chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Impaired work ability, Injected limb mobility decreased, Injection site joint pain, Loss of personal independence in daily activities
Clinical narrative: Within 3 hours..very swollen..sore, red and hot to the touch.(for 5 days), shoulder socket extremely sore...spread across base of neck and into opposite shoulder socket.  Could not lift arms above my head for six days.  Very bad headache...Unable to carry on with normal activity for four days (in bed).  Overwhelming tiredness, teariness, loss of appetite, body aches, shivers...  NO FEVER.  Lost one week at work...  Used ibreprophen, tylenol, ice,         ********   I had a severe case of shingles at the age of four!!!!!  It doesn't ask this anywhere on the questionnaire but it is certainly worth noting.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Neck pain, Pain, Skin warm, Swelling
Clinical narrative: Within 3 hours..very swollen..sore, red and hot to the touch.(for 5 days), shoulder socket extremely sore...spread across base of neck and into opposite shoulder socket.  Could not lift arms above my head for six days.  Very bad headache...Unable to carry on with normal activity for four days (in bed).  Overwhelming tiredness, teariness, loss of appetite, body aches, shivers...  NO FEVER.  Lost one week at work...  Used ibreprophen, tylenol, ice,         ********   I had a severe case of shingles at the age of four!!!!!  It doesn't ask this anywhere on the questionnaire but it is certainly worth noting.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Tearfulness
Clinical narrative: Within 3 hours..very swollen..sore, red and hot to the touch.(for 5 days), shoulder socket extremely sore...spread across base of neck and into opposite shoulder socket.  Could not lift arms above my head for six days.  Very bad headache...Unable to carry on with normal activity for four days (in bed).  Overwhelming tiredness, teariness, loss of appetite, body aches, shivers...  NO FEVER.  Lost one week at work...  Used ibreprophen, tylenol, ice,         ********   I had a severe case of shingles at the age of four!!!!!  It doesn't ask this anywhere on the questionnaire but it is certainly worth noting.
Age: 19.0
Sex: M
Vaccine: FLU4, TYP, YF
Symptoms: Malaise, Urticaria, Vomiting
Clinical narrative: Patient received 3 vaccines at 1219, reported to Clinic front desk feeling unwell. Vomited in clinic. Hives were noted at 1259. Patient received 2 doses of epi auto injector, 50mg of Benadryl and was transported to local emergency room at 1322.
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Confusional state, Fear, Gait disturbance, Headache
Clinical narrative: severe headache, muscle pain, shivering, irritability, periods of confusion, fear, unsteady gait,
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Irritability, Myalgia
Clinical narrative: severe headache, muscle pain, shivering, irritability, periods of confusion, fear, unsteady gait,
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Bothersome arm redness, swelling and pain
Age: 37.0
Sex: F
Vaccine: PNC13
Symptoms: Dyspnoea, Injection site erythema, Injection site mass, Injection site pruritus, Injection site rash
Clinical narrative: The next morning the patient experienced a large red, swollen, knotted, itchy, hot crescent moon shaped rash near the injection site.  She also had some shortness of breath as well.  The patient iced it, applied topical benadryl and also took oral benadryl and saw her medical doctor.  The doctor prescribed an antibiotic for a suspected skin infection.
Age: 37.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: The next morning the patient experienced a large red, swollen, knotted, itchy, hot crescent moon shaped rash near the injection site.  She also had some shortness of breath as well.  The patient iced it, applied topical benadryl and also took oral benadryl and saw her medical doctor.  The doctor prescribed an antibiotic for a suspected skin infection.
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Dizziness, Pain in extremity, Sleep disorder
Clinical narrative: Around bedtime started having sever pain in arm. Couldn't lie on arm. started shaking. (chills). Up all night, really weak, could not get up to use the restroom. Could not sleep because of the chills. slight dizziness.   Spoke with PCP. and she stated she might not have to get 2nd dose and to contact CDC for further information.
Sex: F
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: Around bedtime started having sever pain in arm. Couldn't lie on arm. started shaking. (chills). Up all night, really weak, could not get up to use the restroom. Could not sleep because of the chills. slight dizziness.   Spoke with PCP. and she stated she might not have to get 2nd dose and to contact CDC for further information.
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Seizure, Transient ischaemic attack
Clinical narrative: 24 hours after injection I had a seizure and TIA
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Nausea, Pain in extremity, Sleep disorder
Clinical narrative: Patient experienced arm pain starting 5 hours after administration of vaccination, it kept her awake all night and she was also  experiencing nausea in to the 24 hour period. Pharmacist recommended taking tylenol and or NSAID if approved by her doctor as well as using lidocaine to relieve the pain in the arm. She was going to try those interventions and report back.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: pt states red, bump, itchy. some relief obtained with benadryl and ice
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Myalgia
Clinical narrative: Shivers, chills, headache, myalgias started at the same time. Shivers and chills lasted about 6 hours, myalgia after 24 hours and headache after 48 hours. Treated symptomatically with ibuprofen 400mg every 4-6 hours and acetaminophen 1000mg every 6 hours
Age: 18.0
Sex: F
Vaccine: FLUR4
Symptoms: Interchange of vaccine products
Clinical narrative: pt was given flublok  0.5 ml instead of  flu 0.5ml
Age: 0.75
Sex: M
Vaccine: FLU4
Symptoms: Inappropriate schedule of product administration
Clinical narrative: This was a booster dose - it should have been given 28 days after the initial influenza vaccine given 9/18/2020 - but was given after 20 days.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Body temperature increased, Chills, Headache, Influenza like illness
Clinical narrative: Patient stated the adverse events started on 11/9/2020 around 08:00pm. She exp stomach pains,chills, temp, and headache. She described the symptoms to be similar to the flu without respiratory symptoms.
