chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Escherichia bacteraemia, Follicular lymphoma, Full blood count abnormal, Haemothorax
Clinical narrative: "Pt presented to Clinic for her vaccine. Post vaccine, pt was feeling faint/weak and was pale. Pt sts feeling short of breath prior to arrival. Pt has hx of lung cancer. Pt was drained last at home on 3/14 per pt husband. EMS performed 12 lead and checked vitals. Pt color improved upon lying on stretcher for a few minutes. Pt's pulmonologist was contacted to see if they want her to go to her appointment scheduled at 1330 or to be transported to ED. Pt. was then transported via EMS to ED." Pt was inpt from 3/18/21 - 3/21/21 with diagnosis of E. Coli bacteremia, recurrent left pleural effusion with drain in place, resolved hypoxia on oxygen, follicular non Hodgkin's lymphoma, pancytopenia, poor appetite, insomnia.  Patient was started on cefepime and then Rocephin per Infectious Disease team but she continued to the duration of this admission until ultimately transitioning her to oral antibiotics with Cipro twice daily to complete 7 day course from 03/19; this prescription was sent to her pharmacy upon discharge.  Discharged home with hospice services (per pt /family preference) for comfort care
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Hilar lymphadenopathy, Hypoxia, Insomnia, Lymphadenopathy, Lymphoma
Clinical narrative: "Pt presented to Clinic for her vaccine. Post vaccine, pt was feeling faint/weak and was pale. Pt sts feeling short of breath prior to arrival. Pt has hx of lung cancer. Pt was drained last at home on 3/14 per pt husband. EMS performed 12 lead and checked vitals. Pt color improved upon lying on stretcher for a few minutes. Pt's pulmonologist was contacted to see if they want her to go to her appointment scheduled at 1330 or to be transported to ED. Pt. was then transported via EMS to ED." Pt was inpt from 3/18/21 - 3/21/21 with diagnosis of E. Coli bacteremia, recurrent left pleural effusion with drain in place, resolved hypoxia on oxygen, follicular non Hodgkin's lymphoma, pancytopenia, poor appetite, insomnia.  Patient was started on cefepime and then Rocephin per Infectious Disease team but she continued to the duration of this admission until ultimately transitioning her to oral antibiotics with Cipro twice daily to complete 7 day course from 03/19; this prescription was sent to her pharmacy upon discharge.  Discharged home with hospice services (per pt /family preference) for comfort care
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Pancytopenia, Pleural effusion, Pleural thickening, Pulmonary mass
Clinical narrative: "Pt presented to Clinic for her vaccine. Post vaccine, pt was feeling faint/weak and was pale. Pt sts feeling short of breath prior to arrival. Pt has hx of lung cancer. Pt was drained last at home on 3/14 per pt husband. EMS performed 12 lead and checked vitals. Pt color improved upon lying on stretcher for a few minutes. Pt's pulmonologist was contacted to see if they want her to go to her appointment scheduled at 1330 or to be transported to ED. Pt. was then transported via EMS to ED." Pt was inpt from 3/18/21 - 3/21/21 with diagnosis of E. Coli bacteremia, recurrent left pleural effusion with drain in place, resolved hypoxia on oxygen, follicular non Hodgkin's lymphoma, pancytopenia, poor appetite, insomnia.  Patient was started on cefepime and then Rocephin per Infectious Disease team but she continued to the duration of this admission until ultimately transitioning her to oral antibiotics with Cipro twice daily to complete 7 day course from 03/19; this prescription was sent to her pharmacy upon discharge.  Discharged home with hospice services (per pt /family preference) for comfort care
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Thoracic cavity drainage
Clinical narrative: "Pt presented to Clinic for her vaccine. Post vaccine, pt was feeling faint/weak and was pale. Pt sts feeling short of breath prior to arrival. Pt has hx of lung cancer. Pt was drained last at home on 3/14 per pt husband. EMS performed 12 lead and checked vitals. Pt color improved upon lying on stretcher for a few minutes. Pt's pulmonologist was contacted to see if they want her to go to her appointment scheduled at 1330 or to be transported to ED. Pt. was then transported via EMS to ED." Pt was inpt from 3/18/21 - 3/21/21 with diagnosis of E. Coli bacteremia, recurrent left pleural effusion with drain in place, resolved hypoxia on oxygen, follicular non Hodgkin's lymphoma, pancytopenia, poor appetite, insomnia.  Patient was started on cefepime and then Rocephin per Infectious Disease team but she continued to the duration of this admission until ultimately transitioning her to oral antibiotics with Cipro twice daily to complete 7 day course from 03/19; this prescription was sent to her pharmacy upon discharge.  Discharged home with hospice services (per pt /family preference) for comfort care
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Communication disorder, Dyspnoea, Eye movement disorder, Lethargy
