chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Mobility decreased, Paraesthesia
Clinical narrative: Patients mom called the pharmacy today, and said her daughter is fillling like her arm is numb, She cannot lift her arm up. and its filling tingling. Her daughter got the flu shot yesterday. She said they feel like it was given too high in the shoulder. They went to clinic and clinc told them to go to urgent care. They went  to urgent care to see a doctor. Doctor informed her to start taking tylenol, and they're using heating compression. Doctor also informed the pateint to follow up in couple of days. I asked the patient if there is anyting we can do. she said she just wanted to call us let us know know about the event. Her doctor also said they will do her x ray if her arm doesnt get better in couple of days.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Back pain, Chest pain, Dyspnoea, Flushing, Tinnitus
Clinical narrative: chestpain, flushing of face, ringing ears, back pain, trouble breathing. lasted 8 minutes
Age: 22.0
Sex: F
Vaccine: FLUC4
Symptoms: Abdominal pain upper, Diarrhoea, Nausea, Somnolence, Urticaria
Clinical narrative: Stomach pain, watery diarrhea, nausea, drowsiness, hives all over body. Prescribed with  Ioperamid 2MG capsule 4 times a day  and diphenhydrAMINE 25MG capsule every 6 hours.  Symptoms were relieved the same day after taking the pills.
Age: 64.0
Sex: F
Vaccine: FLUR4, PPV
Symptoms: Chills, Erythema, Headache, Nausea, Peripheral swelling
Clinical narrative: Patient reported fever, chills, nausea, headache, swollen red arm
Age: 64.0
Sex: F
Vaccine: FLUR4, PPV
Symptoms: Pyrexia
Clinical narrative: Patient reported fever, chills, nausea, headache, swollen red arm
Age: 81.0
Sex: M
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: Patient had a fever of 102 for a few days after receiving vaccine
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site streaking, Rash, Rash erythematous
Clinical narrative: The patient reported having a painful pinkish-red rash that looked like a line across her arm a few inches below the injection site.  She reported noticing this symptom the next day or a couple days after the vaccine.  The rash-like mark lasted for 1 and 1/2 weeks before it went away.
Age: 67.0
Sex: M
Vaccine: FLUA4, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Pt reported to the pharmacy on 10/24 stating that his arm was swollen and still hurting from his pneumonia and flu injections on Thursday 10/22. Pt stated that the pain had improved but it was still swollen and red. Upon examination pts arm looked red from elbow to bicep area, and it was clearly swollen. Pt stated that he had only taken Tylenol to help with the symptoms when he reported on 10/24. I recommended that the pt continue to take Tylenol or Ibuprofen to help with the pain and redness/swelling, as well as to use an ice pack. I also alerted the patient that if it did not improve he could visit an urgent care facility for further evaluation. Pt was agreeable to these ideas and stated that "he figured it would go away eventually". I told the patient I would follow up with him to see improvement of arm.
Age: 47.0
Sex: F
Vaccine: FLUR4, PPV, VARZOS
Symptoms: Hypoaesthesia, Injection site swelling, Pyrexia
Clinical narrative: PATIENT REPORTED FEVER OF 103F, NUMBNESS IN FINGERS, AND SWELLING AT INJECTION SITE DAY AFTER VACCINATION. PATIENT WENT TO HOSPITAL DR SAID IT WAS MOST LIKELY FROM THE FLU VACCINATION. DR STATED HE HAD SEEN MULTIPLE PATIENTS IN DUE TO ADVERSE RXN TO FLU VACCINATION THIS YEAR.
Age: 31.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia
Clinical narrative: Patient received vaccination  and complained that  she has been having pain on the shoulder. She too Ibuprofen but the  pain is not letting  up for more than  two weeks now.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Headache
Clinical narrative: Headache, Shivers, Chills Temp of 101.5
Age: 20.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Nausea, Syncope
Clinical narrative: Shortly after immunization administration, patient experienced dizziness and nausea. Patient collapsed to the floor but did not seem to lose consciousness. Episode resolved after patient lay on the floor with legs elevated and was given cold water. Patient quickly regained composure after a few minutes.
Age: 4.0
Sex: M
Vaccine: MMR
Symptoms: Abdominal pain, Constipation
Clinical narrative: My son got vaccinated with the MMR vaccine on June 23, 2020. About two weeks later, he started to complain that his tummy hurt. He also started to take upwards of 45 minutes to 1.5 hours on the toilet trying to poop, but saying that "it won't work." He has never had tummy or constipation issues ever in his whole life. His diet also hasn't changed, but his body definitely has. I mentioned my son's constipation problems to his pediatrician briefly a few weeks after I started seeing symptoms (end of July), but I thought it was something that would resolve itself. It has been months now, and my son complains about 3-4 days out of the week that his tummy hurts, and at least once a day he is on the toilet between 30-60 minutes trying to go to the bathroom. I didn't think it was connected to the MMR vaccine until I started to research further and found that it could be a potential side effect from it. This realization is brand new to me, and with COVID and all the craziness surrounding that, I haven't officially gone in to have my son tested for different things to see what the root cause of his problems are.
Age: 77.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site erythema, Injection site inflammation, Injection site paraesthesia, Injection site pruritus, Injection site swelling
Clinical narrative: PATIENT STATED THAT HER LEFT TRICEPT AND UPPER ARM BECAME RED AND INFLAMMED DOWN TO ELBOW, SHE PUT AN ICE PACK ON IT TO REDUCE SWELLING.  SHE STATED IT FELT ITCHY AND NEEDLE SENSATION EVEN THOUGH IT DID NOT APPEAR INFLAMMED OR RED AT TIME OF VISIT.  ALSO REPORTED THAT HER RIGHT EYELID EXPERIENCED SWELLING BUT WAS NOT PRESENT AT TIME OF CONSULTATION.
