chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: MMRV, VARCEL
Symptoms: Product storage error
Clinical narrative: no symptoms reported; patients received improperly stored vaccine; This spontaneous report was received from nurse practitioner refers to unspecified number of patients of unknown demographics.   On an unknown date in 2019 (reported as unspecified dates beginning sometime after 22-MAY-2019), unspecified number of patients were vaccinated with varicella virus vaccine live (oka/merck) (VARIVAX) (lot# R024144, expiration date:30-AUG-2020) and measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) (lot# R018778, expiration date:18-DEC-2019) (strength, dose, frequency were not reported) for prophylaxis. Concomitant therapies included sterile diluent (STERILE DILUENT) which was used to reconstitute the vaccines and was stored properly.  It was reported that the patients received improperly stored vaccines (product storage error). The temperature excursion for the vaccines was reported as 6.4 degree Fahrenheit for 60 minute, 7.7 degree Fahrenheit for 60 minutes and 7.0 degree Fahrenheit for 60 minutes. There were no previous temperature excursions. Digital data logger was involved. No product quality complaint was involved. The outcome of product storage error was unknown.  Lot No. R024144 has been verified to be a valid lot number for [varicella virus vaccine live], expiration date reported as 30-AUG-2020, but upon internal validation established as 23-AUG-2020.  Lot No. R018778 has been verified to be a valid lot number for [measles, mumps, rubella and varicella], expiration date reported as 18-DEC-2019, but upon internal validation established as 29-DEC-2019.  This case was considered as non-valid due to lack of patient identifiers.
Sex: U
Vaccine: PNC13
Symptoms: Cellulitis, Pain in extremity, Peripheral swelling
Clinical narrative: It was almost like cellulitis; Significant pain and swelling in the arm; Significant pain and swelling in the arm; This is a spontaneous report obtained from a contactable physician through a Pfizer sales representative. This physician reported similar events for three patients. This is 3rd of three reports.   A patient of an unspecified age and gender received pneumococcal 13-val conj vac (dipht crm197 protein) (PREVNAR 13) on an unspecified date, at single dose, for immunization. The vaccine was administered at reporting physician office. Relevant medical history and concomitant medications were unknown. On an unspecified date, after the vaccination, the patient experienced significant pain and swelling in the arm. The doctor reported "it was almost like cellulitis". Clinical outcome of the events was unknown at time of this report.  The information on the lot number has been requested.; Sender's Comments: Based on the information currently available, it cannot be fully excluded that the vaccination with PREVNAR 13 might have played a contributory role towards the occurrence of significant pain and swelling in the arm like cellulitis.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate,Linked Report(s) : US-PFIZER INC-2019267621 same reporter/drug/event, different patient;US-PFIZER INC-2019267627 same reporter/drug/event, different patient
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Malaise
Clinical narrative: Patient reported today that the morning after the 2nd Shingrix dose she woke up with chills and malaise.  She states she is feeling better today.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Myalgia, Pain of skin
Clinical narrative: 18 hours after injection, muscle aches, headache, chills, and sore skin. Symptoms lasted 12 hours.
Age: 1.0
Sex: M
Vaccine: PNC13
Symptoms: Gross motor delay, Hemiparesis, Speech disorder developmental
Clinical narrative: Patient developed speech delays, Gross motor planning issues and right sided weakness
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Diagnosed by NP at Urgicare Center with shingles on  21 June 2019 after two doses of Shingrix given by pharmacist (27 Dec 2018 and 15 May 2019).
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Dry eye, Fatigue, Headache
Clinical narrative: On 6/18:  Headache, diaherrea,  fever, chills,  fatigue On 6/19:  Fatigue, dry eyes when waking, slight diaherrea, rash under injection site, painful  injection site  On 6/20:   Fatigue, slight dry eyes when waking, slight rash under injection site, painful injection site
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site rash, Pyrexia
Clinical narrative: On 6/18:  Headache, diaherrea,  fever, chills,  fatigue On 6/19:  Fatigue, dry eyes when waking, slight diaherrea, rash under injection site, painful  injection site  On 6/20:   Fatigue, slight dry eyes when waking, slight rash under injection site, painful injection site
Age: 18.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Chills, Headache, Influenza virus test negative, Malaise, Pain
Clinical narrative: c/o fever, headaches, chills, and arm pain from yesterday's immunizations. pt received Menectra and Trumenba yesterday, today he woke up not feeling well with body aches, fever and chill; pt denies sore throat, cough, shortness of breath or difficulty swallowing. Temperature on 6-20-18 @ clinic: 100.8F
Age: 18.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: c/o fever, headaches, chills, and arm pain from yesterday's immunizations. pt received Menectra and Trumenba yesterday, today he woke up not feeling well with body aches, fever and chill; pt denies sore throat, cough, shortness of breath or difficulty swallowing. Temperature on 6-20-18 @ clinic: 100.8F
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Erythema, Fatigue, Myalgia
Clinical narrative: swelling of arm,redness, muscle pain, tiredness , shivering, upset stomach
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling
Clinical narrative: swelling of arm,redness, muscle pain, tiredness , shivering, upset stomach
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Urticaria
Clinical narrative: Pt had flu-like sx and welt on arm.  Took Benadryl.