Clinical narrative: Patient was AAOx3, ambulating independently prior to obtaining vaccine. Medical Assistant gave patient vaccine in Left Deltoid. Patient ambulated to observation area and sat in a chair. Five minutes into her observation, patient reported not feeling well. Medical Assistant notified Nurse Practitioner. Upon exam, patient was pallor, eyes intermittently rolling back, lethargic and unable to keep her head upright, nauseous and dry heaving, developed rigors, unable to verbally communicate but did nod her head yes to having difficulty breathing. No hives or rash noted. Epinephrine 0.3mg Pen (Lot # 0FM406, Exp Feb 2022) was administered in Right Deltoid. 911 was called by the Vaccine Clinic Supervisor. Vitals: Temp 97.7, HR 77, BP 134/76 (sitting), Pox 96% Room Air. After Epi administration, patient continued to be lethargic and the only thing she stated was "I do not feel well" but was able to communicate with head nods. EMS arrived and patient was taken to a Hospital.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Nausea, Pallor, Posture abnormal, Retching
Clinical narrative: Patient was AAOx3, ambulating independently prior to obtaining vaccine. Medical Assistant gave patient vaccine in Left Deltoid. Patient ambulated to observation area and sat in a chair. Five minutes into her observation, patient reported not feeling well. Medical Assistant notified Nurse Practitioner. Upon exam, patient was pallor, eyes intermittently rolling back, lethargic and unable to keep her head upright, nauseous and dry heaving, developed rigors, unable to verbally communicate but did nod her head yes to having difficulty breathing. No hives or rash noted. Epinephrine 0.3mg Pen (Lot # 0FM406, Exp Feb 2022) was administered in Right Deltoid. 911 was called by the Vaccine Clinic Supervisor. Vitals: Temp 97.7, HR 77, BP 134/76 (sitting), Pox 96% Room Air. After Epi administration, patient continued to be lethargic and the only thing she stated was "I do not feel well" but was able to communicate with head nods. EMS arrived and patient was taken to a Hospital.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: C-reactive protein, Chest X-ray, Chest pain, Computerised tomogram abdomen, Computerised tomogram head
Clinical narrative: Patient was AAOx3, ambulating independently prior to obtaining vaccine. Medical Assistant gave patient vaccine in Left Deltoid. Patient ambulated to observation area and sat in a chair. Five minutes into her observation, patient reported not feeling well. Medical Assistant notified Nurse Practitioner. Upon exam, patient was pallor, eyes intermittently rolling back, lethargic and unable to keep her head upright, nauseous and dry heaving, developed rigors, unable to verbally communicate but did nod her head yes to having difficulty breathing. No hives or rash noted. Epinephrine 0.3mg Pen (Lot # 0FM406, Exp Feb 2022) was administered in Right Deltoid. 911 was called by the Vaccine Clinic Supervisor. Vitals: Temp 97.7, HR 77, BP 134/76 (sitting), Pox 96% Room Air. After Epi administration, patient continued to be lethargic and the only thing she stated was "I do not feel well" but was able to communicate with head nods. EMS arrived and patient was taken to a Hospital.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram, Eye movement disorder, Fibrin D dimer
Clinical narrative: Patient was AAOx3, ambulating independently prior to obtaining vaccine. Medical Assistant gave patient vaccine in Left Deltoid. Patient ambulated to observation area and sat in a chair. Five minutes into her observation, patient reported not feeling well. Medical Assistant notified Nurse Practitioner. Upon exam, patient was pallor, eyes intermittently rolling back, lethargic and unable to keep her head upright, nauseous and dry heaving, developed rigors, unable to verbally communicate but did nod her head yes to having difficulty breathing. No hives or rash noted. Epinephrine 0.3mg Pen (Lot # 0FM406, Exp Feb 2022) was administered in Right Deltoid. 911 was called by the Vaccine Clinic Supervisor. Vitals: Temp 97.7, HR 77, BP 134/76 (sitting), Pox 96% Room Air. After Epi administration, patient continued to be lethargic and the only thing she stated was "I do not feel well" but was able to communicate with head nods. EMS arrived and patient was taken to a Hospital.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Lethargy, Malaise, Nausea, Pallor
Clinical narrative: Patient was AAOx3, ambulating independently prior to obtaining vaccine. Medical Assistant gave patient vaccine in Left Deltoid. Patient ambulated to observation area and sat in a chair. Five minutes into her observation, patient reported not feeling well. Medical Assistant notified Nurse Practitioner. Upon exam, patient was pallor, eyes intermittently rolling back, lethargic and unable to keep her head upright, nauseous and dry heaving, developed rigors, unable to verbally communicate but did nod her head yes to having difficulty breathing. No hives or rash noted. Epinephrine 0.3mg Pen (Lot # 0FM406, Exp Feb 2022) was administered in Right Deltoid. 911 was called by the Vaccine Clinic Supervisor. Vitals: Temp 97.7, HR 77, BP 134/76 (sitting), Pox 96% Room Air. After Epi administration, patient continued to be lethargic and the only thing she stated was "I do not feel well" but was able to communicate with head nods. EMS arrived and patient was taken to a Hospital.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Posture abnormal, Respiratory viral panel, SARS-CoV-2 test, Syncope, Troponin
