chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Nausea
Clinical narrative: Starting Sunday July 29 symptoms included - stomach pain, knot in stomach progressing to sharp waves of pain and muscle tightness and cramping in intestines. There was nausea as the pain increased along with a feeling of needing to have a bowel movement but not able to do so. The pain increased as the week went along. Went to doctor Friday August 3 since pain was moderately severe when the cramps occurred and they were more frequent.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling abnormal, Incomplete course of vaccination, Pain, Pain in extremity
Clinical narrative: Patient reported feeling more than just a sore arm but her overall body feeling achy, but no fever. She said she was "down" for a few days and felt horrible. She declined to get the second dose due to the achiness throughout her body after receiving the first dose.
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Chills, Dysphagia, Hyperhidrosis, Malaise, Pain
Clinical narrative: Within an hour of receiving the shot, my daughter started feeling sick. She complained of aches and i took her temperature (something the doctors / nurses had not done at the office prior to her physical and administering her shot) She had a low grade fever of 99.5. Within an hour after that her temperature was 100.3. We treated with Tylenol. At that time I noticed a spot on her throat - something that looked like cocksakie. Her fever got worse, she had chills, and sweats. She's finally went to sleep. Next day ( 8/3/ 18) fever stayed above 100, treated her with Tylenol. Sores in mouth worsened. Slept on and off all day.  Day 3 - fever and sores still existing. Treating with Tylenol to keep fever down. Trouble swallowing fluids and eating foods. In a lot of pain everywhere.
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Pyrexia, Somnolence, Stomatitis, Throat irritation
Clinical narrative: Within an hour of receiving the shot, my daughter started feeling sick. She complained of aches and i took her temperature (something the doctors / nurses had not done at the office prior to her physical and administering her shot) She had a low grade fever of 99.5. Within an hour after that her temperature was 100.3. We treated with Tylenol. At that time I noticed a spot on her throat - something that looked like cocksakie. Her fever got worse, she had chills, and sweats. She's finally went to sleep. Next day ( 8/3/ 18) fever stayed above 100, treated her with Tylenol. Sores in mouth worsened. Slept on and off all day.  Day 3 - fever and sores still existing. Treating with Tylenol to keep fever down. Trouble swallowing fluids and eating foods. In a lot of pain everywhere.
Age: 0.5
Sex: M
Vaccine: DT
Symptoms: Culture urine, Pyrexia, Rash, Skin warm, Tachypnoea
Clinical narrative: My son got 6 month vaccine 7/27/18 around 0930 am. Dtap-HBV-POL, HIB PRP-T, PREVNAR 13 on Rt and Lt thigh and start fever on  7/29/18. 7/29 and 7/30 was 102-103 F average and Tylenol given. 7/30 @2030 pm he was 103.8 and Tylenol given again after that it went down and 7/31 @ 0300 am, I found he was exteamly hot and found Tem 106.9 F. I'm a L&d nurse and checked with 2 different thermometer in rectal and it was correct. I gave Tylenol and motrin PO and tub bath given and within hour temp went down to 100 to 99. He was vomiting and has rash on checks, tachypnea. I took him to Dr's office at 7/31 in the morning and Ped did UA and UA culture but it was contaminated.
Age: 0.5
Sex: M
Vaccine: DT
Symptoms: Urine analysis, Vomiting
Clinical narrative: My son got 6 month vaccine 7/27/18 around 0930 am. Dtap-HBV-POL, HIB PRP-T, PREVNAR 13 on Rt and Lt thigh and start fever on  7/29/18. 7/29 and 7/30 was 102-103 F average and Tylenol given. 7/30 @2030 pm he was 103.8 and Tylenol given again after that it went down and 7/31 @ 0300 am, I found he was exteamly hot and found Tem 106.9 F. I'm a L&d nurse and checked with 2 different thermometer in rectal and it was correct. I gave Tylenol and motrin PO and tub bath given and within hour temp went down to 100 to 99. He was vomiting and has rash on checks, tachypnea. I took him to Dr's office at 7/31 in the morning and Ped did UA and UA culture but it was contaminated.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Injection site swelling, Pruritus
Clinical narrative: Pain and swelling at injection site. Some itching reported. Ice packs and diphenhydramine given to patient.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Feeling of body temperature change, Headache, Influenza like illness, Insomnia
Clinical narrative: During night I developed flu like symptoms which included: hot then cold body, body aches, weakness, headache and loss of the whole night of sleep.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: During night I developed flu like symptoms which included: hot then cold body, body aches, weakness, headache and loss of the whole night of sleep.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Patient presented at the pharmacy today (8/4/18) with a 3-4 inch diameter red area on her left arm (site of injection of SHINGRIX). She stated she had gotten the SHINGRIX vaccine on 8/1/18 and the redness started soon after her injection. The patient expressed that it was warm to the touch and hurts if bumped or touched. She has been applying ice at intervals with minor relief. I spoke with her about the possibility of cellulitis and instructed her to draw using a marker a ring around the affected area and to take a picture of it for reference. I then explained to her the signs of further infection: the redness not receding or growing larger, radiation streaks appearing, and fever. I instructed her to watch the red spot for getting better and if it has not resolved in 24-48 hours to seek medical attention.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Decreased appetite, Fatigue, Feeling abnormal, Headache
Clinical narrative: Extreme fatigue, joint pain, headache and lack of appetite. Took TYLENOL and later naproxen - neither of which helped. Currently at close to 36 hours since onset and still feeling horrible.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Erythema, Injection site pain, Injection site pruritus, Skin warm
Clinical narrative: Diarrhea which started morning after injection and lasted 12 hours, Extremely soreness at injection site starting morning after administration which continued for 4 days, 2nd day post injection - 3.5" diameter red area which was swollen and warm to touch and continues through day 5 and now with intense itching at site.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: Diarrhea which started morning after injection and lasted 12 hours, Extremely soreness at injection site starting morning after administration which continued for 4 days, 2nd day post injection - 3.5" diameter red area which was swollen and warm to touch and continues through day 5 and now with intense itching at site.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Night sweats, Pyrexia
Clinical narrative: Fever of 102, night sweats, redness/swollen at injection site, soreness for several days at injection site.
