chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Toothache
Clinical narrative: About three hours after injection i suffered a sudden severe joint pain in back of neck (cervical) where I had a previous neck surgery with disc replacement in the year 2019 and a terrible headache. Hours later I suffered from low back pain (old surgery site), fever, fatigue and more joint pain along with achey teeth.  Since 2/11 /21 , I have continued to have ongoing headaches with neck and low back pain, bilateral arm numbness and tingling  across shoulders.  Teeth still ache.  It's been over a month since second vaccination.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Neck pain, Pyrexia
Clinical narrative: About three hours after injection i suffered a sudden severe joint pain in back of neck (cervical) where I had a previous neck surgery with disc replacement in the year 2019 and a terrible headache. Hours later I suffered from low back pain (old surgery site), fever, fatigue and more joint pain along with achey teeth.  Since 2/11 /21 , I have continued to have ongoing headaches with neck and low back pain, bilateral arm numbness and tingling  across shoulders.  Teeth still ache.  It's been over a month since second vaccination.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Dizziness, Pallor, Vision blurred
Clinical narrative: Patient received the Pfizer Vaccine around 4:00 PM.  Patient  proceeded to sit at the observation area for monitoring then patient flagged down staff with c/o dizziness, blurred vision, hearing loss, slight pallor noted.  Patient was noted sitting at the observation area with LVN next to her side. Patient was offered to lay down. Ice pack was placed on the back of patients neck,  patient ate a candy bar, Nurse encouraged fluids. VS were taken and noted to be stable. Patient was monitored for 30 mins before departure. Patient stated having needle anxiety in the past.   Nurse instructed patient and patient mother on  signs, Symptoms of Severe Adverse Reactions to report to health care provider or to go to the emergency room. Patient/Family verbalized understanding.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Loss of personal independence in daily activities, Night sweats, Pyrexia
Clinical narrative: Vertigo/dizziness causing vomiting and affecting activities of daily living. Ongoing after 1 week and not responding to Meclizine or Ondansetron.  Originally had mild fever for one night, then brain fog and night sweats for approximately five days
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo, Vomiting
Clinical narrative: Vertigo/dizziness causing vomiting and affecting activities of daily living. Ongoing after 1 week and not responding to Meclizine or Ondansetron.  Originally had mild fever for one night, then brain fog and night sweats for approximately five days
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: The technician was giving the COVID-19 vaccine to the patient. After injecting the patient with the needle and pressing down on the plunger, the vaccine exploded from the top of the plunger. The patient did not receive the majority of the vaccine. Because of this, the patient was revaccinated with the full dose of the COVID-19 vaccine. The patient was injected around 1:35pm and did not experience any signs or symptoms. After sitting for about 15 minutes, the patient reported to be feeling fine with no signs or symptoms.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia, Vomiting
Clinical narrative: Woke up with fever and vomiting the morning after and a severe front of head headache. Bad body aches. By mid afternoon my fever was up to 102 degrees-even with taking ibuprofen regularly. Extremely tired, headache and body aches with fever continued all night long.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Diplopia, Ophthalmological examination
Clinical narrative: I got my first Pfizer COVID shot on March 2.  On March 9 I had an episode of double vision for a couple of minutes but it went away. On March 10 it returned and worsened such that when I looked to the left my vision had a magnifying effect. After consulting with my Ophthalmologist and my primary physician it was decided that I should not at this time get my second shot scheduled for March 23 due to potential exacerbating problems from my March 2 first shot.  Further it was seen that my blood glucose was showing me diabetic for which I have begun medical treatment for type 2 diabetes.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: 30+/- hours later I broke out in a rash on my upper body (chest, neck, shoulders, back).  Rash lasted 4 days, but itching on upper body continued.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Pruritus
Clinical narrative: Arm pain, redness, itching
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Haematochezia, Headache, Pain in extremity, Rash
Clinical narrative: I had a sore arm and headache for a few days.  My ankle hurt the next morning like it retained fluid. Then I got spots all over my body worse on ankles and feet. The spots don't look like a normal rash. It looks like tiny blood vessels broke. Then I had blood in my stool for 3 days. Not black stool unmixed blood.  I took photos of my entire spotted body and ankle the looks worse almost bruised looking and sent to my cystic fibrosis team medical not the doctor who scheduled my vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Decreased appetite, Malaise, Musculoskeletal stiffness