Age: 77.0
Sex: F
Vaccine: FLUR4
Symptoms: Swelling of eyelid
Clinical narrative: PATIENT STATED THAT HER LEFT TRICEPT AND UPPER ARM BECAME RED AND INFLAMMED DOWN TO ELBOW, SHE PUT AN ICE PACK ON IT TO REDUCE SWELLING.  SHE STATED IT FELT ITCHY AND NEEDLE SENSATION EVEN THOUGH IT DID NOT APPEAR INFLAMMED OR RED AT TIME OF VISIT.  ALSO REPORTED THAT HER RIGHT EYELID EXPERIENCED SWELLING BUT WAS NOT PRESENT AT TIME OF CONSULTATION.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Contusion, Pain, Pain in extremity
Clinical narrative: PATIENT PRESENTED AT PHARMACY 4 DAYS AFTER IMMUNIZATION. HE STATED HIS ARM WAS SLIGHTLY SORE THE DAY FOLLOWING THE IMZ. THE 2ND DAY IT BEGAN BRUISING. UPON PRESENTATION AT THE PHARMACY ON DAY 4, HE HAD A LARGE BRUISE EXTENDING DOWN HIS ARM AND STATED IT WAS PAINFUL WHEN HE LIFTED HIS ARM. PATIENT STATED HE DID NOT WANT TO GO TO THE ER, SO HE WAS ENCOURAGED TO VISIT AN URGENT CARE FOR EVALUATION. HE STATED HE WOULD GO SEE HIS DOCTOR ON MONDAY.
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: Patient recieved vaccine on 10/9/20, that next morning at 3am, started breaking out in hives, contacted teladoc and they prescribed benadryl taking 4 days, only getting hives in the evening but not during the day. Started a methylprednison pack today to see if it can help with hives
Age: 78.0
Sex: F
Vaccine: FLUA4
Symptoms: Contusion, Injection site pain, Swelling
Clinical narrative: very large bruising and she states it swelled to feel like a "golf ball" underneath her skin. She states she also experienced significant pain in the injection site for a couple days. She states she has since recovered.
Age: 59.0
Sex: F
Vaccine: FLUR4
Symptoms: Pain in extremity, Rash macular, Skin warm, Swelling
Clinical narrative: Patient called the pharmacy on 10/23/2020 to report blotchiness and soreness on her left arm with heat. She was advised that those reactions are somewhat common and to watch and report any worsening to her PCP. She presented to pharmacy on 10/24 with sharpie markings around the margins of the reaction and stated that her reaction had improved. She indicated that there was significant swelling although swelling was not apparent to me. I advised her that she should see MD and that my concern was cellulitis with the description of her worst symptoms. I do not know if she has been evaluated by a healthcare professional.
Age: 70.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Dyspnoea, Malaise, Urticaria
Clinical narrative: Patient's daughter called the pharmacy 2 days after administration of vaccine about adverse reaction. Patient started feeling unwell about 3 hours after administration, feeling dizzy,  hives, shortness of breath, Patient went to the hospital and was monitored. Patient has since been released and today he is feeling fine.
Age: 11.0
Sex: M
Vaccine: FLUC4
Symptoms: Loss of consciousness, Seizure, Syncope
Clinical narrative: After giving pt injection Mother instructed pt to put head between legs and mentioned to RPH that he gets dizzy sometimes. Pt stood up after about 30 seconds and moved to other chair in room. While waiting for last sibling to receive their immunization (3 siblings all receiving flu vaccine) patient fainted and convulsed for about 5 seconds. He then regained consciousness and took another 5 seconds to respond to questions. We (Mother and I) laid patient on floor and brought him water and a cold towel.   Monitored patient for additional signs of syncope for another 5-10 min.  She mentioned during this time that patient had a similar event in the past in a closed environment where he got hot and dizzy and fainted but that this was the first  vaccine related issue. Pt reported feeling better after this and mother elected to take patient home.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain, Chills, Fatigue, Hyperhidrosis, Injection site erythema
Clinical narrative: Pain, redness, and swelling at injection site Severe abdominal cramps (woke me early from sleep) Body aches High fever (103.5*)  Chills  Sweats Fatigue
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Pain, Pyrexia, Sleep disorder
Clinical narrative: Pain, redness, and swelling at injection site Severe abdominal cramps (woke me early from sleep) Body aches High fever (103.5*)  Chills  Sweats Fatigue
Age: 34.0
Sex: M
Vaccine: FLUC4
Symptoms: Fatigue, Heart rate abnormal, Hyperhidrosis, Pallor, Presyncope
Clinical narrative: Pt received vaccine at about 12:15pm and was advised to stay in pharmacy to watch for any adverse reactions especially since it was patients first flu shot. After about 5 minutes pt started to experience vasovagal symptoms (paleness, sweating, fatigue). Pt was advised to sit down and onsite nurse was called to examine patient. Nurse was called and advised patient to lay down. Nurse began monitoring heart rate and blood pressure along with patients mental status. After about 90 minutes patients blood pressure and mental status were deemed ok by nurse but heart rate was abnormal ( at one time 120 bpm at others less than 60 bpm) Nurse advised patient to report to ED and released patient to wife. Patient informed nurse he would report to County for further observation)
Age: 65.0
Sex: F
Vaccine: FLUA4
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Patient approached pharmacist and stated that later the same night after the shot she felt soreness in her arm and knew that was related to the vaccine. However the soreness still hasn?t gone away and she states  that her range of motion in the left arm arm is limited. She still hasn?t regained full range of motion and can only lift her arm to her shoulder.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Cough, Malaise, Pyrexia, SARS-CoV-2 test negative, Urticaria
Clinical narrative: Patient's daughter called the pharmacy 2 days after administration of vaccine about adverse reaction. Patient started feeling unwell about 9 hours after administration having fever, hives and cough. Covid test was also administered to rule out infection (negative).  Patient is feeling well today.