Age: 51.0
Sex: M
Vaccine: TYP
Symptoms: Arthralgia, Headache, Malaise, Nausea
Clinical narrative: Joint pain; severe headache; mild nausea; malaise.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Rash
Clinical narrative: On 8/1/18, patient presented to pharmacy with redness, slight swelling, and pain at the site of injection. The redness was in the shape of a square about 2inches x 2inches. Patient stated there was a bit of pain and no itching. He has not taken any medication since onset of reaction. Advised patient to take ibuprofen for pain and BENADRYL to counteract the reaction and we will follow-up with him in a few days. On 8/4/18, I followed up with a phone call to the patient. He said he took ibuprofen (no diphenhydramine) after he came on 8/1/18. The area of injection was sore for one extra day and then the rash and pain resolved.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Infection, Joint swelling, Migraine
Clinical narrative: Swelling of all joints, pain in joints, severe migraine on left side, went to ER and diagnosed with infection and was referred to the neurologist and given antibiotics.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Fever to 101.6 degrees, chills, fatigue, headache.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash erythematous
Clinical narrative: Small red bump visible on the back of her neck, pt did not go to the MD. Says she also experienced the same effects after the 1st dose without reporting or being evaluated by an MD.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Fatigue, Injection site pain, Malaise, Pain
Clinical narrative: Patient started feeling ill 3-4 hours after receiving the vaccine. She had a fever, body aches, fatigue/decreased strength, and a lot of pain at the injection site. This was her second dose in the series, but her side effects were more severe after the second dose than after the first dose. Her symptoms were most severe the day after receiving the vaccine (8/2/18) and resolved 3 days later (8/4/18). She felt too ill to drive herself to a doctor's office but said she would have called an ambulance if her symptoms worsened.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Patient started feeling ill 3-4 hours after receiving the vaccine. She had a fever, body aches, fatigue/decreased strength, and a lot of pain at the injection site. This was her second dose in the series, but her side effects were more severe after the second dose than after the first dose. Her symptoms were most severe the day after receiving the vaccine (8/2/18) and resolved 3 days later (8/4/18). She felt too ill to drive herself to a doctor's office but said she would have called an ambulance if her symptoms worsened.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Burning sensation, Rash
Clinical narrative: Burning painful rash on small of back that has lasted 7 days.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Myalgia, Nausea, Pain
Clinical narrative: Body aches. Muscle pain. Headache. Fatigue. Nausea.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness, Middle insomnia, Pain
Clinical narrative: Awakened 2:00 a.m. (16 hours after vaccine) shivering, teeth chattering, aching all over. Chills 8 more hours, flu-like symptoms kept me home, in bed for next 2 days. All symptoms gone by end of 3rd day. Note: This was 2nd dose, administered at a store. First dose, administered at pharmacy three months prior, no symptoms at all except sore arm.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Low grade fever, arm aching and throbbing, headache, stomach ache.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Feeling abnormal, Injection site pain, Muscular weakness, Pain
Clinical narrative: Felt "out of sorts" following vaccination - tired, arm weakness, injection site soreness and body aches experienced on Sunday following vaccination.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Decreased appetite, Headache, Insomnia, Myalgia
Clinical narrative: Headache that began at approx. 7:00 pm on the day I received the vaccination. Went to bed at 10:00 pm and woke up with severe headache that I felt tightening from forehead around to base of skull.  Also noticed at the same time, muscle aches in my wrists, ankles, and lower back. Difficult to sleep the rest of the night. Arose around 5:30 to take coated aspirin and returned to bed. Stayed in bed the entire day with headache, backpain, and complete loss of appetite. Some nausea but no vomiting.  Arose the 2nd day at 5:45 am & took a shower and returned to bed. Approx. 8:00 am, headache started to abate. Stayed home & had small amounts of food. 3rd day (08/04/2018) up & around with slight headache & aches.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain, Tension headache
Clinical narrative: Headache that began at approx. 7:00 pm on the day I received the vaccination. Went to bed at 10:00 pm and woke up with severe headache that I felt tightening from forehead around to base of skull.  Also noticed at the same time, muscle aches in my wrists, ankles, and lower back. Difficult to sleep the rest of the night. Arose around 5:30 to take coated aspirin and returned to bed. Stayed in bed the entire day with headache, backpain, and complete loss of appetite. Some nausea but no vomiting.  Arose the 2nd day at 5:45 am & took a shower and returned to bed. Approx. 8:00 am, headache started to abate. Stayed home & had small amounts of food. 3rd day (08/04/2018) up & around with slight headache & aches.