Clinical narrative: I felt fine when I woke up. My left arm was very sore which also was the case after first vaccine. Around 10 am I developed chills and just did not feel great. My husband took my temp and the highest it got was 102.6 which is high for me since my baseline is 97.6 or so. I did not have a great appetite and felt very stiff when I moved around. I pushed fluids and took 3 naps Saturday. I have a low grade fever of 99 today but feel much better. Did take 2 naps and slept well last night. Took Advil with each meal and doing so today.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: I felt fine when I woke up. My left arm was very sore which also was the case after first vaccine. Around 10 am I developed chills and just did not feel great. My husband took my temp and the highest it got was 102.6 which is high for me since my baseline is 97.6 or so. I did not have a great appetite and felt very stiff when I moved around. I pushed fluids and took 3 naps Saturday. I have a low grade fever of 99 today but feel much better. Did take 2 naps and slept well last night. Took Advil with each meal and doing so today.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itchiness to left arm for a minute then went away. Same thing to right wrist then went away.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Skin discolouration
Clinical narrative: Red , raised lesions on right thigh.  Initially 9 spots, increasing over 4 days to total of  21 raised spots about the diameter of a pencil eraser, larger, flat redness around each lesion.  At about 5 days, tiny heads began to form.  Day 8, redness began to fade. After 2 1/2 weeks,  tiny scabs cover the center of each lesion and only purple  discoloration remains at each site.  The 21 spots were spread over inner thigh, front of thigh and outer thigh.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Terrible vomiting 26 hours after vaccination
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pyrexia, Tremor, Vomiting
Clinical narrative: Hospitalized with the following. Fever, chills, nausea, shaking, vomiting
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: large angry rash covering torso.  it is NOT at the injection site
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Magnetic resonance imaging, Seizure
Clinical narrative: I had two seizures on 3/19/21 and was admitted into the hospital. Blood tests and MRI were done.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Hyperhidrosis, Muscle discomfort
Clinical narrative: Started running a fever the night of the injection, March 13, 2021. Fever of 101-102+ continued for 40 hours along with muscle (especially calves) and joint discomfort.  I had a bout of being nauseous and I had two soaking body sweats. After the fever broke, I was weak and tired and lightheaded.  It?s now eight days since the vaccine and I have noticed that at times I am searching for a word that I know, but I can?t pull it up in my mind. This has happened one or two times a day since I received the vaccine on March 13.   Seems like a mild neurological side effect.  Hopefully, this strange side effect will end soon.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal discomfort, Nausea, Nervous system disorder, Pyrexia
Clinical narrative: Started running a fever the night of the injection, March 13, 2021. Fever of 101-102+ continued for 40 hours along with muscle (especially calves) and joint discomfort.  I had a bout of being nauseous and I had two soaking body sweats. After the fever broke, I was weak and tired and lightheaded.  It?s now eight days since the vaccine and I have noticed that at times I am searching for a word that I know, but I can?t pull it up in my mind. This has happened one or two times a day since I received the vaccine on March 13.   Seems like a mild neurological side effect.  Hopefully, this strange side effect will end soon.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Decreased appetite, Dyspnoea, Fatigue
Clinical narrative: Janssen COVID-19 Vaccine EUA low grade fever-12 hours chills-12 hours body ache-24 hours headache-24 hours shortness of breath-10 hours runny/stuffed nose-10 hours loss of appetite-24 hours fatigue-24 hours upset stomach-randomly
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nasal congestion, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Janssen COVID-19 Vaccine EUA low grade fever-12 hours chills-12 hours body ache-24 hours headache-24 hours shortness of breath-10 hours runny/stuffed nose-10 hours loss of appetite-24 hours fatigue-24 hours upset stomach-randomly
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: At approximately 10:35am client had completed his 15mins observation and was ready to go home when he briefly felt his throat closing. He then called 911 and went back inside to EMT station and notified EMTs. He was then assessed and denied history of Anaphylaxis or allergies to food or meds. Assessment revealed no hives, rashes, skin flare ups, itchiness or shortness of breath. Client denied chest pain, difficulty breathing or pain throughout the body. Initial  Vital signs were taken and taken every 5mins after that. He was asked to stay for 30mins. Client told 911 operator he felt safe to hang up and stay with EMT at vaccination site. Client's initial vital signs were a pulse of 112, Blood pressure of 164/92, O2 sat of 99% on room air and respirations of 24 with no signs of accessory muscle use. Due to client's vitals improving with his calmer demeanor, no additional interventions were felt to be necessary at this time. Client stated he felt better and was encouraged to follow up with his Primary Care Provider and emergency precautions were given.  Vital Signs:   1035 - 164/92 (BP), 112 (HR), 99 (O2) 1040 - 160/90, 96, 99 1045 - 142/88, 94, 99 1050 - 138/88, 94, 99 1055 - 132/88, 94, 99   No medications were administered.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Injection site erythema, Injection site pruritus, Paraesthesia oral, Pruritus
