chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.0
Sex: F
Vaccine: HEP
Symptoms: Mast cell activation syndrome, Pain, Screaming, Vomiting
Clinical narrative: Baby had perfect Apgar scores and was resting peacefully from birth to time of immunization. She was given her Hep B vaccine and we decided to try to rest. Approximately 1 hour later, patient woke up, was beat red screaming arching her back and vomiting. She has dealt with so much pain from reflux that we thought she was having seizures (EEG came back clear). At 17 mos old now, we finally have a diagnosis of long-term, incurable Mast Cell Activation Syndrome. She cannot eat any foods whatsoever and doesn't tolerate formula well. She vomits into her mouth hundreds of times a day and swallows back down.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Dehydration, Diarrhoea, Pain
Clinical narrative: PATIENT ROPORTED NEXT DAY SHE HAD SEVERE DIARRHEA - LOST A LOT OF FLUID AND DEHYDRATION. DID HAVE SOME SORENESS DUE TO INJECTION.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Headache, Impaired work ability, Injection site pain
Clinical narrative: Low-grade fever, chills, nausea, headache, joint and muscle pain, unrelieved by TYLENOL, for 36 hours. Pain at injection site with left axilla lymphadenopathy. Unable to work X 36 hours.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Lymphadenopathy, Myalgia, Nausea, Pyrexia
Clinical narrative: Low-grade fever, chills, nausea, headache, joint and muscle pain, unrelieved by TYLENOL, for 36 hours. Pain at injection site with left axilla lymphadenopathy. Unable to work X 36 hours.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Very shortly after having the shot, the area swelled up into a circle about two inches in diameter. It became red. Swollen up. Sore. The swelling did not go down for at least a week. I put ice on it.  There is still a slight redness to this area now, almost five weeks after the shot.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Angina pectoris, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: 04/17/2019 p.m. chills, headache, heart pain, neck pain on right side, arm pain at injection, fatigue. By the next morning about 10:00 am I felt better, stayed tired that day, took TYLENOL and by Friday I was much better although I still have neck pain 04/19/2019.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Neck pain
Clinical narrative: 04/17/2019 p.m. chills, headache, heart pain, neck pain on right side, arm pain at injection, fatigue. By the next morning about 10:00 am I felt better, stayed tired that day, took TYLENOL and by Friday I was much better although I still have neck pain 04/19/2019.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Middle insomnia, Muscular weakness, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: PER PATIENT 4/18/19 ARM PAIN AND LEG WEAKNESS WOKE HER UP IN THE MIDDLE OF NIGHT;  4/19/19 LOW GRADE FEVER AND LOCAL ARM SWELLING.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Impaired work ability, Pain in extremity
Clinical narrative: Patient states that the evening after receiving vaccine in the office, her arm was sore and she was a little dizzy. The following morning she woke up more dizzy and lightheaded and had to stay home from work. She was back to baseline by the following day.
Age: 62.0
Sex: F
Vaccine: HPV9
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PATIENT WAS 62 YEARS OF AGE AND RECEIVED GARDASIL 9 ON JULY 18, 2017 WHICH ACCORDING TO ACIP GUIDELINES SHOULD ONLY BE ADMINISTERED UP TO AGE 26 FOR FEMALES. NO ADVERSE REACTION OCCUR. PATIENT CAME TO THE PHARMACY TO GET SECOND DOSE HOWEVER PHARMCIST STATED IT WAS NOT CLINICALLY CORRECT BASED ON PATIENT'S AGE.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash, Rash erythematous
Clinical narrative: About 10 days after my daughter received her first MMR vaccine, she developed a fever (103 at its highest). A couple of days later, she developed a rash of small red bumps over her trunk, upper legs, and face. The fever lasted about two days, and the rash lasted about 3 days. Our pediatrician warned us that there was a small chance we'd see a fever and rash after the vaccine, and that as long as her fever never got too high, the rash faded, and she didn't seem ill that there was no reason for concern. About 5 days after the fever began all symptoms resolved.  We did not offer any treatment as she never seemed in distress, and her fever never rose above 103.
Age: 64.0
Sex: M
Vaccine: UNK
Symptoms: Arthralgia, Decreased appetite, Fatigue, Influenza like illness, Pyrexia
Clinical narrative: 'Extreme' Joint Pain, Fatigue, Feverish but no measurable fever.  Loss of appetite. Overall Flu like symptoms.
Age: 1.25
Sex: M
Vaccine: HIBV
Symptoms: Injection site erythema, Vaccination site induration, Vaccination site mass, Vaccination site pain, Vaccination site swelling
Clinical narrative: Redness, swelling, firm lump, and pain at vaccine site.  Size of lump approx 4 cm diameter.  Worsened over 1-2 days with gradual decrease in size over the next 4-5 days.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Flushing, Pain in extremity
Clinical narrative: Moderate to severe pain in arm, flushed, fatigue.