Clinical narrative: Patient was AAOx3, ambulating independently prior to obtaining vaccine. Medical Assistant gave patient vaccine in Left Deltoid. Patient ambulated to observation area and sat in a chair. Five minutes into her observation, patient reported not feeling well. Medical Assistant notified Nurse Practitioner. Upon exam, patient was pallor, eyes intermittently rolling back, lethargic and unable to keep her head upright, nauseous and dry heaving, developed rigors, unable to verbally communicate but did nod her head yes to having difficulty breathing. No hives or rash noted. Epinephrine 0.3mg Pen (Lot # 0FM406, Exp Feb 2022) was administered in Right Deltoid. 911 was called by the Vaccine Clinic Supervisor. Vitals: Temp 97.7, HR 77, BP 134/76 (sitting), Pox 96% Room Air. After Epi administration, patient continued to be lethargic and the only thing she stated was "I do not feel well" but was able to communicate with head nods. EMS arrived and patient was taken to a Hospital.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound Doppler
Clinical narrative: Patient was AAOx3, ambulating independently prior to obtaining vaccine. Medical Assistant gave patient vaccine in Left Deltoid. Patient ambulated to observation area and sat in a chair. Five minutes into her observation, patient reported not feeling well. Medical Assistant notified Nurse Practitioner. Upon exam, patient was pallor, eyes intermittently rolling back, lethargic and unable to keep her head upright, nauseous and dry heaving, developed rigors, unable to verbally communicate but did nod her head yes to having difficulty breathing. No hives or rash noted. Epinephrine 0.3mg Pen (Lot # 0FM406, Exp Feb 2022) was administered in Right Deltoid. 911 was called by the Vaccine Clinic Supervisor. Vitals: Temp 97.7, HR 77, BP 134/76 (sitting), Pox 96% Room Air. After Epi administration, patient continued to be lethargic and the only thing she stated was "I do not feel well" but was able to communicate with head nods. EMS arrived and patient was taken to a Hospital.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Pain
Clinical narrative: Chills, headache, body ache, weakness, extreme fatigue. Lasted 5 days.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Diarrhoea, Hyperhidrosis, Pyrexia
Clinical narrative: Nothing major but I haven't seen much information on this so I wanted to report. After both shots, roughly 24-48 hours after I started having similar symptoms. After I would eat, typically lunch/mid-day, I would get a fever. This would involve sweating, upset stomach, sometimes diarrhea, and possibly a headache. I would basically have to lie down or take a short nap. So far, it has been worse after my second shot, but similar. I just thought it was odd that it happened only after I ate, and I haven't seen much about that side effect.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site nodule, Pruritus, Tenderness
Clinical narrative: one week after the shot, i started to get an elevated bump/lump on my left arm near the injection site. This lump is roundish in shape, red and very itchy -  also can feel it (sore) without touching and it is sore to touch.  The lump has gotten bigger since Saturday.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea
Clinical narrative: I got my 1st shot on March 12 at Hospital.   3 days later I got nausea and diarrhrea.   Today (3/22) the diarrhrea is as bad as ever.   I have no expectation that it will go away on its own.  I am very reluctant to get the 2nd shot.  What do I do?  Help!! Pfizer EN6207
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pyrexia
Clinical narrative: I felt extreme fatigue- really tired.  I first got the fever, then chills, the fever, then chills again.  Finally, after the fever and chills, I got a very intense headache for about 18 hours.  The fever and chills lasted for about 36 hours.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Loss of consciousness, Vomiting
Clinical narrative: Patient reports she got her Covid-19 vaccine 2 days ago, first dose and has felt fatigued since then.  Patient states she vomited in the lobby and then passed out, now feels better, able to drink a glass of water.  No other symptoms, no CP, no SOB.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alopecia, Asthenia, Dizziness, Fatigue
Clinical narrative: Severe dizziness and weakness following vaccine and since, some hair loss, extreme fatigue
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Fatigue, Headache
Clinical narrative: Severe dizziness and weakness following vaccine and since, some hair loss, extreme fatigue
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alopecia, Asthenia, Dizziness, Fatigue
Clinical narrative: Fatigue , since March 4, 2021 , severe dizziness, since March 18, 2021, headache off and on Called 911 on March 19, 2021 due to severe dizziness
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Fatigue, Headache
Clinical narrative: Fatigue , since March 4, 2021 , severe dizziness, since March 18, 2021, headache off and on Called 911 on March 19, 2021 due to severe dizziness
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Headache, Oropharyngeal pain, Pain in extremity
Clinical narrative: sore throat, headache, soreness in arm, cough
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Blood test, Chest pain, Computerised tomogram, Computerised tomogram abnormal
Clinical narrative: Developed chest pain and right armpit pain 1-day after vaccination.  Condition has persisted and now includes indigestion and vertigo.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Electrocardiogram, Vertigo
Clinical narrative: Developed chest pain and right armpit pain 1-day after vaccination.  Condition has persisted and now includes indigestion and vertigo.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site inflammation, Injection site pruritus, Injection site urticaria
Clinical narrative: Large red, itchy inflamed area at injection site - about a 3-4 inch oval area. Looks like a giant hive.  Still present. No treatment.