Age: 18.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Dizziness
Clinical narrative: Father called 8 hours after vaccine was administered stating patient was experiencing dizziness. Father stated patient was sleeping but was reporting dizziness as instructed by vis sheet. Father was advised by triage nurse to continue to rest and adequate fluid intake. Provider unable to reach family for an update.
Age: 69.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Chills, Cough, Pyrexia, Respiratory tract congestion
Clinical narrative: fever, cough, congestion, chills
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Chills, Fatigue, Headache, Influenza virus test negative, Malaise
Clinical narrative: c/o fever, feeling tired and headaches since after immunizations yesterday.    reports that he got it after he got his two meningitis shots yesterday, reports malaise, fever, chills, body aches and headaches; denies any sore throat, no abdominal pain, no diarrhea, no dysuria. OF NOTE: Per immunization registry, pt had received Menveo as his first Meningitis ACWY vaccine.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Pain, Pyrexia, Streptococcus test negative
Clinical narrative: c/o fever, feeling tired and headaches since after immunizations yesterday.    reports that he got it after he got his two meningitis shots yesterday, reports malaise, fever, chills, body aches and headaches; denies any sore throat, no abdominal pain, no diarrhea, no dysuria. OF NOTE: Per immunization registry, pt had received Menveo as his first Meningitis ACWY vaccine.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Headache, Myalgia, Pyrexia
Clinical narrative: Fever, muscle and joint aches, severe head ache,back ache, .Head ache lasted 4 days all other symptoms including fever lasted 3 days
Age: 0.42
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: Blood test normal, Electroencephalogram normal, Tremor
Clinical narrative: 24 hours following vaccination mother witnessed 5 to 10 second episodes of head and arm trembling and shaking. The mother video recorded the events.  The parent sought treatment at a local emergency room (Hospital) on 06/20/19. Patient was admitted for observation and a neurology consultation.
Age: 18.0
Sex: M
Vaccine: MENB
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse reaction, but the nurse administered the 2nd dose 10 days too soon. The CDC "ask the experts," said to report it to VAERS.
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Herpes Zoster; This initial spontaneous report was received from a lawyer regarding a case in litigation and refers to a currently 77 year old male patient. No information was provided regarding medical history, concurrent conditions, concomitant medications, drug reactions or allergies. On or about 14-JUL-2010, the patient was vaccinated with zoster vaccine live (ZOSTAVAX) (dose, lot #, expiration date, route of administration and anatomical location were not provided) for the long-term prevention of shingles and zoster-related conditions. On an unspecified date, the patient experienced Herpes Zoster and he was treated by a physician for the event. The outcome of the event herpes zoster was not reported. The reporter considered the event to be related to zoster vaccine live (ZOSTAVAX).   Additional information has been requested.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site pain, Neuralgia, Sleep disorder
Clinical narrative: Patient called pharmacy at 3:30 pm on June 20th stating the vaccine she recieved on June 15th had some adverse reactions she wanted to talk to the pharmacist about. Pt reports experiencing shooting nerve pain running to throughout her body, and the pt reports she was unable to sleep on either side of her body that night. Pt also reports she experienced joint pain as well and states that the joint pain and nerve pain lasted for about 2 days. The pt also reported pain at the injection site that lasted 5 days from (06-15 to 06-20). Pt states that she did not take any medication at this time for the shooting nerve or joint pain and just tried to "exercise it out".
Age: 18.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Decreased appetite
Clinical narrative: No appetite
Age: 55.0
Sex: F
Vaccine: HEPAB, MMR
Symptoms: Asthenia, Dizziness
Clinical narrative: Dizziness Weakness
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Administration site rash, Chills, Fatigue, Pyrexia
Clinical narrative: Patient had fever, chills , slight rash on  her adminstration site on the first day towards the evening . Then the fever went down on the second day and she was tired and rash started going down. Third day her rash was getting better. Now patient is ok .