Age: 0.75
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Injection site erythema, Vaccination site induration, Vaccination site mass, Vaccination site pain, Vaccination site swelling
Clinical narrative: Redness, swelling, firm lump, and pain at vaccine site in left thigh.  Diameter of lump approx 4 cm.  Onset within 24 hours, worsening over 1-2 days, and gradual improvement over 1-2 days so far.  Lump still present
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site indentation, Injection site pain
Clinical narrative: Per pt, her arm at site of injection has "a dent" and is painful at the site.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood chloride decreased, Blood urea increased, Carbon dioxide increased, Dyspnoea, Gait inability
Clinical narrative: She received the second of her SHINGRIX vaccines on 4/16/19. Around 9:00 that night, she started experiencing a HA that progressed down her spine into her legs. She developed a fever of 102 and was unable to walk due to pain and cramping. Her pain was "all over" and it went into the muscles. She is now able to walk and her fever is 100. Next morning, patient was standing in the kitchen and "passed out", but her husband caught her. She was experiencing SOB on 4/16 evening resolved the next day. She had no side effects with the first SHINGRIX. Had 102.0 fever on 3rd night as well with persistent cramping, nausea but slowly improving.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Loss of consciousness, Muscle spasms, Myalgia, Nausea
Clinical narrative: She received the second of her SHINGRIX vaccines on 4/16/19. Around 9:00 that night, she started experiencing a HA that progressed down her spine into her legs. She developed a fever of 102 and was unable to walk due to pain and cramping. Her pain was "all over" and it went into the muscles. She is now able to walk and her fever is 100. Next morning, patient was standing in the kitchen and "passed out", but her husband caught her. She was experiencing SOB on 4/16 evening resolved the next day. She had no side effects with the first SHINGRIX. Had 102.0 fever on 3rd night as well with persistent cramping, nausea but slowly improving.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Pyrexia, Spinal pain
Clinical narrative: She received the second of her SHINGRIX vaccines on 4/16/19. Around 9:00 that night, she started experiencing a HA that progressed down her spine into her legs. She developed a fever of 102 and was unable to walk due to pain and cramping. Her pain was "all over" and it went into the muscles. She is now able to walk and her fever is 100. Next morning, patient was standing in the kitchen and "passed out", but her husband caught her. She was experiencing SOB on 4/16 evening resolved the next day. She had no side effects with the first SHINGRIX. Had 102.0 fever on 3rd night as well with persistent cramping, nausea but slowly improving.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Member came in today to provide feedback on her SHINGRIX vaccine that she received on 04/02/2019. She indicated that she had soreness, redness, swelling and pain around injection site.  She also mentioned that she had low grade fever with the temperature about 100 for couple of days. She felt fine after 2 to 3 days.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Dysphagia, Hypoaesthesia oral, Pharyngeal hypoaesthesia, Swollen tongue
Clinical narrative: I gave the patient SHINGRIX vaccine to day and instructed patient to wait in the store 20 minutes after administration, about 45 minutes after the vaccine, patient came back complaining of swelling in tongue and numbness in her mouth and throat, and unable to swallow, I gave her a BENADRYL and water asked to stay and relax for some time, also asked her if she would like me to call the ambulance, she said no, lets wait and see if the BENADRYL works first. I stood and watched her, told her not to worry, I'm trained to handle such emergency -and that seems to calm her a bit - after few minutes she reported starting to feel better and swelling of the tongue going down, after about 30 minutes she reported feeling normal  and she feels she is ok to go home, her son was with her and stated that he is going to drive her home. Instructed her to be careful of dizziness and falling because of the BENADRYL today unusual.
Age: 47.0
Sex: F
Vaccine: MNQ
Symptoms: No adverse event, Wrong product administered
Clinical narrative: PATIENT WAS NOT SUPPOSED TO RECEIVE MENINGITIS.  MMR WAS ORDERED BUT NURSE GAVE MENINGITIS.  NO KNOWN REACTIONS.
Age: 85.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Two days after injection she noted a red, swollen spot at injection site on left deltoid. Hot to touch. Applying ice and taking IBU, states today it looks and feels better.
Age: 85.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Injection site reaction, Local reaction
Clinical narrative: Two days after injection she noted a red, swollen spot at injection site on left deltoid. Hot to touch. Applying ice and taking IBU, states today it looks and feels better.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Swollen, warm to touch, right arm (Kinrix)
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Myalgia, Pyrexia, Vaccination complication
Clinical narrative: Pt came to pharmacy on 4/13/19 and informed me that he had a reaction to SHINGRIX. He experienced chills, fever, muscle soreness. BP was 134/68, HR - 80 (on 4/12/19) on 4/13/19 - only soreness. 4/19/19 - contacted pt - did not experience any symptoms in a few days. No medical help. Tried to reach pt few times-no answer.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of product administration, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Large, red and swollen area of back left arm and itchy. Doctor told her to take BENADRYL. She picked up BENADRYL 4-19-19. She is to call Dr. if it gets worse.