Age: 59.0
Sex: F
Vaccine: UNK
Symptoms: Back pain, Neck pain
Clinical narrative: severe back and neck muscle pain
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chest pain, Cough
Clinical narrative: Presented to ED on 3/14/21 with shortness of breath. She started feeling sick march 6th, with fatigue and no appetite. She developed a cough, loss of taste/smell, and then nausea/vomiting. She tested positive for Covid-19 on the 11th. She hasn't been able to hold down meds for the last week. She is having intermittent chest pains which she attributes to not being able to take her cardiac meds. Was started on supplemental oxygen and admitted to hospital. Is still admitted at time of writing.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspnoea, Fatigue, Malaise, Nausea
Clinical narrative: Presented to ED on 3/14/21 with shortness of breath. She started feeling sick march 6th, with fatigue and no appetite. She developed a cough, loss of taste/smell, and then nausea/vomiting. She tested positive for Covid-19 on the 11th. She hasn't been able to hold down meds for the last week. She is having intermittent chest pains which she attributes to not being able to take her cardiac meds. Was started on supplemental oxygen and admitted to hospital. Is still admitted at time of writing.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Presented to ED on 3/14/21 with shortness of breath. She started feeling sick march 6th, with fatigue and no appetite. She developed a cough, loss of taste/smell, and then nausea/vomiting. She tested positive for Covid-19 on the 11th. She hasn't been able to hold down meds for the last week. She is having intermittent chest pains which she attributes to not being able to take her cardiac meds. Was started on supplemental oxygen and admitted to hospital. Is still admitted at time of writing.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Mobility decreased, Pain in extremity
Clinical narrative: While sitting, patient felt a severe pain on L side of head about 8.5 hours after injection. Then the L foot started throbbing and pt wasn't able to move L foot. Pain traveled from L foot up to the L thigh. Next R entire leg started out with a grabbing, throbbing spastic unbearable pain that lasted for about 30 minutes. Predominant pain was on the R thigh and continued to seize up and  caused incredible pain, every bit of a 10 on the pain chart.  Pt took salt and 1000 mg acetaminophen. Pt states that if she hadn't been sitting  she would've gone down and not been able to walk or move
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administration error
Clinical narrative: Patient was to be administered Pfizer vaccine in left arm. APRN prepped patient with alcohol pad, inserted the needle and realized there was nothing in the needle when she began pushing. APRN immediately removed the needle, covered the needle stick with a bandaid. explained to the patient what happened and called the supervising APRN on call. Patient was given actual dose of Pfzier 0.3 mL in right arm, monitored for 15 minutes with no adverse reactions.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Hyperhidrosis, Night sweats
Clinical narrative: Pt had J and J vaccine at outside facility on 3/14.   by 3/14 evening, had fever, sweats, bodyaches which he thought was vaccine related since 3/15, some ST w/ dry cough, fatigue, sweats overnight some mild sob when laying down by 3/18: Headaches, fatigue, SOB
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pt had J and J vaccine at outside facility on 3/14.   by 3/14 evening, had fever, sweats, bodyaches which he thought was vaccine related since 3/15, some ST w/ dry cough, fatigue, sweats overnight some mild sob when laying down by 3/18: Headaches, fatigue, SOB
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Immediate post-injection reaction, Joint stiffness, Joint swelling, Musculoskeletal stiffness
Clinical narrative: Immediately after the shot, I had a very sore arm for about 5 days. But 12 days after the shot I woke up feeling very stiff in my left wrist, the back of my  neck, and both ankles.  The ankles were stiff enough that it was hard to walk downstairs, but I did it. My wrist and ankles are swollen. Initially, my left elbow was tender to the touch in one spot, but that has improved.   I have been taking 220 mg of Aleve every day, which makes all symptoms go away, but they are back the next morning, though they have been gradually getting better.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Immediately after the shot, I had a very sore arm for about 5 days. But 12 days after the shot I woke up feeling very stiff in my left wrist, the back of my  neck, and both ankles.  The ankles were stiff enough that it was hard to walk downstairs, but I did it. My wrist and ankles are swollen. Initially, my left elbow was tender to the touch in one spot, but that has improved.   I have been taking 220 mg of Aleve every day, which makes all symptoms go away, but they are back the next morning, though they have been gradually getting better.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Musculoskeletal stiffness, Pain in jaw, Paraesthesia oral, Swelling face
Clinical narrative: When I laid down for bed my tongue felt weird on my left side.  I looked in the mirror and the left side of my face was swollen around the cheek.  I have a little soreness around the jaw.  My left are was sore to the touch and slight stiff where I cannot raise my arm all the way.  I took 2 Benadryl tablets.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: When I laid down for bed my tongue felt weird on my left side.  I looked in the mirror and the left side of my face was swollen around the cheek.  I have a little soreness around the jaw.  My left are was sore to the touch and slight stiff where I cannot raise my arm all the way.  I took 2 Benadryl tablets.