Age: 30.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Vertigo, Vertigo positional
Clinical narrative: Vertigo symptoms experienced morning of 10/13/2020. Periodic light-headedness throughout the day, but patient recognized a pattern of harsh dizziness (vertigo) at night while first laying down in bed, when turning side-to-side, and getting up out of bed. Patient describes the sensation as feeling like he is "falling out of the sky" and must hold onto something for approximately 10 seconds before returning to normal. Vertigo symptoms persisted, and patient went to his doctor on 10/21/2020. Nurse practitioner diagnosed the symptoms as benign paroxysmal positional vertigo (BPPV) and prescribed 40 Meclizine 25 mg tablets. Nurse practitioner also instructed the patient to undergo BPPV exercises twice daily for two weeks. On 10/24/2020, patient noticed BPPV symptoms subsiding, but not completed resolved.
Age: 20.0
Sex: F
Vaccine: FLUR4
Symptoms: Syncope
Clinical narrative: syncope. per patient, did not get enough fluids throughout the day
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling
Clinical narrative: patient had her arm turned red and was swollen for 6 days and resolved
Age: 46.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Peripheral swelling, Pyrexia, Rash, Rash pruritic
Clinical narrative: 10/22 1-hour post injection, forearm of opposite arm of injection site formed an itchy rash.  Took 2 Benedryl per nurse's instructions. 10/23 Next morning (7 am), rash area swelled and started to spread up the elbow.  Rash also appeared on collarbone. Wave of fatigue & fever hit at lunchtime.  100.6 degrees Temp was 99.6 at Dr. office at 2:30 pm. Temp back up to 100.2 at 10 pm. 10/24 Temp still at 100.2 at 5 am and at 1 pm.  Still have temp. Rash flare up on right forearm & spread up to neck.
Age: 90.0
Sex: F
Vaccine: UNK
Symptoms: Blood test, Chest pain, Nausea, Oropharyngeal pain, Vomiting
Clinical narrative: Severe chest pains, bad sore throat, nausea resulting in vomiting.  went to emergency room. sympots subsided in about 4 hours but went into  hospital. determined that it was not a heart attack. no information given to me why I was this ill from the shot.  No proof that is was an allergic reaction from shot.   I am quite healthy although very old.
Age: 28.0
Sex: F
Vaccine: FLUR4
Symptoms: Headache, Nausea, Paraesthesia
Clinical narrative: 10/21/2020: headaches 10/22/2020 and 10/23/2020: nausea, headaches 10/24/2020: headaches, nausea and tingling in both hands.
Age: 17.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Posture abnormal, Vision blurred
Clinical narrative: 17 y/o pt felt light-headed w/ blurry vision.  Pt slumped down but did not lose consciousness or hit head.  Pt sat in immunization chair in booth for 15 min, drank some Gatorade that his father provided, and felt better.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PPV
Symptoms: Culture urine, Febrile convulsion, Viral test
Clinical narrative: Febrile seizure
Age: 40.0
Sex: F
Vaccine: FLUA3
Symptoms: Asthenia, Brain natriuretic peptide normal, Chest discomfort, Dizziness, Feeling abnormal
Clinical narrative: The day I got it I had wired feeling. Then I went home took Tylenol and went to sleep. Around 5 am I wake  up itching and left side of my eyelids swollen. Them hives all over my body. Later afternoon I start having swollen on my left hand. Around night time Tingling in the mouth, dizziness, lightheaded ness, chest tightness, swollen lips,  went to emergency room at HOSPITAL . That gave me  IV medications. Methylprednisolone, diphenhydramine, famotidine and 1 bag is NS.  The swelling went down about after one hour. Itching went away after a few min.  Got discharge home with prednisone, famotidine, diphenhydramine for 4 days. I still have dizziness and  weakness
Age: 40.0
Sex: F
Vaccine: FLUA3
Symptoms: Full blood count normal, Lip swelling, Paraesthesia oral, Peripheral swelling, Pruritus
Clinical narrative: The day I got it I had wired feeling. Then I went home took Tylenol and went to sleep. Around 5 am I wake  up itching and left side of my eyelids swollen. Them hives all over my body. Later afternoon I start having swollen on my left hand. Around night time Tingling in the mouth, dizziness, lightheaded ness, chest tightness, swollen lips,  went to emergency room at HOSPITAL . That gave me  IV medications. Methylprednisolone, diphenhydramine, famotidine and 1 bag is NS.  The swelling went down about after one hour. Itching went away after a few min.  Got discharge home with prednisone, famotidine, diphenhydramine for 4 days. I still have dizziness and  weakness
Age: 40.0
Sex: F
Vaccine: FLUA3
Symptoms: Swelling of eyelid, Urticaria
Clinical narrative: The day I got it I had wired feeling. Then I went home took Tylenol and went to sleep. Around 5 am I wake  up itching and left side of my eyelids swollen. Them hives all over my body. Later afternoon I start having swollen on my left hand. Around night time Tingling in the mouth, dizziness, lightheaded ness, chest tightness, swollen lips,  went to emergency room at HOSPITAL . That gave me  IV medications. Methylprednisolone, diphenhydramine, famotidine and 1 bag is NS.  The swelling went down about after one hour. Itching went away after a few min.  Got discharge home with prednisone, famotidine, diphenhydramine for 4 days. I still have dizziness and  weakness