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Injection site rash, Rash
Clinical narrative: Patient had a shingles rash from the injection site up to the back of his neck. This occurred the day after the vaccination was administered.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Hyperhidrosis, Influenza like illness, Injection site erythema, Injection site pain, Myalgia
Clinical narrative: PATIENT FELT FLU-LIKE SYMPTOMS OF FEVER, SWEATING AND MUSCLE ACHES. HE ALSO EXPERIENCED INJECTION-SITE PAIN AND REDNESS.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: PATIENT FELT FLU-LIKE SYMPTOMS OF FEVER, SWEATING AND MUSCLE ACHES. HE ALSO EXPERIENCED INJECTION-SITE PAIN AND REDNESS.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Post herpetic neuralgia
Clinical narrative: PATIENT STATED SHE HAD AN EXACERBATION OF HER POSTHERPETIC NEURALGIA DAY AFTER RECIEVING VACCINE ON THE RIGHT SIDE OF HER BODY
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Gait inability, Incoherent, Pain
Clinical narrative: SEVERE PAIN , WEEKNESS,  INCOHERENCE , UNABLE TO WALK ,
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Raised, red, really hot  reaction below immunization site, rash all over body (chest, arms, legs), fever, chills, headache for 2 days after.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Rash generalised
Clinical narrative: Raised, red, really hot  reaction below immunization site, rash all over body (chest, arms, legs), fever, chills, headache for 2 days after.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site cellulitis, Injection site hypersensitivity, Injection site inflammation, Injection site pain
Clinical narrative: PATIENT RECEIVED VACCINE IN RIGHT DELTOID  ON 6/17/19.  ON 6/18/19, PER DR, PATIENT STARTED EXPERIENCING PAIN AT SITE OF INJECTION.  ON 6/19/19, STARTED NOTICING WAS GETTING WORSE, ITCHINESS IN NECK, FACE AND ARM, AS WELL AS SWELLING, REDNESS AND EXTREME PAIN. SAW DOCTOR ON 6/20/19, PATIENT WAS DIAGNOSED WITH CELLULITIS AND ALLERGIC SKIN INFLAMMATION OF THE RIGHT UPPER ARM.  PATIENT WAS PRESCRIBED CEPHALEXIN AND HYDROCORTISONE
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pruritus, Swelling
Clinical narrative: PATIENT RECEIVED VACCINE IN RIGHT DELTOID  ON 6/17/19.  ON 6/18/19, PER DR, PATIENT STARTED EXPERIENCING PAIN AT SITE OF INJECTION.  ON 6/19/19, STARTED NOTICING WAS GETTING WORSE, ITCHINESS IN NECK, FACE AND ARM, AS WELL AS SWELLING, REDNESS AND EXTREME PAIN. SAW DOCTOR ON 6/20/19, PATIENT WAS DIAGNOSED WITH CELLULITIS AND ALLERGIC SKIN INFLAMMATION OF THE RIGHT UPPER ARM.  PATIENT WAS PRESCRIBED CEPHALEXIN AND HYDROCORTISONE
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Vomiting
Clinical narrative: Patient returned to pharmacy approximately 4 hours after the  immunization complaining of severe arm pain and vomitting.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Her arm broke out in a large red rash below the injection site on her arm. It cleared within a week.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: warmth and swelling of thigh where immunization was placed (left thigh)
Age: 86.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site reaction, Rash, Skin warm
Clinical narrative: Patient complained of injection site reaction. She stated her arm was red and warm, described a rash a few days after getting the immunization.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Haematoma, Pain in extremity
Clinical narrative: Patient developed severe sore arm and went to her physician,who diagnosed her with a hematoma in her vaccinated arm.  The patient went to her doctor several days later. Patient states the prescriber told her that she should not be getting vaccines in her right arm and she has had  right side breast cancer and lymph nodes removed in the past.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Decreased appetite, Fatigue, Incorrect route of product administration, Influenza like illness, Injection site erythema
Clinical narrative: Patient reported via telephone getting Shingrix subcutaneously in the back of her left arm instead of intramuscularly. She reported side effects of feeling tired and achy, no appetite, muscle cramps, and feeling like she was coming down with the flu today (less than 24 hours after vaccine was received). She also said she had a raised, painful, red area larger than a silver dollar at the injection site.  Patient called around one hour after after noticing the red area on her arm and was relaxing in a chair after having taken Motrin to help with the pain. She does not wish to receive the second dose after having the reaction and doing further research that the error that happened to her is a common one.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Muscle spasms, Pain
Clinical narrative: Patient reported via telephone getting Shingrix subcutaneously in the back of her left arm instead of intramuscularly. She reported side effects of feeling tired and achy, no appetite, muscle cramps, and feeling like she was coming down with the flu today (less than 24 hours after vaccine was received). She also said she had a raised, painful, red area larger than a silver dollar at the injection site.  Patient called around one hour after after noticing the red area on her arm and was relaxing in a chair after having taken Motrin to help with the pain. She does not wish to receive the second dose after having the reaction and doing further research that the error that happened to her is a common one.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Pain, Pyrexia
Clinical narrative: First injection on 2-15-19 of shingrix Pt only had sore arm.  Pt felt this was normal.  Second shot on 5-17-19 Pt experienced that night fever of 101.3 degrees and pain.  2 days later a red band appeared on outer portion of arm below the injection site about 3 inches wide.  severe itching was experienced for 2-3 weeks at this red band location.  Pt tried OTC products to stop the itching and nothing worked.