Age: 23.0
Sex: M
Vaccine: FLUC4
Symptoms: Loss of consciousness
Clinical narrative: Passed out, remembers passing out. Sat down for about 30-45 minutes after passing out. Felt completely fine after sitting for some time. No treatment done. Paramedics were called and vitals were taken as follows: blood pressure was 128/88, heart rate 88, blood glucose 101, spO2 100%.
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Cold sweat, Hypotension, Nasopharyngitis, Syncope
Clinical narrative: Patient became hypotensive, cold and clammy, had syncopal response. Symptom started less than 5 minutes after administration. Patient was sent to the emergency department.
Age: 7.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Developed a local skin reaction with swelling, redness, pain around 6x4 cm in size, raised by 1mm.  Recommended benadryl and cold compresses.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia
Clinical narrative: Soreness of shoulder and deltoid
Age: 47.0
Sex: M
Vaccine: FLUC4
Symptoms: Fatigue, Myalgia, Pyrexia
Clinical narrative: Low grade fever for 2 weeks, Fatigue for 2 weeks, severe generalized myalgia for over 4 weeks
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain
Clinical narrative: Employees states that on 11/7/2020 she started feeling pain to her right upper arm.
Age: 22.0
Sex: F
Vaccine: FLUC4
Symptoms: Blood glucose normal, Fall, Gaze palsy, Loss of consciousness, Musculoskeletal stiffness
Clinical narrative: Passed out briefly, then came to. Five minutes after patient came to, she then passed out again, however this time when she hit the floor she appeared to have a tonic seizure. Her entire body was stiff, eyes were rolled back, and she was unresponsive for 15 to 20 seconds. She came too, had no color in her face, and stated she did not remember passing out the second time. She does remember passing out the first time. Paramedics were called and vitals were as follows: blood press 118/70, heart rate 84, blood glucose 109, spO2 98%. Patient was taken to the hospital. Per patient, no tests were done in the hospital (no blood work, no EEG). She was strictly just under observation and was released that night. Upon following up with patient, she stated that she felt completely fine after being taken to the hospital, and hasn't had any unusual symptoms since then.
Age: 22.0
Sex: F
Vaccine: FLUC4
Symptoms: Pallor, Tonic convulsion, Unresponsive to stimuli
Clinical narrative: Passed out briefly, then came to. Five minutes after patient came to, she then passed out again, however this time when she hit the floor she appeared to have a tonic seizure. Her entire body was stiff, eyes were rolled back, and she was unresponsive for 15 to 20 seconds. She came too, had no color in her face, and stated she did not remember passing out the second time. She does remember passing out the first time. Paramedics were called and vitals were as follows: blood press 118/70, heart rate 84, blood glucose 109, spO2 98%. Patient was taken to the hospital. Per patient, no tests were done in the hospital (no blood work, no EEG). She was strictly just under observation and was released that night. Upon following up with patient, she stated that she felt completely fine after being taken to the hospital, and hasn't had any unusual symptoms since then.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Amnesia, Diarrhoea, Feeling abnormal, Pain, Sluggishness
Clinical narrative: Patient said that she experienced loss of memory and severe diarrhea after receiving her second dose of Shingrix. She said she does not remember anything after getting her vaccination except that it was more painful than her first dose and that her husband found her after coming home from church the next day. She stated that the following Tuesday she was still not feeling like her normal self (slow, sluggish, in a fog)
Age: 69.0
Sex: M
Vaccine: FLUA4
Symptoms: Chills, Tremor
Clinical narrative: Patient experienced extreme shivering that lasted for about 7-10 minutes. Vital signs were taken by the wife who is a retired nurse and blood pressure, temperature, and pulse ox were all normal. Shaking/shivering was extremely severe and patient had to be covered with 4 quilts and given heating pads to help. Effects resolved on their own and no issues since.
Age: 75.0
Sex: M
Vaccine: PNC13
Symptoms: Dizziness, Gait inability
Clinical narrative: When patient got up to urinate during night following vaccine admin, he reported being light-headed and unable to walk in straight line.  He went back to sleep and in at 7-8 am the following morning still had same symptoms.  The reaction felt different from his usual menier's symptoms (tinnitus, dizziness, vertigo) .   Patient called the pharmacy and was advised to hydrate, remain sitting as much as possible, to change positions slowly and to walk assisted or while holding onto something.     Later the patient reported that symptoms resolved completely later that same afternoon or evening, unsure of time.
Age: 73.0
Sex: F
Vaccine: FLUC4
Symptoms: Dysphonia, Dyspnoea, Productive cough, Throat irritation, Urticaria
Clinical narrative: 10:00 AMPatient stated throat felt funny. Gave Benadryl 25 mg  PO.  10:07 AM voice became hoarse, 10:10 AM  excessive phlegm,  10:14 wheezing, hives and SOB. 10:16 Gave 0.3 mL of Epi IM. 10:17 Started O2 on 3L.  At 10:21 Gave Kenalog IM, 10:22 Albuterol Neb TX. Ambulance arrived around 10:27 AM. Patient was feeling some relief. Transported to  Hospital.
