chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site swelling, Migraine, Nausea
Clinical narrative: Immediately after the vaccine was administered I experienced the usual side effects of mild headache, fatigue and localized redness and swelling  Around 11pm the night the vaccine was administered I developed a migraine that resulted in blurred vision. and when I checked my temperature it was approximately 104.9 degrees Fahrenheit.By the next morning, approximately 7am, I was weak to the point I could not get out of bed myself, I was nauseous that resulted in a single Emesis episode approximately 8am, I had mild swelling of my face since 7am, between 7:30am and 12pm, I had multiple times where I would temporarily lose my vision. Throughout 1/25 I continued to have a fever ranging from 102 degrees Fahrenheit to 103 degrees Fahrenheit. At approximately 8am and 1pm I took two acetaminophen pills each time which alleviated the migraine and to an extent helped with the visual deficit episodes. Throughout 1/24 and 1/25 I suffered with extreme chills resulting in shivering that lasted for several minutes despite a room temperature of approximately 90 degrees Fahrenheit and covered in two blankets. PCP was consulted via telephone and she advised to go to the hospital via EMS given the high grade fever, abnormal vitals and severity of symptoms
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face, Vision blurred, Vomiting
Clinical narrative: Immediately after the vaccine was administered I experienced the usual side effects of mild headache, fatigue and localized redness and swelling  Around 11pm the night the vaccine was administered I developed a migraine that resulted in blurred vision. and when I checked my temperature it was approximately 104.9 degrees Fahrenheit.By the next morning, approximately 7am, I was weak to the point I could not get out of bed myself, I was nauseous that resulted in a single Emesis episode approximately 8am, I had mild swelling of my face since 7am, between 7:30am and 12pm, I had multiple times where I would temporarily lose my vision. Throughout 1/25 I continued to have a fever ranging from 102 degrees Fahrenheit to 103 degrees Fahrenheit. At approximately 8am and 1pm I took two acetaminophen pills each time which alleviated the migraine and to an extent helped with the visual deficit episodes. Throughout 1/24 and 1/25 I suffered with extreme chills resulting in shivering that lasted for several minutes despite a room temperature of approximately 90 degrees Fahrenheit and covered in two blankets. PCP was consulted via telephone and she advised to go to the hospital via EMS given the high grade fever, abnormal vitals and severity of symptoms
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Migraine, Pain, Pyrexia, Vomiting
Clinical narrative: Chills fever body aches migraine vomiting
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Headache, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: On January 21,2021 developed headache and on January  22,2021, left arm pain, warm to touch, redness and contralateral hand swelling (right )
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Low grade fever 99.1 f , body aches, chills, headache
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red swollen injection site Hot, Cellulitis. Getting larger everyday
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Flushing, Swelling
Clinical narrative: Patient left the facility after waiting 15 minutes.  Returns shortly afterward with flushing and redness on cheeks, the sense of swelling in the eyes.    Vitals 166/90 O2 sat 98.  Benadryl 25 mg PO given.  Monitoring for 30 minutes - patient improved
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Myalgia, Pulmonary pain, Pyrexia
Clinical narrative: FEVER, CHILLS, LUNGS HURT, MUSCLE ACHES, SNIFFLES, COUGHING. TOOK ACETAMINOPHEN FOR PAIN AND FEVER. FEELING BETTER DAY 2 AFTER VACCINE (1/21/21)
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: FEVER, CHILLS, LUNGS HURT, MUSCLE ACHES, SNIFFLES, COUGHING. TOOK ACETAMINOPHEN FOR PAIN AND FEVER. FEELING BETTER DAY 2 AFTER VACCINE (1/21/21)
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cough, Fatigue, Lower respiratory tract infection, Lymphadenopathy
Clinical narrative: I had the normal sore arm. I ended up the next day with stuffy nose, sore throat, tired, weak. The next day I had the post nasal drip and really fatigue and my sugars were running high, cough and swollen glands. The third day I went to the Doctor to get Covid test, it was negative. The Dr. said I had a chest infections, post nasal drip.  It took about two weeks to go away, they didn't want to give me any medication because they didn't know about the shot. I had two Covid test and they were negative.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pain in extremity, SARS-CoV-2 test negative, Upper-airway cough syndrome
Clinical narrative: I had the normal sore arm. I ended up the next day with stuffy nose, sore throat, tired, weak. The next day I had the post nasal drip and really fatigue and my sugars were running high, cough and swollen glands. The third day I went to the Doctor to get Covid test, it was negative. The Dr. said I had a chest infections, post nasal drip.  It took about two weeks to go away, they didn't want to give me any medication because they didn't know about the shot. I had two Covid test and they were negative.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site urticaria