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Balance disorder, Gait disturbance, Lumbar puncture, Muscle spasms, Nerve conduction studies
Clinical narrative: 10/15/2020 experienced cramping in legs and pain, unsteady on feet and pins and needles in feet. 10/16/2020 difficulty walking and bearing weight, no balance while walking, knees bucking Went to ER on 10/16 based on physician input of primary doctor's medical exchange
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Pain in extremity, Paraesthesia, Weight bearing difficulty
Clinical narrative: 10/15/2020 experienced cramping in legs and pain, unsteady on feet and pins and needles in feet. 10/16/2020 difficulty walking and bearing weight, no balance while walking, knees bucking Went to ER on 10/16 based on physician input of primary doctor's medical exchange
Age: 65.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Asthenia, Discomfort, Fatigue, Injection site pain, Injection site swelling
Clinical narrative: the patient reported on 10/24 having felt weak and tired and staying in bed the previous day (10/23) and having swelling and pain at injection site causing difficulty sleeping on that side.  The patient had tried ice pack which did help with the discomfort and tylenol which did not.  She called as she was concerned about how she was feeling 4 days later, but did acknowledge she was better than the day before and would continue to use ice pack which helped and try ibuprofen to see if it would help more with the pain.  She would call with any increase symptoms
Age: 65.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Insomnia
Clinical narrative: the patient reported on 10/24 having felt weak and tired and staying in bed the previous day (10/23) and having swelling and pain at injection site causing difficulty sleeping on that side.  The patient had tried ice pack which did help with the discomfort and tylenol which did not.  She called as she was concerned about how she was feeling 4 days later, but did acknowledge she was better than the day before and would continue to use ice pack which helped and try ibuprofen to see if it would help more with the pain.  She would call with any increase symptoms
Age: 43.0
Sex: F
Vaccine: FLUR4
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Patient reports redness and swelling a couple inches further down her arm than the injection site.
Age: 52.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: swelling, redness on the injection site.
Age: 82.0
Sex: F
Vaccine: HEP, PPV
Symptoms: Dizziness, Loss of consciousness, Nausea, Vertigo
Clinical narrative: Patient received the two vaccinations. Upon completion and exit of facility, experienced nausea, vertigo, and light-headedness. Patient stumbled to a wall and blacked out. Paramedics were called and evaluated. Patient returned 10-24-20 stating symptoms no longer present.
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Swollen tongue
Clinical narrative: On 10/16/20, 30 minutes after shot was given pt experience tongue swelling, pt went to ER for treatment
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Pyrexia, Swelling
Clinical narrative: Fever Swelling pain redness
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Injection site swelling
Clinical narrative: Muscle pain, swelling around injection site, rash. Overall muscle aches, tired, nausea, stomach pain, headache, chills (no fever present)
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Nausea, Rash
Clinical narrative: Muscle pain, swelling around injection site, rash. Overall muscle aches, tired, nausea, stomach pain, headache, chills (no fever present)
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Chest X-ray, Chest discomfort, Chest pain, Joint stiffness
Clinical narrative: Joint stiffness to 3 fingers on right hand and Pluerisy to left chest with chest tightness, and  pain to left chest left scapula and left arm. I was examined by a medical doctor. I was given an X-ray and advised if symptoms persist after next week to return to the clinic
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Pleurisy
Clinical narrative: Joint stiffness to 3 fingers on right hand and Pluerisy to left chest with chest tightness, and  pain to left chest left scapula and left arm. I was examined by a medical doctor. I was given an X-ray and advised if symptoms persist after next week to return to the clinic
Age: 26.0
Sex: F
Vaccine: FLUA4
Symptoms: Diarrhoea, Dizziness, Fatigue, Headache, Nausea
Clinical narrative: Symptoms: fatigue, body aches, headache, sore throat, nausea, diarrhea, dizziness
Age: 26.0
Sex: F
Vaccine: FLUA4
Symptoms: Oropharyngeal pain, Pain
Clinical narrative: Symptoms: fatigue, body aches, headache, sore throat, nausea, diarrhea, dizziness
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness, Injection site induration, Injection site pain, Malaise
Clinical narrative: Left upper arm pain, hardness at injection site.  Flu like symptoms, body aches, shivering without fever, malaise.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Left upper arm pain, hardness at injection site.  Flu like symptoms, body aches, shivering without fever, malaise.
Age: 64.0
Sex: U
Vaccine: UNK
Symptoms: Cough, Malaise
Clinical narrative: Generally sick for 3 days.  Persistent cough, ongoing.