Age: 75.0
Sex: F
Vaccine: TDAP
Symptoms: Burning sensation, Pruritus, Swelling
Clinical narrative: Patient reported swelling, itching, burning.
Age: 82.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site discomfort, Injection site erythema, Injection site warmth
Clinical narrative: Redness surrounding the injection site. Warm to touch, mild discomfort.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Malaise, Pain, Pyrexia
Clinical narrative: Pt woke up next morning with fever 102 and achiness and generalized unwell feeling. (flu-like) took a Tylenol and two hours later fever down to 99. She was going to continue to monitor and take Tylenol if keeps getting fever 102.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Diarrhoea, Dizziness, Headache, Nausea, Pyrexia
Clinical narrative: Over 48 hours, patient complained of nausea, dizziness, headache, diarrhea, and fevers. Patient was told to contact physician and continue taking TYLENOL for the fevers. Diarrhea lasted 6 hours and had ceased by the time the patient contacted pharmacy staff.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Burning sensation, Chills, Diarrhoea, Fatigue, Feeling hot
Clinical narrative: Over 48 hours, patient complained of nausea, dizziness, headache, diarrhea, and fevers. Patient was told to contact physician and continue taking TYLENOL for the fevers. Diarrhea lasted 6 hours and had ceased by the time the patient contacted pharmacy staff.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Headache, Hyperhidrosis, Immediate post-injection reaction, Peripheral swelling
Clinical narrative: Over 48 hours, patient complained of nausea, dizziness, headache, diarrhea, and fevers. Patient was told to contact physician and continue taking TYLENOL for the fevers. Diarrhea lasted 6 hours and had ceased by the time the patient contacted pharmacy staff.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Malaise, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever over 100, aches, flu-like symptoms, feel very sick, still feel just as sick 12 hours later, arm is extremely sore.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Patient says her arm is still sore from the shot. She says she has limited motion in her right arm now and that she is going to get a mri done on Monday to check her arm out. She says her arm is very sore.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Nodule
Clinical narrative: Left arm swelling knot bigger than quarter size.
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Pt. arrived to pharmacy on 8/4/18 and stated that her left arm was still hurting after 2 weeks of receiving vaccine. She stated that she can't move her arm much and that she's taken TYLENOL and iced her arm to alleviate pain. Pt. also stated that she would be visiting the doctors office to get her left arm checked out because it was hard to lift her arm. She also stated she'd used ICY HOT to try and alleviate her pain. I explained to the patient that the soreness usually goes away after about a week and instructed her to get her arm checked out if she still felt uncomfortable.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Axillary mass, Injection site bruising
Clinical narrative: Pt states when she showered today (around 4PM) she noticed a soft lump in her right axilla near her breast. She stated that she has not noticed this before and that she would follow up with her doctor Monday (8/5/18) if it was still there. She also stated she had some bruising around the injection site.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood glucose normal, Blood pressure increased, Dizziness, Nausea, Pyrexia
Clinical narrative: Fever, nausea, dizziness, blood pressure increased (188/102).