Age: 69.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Pain in extremity, Skin infection
Clinical narrative: Patient's daughter states that the patient developed an infection after receiving the vaccine.  I donned gloves and sterilized the patient's arm with an alcohol pad in accordance with standard practice.  The patient went to the doctor's office and was diagnosed with  a skin infection.  Her arm was erythematous and she stated it was painful.  The doctor prescribed a 10-day course of Bactrim DS, which the patient is still taking.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Skin warm
Clinical narrative: redness, spreading erythema, hot skin, painful left arm
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Pain in arm of injection that lingers on 2 months after injection.  Patient states pain is getting better but it still evident on 6-21-19
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Pyrexia
Clinical narrative: 103.5 fever
Age: 61.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Fatigue, Pain, Rhinorrhoea
Clinical narrative: pt reported achiness, fatigue AND A RUNNY NOSE and redness in the armpit area and back of neck
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Decreased appetite, Feeling cold, Headache, Injection site pain
Clinical narrative: High frequency of urination starting at night (approx 22:30). At perhaps midnight I got very cold and shivered violently. This occurred again about 30-45 minutes later. At the same time, I developed a slight headache and mild nausea that interrupted my sleep. In the morning I retained the low fever that was readily discernible by my wife. All day I have had a very slight headache, no nausea, but no appetite either,  and the fever seems to have subsided. However, my head feels congested and I have a rushing sound in my ears and have suffered some vertigo. I have been unable to function today and have slept most of the day. Painful shoulder muscle around site of vaccination.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Loss of personal independence in daily activities, Nausea, Pollakiuria, Sinus congestion, Sleep disorder
Clinical narrative: High frequency of urination starting at night (approx 22:30). At perhaps midnight I got very cold and shivered violently. This occurred again about 30-45 minutes later. At the same time, I developed a slight headache and mild nausea that interrupted my sleep. In the morning I retained the low fever that was readily discernible by my wife. All day I have had a very slight headache, no nausea, but no appetite either,  and the fever seems to have subsided. However, my head feels congested and I have a rushing sound in my ears and have suffered some vertigo. I have been unable to function today and have slept most of the day. Painful shoulder muscle around site of vaccination.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Tinnitus, Vertigo
Clinical narrative: High frequency of urination starting at night (approx 22:30). At perhaps midnight I got very cold and shivered violently. This occurred again about 30-45 minutes later. At the same time, I developed a slight headache and mild nausea that interrupted my sleep. In the morning I retained the low fever that was readily discernible by my wife. All day I have had a very slight headache, no nausea, but no appetite either,  and the fever seems to have subsided. However, my head feels congested and I have a rushing sound in my ears and have suffered some vertigo. I have been unable to function today and have slept most of the day. Painful shoulder muscle around site of vaccination.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Lymph node pain, Pain, Pyrexia, Vaccination site pain
Clinical narrative: Fever, body aches, fatigue, sore lymph nodes at left of neck. Sore at vaccination site.  I did not have the fever, aches, etc  reaction from first shot but my arm was sore.  I expect this to resolve on its own. I just had the shot today.
Age: 66.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Received Shingrix on 6/19/19 Returned to pharmacy on 6/21/19  MD visit with redness/swelling on arm  Given steroid shot and antibiotic
Age: 58.0
Sex: F
Vaccine: PNC13, VARZOS
Symptoms: Axillary pain, Breast pain, Hypoaesthesia, Mobility decreased, Muscular weakness
Clinical narrative: Initially pain in left breast & underarm. Later breast pain resolved completely. Then experienced left arm numbness, shooting pain, weakness & limited movement that extends to hand & fingers. Will see neurologist later in month.
Age: 58.0
Sex: F
Vaccine: PNC13, VARZOS
Symptoms: Pain
Clinical narrative: Initially pain in left breast & underarm. Later breast pain resolved completely. Then experienced left arm numbness, shooting pain, weakness & limited movement that extends to hand & fingers. Will see neurologist later in month.
Age: 25.0
Sex: F
Vaccine: HPV9, VARCEL
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Red itchy spot at site of  Varivax injection. (R) arm.
Age: 18.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Hepatitis viral test, Seizure, Varicella virus test, Viral test
Clinical narrative: Possible seizure after vaccines: Tdap and meningococcal.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, IPV, VARCEL
Symptoms: Induration, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: mother reported child woke up 2 days ago with the right thigh red swollen and hot to touch. child reported it was hurting. today has gone down but now has full body itching on and off no rash, area continues to be red swollen and warm to touch. 99 temp in clinic, non toxic appearing approximately 9 cm by 8 cm with in-duration. prescribed antihistamine scheduled and follow up in 24 hours since mother says has improved. If no improvement or worsens may prescribe antibiotics as there would be concern for infection
Age: 4.0
Sex: F
Vaccine: DTAPIPV, IPV, VARCEL
Symptoms: Pruritus generalised
Clinical narrative: mother reported child woke up 2 days ago with the right thigh red swollen and hot to touch. child reported it was hurting. today has gone down but now has full body itching on and off no rash, area continues to be red swollen and warm to touch. 99 temp in clinic, non toxic appearing approximately 9 cm by 8 cm with in-duration. prescribed antihistamine scheduled and follow up in 24 hours since mother says has improved. If no improvement or worsens may prescribe antibiotics as there would be concern for infection
Age: 11.0
Sex: U
Vaccine: HEP, HPV9, MNQ
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Hep B vaccine given accidently TDAP vaccine needed to be given Per mom patient is having no side effects to injection site where Hep B was given.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, PNC13
Symptoms: Pyrexia, Rash, Respiratory tract congestion, Vomiting
Clinical narrative: Fever, rash + vomiting started 6/15/19. Vomiting resolved by 6/17 and fever diminished though still with rash. Mild congestion.