Age: 73.0
Sex: F
Vaccine: FLUC4
Symptoms: Wheezing
Clinical narrative: 10:00 AMPatient stated throat felt funny. Gave Benadryl 25 mg  PO.  10:07 AM voice became hoarse, 10:10 AM  excessive phlegm,  10:14 wheezing, hives and SOB. 10:16 Gave 0.3 mL of Epi IM. 10:17 Started O2 on 3L.  At 10:21 Gave Kenalog IM, 10:22 Albuterol Neb TX. Ambulance arrived around 10:27 AM. Patient was feeling some relief. Transported to  Hospital.
Age: 70.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Patient experiencing severe pain at injection site and arm pain.  Patient applied ice and used over the counter meds but arm is still in pain after 2 weeks of vaccination.
Age: 15.0
Sex: M
Vaccine: HPV9
Symptoms: Hypoaesthesia, Paraesthesia, Sensory disturbance, Skin warm
Clinical narrative: Pt reported numbness and tingling sensation in left arm started few minutes after he received his first dose of HPV vaccine. Pt stated he couldn't stop laughing because his arm felt "funny."  He returned to clinic immediately to get seen. PE: left arm is slightly warmer than right arm, otherwise normal ROM and sensation. The abnormal sensation lasted about 1 hour and started to go away after we asked him to move his arm often. Pt returned to clinic the next day to follow up and all symptoms had subsided
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Arthralgia, Chills, Dizziness, Fatigue
Clinical narrative: About 9 hours after the vaccine, my arm was very sore at the site, I was experiencing  chills and shaking which lasted for about an hour; frequent bowel movements for about six hours with an upset stomach for up to 24 hours after the vaccine. About 24 hours after the vaccine I had an intermittent headache which lasted for about 12 hours, strong muscle aches across the top of my shoulders and neck for about two hours;  faintness which lasted about 1/2 hour and  one concurrent episode of strong sweating where I soaked parts of my shirt that lasted 5 minutes. Exhaustion lasted for about 24 hours after the vaccine.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Frequent bowel movements, Headache, Hyperhidrosis, Injection site pain, Neck pain
Clinical narrative: About 9 hours after the vaccine, my arm was very sore at the site, I was experiencing  chills and shaking which lasted for about an hour; frequent bowel movements for about six hours with an upset stomach for up to 24 hours after the vaccine. About 24 hours after the vaccine I had an intermittent headache which lasted for about 12 hours, strong muscle aches across the top of my shoulders and neck for about two hours;  faintness which lasted about 1/2 hour and  one concurrent episode of strong sweating where I soaked parts of my shirt that lasted 5 minutes. Exhaustion lasted for about 24 hours after the vaccine.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: About 9 hours after the vaccine, my arm was very sore at the site, I was experiencing  chills and shaking which lasted for about an hour; frequent bowel movements for about six hours with an upset stomach for up to 24 hours after the vaccine. About 24 hours after the vaccine I had an intermittent headache which lasted for about 12 hours, strong muscle aches across the top of my shoulders and neck for about two hours;  faintness which lasted about 1/2 hour and  one concurrent episode of strong sweating where I soaked parts of my shirt that lasted 5 minutes. Exhaustion lasted for about 24 hours after the vaccine.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Bronchitis, Chest X-ray abnormal, Computerised tomogram normal, Cough
Clinical narrative: A rash presented on 10/3 mid-afternoon on my stomach, breasts, chest, underarms, back, and inner thighs.  I treated the rash with Benadryl until bedtime on Saturday, 10/3, and by Sunday morning 10/4, the rash had worsened, severely, to include swollen eyes and lips, and head to toe rash / hives everywhere, including inside my ears and even in my groin region to include inside my labia.  I went to clinic on 10/4 am. I presented with no fever, bp 146/82, rr 16 bpm, and hr 104 bpm.  I was examined & was given dexamethesone 4 mg & hydroxyzine 25 mg x 3 days.  I did not work 10/5 or 10/6.  I started feeling extremely weak and fatigued on 10/6 mid-morning, to include shortness of breath, and by 10/7 the shortness of breath included wheezing and respiratory distress.   After trying unsuccessfully all day to be seen at the clinic where I work, I went to MedNow late afternoon of 10/7 - my bp was 152/84, rr 16 bpm, and hr 84 bpm.  I was examined to include a chest x-ray and told I had bilateral bronchitis and pneumonia. The doctor agreed that he thought it was a severe allergic reaction to the flu shot.  I was given a ceftriaxone sodium injection 1 gram at the visit and Rx to start 10/8 x 5 days - prednisone 20mg, azithromycin 250, ventolin hfa 90. I did not work on 10/7 and 10/8.    When I began feeling worse not better, I saw my primary physician on 10/9.  My main complaints were weakness, extreme fatigue and shortness of breath.  Other symptoms included wheezing and a racing heart when doing something as simple as walking across the room. My primary physician confirmed the severe allergic reaction to the flu shot and the pneumonia.  No additional medications were prescribed, since I was currently on medication, prescribed at clinic on 10/7.  I remained out of work on my primary care doctor's recommendation and did not return to work until 10/19.    My main complaints continue to be weakness, shortness of breath, extreme fatigue, dizziness at times, wheezing, a persistent cough, and a racing heart with even minimal activity.  Additional time from work has been missed between 10/16 and today due to the above mentioned symptoms.  Seeing almost no improvement in my symptoms, I saw the PA in my primary care doctor's office on 10/27 and had a CT with contrast yesterday (10/28) for suspected blood clots.  The CT revealed that the lungs were clear of any blood clots.  Very minor improvement has been noted since the onset of symptoms and I remain very concerned about the slowness of the healing process. 10/27 doctor's visit and 10/28 CT do indicate that the pneumonia has cleared, but I still have a severe bronchial cough, to date (11/10), shortness of breath with minimal activity, weakness at times, and a general feeling of "being tired" when my level of activity should not warrant the feeling of being tired all of the time.  I am attempting to eat well, hydrate and get plenty of rest.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Dyspnoea, Eye swelling, Fatigue, Feeling abnormal
