chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia
Clinical narrative: Patient reported feeling a tingling in her left side of head 13 minutes after receiving immunization. I explained that should not be an effect of the shot, especially that quickly. I did offer to call Dr. She refused and wanted to call herself. I offered our phone. She left AMA. No mark on arm at time and no swelling. Called doctors office at 11:20am. Heard from employee at the office that the patient had talked to, RN. RN reassured her the tingling is not an affect from the Shringix shot. Patient wished to be seen. Patient in office with NP at 12:05pm. Per other employee, NP could not verify that the symptoms were caused by the shringrix vaccine. NP told patient that if she wanted additional attention that she would need to go to the ER. She refused and left the office AMA.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: patient stated arm is still sore as of today Sept 11, 2019
Sex: U
Vaccine: VARZOS
Symptoms: Adverse drug reaction
Clinical narrative: Side effects; This case was reported by a consumer and described the occurrence of adverse drug reaction in a adult patient who received Herpes zoster (Shingrix) for prophylaxis.   On an unknown date, the patient received Shingrix at an unknown dose. On an unknown date, less than 2 years after receiving Shingrix, the patient experienced adverse drug reaction. On an unknown date, the outcome of the adverse drug reaction was unknown.   It was unknown if the reporter considered the adverse drug reaction to be related to Shingrix.  Additional case details were reported as follows: The age at vaccination was not reported. The age group was captured as adult as per Shingrix indication.  The patient wondering how long the side effects last after the vaccine. The reporter denied permission to follow up.
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain, Pain in extremity
Clinical narrative: Bad arm pain; Abdominal pain that would not go away; This case was reported by a physician via sales rep and described the occurrence of pain in arm in a 74-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   On an unknown date, the patient received Shingrix at an unknown dose. On an unknown date, less than 2 years after receiving Shingrix, the patient experienced pain in arm (serious criteria hospitalization) and abdominal pain (serious criteria hospitalization). On an unknown date, the outcome of the pain in arm and abdominal pain were recovered/resolved.   It was unknown if the reporter considered the pain in arm and abdominal pain to be related to Shingrix.  Additional details were provided as follows: The age at vaccination was not reported, but the patient was 74 years old at the time of reporting. The patient experienced bad arm pain and abdominal pain that would not go away. The patient was hospitalized for a week.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered
Clinical narrative: Adult dose given to 18 year old
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Dermatitis atopic, Dizziness, Fatigue, Injection site erythema, Injection site pain
Clinical narrative: 1st Hep B vaccine was given 8/5/19 but GSK 3JD32 was used WITHOUT INCIDENT.   Hospital changed to Dynavax for remaining vaccine doses, and 2nd dose was given on 9/4/19 and this incident occurred. Employee contact EH RN (Reporter) on 9/6/19 am and stated she had started having a fever at home on 9/5/19 as high as 102.1 and her right arm, where injection was given, was very sore and hot, and also mild dizziness/fatigue. She came to EH dept as instructed, Rt Deltoid area with approx. 3 inches of erythema in diameter and very warm to touch. No drainage or area of fluid under skin visually noted.  Employee sent to Medical Group for provider exam and recommendations.  Employee was afebrile at the time of exam.  Provider's diagnosis  was Atopic Dermatitis, a minor common local skin reaction to the immunization.  She was prescribed Zyrtex daily x 1 month, Meclizine 25 mg TID x 5 days, and Hydrocortisone cream applied topically for itching prn.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: 1st Hep B vaccine was given 8/5/19 but GSK 3JD32 was used WITHOUT INCIDENT.   Hospital changed to Dynavax for remaining vaccine doses, and 2nd dose was given on 9/4/19 and this incident occurred. Employee contact EH RN (Reporter) on 9/6/19 am and stated she had started having a fever at home on 9/5/19 as high as 102.1 and her right arm, where injection was given, was very sore and hot, and also mild dizziness/fatigue. She came to EH dept as instructed, Rt Deltoid area with approx. 3 inches of erythema in diameter and very warm to touch. No drainage or area of fluid under skin visually noted.  Employee sent to Medical Group for provider exam and recommendations.  Employee was afebrile at the time of exam.  Provider's diagnosis  was Atopic Dermatitis, a minor common local skin reaction to the immunization.  She was prescribed Zyrtex daily x 1 month, Meclizine 25 mg TID x 5 days, and Hydrocortisone cream applied topically for itching prn.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Influenza like illness, Injection site erythema, Nausea, Vomiting
Clinical narrative: PATIENT STATED THAT IN THE EVENING OF THE DAY SHE GOT THE SHOT, SHE STARTED FEELING EXTREME FLU LIKE SYMPTOMS THAT MADE HER NAUSEOUS  AND HAVE A HEADACHE. PATIENT STATED SHE THREW UP TWICE. PATIENT ALSO HAD A RED MARK AROUND THE INJECTION SITE. TOTAL SYMPTOMS LASTED UNTIL THE NEXT EVENING.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Swelling
Clinical narrative: Pt reported back to pharmacy about adverse event. Has since gone to clinic to have monitored and checked. Per patient had "big red hot bump".  Clinic will be monitoring in case of infection.  Per patient, clinic reason for possible reaction is that immunization was given too low and missed the muscle arm.