Clinical narrative: Started at 2:00pm with itching and redness on left arm at the injection site. By 6:30pm rash/hives spread to legs, arms, feet, stomach and back. Severe itching. Took 25mg of Benadryl at 6:30pm. Rash appeared to subside. By 10:30pm rash and severe itching returned on legs, feet, back, stomach and arm. Felt tingling and numbness in tongue. Took additional 25mg of benadryl and called 911. Paramedics arrived and assessed vitals. Rash began to subside. Sunday 3/21 had residual internal itching all over body.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Started at 2:00pm with itching and redness on left arm at the injection site. By 6:30pm rash/hives spread to legs, arms, feet, stomach and back. Severe itching. Took 25mg of Benadryl at 6:30pm. Rash appeared to subside. By 10:30pm rash and severe itching returned on legs, feet, back, stomach and arm. Felt tingling and numbness in tongue. Took additional 25mg of benadryl and called 911. Paramedics arrived and assessed vitals. Rash began to subside. Sunday 3/21 had residual internal itching all over body.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Diarrhoea, Dizziness, Dyspnoea, Fatigue
Clinical narrative: High Blood Pressure, high heart rate, vomiting, diarrhea, burning in chest, tired, tremors, hives all over, dizzy, shortness of breath
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypertension, Laboratory test normal, Urticaria, Vomiting
Clinical narrative: High Blood Pressure, high heart rate, vomiting, diarrhea, burning in chest, tired, tremors, hives all over, dizzy, shortness of breath
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Myositis
Clinical narrative: Inflamed large muscles of the lower body- glute, piriformis, hip, lower back Cough
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity
Clinical narrative: Arm pain, redness
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest injury, Head injury, Syncope
Clinical narrative: 19 days after the first shot I fainted and injured left ankle and bump on left forehead,  13 days after the second shot I fainted and injured my left ribs and bump on right forehead . I have not fainted before in 77 years.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Headache, Pain, Pyrexia
Clinical narrative: Low-grade fever, chills, body aches, headache, chest pains: these symptoms lasted about 21 hours.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: The second dose was administered subcutaneously in the left arm. The dose was repeated in the right arm intramuscularly.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Headache, Loss of personal independence in daily activities
Clinical narrative: Jan. 21-Jan. 24:  In bed: fatigue, dizzy, nausea, body aches, headaches Jan. 24- present day:  Fatigue, brain fog, headaches
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain
Clinical narrative: Jan. 21-Jan. 24:  In bed: fatigue, dizzy, nausea, body aches, headaches Jan. 24- present day:  Fatigue, brain fog, headaches
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Musculoskeletal pain, Myalgia
Clinical narrative: Headache (onset roughly 4 hours after vaccination, lasting through >24 hrs after vaccination, although dulled in intensity).  Muscle aches in lower extremities and buttocks  (started about 20 hours after vaccination and had greatly decreased in intensity by ~31 hours after vaccination which was 3/20 PM; completely gone by 3/21/21 AM.  No acetaminophen or NSAIDs taken
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Electrocardiogram, Fatigue, Full blood count, Psychotic disorder
Clinical narrative: On March 7, 2021 my daughter experienced extreme tiredness.  I called 911 and paramedics said it may be the effects of vaccine.  I was concerned because this symptom came on 2 weeks later.  On 3/6/21, I took her to urgent care because I didn't feel comfortable with her extreme tiredness.  I was told the same thing. On 2/23/2021, the day that she was supposed to get the second vaccine, she awoke at 12 midnight and was having a full blown psychotic episode.  She was make loud noises, hitting the wall, etc.  I then took her to the emergency room. My major concern was because my daughter has Down syndrome, a seizure disorder and had heart surgery at three months old (atrio ventricular canal defect).
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan, Urine analysis
Clinical narrative: On March 7, 2021 my daughter experienced extreme tiredness.  I called 911 and paramedics said it may be the effects of vaccine.  I was concerned because this symptom came on 2 weeks later.  On 3/6/21, I took her to urgent care because I didn't feel comfortable with her extreme tiredness.  I was told the same thing. On 2/23/2021, the day that she was supposed to get the second vaccine, she awoke at 12 midnight and was having a full blown psychotic episode.  She was make loud noises, hitting the wall, etc.  I then took her to the emergency room. My major concern was because my daughter has Down syndrome, a seizure disorder and had heart surgery at three months old (atrio ventricular canal defect).