Age: 1.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, MMR, PNC13, VARCEL
Symptoms: Unevaluable event
Clinical narrative: To be monitored by parent.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Lip swelling, Pruritus
Clinical narrative: Swelling of lips and itching.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Eye irrigation, Fatigue, Headache, Injection site erythema
Clinical narrative: Suddenly, my eyes felt gritty, had a sore throat, slight tightness in chest. Both eyes became totally bloodshot and very red beneath my eyes. I felt tired and had a headache. My bloodshot eyes lasted for 2 1/2 days. My arm was red and swollen from upper right where shot was given to elbow which lasted for 3 days. I was alarmed that my eyes were so red.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Ocular hyperaemia, Oropharyngeal pain, Skin reaction
Clinical narrative: Suddenly, my eyes felt gritty, had a sore throat, slight tightness in chest. Both eyes became totally bloodshot and very red beneath my eyes. I felt tired and had a headache. My bloodshot eyes lasted for 2 1/2 days. My arm was red and swollen from upper right where shot was given to elbow which lasted for 3 days. I was alarmed that my eyes were so red.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: erythema and swelling to upper left arm.  No pain, no systemic illnesses
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Cellulitis at Injection site, redness, swollen-red line traveling up arm, prescribed Bactrim DS
Age: 63.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Dizziness, Pain in extremity
Clinical narrative: Patient called pharmacy stated that she felt dizzy and both arms pain and leg pain when she wake up at 6 am 4/19/19. She has to go to doctor for cancer treatment appointment and doctor looked injection site. No rash. No redness.
Age: 78.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Breast enlargement, Breast induration, Breast swelling, Pyrexia
Clinical narrative: She was administered the vaccine on a Wednesday evening. She reported no pain afterwards, but her left breast became enlarged, "like a coconut- hard, not lumpy, just a hard spot." On Sunday, she visited the ER. The doctor told her that she had a mild fever, but not enough fluid to require draining. She was told to take Tylenol, and was later prescribed a total of 14 days of clindamycin. The day after I spoke to her in the pharmacy, she left for vacation, so I have been unable to follow up.
Age: 78.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Breast induration, Breast swelling, Pyrexia
Clinical narrative: She was administered the vaccine on a Wednesday evening. She reported no pain afterwards, but her left breast became enlarged, "like a coconut- hard, not lumpy, just a hard spot." On Sunday, she visited the ER. The doctor told her that she had a mild fever, but not enough fluid to require draining. She was told to take Tylenol, and was later prescribed a total of 14 days of clindamycin. The day after I spoke to her in the pharmacy, she left for vacation, so I have been unable to follow up.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: On 4/18/2019 patient called to report an injection site reaction to a SHINGRIX vaccination administered on 4/16/2019. Patient reported experiencing swelling, redness and pain/soreness at the injection site (an area of approximately 3 inches) that started after injection but symptoms were improving. Patient reported no difficulty breathing or symptoms. On the follow up call on 4/19/2019 patient reports there is still some pain but that the reaction was continuing to improve.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Myalgia, Pyrexia
Clinical narrative: Fever, soreness in muscle and injection site.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal distension, Abdominal pain, Asthenia, Chills, Flatulence
Clinical narrative: Fever 101.6, chills, muscle pain, weakness  started the morning after vaccine was given. Later that day, abdominal pain(bloating, gas) nausea.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Fever 101.6, chills, muscle pain, weakness  started the morning after vaccine was given. Later that day, abdominal pain(bloating, gas) nausea.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Injection site pain
Clinical narrative: Muscle ache at site of injection, low grade fever (100), fatigue, headache, chills, lack of appetite lasting three days.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Muscle ache at site of injection, low grade fever (100), fatigue, headache, chills, lack of appetite lasting three days.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injection site pain, Injection site warmth, Nausea
Clinical narrative: About 12 hours after the injection I began to experience the following affects: Fever of 102, chills, aches, nausea, and headache. These lasted about 36 hours followed by a bright red rash on neck & torso. I'm now 4 days past the vaccine but still experiencing pain at injection sight (painful to touch, warm). The rash is almost completely gone.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia, Rash, Rash erythematous
Clinical narrative: About 12 hours after the injection I began to experience the following affects: Fever of 102, chills, aches, nausea, and headache. These lasted about 36 hours followed by a bright red rash on neck & torso. I'm now 4 days past the vaccine but still experiencing pain at injection sight (painful to touch, warm). The rash is almost completely gone.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Asthenia, Chills, Headache, Injection site pain
Clinical narrative: Pain where shot was given, muscle pain, feeling weak, headache, shivering, fever, stomach pain.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pyrexia
Clinical narrative: Pain where shot was given, muscle pain, feeling weak, headache, shivering, fever, stomach pain.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Fever of 100 deg, chills, myalgias similar to previous but not as bad.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Erythema, Headache, Nausea, Pain
Clinical narrative: Large raised, red burning area just below vaccination site, followed by nausea, headache, general achiness for about 4 days.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: Large raised, red burning area just below vaccination site, followed by nausea, headache, general achiness for about 4 days.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Headache, Insomnia, Pain
Clinical narrative: Body aches, headache, chills, sleeplessness.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Chills, Headache, Injection site pain
Clinical narrative: Injection site localized pain started approximately 10 hours post injection. I used an ice pack on the site and took 400 mg of ibuprofen. Before the injection I had no pain, fever, muscle soreness, or joint pain. I took one 500 mg extra strength TYLENOL before bed. I awoke from sleep in my bed at 2 AM feeling chilled with severe arm pain at site of injection. I did nothing and tried to go back to sleep feeling this was normal. At 6 AM on the 20th of April I awoke and while getting out of bed felt arm soreness, feverish, headache, muscle pain in my upper back and neck and joint pain in both hips, both knees and both ankles. I took my temperature orally and it was 101.4 degrees F. I ate breakfast even though slightly nauseated, so I could take one 600 mg ibuprofen tablet. Continued ice pack applications and bed rest seem to be helping. As a pharmacist I understand how important reporting ADR's are for documentation.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Middle insomnia, Nausea, Neck pain, Pain in extremity, Pyrexia
Clinical narrative: Injection site localized pain started approximately 10 hours post injection. I used an ice pack on the site and took 400 mg of ibuprofen. Before the injection I had no pain, fever, muscle soreness, or joint pain. I took one 500 mg extra strength TYLENOL before bed. I awoke from sleep in my bed at 2 AM feeling chilled with severe arm pain at site of injection. I did nothing and tried to go back to sleep feeling this was normal. At 6 AM on the 20th of April I awoke and while getting out of bed felt arm soreness, feverish, headache, muscle pain in my upper back and neck and joint pain in both hips, both knees and both ankles. I took my temperature orally and it was 101.4 degrees F. I ate breakfast even though slightly nauseated, so I could take one 600 mg ibuprofen tablet. Continued ice pack applications and bed rest seem to be helping. As a pharmacist I understand how important reporting ADR's are for documentation.