Clinical narrative: A rash presented on 10/3 mid-afternoon on my stomach, breasts, chest, underarms, back, and inner thighs.  I treated the rash with Benadryl until bedtime on Saturday, 10/3, and by Sunday morning 10/4, the rash had worsened, severely, to include swollen eyes and lips, and head to toe rash / hives everywhere, including inside my ears and even in my groin region to include inside my labia.  I went to clinic on 10/4 am. I presented with no fever, bp 146/82, rr 16 bpm, and hr 104 bpm.  I was examined & was given dexamethesone 4 mg & hydroxyzine 25 mg x 3 days.  I did not work 10/5 or 10/6.  I started feeling extremely weak and fatigued on 10/6 mid-morning, to include shortness of breath, and by 10/7 the shortness of breath included wheezing and respiratory distress.   After trying unsuccessfully all day to be seen at the clinic where I work, I went to MedNow late afternoon of 10/7 - my bp was 152/84, rr 16 bpm, and hr 84 bpm.  I was examined to include a chest x-ray and told I had bilateral bronchitis and pneumonia. The doctor agreed that he thought it was a severe allergic reaction to the flu shot.  I was given a ceftriaxone sodium injection 1 gram at the visit and Rx to start 10/8 x 5 days - prednisone 20mg, azithromycin 250, ventolin hfa 90. I did not work on 10/7 and 10/8.    When I began feeling worse not better, I saw my primary physician on 10/9.  My main complaints were weakness, extreme fatigue and shortness of breath.  Other symptoms included wheezing and a racing heart when doing something as simple as walking across the room. My primary physician confirmed the severe allergic reaction to the flu shot and the pneumonia.  No additional medications were prescribed, since I was currently on medication, prescribed at clinic on 10/7.  I remained out of work on my primary care doctor's recommendation and did not return to work until 10/19.    My main complaints continue to be weakness, shortness of breath, extreme fatigue, dizziness at times, wheezing, a persistent cough, and a racing heart with even minimal activity.  Additional time from work has been missed between 10/16 and today due to the above mentioned symptoms.  Seeing almost no improvement in my symptoms, I saw the PA in my primary care doctor's office on 10/27 and had a CT with contrast yesterday (10/28) for suspected blood clots.  The CT revealed that the lungs were clear of any blood clots.  Very minor improvement has been noted since the onset of symptoms and I remain very concerned about the slowness of the healing process. 10/27 doctor's visit and 10/28 CT do indicate that the pneumonia has cleared, but I still have a severe bronchial cough, to date (11/10), shortness of breath with minimal activity, weakness at times, and a general feeling of "being tired" when my level of activity should not warrant the feeling of being tired all of the time.  I am attempting to eat well, hydrate and get plenty of rest.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Impaired work ability, Lip swelling, Palpitations, Pneumonia, Rash
Clinical narrative: A rash presented on 10/3 mid-afternoon on my stomach, breasts, chest, underarms, back, and inner thighs.  I treated the rash with Benadryl until bedtime on Saturday, 10/3, and by Sunday morning 10/4, the rash had worsened, severely, to include swollen eyes and lips, and head to toe rash / hives everywhere, including inside my ears and even in my groin region to include inside my labia.  I went to clinic on 10/4 am. I presented with no fever, bp 146/82, rr 16 bpm, and hr 104 bpm.  I was examined & was given dexamethesone 4 mg & hydroxyzine 25 mg x 3 days.  I did not work 10/5 or 10/6.  I started feeling extremely weak and fatigued on 10/6 mid-morning, to include shortness of breath, and by 10/7 the shortness of breath included wheezing and respiratory distress.   After trying unsuccessfully all day to be seen at the clinic where I work, I went to MedNow late afternoon of 10/7 - my bp was 152/84, rr 16 bpm, and hr 84 bpm.  I was examined to include a chest x-ray and told I had bilateral bronchitis and pneumonia. The doctor agreed that he thought it was a severe allergic reaction to the flu shot.  I was given a ceftriaxone sodium injection 1 gram at the visit and Rx to start 10/8 x 5 days - prednisone 20mg, azithromycin 250, ventolin hfa 90. I did not work on 10/7 and 10/8.    When I began feeling worse not better, I saw my primary physician on 10/9.  My main complaints were weakness, extreme fatigue and shortness of breath.  Other symptoms included wheezing and a racing heart when doing something as simple as walking across the room. My primary physician confirmed the severe allergic reaction to the flu shot and the pneumonia.  No additional medications were prescribed, since I was currently on medication, prescribed at clinic on 10/7.  I remained out of work on my primary care doctor's recommendation and did not return to work until 10/19.    My main complaints continue to be weakness, shortness of breath, extreme fatigue, dizziness at times, wheezing, a persistent cough, and a racing heart with even minimal activity.  Additional time from work has been missed between 10/16 and today due to the above mentioned symptoms.  Seeing almost no improvement in my symptoms, I saw the PA in my primary care doctor's office on 10/27 and had a CT with contrast yesterday (10/28) for suspected blood clots.  The CT revealed that the lungs were clear of any blood clots.  Very minor improvement has been noted since the onset of symptoms and I remain very concerned about the slowness of the healing process. 10/27 doctor's visit and 10/28 CT do indicate that the pneumonia has cleared, but I still have a severe bronchial cough, to date (11/10), shortness of breath with minimal activity, weakness at times, and a general feeling of "being tired" when my level of activity should not warrant the feeling of being tired all of the time.  I am attempting to eat well, hydrate and get plenty of rest.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Respiratory distress, Urticaria, Wheezing