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Feeling abnormal, Feeling hot, Tremor
Clinical narrative: After pt waited for 15 minutes following injection, pt had dizzyness, shaking legs, feeling "hazy", "feels heavy",  "sight feels funny", feels "hot inside".  Pt was assessed by EMS had increased bp, cbg and other vitals normal.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed, Pyrexia
Clinical narrative: Fever, 99-100 degrees Fahrenheit: 12 hours  Delayed menstrual period: cycle delayed by 4 days  No treatment.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pain in extremity
Clinical narrative: Having chills and body aches similar to flu, arm in pain
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Soreness at injection site for 48 hours Mild fever (100.2°F) for about 3 hours starting about 24 hours following the vaccination
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Injection site pain
Clinical narrative: Moderate pain at injection site in right arm. Pain also began in non-injection left arm (site of the first injection) about the same time and worsened over about 8 hours. The pain subsided in the left arm, the first injection site, but continued for about 24 hours in current injection site - right arm.  Severe body aches, mild headache, chills, fever (101 F), fatigue, no appetite: began about 6 hours after injection and continued for about 30 hours. Temperature normal and symptoms subsided about 48 hours after injection.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Moderate pain at injection site in right arm. Pain also began in non-injection left arm (site of the first injection) about the same time and worsened over about 8 hours. The pain subsided in the left arm, the first injection site, but continued for about 24 hours in current injection site - right arm.  Severe body aches, mild headache, chills, fever (101 F), fatigue, no appetite: began about 6 hours after injection and continued for about 30 hours. Temperature normal and symptoms subsided about 48 hours after injection.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Injection site reaction, Nausea, Pain
Clinical narrative: 3/10 could not stay awake beyond 9PM 3/11  10 AM, tired, nauseous, continued to 8PM when could no longer stay awake, slight aching at injection site 3/12 slept 10 hours,  continue to feel tired, less energy to present date 3/21/21.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: 3/10 could not stay awake beyond 9PM 3/11  10 AM, tired, nauseous, continued to 8PM when could no longer stay awake, slight aching at injection site 3/12 slept 10 hours,  continue to feel tired, less energy to present date 3/21/21.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Pruritus, Rash, Rash erythematous, Urticaria
Clinical narrative: rash throughout torso, red pin point and welt, very itchy no blisters rash on arm date of 2nd vaccine below shot site  oral benedryl , topical aspercreme with lidacane
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Injection site pain
Clinical narrative: Severe chest pain that felt like it was moving from injection site into left upper chest. Pain then moved to middle of chest then to right side and back and forth from 1:30am to 3:30am. Pain then became constant in left upper chest area near collarbone.  BP started at 156/95 around 1:45am then decreased to 127/87 around 2:30am
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Pain
Clinical narrative: ?Jansen COVID-19 Vaccine EUA Migraine Headache (horrible) for at least 24 hours. Body aches. Took ibuprofen felt better, drank a lot of water and liquids.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Headache, Pain, Somnolence
Clinical narrative: Groggy and scrambled brain.  Achy..  Hearing non-existent pounding sounds.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia, Vomiting
Clinical narrative: Extreme chills starting around 9:00 PM, no fever  Around 11:00 PM, extreme vomiting  Around 11:45 PM vomiting again
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache
Clinical narrative: Headache that felt different the a normal one. Lightheadedness. Chills and fatigue. All symptoms started between 2 pm and 6 pm on March 20. Acetimenaphen was taken to reduce symptoms. All symptoms gone by 6 pm on March 21.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Malaise, Myalgia, Pyrexia
Clinical narrative: Joint and muscle a Aches, fever.  Headache.  General feeling unwell.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever with chills bad headache achy all over my body just took tylenol for headache and rested in bed for 2 days
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: pt. felt light headed after receiving
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Hypoxia, Lung opacity
Clinical narrative: Patient developed sudden shortness of breath, hypoxemia, requiring hospitalization.  CT chest showed diffuse ground glass opacities, that looked like ARDS.   She required up to 80% FiO2, 60 L/min high flow, but was able to be weaned to venti mask 12L with steroids within 24-48 hours
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Chest pain, Mammogram
Clinical narrative: Pain on right side of rib cage and right side of right breast.  Pain for approximately 1 week prior to seeing primary care MD.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Renal impairment, Renal pain