Clinical narrative: Minor swelling and hives at injection site. Has not spread more than 3 in from injection site
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: head ache, fever, fatigue, body aches
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Lymphadenopathy, Nausea
Clinical narrative: including nausea, fever, redness and swelling at the injection site, and grossly swollen lymph notes on the side where she received the injection
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: including nausea, fever, redness and swelling at the injection site, and grossly swollen lymph notes on the side where she received the injection
Age: 64.0
Sex: F
Vaccine: FLUA4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: pain in the upper left arm pain and difficulty to lift the arm Takes advil 4000mg two to three times daily for months.  trial of steroid with blood sugar precautions for diabetes and MRI warranted
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: patient complained of tingling lips onset 10 minutes after vaccine given. Provider consulted and recomended 25mg benadryl oral medication given. 30 minutes later was still a bit tingly per patient but no further symptoms.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Erythema, Fatigue, Feeling abnormal
Clinical narrative: Right deltoid with erythema, edema and tenderness; Right axillary lymphnode enlargement and tenderness; Fever Tmax 102.7, generalized body aches, chills and rigors all within 24 hours of 2nd dose of vaccine. Slightly relieved with Tylenol 650 mg & Ibuprofen 200 mg po & warm compresses to right axilla. 48 hours after vaccine, fever Tmax 101.3, lower extremity body aches, chills, right deltoid and right axillary with edema and tenderness. Slightly relieved with Tylenol 650mg po, 72 hours after vaccine, upper back aching, slight dizziness with brain fog, and extreme fatigue. Pushing fluids and stretching.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Oedema, Pain, Pyrexia
Clinical narrative: Right deltoid with erythema, edema and tenderness; Right axillary lymphnode enlargement and tenderness; Fever Tmax 102.7, generalized body aches, chills and rigors all within 24 hours of 2nd dose of vaccine. Slightly relieved with Tylenol 650 mg & Ibuprofen 200 mg po & warm compresses to right axilla. 48 hours after vaccine, fever Tmax 101.3, lower extremity body aches, chills, right deltoid and right axillary with edema and tenderness. Slightly relieved with Tylenol 650mg po, 72 hours after vaccine, upper back aching, slight dizziness with brain fog, and extreme fatigue. Pushing fluids and stretching.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Right deltoid with erythema, edema and tenderness; Right axillary lymphnode enlargement and tenderness; Fever Tmax 102.7, generalized body aches, chills and rigors all within 24 hours of 2nd dose of vaccine. Slightly relieved with Tylenol 650 mg & Ibuprofen 200 mg po & warm compresses to right axilla. 48 hours after vaccine, fever Tmax 101.3, lower extremity body aches, chills, right deltoid and right axillary with edema and tenderness. Slightly relieved with Tylenol 650mg po, 72 hours after vaccine, upper back aching, slight dizziness with brain fog, and extreme fatigue. Pushing fluids and stretching.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Chills, Diarrhoea, Fatigue
Clinical narrative: About 30 minutes post vaccination I felt the left side of my face become tingly and then my nose tingled and felt stuffy for about 3 hours. At approximately 7PM that evening I started to feel chills  and  severe abdominal cramping/nausea/diarrhea for about 24 hours.-constant and then from 10/21/21 and including 10/25/21- I feet fatigue and multiple muscle and joint pains. I am currently feeling these symptoms.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nasal congestion, Nausea, Paraesthesia
Clinical narrative: About 30 minutes post vaccination I felt the left side of my face become tingly and then my nose tingled and felt stuffy for about 3 hours. At approximately 7PM that evening I started to feel chills  and  severe abdominal cramping/nausea/diarrhea for about 24 hours.-constant and then from 10/21/21 and including 10/25/21- I feet fatigue and multiple muscle and joint pains. I am currently feeling these symptoms.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: fever, chills, body aches
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pyrexia
Clinical narrative: Nausea, Headache, Fever, Chills
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chromaturia, Laboratory test
Clinical narrative: Had the Moderna vaccine on January 21,2021 @9:15am, the next day started having  light tea colored urine in the morning and in the afternoon-amber colored urine. That night 11:00pm started urinating red colored urine which lasted until after 11:00pm of January 22,2021. On January 23,2021 in the morning-back to normal yellow urine. Reported this information  to my nephrologist on January 23, 2021 @7:37am.  Dr. responded via MyChart message: Ordered some lab work and recommend to report this information to CDC.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site warmth, Urticaria
Clinical narrative: Large red welts on upper arm starting 8 days after injection.  Warm and itchy, not raised...