Age: 13.0
Sex: F
Vaccine: HEP, HEPA, MMR, TDAP, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Rt arm (back) SQ injection redden, swollen 12 cm. seen on 6-20-19. Reffered for medical at 11:30 AM on 6-20-19 She was Dx with cellulitis and Rx with cephalexin 250mg/4 x's daily / one wk
Age: 68.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: patient reported malaise, shivering, shaking, soreness, headache, weakness, and f103 degree fever in the evening of 6/18/2019. symptoms were mostly resolved by the following morning but still had some fatigue, slight fever, and soreness. patient stated he would update us with any changes or if symptoms did not continue to improve
Age: 68.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Injection site warmth, Nausea, Pyrexia
Clinical narrative: patient reported malaise, shivering, shaking, soreness, headache, weakness, and f103 degree fever in the evening of 6/18/2019. symptoms were mostly resolved by the following morning but still had some fatigue, slight fever, and soreness. patient stated he would update us with any changes or if symptoms did not continue to improve
Age: 68.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Asthenia, Chills, Fatigue, Headache, Malaise
Clinical narrative: patient reported malaise, shivering, shaking, soreness, headache, weakness, and f103 degree fever in the evening of 6/18/2019. symptoms were mostly resolved by the following morning but still had some fatigue, slight fever, and soreness. patient stated he would update us with any changes or if symptoms did not continue to improve
Age: 68.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Pain, Pyrexia, Tremor
Clinical narrative: patient reported malaise, shivering, shaking, soreness, headache, weakness, and f103 degree fever in the evening of 6/18/2019. symptoms were mostly resolved by the following morning but still had some fatigue, slight fever, and soreness. patient stated he would update us with any changes or if symptoms did not continue to improve
Sex: M
Vaccine: HEP
Symptoms: Death, Sudden infant death syndrome
Clinical narrative: I don?t know what hep b they gave him just that it was the hep b shot. His records are closed right now. He died exactly a week later on the 31st of May. We had some people say to report his death to you just in case. He didn?t have any other symptoms so I have no idea if it?s related. As of now we are being told it was sids.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Injection site pain, Myalgia
Clinical narrative: Moderate pain at injection site, muscle aches, fatigue.
Age: 39.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Chills, Migraine, Pain, Pyrexia, Vomiting
Clinical narrative: Fever (100.4) Vomiting Migraine Aches Chills
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Peripheral swelling
Clinical narrative: Sweeling on underside of arm
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Patient went to urgant care on 6/16/19 presenting with a raised rash on the right side of her chest. She was prescribed a course of doxycyline for 7 days. The rash is still present as of 6/22/19, but the patient has noticed improvement, stating the symptoms were worst on 6/16/19.
Age: 70.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Loss of consciousness, Pyrexia, Shock
Clinical narrative: fever, dizzy, pass out, shock
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injection site haemorrhage, Injection site pain, Injection site swelling
Clinical narrative: After giving the vaccination, pt was bleeding more than normal and there was immediate swelling slightly smaller than the size of a quarter in diameter and round  in shape. The pt said she had taken ibuprofen about 1.5 hours before coming to get the vaccination so that could have contributed to the bleeding and swelling, but I think I could have also hit a blood vessel.  I made sure to have the pt stick around for the full 15 min to monitor how she was doing. I provided the pt with an ice pack, asked how she was feeling (she said that it burned slightly when the shot was going in  and it wasn't any more painful than any other shot she's received). After several minutes with the icepack the swelling went down in size. I had her stand up to make sure she wasn't having feeling dizzy or having any trouble breathing.  She said she was feeling ok when she did this.  I told her that if it gets any worse she should call her doctor's exchange.
Age: 85.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash, Injection site reaction, Rash macular
Clinical narrative: mild rash on left upper arm, red circle with a few red blotches in the circle
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Bursitis, Pain in extremity
Clinical narrative: The patient is reporting continuous arm pain 20 days after vaccine administration.  He said that it comes and goes and it sounds like bursitis from possibly administering the vaccine too high.
Age: 17.0
Sex: M
Vaccine: YF
Symptoms: Genital rash
Clinical narrative: Later that evening after the shot he took a shower and noticed a rash around his testical area.  The rash had been getting worse but did not tell us, his parents, until this morning around 9:00 am, 6/22/19.  He was then given some benadryl to help combat the rash and told to take a shower to get off any lotions he kept putting on it.  He says the rash is getting better and starting to go away.  He said the rash was at its worst Wednesday night into Thursday.