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pyrexia, White blood cell count increased
Clinical narrative: 103 degree fever and severe body aches (all over) - 9 hours after vaccine. Treated initially with ice pack and Ibuprofen at night on 7/13. Treated with Ibuprofen and Acetaminophen & fluids on 7/14, 7/15, 7/16. Fever 103 degrees on 7/13, 101 degrees on 7/14, 100 degrees on 7/15 and 99 degrees on 7/16. Fever & body aches gone on 7/17.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Abdominal pain upper, Erythema, Injection site erythema, Injection site pain
Clinical narrative: Swelling, rash, redness at injection site - spread to under arm and lymph region near left breast. Muscle pain at injection site. Stomach pain and upset.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Injection site swelling, Rash, Swelling
Clinical narrative: Swelling, rash, redness at injection site - spread to under arm and lymph region near left breast. Muscle pain at injection site. Stomach pain and upset.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Mobility decreased, Pain in extremity, Pyrexia, Syncope
Clinical narrative: Sore arm. Can't lift arm up. Weakness, fever 100. Fainted.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Hypotension
Clinical narrative: Lack of energy, low blood pressure.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Injection site erythema, Injection site pain, Injection site warmth, Malaise
Clinical narrative: Patient experienced soreness, redness, and warmth at injection site as well as an upset stomach and ill feeling for about 3 days after injection. Symptoms have since resolved with no other adverse reactions reported.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypersensitivity, Lip pruritus, Nausea, Oral pruritus, Pain in extremity
Clinical narrative: About 20 minutes after IMZ, patient came back to the pharmacy and stated she felt like she was having an allergic rxn to the shot, similar to what she feels like when she has shellfish. Patient stated itchy feeling in her mouth/ lips. She said she is a nurse and is going home to take BENADRYL She went home and took 2 BENADRYL and a nap. At around 9 pm, symptoms came back so she took 2 more BENADRYL and went to bed. Next day was fine except some arm soreness and nausea. Patient is planning on still getting the second shot- wants to take on a day she isn't working so she can take BENADRYL before the shot.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye swelling
Clinical narrative: The patient awoke the following morning after the vaccine and encountered a swollen left eye, including tissues around the eye.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Myalgia
Clinical narrative: Myalgia and fatigue occurred within 3 hours of injection and got progressively worse. Symptoms began to subside after approximately 30 hours. ADVIL helped myalgia.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: Soreness at injection site, fever, headache, body ache.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Vertigo
Clinical narrative: PATIENT EXPERIENCED VERTIGO AT NIGHT ON THE THIRD DAY. AFTER RECEIVING THE VACCINE. ON 8/5, PATIENT RECOVERED. AND NORMAL.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Dizziness, Fall, Hypotension
Clinical narrative: Dizzy (passed out), low BP (89/52, repeat 96/56), pain radiating under right arm, chills, hip hurts from fall.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Loss of consciousness, Pain, Pain in extremity
Clinical narrative: Dizzy (passed out), low BP (89/52, repeat 96/56), pain radiating under right arm, chills, hip hurts from fall.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Headache, Hyperhidrosis, Influenza like illness, Myalgia
Clinical narrative: Onset approx. 6hrs post vaccine - Headache, Onset approx. 17hrs post vaccine - Flu like symptoms with chills, sweats, and muscle aches - lasted approx. 1 day.
Age: 86.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Body temperature increased, Chills, Headache, Lethargy
Clinical narrative: Chills, burning/itching skin, lethargy, back/head/neck pain, 99.6F temperature.
Age: 86.0
Sex: F
Vaccine: VARZOS
Symptoms: Neck pain, Pruritus, Skin burning sensation
Clinical narrative: Chills, burning/itching skin, lethargy, back/head/neck pain, 99.6F temperature.
Age: 0.42
Sex: F
Vaccine: DTAPHEPBIP, HIBV, RV1
Symptoms: Condition aggravated, Eczema, Pyrexia
Clinical narrative: 101.8 fever that night, 100.4 next morning. Eczema flare (including new places on her body) starting the next morning,  and continuing to worsen.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion
Clinical narrative: Patient stated in State Board complaint of widespread bruising in the left arm FOR UP TO 8 WEEKS after vaccine administration. She did not state in her complaint how soon after the vaccine was administered this began. It is unknown as to whether or not medical treatment was sought after, as this information was relayed to the pharmacy through a board of pharmacy complaint, and was not communicated with the pharmacy during the alleged 8 weeks. The patient did not ask for medical treatment from the pharmacy. We will contact the patient's PCP, Dr., about this matter on Monday, August 6th, 2018.
Age: 20.0
Sex: M
Vaccine: HEPA
Symptoms: Dizziness, Hyperhidrosis, Pallor, Palpitations
Clinical narrative: Patient experienced sudden onset of dizziness, sweating, light headed, paleness and palpitations. Cold compress was used on patients forehead. His legs were raised up and offered cold water. Pt started feeling better after about 5 minutes and was monitored continuously for another 15 minutes. Patient stated to be feeling quite well after another 10 minutes. No doctor's visit was needed after patient recovered.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Heart rate increased
Clinical narrative: THE FIRST SHOT I HAD IN MARCH I HAD CHILLS, ACHING, FLU LIKE SYNPTOMS WHICH WENT AWAY AFTER SEVERAL DAYS. LAST NIGHT AND THIS MORNING MY WATCH NOTIFIED MY THAT MY HEART RATE WAS MUCH HIGHER THAN USUAL VARING FROM 105/107 TO 123 AND 131. THIS WAS WHILE LYING DOWN.
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Muscular weakness, Myalgia
Clinical narrative: Patient reports redness and itching in disc surrounding injection site spanning roughly 7 inches in diameter around where the injection was given on her left deltoid. She also reports muscular pain and weakness in the same arm. No other problems reported.
Age: 67.0
Sex: F
Vaccine: PNC13, VARZOS
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site inflammation, Injection site pain
Clinical narrative: Patient developed a red, sore, itchy, and inflamed area around the injection site several hours after injection was given. It was the injection site that the SHINGRIX vaccine was given. Patient was given the shot on Friday and she came back in on Saturday where I observed the reaction.  The area was very red and warm to the touch. She complained of it being itchy. I advised her to try taking some naproxen. She was already on an antihistamine and could not tolerate BENADRYL She also used cold compresses overnight. She came back to the pharmacy on Sunday and the area had grown in size and remained itchy and inflamed due to a reaction. She said the soreness had diminished but it was still itchy. It was warm and hard to the touch in the area. Patient went to the urgent care and was diagnosed with cellulitis. She was given a steroid shot while there and prescribed prednisone, KEFLEX, and ibuprofen and went home to monitor.
