering/resolving and the outcome of the pain in arm and localized erythema were resolved with sequelae and the outcome of the swollen joints, feels poorly and tachypnea were unknown.   It was unknown if the reporter considered the pneumonia, difficulty breathing, weakness, fatigue, pain in arm, localized erythema, swollen joints, feels poorly and tachypnea to be related to Shingrix.  Additional details were reported as follows: The day after receiving vaccine she felt poorly and her right arm was sore. The patient reported that 2 days after receiving vaccine she developed breathing difficulties and she went to visit the doctor and was diagnosed with pneumonia. The patient stated that she took Azithromycin for a few days and it did not improve her condition, so she went back to the doctor and was prescribed doxycycline. After a few days of taking doxycycline, her condition did not improved. In addition to the breathing issues, patient also developed weakness, fatigue and low energy. Patient stated that she had occasional panting with minor activity such as walking. The patient started seeing an acupuncturist and her condition was slowly started to improve.  On 17th October 2019, she developed a red raised area on her right shoulder that was 2.5 by 2.5 inches. The doctor gave her a dose of steroids and the redness went away. The Patient stated that prior to receiving the 2nd dose of Shingrix, she was active and energetic. The reporter consented to follow up.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Lymph node pain, Lymphadenopathy, Malaise, Myalgia
Clinical narrative: tiredness/ fatigue; muscle ache; swollen lymph node; tenderness on her left arm; This case was reported by a pharmacist via call center representative and described the occurrence of tiredness in a 70-year-old female patient who received Herpes zoster (Shingrix) (batch number 5H42H, expiry date unknown) for prophylaxis.   On 8th January 2020, the patient received the 1st dose of Shingrix (intramuscular). On 8th January 2020, immediately after receiving Shingrix, the patient experienced tiredness, muscle pain, enlargement of lymph nodes and pain in arm. On an unknown date, the outcome of the tiredness, muscle pain, enlargement of lymph nodes and pain in arm were recovering/resolving.   It was unknown if the reporter considered the tiredness, muscle pain, enlargement of lymph nodes and pain in arm to be related to Shingrix.  Additional details were provided as follows: The patient received vaccination and shortly thereafter experienced tiredness, fatigue and muscle ache.   Later the patient had lymph node swelling and tenderness on her left arm.   The patient was feeling better, however, she was still tired and experienced the lymph node swelling. The reporter consented to follow up. This case is linked to case US2020AMR007953 reported by the same reporter for multiple patients.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Fatigue, Immediate post-injection reaction, Lymphadenopathy, Myalgia, Pain in extremity
Clinical narrative: tiredness/ fatigue; muscle ache; swollen lymph node; tenderness on her left arm; This case was reported by a pharmacist via call center representative and described the occurrence of tiredness in a 70-year-old female patient who received Herpes zoster (Shingrix) (batch number 5H42H, expiry date unknown) for prophylaxis.   On 8th January 2020, the patient received the 1st dose of Shingrix (intramuscular). On 8th January 2020, immediately after receiving Shingrix, the patient experienced tiredness, muscle pain, enlargement of lymph nodes and pain in arm. On an unknown date, the outcome of the tiredness, muscle pain, enlargement of lymph nodes and pain in arm were recovering/resolving.   It was unknown if the reporter considered the tiredness, muscle pain, enlargement of lymph nodes and pain in arm to be related to Shingrix.  Additional details were provided as follows: The patient received vaccination and shortly thereafter experienced tiredness, fatigue and muscle ache.   Later the patient had lymph node swelling and tenderness on her left arm.   The patient was feeling better, however, she was still tired and experienced the lymph node swelling. The reporter consented to follow up. This case is linked to case US2020AMR007953 reported by the same reporter for multiple patients.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Bacterial test negative, Blood pressure decreased, Blood test normal, Cardiac function test normal, Computerised tomogram head normal
Clinical narrative: fainted; headache; shivering; nerve pain in right ear; fever spiked; blood pressure dropped; This case was reported by a consumer via call center representative and described the occurrence of fainting in a 61-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   The patient's past medical history included shingles and nerve pain. Previously administered products included Shingrix (1st dose received in September 2019, 3 months prior to date of reporting).   On 29th December 2019, the patient received the 2nd dose of Shingrix. On 29th December 2019, less than a day after receiving Shingrix, the patient experienced fainting (serious criteria hospitalization and GSK medically significant), headache (serious criteria hospitalization), shivering (serious criteria hospitalization), nerve pain (serious criteria hospitalization), fever (serious criteria hospitalization) and blood pressure decreased (serious criteria hospitalization). The patient was treated with butalbital + caffeine + paracetamol (Fioricet). On 30th December 2019, the outcome of the shivering was recovered/resolved. On 31st December 2019, the outcome of the headache and blood pressure decreased were recovered/resolved. On an unknown date, the outcome of the fainting, nerve pain and fever were unknown.   It was unknown if the reporter considered the fainting, headache, shivering, nerve pain, fever and blood pressure decreased to be related to Shingrix.  Additional details were provided as follows: On Sunday 29 DEC 2019 end of the day, the patient received 2nd dose on that night in bed started getting headache and was shivering in bed. The patient also experienced nerve pain in right ear which came back that night.  Within an hour of waking fever spiked, blood pressure dropped, fainted.  The blood pressure 70/30.  The patient went to Medical Center ER all day in ER, ran tests, tests came back normal. Headache remained all day and diastolic blood pressure was low all day.  The patient was admitted to hospital then headache and low blood pressure continued.  The patient received Fioricet and remained the night and all the next day.  Later, the patient received fluids and blood pressure finally reached 60 (diastolic) and released on 31st December 2019.  The patient requested financial help for hospital bills. The reporter consented to follow up.