Age: 24.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site haemorrhage, Loss of consciousness, Syncope
Clinical narrative: Patient got two vaccines this day.  The HEPLISAV-B vaccine was given first without any issues, but when Havrix was given, patient looked over and after seeing some blood come out from injection site, he started to lean away from me and closed his eyes.  He was out for about 20 seconds.  His mom was there at the time and said that he usually has that type of reaction when he gets his blood drawn.  After waking up, he asked if the shots where given and I said yes.  We also let him know that he fainted and was out for about 20 seconds. His mom went and got him some apple juice and had him sit at the pharmacy for about 10 minutes before they left.  I offered to call for medical attention, but they said they were fine and this is normal when he sees his own blood.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Headache
Clinical narrative: PATIENT REPORTED EXTREME PAIN IN JOINTS AND EXTREME HEADACHE THAT BEGAN HOURS AFTER THE SHOT AND LASTED ABOUT 24 HOURS
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site discolouration, Injection site swelling, Injection site warmth
Clinical narrative: Patient came to pharmacy on 06/22/19 to report a sweeling and bruise to the injectio site. It is discolored (green and hot to the touch) Patient stated it is getting better.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: sore, arm body ache, headache and fever
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Nausea, Pyrexia
Clinical narrative: Fever, chills, Nausea 11pm-11am
Age: 77.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Patient explained that she developed a red rash on the left arm deltoid area on Tuesday June 18, she went to the urgi center and the doctor gave her cephalexin. The area did not gets smaller on Wednesday June 19, she went back to the same urgi care doctor and on Thursday June 20, he prescribed clindamycin. The patient states there is no other reaction, no itching, no fever.
Sex: M
Vaccine: VARZOS
Symptoms: Gait disturbance, Injection site reaction, Rash macular
Clinical narrative: red blotch below injection site,  right leg very difficult walking almost as if foot not attached to leg
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Blood test, Gait disturbance, Vision blurred
Clinical narrative: Extreme pain in both knees and lower back.  Fuzzy vision.  I can barely walk.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: X-ray
Clinical narrative: Extreme pain in both knees and lower back.  Fuzzy vision.  I can barely walk.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Diarrhoea, Rash generalised, Viral infection
Clinical narrative: Diarrhea for several days, full body rash.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Fatigue, Feeling cold, Headache, Myalgia
Clinical narrative: Muscle and joint pain, fatigue, feeling of being cold without shivering, headache.  Tyleonol, 1000mg, prophylactic, x3
Age: 88.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: Patient called today reporting inflamed, red and hot upper arm. I encouraged her to take Tylenol 500mg and ice the injection site as to reduce the inflammation. She is fine otherwise. No pain reported.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Headache
Clinical narrative: 1 HR AFTER DEVELOPS HEADACH AT THE BACK OF THE HEAD, REPORT PAIN LEVEL 8 OUT OF 10.  PATIENT TOOK EXEDRIN MIGRAINE, REPORT PAIN LEVEL 5 OUT OF 10.
Age: 76.0
Sex: F
Vaccine: PNC13
Symptoms: Rash
Clinical narrative: PATIENT STARTED HAVING RASHES AND BUMPS ON ALL OVER THE ARMS. ALSO ON TORSO, AS PER PATIENT.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site rash, Rash
Clinical narrative: PT HAS RASH ON THE WHOLE ARM INCLUDING AT THE SITE THE INJECTION
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Myalgia, Nausea, Pyrexia
Clinical narrative: muscle soreness, fatigue, shivering, fever, nausea, vomiting.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: muscle soreness, fatigue, shivering, fever, nausea, vomiting.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Limb discomfort, Peripheral swelling, Swelling, Swelling face
Clinical narrative: Patient's left arm was swollen and she states felt heavy like iron. her neck and face swelled alittle and turned red
Age: 65.0
Sex: F
Vaccine: HEPA
Symptoms: Blood test normal, Confusional state, Dyspnoea, Electrocardiogram normal, Fatigue
Clinical narrative: Fatigue, headache confusion, SOB, fainted. syncope, palpitations and body aches. Had symptoms for 2 weeks.
Age: 65.0
Sex: F
Vaccine: HEPA
Symptoms: Headache, Malaise, Pain, Palpitations, Syncope
Clinical narrative: Fatigue, headache confusion, SOB, fainted. syncope, palpitations and body aches. Had symptoms for 2 weeks.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site joint pain, Rash
Clinical narrative: patient experienced rash after one day and went to see her MD.   However, her MD said rash  was small enough so that she did not need treatment.   However, joint pain at the injection still remains until now, especially when she moves her arm where she received the injection.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest discomfort, Chest pain, Fatigue, Injection site erythema, Pain
Clinical narrative: Evening of vaccination, patient reports feeling chest tightness/pain, tired, and achy. She didn't seek medical attention and just went to bed that night; was thinking chest tightness might be from her asthma. She woke up morning after vaccination without chest tightness, but still felt achy and tired. Her arm had about 2 inch red circle around injection site. Patient reports feeling tired and achy for about two weeks after vaccination, so decided to visit her PCP. Her PCP advised her not to receive the second dose of Shingrix in case the chest tightness was due to the vaccination. A Zpak 250mg and Medrol dose pack 4mg was prescribed to patient 4/24/19 by Dr.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Injection site erythema, Injection site swelling, Pain in extremity, Tenderness
Clinical narrative: PT PRESENTED TO PHARMACY 6/22/19 TO ADDRESS REDNESS AND PAIN IN RIGHT ARM. PT STATED STILL SORE TO THE TOUCH WITH INCREASED SWELLING/REDNESS JUST BELOW INJECTION SITE. INSTRUCTED PT TO TAKE MOTRIN AND BENADRYL AND IF NOT IMPROVED IN 2-3 DAYS CONTACT PRIMARY DOCTOR.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Dyspnoea, Erythema, Hyperhidrosis
Clinical narrative: PATIENT REPORTED CHILLS, FEVER, SHORTNESS OF BREATH, RED FACE AND CHEEKS. SHE SAID SHE USED "AN INHALER SHE HAD AT HOME" FOR THE SHORTNESS OF BREATH. SHE SAID SHE STILL FELT WEAK TODAY, BUT FEVER BROKE LAST NIGHT AND SHE WOKE UP WET WITH SWEAT. THIS WAS THE PATIENT'S SECOND DOSE OF SHINGRIX AND SHE DID NOT HAVE ANY PROBLEMS THE FIRST TIME.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: PATIENT REPORTED CHILLS, FEVER, SHORTNESS OF BREATH, RED FACE AND CHEEKS. SHE SAID SHE USED "AN INHALER SHE HAD AT HOME" FOR THE SHORTNESS OF BREATH. SHE SAID SHE STILL FELT WEAK TODAY, BUT FEVER BROKE LAST NIGHT AND SHE WOKE UP WET WITH SWEAT. THIS WAS THE PATIENT'S SECOND DOSE OF SHINGRIX AND SHE DID NOT HAVE ANY PROBLEMS THE FIRST TIME.
