chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Feeling cold, Hypersomnia, Influenza like illness, Pain
Clinical narrative: Vaccine area was painful, red, hard, and hot.  Took Aleve but it did not help. Patient could not sleep or lay on it.  On 9/18, patient had Flu like symptoms; was tired and had chillsslept at lot.  Pain felt like had the shingles.  Affected area got larger as wide as hand.  On 9/23 went to pharmacist who recommended follow-up with doctor; specified she might need antibiotics.  On 9/23 had yearly follow-up with oncologist.  Doctor marked the affected area to see if grows outside boundaries and recommended moist/warm compresses.  Problems continued including chills and body pain, affected area did not grow outside boundaries.  Compresses helped.  Patient went back to pharmacist on 10/3 and tried some Benadryl; compresses helped. Patient is taking Benadryl every day and it is helping with itching and discomfort.   The flu-like symptoms ended over the weekend.  Patient can still see the outline of the affected area.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Vaccination site induration, Vaccination site pain, Vaccination site reaction, Vaccination site warmth
Clinical narrative: Vaccine area was painful, red, hard, and hot.  Took Aleve but it did not help. Patient could not sleep or lay on it.  On 9/18, patient had Flu like symptoms; was tired and had chillsslept at lot.  Pain felt like had the shingles.  Affected area got larger as wide as hand.  On 9/23 went to pharmacist who recommended follow-up with doctor; specified she might need antibiotics.  On 9/23 had yearly follow-up with oncologist.  Doctor marked the affected area to see if grows outside boundaries and recommended moist/warm compresses.  Problems continued including chills and body pain, affected area did not grow outside boundaries.  Compresses helped.  Patient went back to pharmacist on 10/3 and tried some Benadryl; compresses helped. Patient is taking Benadryl every day and it is helping with itching and discomfort.   The flu-like symptoms ended over the weekend.  Patient can still see the outline of the affected area.
Age: 43.0
Sex: F
Vaccine: FLUR4
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Pt reports severe and itchy rash around two-thirds  of the upper arm.  Rash started the evening after injection was administered and remains itchy and red even 6 days after administration. Pt administered self-care of ice pack and benadryl to relieve itch.
Age: 85.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling, Synovial fluid analysis
Clinical narrative: Patient reported pain and swelling at injection site soon after the injection, pain/swelling continued and pt presented to er.  Dr reports pt had significant swelling and pain that continued.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Urinary incontinence, Vomiting
Clinical narrative: chill, headache, vomiting, loss of bladder control
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Injection site discolouration, Injection site mass
Clinical narrative: Has 2-3 mm firm, mobile mass in left thigh, present since 2 mo vaccines. Now with overlying hyperpigmentation. No pain. On chart reviewed, he received the Pediatrix and Hib vaccines in that thigh on 7/9/19.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Injection site erythema, Injection site pain, Injection site rash, Injection site urticaria
Clinical narrative: The usual as described but severe and longer lasting: Muscle aches -- several muscle pain overnight Severe arm pain Raised pink rash or welt, hot to the touch, which expanded over 3 days to cover the area from just below my left shoulder to just above my inner elbow, 8 to 10 inches. General malaise and irritability for 3 to 5 days Sore and tender left arm for 5 to 7 days Rash started itching around day 4 or 5, rash began to subside on day 5 or 6, itching persisted with gradual improvement over the next 7 days. Basically, I had a mild case of shingles that resolved without medication.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Irritability, Malaise, Myalgia, Pain in extremity
Clinical narrative: The usual as described but severe and longer lasting: Muscle aches -- several muscle pain overnight Severe arm pain Raised pink rash or welt, hot to the touch, which expanded over 3 days to cover the area from just below my left shoulder to just above my inner elbow, 8 to 10 inches. General malaise and irritability for 3 to 5 days Sore and tender left arm for 5 to 7 days Rash started itching around day 4 or 5, rash began to subside on day 5 or 6, itching persisted with gradual improvement over the next 7 days. Basically, I had a mild case of shingles that resolved without medication.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash pruritic, Tenderness
Clinical narrative: The usual as described but severe and longer lasting: Muscle aches -- several muscle pain overnight Severe arm pain Raised pink rash or welt, hot to the touch, which expanded over 3 days to cover the area from just below my left shoulder to just above my inner elbow, 8 to 10 inches. General malaise and irritability for 3 to 5 days Sore and tender left arm for 5 to 7 days Rash started itching around day 4 or 5, rash began to subside on day 5 or 6, itching persisted with gradual improvement over the next 7 days. Basically, I had a mild case of shingles that resolved without medication.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Peripheral swelling
Clinical narrative: Swelling in arm, went to md, still swollen on 10/11/2019.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Insomnia, Pain, Pain in extremity, Tenderness
Clinical narrative: PATIENT REPORTED REDNESS, TENDERNESS, SORENESS IN HER ARM STARTING DAY OF FLU SHOT AND STILL TWO WEEKS AFTER.  SHE COMPLAINED OF TROUBLE SLEEPING FROM SORENESS AND SORENESS WHEN MOVING IT.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Muscle spasms
Clinical narrative: PATIENT STARTED TO GET BACK MUSCLE SPASM FEW DAYS AFTER VACCINATION. VISITED ER TWICE THEN SHE WAS ADMITTED IN HOSPITAL. DR'S THINK IT IS POSSIBLE THAT SHE DEVELOPED GUILLIAN -BARRE SYNDROME.