Age: 84.0
Sex: M
Vaccine: FLU3
Symptoms: Metabolic function test normal, Rash erythematous, Rash macular
Clinical narrative: Patient developed a red to purple blotchy rash on entire lower body a few days after vaccination and lasted a little less than 2 weeks.
Age: 20.0
Sex: M
Vaccine: TYP
Symptoms: Chills, Cough, Headache, Influenza like illness, Lethargy
Clinical narrative: Within an hour I experienced inflammation and aching in the site of the vaccine. Later that night I started to feel lethargic and my legs were a little weak. The morning after the vaccination I experienced strong flu-like symptoms including fever, chills, lethargy, malaise, muscle aches, strong headache, coughing and phlegm.
Age: 20.0
Sex: M
Vaccine: TYP
Symptoms: Malaise, Muscular weakness, Myalgia, Productive cough, Pyrexia
Clinical narrative: Within an hour I experienced inflammation and aching in the site of the vaccine. Later that night I started to feel lethargic and my legs were a little weak. The morning after the vaccination I experienced strong flu-like symptoms including fever, chills, lethargy, malaise, muscle aches, strong headache, coughing and phlegm.
Age: 20.0
Sex: M
Vaccine: TYP
Symptoms: Vaccination site inflammation, Vaccination site pain
Clinical narrative: Within an hour I experienced inflammation and aching in the site of the vaccine. Later that night I started to feel lethargic and my legs were a little weak. The morning after the vaccination I experienced strong flu-like symptoms including fever, chills, lethargy, malaise, muscle aches, strong headache, coughing and phlegm.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13
Symptoms: Lacrimation increased, Measles post vaccine, Oral mucosal erythema, Oral papule, Rash
Clinical narrative: vaccine-related measles infection.   Patient was seen 4/8/2019, about 2 days after rash appeared, no fever.  She had a rash that had started on the scalp, was maculopapular and extended to her upper diaper area.  Rash was becoming confluent, no vesicles.  She also had watery eyes and erythematous papules on the soft palate.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13
Symptoms: Rash maculo-papular
Clinical narrative: vaccine-related measles infection.   Patient was seen 4/8/2019, about 2 days after rash appeared, no fever.  She had a rash that had started on the scalp, was maculopapular and extended to her upper diaper area.  Rash was becoming confluent, no vesicles.  She also had watery eyes and erythematous papules on the soft palate.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site inflammation, Injection site nodule, Injection site pain
Clinical narrative: Pt complained of knot in right deltoid and soreness and inflammation.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Fatigue, Hyperhidrosis
Clinical narrative: 12 hours after recieving vaccine, I started to get chills and shivering. The shivering got worse and my temperature rose to about 102 degrees. I started sweating and could not stop shivering. This lasted about 2 hours and then stopped. I was exhausted afterwords.
Age: 17.0
Sex: F
Vaccine: HEPA
Symptoms: Lethargy, Loss of consciousness, Syncope
Clinical narrative: Syncope,  patient did lose consciousness briefly but did not fall, her mother was able to lower her to the floor.  Woke up immediately but was very lethargic for approimately 15 minutes.   We did call 911 and her mother elected to go to hospital for evaluation.  Patient was discharged in good health.
Age: 50.0
Sex: F
Vaccine: MMR
Symptoms: Chest discomfort, Pruritus generalised
Clinical narrative: Patient received an MMR vaccine as a requirement for her job at approximately noon today, approximately 30 minutes later developed generalized pruritus without rash, and chest tightness. She presented to the Emergency Department
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Altered state of consciousness, Blood pressure decreased, Dizziness, Fatigue, Injection site pain
Clinical narrative: The day after the vaccine around noon I felt very faint and almost passed out.  My blood pressure was lower than normal.  I had a fever of about 100 and felt very drained and ached all over and my throat hurt.  My arm was still hurting pretty bad where the shot was administered. I had to stay in bed until the next day.  The afternoon of the second day I was feeling much better.