Age: 68.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Influenza like illness, Injection site erythema, Injection site swelling, Injection site warmth, Peripheral swelling
Clinical narrative: Patient's wife called stating that starting on 9/10/2019 the patient started to have flu like symptoms and his arm was red and hot where the vaccines were given and that he had a low grade fever. She called today 9/11/2019 stating his arm was swollen and it was red and hot all the way down to his elbow. I told her that the flu like symptoms and redness were normal but because it is spreading down his arm and it is swollen to contact his primary care physician.
Age: 68.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Pyrexia
Clinical narrative: Patient's wife called stating that starting on 9/10/2019 the patient started to have flu like symptoms and his arm was red and hot where the vaccines were given and that he had a low grade fever. She called today 9/11/2019 stating his arm was swollen and it was red and hot all the way down to his elbow. I told her that the flu like symptoms and redness were normal but because it is spreading down his arm and it is swollen to contact his primary care physician.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Facial pain, Injection site pain, Trigeminal neuralgia
Clinical narrative: On 9/7/2019  pain began in left  shoulder and moved towards left side of face and increased in severity , patient visited pcp on 9/11/2019 and was diagnosed as trigeminal neuralgia.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dehydration, Injection site erythema, Injection site warmth, Loss of consciousness
Clinical narrative: dehydrated, couldnt get out of bed, chills, passed out, fever, red and hot at injection site
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Pyrexia
Clinical narrative: dehydrated, couldnt get out of bed, chills, passed out, fever, red and hot at injection site
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Muscular weakness, Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: Severe neck, shoulder, and arm pain, both arms. Weakness in both arms. Tylenol and ibuprofen did not work. Used tramadol and heat, which helped with pain and mobility. Still as painful but better able to move 4 days later.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Angiogram normal, Aphasia, Blood test normal, Dehydration, Electrocardiogram normal
Clinical narrative: APHASIA THAT LASTED ABOUT AN HOUR. COULD NOT FORM WORDS. ADMITTED TO HOSPITAL FOR OVER NIGHT OBSERVATION AND TESTS. VALSARTAN DOSE INCREASED FROM 40 TO 80 MG  1/DAY.   CORRECTED DEHYDRATION CONDITION.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Electroencephalogram normal, Magnetic resonance imaging normal
Clinical narrative: APHASIA THAT LASTED ABOUT AN HOUR. COULD NOT FORM WORDS. ADMITTED TO HOSPITAL FOR OVER NIGHT OBSERVATION AND TESTS. VALSARTAN DOSE INCREASED FROM 40 TO 80 MG  1/DAY.   CORRECTED DEHYDRATION CONDITION.
Age: 37.0
Sex: M
Vaccine: HEPAB
Symptoms: Blood glucose normal, Syncope
Clinical narrative: Pt fainted after receiving the immunization.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Anxiety, Palpitations
Clinical narrative: Employee reported feeling anxious and heart racing. Lasted approximately 4 hours. No other symptoms.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site warmth
Clinical narrative: Patient described injection site as red and sore with a knot.  She said it is feverish and approximately 4 inches in diameter.
Age: 4.0
Sex: F
Vaccine: HEP, PNC13, VARCEL
Symptoms: Injection site reaction, Rash vesicular
Clinical narrative: Vesicular rash on both thighs was reported by the child's mother by telephone call.  Parent advised to bring child to Emergency room for any worsening of symptoms or change in level of consciousness.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Erythema, Injection site joint pain, Loss of personal independence in daily activities, Pyrexia
Clinical narrative: Red and swollen in first 24-48 hr after injection.  This resolved.  On the evening  of 8/21 patient started to experience severe pain directly in the  left shoulder joint.  Patient also concurrently received Fluad in the right deltoid at the same time.  He has had no unusual reaction in his right arm. On 8/22 the patient experienced fever and chills.  He had difficulty toweling off after his shower and difficulty putting on his shirt.  He had to sleep with his arm over his head.  His pain level was reported at 10.  The patient used Ibuprofen 400 mg to manage pain.  The patient continues to have occasional flares of joint pain.  Patient massages the area to alleviate discomfort.   The patient currently describes his condition as having deep joint  pain in his left shoulder.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: Red and swollen in first 24-48 hr after injection.  This resolved.  On the evening  of 8/21 patient started to experience severe pain directly in the  left shoulder joint.  Patient also concurrently received Fluad in the right deltoid at the same time.  He has had no unusual reaction in his right arm. On 8/22 the patient experienced fever and chills.  He had difficulty toweling off after his shower and difficulty putting on his shirt.  He had to sleep with his arm over his head.  His pain level was reported at 10.  The patient used Ibuprofen 400 mg to manage pain.  The patient continues to have occasional flares of joint pain.  Patient massages the area to alleviate discomfort.   The patient currently describes his condition as having deep joint  pain in his left shoulder.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Peripheral swelling
Clinical narrative: Patient stated that her arm began to swell about 2 hours after the injection.  She rubbed and took antihistamine
Age: 1.0
Sex: U
Vaccine: HEPA, MMR, VARCEL
Symptoms: Vaccination site scab, Vaccination site ulcer
Clinical narrative: Patient developed a scabbed area then ulceration on the skin at the site of the vaccination. No other symptoms.