Age: 77.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt came to pharmacy evening of 10/11/19.  The arm that he received the injections was red and swollen.  Not at the injection site but lower on the arm just above the elbow.  I wasn't 100% sure it was from the vaccine.  I advised him to ice it, take pain reliever if needed, and speak to his dr in case it was infected.
Age: 71.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Malaise, Pain
Clinical narrative: pt started feeling achy and not well the evening  after receiving the vaccine.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site pain
Clinical narrative: PATIENT CAME INTO PHARMACY TO COMPLAIN OF BRUISING AT SITE OF INJECTION. SHE SAYS IT GOT ALOT BETTER AND COMPLAINED THAT IT WAS SORE IN THE BEGINNING.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMRV, UNK
Symptoms: Pruritus, Pyrexia, Rash, Rash erythematous, Rash vesicular
Clinical narrative: Patient received 1 year vaccines. Next day, started itching  severely, had fever of 101, and runny nose.  Fever continued to Sunday; alternated Tylenol and Ibuprofen to control it.   Rash started on face, then on elbow creases and then his legs.  Red dots like chickenpox now spread all over body from head to toes.  Patient went to the doctor today and doctor confirmed it was varicella and prescribed Prednisone. Clinic recommended a visit to Pediatrician and Allergist.  Patient doing well, with red bumps all over and itching a lot; looking out for scratching to avoid infection.
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, MMRV, UNK
Symptoms: Rhinorrhoea
Clinical narrative: Patient received 1 year vaccines. Next day, started itching  severely, had fever of 101, and runny nose.  Fever continued to Sunday; alternated Tylenol and Ibuprofen to control it.   Rash started on face, then on elbow creases and then his legs.  Red dots like chickenpox now spread all over body from head to toes.  Patient went to the doctor today and doctor confirmed it was varicella and prescribed Prednisone. Clinic recommended a visit to Pediatrician and Allergist.  Patient doing well, with red bumps all over and itching a lot; looking out for scratching to avoid infection.
Age: 70.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Pain
Clinical narrative: pt began feeling achy the evening after receiving vaccine
Age: 23.0
Sex: F
Vaccine: HEPA
Symptoms: Syncope
Clinical narrative: Syncope
Age: 17.0
Sex: F
Vaccine: FLU4, MNQ
Symptoms: Asthenia, Cold sweat, Pallor, Vision blurred
Clinical narrative: Pt reported "fuzzy vision" and feeling weak after the vaccines listed in this report. She also looked clamy and pale. I asked when was the last time she ate something and she stated just recently within the hour. I offered her some orange juice and she also had some orange glucose tablets, so she took a few of those. I offered her water to drink and told her to sit for about 5 or 10 minutes and let me know how she feels after ingesting the glucose from either juice or glucose tablets to make sure we didn't need to send her for further evaluation. Her family then basically carried her out of our store even though I asked them to wait around so we could follow up and see if her condition improves. I tried to call the patient around 7pm to check on her and no answer on cell phone.
Age: 72.0
Sex: F
Vaccine: FLUA3
Symptoms: Chills, Fatigue, Injection site pain, Pyrexia
Clinical narrative: Pain at injection site, chills, shivering, fever, fatigue
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Cellulitis, Erythema, Fatigue, Nausea
Clinical narrative: Swelling, redness and pain began about 4 hours after administration. Fever, intense swelling, nausea, fatigue, weakness, persisted for about the next 36 hours. Saw my PCP about 24 hours later. Diagnosed as cellutius. Given Keflex and Prednisone. Symptoms began to subside about 36 hours after beginning prednisone and were mostly disapitated approximately 4 days later.
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Pyrexia, Swelling
Clinical narrative: Swelling, redness and pain began about 4 hours after administration. Fever, intense swelling, nausea, fatigue, weakness, persisted for about the next 36 hours. Saw my PCP about 24 hours later. Diagnosed as cellutius. Given Keflex and Prednisone. Symptoms began to subside about 36 hours after beginning prednisone and were mostly disapitated approximately 4 days later.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: REDNESS/SWELLING BELOW INJECTION SITE, WARM TO TOUCH WITH NO PAIN OR FEVER. NO RASH. DEVELOPED OVER COURSE OF 24 HOURS AFTER INJECTION.