Clinical narrative: I only have one kidney. And it swelled up. I'm now feeling pain around it.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Was seen by my doctor diagnosed with Bells Palsy prescribed 20mg Prednisone and valacyclovie , my need to see a nerve specialist, and is scheduled for a CT scan. 30 min after shot my nose was numb then in the morning my month was numb I call (doctor) and made an appointment to see a doctor
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Patient came to the pharmacy at 1:05pm to notify us of sharp pain in the left hip bone area starting 10 minutes after the vaccination. She was unable to get assistance at the vaccination clinic and came to pharmacy for documentation. still getting pain at the pharmacy counter.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Insomnia, Laboratory test, Palpitations
Clinical narrative: Heart palpitations leading to insomnia. Palpitations occur sometimes during the day, but get worse at night.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chapped lips, Lip erythema, Lip swelling
Clinical narrative: The patient described red, chapped lips, with a small amount of swelling, that started the day after receiving the Covid vaccine.    She states that her lips remain very dry and there appears to be a red outline around the edges of her lips.  Stated she will be calling her doctor on Monday.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Injection site erythema, Malaise, Sluggishness
Clinical narrative: Two days following injection I was quite dizzy and very sluggish. This lasted for a good week. To this day I am very tired. Injection site was very red for two weeks.  My body continues to feel ?heavy?. My dizziness comes and goes.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash, itching
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Swelling
Clinical narrative: patient reports noticing a lump below right clavicle.  It is not tender but is slightly warm to touch.  It has not changed since patient noticed.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Injection site soreness and fever over night.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Bruxism, Chills, Dry eye, Eye pain
Clinical narrative: Painful, swollen, hot, rock hard injection site. Temp 102.5, extreme chills, body aches , nausea and headache. Hurt to open mouth the following day because jaws were so sore from clenching my teeth with the chills.  Skin hurt to touch, took a shower to try and warm up and the water hurt when it hit my skin.  Eyeballs hurt and felt hot and dry.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Painful, swollen, hot, rock hard injection site. Temp 102.5, extreme chills, body aches , nausea and headache. Hurt to open mouth the following day because jaws were so sore from clenching my teeth with the chills.  Skin hurt to touch, took a shower to try and warm up and the water hurt when it hit my skin.  Eyeballs hurt and felt hot and dry.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in jaw, Pain of skin
Clinical narrative: Painful, swollen, hot, rock hard injection site. Temp 102.5, extreme chills, body aches , nausea and headache. Hurt to open mouth the following day because jaws were so sore from clenching my teeth with the chills.  Skin hurt to touch, took a shower to try and warm up and the water hurt when it hit my skin.  Eyeballs hurt and felt hot and dry.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Slight pain in left forearm and hand. Hand felt like I had squeezed a ball a thousand times in a row. Feeling lasted apx 15 minutes. No pain since.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Dyspnoea, Epistaxis, Mouth haemorrhage, Pyrexia
Clinical narrative: On Friday night, 3/19/21, patient spiked a fever, had shortness of breath, and had blood coming out of his nose and mouth per patient's daughter-in law.  9-1-1 was called, paramedics arrived at the home at 5AM on Saturday, 3/20/21 per patient's daughter.  Patient died.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Autopsy, Breath sounds abnormal, Death, Dyspnoea, Feeling cold
Clinical narrative: On Friday night, 3/19/21, patient spiked a fever, had shortness of breath, and had blood coming out of his nose and mouth per patient's daughter-in law.  9-1-1 was called, paramedics arrived at the home at 5AM on Saturday, 3/20/21 per patient's daughter.  Patient died.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haemoptysis, Hyperhidrosis, Inappropriate schedule of product administration, Pain in extremity, Pulse absent
Clinical narrative: On Friday night, 3/19/21, patient spiked a fever, had shortness of breath, and had blood coming out of his nose and mouth per patient's daughter-in law.  9-1-1 was called, paramedics arrived at the home at 5AM on Saturday, 3/20/21 per patient's daughter.  Patient died.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulseless electrical activity, Pyrexia, Respiration abnormal, Saliva altered, Unresponsive to stimuli
Clinical narrative: On Friday night, 3/19/21, patient spiked a fever, had shortness of breath, and had blood coming out of his nose and mouth per patient's daughter-in law.  9-1-1 was called, paramedics arrived at the home at 5AM on Saturday, 3/20/21 per patient's daughter.  Patient died.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia oral, Pharyngeal hypoaesthesia, Pharyngeal paraesthesia, Throat irritation
Clinical narrative: Patient reported mouth, tongue and throat feeling tingling and numb. No reports of trouble breathing. Patient's mouth  or lips did not appear to be swollen upon visual inspection. Patient was given Benadryl 50mg PO, without any improvement in the patient's symptoms (per patient report).