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: The day after the vaccine around noon I felt very faint and almost passed out.  My blood pressure was lower than normal.  I had a fever of about 100 and felt very drained and ached all over and my throat hurt.  My arm was still hurting pretty bad where the shot was administered. I had to stay in bed until the next day.  The afternoon of the second day I was feeling much better.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever of 100.5, chills, body ache, headache.
Age: 85.0
Sex: M
Vaccine: PPV
Symptoms: Injection site swelling, Joint swelling, Myalgia, Peripheral swelling, Pruritus
Clinical narrative: 4/17/2019 at 9:40AM: immunization administered into right arm. No issues/no foreseeable reaction(s). Patient left without issues. 4/18/2019 at 6:00AM: patient reported waking up to a swollen upper arm that was approaching elbow, which was also quite swollen. Patient reports that the arm had started to itch significantly. Patient applied ice and hyrdrocortisone cream to limit the itch. 4/19/2019: at 10:00am: patient came into pharmacy with swelling of his right arm that had progressed further down his arm, now past his elbow and onto forearm. Patient reported itch was not any better even with use of hydrocortisone cream and ice. Elbow was still quite swollen. Patient initiated diphenhydramine 25mg every 4-6 hours to help with the itching. 4/20/2019 at 4:30pm: patient reported the swelling had begun to recede and the itching was not as bad. Patient reported that their bicep was tender/sore to the touch but confirmed that swelling of arms/elbow had begun to diminish.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: I experienced chills and a fever of 103.4 beginning the night of the shot headache and nausea. The next day the fever had started to decrease to 101 then 100 within 24 hours. I also had extreme exhaustion. Starting Friday I began to feel somewhat better but still maintained a low grade fever of 99.5. The injection site is swollen and hot to the touch with a red welt about 4 inches in diameter. This is very painful. In general I believe I am on the mend. But not looking forward to round 2. I have been taking TYLENOL.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site urticaria, Injection site warmth, Nausea, Pyrexia
Clinical narrative: I experienced chills and a fever of 103.4 beginning the night of the shot headache and nausea. The next day the fever had started to decrease to 101 then 100 within 24 hours. I also had extreme exhaustion. Starting Friday I began to feel somewhat better but still maintained a low grade fever of 99.5. The injection site is swollen and hot to the touch with a red welt about 4 inches in diameter. This is very painful. In general I believe I am on the mend. But not looking forward to round 2. I have been taking TYLENOL.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site swelling, Nausea
Clinical narrative: Nausea, shaking chills, red swollen painful injection site for 4 days.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: Nausea, shaking chills, red swollen painful injection site for 4 days.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Joint range of motion decreased, Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: Severe pain in whole upper arm, limited range of motion (could not lift arm greater than 90 degrees), whole body ache all within 10-48 hrs of vaccine. Chills started 24 hours after vaccine. Had to sleep it off. At 36 hours all symptoms began improving except still had severe localized pain in right shoulder. Shoulder is still painful to touch 3.5 days later, but otherwise feel fine now. Never had reaction to any other vaccine before other than minor soreness at injection site and felt perfectly healthy when had vaccine. No fever or cold or flu symptoms. The day after shot was really unbearable.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Tenderness
Clinical narrative: Severe pain in whole upper arm, limited range of motion (could not lift arm greater than 90 degrees), whole body ache all within 10-48 hrs of vaccine. Chills started 24 hours after vaccine. Had to sleep it off. At 36 hours all symptoms began improving except still had severe localized pain in right shoulder. Shoulder is still painful to touch 3.5 days later, but otherwise feel fine now. Never had reaction to any other vaccine before other than minor soreness at injection site and felt perfectly healthy when had vaccine. No fever or cold or flu symptoms. The day after shot was really unbearable.
Age: 72.0
Sex: F
Vaccine: PNC13, TDAP, VARZOS
Symptoms: Dyspnoea, Pruritus, Urticaria
Clinical narrative: Patient experienced itching the night of the vaccine and noticed spots of hives on her arms the next morning around 10am. It then proceeded to cause trouble breathing (short breaths) a few hours later. She did not have a fever. She called her primary care doctor who instructed her to take a breathing treatment (nebulized ipratropium/albuterol) and call the doctor if she didn't feel better in a few hours. Condition has since resolved except there are a few spots on her elbow where she scratched.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site erythema, Injection site swelling, Nasopharyngitis, Pain
Clinical narrative: Low-grade fever, chills, ache all over, cold, swollen arm at site and quite red.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Low-grade fever, chills, ache all over, cold, swollen arm at site and quite red.