Age: 76.0
Sex: M
Vaccine: FLUX
Symptoms: Feeding disorder, Insomnia
Clinical narrative: Yesterday evening could not sleep at all last night.  Patient could not sleep and could not eat.  Today it continues.   Patient feels worse than after vaccine.  Patient has received Flu shot every year with no problem.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: red and warm from injection site to elbow. no pain.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Limb injury
Clinical narrative: PT REPORTED TO LOCAL URGENT CARE WITH REDNESS/SWELLING OF INJECTION SITE. PROVIDER HAD DX OF "CELLULITIS" ON HER CHART, BUT FELT SHE PROBABLY HIT HER ARM TO CAUSE THE ISSUE
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Chest pain, Erythema, Pain in extremity, Pruritus, Rash macular
Clinical narrative: After receiving vaccine stated she felt a pain shoot across her chest and down her right arm.  States after about 15 minutes began to having itching on entire right arm and red splotchy area down right arm to wrist.  Returned to hospital after 50 minutes to report symptoms.  Red irregular shaped areas noted going down right arm from shoulder to wrist.  Complained of itching.  Band-aid on right arm removed and area cleaned to remove any residue from band aid since she stated tape would break her out.  Benadryl 25mg PO given and Hydrocortisone cream applied to right arm at 1625.  Recheck at 1700 with stating she felt better.  States no itching and redness was fading.  Rechecked again at 1800 with still no difficulty breathing or swallowing.  Denied wheezing.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pain, Pain of skin, Pyrexia
Clinical narrative: Within 8-12 hours of receiving vaccine: 1) Developed fever of 101.5 which lasted for at least 16 hours.  Temperature reduced to 99.5 by taking 200 mg Advil or 325 mg Tylenol at 5 hour intervals.  Temperature returned to 98.6 approximately 24 hours after onset, 36 hours after vaccination. 2) Severe body aches, particularly hips, lower back, chest.  Alleviated by Advil/Tylenol.  Symptoms lessened approximately 24 hours after onset, 36 hours after vaccination, but still required 200mg Advil 42 hours after vaccination to alleviate. 3) Scalp and skin ached.  Felt like I had been swatted all over my body with a tennis racquet. 4) Very bad headache.  Any head movement (turning over in bed) increased head ache.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Rash
Clinical narrative: Patient believes she may have had an allergic reaction to the second dose of Shingrix. She had redness and bump around the injection site and then two days later she had a rash on both arms and around her neck/chest. No breathing problems. Recommended that she take a picture to make sure no spreading. Also, that she can take benadryl / apply cold compress to the area. Advised her to stop "patting" the area. Advised her to go to ER if there are any breathing issues.
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness
Clinical narrative: Took 1000mg Tylenol 1 hr prior to getting vaccine. Vaccine was given at work. About an hour after getting vaccinated I Suddenly felt lightheaded , dizzy and felt like I was going to pass. . Ate and drank water, did not help. Co workers notified of symptoms. About 1-2 hrs after symptoms started I Took 25 mg benedryl orally and laid down. Benedryl helped within next hour or so.  Then slept for 2 hrs and felt better. No symptoms since. Has not happened in past with flu vaccines or any vaccine.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Erythema
Clinical narrative: Patient called today to state that he had a reaction to his pneumovax 23 given on 10/9/19 his arm has redness 4-5 inches below the injection site, it wraps around the armpit and down to the elbow. I did tell him that I would be reporting this reaction via VAERS. he did contact his dr about the reaction and sent me photos of the reaction. He was told by his dr to take augmentin that he had on-hand at home. He said that he was not experiencing any aches, pains, or fever at the time of reporting.
Age: 41.0
Sex: F
Vaccine: UNK
Symptoms: Cough, Headache, Myalgia, Nausea, Oropharyngeal pain
Clinical narrative: Myalgias, headache, nausea. Myalgias and headaches relieved w ibuprofen. Nausea is very mild. Mild sore throat and cough began last night so seem unrelated. Felt well until evening after vaccine
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Musculoskeletal pain, Pain in extremity
Clinical narrative: sharp pain from shoulder blade down to fingers. pain started immediately after the shot. relief provided by steroid shot 10/9/19
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Influenza like illness, Injection site erythema, Injection site pain, Injection site streaking, Injection site warmth
Clinical narrative: Pt reported on phone 6 inch streaking and Red line From inj site (3 in both Directions) plus heat, warmth, pain, Flu like symptoms. Advised patient to go to walk in clinic or urgent care and to F/U w/PCP. Also to use Ibuprofen and cool pack, possibly Benadryl if worsening allergic reaction
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Injection site swelling, Product administered at inappropriate site
Clinical narrative: I Gave the Influenza and MMRV Vaccines which had no reaction per mother. Someone else did the DTap/IPV vaccine and mother said pt had long sleeve on but didn't notice reaction till she got home and saw the Right aRm where the injection site was swollen at the site. Per Dr. and Pts mother shot was given too low on the aRm.
Age: 72.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Local reaction
Clinical narrative: 10/8/19 Patient reports 24 Hours after receiving vaccinations swelling, redness and throbbing on left arm where she believes the pneumovax-23 shot was given. Patient has a circular pattern swelling across width of arm. She stated she will contact a doctor at an urgent care to examine local reaction.   10/9/19: Patient came in to Pharmacy for Arm evaluation & Left arm at pneumovax injection site swelling has resolved as well as pain & throbbing. Redness still persists and appears more red than day before (10/8/19). If redness continues to worsen patient will Follow-up with DR on 10/10/19. Patient is otherwise feeling well.   10/10/19 Pt presents - swelling resolved - redness towards Innerside of upper arm almost to elbow/crease - slightly warm to the touch - No tenderness @ site/No itching   -10/11/19 Patients - symptoms have resolved.