Age: 67.0
Sex: F
Vaccine: PNC13, VARZOS
Symptoms: Injection site pruritus, Injection site reaction, Injection site warmth
Clinical narrative: Patient developed a red, sore, itchy, and inflamed area around the injection site several hours after injection was given. It was the injection site that the SHINGRIX vaccine was given. Patient was given the shot on Friday and she came back in on Saturday where I observed the reaction.  The area was very red and warm to the touch. She complained of it being itchy. I advised her to try taking some naproxen. She was already on an antihistamine and could not tolerate BENADRYL She also used cold compresses overnight. She came back to the pharmacy on Sunday and the area had grown in size and remained itchy and inflamed due to a reaction. She said the soreness had diminished but it was still itchy. It was warm and hard to the touch in the area. Patient went to the urgent care and was diagnosed with cellulitis. She was given a steroid shot while there and prescribed prednisone, KEFLEX, and ibuprofen and went home to monitor.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Headache, Influenza like illness, Nausea, Pain
Clinical narrative: Day 1: Pt had flu like symptoms to include nausea, headache, body aches. Day 2: Pt still had body aches which were controlled with OTC ALEVE. Day4-5: Pt started to develop hives on her right wrist and inner elbow, redness on right elbow, hive on left inner wrist, few hives on back and 1 hive on the middle of the shin of the left leg.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Day 1: Pt had flu like symptoms to include nausea, headache, body aches. Day 2: Pt still had body aches which were controlled with OTC ALEVE. Day4-5: Pt started to develop hives on her right wrist and inner elbow, redness on right elbow, hive on left inner wrist, few hives on back and 1 hive on the middle of the shin of the left leg.
Age: 96.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: She has swelling at the injection site and surrounding area. She has redness at the injection and a large surrounding area. She states pain and soreness around the area.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Feeling abnormal, Headache, Malaise, Pain
Clinical narrative: Pt had chills, fever, body aches and headache along with malaise. Stayed in bed the next day because didn't feel good. Was ok in about 24 hours.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Pt had chills, fever, body aches and headache along with malaise. Stayed in bed the next day because didn't feel good. Was ok in about 24 hours.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Genital herpes
Clinical narrative: I had an outbreak of genital herpes. This has not occurred in over 20 years.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Headache, fatigue, night chills, and injection site swelling and redness for approximately 3 days after injection beginning morning after.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash macular, Rash pruritic
Clinical narrative: PATIENT STATED SHE GOT A BLOTCHY ITCHY RASH ON ARM AT FIRST, THEN A BLOTCHY RASH ON DIFFERENT PARTS OF BODY, SHE STATED SHE THOUGHT IT WAS SHINGLES. SHE GOT THE SHOT IN MAY. SHE CAME BY THE PHARMACY ON 08/05/2018 AND TOLD ME ABOUT THE RASH, SHE STATED IT WAS STILL, THERE BUT GETTING BETTER. I TOLD HER TO CHECK WITH HER DOCTOR.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Rash erythematous
Clinical narrative: Patient reported that 24 hours post injection she developed a rash at the site of injection. The rash was described as being red without itch. The rash spontaneously resolved after 4 additional days.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Injection site erythema
Clinical narrative: Headache, fatigue, night chills, diarrhea, redness and swelling approximately 6" diameter around injection site for approximately 3 days after administration beginning morning after injection.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site swelling
Clinical narrative: Headache, fatigue, night chills, diarrhea, redness and swelling approximately 6" diameter around injection site for approximately 3 days after administration beginning morning after injection.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Injection site pain, Myalgia
Clinical narrative: Fatigue, muscle aches, chills started day after administration and lasted for 2 days, pain at injection site started day of administration and lasted for 3 days. Patient reports no adverse reaction from first dose.
Age: 52.0
Sex: F
Vaccine: MMR
Symptoms: Feeling abnormal, Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: Pharmacy encounter: 15 minutes after receiving injection 8/3/18, I experienced numbness and tingling in my right upper and lower lip and the same sensation in the area above the right lip. I waited outside the Clinic and within 25 minutes the sensation subsided approximately 85% so I did not return to the clinic. Within 2 hours I did not feel anything noticeable. I did not experience any other problems post vaccination until today 8/5. Upon awakening my right upper lip is slightly numb. It feels as though I've had a dental procedure and my mouth is almost back to "normal". In other words I could probably drink a glass of water without drooling, however it definitely feels as though my upper right mouth and lip are swollen. However they are not.When I smile both sides of my mouth are symmetrical. I have no previous history of any adverse reaction to any vaccination, any medication or any food and certainly do not have a history of anaphylaxis. I also have no history or family history of stroke or CVD. The sensation of slight numbness in my upper right lip and the area just above it has been consistent for 4 hours and has not subsided.