Clinical narrative: A rash presented on 10/3 mid-afternoon on my stomach, breasts, chest, underarms, back, and inner thighs.  I treated the rash with Benadryl until bedtime on Saturday, 10/3, and by Sunday morning 10/4, the rash had worsened, severely, to include swollen eyes and lips, and head to toe rash / hives everywhere, including inside my ears and even in my groin region to include inside my labia.  I went to clinic on 10/4 am. I presented with no fever, bp 146/82, rr 16 bpm, and hr 104 bpm.  I was examined & was given dexamethesone 4 mg & hydroxyzine 25 mg x 3 days.  I did not work 10/5 or 10/6.  I started feeling extremely weak and fatigued on 10/6 mid-morning, to include shortness of breath, and by 10/7 the shortness of breath included wheezing and respiratory distress.   After trying unsuccessfully all day to be seen at the clinic where I work, I went to MedNow late afternoon of 10/7 - my bp was 152/84, rr 16 bpm, and hr 84 bpm.  I was examined to include a chest x-ray and told I had bilateral bronchitis and pneumonia. The doctor agreed that he thought it was a severe allergic reaction to the flu shot.  I was given a ceftriaxone sodium injection 1 gram at the visit and Rx to start 10/8 x 5 days - prednisone 20mg, azithromycin 250, ventolin hfa 90. I did not work on 10/7 and 10/8.    When I began feeling worse not better, I saw my primary physician on 10/9.  My main complaints were weakness, extreme fatigue and shortness of breath.  Other symptoms included wheezing and a racing heart when doing something as simple as walking across the room. My primary physician confirmed the severe allergic reaction to the flu shot and the pneumonia.  No additional medications were prescribed, since I was currently on medication, prescribed at clinic on 10/7.  I remained out of work on my primary care doctor's recommendation and did not return to work until 10/19.    My main complaints continue to be weakness, shortness of breath, extreme fatigue, dizziness at times, wheezing, a persistent cough, and a racing heart with even minimal activity.  Additional time from work has been missed between 10/16 and today due to the above mentioned symptoms.  Seeing almost no improvement in my symptoms, I saw the PA in my primary care doctor's office on 10/27 and had a CT with contrast yesterday (10/28) for suspected blood clots.  The CT revealed that the lungs were clear of any blood clots.  Very minor improvement has been noted since the onset of symptoms and I remain very concerned about the slowness of the healing process. 10/27 doctor's visit and 10/28 CT do indicate that the pneumonia has cleared, but I still have a severe bronchial cough, to date (11/10), shortness of breath with minimal activity, weakness at times, and a general feeling of "being tired" when my level of activity should not warrant the feeling of being tired all of the time.  I am attempting to eat well, hydrate and get plenty of rest.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Rash
Clinical narrative: Pt was administered the vaccine on 10/21/2020 Wed, 10/24/2020 Sat. pt had itching all over body, 10/25/2020 Sunday pt experienced an itchy rash all over body.   Mother administered bendaryl twice every 4 hours for resolution
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Ageusia, Chills, Headache, Musculoskeletal stiffness, Myalgia
Clinical narrative: Woke at 1am with fever of 104.1, unbearable muscle pain/stiffness, shivering, extreme headache/nausea. At 10am the same day (the day after the vaccine) I was able to get fever down to 102.3 and all the symptoms remained with the addition of shooting sharp nerve pains all over randomly.  It was the worst of these symptoms to the extreme. Then for 2 days I lost all taste. I could barely get water or ginger ale, crackers down. By day 4 the fever went down to 100 with all symptoms remaining and becoming a little less severe, except for the nerve pain shooting everywhere, which lasted for 13 days after the injection. I haven't had any vaccines since a very bad reaction to tetanus in the year 2001. I had a flu shot in 2001 that was by far worse than any flu I ever had so I no longer get any vaccines/shots.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Neuralgia, Pain, Pyrexia
Clinical narrative: Woke at 1am with fever of 104.1, unbearable muscle pain/stiffness, shivering, extreme headache/nausea. At 10am the same day (the day after the vaccine) I was able to get fever down to 102.3 and all the symptoms remained with the addition of shooting sharp nerve pains all over randomly.  It was the worst of these symptoms to the extreme. Then for 2 days I lost all taste. I could barely get water or ginger ale, crackers down. By day 4 the fever went down to 100 with all symptoms remaining and becoming a little less severe, except for the nerve pain shooting everywhere, which lasted for 13 days after the injection. I haven't had any vaccines since a very bad reaction to tetanus in the year 2001. I had a flu shot in 2001 that was by far worse than any flu I ever had so I no longer get any vaccines/shots.