Age: 28.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Called this clinic complaining of pain and swelling at the site of the injection as well as  fever.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Pain in extremity
Clinical narrative: she had significant pain later in the day of vaccination and was unable to lift her arm for a week, she continued to have pain in this arm/shoulder for a couple more weeks
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Conversion disorder, Laboratory test normal, Magnetic resonance imaging normal
Clinical narrative: Functional Nuerological Disorder Hospitalization
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia oral
Clinical narrative: patient had sensation of her tongue going numb shortly after the vaccine.  She also complained of being lightheaded.   She recovered within 20 minutes.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Skin warm, Swelling, Urticaria
Clinical narrative: I had what urgent care told me was hives.  The hives were very large and unlike any hives I had ever had.  They covered my neck, went onto my back, chest and stomach.  On my neck they were very large, covering over half my neck for just one, raised, hot to touch, and the color of what i would describe as port wine.  I was prescribed benadryl and prednisone.  I only took benadryl.  I took 3 tablets right away and also the benadryl cream i applied to all the hives.  It took about 24 hours for the hives to completely disappear.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Cough, Discomfort, Lymph node pain
Clinical narrative: I woke up Sunday morning (about 40 hours after the vaccine) with pain in my shoulders, clavicle, collarbone - also had pressure on collarbone, sensitive to touch, and some cough. Pressure and cough have subsided this morning , pain is still present.  It hurts once in a while when swallowing and neck area I checked the lymph nodes at hurt some (I examined my neck like a doctor would to feel for possible swollen lymph nodes but can't tell if they are swollen or not).  I put "no" under recovered because the pain is still there.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Odynophagia, Tenderness
Clinical narrative: I woke up Sunday morning (about 40 hours after the vaccine) with pain in my shoulders, clavicle, collarbone - also had pressure on collarbone, sensitive to touch, and some cough. Pressure and cough have subsided this morning , pain is still present.  It hurts once in a while when swallowing and neck area I checked the lymph nodes at hurt some (I examined my neck like a doctor would to feel for possible swollen lymph nodes but can't tell if they are swollen or not).  I put "no" under recovered because the pain is still there.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Night sweats, Pain in extremity, Tinnitus
Clinical narrative: Ears are ringing. Sore arm, night sweats, tired.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash pruritic, Subdural haematoma
Clinical narrative: Expanding patch of pruritic erythema on Left deltoid with subdermal swelling
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Migraine, Oropharyngeal pain
Clinical narrative: soreness at injection site, massive headache that subsequently turned into a migraine and lasted for 3 days, extreme fatigue that lasted for 3 days, sore throat, facial tingling and sensitivity.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: soreness at injection site, massive headache that subsequently turned into a migraine and lasted for 3 days, extreme fatigue that lasted for 3 days, sore throat, facial tingling and sensitivity.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood magnesium, Cerebrovascular accident, Chest X-ray, Computerised tomogram head, Computerised tomogram neck
Clinical narrative: My husband had a stroke one week after his 2nd dose. The blood clot affected his occipital lobe. Ten years ago he had a stroke in the same area below this area. On that Monday around 7 PM, he took our refuse out to the curb in front of our home. When he came in he did not recognize me or his surroundings.  I took him to the hospital by car as I was not sure what happened to him. After testing the doctors said he had a minor infarct. The stroke affected his memory. He was very confused and did not remember anything from the moment of the incident until moments before exiting the MRI machine, approximately 2 hours later. He still cannot recall anything surrounding the incident. We questioned if this was related to his recent vaccination and the doctors stated no, however, we believe it is something that should be reported since it occurred a week after the vaccination.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory, Electroencephalogram, Full blood count
Clinical narrative: My husband had a stroke one week after his 2nd dose. The blood clot affected his occipital lobe. Ten years ago he had a stroke in the same area below this area. On that Monday around 7 PM, he took our refuse out to the curb in front of our home. When he came in he did not recognize me or his surroundings.  I took him to the hospital by car as I was not sure what happened to him. After testing the doctors said he had a minor infarct. The stroke affected his memory. He was very confused and did not remember anything from the moment of the incident until moments before exiting the MRI machine, approximately 2 hours later. He still cannot recall anything surrounding the incident. We questioned if this was related to his recent vaccination and the doctors stated no, however, we believe it is something that should be reported since it occurred a week after the vaccination.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin, Magnetic resonance imaging head, Metabolic function test