Age: 57.0
Sex: M
Vaccine: FLUC4
Symptoms: Pain
Clinical narrative: painful finger stick
Age: 16.0
Sex: F
Vaccine: FLU4, MENB, MNQ
Symptoms: Blood pressure decreased, Dizziness
Clinical narrative: The patient received the vaccines around 4"15pm. 3 minutes after the patient complained of dizziness, BP dropped to 75/47 from a baseline BP of 123/82. The patient was seated down on a lower chair and leg elevation (trundleberg position) was performed. Patient asked for water, and was given. BP cuffs was repeated on both arms. BP eventually improved in 8 min to 100/61, HR 73 and monitoring. The patient was monitored further w/BP w/c slowly went up from 102/70 to 108/74, HR 67 and O2 saturation at 99%. The patient verbalized that she is feeling much better, able to stand up & ambulate and was discharged at 4:50pm.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Pain, Pyrexia, Syncope
Clinical narrative: Patient reports feeling achy and chills. Patient felt that she had fever. When she stood up she fainted. Then fainted again within 5 mins of the first episode. Patient felt better the next morning.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chills, Dizziness
Clinical narrative: 11:15 pm. I experience chills, Dizziness and weakness for about 10 minutes sitting in the chair
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: SYNCOPE. Patient treated by paramedics on site; refused transport to hospital for further observation.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: red circle, hot to touch, painful to touch
Age: 76.0
Sex: F
Vaccine: FLUA3, VARZOS
Symptoms: Incorrect route of product administration, Nausea, Vomiting
Clinical narrative: The vaccine was administered Sub-Q instead of IM. Spoke to pt she is fine no adverse Reaction.
Age: 1.33
Sex: F
Vaccine: DTAPIPVHIB, FLU4
Symptoms: Injection site reaction, Local reaction
Clinical narrative: Local reaction after vaccine (right leg)
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site reaction, Local reaction
Clinical narrative: Local reaction on injection site
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site reaction, Local reaction
Clinical narrative: Local reaction on injection site.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Peripheral swelling
Clinical narrative: Patient came in on Wednesday October 3, 2019 stating that she had a normal doctor visit scheduled and when she went the Doctor looked at her arm and was concerned about the swelling under her arm. She then said she had received a flu vaccination and it had been hurting. She assumed that due to the swelling that she may have received the vaccination in the wrong location. However the pharmacist that gave her the vaccination knew she gave the vaccine in the correct location in the Left deltoid of the arm. She did not want to report any thing but let us know of her concern.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU4, HIBV, PNC13
Symptoms: Rash
Clinical narrative: Rash less than 12 hours. Benadryl 2.5 ml (12.5mg/5ml) TID Ranitidine 15 mg BID
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Eye pruritus, Paraesthesia oral, Swelling face
Clinical narrative: (L) deltoid flu shot. Within one hour developed (L) arm erythema, (L) cheek mild swelling, Left lip tingling, (L) eye itching. Went to ER after consult with Nurse Practitioner. Given Benadryl and Prednisone and observed x4 hrs in ED -> Symptoms resolved.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Hypersomnia, Myalgia, Nausea
Clinical narrative: Violent chills started @ 11:00pm. Nauseated around 12:00 AM. Started vomiting ~ 12:15ish and continued thru morning. Severe headache and muscle achiness. Stayed in bed 24 hrs... sleeping most of the day and slept thru the night.
Age: 70.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Patient feel pain, hardness and redness in the right arm where the Prevnar 13 vaccine was administered. Patient feel the symptoms since 10/06/2019. She visited Dr. for a previously scheduled appointment and she noticed the symptoms to the Doctor. Dr. contacted me today 10/11/2019 to inform the redness. I asked for the treatment the patient will received and Dr. said not treatment needed at this moment. She will see patient next week.
Age: 51.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site reaction, Injection site warmth, Pain in extremity, Rash erythematous
Clinical narrative: Patient called pharmacy stating that she felt pain in her left arm about 3 days after the flu shot.  Per pt, she did not think anything of it until her husband pointed out a red rash.  Per pt, the rash was near the injection site on the left arm and it was red and warm to the touch.  Pt was advise to take benadryl and to contact primary doctor if the pain persisted or got more severe or if she developed fever.  Attempted to call pt twice to determine if she reached out to provider and to determine the outcome, but received no response from the pt.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: Low-grade fever within 3 hours after vaccination leading to high fever (102+) after 48 hours.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Mobility decreased, Pain
Clinical narrative: patient reported severe pain two days after injection.  patient cannot lift arm above shoulder level.  patient currently using OTC ibuprofen and ice on the area.  She reports that the pain is somewhat lessened since it began but is still very severe.
Age: 69.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Headache, Injection site urticaria, Pyrexia
Clinical narrative: Headache, fever chills large welt at injection site-2 inches
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Pain, Swelling
Clinical narrative: swelling, redness, pain started 24 hours after injections
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Pyrexia
Clinical narrative: fever and aches - overnight, treated with tylenol
Age: 60.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Body temperature increased, Chills, Fatigue
Clinical narrative: Extreme fatigue, elevated oral temperature, violent shivering.  Temperature shortly after time of onset was 101.8.  No further readings were taken.  Patient slept for 10 hours and slowly returned to a normal state.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Left Arm above the elbow was red and hard on the first day.  The second day the hardness went away and the redness moved to the underside of the arm.  The patient was counseled to keep an eye on it.  If she experienced any additional symptoms or if the redness did not go away to contact her physician on Monday.