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash erythematous, Rash pruritic, Skin swelling, Skin warm
Clinical narrative: 10 days after the injection I had a small itchy rash at injection site. The next day it was the size of your hand palm, red hot and swollen. The next day it was from my elbow to my shoulder.  No fever or any temperature. The outline is still on my arm  11 days later, but not hot or swollen.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Pain in extremity
Clinical narrative: Have written to Health dept no answer-they must be busy. First shot resulted in very sore upper arm 1.5 days, no other effects. Clean injection into deltoid muscle bulk. Second shot, injection shot extremely high above main muscle bulk of the deltoid into area of supraspinatus tendon one finger below acromial shelf. First shot, two sensations: initial puncture then injection. Shot 2 one huge painful bump met with resistance in my tissue.  Also Shot 2 not one response except mild fatigue still today, but no pain in upper arm unless I pressed specifically into injection site itself.  WAS THIS VARIATION IN INJECTION SITE ACCEPTABLE? WAS IT OK TO DO INJECTION SO VERY HIGH UP? Secondly, had a wonderful, professional nurse, but I question the practice of retrieving a dose for me that comprised of doses left over at bottom(s) of other vial(s). We had a new vial in the office where I was, but she left and came back with a syringe already full, saying that it was important to use up every drop. At first I agreed, but now I question this practice and just want to make sure I don't need to come back for another second dose. Are there no substrates that would settle out of the solution as the vial gets depleted of everything except only a bit of fluid left in it? Is retrieving every last drop from each vial and putting them together to make a dose acceptable practice? if not, from the Pfizer standpoint, then I should get another dose? I am a pediatric physical therapists working within 1-2 feet a children's faces at all times and transmissibility is a real issue both ways in my job.  I truly do not want o become a Covid victim. please let me know if both the injection site and the method b y which my dose was put together is acceptable in the eyes of Pfizer. Thank you.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Visual impairment
Clinical narrative: Limb heaviness within 5 minutes of second vaccination.  Subsided in approximately 25 minutes. Patient also reported that she experienced a similar reaction immediately after first vaccination plus the inability to visualize words (i.e. she couldn't read what was on the paper she was holding).
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, Kidney infection
Clinical narrative: The patient began experiencing trouble breathing and weakness a few hours after administration of the vaccine. He was recovering from a kidney infection, so it is unknown what the cause of the symptoms originated from. It was determined to involve EMS, and they came and picked him up at the Long Term Care facility and took him to the hospital.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dizziness, Pain, Pain in extremity
Clinical narrative: In addition to arm pain for two days, I also had chest pains/tightness. I felt the chest tightness the morning after getting the vaccine. The chest tightness continued until 1/23.  It was not a constant pain, but sometimes when I would move a certain way, my chest would hurt. The spot that hurt is right in the middle of my chest. It got worse when I would exercise and breathe heavily. The chest pain continued to stop and come back for several weeks. The night after I received the vaccine, I felt dizzy and felt as if I would pass out, but did not. This only happened one time and was better when I woke up the next morning.   The weekend after I got the vaccine, I was worried I might have covid, so I got tested for covid, but the results came back negative.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: In addition to arm pain for two days, I also had chest pains/tightness. I felt the chest tightness the morning after getting the vaccine. The chest tightness continued until 1/23.  It was not a constant pain, but sometimes when I would move a certain way, my chest would hurt. The spot that hurt is right in the middle of my chest. It got worse when I would exercise and breathe heavily. The chest pain continued to stop and come back for several weeks. The night after I received the vaccine, I felt dizzy and felt as if I would pass out, but did not. This only happened one time and was better when I woke up the next morning.   The weekend after I got the vaccine, I was worried I might have covid, so I got tested for covid, but the results came back negative.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Seizure
Clinical narrative: pt experienced seizure and brought responsive to medical tent. Pt has hx of seizures and autism. Also had an itchy rash to chest. Epi 0.3 and 50mg Benadryl given.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Syncope
Clinical narrative: The patient fainted about 15 minutes post-vaccination. Elevate Hr 115 BP 95/65  RR: 20 unlabored. Took 5-7 minute for symptoms to subside.  Vital signs were taken again HR 90 BP 98/64 RR 18 and the stable patient stated that she felt fine and was going home. He spouse was driving her home.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 5 days post vaccination, large soft tissue swelling in vaccination site, size of baseball, warm and red Advised to use warm compress/cold compress, seek PCP if it gets worse
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Chills, fever, arm soreness, fatigue