Age: 62.0
Sex: F
Vaccine: PPV, VARZOS, VARZOS
Symptoms: Chills, Pain in extremity, Pyrexia
Clinical narrative: PATIENT CALLED THE PHARMACY 4/20/19 STATING SHE IS HAVING A REACTION TO THE VACCINES SHE RECIEVED ON 4/18/19. SHE IS HAVING ARM SORENESS, CHILLS, AND FEVER. SHE IS TAKING IBUPROFEN TO TRY TO GET RELIEF. SHE IS NOT HAVING DIFFICULTY BREATHING. WHILE IT IS HARD TO TELL WHICH VACCINE CAUSED THIS, THIS REACTION COULD OCCUR WITH EITHER ONE. PATIENT WILL CONTINUE TO MONITOR HER SYMPTOMS.
Age: 62.0
Sex: F
Vaccine: PPV, VARZOS, VARZOS
Symptoms: Chills, Headache, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: PATIENT CALLED THE PHARMACY 4/20/19 STATING SHE IS HAVING A REACTION TO THE VACCINES SHE RECIEVED ON 4/18/19. SHE IS HAVING ARM SORENESS, CHILLS, AND FEVER. SHE IS TAKING IBUPROFEN TO TRY TO GET RELIEF. SHE IS NOT HAVING DIFFICULTY BREATHING. WHILE IT IS HARD TO TELL WHICH VACCINE CAUSED THIS, THIS REACTION COULD OCCUR WITH EITHER ONE. PATIENT WILL CONTINUE TO MONITOR HER SYMPTOMS.
Age: 62.0
Sex: F
Vaccine: PPV, VARZOS, VARZOS
Symptoms: Nausea, Pyrexia
Clinical narrative: PATIENT CALLED THE PHARMACY 4/20/19 STATING SHE IS HAVING A REACTION TO THE VACCINES SHE RECIEVED ON 4/18/19. SHE IS HAVING ARM SORENESS, CHILLS, AND FEVER. SHE IS TAKING IBUPROFEN TO TRY TO GET RELIEF. SHE IS NOT HAVING DIFFICULTY BREATHING. WHILE IT IS HARD TO TELL WHICH VACCINE CAUSED THIS, THIS REACTION COULD OCCUR WITH EITHER ONE. PATIENT WILL CONTINUE TO MONITOR HER SYMPTOMS.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site pain, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Strong burning on administration. Red, swollen area size of a silver dollar. Severe aching of arm, somewhat relieved with ibuprofen. Slight fever and nausea.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: Strong burning on administration. Red, swollen area size of a silver dollar. Severe aching of arm, somewhat relieved with ibuprofen. Slight fever and nausea.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Lethargy, Pallor, Presyncope
Clinical narrative: Patient recieved Menactra U6207AA Expiration 05/25/2020 during the visit.  Right after the patinet left from the clinic within few steps from the clinic door, the provider found mother calling for help holding the patient who was about to faint.  The provider assisted the mother and held the patient and placed the patient down to the floor in front of the side B clinic area.  Patient was conscious at that time but lathergic.  He was able to tell his name, place and date.  Vital signs were assessed several time over the 15 min of monitoring the patient by the provider about 5 mins intervals.  Those were 100/62, 110/62, 120/64.  HR were around 61-80.  O2 Sat was initially 94 % at the time of the occurence then up to 98 %.  The patient looked pale color but at the end of 15 min monitoring, pt. colored was back to pink.  The patient denied dizziness, HA, difficulty in breathing. The Patient was gradually encouraged to move the position from lying flat to sitting up, sitting up to sitting on the chair and finally standing up without help.  After confirming patient's last VS (noted previously) and the provider walked with the patient and his mother to the front door.  Gait was steady, the patient was AAO x4 and was able to communiate with the provider.  Mother left voice message twice between 6-6:37 PM.  Unable to reach to the patient or mother.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Injection site pain, Malaise, Myalgia
Clinical narrative: Headache, pain on the site of injection, muscle pain, general malaise, fatigue, fever.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Headache, pain on the site of injection, muscle pain, general malaise, fatigue, fever.
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Nausea, Pyrexia
Clinical narrative: Patient reported feeling feverish, dizzy and nauseated approximately starting 6 hours after getting the vaccine for about 2 days afterwards and recovered. The patient reported taking Tylenol and resting to recover. Denied seeking additional medical treatment and still wants 2nd dose in series.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injected limb mobility decreased, Pain, Pain in extremity
Clinical narrative: Severe pain in injected arm (unable to move), low-grade fever (100 degrees F), headache, body aches, chills. Pain in arm began 3 hours after injection; the rest of the symptoms gradually worsened over the next 8 hours. I took ibuprofen. Symptoms gradually abated beginning the next morning (24 hrs after injection), and disappeared after about 36 hrs following injection.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Severe pain in injected arm (unable to move), low-grade fever (100 degrees F), headache, body aches, chills. Pain in arm began 3 hours after injection; the rest of the symptoms gradually worsened over the next 8 hours. I took ibuprofen. Symptoms gradually abated beginning the next morning (24 hrs after injection), and disappeared after about 36 hrs following injection.