Age: 1.0
Sex: M
Vaccine: FLU4, HEPA, MMR, VARCEL
Symptoms: Decreased appetite, Fatigue, Pyrexia, Rash vesicular
Clinical narrative: Beginning 10/21/20, patient had a slight fever, fatigue, and lack of hunger. Fever lasted 48 hours. On 10/24/20, patient woke up with chicken pox-like rash on face, chest, and back.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Influenza like illness, Injection site pain
Clinical narrative: Moderate soreness at site of injection; flu-like symptoms that included overall fatigue and chills; persisted for about 30 hours
Age: 71.0
Sex: M
Vaccine: FLUA4
Symptoms: Blood glucose normal, Blood pressure normal, Dizziness
Clinical narrative: PATIENT CITED DIZZINESS STARTING EVENING OF VACCINE AND CONTINUING INTO MORNING NEXT DAY; NO OTHER SYMPTOMS EXPERIENCED AT THIS TIMW
Age: 45.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Pain, Pain in extremity, Pyrexia, Rash
Clinical narrative: Fever, body aches, joint pain, foul urine, rash on bilateral arms, pain in arm and shoulder
Age: 45.0
Sex: F
Vaccine: VARZOS
Symptoms: Urine odour abnormal
Clinical narrative: Fever, body aches, joint pain, foul urine, rash on bilateral arms, pain in arm and shoulder
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Pain, Swelling
Clinical narrative: I had a call in the pharmacy today (sunday 25th), stating pt has a large redness and mild pain...initially she had swelling and it subsided.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Heart rate increased, Pyrexia
Clinical narrative: rapid heart rate 112 for 20 hours ; fever 102
Age: 33.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Injection site bruising, Pain
Clinical narrative: Pt received flu vaccine 10/13/2020. About three hours later a bruise appeared and pt had pain at left shoulder. She reports she is unable to move shoulder without pain. Has used ibuprofen and ice.
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Fever, chills, muscle soreness, fatigue, injection site and surrounding soreness for days, nausea, stomach pain, headache
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Fever, chills, muscle soreness, fatigue, injection site and surrounding soreness for days, nausea, stomach pain, headache
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Pt reported redness and warmth in the area of injection on Friday, 10/23/20. She did go to an urgent care for eval and was not thought to be cellulitis given the redness and induration was  approximately 3 cm down from the area measuring 4 cm x 3 cm without evidence of streaking or warmth. She was advised to apply ice and use an additional antihistamine such as Benadryl. Pt states today, 10/25/20, that she only used ice and the area "is clear now"
Age: 21.0
Sex: F
Vaccine: UNK
Symptoms: Allergy to vaccine, Dizziness, Injection site pain, Nausea, Rash
Clinical narrative: After receiving the flu vaccination on 10/03/2020 I felt extremely tired, symptoms started appearing such as a rash with hives, nausea, dizziness. The hive like rash was over a good portion of my body especially on thighs and arms.  On 10/15/2020 I went to a healthcare office and received treatment for an allergic reaction to the vaccination. On the day I received treatment injection site was still painful to the touch, and injection site was still noticeable to doctor from 6 feet away.  I still of course have on going reaction.
Age: 21.0
Sex: F
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: After receiving the flu vaccination on 10/03/2020 I felt extremely tired, symptoms started appearing such as a rash with hives, nausea, dizziness. The hive like rash was over a good portion of my body especially on thighs and arms.  On 10/15/2020 I went to a healthcare office and received treatment for an allergic reaction to the vaccination. On the day I received treatment injection site was still painful to the touch, and injection site was still noticeable to doctor from 6 feet away.  I still of course have on going reaction.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Rash, Swelling
Clinical narrative: Patient received a PPSV 23 in left arm and FLuzone HD in right arm around noon on 10/24/2020. Patient presented back at the pharmacy on 10/25/2020 and reported that he had an adverse reaction to the PPSV23. Patient reported that he developed swelling and redness that he had noticed around 4 or 5 pm on the day of the administration. Redness/rash had extended to the elbow crease when he presented to the pharmacy on 10/25/20 but the swelling had gone significantly according to the patient.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Induration, Peripheral swelling, Pyrexia, Skin warm
Clinical narrative: patient got fever, red swollen arm at area of shot for at least 3 days, the area was extremly hot and had a big lump.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site rash, Pain in extremity, Skin warm
Clinical narrative: They morning after receiving the vaccine, patient noticed a rash just below the site of the administration. There was redness, arm soreness/pain, heat to touch but no fever. Patient came to the pharmacy to have it evaluated on Friday 10/24/20 by which time it had gotten better. When I contacted the patient on 10/25, patient reported marked improvement in symptoms, almost fully gone.