Age: 74.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Limb discomfort, Neck pain
Clinical narrative: Pt developed a swollen arm by the next day after vaccination. A few days later, redness spread from the left shoulder to the elbow and around the upper arm. Along with the normal pain from the injection, there is also pain radiating from the arm up to the left side of the neck.  The left arm feels heavy and is hard to lift up. The pain and the swelling has started to subside, but the redness seems to be spreading.
Age: 74.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Peripheral swelling
Clinical narrative: Pt developed a swollen arm by the next day after vaccination. A few days later, redness spread from the left shoulder to the elbow and around the upper arm. Along with the normal pain from the injection, there is also pain radiating from the arm up to the left side of the neck.  The left arm feels heavy and is hard to lift up. The pain and the swelling has started to subside, but the redness seems to be spreading.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Abdominal pain upper, Cough, Heart rate increased, Irritability, Pyrexia
Clinical narrative: Stomachache, fever, constant cough, irritability, rapid breathing, rapid heart rate.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Respiratory rate increased
Clinical narrative: Stomachache, fever, constant cough, irritability, rapid breathing, rapid heart rate.
Age: 0.33
Sex: F
Vaccine: UNK
Symptoms: Abnormal behaviour, Decreased appetite, Haematochezia, Insomnia, Irritability
Clinical narrative: Started the evening after her 4 month shots she slept for about two days wouldn?t eat much, then on June 13 she started screaming non stop day and night for a few days, throwing up, not sleeping, pooping blood. That lasted a few days, around June 20 noticed she wasn?t as vocal with us. June 22nd she is still very fussy not her normal self
Age: 0.33
Sex: F
Vaccine: UNK
Symptoms: Screaming, Vomiting
Clinical narrative: Started the evening after her 4 month shots she slept for about two days wouldn?t eat much, then on June 13 she started screaming non stop day and night for a few days, throwing up, not sleeping, pooping blood. That lasted a few days, around June 20 noticed she wasn?t as vocal with us. June 22nd she is still very fussy not her normal self
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Influenza like illness, Injection site pain
Clinical narrative: Flu like symptoms- body aches, fever ,chills Headache, extreme fatigue, pain at injection site
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Flu like symptoms- body aches, fever ,chills Headache, extreme fatigue, pain at injection site
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Fatigue, Headache, Pain
Clinical narrative: Headache, fatigue, body aches, shivering, and stomach upset lasting 2 days
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient developed redness and swelling 3cm x 4cm on left thigh at the site of MMRV injection Tx: Cool compresses to left thigh Benadryl gel topically for itching  TID topically to (L) thigh Ibuprofen for children 100mg/5ml  7ml PO q6h PRN
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Vaccination site pain
Clinical narrative: Increasing redness and pain at site of vaccine. Greater surface area with time.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Fatigue, Injection site erythema, Injection site pain
Clinical narrative: From 5:30 AM to 12 Noon on 6/21/2019, I experienced chills and fever and was exhausted. I was weak and tired the rest of the day. I felt better by 6/22, but still had some lingering symptoms. I also experienced redness, heat and soreness in my arm in the location of the injection.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: From 5:30 AM to 12 Noon on 6/21/2019, I experienced chills and fever and was exhausted. I was weak and tired the rest of the day. I felt better by 6/22, but still had some lingering symptoms. I also experienced redness, heat and soreness in my arm in the location of the injection.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Pain
Clinical narrative: headache, general aches, fatigue. Ongoing (day one)
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Autonomic nervous system imbalance, Continuous positive airway pressure, Dyspnoea, Dysstasia, Ear, nose and throat examination
Clinical narrative: 3 days after receiving the shot, the child became more fatigued, weak legs, difficulty walking which was progressive until 10/11/19 when the child had difficulty standing and was short of breath when trying to stand. HR standing was in the 160s. Child was taken to walk-in clinic at pediatricians office where they observed all of the above and referred to cardiology. The child was seen by cardiology later that day and had ECHO, EKG, and 48 hour Holter Monitor was started. Cardiology testing was normal but this began a series of testing with multiple doctors in addition to cardiology including sleep disorders, ENT, and neurology. Testing included sleep study, trial of CPAP x 1 month, ENT exam, 48 hour inpatient seizure testing, tilt table testing. Child was diagnosed with dysautonomia and is in ongoing treatment for it.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Echocardiogram normal, Electrocardiogram ambulatory normal, Electrocardiogram normal, Fatigue, Gait disturbance