Age: 24.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pain, Pyrexia, Swelling
Clinical narrative: 3cm x 3cm (as measured by physician localized redness and swelling; fever and body aches; treated by BENADRYL and NSAIDS (ibuprofen).
Age: 39.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Pruritus generalised
Clinical narrative: Swelling and pain around the injection site with spots. Itching all over.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Pyrexia, Vertigo, Vertigo positional, Vomiting
Clinical narrative: I developed a profound headache (? migraine?) and fever (101.5F) within 24 hours of the vaccination. The fever continued for two days. The headache continued through and including August 4. On August 4, I also developed Benign Paroxysmal Positional Vertigo (when I turned my head to the right, the room began spinning around me and I would vomit). Repeatedly. Resolved with modified Epley maneuvers.
Age: 1.25
Sex: F
Vaccine: DTAPIPVHIB, VARCEL
Symptoms: Rash, Rash vesicular, Varicella post vaccine
Clinical narrative: Moderate vesicular rash consistent with varicella rash over arms, legs, trunk.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Bacterial test negative, Blood test normal, Chest X-ray normal, Febrile convulsion, Pyrexia
Clinical narrative: Fever symptom and febrile seizure. Ambulance ER visit, oxygen, seizure meds,Tylenol and Motrin administered. No virus or bacterial infection found.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Urine analysis normal, Viral test negative
Clinical narrative: Fever symptom and febrile seizure. Ambulance ER visit, oxygen, seizure meds,Tylenol and Motrin administered. No virus or bacterial infection found.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Chest pain, Pain
Clinical narrative: Patient had received a SHINGRIX shot on 07/30/2018. Patient had returned to the pharmacy on 08/05/2018 complaining of pain that  began on  07/30/2018 in the evening  after her shot. The pain radiates from the middle of her right back to the front below her breast. She described the pain as being sharp and was temporarily able to relieve the pain with ibuprofen. She did not inform her physician regarding the pain and was advised to call her physician as soon as possible.
Age: 62.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Pain, Pain in extremity, Pyrexia
Clinical narrative: The 1st shot I had a huge red mark 3? diameter, achy, tired, headache, sore arm, second shot, sore arm fever achy, tired.
Sex: F
Vaccine: VARZOS
Symptoms: Blood glucose fluctuation, Dyskinesia, Dyspnoea, Feeling abnormal, Feeling cold
Clinical narrative: Fluctuate blood sugar, tossed/turned at night and awoke freezing. "Experienced something like a sitting seizure" "keep jerking", SOB/severe HA, "awful feeling on all my upper body".
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Seizure like phenomena
Clinical narrative: Fluctuate blood sugar, tossed/turned at night and awoke freezing. "Experienced something like a sitting seizure" "keep jerking", SOB/severe HA, "awful feeling on all my upper body".
Age: 62.0
Sex: F
Vaccine: PPV, VARZOS, PPV, VARZOS
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Red oval shaped rash on left upper arm, hot to the touch, about 4 to 5 inches long extending from mid-shoulder to middle of arm.
Age: 62.0
Sex: F
Vaccine: PPV, VARZOS, PPV, VARZOS
Symptoms: Injection site erythema, Injection site rash, Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: Red oval shaped rash on left upper arm, hot to the touch, about 4 to 5 inches long extending from mid-shoulder to middle of arm.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Erythema, Pain in extremity, Paraesthesia, Skin warm
Clinical narrative: Patient started experiencing pain in the left arm that evening after receiving the vaccination in the morning. The next morning on 8/3/18, the patient had a red onsite reaction which hasn't improved since 8/3/18. The rash is warm to the touch. She is also experiencing tingling/burning in the left arm as well.
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Balance disorder, Diarrhoea, Injection site erythema, Injection site pain
Clinical narrative: After she received the vaccine she had injection site pain and redness. Back pain occurred a few hour later. The next day she had vertigo and diarrhea. She consulted a doctor on 7-30-18, who told her to take EXTRA STRENGTH TYLENOL. Today she still has vertigo (balance is off) and pain (left arm/shoulder and sometimes radiate to leg, she said it is still hard to sleep).
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Insomnia, Pain in extremity, Vertigo
Clinical narrative: After she received the vaccine she had injection site pain and redness. Back pain occurred a few hour later. The next day she had vertigo and diarrhea. She consulted a doctor on 7-30-18, who told her to take EXTRA STRENGTH TYLENOL. Today she still has vertigo (balance is off) and pain (left arm/shoulder and sometimes radiate to leg, she said it is still hard to sleep).
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: SHINGRIX vaccine given 7/29/18, patient noted swelling and soreness for 3 days and then persistent itching for next 4 days at injection site.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Diarrhoea, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Patient reports redness and swelling around the injection site. A temp of 101. Nausea, diarrhea, headache and muscle weakness also. On 8-5-18 patient reports redness to be clear.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Muscular weakness, Nausea
Clinical narrative: Patient reports redness and swelling around the injection site. A temp of 101. Nausea, diarrhea, headache and muscle weakness also. On 8-5-18 patient reports redness to be clear.