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Computerised tomogram, Hypoaesthesia, Hypoaesthesia oral, Pain
Clinical narrative: Numbness in lower lip and numbness and slight trembling in right side of face (similar to Bells Palsy?) after four days of being administered the first shot in the right arm. After a video consult with my PCP it was recommended that I go to the hospital and get a CT scan to rule out a possible minor stroke. The CT scan was negative. The numbness became better after two weeks but has not subsided.  After consultation with the doctor in charge of the vaccine operation for the site it was decided that I go ahead and take the second shot but instead of the right arm I should take it in either the left arm or the left thigh. The second shot was administered in the left thigh. I experienced the typical symptoms on the second day - fever, chills and aches and pain but they went away towards the end of the second day. However, exactly on the fourth day I experienced increased numbness in my lower lip and on the right side of my face. Today is the fifth day and it is still there. I expect that this numbness will continue for several weeks as it did with the first shot and so far it has not subsided after the first shot and has now increased after the second shot. I am totally convinced that this is a direct result of the vaccine.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: Numbness in lower lip and numbness and slight trembling in right side of face (similar to Bells Palsy?) after four days of being administered the first shot in the right arm. After a video consult with my PCP it was recommended that I go to the hospital and get a CT scan to rule out a possible minor stroke. The CT scan was negative. The numbness became better after two weeks but has not subsided.  After consultation with the doctor in charge of the vaccine operation for the site it was decided that I go ahead and take the second shot but instead of the right arm I should take it in either the left arm or the left thigh. The second shot was administered in the left thigh. I experienced the typical symptoms on the second day - fever, chills and aches and pain but they went away towards the end of the second day. However, exactly on the fourth day I experienced increased numbness in my lower lip and on the right side of my face. Today is the fifth day and it is still there. I expect that this numbness will continue for several weeks as it did with the first shot and so far it has not subsided after the first shot and has now increased after the second shot. I am totally convinced that this is a direct result of the vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Dysphagia, Headache, Nausea
Clinical narrative: Sudden ringing ears with intense headache and dizziness. Sudden strange taste in mouth with difficulty swallowing.  Disorientation. Close to passing out.  About 3 hours after vaccine I was intensely nauseous.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder, Tinnitus
Clinical narrative: Sudden ringing ears with intense headache and dizziness. Sudden strange taste in mouth with difficulty swallowing.  Disorientation. Close to passing out.  About 3 hours after vaccine I was intensely nauseous.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Nausea
Clinical narrative: Chills, fever (100.4), fatigue, headache, slight stomach queasiness, body aches, swollen fingers, decreased appetite Took anti-paretics (three doses) t/o next day. Symptoms resolved in just over 24 hours.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling, Pyrexia
Clinical narrative: Chills, fever (100.4), fatigue, headache, slight stomach queasiness, body aches, swollen fingers, decreased appetite Took anti-paretics (three doses) t/o next day. Symptoms resolved in just over 24 hours.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Neck pain, Pain
Clinical narrative: Around 4:30PM started having headache and shivering. Around 9PM started having body ache all over.. Continued throughout the night. Next morning at 7AM only headache and soreness of neck continued. All symptoms were gone around 6PM on 3/18/21
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus only.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Patient received the Pfizer Vaccine at around 3:00 PM.  Patient  proceeded to sit at the observation area for15 min. for monitoring with no s/s of adverse effects. Patient proceeded to go back to work at the factory. Nurse was flagged down by staff stating patient came back because complaint of dizziness and headache.  Patient was offered to lay down. Ice pack was placed on the back of patients neck. Nurse encouraged fluids. VS were taken and noted to be stable. Patient was monitored for 30 mins before departure. Nurse instructed patient and patient mother on  signs, Symptoms of Severe Adverse Reactions to report to health care provider or to go to the emergency room. Patient/Family verbalized understanding.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Loss of personal independence in daily activities, Pain in extremity, Pruritus
Clinical narrative: Red large spot 3 inch diameter at sight of injection. Sore, itchy, hurts sometimes to move arm.  Red for 3 days went away now has come back on day 10 just as painful if not more.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Loss of consciousness, Pallor, Tremor
Clinical narrative: patient received their first dose of the Pfizer covid immunization. during observation, the patient got extremely red and lost consciousness. upon waking up, the patient began having cold sweats and lost color in this face, the patient then lost consciousness again and began shaking. 911 was called. the patient was moved to the ground with the help of a fellow team member. blood pressure was taken and was 106/62. heart rate was around 60. patient began getting color back but remained on the floor until the paramedics came.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Dyspnoea
Clinical narrative: Patient had received her second moderna dose. Patient began to cough and her husband stated a few minutes later that she was having an adverse reaction. I called for the emts to assist. When I asked if she was feeling ok she  said no in a very raspy voice and said she was having issues catching her breath. The patient took her own inhaler and was able to breathe easier within a few minutes. vitals were obtained by EMS. A few minutes later the patient started to have the shortness of air again and was unable to talk. EMS called 911 at that time. By the time the ALS services arrived the patient was able to breathe again and could talk. Patient refused transport. Patient was educated on the importance of seeking treatment if symptoms continued.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue
Clinical narrative: Very tired and very weak. Lasted about 48-60 hours