Sex: M
Vaccine: VARZOS
Symptoms: Cerebrovascular accident, Encephalopathy, Hemiparesis, Mental status changes
Clinical narrative: acute encephalopaty; stroke/weakness on his left side/Altered mental status; Information has been received from a lawyer regarding a case in litigation concerning a male patient of unknown age. No information was received regarding the patient's past medical history, concurrent conditions, or concomitant medication. On or around 16-JUN--2017, the patient was inoculated with zoster vaccine live (ZOSTAVAX) (lot number, dosage and route of administration not provided), for routine health maintenance and for its intended purpose: the prevention of shingles (herpes zoster). Shortly after, the patient was admitted after suffering weakness on his left side, acute encephalopathy, altered mental status and he was ultimately diagnosed with a stroke. As a direct and proximate result of zoster vaccine live (ZOSTAVAX), the patient's symptoms have resulted in physical limitations not present prior to using the product.  The patient also experienced mental and emotional distress due to resulting physical limitations and seriousness of her condition. As a result of zoster vaccine live (ZOSTAVAX), the patient sustained serious, progressive, severe and permanent personal injuries, as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment, suffered and incurred damages, including medical expenses; the loss of accumulations; and other economic and non-economic damages. The outcome of the events were considered not recovered. The events were considered related to zoster vaccine live (ZOSTAVAX).  Upon internal review, the events stroke and encephalopathy were considered to be medically significant.
Sex: U
Vaccine: HPV4, HPV9, UNK
Symptoms: Exposure during pregnancy, Extra dose administered, Foetal disorder
Clinical narrative: Gastroschisis; My daughter is now pregnant and we recently learned that her baby has gastroschisis; This spontaneous report was received from a consumer concerning a child patient of unknown gender. The patient's concurrent condition, medical history and concomitant medications were not reported.   On 16-JAN-2014, the the patient's mother started on etonogestrel (+) ethinyl estradiol (NUVARING), in place for three weeks, remove for one week, then replace. On that day, 03-APR-2014 and 11-AUG-2014, the patient's mother received 3 doses (respectively) of Quadrivalent Human Papillomavirus (Types 6,11,16,18) Recomb. Vaccine (GARDASIL) intramuscularly (IM) for prophylaxis (vaccine exposure before pregnancy, # 1801USA004493). On 12-JUL-2016, 20-SEP-2016 and 12-SEP-2017, three additional doses (respectively) of HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9) for prophylaxis were administered to the patient's mother (fetal exposure during pregnancy). On an unknown date, the patient experienced gastroschisis as result of the six doses of the vaccine, but no causality assessment was provided to etonogestrel (+) ethinyl estradiol (NUVARING). The outcome of the event of gastroschisis considered as not recovered.   Upon internal review, the event of gastroschisis was determined to be serious due to medically significant and congenital anomaly.; Sender's Comments:  US-009507513-1801USA004493:1801USA004493
Sex: U
Vaccine: PNC13
Symptoms: Pain in extremity
Clinical narrative: arm pain after receiving Prevnar13; This is a spontaneous report from a contactable physician via a Pfizer sales representative. A patient of unspecified age and gender received pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) (PREVNAR 13), via an unspecified route of administration on an unspecified date at a single dose for immunization. The patient's medical history and concomitant medications were not reported. The patient complained of arm pain after receiving pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) on an unspecified date and then needed 6 months of physical therapy. Outcome of the event was unknown.  No follow-up attempts are possible; information about the batch number cannot be obtained.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Injection site erythema, Rash
Clinical narrative: pt developed mild erythema surrounding injection site on bilateral thighs on lateral side of each thigh. no SOB, reaction happened 5 minutes post injection, recommended Benadryl and observation to parents and go to ER or ICC if any concerns or rash worsens.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Urticaria
Clinical narrative: Hives started 24 hours after vaccines given and have continued 4 days later
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Rash
Clinical narrative: PATIENT DEVELOPED A FEVER ON THE DAY FOLLOWING VACCINATION, THEN A RASH ON DAY 5 AFTER VACCINATION
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest discomfort, Fatigue, Head discomfort, Injection site erythema, Injection site pain
Clinical narrative: Rash - Was given Shingrix vaccination 9/5/19. Rash began next day at injection site in L deltoid. Red, itching, burning, warm. Triage nursing advised Tylenol and Benadryl, appt scheduled to be seen in clinic today - When injection was going in felt pain, stinging different than a shot. Could feel the medicine going into her system. Sat for 10 minutes after injection, felt tightness in chest and in head like pressure. Vaccine placed around 5:15, Tired, left pharmacy around 6pm. Pressure in chest and head resolved within a few hours and has not returned since - On 9/6 first noticed rash, started feeling warm in the arm around injection site, red and itchy. Burning, unpleasant. - Since noticing it the burning and itching comes and goes. Rash seemes to be receeding. - Has not taken any medicine or used any cream
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Rash - Was given Shingrix vaccination 9/5/19. Rash began next day at injection site in L deltoid. Red, itching, burning, warm. Triage nursing advised Tylenol and Benadryl, appt scheduled to be seen in clinic today - When injection was going in felt pain, stinging different than a shot. Could feel the medicine going into her system. Sat for 10 minutes after injection, felt tightness in chest and in head like pressure. Vaccine placed around 5:15, Tired, left pharmacy around 6pm. Pressure in chest and head resolved within a few hours and has not returned since - On 9/6 first noticed rash, started feeling warm in the arm around injection site, red and itchy. Burning, unpleasant. - Since noticing it the burning and itching comes and goes. Rash seemes to be receeding. - Has not taken any medicine or used any cream
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Injection site erythema, Injection site nodule, Injection site pain, Injection site swelling
Clinical narrative: PT REPORTS WARMTH, REDNESS, SWELLING, AND TENDERNESS AT THE SITE OF INJECTION.  PT HAS A KNOT AT THE SITE OF INJECTION.  SHE SAID THAT SHE HAD FEVER AND FELT FATIGUED THE DAY AFTER GETTING THE TDAP INJECTION. PT STATED THAT SHE "USUALLY FEELS THIS WAY AFTER RECEIVING THE FLU SHOT".