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Dyspnoea, Influenza, Productive cough, Respiratory tract congestion
Clinical narrative: This case was reported by a consumer via sales rep and described the occurrence of cough in a 65-year-old male patient who received SHINGRIX (batch number T5242, expiry date 31st March 2020) for prophylaxis. On 24th May 2018, the patient received the 1st dose of SHINGRIX (intramuscular). On 25th May 2018, 1 days after receiving SHINGRIX, the patient experienced cough, sneezing and runny nose. On an unknown date, the patient experienced nasal sinus discharge and phlegm discolored. On an unknown date, the outcome of the cough was recovering/resolving and the outcome of the nasal sinus discharge, sneezing and runny nose were recovered/resolved and the outcome of the phlegm discolored was not recovered/not resolved. It was unknown if the reporter considered the cough, nasal sinus discharge, phlegm discolored, sneezing and runny nose to be related to SHINGRIX. Additional details were provided as follows: On 25th May 2018 the patient had coughing, sneezing and a runny nose. Over the next week he went though many boxes of tissues because of his runny nose, and he was coughing up dark yellow to orangey brown phlegm, he would cough for 2 hours before bed and then cough for another 2 hours upon waking up. He had a bad sinus drip. He reported the problems to the CDC on 31st May 2018, at that point the runny nose, sneezing and sinus drip had resolved, but he still had some coughing and coughs up clear phlegm during the day. A recent chest x-ray showed his lungs were clear.
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Chest X-ray normal, Cough, Rhinorrhoea, Sneezing, Sputum discoloured
Clinical narrative: This case was reported by a consumer via sales rep and described the occurrence of cough in a 65-year-old male patient who received SHINGRIX (batch number T5242, expiry date 31st March 2020) for prophylaxis. On 24th May 2018, the patient received the 1st dose of SHINGRIX (intramuscular). On 25th May 2018, 1 days after receiving SHINGRIX, the patient experienced cough, sneezing and runny nose. On an unknown date, the patient experienced nasal sinus discharge and phlegm discolored. On an unknown date, the outcome of the cough was recovering/resolving and the outcome of the nasal sinus discharge, sneezing and runny nose were recovered/resolved and the outcome of the phlegm discolored was not recovered/not resolved. It was unknown if the reporter considered the cough, nasal sinus discharge, phlegm discolored, sneezing and runny nose to be related to SHINGRIX. Additional details were provided as follows: On 25th May 2018 the patient had coughing, sneezing and a runny nose. Over the next week he went though many boxes of tissues because of his runny nose, and he was coughing up dark yellow to orangey brown phlegm, he would cough for 2 hours before bed and then cough for another 2 hours upon waking up. He had a bad sinus drip. He reported the problems to the CDC on 31st May 2018, at that point the runny nose, sneezing and sinus drip had resolved, but he still had some coughing and coughs up clear phlegm during the day. A recent chest x-ray showed his lungs were clear.
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Upper-airway cough syndrome
Clinical narrative: This case was reported by a consumer via sales rep and described the occurrence of cough in a 65-year-old male patient who received SHINGRIX (batch number T5242, expiry date 31st March 2020) for prophylaxis. On 24th May 2018, the patient received the 1st dose of SHINGRIX (intramuscular). On 25th May 2018, 1 days after receiving SHINGRIX, the patient experienced cough, sneezing and runny nose. On an unknown date, the patient experienced nasal sinus discharge and phlegm discolored. On an unknown date, the outcome of the cough was recovering/resolving and the outcome of the nasal sinus discharge, sneezing and runny nose were recovered/resolved and the outcome of the phlegm discolored was not recovered/not resolved. It was unknown if the reporter considered the cough, nasal sinus discharge, phlegm discolored, sneezing and runny nose to be related to SHINGRIX. Additional details were provided as follows: On 25th May 2018 the patient had coughing, sneezing and a runny nose. Over the next week he went though many boxes of tissues because of his runny nose, and he was coughing up dark yellow to orangey brown phlegm, he would cough for 2 hours before bed and then cough for another 2 hours upon waking up. He had a bad sinus drip. He reported the problems to the CDC on 31st May 2018, at that point the runny nose, sneezing and sinus drip had resolved, but he still had some coughing and coughs up clear phlegm during the day. A recent chest x-ray showed his lungs were clear.
Age: 88.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Rash, Rash papular, Rash pruritic, Scab
Clinical narrative: This case was reported by a other health professional via call center representative and described the occurrence of rash in a 88-year-old male patient who received SHINGRIX (batch number 539A2, expiry date 30th March 2020) for prophylaxis. On 22nd June 2018, the patient received the 1st dose of SHINGRIX (intramuscular) .5 ml. On 22nd June 2018, immediately after receiving SHINGRIX, the patient experienced rash. On an unknown date, the patient experienced papular rash, pruritus and scab. On an unknown date, the outcome of the rash and pruritus were recovering/resolving and the outcome of the papular rash and scab were unknown. It was unknown if the reporter considered the rash, papular rash, pruritus and scab to be related to SHINGRIX. Additional details were provided as follows: The age at vaccination was not reported. the patient experienced a rash almost immediately after on the posterior left deltoid to the wrist. The area was itchy and the patient scratched the area causing papules to open up and scab. The rash was resolving and the patient still had papules on the left arm. This 1 of 2 cases, reported by the same reporter.