Clinical narrative: My husband had a stroke one week after his 2nd dose. The blood clot affected his occipital lobe. Ten years ago he had a stroke in the same area below this area. On that Monday around 7 PM, he took our refuse out to the curb in front of our home. When he came in he did not recognize me or his surroundings.  I took him to the hospital by car as I was not sure what happened to him. After testing the doctors said he had a minor infarct. The stroke affected his memory. He was very confused and did not remember anything from the moment of the incident until moments before exiting the MRI machine, approximately 2 hours later. He still cannot recall anything surrounding the incident. We questioned if this was related to his recent vaccination and the doctors stated no, however, we believe it is something that should be reported since it occurred a week after the vaccination.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash pruritic
Clinical narrative: Itchy rash over entire body starting after second shot and after 2 weeks getting worse, Dr. prescribed 6 day med pak of prednisone.  Relieved rash considerably, but not completely.  Rash returned within days of ending prednisone.  Dr has now increased dose of prednisone , graduating 14 days. None.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Diarrhoea, Dizziness, Fatigue, Headache
Clinical narrative: nausea, diarrhea, headache, fatigue, increased blood pressure, dizziness
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: nausea, diarrhea, headache, fatigue, increased blood pressure, dizziness
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Confusional state, Dementia, Disorientation, Dysarthria
Clinical narrative: Slurred speech, extreme confusion and disorientation, headache, blurred vision. Symptoms of mild Demetia increased to meditate to severe dementia in a matter of hours.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, NIH stroke scale, Vision blurred
Clinical narrative: Slurred speech, extreme confusion and disorientation, headache, blurred vision. Symptoms of mild Demetia increased to meditate to severe dementia in a matter of hours.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Anaemia, Elderly, Endometrial hyperplasia, Endometrial thickening
Clinical narrative: I did not administer vaccine in my office, I was the provider she saw after seeing her PCP who wrote the adverse event off and was not worried about vaginal bleeding in a 68 woman.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count abnormal, Hysteroscopy, Metabolic function test, Postmenopausal haemorrhage, Ultrasound scan vagina
Clinical narrative: I did not administer vaccine in my office, I was the provider she saw after seeing her PCP who wrote the adverse event off and was not worried about vaginal bleeding in a 68 woman.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine leiomyoma, Vaginal haemorrhage
Clinical narrative: I did not administer vaccine in my office, I was the provider she saw after seeing her PCP who wrote the adverse event off and was not worried about vaginal bleeding in a 68 woman.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Eye pain, Headache, Rash
Clinical narrative: Extreme headache left side of head and left eye. Vaccine was given on Thursday March 18th  and the headache started on Friday the 19th and got worse of Saturday the 20th and Sunday morning got better Sunday evening. A rash developed on the left side  of  my forehead Sunday afternoon (looks like bloody pit marks). The left side  of my  head hurts, and my left eye continues to throb.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site nodule, Injection site swelling, Injection site warmth
Clinical narrative: Shortly after the shot I swelled at the injection site. I now have a 6.5cm x 5cm red knot. It is warm to the touch. It hasn't changed in size since I got it. I actually forgot about it until a couple of days ago. It has no pain, and I had no other symptoms.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Tinnitus, Vertigo
Clinical narrative: Vertigo began  the morning of March 12th, 2021. Increased throughout the day and subsided. Still cannot look above my head without have vertigo effects. Increased tinnitus beginning March 12th. It has increased and is now at a point where it does not subside.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Joint range of motion decreased, Pain in extremity
Clinical narrative: I had soreness on my shoulder that progressively extended to all of my upper arm and became more painful. I had difficulty raising my arm or moving it (it reminded me of the pain I felt when I had a case of bursitis on my other shoulder years prior). When lying down I could not sleep on that side and had difficulty sleeping on my right side as I could not find a comfortable position for my left arm that would not cause shooting pain. This lasted for 2-3 days. It subsided after 5 days. However, 10 days later, sometimes I get a softer pain on that arm when I move it. I did take extra strenght Tylenol, as recommended by the person that provided the shot. It did not help a lot, to be honest.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Influenza like illness, Injection site pain, Myalgia
Clinical narrative: Morning after injection. Severe flu like symptoms including nausea chills fever muscle/joint pain pain at injection site sore throat and runny nose. Took ibuprofen for fever and body pain.  Next morning body aches runny nose sore throat and a full body rash that did not itch.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Pain, Pyrexia, Rash
Clinical narrative: Morning after injection. Severe flu like symptoms including nausea chills fever muscle/joint pain pain at injection site sore throat and runny nose. Took ibuprofen for fever and body pain.  Next morning body aches runny nose sore throat and a full body rash that did not itch.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Morning after injection. Severe flu like symptoms including nausea chills fever muscle/joint pain pain at injection site sore throat and runny nose. Took ibuprofen for fever and body pain.  Next morning body aches runny nose sore throat and a full body rash that did not itch.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Patient complains of rash at injection sight during the observation period following vaccine administration