Age: 1.0
Sex: M
Vaccine: FLU4, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Pyrexia
Clinical narrative: High fever , Tmax of 103.6 on 11/10/20 rectal temp
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest pain, Dizziness, Dyspnoea, Posture abnormal
Clinical narrative: Patient was administered first dose of the Shingrix immunization series.  A few minutes later she reported feeling dizzy.  She was asked if she had eaten anything recently and she said a boost drink for lunch.  Upon offering her a drink of water and/or a snack -- the patient rolled back in her chair with her eyes closed.  911 was dispatched.  Her sister was talking to her and encouraging her to concentrate on her breathing and her husband went upstairs to get nurses from cardiology.  The patient reported difficulty breathing and pain in her chest.  The nurses from cardiology also saw a second episode where the patient rolled back in her chair with her eyes closed.  The ambulance arrived and EMS took the patient to evaluate.
Age: 60.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Injection site erythema, Injection site pruritus, Rash
Clinical narrative: PATIENT STATES LEFT ARM BECAME RED AND ITCHY FROM THE SHOULDER DOWN TO THE ELBOW. (NOT WARM TO THE TOUCH)  THEN THE RASH (REDNESS) MOVED TO THE NECK AND UPPER BACK BUT WAS NOT ITCHY IN THOSE SITES. SHE APPLY HYDROCORTISONE AND IT HELPED   REDNESS /RASH STILL PROMINENT 48 HOURS AFTER SHOT ADMINISTERED
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Chest discomfort, Dysphagia, Pruritus
Clinical narrative: 10 minutes after vaccination I began experiencing itchiness all over body, tightening of airways. Took benadryl. Itching stopped. Airway still tight. Making it difficult to swallow. Went to urgent care for oral steroid.
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Patient received 2nd dose of shingrix vaccine on 9/8/2020.  She came to the pharmacy today on 11/10/20 and told us that she has had an adverse event that she noticed within 7 days of receiving the vaccine.  She reports that she has had an internal itching on her right hip and waist that is unusual to her that has been continuing eve since it started.  She did not notice it before receiving the shot, but has now noticed it ever since.  She does not report any sort of external rash.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Patient reported event on 11/10/20 but received the shot on 11/4/20. A few hours after the patient received the shot, she said hives started forming on her arm.  These eventually spread down her leg.  At the time of the call to our pharmacy, the patient had not yet seen a physician but had made an appointment.  She was treating the hives with benadryl for the time being.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: HIVES SINCE DATE OF ADMINISTRATION.
Age: 13.0
Sex: M
Vaccine: FLUC4
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Fainted about 15 minutes after receipt of vaccine  - regained consciousness soon
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: ONe week after injection patient woke up with swollen left arm below injection site of 4 1/2 x 4 1/2 inch slightly raised red itchy area.
Age: 1.75
Sex: M
Vaccine: FLUN4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no reported side effects.  FluMist administered to patient less than 2 yrs of age
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Burning sensation, Head injury, Loss of consciousness
Clinical narrative: Employee reported she felt a "burning sensation in my chest and a few hours later passed out and hit my head".  Employee stated that she went to Emergency Room after mid-night for evaluation; no abnormality found; she was sent home. (Note that this report is submitted on behalf of another RN who was the administrator for this patient/employee)
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Gaze palsy, Pyrexia
Clinical narrative: Fever, chills, headache
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient called in 11/09/2020 complaining about her arm being very painful ever since receiving the Shingles second dose on 09/25/2020. Asked patient if any pain, redness, swelling, patient denied it all. Patient says has difficulty raising arm above a certain height.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient reported on 11/09/20 with swelling below the injection site to the below the elbow. Swelling was red and itchy. Was instructed to try over the counter benadryl and topical cortisone to see if symptoms improved and if not seek medical treatment. Patient returned 11/10/20 with improved symptoms and no complaints at this time. Instructed to continue the previously recommended treatment for another day or two and things should improve more. If they do not instructed to seek medical care.
Age: 30.0
Sex: M
Vaccine: FLUR4
Symptoms: Injection site pain, Pain
Clinical narrative: PT CALLED REPORTING ADVERSE RXN TO FLU SHOT THAT HE RECEIVED AT ANOTHER KROGER PHARMACY.  COMPLAINTS OF IMMEDIATE PAIN ARM BETWEEN ELBOW AND SHOULDER SHARP PAIN WHEN LIFTING NO SWELLING OR REDNESS RECOMMENDED PT TO CALL MD AND LET MD LOOK AT ARM FOR TREATMENT.
Age: 28.0
Sex: M
Vaccine: FLU4
Symptoms: Injury associated with device
Clinical narrative: Needlestick injury occurred to provider after administering a flu shot on 11/10/20 5:40pm
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Pain in extremity, Peripheral coldness, Skin burning sensation
Clinical narrative: pt states on day of imz her arm was very sore and felt like she had been punched in the arm then the next day or tow the pain moved down to her elbow causing a burning on fire pain that changes places and moves around her elbow in addition her had on the right arm seems colder than her left hand and sometimes has a numbing feeling
Age: 57.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Dermatitis atopic, Injection site erythema, Injection site oedema, Lichenification
Clinical narrative: Cutaneous reaction, 3?x1.5?  patch immediately adjacent to injection site.  Initial erythema, edema followed by lichenification.  Resembles atopic dermatitis. No history of eczema.