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Cold sweat, Hypoaesthesia
Clinical narrative: Severe joint pain starting in the morning after the vaccination administered, and resolved after 1 day; right hand numb; cold sweats over night the first night after vaccination administered.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Tachycardia, Wheezing
Clinical narrative: client notified vaccinator that has had previous anaphylactic reaction with shingles vaccine, client put on 30 minute observation, within approximately 15 minutes client reported throat becoming raspy and uncomfortable, as this nurse was approaching client she gave her own epi-pen into her thumb but stated she stopped it immediately, this nurse gave second epi pen in client's left thigh at 10:35, Dr. on site assessed client after receiving epi, and reported airway appears client, negative swelling, lungs clear, no current respiratory distress, no rash. BP was 122/72, pulse 107. Client taken by ambulance  to Hospital ED. Dr. later reported client  had wheezing and required albuterol and prednisone. She was tachycardic and breathing comfortably. She was observed in ED for 3 hours.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: VACCINE RECEIVED ON 1/18/2021 NO S/S OF ADVERSE REACTION UNTIL 1/25/2021 WHEN LEFT DELTOID INJECTION SITE BECAME RED, RAISED AND INFLAMED. ITCHING NOTED TO SITE
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lethargy, Nausea, Pyrexia
Clinical narrative: 36 hours duration: Pounding headache, chills and fever, severe nausea, lethargy and sleepiness
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: 36 hours duration: Pounding headache, chills and fever, severe nausea, lethargy and sleepiness
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, hot, swollen arm for about 3 days. I can submit pictures. It was really bad.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Fever, chills, fatigue, head ache
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Animal bite, Back pain
Clinical narrative: Appx 24 hours after injection I presented with a sharp lower left back pain.  This lasted about 34 hours.  Another strange anomaly was that my dog bit me twice 12 hours after injection.  He is 7 years old and has never done that.  Wonder if he smelled something strange
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Fatigue, Pain
Clinical narrative: Upset Stomach - Resolved after 8 1/2  hours Body Aches - Resolved after 24 hours Chills - Resolved after 24 hours Fatigue - Resolved after 48 hours
Age: 0.5
Sex: F
Vaccine: UNK
Symptoms: Condition aggravated, Fatigue, Injection site erythema, Myalgia, Pain
Clinical narrative: called pharmacy to report but unable to get the above information - so  self reporting . On 9/30 @ 3:00pm I got the Shingrix shingles vaccine, left arm: part 1. arm was sore, and there was redness at the point of injection, on that day I had no other reaction. On 10/1 at 2:30pm, the redness began to spread. My arm was sore and incrediably itchy. It would continue to spread to almost my entire upper arm - and the itch was horrible. Also on 10/1 starting at 2;30pm - incrediable fatigue, arm soreness and my muscles ached everywhere on my body - head to toe. same on 10/2. 10/3 my fatigue started to end as did the muscle / body aches. the rednes and itcheness - getting worse each day - until 10/6 when it started to disapate.
Age: 0.5
Sex: F
Vaccine: UNK
Symptoms: Pain in extremity, Pruritus
Clinical narrative: called pharmacy to report but unable to get the above information - so  self reporting . On 9/30 @ 3:00pm I got the Shingrix shingles vaccine, left arm: part 1. arm was sore, and there was redness at the point of injection, on that day I had no other reaction. On 10/1 at 2:30pm, the redness began to spread. My arm was sore and incrediably itchy. It would continue to spread to almost my entire upper arm - and the itch was horrible. Also on 10/1 starting at 2;30pm - incrediable fatigue, arm soreness and my muscles ached everywhere on my body - head to toe. same on 10/2. 10/3 my fatigue started to end as did the muscle / body aches. the rednes and itcheness - getting worse each day - until 10/6 when it started to disapate.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash-to upper chest and neck, chin, check and above eyes. Itching, raised small bumps.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Throat irritation
Clinical narrative: Patient was vaccinated and within a few minutes, she felt like her throat became scratchy and her ears were itchy.  She also thinks her arms are redder than usual.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Fever, chills, fatigue, body ache
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: On about 1/21/21 I developed a three-inch in diameter red circle on my left arm where I received the vaccine. It is swollen, warm and itchy.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Decreased appetite, Dizziness, Headache
Clinical narrative: AT 5:00PM ON DAY OF VACCINE ADMINISTRATION, HAD HEADACHE AND FELT WARM. AT 7:00PM, HEADACHE AND BODY TEMPERATURE INCREASED. 01:00AM NEXT DAY, VOMITING AND 'TEETH CHATTERING' CHILLS. ALSO HAD SORE ARM, NAUSEA, DIZZINESS, LOSS OF APPETITE.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Skin warm, Vomiting