Age: 58.0
Sex: M
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: Generalized hives/self treated with diphenhydramine 50 mg.
Age: 84.0
Sex: F
Vaccine: FLUR4, PPV
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Skin tightness
Clinical narrative: RIGHT ARM SWELLING AT SITE OF INJECTION AND DOWN TO ELBOW.  PER PATIENT, FEELS TIGHT AND IS SOMEWHAT RED.  RECOMMENDED THAT PATIENT APPLY ICE 10MIN ON AND 10MIN OFF.  ELEVATE ALSO.  IF SWELLING CONTINUES CONTACT PHYSICIAN.
Age: 24.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Rotator cuff syndrome, Shoulder injury related to vaccine administration
Clinical narrative: Extreme right shoulder pain, later diagnosed with a rotator cuff injury due to vaccine administration
Age: 67.0
Sex: F
Vaccine: FLU4, PPV, VARZOS
Symptoms: Dizziness, Injection site erythema, Injection site swelling, Tenderness
Clinical narrative: red, swelling  "three times of normal"of injection site, defined borders, lightheadness lasted for a few days, symptoms have improved over the days although tenderness is still felt three days out
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Musculoskeletal pain
Clinical narrative: PT RECEIVED THE VACCINATION AT ABOUT 7:30PM AND STATES SHE STARTED HAVING SEVERE SHOULDER PAIN AROUND 12AM-1AM AFTER RECEIVING VACCINATION. STATES THE PAIN IS CENTRALLY LOCATED IN THE SOCKET AREA AND PAIN IS LEVEL 10.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Pain in extremity
Clinical narrative: Patient comes in the pharmacy with injection site redness, soreness, and pain  in her left arm starting late Friday night 10/11/19 after receiving a Shingrix injection on 10/09/2019, Patient states that she took Tylenol for the pain but it did not help
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain, Pruritus, Skin warm, Swelling
Clinical narrative: Swelling, redness, itch , pain, hot to touch, 4in by 6in area
Age: 18.0
Sex: M
Vaccine: FLU4, MENB
Symptoms: Pain, Pyrexia
Clinical narrative: Fever, body ache. treatment: Tylenol/ibuprofen PRN fever or pain.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Arthralgia, Chills, Dizziness, Fatigue
Clinical narrative: I had the Shingrix vaccination yesterday at the Clinic, around 4:00 pm.  This morning around 3:00 a.m. I woke up shivering even though I was under a blanket, a quilt and down comforter. I was also in a lot of pain. My joints hurt so much it was painful to turn over. I was awake for a couple of hours just trying to get as comfortable as I could. When I finally did get up, I was very dizzy, tired and my stomach has been making noises.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Blood pressure decreased, Vomiting
Clinical narrative: vomiting and drop in blood pressure
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain
Clinical narrative: My arm is still sore at the injection site 3.5 weeks after the shot was administered.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Abdominal discomfort, Erythema, Lethargy, Peripheral swelling, Pyrexia
Clinical narrative: Very swollen upper arm down to elbow. Same area very reddened. Low grade fever. Upset stomach. Lethargic. All symptoms lasted from Wednesday night through Friday night.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Fall
Clinical narrative: pt describes feeling  dizzy and then falling. Once arriving back home after receiving the shot. Pt then felt completely fine after sitting down for a while.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Injection site swelling, Walking aid user
Clinical narrative: severe Dizziness beginning 45 minutes after  injection, could not walk without holding on to walls, chairs etc for 2 days.  Left upper arm swollen
Age: 88.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Rash, Skin warm
Clinical narrative: Pt developed redness, heat  and then rash  within a couple hours of vaccine.  Rash slowly spreading down arm. Managing with Benadryl and observing. will follow -up with PCP.
Age: 73.0
Sex: F
Vaccine: TDAP
Symptoms: Blood test, Decreased appetite, Headache, Seizure, Urinary incontinence
Clinical narrative: Shot was given on 9.23. Patient experienced seizure in her bed on 9.26 around 1am.   Patient was alone when experienced seizure. Patient woke up by 7am and Patient had a terrible head ache and bed was wet.  No appetite for three days.  Felt similar symptoms from past seizure about 2 years ago (12/28/2017)  Called dr to schedule an appointment in December 2019 and took blood work last week, first week of October.
Age: 37.0
Sex: F
Vaccine: UNK
Symptoms: Eye swelling, Hypersensitivity, Pruritus
Clinical narrative: I  am lucky enough to get a free flu shot from my employer every year.  I got my flu shot on 10/9/19 right when I got into work in the morning and worked through out the day and got an intense itching sensation on my head and other parts of my body.  I took a Benadryl when  I got home and covered the itching parts of my body with cool clothes.  When I woke up the next day it was worse and when I rubbed my eyes they got swollen and I started really started to panic and went to an Urgent Care facility as soon as they opened.
Age: 78.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: minor arm soreness, fever, very bad body aches.
Age: 60.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Arthralgia, Fatigue, Headache, Impaired work ability, Malaise
Clinical narrative: Patient received vaccines on a Wednesday Oct 2.  On Thursday, patient reports not feeling well.  Complained of horrible headache, body aches, fatigue, joint pain, left arm cramping, and shooting pains down his right leg. Went to see his doctor on Thursday evening. Says he stayed in bed Thursday night through Friday afternoon. He had to call out of work on Friday due to his symptoms.