Age: 57.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Dermatitis atopic, Erythema, Injection site dermatitis, Lichenification, Oedema
Clinical narrative: Cutaneous reaction, 3?x1.5?  patch immediately adjacent to injection site.  Initial erythema, edema followed by lichenification.  Resembles atopic dermatitis. No history of eczema.
Age: 57.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Dermatitis atopic, Injection site erythema, Injection site oedema, Lichenification
Clinical narrative: Atopic dermatitis 3?x1.5? patch immediately adjacent to injection site. Edema, erythema, no pruritus. After seven days, lichenification. No hx eczema.
Age: 57.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Dermatitis atopic, Erythema, Injection site dermatitis, Lichenification, Oedema
Clinical narrative: Atopic dermatitis 3?x1.5? patch immediately adjacent to injection site. Edema, erythema, no pruritus. After seven days, lichenification. No hx eczema.
Age: 82.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Pain
Clinical narrative: customer came after 2 months and complaining she got pain and her son is helpiing to lift her hand
Age: 11.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Expired product administered
Clinical narrative: expired dose given
Age: 12.0
Sex: F
Vaccine: FLUN4, HPV9, IPV
Symptoms: Fatigue, Syncope
Clinical narrative: Within 5 minutes of administering vaccines pt had vasovagal syncope episode.  Episode lasted a few seconds. Ice applied to back of neck, pt laid flat with knees bent and pillow under knees, apple juice given. Pt stated she felt extremely tired like she just wanted to go to sleep.  We kept pt in clinic x15 minutes after episode for evaluation. Color came back to face and pt was able to walk out of office on her own. Dr. examined patient and cleared her to leave. Follow up call was done in the afternoon to check on patient with report of patient doing better with no concerns at this time.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Fatigue, Influenza, Nasal congestion, Pyrexia
Clinical narrative: Flu symptoms, achy joints, fever, headache, stuffy nose, fatigue
Age: 29.0
Sex: M
Vaccine: FLU4, FLUA3
Symptoms: Intensive care, Meningitis bacterial, Pyrexia
Clinical narrative: According to customers father on 10/09/2020 Patient started having high temperature 5 hours after receiving vaccine and is currently in ICU diagnosed with bacteria meningitis
Age: 29.0
Sex: M
Vaccine: FLU4, FLUA3
Symptoms: Brain oedema, Dialysis, Feeling abnormal, Laboratory test, Life support
Clinical narrative: According to customers father on 10/09/2020 Patient started having high temperature 5 hours after receiving vaccine and is currently in ICU diagnosed with bacteria meningitis
Age: 29.0
Sex: M
Vaccine: FLU4, FLUA3
Symptoms: Magnetic resonance imaging, Pyrexia, Unresponsive to stimuli, Vaccination complication
Clinical narrative: According to customers father on 10/09/2020 Patient started having high temperature 5 hours after receiving vaccine and is currently in ICU diagnosed with bacteria meningitis
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site reaction, Rash macular, Urticaria
Clinical narrative: Right after injection the area around site turned red and splotchy (looked like hives). After a few minutes the redness calmed down. Patient was informed to take benadryl when she got home to help with reactions.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Laboratory test, Pain in extremity, Paraesthesia, X-ray limb normal
Clinical narrative: Patient (employee) complaints of right arm pain and numbness radiating down to right elbow, forearm, and hand. She stated she was initially seen in Emergency Room, had multiple tests and x-ray that was negative, and was discharged with diagnosis of paresthesia. She then had a follow up visit on 10/22/20 under a workers' compensation claim.  An MRI of right arm was ordered; test is scheduled for 11/17/20 and pending (NOTE: THIS REPORT IS SUBMITTED ON BEHALF OF ANOTHER RN WHO WAS THE ADMINISTRATOR TO THIS INJECTION).
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: Pt has reported having a sore arm since the date of the vaccine. She said that the muscle pain extends from the top of her arm to her elbow. There is no swelling or tingling or numbness. She has not experienced redness or a reaction at the injection site. It is a dull ache in her arm that has not gone away.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Exfoliative rash, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Felt fine the rest of the day after receiving, but woke up with rash. States it was a red, scaly, itchy, patchy rash. Covered body area from chin to navel level on front and back of body. She did not take any medication to treat the rash. Rash lasted approximately 5 days.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash erythematous, Rash vesicular
Clinical narrative: Patient called on 11/10/2020 around 3:15pm and mentioned that she broke out in rashes in her back. Upon further asking she stated that she stared seeing them on Monday morning (11/9/2020) and the rashes were in the middle of her back and spread on one side of her back. Rashes were red and blistery.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Loss of consciousness, Urinary incontinence
Clinical narrative: SHE PASSED OUT ABOUT 5 MINS AFTER ADMINISTERING FLU SHOT AND ALSO WETTED HER PANTS. CALLED 911
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia
Clinical narrative: Patient said she had tingling in her hands and legs.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood glucose normal, Clumsiness, Diarrhoea, Fall, Feeling abnormal
Clinical narrative: About 2.5 hours  after shingles vaccination I felt very awkward, had a clumsy walk, fell to pavement.  My blood glucose level was normal.  3.5 hours later I had diarrhea.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Rash
Clinical narrative: Small bumps and blisters on upper back, under armpits, lower back, waistline and some lower legs
Age: 20.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site induration, Injection site pain, Muscular weakness, Somnolence
Clinical narrative: pt received flu and tdap on 11/7/20. pt called today reported she has a knot on her left arm where the vaccine was given. she also noticed pain and weakness/less range of motion in that arm. she stated the next day after getting the vaccine, she was feeling drowsy. Mentioned to pt, it's common to get a knot after tdap shot and should go away after a week or two. have pt try hot compresses at home to help decrease the knot and improve the range of motion. told her I'd check up on her in a week.