Age: 15.0
Sex: F
Vaccine: FLUC4
Symptoms: Tic
Clinical narrative: Patient mother states that on October 20th patient had a twitch (tic) while at school which made her throw down an item she had in her hands. The tics have continued randomly. The twitch involves her arm, torso and neck. Has received flu vaccinations previously. Went to pediatrician and they referred the patient to neurologist (appointment not scheduled yet) and to have pharmacy report to VAERs.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Headache, Malaise, Pyrexia
Clinical narrative: Headache, malaise, arthralgia beginning 12 hours after vaccine. Fever (ranging from 100.3 to 100.9) beginning 16 hours after vaccine. 36 hours after vaccine, headache, malaise, and arthralgia remain; fever subsided 32 hours after vaccine.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: In left deltoid- redness several inches in diameter, pain and swelling 3 days still after. Next day- nausea, abdominal cramps, headache, fatigue, and general malaise. This lasted ~ 24 hrs.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Malaise, Nausea
Clinical narrative: In left deltoid- redness several inches in diameter, pain and swelling 3 days still after. Next day- nausea, abdominal cramps, headache, fatigue, and general malaise. This lasted ~ 24 hrs.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pruritus
Clinical narrative: Patient was administered the flu vaccine and within 15 minutes began feeling itching in both of her arms. She stated her arms also looked "red", although not observable by the nurse. She was taken to our ED for evaluation and was given po Benadryl. She will be following up with an ENT dr for possible allergic reaction
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness, Injection site erythema, Injection site hypersensitivity, Injection site irritation, Injection site pain
Clinical narrative: PATIENT REPORTED  OF SKIN IRRITATION AT TH INJECTION SITE( REDNESS ,SORENESS AND SWELLING). HE ALSO REPORTED OF NAUSEA ,SPELLS OF DIZZINESS ESPECIALLY AT WORK
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site swelling, Nausea
Clinical narrative: PATIENT REPORTED  OF SKIN IRRITATION AT TH INJECTION SITE( REDNESS ,SORENESS AND SWELLING). HE ALSO REPORTED OF NAUSEA ,SPELLS OF DIZZINESS ESPECIALLY AT WORK
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Eye swelling, Lip swelling, Oropharyngeal pain, Swollen tongue
Clinical narrative: Patient's son who is a physician came in to report side effects to vaccination on 10/25/20 around 11AM.  He stated that a couple of hours after receiving the vaccination his mother began experiencing  shaking and chills that lasted a few hours.  Patient also experienced swelling around the eyes, tongue, and lips as well as sore throat.  Only patient allergy listed is to Codeine and no other medication or food allergies known.  She was evaluated my a physician and they are monitoring her at home.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Tremor
Clinical narrative: Patient's son who is a physician came in to report side effects to vaccination on 10/25/20 around 11AM.  He stated that a couple of hours after receiving the vaccination his mother began experiencing  shaking and chills that lasted a few hours.  Patient also experienced swelling around the eyes, tongue, and lips as well as sore throat.  Only patient allergy listed is to Codeine and no other medication or food allergies known.  She was evaluated my a physician and they are monitoring her at home.
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Diarrhoea, Dizziness, Fatigue, Feeling hot
Clinical narrative: Started with heat sensation throughout body, dizziness, feeling faint.  Then extreme shivers, diahhrea for nearly an hour, then total exhaustion.  Arm pain actually not much worse then flu shots.  No fever.  Went to bed after ?spell? and today I seem alright.
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Pain in extremity
Clinical narrative: Started with heat sensation throughout body, dizziness, feeling faint.  Then extreme shivers, diahhrea for nearly an hour, then total exhaustion.  Arm pain actually not much worse then flu shots.  No fever.  Went to bed after ?spell? and today I seem alright.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills
Clinical narrative: Patient experienced shaking chills the evening after received the vaccine, had resolved the next day
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Eye swelling, Hypersensitivity, Malaise, Pruritus, Throat tightness
Clinical narrative: Patient described allergic reaction such as eye swelling, throat closing, itchy. He said he "felt sick". He reported a delayed onset, occurred late in evening. He did not report site irritation or any left arm problems. Patient "thinks" he took diphenhydramine to combat symptoms. He reported missing work the next day. He did not seek medical attention, and reported it resolved.
Age: 50.0
Sex: F
Vaccine: FLUC4
Symptoms: Impaired work ability, Injection site pain, Product administered at inappropriate site
Clinical narrative: Patient came to the pharmacy on Tues Oct 20th and brought 2 prescriptions.  She told me the day before she had received her flu vaccination and was experiencing  pain at the injection site and her shoulder.  She thought the vaccination was given too high on the arm.  She had seen  Dr and he  had prescribed  two prescriptions for  tramadol and cyclobenzaprine.  The patient was counseled on how to take the medications.  I called the patient on Wednesday Oct 21st and  left a voicemail for her to call the pharmacy.  Patient did not return call.  On Friday Oct 23rd I called the patient and again left a voicemail asking her to call the pharmacy so we could check on her reaction.  Patient did not return call.  On Saturday Oct 24th I called  the patient and was able to speak with her.  The patient reported still experiencing pain and did not feel like the medications were helping. She had missed several days of work due to the arm pain.  She is going to follow up with her physician.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Rash, Rash erythematous
Clinical narrative: A delayed reaction rash occured. The rash covered the better part of hias entire upper arm. It started off as a small bumb according to his mother. My observations showed a light pink rash along his bicep and a darker rad outlining on the bottom of the border of the rash. The spoke to the PCP last night and were told to put a warm compress on it and take tylenol and benadryl as needed. Today they got a prescription for cephalexin 250mg three times daily for 10 days and are going to see the PCP tomorrow in person.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Fatigue
Clinical narrative: Severe pain in shoulder, chills, extremely tired
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: patient came to pharmacy in person for a injection site reaction check. patient states the deltoid region of her upper left arm has been painful, red and hot to the touch since recieving her HD flu shot on 10/21/2020.  Upon inspection of the region I did not notice any redness or swelling and patient had good range of motion with her arm.  It was however hot to the touch.  Pt states the condition is getting better each day.  I counseled her on injection site reactions and how this may even be a mild allergic reaction.  She does not report any trouble breathing/shortness of breath or swelling in any other regions of her body.  I will follow up with VARS reporting.
Age: 5.0
Sex: F
Vaccine: FLU4, FLUC4
Symptoms: Exposure via skin contact, Underdose
Clinical narrative: When flulaval was given, patient pulled arm away and needle came out.  Medication could be seen in barrier bandage and a drop one her arm.  The syringe was placed in the sharps container and unable to see how much was still in the syringe.    Per CDC recommendations, vaccine was administered again (flucelvax) on 10/25/2020 in the left arm .