Age: 1.0
Sex: M
Vaccine: MMR, UNK
Symptoms: Varicella post vaccine
Clinical narrative: Second vaccine was chickenpox and he now has the chickenpoxs in his mouth and on his legs very badly
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain, Pain, Pain in extremity, Sleep disorder
Clinical narrative: Within 12 hours of injection, while sleeping, woke up in severe pain coming from L Shoulder; same as injection site. The pain was severe and had very limited range of motion, the pain radiated down the left arm. Was seen by a doctor two weeks after injection and was given Gabapentin for the pain, thinking it was nerve damage, the radiating pain was resolved but the pain to the shoulder persisted. After a month on 10/29/2018, went back to the doctor due to the continued pain and limited range of motion and was given a cortisone injection to the L shoulder, x-rays were also taken and no abnormalities were shown. The  cortisone injection relieved the pain and complete range of motion resumed. The pain returned on 2/2019 as well as the limited range of motion, not as severe as the previous times but still enough to cause sleep disturbance. Returned to the Doctor and was recommended that I do physical therapy but the pain is still there and no improvement on full range of motion.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: X-ray limb normal
Clinical narrative: Within 12 hours of injection, while sleeping, woke up in severe pain coming from L Shoulder; same as injection site. The pain was severe and had very limited range of motion, the pain radiated down the left arm. Was seen by a doctor two weeks after injection and was given Gabapentin for the pain, thinking it was nerve damage, the radiating pain was resolved but the pain to the shoulder persisted. After a month on 10/29/2018, went back to the doctor due to the continued pain and limited range of motion and was given a cortisone injection to the L shoulder, x-rays were also taken and no abnormalities were shown. The  cortisone injection relieved the pain and complete range of motion resumed. The pain returned on 2/2019 as well as the limited range of motion, not as severe as the previous times but still enough to cause sleep disturbance. Returned to the Doctor and was recommended that I do physical therapy but the pain is still there and no improvement on full range of motion.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Upper arm side had pain swelling and turned red and hot at site site of injection. Next day I was very tired. Has been 3 days and its still sore.
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Pain in extremity, Pyrexia
Clinical narrative: Very sore arm and fever that night while sleeping; stomach hurt for 3 days after getting vaccine. Did not seek medical care.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Blood test, Computerised tomogram head normal, Computerised tomogram normal, Contusion
Clinical narrative: Very sore arm and bruised, fever that night while sleeping, stomach hurt for 3 days, passed out while brushing bite guard next morning and sustained head and other body injuries. Due to a blizzard that day, I was taken to ER on 3/14/19 to be checked out as afraid of possibly having blood clot since my eye and cheek were black and blue, and body hurt. Vitals taken and blood tests done as well as CT scan of head and neck and x-rays of right shoulder and leg, and left hand. No blood clot or broken bones found. Recovery took a wk.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Head injury, Injury, Loss of consciousness, Pain, Pain in extremity
Clinical narrative: Very sore arm and bruised, fever that night while sleeping, stomach hurt for 3 days, passed out while brushing bite guard next morning and sustained head and other body injuries. Due to a blizzard that day, I was taken to ER on 3/14/19 to be checked out as afraid of possibly having blood clot since my eye and cheek were black and blue, and body hurt. Vitals taken and blood tests done as well as CT scan of head and neck and x-rays of right shoulder and leg, and left hand. No blood clot or broken bones found. Recovery took a wk.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Skin discolouration, X-ray limb normal
Clinical narrative: Very sore arm and bruised, fever that night while sleeping, stomach hurt for 3 days, passed out while brushing bite guard next morning and sustained head and other body injuries. Due to a blizzard that day, I was taken to ER on 3/14/19 to be checked out as afraid of possibly having blood clot since my eye and cheek were black and blue, and body hurt. Vitals taken and blood tests done as well as CT scan of head and neck and x-rays of right shoulder and leg, and left hand. No blood clot or broken bones found. Recovery took a wk.
Age: 71.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site pain
Clinical narrative: Pt stated that he felt pain at the injection site the next day and it just continued to get worse. He mentioned having vaccines at this site prior and not having problems.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis
Clinical narrative: Patient developed cellulitis after administration.