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Circulatory collapse, Vital signs measurement
Clinical narrative: Vasomotor collapse, Placed supine. BP 70/35 P 40; BP 68/34 p 40; BP 90/60 P 55; BP 110/60 P 60 (after 10 minutes of monitoring). Refused further treatment and released.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Influenza like illness, Pain in extremity, Pyrexia
Clinical narrative: Flu like symptoms, chills, fever, tired and sore arm
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dysstasia, Gait disturbance, Hypoaesthesia, Muscular weakness
Clinical narrative: SEVERE, INTENSE CONTINUAL BODY ACHES THAT LASTED FOR UP TO 2 WKS.  I THEN DEVELOPED PAIN AND WEAKNESS IN MY HIPS, THIGHS THAT HAVE LASTED TO THIS DAY.  I HAVE MUSCLE WEAKNESS IN MY THIGHS AND I'M UNABLE TO WALK, CLIMB OR DESCEND STAIRS OR STAND WITHOUT SEVERE PAIN.  I WILL SOMETIMES EXPERIENCE NUMBNESS IN MY LEGS IF I STAND TOO LONG.   I DID NOT HAVE THESE SYMPTOMS PRIOR TO THE SECOND DOSE OF THE MODERNA VACCINE.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Spinal X-ray abnormal
Clinical narrative: SEVERE, INTENSE CONTINUAL BODY ACHES THAT LASTED FOR UP TO 2 WKS.  I THEN DEVELOPED PAIN AND WEAKNESS IN MY HIPS, THIGHS THAT HAVE LASTED TO THIS DAY.  I HAVE MUSCLE WEAKNESS IN MY THIGHS AND I'M UNABLE TO WALK, CLIMB OR DESCEND STAIRS OR STAND WITHOUT SEVERE PAIN.  I WILL SOMETIMES EXPERIENCE NUMBNESS IN MY LEGS IF I STAND TOO LONG.   I DID NOT HAVE THESE SYMPTOMS PRIOR TO THE SECOND DOSE OF THE MODERNA VACCINE.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache
Clinical narrative: Head ache. Painful joints. Fatigue
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever, aches: began at 10 pm the same day of vaccination. The fever and aches responded well to Tylenol. Fever lasted from about 10 pm to 3 pm the following day and then stopped, without the use of medicine. However, the fever and aches later came back that night (3/20, the day after vaccination) at around 10 pm.  Vomiting: Certainly the effect that caught me most off guard. Vomiting lasted from 4:30 pm on 3/20 (day after vaccination) until 7:30 pm that same day. I vomited 5 times in this time span, and was quite nauseous for about an hour or two before the vomiting began. No medicine relieved this effect.  Headache: Came and went with the fever. Not too terrible.  Sore arm: lasted for about 30 hours after the injection.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Fever, aches: began at 10 pm the same day of vaccination. The fever and aches responded well to Tylenol. Fever lasted from about 10 pm to 3 pm the following day and then stopped, without the use of medicine. However, the fever and aches later came back that night (3/20, the day after vaccination) at around 10 pm.  Vomiting: Certainly the effect that caught me most off guard. Vomiting lasted from 4:30 pm on 3/20 (day after vaccination) until 7:30 pm that same day. I vomited 5 times in this time span, and was quite nauseous for about an hour or two before the vomiting began. No medicine relieved this effect.  Headache: Came and went with the fever. Not too terrible.  Sore arm: lasted for about 30 hours after the injection.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I have begun to have significant tinnitus following the second shot of Psfizer
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Rash appeared on left neck. Red, not itchy at first and went away until after second shot March 2, 2021. Then it appeared again a few weeks later larger and very itchy.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Sore arm both shots.  Fever 24 hours after 2nd shot lasting 24 hours
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: PT C/O NUMBNESS  AND TINGLING ON HER LT HAND,HER CELL PHONE FELL OUT OF HER HAND. PT OBS.V/S 99%O2 SAT,PULSE 83,BP103/66 ; EDUCATE PT TO MOVE HER HAND AND SHOULDER; ANOTHER CHECK MADE,PT STATES FEELING BETTER AND WAS SENT HOME.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Pruritus
Clinical narrative: I feel like I have very light prickles like a needle on my skin in one arm and then moved to the rest of my body and my face. its not painful, its itchy and funny feeling that comes and goes.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: Right arm pain that continued to worsen as the day went on, progressing across my back and then legs. Felt the worst about exactly 24 hrs after the injection. Felt like a truck ran over me. Took ibuprofen and felt much better the next day.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site rash, Injection site reaction
Clinical narrative: Day 8 - delayed reaction at site of injection. Large red raised welt (between baseball and softball size), hot to touch and tender
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Rash erythematous, Urticaria
Clinical narrative: Day 8 - delayed reaction at site of injection. Large red raised welt (between baseball and softball size), hot to touch and tender
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Swollen, painful, itchy rash at injection site.  Also felt very warm to the touch. Still red and slightly sore with some itchiness ongoing a week later.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chills, Computerised tomogram thorax, Fatigue, Headache
Clinical narrative: 8 days after vaccine, patient presented with headache, severe body aches, fever, chills, and fatigue.  Patient had a patchy right upper lobe infiltrate, pulmonary infarction was ruled out.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Lung infiltration, Pain, Pyrexia
Clinical narrative: 8 days after vaccine, patient presented with headache, severe body aches, fever, chills, and fatigue.  Patient had a patchy right upper lobe infiltrate, pulmonary infarction was ruled out.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Patient had a small, itchy rash that started 2 days after the shot.  It lasted for 2-3 days then cleared.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperaesthesia teeth, Musculoskeletal pain, Nausea