Age: 86.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness and swelling at site of injection
Age: 6.0
Sex: F
Vaccine: FLUC4
Symptoms: Fall, Seizure, Vaccine positive rechallenge
Clinical narrative: Patient within 1 min after flu shut fell to floor and had a seizure. seizure may have lasted 1 min. she awoke after
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Blood test, Computerised tomogram, Eye pain, Facial paralysis, Hypoaesthesia
Clinical narrative: 10/24/2020 - the day after vaccination 6:00 AM - Woke with pain and redness in right eye 2:00 PM  - Tried to spit into sink and realized a problem with her mouth.  Realized stroke type facial symptom and went to ER.  The diagnosis was Bell's Palsy.  I was given Prednisone and Valtrax. 10/25/2020 - Continue with lost of motor funcion on right side of face. Right eye does not close during blinking and cannot close completely without taping down the eyelid.  Using a patch and gel drops.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia oral, Ocular hyperaemia, Urine analysis
Clinical narrative: 10/24/2020 - the day after vaccination 6:00 AM - Woke with pain and redness in right eye 2:00 PM  - Tried to spit into sink and realized a problem with her mouth.  Realized stroke type facial symptom and went to ER.  The diagnosis was Bell's Palsy.  I was given Prednisone and Valtrax. 10/25/2020 - Continue with lost of motor funcion on right side of face. Right eye does not close during blinking and cannot close completely without taping down the eyelid.  Using a patch and gel drops.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever of 102, headache, body ache, sore and painful arm, extreme fatigue
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Gouty arthritis
Clinical narrative: Left 1st MTP joint gouty arthritis, treated prednisone x5 days then ibuprofen prn (2 days)
Age: 58.0
Sex: F
Vaccine: FLUR4, VARZOS
Symptoms: Erythema, Injection site pain, Injection site swelling, Pruritus, Urticaria
Clinical narrative: Red hives reaction initially noticed due to itching on torso, groin area, armpits, breasts, spread upward to neck and face over 48 hours. Painful swollen injection site. Benadryl administered for 48 hours.  Rash subsided and essentially gone after 72 hours.  Injection site swelling and tenderness lasted 7 days.
Age: 13.0
Sex: F
Vaccine: DT, IPV, MMR
Symptoms: Asthenia, Decreased appetite, Fatigue, Headache, Pain in extremity
Clinical narrative: Moderately painful arm progressively worsened for 12 days; fever of 102 degrees; full body rash, very itchy and painful, started at face and spread for 14 days; headaches; very tired and weak; sneezing and runny nose; swollen eyelids; loss of appetite
Age: 13.0
Sex: F
Vaccine: DT, IPV, MMR
Symptoms: Pyrexia, Rash, Rash pruritic, Rhinorrhoea, Sneezing
Clinical narrative: Moderately painful arm progressively worsened for 12 days; fever of 102 degrees; full body rash, very itchy and painful, started at face and spread for 14 days; headaches; very tired and weak; sneezing and runny nose; swollen eyelids; loss of appetite
Age: 13.0
Sex: F
Vaccine: DT, IPV, MMR
Symptoms: Swelling of eyelid
Clinical narrative: Moderately painful arm progressively worsened for 12 days; fever of 102 degrees; full body rash, very itchy and painful, started at face and spread for 14 days; headaches; very tired and weak; sneezing and runny nose; swollen eyelids; loss of appetite
Age: 55.0
Sex: M
Vaccine: FLUC4
Symptoms: Cyanosis, Dizziness, Muscle twitching, Nausea, Pallor
Clinical narrative: Had adult male with flu shot today online.  Verbally verified any reactions to flu shots in past and family stated just afraid of needles.  Proceeded with vaccine.  Within first 2 minutes started feeling dizzy and nauseous.  Gave water/ice pack and made sure he did not fall out of chair.  He became pale with blue lips while still conscious and verbal in chair.  I suspected vasovagal response.  He continued to breathe normally.  Then he became non-verbal and twitched slightly asymmetrically for about 30 seconds while breathing eyes open.  I suspected full on faint in chair.  At this point I was going to initiate our emergency protocol including calling 911.  His spouse got him to respond with a "no" when she mentioned an ambulance ride.  He came too and eventually walked out on his own power.  I offered assistance and asked if there was anything else I could do to help.  She thanked me and stated she will take him to MD Office in future and apologized.  I reassured her no trouble at all just want to make sure he is ok.   During all of this they did mention he has had similar responses with a dermatologist administering lidocaine for a procedure.  And again at home with a nurse/neighbor and a butterfly needle (went down hit head on fridge).   I highly suspect this is not a result of the vaccine but rather a severe case of needle phobia.  I did recommend the patient did seek a pre-emptive BNZ prescription for future blood work involving needles.
Age: 55.0
Sex: M
Vaccine: FLUC4
Symptoms: Syncope
Clinical narrative: Had adult male with flu shot today online.  Verbally verified any reactions to flu shots in past and family stated just afraid of needles.  Proceeded with vaccine.  Within first 2 minutes started feeling dizzy and nauseous.  Gave water/ice pack and made sure he did not fall out of chair.  He became pale with blue lips while still conscious and verbal in chair.  I suspected vasovagal response.  He continued to breathe normally.  Then he became non-verbal and twitched slightly asymmetrically for about 30 seconds while breathing eyes open.  I suspected full on faint in chair.  At this point I was going to initiate our emergency protocol including calling 911.  His spouse got him to respond with a "no" when she mentioned an ambulance ride.  He came too and eventually walked out on his own power.  I offered assistance and asked if there was anything else I could do to help.  She thanked me and stated she will take him to MD Office in future and apologized.  I reassured her no trouble at all just want to make sure he is ok.   During all of this they did mention he has had similar responses with a dermatologist administering lidocaine for a procedure.  And again at home with a nurse/neighbor and a butterfly needle (went down hit head on fridge).   I highly suspect this is not a result of the vaccine but rather a severe case of needle phobia.  I did recommend the patient did seek a pre-emptive BNZ prescription for future blood work involving needles.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Pallor
Clinical narrative: Patient had lightheadedness, dizziness and started to look pale.  EMS services was contact at 4:15pm. Patient was put into supine position and elevated the patients legs to help increase blood flow. Patient was instructed to continue to count and stay talking until EMS arrived.  Patient started to regain color and was alert to person, place and time. EMS arrived at 4:24pm but patients parents denied EMS service because patient was feeling better.