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Paraesthesia oral, Peripheral coldness, Tinnitus, Vision blurred
Clinical narrative: Ringing in my ears since a day after I got the shot , Have had the condition previously but this has been exacerbated  significantly since the vaccine. Sensation in tip of my tongue. Left eye feels like it is a bit burry . Hands and feet very cold . Has gotten better after the 5th day.  Was tired for 5 days after vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dysgeusia, Fatigue, Myalgia, Nausea
Clinical narrative: Metallic taste in mouth, severe fatigue, muscle, joint, and nerve pain, nausea
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia
Clinical narrative: Metallic taste in mouth, severe fatigue, muscle, joint, and nerve pain, nausea
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Tinnitus
Clinical narrative: Ears-ringing, and headaches started after about a week of second vaccine. Still occurring off and on 20 days after vaccine.  Not continual and some days worse than  others.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Irritability, Tinnitus
Clinical narrative: Ears-ringing, and headaches started after about a week of second vaccine. Still occurring off and on 20 days after vaccine.  Not continual and some days worse than  others.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: 4 bouts of diarrhea from 4:00pm to 8:00pm, occurring on the second day after vaccination.  No medical treatment needed.  Hydrated with smart water (electrolytes) and slept 10 hours that night, with no further diarrhea in the night.  Ate light for the rest of Thursday and all day Friday.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Mild soreness and swelling at injection site plus slight itching.  No rash or discoloration.  Dissipated by the third day.  Had no noticeable reaction to the first dose.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Throat irritation
Clinical narrative: Redness and itching to left arm that started approximately 30 minutes after administration. Redness and itching spread across body into a generalized rash. Itching to throat but no respiratory issues- no shortness of breath or trouble breathing. Took two Benadryl tablets and a Pepcid tablet around 745pm when I got home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise
Clinical narrative: Not severe, normal for me to have sickness following shots.  With this one I was extremely tired, and had a slight headache.  Everyone else I know that has had it has not had any side effects at all.  Completely better 100% the next morning 3/20/2021  I am just providing this information so you can make note of it in your data, and for no other reason as I am well at this time.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest discomfort, Contusion
Clinical narrative: Upper left side chest discomfort.  Pain persisted moderately for 3-4 days, and slowly began fading.  By 10 days the pain had almost completely ended.  About 19 days after shot I had an unusual bruise appear on my right foot, which was not due to any impact, and has just a little pain
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Tinnitus, Vision blurred
Clinical narrative: Immediately after receiving his vaccination, the patient reported developing body vision, reading in his bilateral ears, as well as lightheadedness. He was taken by EMS to a private section of the arena monitored. HR was 60, BP 85/42. Three minutes later, his heart rate was 89 beats per  minute and his  and BP was 105/64.  Blurry vision and bilateral tinnitus resolve within 2 to 3 minutes, and his lightheadedness had resolved by 20 minutes after onset. He subsequently developed a headache after 20 minutes of monitoring.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: PATIENT REPORTED SHORTNESS OF BREATH FOUR HOURS AFTER RECEIVING VACCINE.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Erythema, Nausea, Nodule, Skin warm
Clinical narrative: COVID Arm, large red knot on right arm hot to the touch. Nausea and 100.4 fever for 24 hours. COVID Arm has been present for 3 days so far, but starting to go away
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure measurement, Dizziness, Heart rate
Clinical narrative: Dizziness
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Ear pain, Fatigue, Nausea, Pain
Clinical narrative: Body aches. Fatigue. Nausea. Headache. Earache. Couging. For 1 week
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Swollen tongue
Clinical narrative: FOLLOWING ADMINISTRATION OF PFIZER VACCINE PT DEVELOPED SWOLLEN TONGUE. HX MULTIPLE ALLERGIES AND MULITPLE INCIDENTS OF ANAPHYLAXIS. CARRIED EPIPEN. EPI-AUTO INJECTOR 0.3MG IM X 1. TRANSFERRED TO HOSPITAL ED IN THE BUILDING FOR EMERGENCY MEDICAL ASSESSMENT. NO SOB OR DIFFICULTY BREATHING. NO ITCHING OR RASH. PT CALM.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Complement factor, Dizziness, Full blood count, Metabolic function test, Nausea
Clinical narrative: FOLLOWING ADMINISTRATION OF PFIZER VACCINE PT DEVELOPED SWOLLEN TONGUE. HX MULTIPLE ALLERGIES AND MULITPLE INCIDENTS OF ANAPHYLAXIS. CARRIED EPIPEN. EPI-AUTO INJECTOR 0.3MG IM X 1. TRANSFERRED TO HOSPITAL ED IN THE BUILDING FOR EMERGENCY MEDICAL ASSESSMENT. NO SOB OR DIFFICULTY BREATHING. NO ITCHING OR RASH. PT CALM.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swollen tongue, Throat irritation
Clinical narrative: FOLLOWING ADMINISTRATION OF PFIZER VACCINE PT DEVELOPED SWOLLEN TONGUE. HX MULTIPLE ALLERGIES AND MULITPLE INCIDENTS OF ANAPHYLAXIS. CARRIED EPIPEN. EPI-AUTO INJECTOR 0.3MG IM X 1. TRANSFERRED TO HOSPITAL ED IN THE BUILDING FOR EMERGENCY MEDICAL ASSESSMENT. NO SOB OR DIFFICULTY BREATHING. NO ITCHING OR RASH. PT CALM.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Swollen tongue
Clinical narrative: throat sratchy, tongue swelling, nausea, dizziness
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Complement factor, Dizziness, Full blood count, Metabolic function test, Nausea
Clinical narrative: throat sratchy, tongue swelling, nausea, dizziness
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swollen tongue, Throat irritation
Clinical narrative: throat sratchy, tongue swelling, nausea, dizziness
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Fatigue, Food aversion, Paraesthesia, Paraesthesia oral
Clinical narrative: Moderna COVID-19 Vaccine EUA ---3/16/21 and 3/17/21 just felt fatigue.  On the morning of 3/18/21, my mouth, felt like cotton mouth.  My teeth felt tender and sore.  My lips and tongue felt really strange.  It felt like I had dental work done and the numbing was starting to wear off. Tingling, and very sensitive to food texture (never lost sense of taste).  When I ate, the food texture all tasted like mush.  This went on for several days, and just today (3/21/21), I am beginning to feel more normal (just slight symptoms).