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: PT REPORTS WARMTH, REDNESS, SWELLING, AND TENDERNESS AT THE SITE OF INJECTION.  PT HAS A KNOT AT THE SITE OF INJECTION.  SHE SAID THAT SHE HAD FEVER AND FELT FATIGUED THE DAY AFTER GETTING THE TDAP INJECTION. PT STATED THAT SHE "USUALLY FEELS THIS WAY AFTER RECEIVING THE FLU SHOT".
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site swelling
Clinical narrative: arm is extremely red and is swollen in a large area around the injection site.   It is warm to touch.  Patient noticed right after injection was given,
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Body temperature increased, Chills, Pain of skin, Pollakiuria
Clinical narrative: Painful joints in limbs & digits (upper & lower); skin hurt; chills and shaking; frequent urination (six times over night); temperature of 100.6 degrees upon waking at 6 AM
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor
Clinical narrative: Painful joints in limbs & digits (upper & lower); skin hurt; chills and shaking; frequent urination (six times over night); temperature of 100.6 degrees upon waking at 6 AM
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Back pain, Chills, Feeling abnormal, Headache
Clinical narrative: About 6 hours after the vaccine was given, the patient started feeling bad. She was shivering and started running a fever of 102 degrees.  She grew weak as hours passed. She also developed a headache. The fever lasted all throughout the night with shivering.  Her body began to hurt. The next day the fever was down in the morning, but her body hurt and had a headache.  Her arm was sore as well at injection site.  That evening, she started running fever again, 101 degrees.  The next day, her body hurt worse, like flu like body aches. This was mostly in the shoulder blades, back of the neck and down her back. The pain is getting worse today in her back.  The site of injection is turning red and feels hard to the touch
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Injection site erythema, Injection site induration, Injection site pain, Musculoskeletal pain
Clinical narrative: About 6 hours after the vaccine was given, the patient started feeling bad. She was shivering and started running a fever of 102 degrees.  She grew weak as hours passed. She also developed a headache. The fever lasted all throughout the night with shivering.  Her body began to hurt. The next day the fever was down in the morning, but her body hurt and had a headache.  Her arm was sore as well at injection site.  That evening, she started running fever again, 101 degrees.  The next day, her body hurt worse, like flu like body aches. This was mostly in the shoulder blades, back of the neck and down her back. The pain is getting worse today in her back.  The site of injection is turning red and feels hard to the touch
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Neck pain, Pain, Pyrexia
Clinical narrative: About 6 hours after the vaccine was given, the patient started feeling bad. She was shivering and started running a fever of 102 degrees.  She grew weak as hours passed. She also developed a headache. The fever lasted all throughout the night with shivering.  Her body began to hurt. The next day the fever was down in the morning, but her body hurt and had a headache.  Her arm was sore as well at injection site.  That evening, she started running fever again, 101 degrees.  The next day, her body hurt worse, like flu like body aches. This was mostly in the shoulder blades, back of the neck and down her back. The pain is getting worse today in her back.  The site of injection is turning red and feels hard to the touch
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Hypertension, Lip swelling, Ocular hyperaemia, Oropharyngeal pain
Clinical narrative: I began to have a sore throat around 6pm.  Later in the evening my lips had some swelling, then I noticed my eyes were red.  About 10pm I checked my blood pressure which was 200/100.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Decreased appetite, Depression, Headache, Myalgia, Nasopharyngitis
Clinical narrative: PATIENT REPORTS BEGINNING AT ABOUT 11PM THE FOLLOWING SYMPTOMS: FELT AS IF GETTING A COLD, SEVERE HEADACHE, BP 141/91 AND PULSE 102BPM, TREMORS/SHAKING THAT LASTED 2 HOURS, EXCESSIVE URINATION, WEIGHT LOSS (5LB FROM ONSET TO "RECOVERY"), LACK OF APPETITE, FEELING OF SEVERE DEPRESSION, PINK SPLOTCHES IN VISION (PATIENT IS BLIND). SYMPTOMS SLOWLY STARTED TO WANE OVER TIME. HEADACHE RESOLVED ON 9/7 AND EXTREME MUSCLE SORENESS RESOLVED 9/10/19
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Tremor, Urine output increased, Visual impairment, Weight decreased
Clinical narrative: PATIENT REPORTS BEGINNING AT ABOUT 11PM THE FOLLOWING SYMPTOMS: FELT AS IF GETTING A COLD, SEVERE HEADACHE, BP 141/91 AND PULSE 102BPM, TREMORS/SHAKING THAT LASTED 2 HOURS, EXCESSIVE URINATION, WEIGHT LOSS (5LB FROM ONSET TO "RECOVERY"), LACK OF APPETITE, FEELING OF SEVERE DEPRESSION, PINK SPLOTCHES IN VISION (PATIENT IS BLIND). SYMPTOMS SLOWLY STARTED TO WANE OVER TIME. HEADACHE RESOLVED ON 9/7 AND EXTREME MUSCLE SORENESS RESOLVED 9/10/19
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Periarthritis
Clinical narrative: frozen shoulder. extremely painful at onset. improvement in pain day 2 with Motrin. Started physical therapy for frozen shoulder
Age: 66.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Cellulitis, Peripheral swelling, Scratch
Clinical narrative: SWELLING OF LEFT ARM STARTED AT NIGHT
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Headache, Musculoskeletal pain, Peripheral swelling, Vision blurred
Clinical narrative: Within 3-4 hours severe shoulder pain, severe headache, blurred vision, left arm above crook of arm but below shoulder swelled up - this lasted until today (Thursday 9/11/2019) when bruise appeared where had been swollen. I felt so ill - never had reaction after flu shot before. Don't know that I will ever rush to get one again.