Age: 60.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Muscle spasms, Pain, Pain in extremity
Clinical narrative: Patient received vaccines on a Wednesday Oct 2.  On Thursday, patient reports not feeling well.  Complained of horrible headache, body aches, fatigue, joint pain, left arm cramping, and shooting pains down his right leg. Went to see his doctor on Thursday evening. Says he stayed in bed Thursday night through Friday afternoon. He had to call out of work on Friday due to his symptoms.
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site inflammation, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Inflamed, itchy, painful, 3x3 inch round swelling at the injection site.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site rash, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Sunday after receiving the vaccination she felt very tired, Monday was running a low grade fever, extremely tired and ached all over, Tuesday morning had localized rash all over on your arm, where the injection was, and was swollen, hot to the touch.  Went to urgent care on Tuesday, they prescribed doxycycline 100 mg 1 capsule twice daily for 7 days, Started to resolve in the next few days.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Sunday after receiving the vaccination she felt very tired, Monday was running a low grade fever, extremely tired and ached all over, Tuesday morning had localized rash all over on your arm, where the injection was, and was swollen, hot to the touch.  Went to urgent care on Tuesday, they prescribed doxycycline 100 mg 1 capsule twice daily for 7 days, Started to resolve in the next few days.
Age: 88.0
Sex: M
Vaccine: FLU3
Symptoms: Dry skin, Skin exfoliation
Clinical narrative: 10/12/2019 THE PATIENT CAME INTO THE PHARMACY. HE NOTICED HIS ARM HAS DRY SKIN. THE SKIN WAS NOT RED BUT THERE WAS VISIBLE DRY, SCALY, AND PEELING SKIN (NOT INFLAMMED) THE PATINET DID NOT NOTICE IT, THERE WAS NO PAIN, HIS WIFE NOTICED IT.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Fever, pain
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Alanine aminotransferase normal, Anion gap normal, Aspartate aminotransferase normal, Blood albumin normal, Blood alkaline phosphatase normal
Clinical narrative: right facial numbness and swelling-unsure if this is related to vaccine but reporting to be safe
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal
Clinical narrative: right facial numbness and swelling-unsure if this is related to vaccine but reporting to be safe
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea nitrogen/creatinine ratio, Blood urea normal, C-reactive protein increased
Clinical narrative: right facial numbness and swelling-unsure if this is related to vaccine but reporting to be safe
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Carbon dioxide normal, Computerised tomogram head normal, Haematocrit normal, Haemoglobin normal, Hypoaesthesia
Clinical narrative: right facial numbness and swelling-unsure if this is related to vaccine but reporting to be safe
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: right facial numbness and swelling-unsure if this is related to vaccine but reporting to be safe
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Mean platelet volume normal, Neutrophil count normal, Neutrophil percentage increased, Platelet count normal, Protein total normal
Clinical narrative: right facial numbness and swelling-unsure if this is related to vaccine but reporting to be safe
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Red blood cell count normal, Red blood cell sedimentation rate normal, Red cell distribution width normal, Swelling face, White blood cell count normal
Clinical narrative: right facial numbness and swelling-unsure if this is related to vaccine but reporting to be safe
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling cold, Headache, Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Pain in left arm. redness and swelling that is 4 inches by 3 inches.below the injection site. had headache on day of injection. also slight fever.  feeling cold. Took 1 aleve yesterday and today.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Pain in left arm. redness and swelling that is 4 inches by 3 inches.below the injection site. had headache on day of injection. also slight fever.  feeling cold. Took 1 aleve yesterday and today.
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Fatigue, Feeling abnormal, Feeling hot, Head injury
Clinical narrative: After administering the vaccine, the patient fainted out of her chair. She hit the ground on her right side and bumped her head off a cabinet drawer handle. She came to about 2-3 seconds after fainting and asked where she was and looked scared and pale. Her mother was with her in the room as well. We kept the patient lying down for a minute or so then she felt that she could sit up. She felt dizzy, hot (sweating), and nauseous. I got the patient a cold water bottle and she did drink some water. After about 15 minutes, patient said she felt a little better but still felt tired and did not feel herself. Patient was helped to her mother's car and I will be calling the patient's mother later this evening to see if the patient is feeling better. I will also contact the doctor's office on Monday morning to let them know what happened as well.