Clinical narrative: AT 5:00PM ON DAY OF VACCINE ADMINISTRATION, HAD HEADACHE AND FELT WARM. AT 7:00PM, HEADACHE AND BODY TEMPERATURE INCREASED. 01:00AM NEXT DAY, VOMITING AND 'TEETH CHATTERING' CHILLS. ALSO HAD SORE ARM, NAUSEA, DIZZINESS, LOSS OF APPETITE.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: Received on shot on 1/15/21.  On 1/23/21 at the injection site it started itching.  When she looked it was a small, red area.  Slightly warm and felt hard. Does not hurt without touching it.  Did circle the redness to watch this area.  Redness stayed pretty much within the circle, but expanded out on one side.  Today on 1/25/21 it looks "fine."  The coloring is fading. Less red, more light pink.  Not warm. No itching today either.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Patient experiencing legs numbness upto the knee.  Symptom occurred about 5 mins after receiving vaccine
Age: 21.0
Sex: U
Vaccine: COVID19
Symptoms: Deafness, Vomiting
Clinical narrative: Brief loss of hearing, vomiting x 15 min VSS
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dehydration, Diarrhoea, Enterocolitis, Fatigue
Clinical narrative: Began with sore arm ,extreme fatigue fever 100.1 . Next day on  12/29/2020  fever 101.2,  chills, extreme fatigue , nausea  vomiting and diarrhea.  Diarrhea continued as many as 20 times a days through 01/03/2021 when she went to the ER where was treated for dehydration and diagnosed with Enterocolitis, was given antibiotic x 7 days
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Pyrexia, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Began with sore arm ,extreme fatigue fever 100.1 . Next day on  12/29/2020  fever 101.2,  chills, extreme fatigue , nausea  vomiting and diarrhea.  Diarrhea continued as many as 20 times a days through 01/03/2021 when she went to the ER where was treated for dehydration and diagnosed with Enterocolitis, was given antibiotic x 7 days
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Pyrexia
Clinical narrative: BURNING SENSATION DURING INJECTION; FATIGUE FOR SEVERAL DAYS; LOW GRADE FEVER
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypersomnia
Clinical narrative: 12hours post injection severe fatigue and excessive sleeping lasting - current. 72 hours post vaccine severe headache lasting 4-6 hours and relieved with 1000mg Tylenol extra strength.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: After the vaccine a day and a half later I noticed my arm was itching and there was redness down my arm.  My arm near the injection site felt a little swollen too.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Patient had flu like symptoms for first few days then resolved. 1 week later developed warmth, redness and induration around the site. Tender,.  No fever, cough or SOB just tenderness and induration
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Vomiting
Clinical narrative: On the evening of 1/15 patient went to bed about 10 PM.  woke up at midnight coughing and vomiting.  That finally subsided and at 3 AM awoke with severe diarrhea.  That subsided on saturday morning about 10 AM and has not returned
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Hypoaesthesia, Limb discomfort, Muscle spasms, Pain in extremity
Clinical narrative: Started with arm pain one day after vaccination.  Pain gradually got worse bilateral leg cramps four days later escalating into tingling, numbness and pressure. Office visit with primary on 1/11/2021.  Pain escalated into not being able to walk   Patient went to ER on 1/20/21.  Patients condition is ongoing.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Started with arm pain one day after vaccination.  Pain gradually got worse bilateral leg cramps four days later escalating into tingling, numbness and pressure. Office visit with primary on 1/11/2021.  Pain escalated into not being able to walk   Patient went to ER on 1/20/21.  Patients condition is ongoing.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hypoaesthesia oral, Paraesthesia oral, Sensation of foreign body
Clinical narrative: Pt received COVID 19 Vaccine today.  Approx. 10 mins after administration, pt reported "I feel chills and tingling lips."     Pt reports, "I ate a full breakfast at 1030 today" No h/o DM.   NO shortness of breath NO CP (pain 0/10) NO dizziness NO Nausea/Vomiting No vision changes  No itching or hives reported or observed.     At 1245, pt states, "my tongue feels tingly and my lips feel numb.  I feel like I have a lump in my throat."     See VS flowsheet for vitals during monitoring period.    PMH reported:  COPD MEDS reported:  Amlodipine, Gabapentin, Nortriptyline, Levothyroxine   1300: Maryam, ED Charge RN called for report and patient needing to be transferred for higher level of care post COVID 19 vaccine.  1310 approx.:  HarmPt received COVID 19 Vaccine today.  Approx. 10 mins after administration, pt reported "I feel chills and tingling lips."     Pt reports, "I ate a full breakfast at 1030 today" No h/o DM.   NO shortness of breath NO CP (pain 0/10) NO dizziness NO Nausea/Vomiting No vision changes  No itching or hives reported or observed.     At 1245, pt states, "my tongue feels tingly and my lips feel numb.  I feel like I have a lump in my throat."     See VS flowsheet for vitals during monitoring period.    PMH reported:  COPD MEDS reported:  Amlodipine, Gabapentin, Nortriptyline, Levothyroxine   1300: Maryam, ED Charge RN called for report and patient needing to be transferred for higher level of care post COVID 19 vaccine.  1310 approx.:  Harmony, RN from ED came to safely transport pt to ED.     No family at bedside.   Pt a good historian w/ stable VS when transported to ED.   RN from ED came to safely transport pt to ED.     No family at bedside.   Pt a good historian w/ stable VS when transported to ED.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Flushing, Palpitations
Clinical narrative: Increased BP 138/101 flushed skin light headed P 115 feeling heart racing
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Pyrexia