Age: 88.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Immediate post-injection reaction, Papule, Pruritus, Rash, Rash papular
Clinical narrative: This case was reported by a other health professional via call center representative and described the occurrence of rash in a 88-year-old male patient who received SHINGRIX (batch number 539A2, expiry date 30th March 2020) for prophylaxis. On 22nd June 2018, the patient received the 1st dose of SHINGRIX (intramuscular) .5 ml. On 22nd June 2018, immediately after receiving SHINGRIX, the patient experienced rash. On an unknown date, the patient experienced papular rash, pruritus and scab. On an unknown date, the outcome of the rash and pruritus were recovering/resolving and the outcome of the papular rash and scab were unknown. It was unknown if the reporter considered the rash, papular rash, pruritus and scab to be related to SHINGRIX. Additional details were provided as follows: The age at vaccination was not reported. the patient experienced a rash almost immediately after on the posterior left deltoid to the wrist. The area was itchy and the patient scratched the area causing papules to open up and scab. The rash was resolving and the patient still had papules on the left arm. This 1 of 2 cases, reported by the same reporter.
Age: 88.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Scab
Clinical narrative: This case was reported by a other health professional via call center representative and described the occurrence of rash in a 88-year-old male patient who received SHINGRIX (batch number 539A2, expiry date 30th March 2020) for prophylaxis. On 22nd June 2018, the patient received the 1st dose of SHINGRIX (intramuscular) .5 ml. On 22nd June 2018, immediately after receiving SHINGRIX, the patient experienced rash. On an unknown date, the patient experienced papular rash, pruritus and scab. On an unknown date, the outcome of the rash and pruritus were recovering/resolving and the outcome of the papular rash and scab were unknown. It was unknown if the reporter considered the rash, papular rash, pruritus and scab to be related to SHINGRIX. Additional details were provided as follows: The age at vaccination was not reported. the patient experienced a rash almost immediately after on the posterior left deltoid to the wrist. The area was itchy and the patient scratched the area causing papules to open up and scab. The rash was resolving and the patient still had papules on the left arm. This 1 of 2 cases, reported by the same reporter.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Diarrhoea, Fatigue, Myalgia, Pain
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of diarrhea in a 70-year-old female patient who received SHINGRIX (batch number ZG47A, expiry date 12th February 2021) for prophylaxis. Previously administered products included SHINGRIX (1st dose, did not report any adverse events). On 23rd July 2018, the patient received the 2nd dose of SHINGRIX .5 ml. In July 2018, less than a week after receiving SHINGRIX, the patient experienced diarrhea, fatigue, shivering, muscle pain and fever. On an unknown date, the outcome of the diarrhea, fatigue, shivering, muscle pain and fever were unknown. It was unknown if the reporter considered the diarrhea, fatigue, shivering, muscle pain and fever to be related to SHINGRIX. Additional details were provided as follows: The patient received SHINGRIX in left deltoid. The patient was experiencing mild diarrhea, muscle pain and achiness, and low grade fever.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pyrexia
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of diarrhea in a 70-year-old female patient who received SHINGRIX (batch number ZG47A, expiry date 12th February 2021) for prophylaxis. Previously administered products included SHINGRIX (1st dose, did not report any adverse events). On 23rd July 2018, the patient received the 2nd dose of SHINGRIX .5 ml. In July 2018, less than a week after receiving SHINGRIX, the patient experienced diarrhea, fatigue, shivering, muscle pain and fever. On an unknown date, the outcome of the diarrhea, fatigue, shivering, muscle pain and fever were unknown. It was unknown if the reporter considered the diarrhea, fatigue, shivering, muscle pain and fever to be related to SHINGRIX. Additional details were provided as follows: The patient received SHINGRIX in left deltoid. The patient was experiencing mild diarrhea, muscle pain and achiness, and low grade fever.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Diarrhoea, Fatigue, Myalgia, Pyrexia
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of diarrhea in a 70-year-old female patient who received SHINGRIX (batch number ZG47A, expiry date 12th February 2021) for prophylaxis. Previously administered products included SHINGRIX (1st dose, did not report any adverse events). On 23rd July 2018, the patient received the 2nd dose of SHINGRIX .5 ml. In July 2018, less than a week after receiving SHINGRIX, the patient experienced diarrhea, fatigue, shivering, muscle pain and fever. On an unknown date, the outcome of the diarrhea, fatigue, shivering, muscle pain and fever were unknown. It was unknown if the reporter considered the diarrhea, fatigue, shivering, muscle pain and fever to be related to SHINGRIX. Additional details were provided as follows: The patient received SHINGRIX in left deltoid. The patient was experiencing mild diarrhea, muscle pain and achiness, and low grade fever.