Clinical narrative: Chills, musculoskeletal pain, headache, sinus pain, nausea, tooth sensitivity
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus pain
Clinical narrative: Chills, musculoskeletal pain, headache, sinus pain, nausea, tooth sensitivity
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Pallor
Clinical narrative: Client received Moderna vaccine at 1817 and at 1825 client  intentionally laid down and reported feeling lightheaded, dizzy, and nauseous after receiving injection. Client's skin color appeared pale. Client reports that "this happens every time" she gets vaccines. Client's vital signs were stable: BP 108/72, P 66, O2 99% on room air, and R 16.  Client was assisted to sitting position and given some water. After waiting an additional 15 minutes, client reported that her nausea and dizziness had resolved. Client's color improved.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Issues breathing- short of breath, pressure on chest
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Swollen, itchy and red at injection site. Flu like symptoms with fever for 24 hours after injection.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Urticaria
Clinical narrative: Noticed red patches and welts 10 days after first Moderna vaccine
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Malaise, Pain in extremity
Clinical narrative: This was my second dose btw. Arm pain after first dose. No other noticeable symptoms. Second dose: Headache almost immediately after being given the vaccine. Followed by arm pain/ache in BOTH arms, fatigue, lung pain, hip pain, general feeling of being unwell or having the flu. Went to work the next day. Still not feeling well. Felt even worse as the day progressed (with symptoms listed), went home early. Slept for twelve hours. Same symptoms the next day. Oddly, my symptoms seemed to relax a little after I ate lunch. Then returned a few hours later.  Tomorrow will be 7 days after dose. I still have arm pain in both arms and extreme fatigue.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary pain
Clinical narrative: This was my second dose btw. Arm pain after first dose. No other noticeable symptoms. Second dose: Headache almost immediately after being given the vaccine. Followed by arm pain/ache in BOTH arms, fatigue, lung pain, hip pain, general feeling of being unwell or having the flu. Went to work the next day. Still not feeling well. Felt even worse as the day progressed (with symptoms listed), went home early. Slept for twelve hours. Same symptoms the next day. Oddly, my symptoms seemed to relax a little after I ate lunch. Then returned a few hours later.  Tomorrow will be 7 days after dose. I still have arm pain in both arms and extreme fatigue.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Given Moderna on 12/28/2020 second dose Moderna 1/25/2021 But Dx covid 19 on 3/19/2021
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Flushing
Clinical narrative: Shortness of breath Flushing
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Erythema, Flushing, Formication, Nervousness
Clinical narrative: Pt reported "flushing and crawling" feeling on body. Redness observed on bilateral lower extremities, no tenderness or pain reported. Pt was alert and oriented; Liquid benadryl given per standing order. Pt denies other symptoms but reports feeling "anxious or nervous." Oxygen saturation was 96%. Pt  states a similar episode happened when she received her 1st dose and reported it subsided after taking benadryl at home. States she never reported the 1st effects to anyone.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pain, redness, swelling, warmth at injection site began 1 week after receiving vaccine
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous
Clinical narrative: 8 Days after the shot, acquired a red, round, itchy rash patch on same arm, near shot site. Treating with Benadryl cream on the site, will add a Benadryl pill if needed.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: Patient received 2nd dose of Pfizer COVID-19 vaccine on 1/9/2021.   On 3/18/2021 patient developed cough, headache, nasal congestion.  Tested positive for COVID.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Paraesthesia
Clinical narrative: Two days after the vaccine, my right foot started to feel weird - felt wet sometimes or felt tingly. My foot was not swollen. I still have those weird sensations 18 days after getting the vaccine.  Also, I had many small blood clots during my first menstruation after the vaccine (13 days after vaccine), which is not normal for me.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: one to two days after Moderna vaccine developed numbness and tingling of hands and feet which persists though mild; four days after vaccine developed new left lateral leg pain in IT band distribution.  She had transverse myelitis in 1992, unknown cause, had numbness below the waist, it resolved ; she is generally healthy and active, normal physical exam in office Feb 18, 2022
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pruritus
Clinical narrative: Itching starting 10 minutes after vaccine to next day  Severe headache on the 19th and 20th  Severe fatigue on 19th
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased
Clinical narrative: Severe shoulder pain still persisting, after 24 hrs.  Limits use of right arm shoulder movement.  Pt went to urgent care for assessment/treatment of possible SIRVA on 3/19/2021.  Diagnosis was acute pain of right shoulder.  Reports s/s slightly improved after 4 days.  Still reported some limited ROM
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Injection site erosion, Injection site extravasation
Clinical narrative: About 9 hours after injection, the site started to ooze clear liquid. A perfect small circle of skin appeared to be burned off.  I cleaned it. Next morning still oozing. Now it is scabbing over day on day 3  Armpit feels like I have a golfball in it.