Clinical narrative: BURNING SENSATION DURING VACCINE INJECTION; FATIGUE FOR SEVERAL DAYS; LOW GRADE FEVER
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: 10 min post vaccine pt got dizzy and started vomiting for 10 min
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test, Pruritus, Rash
Clinical narrative: Rash on torso, back, and arms. Still persist to date. Taking over counter meds to stop itching
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: RASH WAIST UP
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Eye pain, Facial pain, Glossodynia, Headache
Clinical narrative: Elevated blood sugar, unable to get it under control. Right side of skull and face extremely painful, including tongue lips, teeth eye, skin. Some soreness continued after 2 days.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Lip pain, Pain of skin, Toothache
Clinical narrative: Elevated blood sugar, unable to get it under control. Right side of skull and face extremely painful, including tongue lips, teeth eye, skin. Some soreness continued after 2 days.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Low grade fever, body aches, arm ache.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram, Palpitations, Throat tightness
Clinical narrative: pt reports tightness in chest and throat she reports palpatations and she felt she couldn't breath.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Dizziness, Dyspnoea, Palpitations, Throat tightness
Clinical narrative: pt reports tightness in chest and throat she reports palpatations and she felt she couldn't breath.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chills, Electrocardiogram, Headache
Clinical narrative: Headache, nausea, fever, chills,body ache, high blood pressure
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Nausea, Pain, Pyrexia
Clinical narrative: Headache, nausea, fever, chills,body ache, high blood pressure
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Lethargy, Musculoskeletal stiffness, Myalgia
Clinical narrative: Next day (Saturday, 1/23/21) I experienced extreme myalgia and lethargy, sweats, chills, itching and rash around neck area, stiffness in left shoulder and neck.  (Injection was in the left arm).  Rash & itching continued through Sunday, 1/24/21 & Monday, 1/25/21 but seems to be subsiding.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Next day (Saturday, 1/23/21) I experienced extreme myalgia and lethargy, sweats, chills, itching and rash around neck area, stiffness in left shoulder and neck.  (Injection was in the left arm).  Rash & itching continued through Sunday, 1/24/21 & Monday, 1/25/21 but seems to be subsiding.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: rash at site of injection
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: front left arm is red and warm and itching
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt had mild arm pain at site of injection for 2-3 days which eventually resolved. But 10 days after injection pt developed 8 cm x 5 cm erythematous hot to touch area circumferentially and pain at site of injection.  Pt has been treated with an antibiotic for probable cellulitis.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Pyrexia, Vomiting
Clinical narrative: Approximately 5 minutes after vaccination patient reported feeling feverish and nauseous. Patient began sweating and vomiting, and was sent home from work.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site reaction, Rash
Clinical narrative: Rash, redness (around site of injection. Spread on upper arm
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary web syndrome, Lymphadenopathy, Mobility decreased, Oedema peripheral, Tenderness
Clinical narrative: Day 5 post vaccine noted development of painful lymphadenopathy and edema in right axilla that progressed to the point that right arm could not be relaxed next to side.  The edema gradually subsided by day 12 but the lymphadenopathy persisted since and this morning day 26 I noticed that I am developing fibrous cords in the axilla that are tender to touch and are starting to restrict my range of motion in the  right shoulder.  I am having to urgently see a physical therapy lymphedema specialist to address this problem.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Chills, Headache, Musculoskeletal stiffness
Clinical narrative: Vomited,  headaches, fever, chills , pain in joints and bokes, stiffness in muscles.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Vomited,  headaches, fever, chills , pain in joints and bokes, stiffness in muscles.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Chills, Cough, Fatigue
Clinical narrative: At home, when I was cooking dinner I had arm pain. The next day I started feeling chills, and the symptoms progressed to body aches, fatigue and loss of smell and taste.  No fever. Had cough.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: At home, when I was cooking dinner I had arm pain. The next day I started feeling chills, and the symptoms progressed to body aches, fatigue and loss of smell and taste.  No fever. Had cough.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Pruritus, Skin warm, Swelling
Clinical narrative: Started 01/21/2020, red, hot, swollen, itchy and 3 inches in diameter.  Cortisone cream on site for two or three applications.  Site is still pink, but no swelling or itching and no other side effects.  Normal arm ache the night vaccine was administered and lasted for two days.
Age: 33.0
Sex: M
Vaccine: UNK
Symptoms: Asthenia, Dizziness, Hot flush, Hyperhidrosis, Pharyngeal swelling
Clinical narrative: Dizziness and Weakness.  Hot flashes and Sweating. Swelling of the face and throat. 4hours of time span.