Age: 24.0
Sex: M
Vaccine: HEPA
Symptoms: Feeling abnormal
Clinical narrative: Patient c/o feeling bad. I ask for him to explain "feeling bad" he could not. I explained it is possible to feel tired. He stated that he did not feel tired. I asked and he denied the following: Pain at site, H/A, shoulder pain, feverish, redness at site of injection, confused, S.O.B., tongue swelling, rash on body. I also asked if was taking any medication or consumption of alcohol, which he denied. He asked if there was anything that he could do. I stated rest and Tylenol for pain. Symptoms should resolve in a day or so, if not seek medical treatment either with his PCP or ED if conditions worsen.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site induration, Injection site pain, Swelling, Tenderness
Clinical narrative: The next day, pt woke up in upper R arm pain, which worsened for a few days. The day after, she noticed some swelling and tenderness in the R supraclavicular fossa. No erythema. Starting a few days later, all symptoms started to improve. Continues to have a 3cmx2cm indurated area subcutaneously at the R upper arm on 9/11.
Age: 18.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Seizure
Clinical narrative: Felt dizzy, laid back on exam chair and had upper body convulsions for about 10 seconds
Age: 11.0
Sex: M
Vaccine: RAB
Symptoms: Hallucination, visual, Headache, Muscular weakness
Clinical narrative: Parent of child who received vaccine noted that the morning after getting the vaccine the child had a headache, weakness in their legs, and two visual hallucinations. the child's symptoms resolved the same day. Child was evaluated at a local hospital through the emergency room but all symptoms had resolved by that time.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Headache, Mobility decreased, Neuralgia, Spinal pain
Clinical narrative: patient stated that she experienced extreme headache, nerve pain, and pan from the back of spine to her head.  She  experienced pain in her back and was unable to move from Saturday 9/7/19 to Monday 9/9/19
Age: 44.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness and swelling around the area the vaccine was given. Arm also feels warm to the touch.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Headache Body and muscle aches  Joint pain Fatigue Chills Nausea
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain
Clinical narrative: Headache Body and muscle aches  Joint pain Fatigue Chills Nausea
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Pain
Clinical narrative: Patient complaining  body ache and joint aches  whole body
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site swelling, Injection site warmth
Clinical narrative: PATIENT'S DAUGHTER WHO IS AN RN CALLED AND INFORMED US THAT SHE NOTICED THAT HER MOM HAD A RED LEFT SHOULDER (IT WAS WARM TO THE TOUCH) AND THERE WAS SWELLING/WHAT LOOKED TO APPEAR LIKE FLUID BUILD UP TILL THE EPICONDYL (ELBOW).  SHE GAVE HER MOM IBUPROFEN.  PT WAS GIVEN PNEUMOVAX 23 IN THE LEFT ARM.  I ADVISED HER TO CALL PT'S MD  AND TOLD HER TO CONTINUE APPLYING ICE AND GIVING IBUPROFEN.  IF THE CONDITION WORSENS BETWEEN NOW AND TOMORROW TO CALL MD. PT'S DAUGHTER STATED THAT SHE WOULD TAKE HER MOM IN TO SEE THE DOCTOR AND WOULD KEEP AN EYE ON THE ARM.  I TOLD HER THAT A PHARMACIST WILL CONTACT HER IN THE MORNING TO SEE HOW SHE'S DOING AND THAT WE WILL REPORT THIS AS AN ADVERSE EVENT TO THE PNEUMOVAX. PT'S DAUGHTER SAID THAT HER MOM RECEIVED PNEUMONIA VACCINATIONS TWO TIMES BEFORE BUT WAS UNSURE IF IT WAS PREVNAR OR PNEUMOVAX
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Patient reported having sore, red and warm sensation at injection site, also Saturday night 9/6/19 had chills and headache. Sunday felt tired and had a fever. Monday felt back to normal no issues, same for Tuesday and Wednesday no complaints. Patient just called the pharmacy after the following occurred and she was feeling better to inform them of
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: Patient reported having sore, red and warm sensation at injection site, also Saturday night 9/6/19 had chills and headache. Sunday felt tired and had a fever. Monday felt back to normal no issues, same for Tuesday and Wednesday no complaints. Patient just called the pharmacy after the following occurred and she was feeling better to inform them of
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Vaccination site warmth
Clinical narrative: Patient's vaccine arm started with redness about the size of a silver dollar the day after given, then the redness spread down and around the arm to about the elbow and not quite all the circumference of the arm. It was also warm to the touch, but not painful.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Impaired work ability, Nausea, Pain, Pyrexia
Clinical narrative: Fever, headache, total body ache, nausea. Missed 8 hours of work the next day. Symptoms lasted 21 hrs
Age: 17.0
Sex: M
Vaccine: HEPA, HPV9, IPV, MENB, MMR, MNQ, TDAP, VARCEL
Symptoms: Chemotherapy, Myeloid leukaemia, Neutropenia, Philadelphia chromosome positive, Polymerase chain reaction positive
Clinical narrative: Patient received multiple vaccines on 7/30/19 in March 2019. Patient was admitted to Hospital 8/2-8/25/19 for new diagnosis of mixed phenotype acute leukemia (B-myeloid, Philadelphia chromosome positive, CNS 2A). He received chemotherapy with IT cytarabine on 8/23 and vincristine and daunorubicin on 8/24. He was given IT methotrexate on 8/30 and noted to have rash on neck that was initially thought to be steroid induced acne. PCR testing of the lesion was positive for VZV. He was admitted again on 9/4 for fever and neutropenia and was started on empiric therapy with acyclovir on 9/5/19. Patient has recovered from infection and all lesions are scabbed over. He has also resumed chemotherapy
Age: 17.0
Sex: M
Vaccine: HEPA, HPV9, IPV, MENB, MMR, MNQ, TDAP, VARCEL