Clinical narrative: 3 days after receiving the shot, the child became more fatigued, weak legs, difficulty walking which was progressive until 10/11/19 when the child had difficulty standing and was short of breath when trying to stand. HR standing was in the 160s. Child was taken to walk-in clinic at pediatricians office where they observed all of the above and referred to cardiology. The child was seen by cardiology later that day and had ECHO, EKG, and 48 hour Holter Monitor was started. Cardiology testing was normal but this began a series of testing with multiple doctors in addition to cardiology including sleep disorders, ENT, and neurology. Testing included sleep study, trial of CPAP x 1 month, ENT exam, 48 hour inpatient seizure testing, tilt table testing. Child was diagnosed with dysautonomia and is in ongoing treatment for it.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Muscular weakness, Sleep study, Tilt table test
Clinical narrative: 3 days after receiving the shot, the child became more fatigued, weak legs, difficulty walking which was progressive until 10/11/19 when the child had difficulty standing and was short of breath when trying to stand. HR standing was in the 160s. Child was taken to walk-in clinic at pediatricians office where they observed all of the above and referred to cardiology. The child was seen by cardiology later that day and had ECHO, EKG, and 48 hour Holter Monitor was started. Cardiology testing was normal but this began a series of testing with multiple doctors in addition to cardiology including sleep disorders, ENT, and neurology. Testing included sleep study, trial of CPAP x 1 month, ENT exam, 48 hour inpatient seizure testing, tilt table testing. Child was diagnosed with dysautonomia and is in ongoing treatment for it.
Age: 40.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Fatigue, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: FATIGUE, DIFFUSE JOINT PAIN, FOLLOWED BY SWELLING, INDURATION AND ERYTHEMA AT INJECTION SITE, APPROX 4-INCHES IN DIAMETER.  NO TREATMENT.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site pain, Myalgia, Nausea, Oropharyngeal pain
Clinical narrative: Soreness at injection site, muscular aches, fatigue, sore throat, nausea
Age: 38.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Burning sensation, Pain in extremity
Clinical narrative: Woke up with burning pain in both legs that was bothersome, but not horrible.  As the day went on the pain continued to increase.  I have only had nerve pain in my right leg with my CRPS so having pain in my left leg is completely unusual.  By the next day I was confined to my bed with pain in bilateral legs and arms.  Used narcotic pain pills which only brought down pain slightly.  Ended up spending 2 days confined to bed and the next few weeks in increased pain.  At the time of this reporting over 2 weeks has passed and pain is still not down to baseline level.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness
Clinical narrative: SEVERE SHIVERING FOR HOURS THAT BOTHERED OVERNIGHT, SHE ALSO MENTIONED FLU LIKE SYMPTOMS. SHE TOOK IBUPROFEN AROUND 3 AM THAT HELPED ALOT
Age: 30.0
Sex: F
Vaccine: MMR
Symptoms: Cough, Lymphadenopathy, Pyrexia, Rash pruritic, Rhinorrhoea
Clinical narrative: Fever, swollen glands, cough, runny nose starting 6/20 - 6/23 Itchy rash starting 6/22
Age: 0.25
Sex: F
Vaccine: HEP, RV1
Symptoms: Decreased appetite, Somnolence
Clinical narrative: My daughter was vaccinated in the late afternoon.  She was very sleepy afterward and had no appetite.  I put her to bed around 7:00 PM and watched her on the baby monitor.  At approximately 11:00 PM I tried to offer her milk, as she was exclusively breastfed, but she would not wake up to eat.  I decided to change her diaper, thinking that might help to rouse her.  But she did not wake up.  This was highly unusual for her, as she was always a very light sleeper.  I called the nurse's line at my pediatrician's office and she advised me to turn on the lights, undress her, rub her skin, and make some noise as to make her uncomfortable.  It took 10-15 minutes to get her to wake up and give an appropriate response by crying.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Fatigue, Headache, Influenza like illness
Clinical narrative: Had the shot at 1:00 PM on June 18, 2019.  Within an hour I felt a bit dizzy and a bit out of it.  By 8:00 PM I felt  tired, achy, had a headache, felt chilly, on and off nauseated, and my left arm at the vaccine sight, was very sore.  These symptoms  continued through the night-I didn't sleep well at all!  The  next day I had to go to work.  I was very close to calling in sick.  However, I went to work, but felt like I had the a virus or flu the whole day.  Came  home and went to bed.  Except for a quick fixed dinner, I stayed in bed.  Went to bed early-8:30 PM.  On Thursday, June 20, 2019, I started feeling better.  These are the same symptoms I had with the first Shingrix shot on April 1, 2019.  I just didn't report them.