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Hyperhidrosis, Nausea, Pallor, Syncope
Clinical narrative: After administering the vaccine, the patient fainted out of her chair. She hit the ground on her right side and bumped her head off a cabinet drawer handle. She came to about 2-3 seconds after fainting and asked where she was and looked scared and pale. Her mother was with her in the room as well. We kept the patient lying down for a minute or so then she felt that she could sit up. She felt dizzy, hot (sweating), and nauseous. I got the patient a cold water bottle and she did drink some water. After about 15 minutes, patient said she felt a little better but still felt tired and did not feel herself. Patient was helped to her mother's car and I will be calling the patient's mother later this evening to see if the patient is feeling better. I will also contact the doctor's office on Monday morning to let them know what happened as well.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Basedow's disease, Condition aggravated, Feeling abnormal, Laboratory test abnormal, Pain in extremity
Clinical narrative: 1)Very sore arm and fever of 100.5 for most of the day following the vaccination; felt miserable. 2)About 4 months following vaccination, my Graves disease reappeared, after about 10 years in remission.  I think that may have been due to the adverse reaction following the 2nd Shingrix shot. Wonder if those with auto immune diseases should be advised not to have this vaccination.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: 1)Very sore arm and fever of 100.5 for most of the day following the vaccination; felt miserable. 2)About 4 months following vaccination, my Graves disease reappeared, after about 10 years in remission.  I think that may have been due to the adverse reaction following the 2nd Shingrix shot. Wonder if those with auto immune diseases should be advised not to have this vaccination.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Diverticulitis, Pyrexia, Vomiting
Clinical narrative: PATIENT GOT HER FLU VACCINE ON 10/11/19.  HER DAUGHTER CALLED THIS AFTERNOON AND STATED THAT HER MOM DEVELOPED FEVER AND VOMITTED AFTER SHE GOT HER FLU VACCINE.  DAUGHTER SAID HER MOM IS CURRENTLY HAVING DIVERTICULITIS (BEFORE SHE GOT HER VACCINE).  I EXPLAINED  THAT THOSE SYMPTOMS MAY CAUSE BY HER CURRENT DIVERTICULITIS AND ADVISED SHE MAY TAKE SOME TYLENOL FOR FEVER.  DAUGHTER THOUGHT HER MOM WAS ALLERGIC TO THE VACCINE.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Injection site warmth
Clinical narrative: 3 separate red swollen, oval, raised lumps on the upper left arm, they are hot to the touch, not painful, not itchy. they are localized to the left upper arm: nowhere near the vaccination site. they have migrated down her arm after the vaccine was given
Age: 65.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site reaction, Injection site swelling
Clinical narrative: Patient reported to the pharmacy that she had a pop and swelling in the bicep of the same arm that she had a shot and thought the shot contributed.  Advised the patient to go to urgent care for follow up.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Lethargy, Loss of personal independence in daily activities, Pain, Pyrexia
Clinical narrative: The day after my second Shingrix vaccine I was very lethargic, body aches  and a slight fever.  Not able to do usual daily routine.   Symptoms lasted most of the day.  The next day I felt fine.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Dehydration, Headache, Pyrexia
Clinical narrative: Fever, upset stomach, headache, dehydration
Age: 12.0
Sex: F
Vaccine: FLUC4
Symptoms: Device malfunction, No adverse event
Clinical narrative: vaccine device malfunction. no harm to patient. patient received appropriate dose.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache
Clinical narrative: Extreme tiredness, uncontrollable shivering, mild headache and some continuing fatigue the day after vaccination.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous
Clinical narrative: RED RASH ON LEFT ARM AND UPPER BODY ON THE LEFT SIDE RECEIVED MEDROL DOSE PAK FROM DR.
Age: 74.0
Sex: M
Vaccine: PNC13
Symptoms: Blood uric acid, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Patient came to the pharmacy requesting for the Prevnar 13 vaccine. The vaccine was administered by 09/17/19 without any observed complication or adverse event neither during or following administration. Patient came to the pharmacy 6 days later (09/23/19) indicating that the previous saturday (09/21/19) he woke up at 4:00 am with his arm swollen, warm and painful in his elbow and wrist. He inform the pharmacists that he went to the emergency room by 9:00 am that same day (09/21/19) and visits the orthopedic physician who told him that the vaccine exacerbated pre-existing arthritis in the patient and  prescribed Diclofenac sodium 1% gel and Aspercreme patch. The patient then arrange a visit to his primary physician who told him he was thinking about the possibility of a gout attack. Uric acid labs were ordered and a new prescription for Colchicine 0.6mg and Prednisone 5mg  was written. Follow up consults were given to the patient and is currently stable and improving.
Age: 65.0
Sex: F
Vaccine: FLUC4
Symptoms: Mobility decreased, Tenderness
Clinical narrative: Pt has tenderness and difficulty lifting arm after shot was given. Symptoms last until 10/10/19
Age: 68.0
Sex: M
Vaccine: FLUA3, PNC13
Symptoms: Vision blurred
Clinical narrative: Pt had trouble focusing eyes upon first waking up 09/6 thru 09/08
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient is having extremely sore arm despite using ice on a daily basis 5 days later.  No heat, redness, or swelling at area of injection
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Emotional distress, Feeling jittery, Injection site pain, Insomnia
Clinical narrative: Patient felt jittery and experienced insomnia the night after immunization.  She also felt more emotional than usual and had site pain for 5 days.
Age: 10.0
Sex: F
Vaccine: FLUR4
Symptoms: Dizziness, Headache, Nausea, Pallor, Tinnitus
Clinical narrative: WITHIN A FEW MINUTES OF RECEIVING THE VACCINE, PT BECAME PALE AND EXPERIENCED NAUSEA, HEADACHE, DIZZINESS, VISION CHANGES (STATED SEEING RAINBOWS/DOTS), AND RINGING IN THE EARS. ADMINISTERED BENADRYL. MONITORED PULSE AND BP. PT DRANK SOME WATER.