Symptoms: Pyrexia, Rash, Scab, Skin lesion, Varicella post vaccine
Clinical narrative: Patient received multiple vaccines on 7/30/19 in March 2019. Patient was admitted to Hospital 8/2-8/25/19 for new diagnosis of mixed phenotype acute leukemia (B-myeloid, Philadelphia chromosome positive, CNS 2A). He received chemotherapy with IT cytarabine on 8/23 and vincristine and daunorubicin on 8/24. He was given IT methotrexate on 8/30 and noted to have rash on neck that was initially thought to be steroid induced acne. PCR testing of the lesion was positive for VZV. He was admitted again on 9/4 for fever and neutropenia and was started on empiric therapy with acyclovir on 9/5/19. Patient has recovered from infection and all lesions are scabbed over. He has also resumed chemotherapy
Age: 17.0
Sex: M
Vaccine: HEPA, HPV9, IPV, MENB, MMR, MNQ, TDAP, VARCEL
Symptoms: Varicella virus test positive
Clinical narrative: Patient received multiple vaccines on 7/30/19 in March 2019. Patient was admitted to Hospital 8/2-8/25/19 for new diagnosis of mixed phenotype acute leukemia (B-myeloid, Philadelphia chromosome positive, CNS 2A). He received chemotherapy with IT cytarabine on 8/23 and vincristine and daunorubicin on 8/24. He was given IT methotrexate on 8/30 and noted to have rash on neck that was initially thought to be steroid induced acne. PCR testing of the lesion was positive for VZV. He was admitted again on 9/4 for fever and neutropenia and was started on empiric therapy with acyclovir on 9/5/19. Patient has recovered from infection and all lesions are scabbed over. He has also resumed chemotherapy
Age: 86.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient reports to clinic with redness and swelling with pruritis on medial side of left arm.
Age: 69.0
Sex: F
Vaccine: FLUA3
Symptoms: Headache, Pyrexia, Rash, Swelling face
Clinical narrative: Headache, Fever, Rash, Swollen Face
Age: 91.0
Sex: M
Vaccine: FLUA3
Symptoms: Pruritus generalised
Clinical narrative: Patient complained of pruritis starting in his left hand around the knuckles around 2 PM it then spread throughout his entire body by about 5:30 or 6pm. I instructed him to take Benadryl for the itching and to follow up with his primary care physician in the morning. There were no signs of a rash around the site of the shot. No signs of hives on the areas of the body where the itching was occurring.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Rash, Swelling
Clinical narrative: Patient developed significant swelling/pain along with a rash that spread down arm and across the chest.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills
Clinical narrative: Severe chills, temp of 103
Age: 24.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Anxiety, Dyspnoea
Clinical narrative: Pt. came to clinic requesting Tdap and influenza vaccines. Denied any hx of adverse reactions to any vaccinations in the past. States her last flu vaccine was 5 years ago which she had tolerated well, pt. also had 1 Tdap dose when she was 12 years of age with no known reaction. Pt. was counseled by clinician and both vaccines were administered by staff. Pt. showed no S/s for the first 10 minutes. However, while walking out of the room, pt. reported she has difficulty breathing. Pt. was brought back in the room for further assessment during which pt. reported she cannot breathe. 911 was called. Benadryl 50 mg IM was administered by clinician. Pt. stated she felt a little better with Benadryl. EMS arrived, assessed pateint. VS - 139/94 BP, 114 HR, 18 RR, O2 Sat 100%. Pt. has hx of anxiety and panic attacks and states she got little anxious when she received the vaccine. Pt. is currently taking no medication for anxiety. Pt. refused to go to ER stating "I feel better now". VS before leaving clinic - BP 130/85 sitting L arm, Pulse 112 regular, RR 18, O2 Sat 100% Room air. Pt. left clinic with Family member. Pt. was advised to follow up with PCP.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Fatigue, Injected limb mobility decreased, Nausea, Pyrexia
Clinical narrative: RIGHT ARM CANNOT PICK UP ANYTHING, CAN ONLY LIFT ARM UP TO ABDOMINAL LEVEL.  STATIONARY MOVEMENT IS OK. RIGHT ARM TENDER TO TOUCH. EXPERIENCING FATIGUE, NASEA WITHOUT VOMITING, LOW GRADE FEVER AND CHILLS.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Tenderness, Weight bearing difficulty
Clinical narrative: RIGHT ARM CANNOT PICK UP ANYTHING, CAN ONLY LIFT ARM UP TO ABDOMINAL LEVEL.  STATIONARY MOVEMENT IS OK. RIGHT ARM TENDER TO TOUCH. EXPERIENCING FATIGUE, NASEA WITHOUT VOMITING, LOW GRADE FEVER AND CHILLS.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Headache, Presyncope
Clinical narrative: patient reported headache and dizziness that started the day after vaccination and persisted for 4-5 days after the vaccination with some episodes of pre-syncope
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Eye inflammation, Eye swelling, Ocular hyperaemia
Clinical narrative: Patient called day after flu vaccine administration saying her eyes were swollen, almost shut in the morning. Also said they were very red and inflamed. Patient was advised to followup with doctor and take Benadryl in meantime. She came back couple days later and symptoms were much improved.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Facial paralysis, Facial paresis, Magnetic resonance imaging normal
Clinical narrative: Patient awoke with facial droop on same side as the vaccine was given.  Of interest, she had the forehead sparing and so a stroke was strongly considered.  A stroke was ruled out and she was diagnosed with Bell's like palsy
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Chills, aches, fever started at 3 am the next day and lasted until the afternoon.  I started taking Ibuprofen as soon as I got home from the vaccine and continued taking every 4 hours until all symptoms were gone about 24 hours later.