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache
Clinical narrative: Moderna COVID-19 Vaccine EUA ---3/16/21 and 3/17/21 just felt fatigue.  On the morning of 3/18/21, my mouth, felt like cotton mouth.  My teeth felt tender and sore.  My lips and tongue felt really strange.  It felt like I had dental work done and the numbing was starting to wear off. Tingling, and very sensitive to food texture (never lost sense of taste).  When I ate, the food texture all tasted like mush.  This went on for several days, and just today (3/21/21), I am beginning to feel more normal (just slight symptoms).
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Nausea, Pyrexia
Clinical narrative: I received the Janssen vaccine on 3/19 at 8pm. 7 hours later ~3am I awoke to severe chills, climbing fever, and nausea. OTC fever reducers helped bring the fever down eventually. The entire day (3/20) my fever was on and off and nausea would also be present. Bouts  of feeling well and bouts of fever. Had a minor fever when going to sleep that day and the fever was gone when waking up on 3/21. So ~24 hours of side effects.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Pain in extremity
Clinical narrative: Severe exhaustion Back pain Leg pain
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Injection site swelling, Pruritus, Pyrexia
Clinical narrative: Extreme Fatigue for 2 1/2 days, arm slightly swollen at the vaccination site and below,  with a  reddish blotch  about 1 1/2 inches  wide and 3 or 4 inches long around my arm  below the vaccination site with much  itching for 5 days,  lost of appetite and maybe low grade fever.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: Extreme Fatigue for 2 1/2 days, arm slightly swollen at the vaccination site and below,  with a  reddish blotch  about 1 1/2 inches  wide and 3 or 4 inches long around my arm  below the vaccination site with much  itching for 5 days,  lost of appetite and maybe low grade fever.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Severe body aches headache chills high fever of 103?
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site urticaria
Clinical narrative: On Wednesday, March 17 around 1 p.m. my left arm ached and felt heavy.  The site of the injection had a red circle about the size of a dime and was raised. It also itched.  Later that afternoon below the injection site I had a red patch that also itched and broke out in hives.  I took Tylenol and put cortisone cream on it.  the injection site cleared up in about 2 days. the red patch is slowly fading.  once in awhile the arm still fees heavy.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort
Clinical narrative: On Wednesday, March 17 around 1 p.m. my left arm ached and felt heavy.  The site of the injection had a red circle about the size of a dime and was raised. It also itched.  Later that afternoon below the injection site I had a red patch that also itched and broke out in hives.  I took Tylenol and put cortisone cream on it.  the injection site cleared up in about 2 days. the red patch is slowly fading.  once in awhile the arm still fees heavy.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Approximately 7 days after vaccination the injection site became swollen, hot to the touch, and itchy. Skin was raised and after a couple of days, the swelling moved to the left bicep area and remained hot to the touch.  We treated the affected skin with a topical anti-itch cream (up & up brand) and at bedtime the patient took 1 benadryl. The topical cream alleviated the itching and the Benadryl seemed to alleviate the hot-to-the-touch feel of the affected area and after a couple of days the swelling decreased.  the patient continued the course of topical and Benadryl over a course of about 4 days and the itching, swelling, and warmth decreased and went away.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling
Clinical narrative: Approximately 7 days after vaccination the injection site became swollen, hot to the touch, and itchy. Skin was raised and after a couple of days, the swelling moved to the left bicep area and remained hot to the touch.  We treated the affected skin with a topical anti-itch cream (up & up brand) and at bedtime the patient took 1 benadryl. The topical cream alleviated the itching and the Benadryl seemed to alleviate the hot-to-the-touch feel of the affected area and after a couple of days the swelling decreased.  the patient continued the course of topical and Benadryl over a course of about 4 days and the itching, swelling, and warmth decreased and went away.
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: Temp reading altered by otc meds.