Age: 10.0
Sex: F
Vaccine: FLUR4
Symptoms: Visual impairment
Clinical narrative: WITHIN A FEW MINUTES OF RECEIVING THE VACCINE, PT BECAME PALE AND EXPERIENCED NAUSEA, HEADACHE, DIZZINESS, VISION CHANGES (STATED SEEING RAINBOWS/DOTS), AND RINGING IN THE EARS. ADMINISTERED BENADRYL. MONITORED PULSE AND BP. PT DRANK SOME WATER.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cold sweat, Feeling cold, Gait inability
Clinical narrative: Patient states roughly 2 hours after receiving vaccine, she started feeling cold, clamy and was shivering uncontrollably. Hours later, patient stated she could not walk. Didn't start feeling better until the next morning.
Age: 71.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site pruritus, Pruritus
Clinical narrative: BEFORE "LEAVING THE STORE" PATIENT REPORTS ITCHING FROM THE RIGHT SHOULDER TO HER WAIST. ITCHING LASTED FOR APPROXIMATELY 10 DAYS.
Age: 76.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Blindness unilateral, Computerised tomogram, Magnetic resonance imaging
Clinical narrative: Lost vision in left eye two hours after the vaccine was administered.
Age: 76.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Angiogram, Blindness unilateral, Laboratory test, Magnetic resonance imaging brain normal, Optic neuritis
Clinical narrative: Lost vision in left eye two hours after the vaccine was administered.
Age: 32.0
Sex: F
Vaccine: MENB
Symptoms: Abdominal pain, Injection site erythema, Injection site induration, Injection site pain, Nausea
Clinical narrative: The shot burned much more than usual while it was being injected. It was around 9.30am EST. I felt fine immediately after until 3-5 hours later when I noticed I was having very severe nausea and intense abdominal pain. I took 4mg of ODT ondansetron around 4pm EST and had no relief.  I tried taking a dose of Pepto Bismol also around 4pm and had no relief. The pain got progressively worse so I called the Clinic  around 12.05am earlier today and asked to speak to the infectious disease doctor on call. There was confusion about which injectoon I received. The doctor said he believed I received the Bexsara and said if the pain was that bad, I should go to the ER. I told him that I?d rather wait until morning to go in to an ER, so he advised me to take 1g of acetaminophen and keep a heating pack on my abdomen. I took 1 gram of acetaminophen and 4mg if tizanidine as well and was able to fall asleep.  I woke up to moderate  arm pain and redness at the injection site. There is a very hard bump where I received the injection. I have some minor itching on my neck, chest, and right shoulder.
Age: 32.0
Sex: F
Vaccine: MENB
Symptoms: Pruritus
Clinical narrative: The shot burned much more than usual while it was being injected. It was around 9.30am EST. I felt fine immediately after until 3-5 hours later when I noticed I was having very severe nausea and intense abdominal pain. I took 4mg of ODT ondansetron around 4pm EST and had no relief.  I tried taking a dose of Pepto Bismol also around 4pm and had no relief. The pain got progressively worse so I called the Clinic  around 12.05am earlier today and asked to speak to the infectious disease doctor on call. There was confusion about which injectoon I received. The doctor said he believed I received the Bexsara and said if the pain was that bad, I should go to the ER. I told him that I?d rather wait until morning to go in to an ER, so he advised me to take 1g of acetaminophen and keep a heating pack on my abdomen. I took 1 gram of acetaminophen and 4mg if tizanidine as well and was able to fall asleep.  I woke up to moderate  arm pain and redness at the injection site. There is a very hard bump where I received the injection. I have some minor itching on my neck, chest, and right shoulder.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Hypersensitivity, Peripheral swelling, Skin warm
Clinical narrative: Patient got 2 shots.   high dose flu shot and pneumovax (first in series only because we were out of prevnar 13 and pt insisted on getting a pneumonia).  Planned to give her the Prevnar in one year.  Both shots in the same are at least 1 inch apart.  Arm became red, swollen and hot to the touch.  Went to the emergency room.  Per patient, the nurse told her that it was probably an allergic reaction (when asked, she said she's had the flu shot every year with no problem).  They gave her a steroid shot and told her that the reaction was not severe enough to prevent her from getting the second pneumonia vaccine
Age: 80.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Fatigue, Influenza like illness, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Day of injection: general pain (not at the site but whole arm), swelling - pt used ice and tylenol that didn't help Next day: swelling (3 inch difference between arms as measured by patient), flu-like body aches and fatigue (no fever) - pt treated with ice and rest Day 2 after injection:  pt returned to pharmacy and reported extreme tenderness radiating from the area (nothing at site) especially upper chest on right side, down the arm into the fingers and upper back near right arm, heat mostly gone at this point - pt will continue with ice and rest until monday and then visit dr if still needed
Age: 80.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Tenderness
Clinical narrative: Day of injection: general pain (not at the site but whole arm), swelling - pt used ice and tylenol that didn't help Next day: swelling (3 inch difference between arms as measured by patient), flu-like body aches and fatigue (no fever) - pt treated with ice and rest Day 2 after injection:  pt returned to pharmacy and reported extreme tenderness radiating from the area (nothing at site) especially upper chest on right side, down the arm into the fingers and upper back near right arm, heat mostly gone at this point - pt will continue with ice and rest until monday and then visit dr if still needed
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Lethargy, Pain
Clinical narrative: Flu like symptoms.  Achy lethargic