Age: 33.0
Sex: M
Vaccine: UNK
Symptoms: Swelling face
Clinical narrative: Dizziness and Weakness.  Hot flashes and Sweating. Swelling of the face and throat. 4hours of time span.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Craniotomy, Endotracheal intubation, Foaming at mouth, Generalised tonic-clonic seizure, Intensive care
Clinical narrative: 1/22/2021 this resident was found on his kitchen floor having severe Grand Mal seizures and was profusely foaming from the mouth. RN (writer) responded to the emergency. Resident had 8 seizures between the time of calling 911 and them arriving. They had been IV pushing Ativan and Versed. The seizures did not stop. He was rushed to Hospital, intubated, placed on life support and admitted to the ICU. Resident had an emergency craniotomy and they did not find any infection or cause of the seizures. Many other tests were done and nothing was determined to be the cause at this time. Reported to ICU nurse on 1/23/2021 that resident had received the Moderna vaccine a couple days prior.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Life support
Clinical narrative: 1/22/2021 this resident was found on his kitchen floor having severe Grand Mal seizures and was profusely foaming from the mouth. RN (writer) responded to the emergency. Resident had 8 seizures between the time of calling 911 and them arriving. They had been IV pushing Ativan and Versed. The seizures did not stop. He was rushed to Hospital, intubated, placed on life support and admitted to the ICU. Resident had an emergency craniotomy and they did not find any infection or cause of the seizures. Many other tests were done and nothing was determined to be the cause at this time. Reported to ICU nurse on 1/23/2021 that resident had received the Moderna vaccine a couple days prior.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Fatigue, headache, muscle pain, chills and elevated temperatures/fevers.  Morning  temperatures were 100.0 F, 99.7 F and 100.4 F and by the afternoon they were elevated to 101.2, 101.4 and 101.5.  Ibuprofen was then taken to bring down the fever and for comfort. Fever controlled well with ibuprofen.  Fatigue, headache, muscle pain and chills started about 12 hours after the vaccine was administered and persisted past 24 hours after the vaccine was administered (still present as I am filling out this form).
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fatigue, headache, muscle pain, chills and elevated temperatures/fevers.  Morning  temperatures were 100.0 F, 99.7 F and 100.4 F and by the afternoon they were elevated to 101.2, 101.4 and 101.5.  Ibuprofen was then taken to bring down the fever and for comfort. Fever controlled well with ibuprofen.  Fatigue, headache, muscle pain and chills started about 12 hours after the vaccine was administered and persisted past 24 hours after the vaccine was administered (still present as I am filling out this form).
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site rash, Injection site reaction
Clinical narrative: About 7 days after the shot, I had a hard, red lump about the size of a cherry pit form about three inches below the injection site. The redness began to spread and feel warm to the touch. The rash on day 9 is about four inches wide and four inches long in an oblong shape.  The lump feels slightly less concentrated, but the rash is a discolored reddish brown.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: About 7 days after the shot, I had a hard, red lump about the size of a cherry pit form about three inches below the injection site. The redness began to spread and feel warm to the touch. The rash on day 9 is about four inches wide and four inches long in an oblong shape.  The lump feels slightly less concentrated, but the rash is a discolored reddish brown.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: 1 day after injection, the injected arm was sore. This was greatly diminished the next day. Some itching at the injection site but very mild. In the evening exactly 7 days after vaccination more itching was noticed. Area felt like one large, flat bump. About 1 inch under the injection site the skin is large, itchy,  and hard, maybe 2 inches in diameter. Area is slightly warm to the touch.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: rapid onset of red, hot and bumpy rash on arm where shot was administered.  Size about 4 inches in diameter. Took benadryl and iced area. Area as of now still same and it itches. Today rubbed in some cortisone -10
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Reporting per Pfizer that patient tested positive for COVID post-vaccination (1/21/2021) and was hospitalized (1/24/2021).  Patient received Bamlanivimab treatment 1/22/2021, 2nd dose will be deferred 90 days per PCP.  Patient admitted for hypoxia, improved SPO2 to >95% on room air, and was discharged back to ALF 1/25/2021.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Hypersensitivity, Paraesthesia, Paraesthesia oral, Throat irritation
Clinical narrative: After patient received vaccine she C/O tingling face was given Benadryl  @1341 , 15 minutes later patient was C/O tight throat, Solumedrol 60mg IM administered to Rt buttocks by this nurse.  Pt then escorted to ER for further evaluation.  On 1/25/21 at 1359: Patient reported tingling of lips and throat felt tight.  SPO2 via finger with a result of 99%. Emergency room provider's note: 44-year-old female patient presents ED after allergic reaction.  Patient received her first COVID-19 vaccination and during the 15-minute observation period began to feel as if she had some tightness in her throat and difficulty swallowing.  She has a scratchy sensation to her posterior pharynx.  She denies specifically shortness of breath, nausea vomiting, dizziness or near syncope.  She was medicated with 50 mg of Benadryl p.o. as well as 60 mg of Solu-Medrol IM prior to arrival.  She states she has never previously had allergic reactions to vaccinations in the past