Age: 65.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal discomfort, Diarrhoea, Fatigue, Hyperhidrosis, Myalgia
Clinical narrative: Fever, muscle aches, upset stomach, vomiting, severe diarrea, fatigue, sweating - all now on second day
Age: 65.0
Sex: M
Vaccine: UNK
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever, muscle aches, upset stomach, vomiting, severe diarrea, fatigue, sweating - all now on second day
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Blood test, Body temperature increased, Chest X-ray, Cough, Diarrhoea
Clinical narrative: by 5:00PM Thursday stools were loose and contained mucous; by 5:00AM Friday stools were loose and contained mucous and streaks of blood and hacking cough was developing; by 5:00PM Friday stools were loose and contained mucous with light tinting of blood and low grade temperature had developed that was treated with a normal dose of Ibuprofen and hacking cough was becoming more pronounced, breathing was becoming more difficult (called Ask A Nurse at Clinic for direction; by 5:00AM Saturday intermittent nausea was occurring, the low grade temperature was persisting and continued normal dosing with Ibuprofen was required; 5:00PM all symptoms were getting worse so finished a job I was on and headed over to Hospital Emergency Room at about 8:00PM; was in the Emergency room from 8:00PM to 12:00 midnight, chest ex-rays, IV liquids, two intravenous antibiotics, catheter urine sample taken, blood drawn, rectal exam,
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Dyspnoea, Haematochezia, Mucous stools, Nausea, Rectal examination
Clinical narrative: by 5:00PM Thursday stools were loose and contained mucous; by 5:00AM Friday stools were loose and contained mucous and streaks of blood and hacking cough was developing; by 5:00PM Friday stools were loose and contained mucous with light tinting of blood and low grade temperature had developed that was treated with a normal dose of Ibuprofen and hacking cough was becoming more pronounced, breathing was becoming more difficult (called Ask A Nurse at Clinic for direction; by 5:00AM Saturday intermittent nausea was occurring, the low grade temperature was persisting and continued normal dosing with Ibuprofen was required; 5:00PM all symptoms were getting worse so finished a job I was on and headed over to Hospital Emergency Room at about 8:00PM; was in the Emergency room from 8:00PM to 12:00 midnight, chest ex-rays, IV liquids, two intravenous antibiotics, catheter urine sample taken, blood drawn, rectal exam,
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Urine analysis
Clinical narrative: by 5:00PM Thursday stools were loose and contained mucous; by 5:00AM Friday stools were loose and contained mucous and streaks of blood and hacking cough was developing; by 5:00PM Friday stools were loose and contained mucous with light tinting of blood and low grade temperature had developed that was treated with a normal dose of Ibuprofen and hacking cough was becoming more pronounced, breathing was becoming more difficult (called Ask A Nurse at Clinic for direction; by 5:00AM Saturday intermittent nausea was occurring, the low grade temperature was persisting and continued normal dosing with Ibuprofen was required; 5:00PM all symptoms were getting worse so finished a job I was on and headed over to Hospital Emergency Room at about 8:00PM; was in the Emergency room from 8:00PM to 12:00 midnight, chest ex-rays, IV liquids, two intravenous antibiotics, catheter urine sample taken, blood drawn, rectal exam,
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Vaccination site swelling
Clinical narrative: SEVERE MUSCLE PAIN AND SWELLING OF THE ARM WHERE THE VACCINE WAS ADMINISTERED. THIS LASTED FOR 48 HOURS
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Oral herpes
Clinical narrative: Red color, slight swelling, pain on the right arm where shot was given. Also, I had Herpes eruption on my lips, headache, and slight fever.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Red color, slight swelling, pain on the right arm where shot was given. Also, I had Herpes eruption on my lips, headache, and slight fever.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Rash on hands.
Age: 88.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site reaction, Rash erythematous, Rash pruritic, Swelling
Clinical narrative: Patient developed a red itchy localized rash near injection site and some swelling about three days after receiving the vaccine.
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Decreased appetite, Feeling cold, Influenza like illness, Pain
Clinical narrative: Flue like symptoms  from 8 am (20 hours after injection)  Cold shivering, no appetite, aching everywhere.   Symptoms lasted 24 hours
Age: 38.0
Sex: M
Vaccine: UNK
Symptoms: Abnormal behaviour, Homosexuality
Clinical narrative: Developed acute homosexual behaviour and desires almost immediately. Symptoms persist as of this time.
Age: 43.0
Sex: M
Vaccine: MMR
Symptoms: Abdominal pain upper, Diarrhoea, Dyspepsia, Nausea, Pyrexia
Clinical narrative: severe diarrhea, nausea, stomach ache, indigestion, mild fever Treatment: Pepto Bismo, Mylanta, Imodium A-D and rest Outcome: pending
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Fatigue, Headache, Myalgia
Clinical narrative: Localized arm pain within one hour, mild generalized muscle aches and dull headache for following 12 hours with increasing severe muscle aches, severe headache, dizziness, photophobia, fatigue, arm pain, shivering. 24 hours later after injection symptoms began to subside.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity, Photophobia
Clinical narrative: Localized arm pain within one hour, mild generalized muscle aches and dull headache for following 12 hours with increasing severe muscle aches, severe headache, dizziness, photophobia, fatigue, arm pain, shivering. 24 hours later after injection symptoms began to subside.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Influenza like illness, Injection site erythema
Clinical narrative: Symptoms started approximately 13 hours after the injection. I had uncontrollable shivering (chills). The next day I felt like I had the flu: achy, a bad headache, extreme soreness at injection site, with redness and swelling, great fatigue (I slept most of the day). Day two after the injection I feel moderately better, but am still achy and fatigued.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Pain, Somnolence
Clinical narrative: Symptoms started approximately 13 hours after the injection. I had uncontrollable shivering (chills). The next day I felt like I had the flu: achy, a bad headache, extreme soreness at injection site, with redness and swelling, great fatigue (I slept most of the day). Day two after the injection I feel moderately better, but am still achy and fatigued.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Day 1 extremely tired. Day 2 weak with flu like symptoms Day 3 moderate fever, weak mild headache, with nausea, threw up twice. Day 4 worst with chills and fever around 100 degrees. Sweating with chills. Called the medical centers emergency room and spoke to a Dr. about the side effects. He evaluated my complete medical history and clearly stated that I could go to the emergency room at anytime but recommend to wait one or two more days, I should experience recovery.