Age: 64.0
Sex: F
Vaccine: MMR, TYP, UNK
Symptoms: Breast pain
Clinical narrative: developed breast pain in july 2019.   reports other individuals traveling who had received similar vaccines had also developed breast pain or neck pain after vaccines.
Age: 67.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Asthenia, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Severe pain in L deltoid, nausea, H/A, fatigue, weakness, generalized achiness
Age: 67.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Pain
Clinical narrative: Severe pain in L deltoid, nausea, H/A, fatigue, weakness, generalized achiness
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pruritus, Swelling
Clinical narrative: Sore, swelling, itching No treatment
Age: 61.0
Sex: M
Vaccine: UNK
Symptoms: Arthralgia, Fatigue, Headache, Influenza like illness, Myalgia
Clinical narrative: Muscle Aches, Joint pain, mild headache, mild fever, fatigued.  Feels just like the flu, without the nausea.
Age: 61.0
Sex: M
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: Muscle Aches, Joint pain, mild headache, mild fever, fatigued.  Feels just like the flu, without the nausea.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Tenderness, Vaccination site mass, Vaccination site pain
Clinical narrative: Pt. experienced arm soreness for about 2 days post vaccination. No pain to report for 2 weeks, then pain in vaccinated area started along with 3, pea sized lumps. Lumps are tender & arm is tender
Age: 18.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Chills, Full blood count normal, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient Had a severe redness, pain, extending to underarm on the site of Bexero. Fevers, chills x4 days Exam - negative for any other. Redness improved with Zyrtec 10mg QD for 5 days.
Age: 18.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Laboratory test abnormal, Pyrexia, Ultrasound scan abnormal
Clinical narrative: Patient Had a severe redness, pain, extending to underarm on the site of Bexero. Fevers, chills x4 days Exam - negative for any other. Redness improved with Zyrtec 10mg QD for 5 days.
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: (9-9) swelling & redness tender, warm @ injection site next day (9-11) called pt & she said it had resolved
Age: 3.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Pt developed mild local vaccine reaction at the site of injection (R deltoid area): swelling & redness approximately 2 inches. Seen back by us on 9/5/2019. No other systemic condition. Given 1 dose of Benadryl & Ibuprofen
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Hypoaesthesia oral
Clinical narrative: Patient's lips started to get numb and she said she felt really heavy. She took a Benadryl and felt better and was able to go home about 20 minutes later.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Oropharyngeal discomfort, Paraesthesia, Pruritus
Clinical narrative: PATIENT RECEIVED VACCINATION AT 6PM 9/10/19. AT 6:30PM PATIENT REPORTED TINGLING IN THE FACE AND BODY-WIDE ITCHING. SHE TOOK 2 BENADRYL AT THIS TIME. AT 8PM SHE REPORTED STILL ITCHING BUT ALSO HAD "THROAT ISSUES" - SHORTLY AFTER THIS SHE LEFT WORK TO GO TO ER. THE NEXT DAY SHE HAD A FOLLOW UP VISIT TO URGENT CARE.
Age: 68.0
Sex: M
Vaccine: FLUA3, VARZOS
Symptoms: Chills, Insomnia, Mobility decreased, Respiratory tract congestion
Clinical narrative: Difficulty sleeping, legs locking up while trying to sleep, chills and congestion.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Erythema, Local reaction, Swelling
Clinical narrative: Local reaction (6-7 cm) redness swelling
Age: 11.0
Sex: F
Vaccine: HPV9, HPV9
Symptoms: Alopecia
Clinical narrative: hair loss; the patient is depressed; This spontaneous report was received from a nurse, who is also the patient's mother, and refers to a 11-year-old female patient. No information regarding the patient's pertinent medical history, drug reactions or allergies and concomitant therapies was provided. On 16-APR-2019, the patient was vaccinated with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) injection, intramuscularly (dose was not reported) (lot # was reported as R25731 and expiration date was reported as 18-JUN-2021) for prophylaxis. On 19-APR-2019, the patient started to experience hair loss. On an unknown date in 2019, reported as now, the patient lost all of her hair and was depressed due to hair loss. The patient sought medical attention and received prednisone and unspecified cream and shampoo for hair loss. A complete blood count (CBC), liver function test and thyroid level test were performed on an unknown date (results were not provided). The outcome of hair loss and depression was reported as not recovered/not resolved. No causality assessment was provided by the reporter.  Lot #R25731 has been verified to be non-valid for hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9).