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: After patient received vaccine she C/O tingling face was given Benadryl  @1341 , 15 minutes later patient was C/O tight throat, Solumedrol 60mg IM administered to Rt buttocks by this nurse.  Pt then escorted to ER for further evaluation.  On 1/25/21 at 1359: Patient reported tingling of lips and throat felt tight.  SPO2 via finger with a result of 99%. Emergency room provider's note: 44-year-old female patient presents ED after allergic reaction.  Patient received her first COVID-19 vaccination and during the 15-minute observation period began to feel as if she had some tightness in her throat and difficulty swallowing.  She has a scratchy sensation to her posterior pharynx.  She denies specifically shortness of breath, nausea vomiting, dizziness or near syncope.  She was medicated with 50 mg of Benadryl p.o. as well as 60 mg of Solu-Medrol IM prior to arrival.  She states she has never previously had allergic reactions to vaccinations in the past
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Lip disorder, Muscle twitching
Clinical narrative: Lower left half lip twitching and pulsating intermittently. Lasted about approximately 2-5 mins. I could visibly see the half lip pulsating and touching it I could feel it pulsating. It's never happed before. So far it has happened once
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pruritus, Malaise, Nausea, Pain
Clinical narrative: Nausea, slight headache, general malaise, body aches, itching/hive a few inches to left of the injection site noted the following day
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Nausea, slight headache, general malaise, body aches, itching/hive a few inches to left of the injection site noted the following day
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Flat, erythematous, itchy rash to bilateral arms, chest, neck, and L ribcage
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Extrasystoles
Clinical narrative: My heart began to skip beats on Friday, the day after the shot, at around 8:20 am.  The skips continued for 3 days , Fri., Sat., & Sun. And finally on  Monday they ceased.  I could feel my heart beat skipping, and by taking my pulse, it would beat 1-2-skip 1-2-skip 1-2-3-4-skip at times it would beat Consecutively for 27-28 beats then revert back to 1-2-skip - 1-2-skip etc.  I did not go to my heart doctor during this time, as I have experienced  Skipped heartbeats  previously , but not for several years, and not as long as they  continued for the 3 days after my shot.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Rash macular
Clinical narrative: On the date of the vaccination, my arm itched at the site of the injection.  However, one week later, the itch turned to a red spot and the red spot got larger and larger and redder over the next couple of days.  I called my doctor and he told me to take a Benadryl.  I did that for one night and it got a lot better.  But, it is coming back.  I will try more Benadryl.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Headache, Heart rate increased, Oropharyngeal pain, Oxygen saturation normal
Clinical narrative: Tightness in throat, rapid heartbeat, headache, sore throat.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness
Clinical narrative: Tightness in throat, rapid heartbeat, headache, sore throat.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Headache, Pharyngeal swelling, SARS-CoV-2 test
Clinical narrative: Tightness in throat, rapid heartbeat, headache, sore throat.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis, Full blood count, Platelet count normal, Purpura
Clinical narrative: 49 yo male h/o coumadin for DVT 2013 and family hx of leukemia vaccinated 01/14/2021 and noted purpuric rash and nose bleed without clos 01/18/2021 but denies bleeding gums or blood in stool or blood in urine. denies asa or nsaid usage . platelet count on cbc drawn 01/21/2021 was normal
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pruritus
Clinical narrative: 1 week after the shot, I started itching from head to foot.  No outward rash, just non-stop itching.  A little nausea at times.  I took benadryl which helped a little for a short time.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Med error.  Patient inadvertently received her second dose of COVID vaccine as Moderna but received her first dose as Pfizer.  Medical and pharmacy staff apologized and explained the error while describing the recommendations from ACIP that allow vaccination 28 days from 1st dose with either mRNA COVID vaccine if 1st dose product is indeterminable.  Instructed patient to contact her PCP and/or our medical staff if any questions or feel that any adverse reactions are out of the normal described in the EUA. Pfizer 1/6/2021 - Lot#EJ1686 Moderna 1/25/2021 - Lot# 025J20A
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary, Blood test, COVID-19, Chest pain, Dyspnoea
Clinical narrative: Having a head arch, chest pains and shortness of breath pulmonary embolism and was tested for COVID-19 and tested positive.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: Having a head arch, chest pains and shortness of breath pulmonary embolism and was tested for COVID-19 and tested positive.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Lip swelling
Clinical narrative: Itchy at site Hard ?baseball-like? area at site Swollen lips inside mouth