Age: 49.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: Patient received the flu shot on 10/13/2020 in his right arm deltoid muscle, and reported feeling pain in his shoulder that started on 10/22/2020 in the afternoon.  He stated the pain radiates from the lower bicep of the right arm, up into the shoulder blade on his right side.  He has tried heat, ice, ibuprofen to try to relieve the pain without avail.  He spoke to his physician's office, and is going to make an appointment with them for 10/26/20.
Age: 61.0
Sex: M
Vaccine: FLUC4, PPV
Symptoms: Pyrexia, Rash erythematous, Rash papular, Skin warm
Clinical narrative: Patient returned to the pharmacy with a rash that had gone down to his elbow. It was red, feverish, and swollen. Patient states he has had a fever on and off since receiving the vaccines.
Age: 78.0
Sex: M
Vaccine: FLU4
Symptoms: Rash, Rash erythematous
Clinical narrative: Patient reported the day after IMZ that his arm had a red rash. No pain or edema, area was not hot to the touch. Patient returned today, 3 days later, and rash was still present, covered 2X3 inch area with non-defined borders. Patient took an OTC NSAID and antihistamine, and will try a cool compress. Patient reports it is improving and going away.
Age: 84.0
Sex: F
Vaccine: FLUA4
Symptoms: Contusion, Immediate post-injection reaction, Nerve injury, Pain in extremity
Clinical narrative: Patient stated that she immediately felt a lot of pain in her arm after vaccination followed by bruising. The bruising has since resolved but the pain has not. The patient visited her PCP and was told that a nerve was likely hit and it would take a while to resolve.
Age: 7.0
Sex: M
Vaccine: FLUC4
Symptoms: Anaphylactic reaction, Chest X-ray, Cough, Dyspnoea, Injection site reaction
Clinical narrative: 5 minutes after receiving vaccine: patient experienced shortness of breath, coughing, difficulty breathing, full body hives, welt/blister at  injection site.  20 minutes after receiving vaccine: ER diagnosed and treats patient for anaphylactic reaction to flu vaccine.
Age: 7.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site vesicles, Urticaria
Clinical narrative: 5 minutes after receiving vaccine: patient experienced shortness of breath, coughing, difficulty breathing, full body hives, welt/blister at  injection site.  20 minutes after receiving vaccine: ER diagnosed and treats patient for anaphylactic reaction to flu vaccine.
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, and warmth at injection site
Age: 0.92
Sex: F
Vaccine: MMR
Symptoms: Bacterial test positive, Blood culture negative, Blood lactic acid increased, Blood prolactin normal, Body temperature increased
Clinical narrative: Seizure like activity to right side of body with elevated temp. Event lasted a few minutes. Body started to cool down and seizure like activity stopped.
Age: 0.92
Sex: F
Vaccine: MMR
Symptoms: C-reactive protein normal, Chest X-ray, Computerised tomogram head, Culture urine positive, Differential white blood cell count normal
Clinical narrative: Seizure like activity to right side of body with elevated temp. Event lasted a few minutes. Body started to cool down and seizure like activity stopped.
Age: 0.92
Sex: F
Vaccine: MMR
Symptoms: Full blood count normal, Metabolic function test normal, Seizure like phenomena
Clinical narrative: Seizure like activity to right side of body with elevated temp. Event lasted a few minutes. Body started to cool down and seizure like activity stopped.
Age: 55.0
Sex: M
Vaccine: FLUR4
Symptoms: Pruritus, Rash
Clinical narrative: rash and itchy
Age: 52.0
Sex: F
Vaccine: FLUR4
Symptoms: Pruritus, Rash
Clinical narrative: rash and itchy
Age: 32.0
Sex: M
Vaccine: VARCEL
Symptoms: Arthralgia, Myalgia
Clinical narrative: Patient had vaccine on Thursday afternoon and reported that during the evening he started to have severe pain (pain scale 7) on his left shoulder blade and surrounding muscle. He took 400mg of ibuprofen and went to sleep. The next day he still had pain but it was less severe (pain scale 4) and at time of reporting he had some pain but it was less severe (pain scale 2).
Age: 57.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Nodule, Peripheral swelling
Clinical narrative: Raised area appeared on his arm. Not sure if it would be described as a nodule or growth
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Redness, swelling, warm to touch started 1 day after flu shot.
Age: 71.0
Sex: F
Vaccine: FLUA4
Symptoms: Hypoaesthesia, Nerve injury
Clinical narrative: Pt called and stated her arm felt "jittery" ever since recieving the flu shot. I asked her what jittery meant and she said it was like nerve issues and her arm seemed to go numb, it went away and then came back but it started after getting the flu shot. I told her to please follow up with her provider
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Redness, swelling, warm to touch started the next day after flu shot