Age: 11.0
Sex: F
Vaccine: HPV9, HPV9
Symptoms: Alopecia, Depression, Full blood count, Liver function test, Thyroid function test
Clinical narrative: hair loss; the patient is depressed; This spontaneous report was received from a nurse, who is also the patient's mother, and refers to a 11-year-old female patient. No information regarding the patient's pertinent medical history, drug reactions or allergies and concomitant therapies was provided. On 16-APR-2019, the patient was vaccinated with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) injection, intramuscularly (dose was not reported) (lot # was reported as R25731 and expiration date was reported as 18-JUN-2021) for prophylaxis. On 19-APR-2019, the patient started to experience hair loss. On an unknown date in 2019, reported as now, the patient lost all of her hair and was depressed due to hair loss. The patient sought medical attention and received prednisone and unspecified cream and shampoo for hair loss. A complete blood count (CBC), liver function test and thyroid level test were performed on an unknown date (results were not provided). The outcome of hair loss and depression was reported as not recovered/not resolved. No causality assessment was provided by the reporter.  Lot #R25731 has been verified to be non-valid for hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9).
Sex: M
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: site of swelling and redness was the size of a tennis ball; site of swelling and redness was the size of a tennis ball; This spontaneous report has been received from a nurse referring to an 88-year-old male patient with hypothyroidism, trial fibrillation, hypertension, gout, Parkinson, anemia, high cholesterol, insomnia, vitamin b2 and D deficiency, trazodone hydrochloride allergy and rivaroxaban (XARELTO) allergy. Concomitant therapies included carbidopa (+) levodopa (SINEMET), cyanocobalamin, apixaban (ELIQUIS), furosemide (LASIX), levothyroxine sodium (SYNTHROID), losartan potassium (COZAAR), vitamins (unspecified), omega-3 marine triglycerides, omeprazole (PRILOSEC), rasagiline, febuxostat (ULORIC) and zolpidem tartrate (AMBIEN).     On 27-AUG-2019, the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) (lot # S005857, Expiration Date: 03-DEC-2020) intramuscularly for prophylaxis (also reported as routine vaccination) (strength, dose and frequency were not reported).        On 28-AUG-2019, the patient experienced swelling and redness at injection of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23). The site of swelling and redness was the size of a tennis ball. It was unknown if the patient received treatment for the event. There were no laboratory diagnostics were performed. The patient sought medical attention.  The outcome of the event was not reported. The causality between the event and pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) was not provided.
Sex: M
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: site of swelling and redness was the size of a tennis ball; site of swelling and redness was the size of a tennis ball; This spontaneous report has been received from a nurse referring to an 88-year-old male patient with hypothyroidism, trial fibrillation, hypertension, gout, Parkinson, anemia, high cholesterol, insomnia, vitamin b2 and D deficiency, trazodone hydrochloride allergy and rivaroxaban (XARELTO) allergy. Concomitant therapies included carbidopa (+) levodopa (SINEMET), cyanocobalamin, apixaban (ELIQUIS), furosemide (LASIX), levothyroxine sodium (SYNTHROID), losartan potassium (COZAAR), vitamins (unspecified), omega-3 marine triglycerides, omeprazole (PRILOSEC), rasagiline, febuxostat (ULORIC) and zolpidem tartrate (AMBIEN).     On 27-AUG-2019, the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) (lot # S005857, Expiration Date: 03-DEC-2020) intramuscularly for prophylaxis (also reported as routine vaccination) (strength, dose and frequency were not reported).        On 28-AUG-2019, the patient experienced swelling and redness at injection of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23). The site of swelling and redness was the size of a tennis ball. It was unknown if the patient received treatment for the event. There were no laboratory diagnostics were performed. The patient sought medical attention.  The outcome of the event was not reported. The causality between the event and pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) was not provided.
Sex: U
Vaccine: VARZOS
Symptoms: Axillary pain, Fatigue, Feeling hot, Gastrointestinal disorder, Nausea
Clinical narrative: 9/3/19y- arm was sore, felt tired,  hot, by the time I got home from work had fever (~101,7) 9/4/19- arm still sore, tired, nauseous,   9/5/19- arm sore, pain in my armpit, some digestive issues  9/6/19- nauseous,  arm sore,  armpit sore,  tired 9/7/19- tired soreness
Sex: U
Vaccine: VARZOS
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: 9/3/19y- arm was sore, felt tired,  hot, by the time I got home from work had fever (~101,7) 9/4/19- arm still sore, tired, nauseous,   9/5/19- arm sore, pain in my armpit, some digestive issues  9/6/19- nauseous,  arm sore,  armpit sore,  tired 9/7/19- tired soreness
Age: 65.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Blood test, Chest X-ray, Chest discomfort, Chills, Cough
Clinical narrative: Started with cough and runny nose, then tightness in chest (used inhaler) then shivered for 3 hrs. Followed by fever and heart rate that went from 80 to 110 in two hrs at which point I went to the er
Age: 65.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Heart rate increased, Pyrexia, Rhinorrhoea, Urine analysis
Clinical narrative: Started with cough and runny nose, then tightness in chest (used inhaler) then shivered for 3 hrs. Followed by fever and heart rate that went from 80 to 110 in two hrs at which point I went to the er