Age: 64.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Erythema, Skin warm, Urticaria
Clinical narrative: red, light welp and patient states hot to touch. pt states been taking aleeve and benadryl and its going down
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site cellulitis, Injection site discolouration, Injection site pain, Injection site swelling
Clinical narrative: Pt states she had swelling and pain at injection site that became discolored.  She went to urgent care center and was diagnosed with cellulitis at the injection site.  She was given a course of antibiotics
Age: 48.0
Sex: M
Vaccine: FLU4
Symptoms: Mobility decreased, Myalgia, Pain in extremity
Clinical narrative: The patient's wife called to report that her husband received his flu vaccine with no adverse reactions for the first two days.  Starting on day three, the patient was experiencing pain in his bicep that has gotten worse over time.  Today, he was having trouble raising his arm due to the pain.  The patient has used ice, heat, ibuprofen, and lidocaine to help with only temporary relief.  I recommended the patient may want to have a physician consulted if it continues to worsen.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Rash
Clinical narrative: Rash at injection site starting day after vaccination and continuing past 72 hours after vaccination.  Worsening to a solid rash at day Five.
Age: 24.0
Sex: F
Vaccine: FLUR4
Symptoms: Rash pruritic
Clinical narrative: pt states several hours after she got the shot she developed 5 small itchy bumps that grew to dime size. she is unsure if it was due to the shot. I did not observe the bumps pt called by phone.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Patient stated roughly about 4 hours after vaccination, she felt very tired. She experienced achiness around the injection site, felt warmth, and redness radiating from injection site down her arm passed elbow. She slept for 4 hours and took OTC Ibuprofen around the clock for 4-5 days. Symptoms subsided after ~5 days
Age: 21.0
Sex: F
Vaccine: FLUR4
Symptoms: Erythema, Pruritus, Rash, Swelling
Clinical narrative: RASH, REDNESS, ITCHING, SWOLLEN
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Headache, Pain, Pyrexia
Clinical narrative: Headache, diarrhea, chills, body aches, low grade fever. Started 24 hours after vaccine. Currently taking acetaminophen for fever and aches.
Age: 29.0
Sex: F
Vaccine: FLUA4
Symptoms: Discomfort, Dyspnoea, Headache, Injection site swelling, Oropharyngeal pain
Clinical narrative: Arm swelling at shot location, heavy feeling in shot arm, moderate headache, mild shortness of breath, sore throat.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Pain, Pain in extremity
Clinical narrative: Within 6 hours my left arm became unusable due to excruciating pain.  It excruciating painful  to move the fingers on my left hand.  This paralysis via pain lasted  for 3 days.  Now 4 days later I have only about 80 % functionality of my left arm and hand.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Back pain, Diarrhoea, Fatigue, Injection site pain, Injection site swelling
Clinical narrative: Achy and tired (since onset of symptoms, approx. 8 hours after injection) Diarrhea (34 hours after injection) Soreness and swelling at injection site Lower back pain (30 hours after injection)
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Achy and tired (since onset of symptoms, approx. 8 hours after injection) Diarrhea (34 hours after injection) Soreness and swelling at injection site Lower back pain (30 hours after injection)
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: Fever above 102, responsive to ibuprofen
Sex: F
Vaccine: PPV
Symptoms: Induration, Skin warm
Clinical narrative: painful firm, warm raised lump at site a few hours after vaccine.  Pt called on call provider. No SOB ,no hives, no chest pain no wheezing.
Age: 53.0
Sex: M
Vaccine: FLUR4
Symptoms: Injection site pain, Pain
Clinical narrative: Pain in Right upper two weeks after receiving flu vaccine  in (R) deltoid. Increased pain during movement of (R) shoulder. Recommended ice, rest, and ibuprofen. Referred to ortho for further evaluation and treatment.
Age: 1.5
Sex: M
Vaccine: DTAP, FLU4
Symptoms: Irritability, Pyrexia
Clinical narrative: Fever to 100.5 & fussiness starting  about 12 hours after vaccination
Age: 18.0
Sex: M
Vaccine: FLUC4
Symptoms: Dizziness, Nausea
Clinical narrative: dizziness, lightheaded, nausea did not lose consciousness. called 911 at pt mom request Paramedics checked BP, breathing. Patient left pharmacy on own power w/Blessing of paramedics
Age: 6.0
Sex: M
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: No adverse event observed.  Adult dose of Hepatitis B vaccine was mistakenly administered instead of pediatric dosage. Dept of health contacted and patient's family notified.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Balance disorder, Body temperature increased, Headache, Injection site induration, Injection site swelling
Clinical narrative: Headache began within 1 hr., 102° temp next day, extreme soreness on entire body, injection site swelled & hardened, neck hurt on spine, could hear swooshing sounds in head, made me off balance, all passed after 3 days except left me lethargic for a few days. I;m still glad I took it: Shingles last much longer.