chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy, Pain in extremity, Tenderness
Clinical narrative: Patient reported that she received her 2nd COVID vaccine. She reports no symptoms after her first vaccine injection. Both injections were in her left deltoid. On the evening of 2/2/2021, she started having some aching in the left arm. She noticed that her left axillary lymph node is swollen and painful. She states the swelling is very significant and it hurts, not just tender to touch. Doesn't look red or feel warm. No fever. She took ibuprofen 400 mg. Patient advised to follow-up with her PCP.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Slight redness for 2 days after shot. Redness disappeared, then 1 week later redness came back at site of injection. It was very hot (103.5 degrees skin temp at site of injection, 97.2 for the rest of the arm). It was itchy and very painful. Lasted 5 days.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blindness, Discomfort, Dizziness, Feeling abnormal
Clinical narrative: Patient arrived  at 12:14PM. Observation nurse noticed patient with eyes closed with hand raised on top of head. Patient was lethargic and weak, AOX3. Patient stated "I am not able to see anything." while patient's eyes were open. Apical pulse very faint. Patient felt the urge to vomit and suddenly appeared flushed in the face. Patient  stated "I feel better." immediately after experiencing nausea.  12:25PM - BP 97/67 Patient reiterated her experience stating: "I felt lightheaded and felt like I was about to faint.", "I felt heavy and foggy." Patient was given water to drink and a cookie. 12:35PM - Patient reported pressure on both sides of head and "weird" (as per patient) visual changes. Patient stated "Everything has a glare."  Patient reported prior reactions to past vaccinations: Flu and Tetanus - experienced lightheadedness, fainting and visual changes. Indicated reactions were "more worse" than prior reactions. 12:45PM - BP 115/78 HR 64 SPO2 98% Patient was asked to sit closer to nurse an was able to ambulate with no issues and steady gait. 1:15PM Patient reports to feel "Back to normal." denied any symptoms including visual changes. Patient contacted her parents to be driven home. 1:37PM Walked patient to her parent's car outside the convention center. Instructed to go to ER/Call 911 if symptoms persist or get worse. 2/3/21 The next day patient texted nurse observer that she is feeling much better from yesterday after resting and taking Advil.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Head discomfort, Impaired driving ability, Lethargy, Nausea
Clinical narrative: Patient arrived  at 12:14PM. Observation nurse noticed patient with eyes closed with hand raised on top of head. Patient was lethargic and weak, AOX3. Patient stated "I am not able to see anything." while patient's eyes were open. Apical pulse very faint. Patient felt the urge to vomit and suddenly appeared flushed in the face. Patient  stated "I feel better." immediately after experiencing nausea.  12:25PM - BP 97/67 Patient reiterated her experience stating: "I felt lightheaded and felt like I was about to faint.", "I felt heavy and foggy." Patient was given water to drink and a cookie. 12:35PM - Patient reported pressure on both sides of head and "weird" (as per patient) visual changes. Patient stated "Everything has a glare."  Patient reported prior reactions to past vaccinations: Flu and Tetanus - experienced lightheadedness, fainting and visual changes. Indicated reactions were "more worse" than prior reactions. 12:45PM - BP 115/78 HR 64 SPO2 98% Patient was asked to sit closer to nurse an was able to ambulate with no issues and steady gait. 1:15PM Patient reports to feel "Back to normal." denied any symptoms including visual changes. Patient contacted her parents to be driven home. 1:37PM Walked patient to her parent's car outside the convention center. Instructed to go to ER/Call 911 if symptoms persist or get worse. 2/3/21 The next day patient texted nurse observer that she is feeling much better from yesterday after resting and taking Advil.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pulse abnormal
Clinical narrative: Patient arrived  at 12:14PM. Observation nurse noticed patient with eyes closed with hand raised on top of head. Patient was lethargic and weak, AOX3. Patient stated "I am not able to see anything." while patient's eyes were open. Apical pulse very faint. Patient felt the urge to vomit and suddenly appeared flushed in the face. Patient  stated "I feel better." immediately after experiencing nausea.  12:25PM - BP 97/67 Patient reiterated her experience stating: "I felt lightheaded and felt like I was about to faint.", "I felt heavy and foggy." Patient was given water to drink and a cookie. 12:35PM - Patient reported pressure on both sides of head and "weird" (as per patient) visual changes. Patient stated "Everything has a glare."  Patient reported prior reactions to past vaccinations: Flu and Tetanus - experienced lightheadedness, fainting and visual changes. Indicated reactions were "more worse" than prior reactions. 12:45PM - BP 115/78 HR 64 SPO2 98% Patient was asked to sit closer to nurse an was able to ambulate with no issues and steady gait. 1:15PM Patient reports to feel "Back to normal." denied any symptoms including visual changes. Patient contacted her parents to be driven home. 1:37PM Walked patient to her parent's car outside the convention center. Instructed to go to ER/Call 911 if symptoms persist or get worse. 2/3/21 The next day patient texted nurse observer that she is feeling much better from yesterday after resting and taking Advil.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Headache, Night sweats, Nightmare
Clinical narrative: First night: Restless sleep, bad dreams, very sore arm.  Second night: Sore arm, achy joints, slight headache. Third night: Sore arm, night sweats, very sore hip.  (low energy all days)
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Poor quality sleep
Clinical narrative: First night: Restless sleep, bad dreams, very sore arm.  Second night: Sore arm, achy joints, slight headache. Third night: Sore arm, night sweats, very sore hip.  (low energy all days)
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: Resident received a 3rd covid vaccine,  Had already received 2 doses of Pfizer vaccine, she was confused came to the  clinic and received a dose of the Moderna vaccine.  When entering information in discovered she had already received her completed vaccine doses.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Hypoaesthesia oral, Injection site pain, Injection site swelling, Nausea
Clinical narrative: Numb lips about 45min later, lasted about an hour.  injection site pain and swelling late afternoon, night and next day.  Upset stomach/naseua throughout night and morning.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Feeling abnormal, Hot flush
Clinical narrative: Fatique, fever and chills, 100 degree temp, physically felt bad but mentally felt well, malaise. 12-36 hours post injection. Treatment was hydration and bed rest.  Migraine (7 on 0 to 10 scale), dry cough, transient hot flashes. 36 to 60 hours post injection. Treatment included Tylenol otc, aspirin otc, flonase otc, caffeinated drinks, bed rest.  Tinnitus, 60 hours and continuing post injection
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Migraine, Pyrexia, Tinnitus
Clinical narrative: Fatique, fever and chills, 100 degree temp, physically felt bad but mentally felt well, malaise. 12-36 hours post injection. Treatment was hydration and bed rest.  Migraine (7 on 0 to 10 scale), dry cough, transient hot flashes. 36 to 60 hours post injection. Treatment included Tylenol otc, aspirin otc, flonase otc, caffeinated drinks, bed rest.  Tinnitus, 60 hours and continuing post injection
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Pain in extremity, Pyrexia
Clinical narrative: 99.8 Fever, sweats, chills, severe arm soreness, fatigue. Symtoms lasting two days
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Feeling abnormal, Vision blurred
Clinical narrative: During the observation period, client started to complain of "feeling goofy," blurry vision after 24 minutes of receiving the 1st dose of the Moderna vaccine at 2:48pm.  Client stated she was very anxious regarding vaccine and missed her meds.  At 3:22pm, juice, water, meds (Xanax 1mg, lisinopril 5mg, eye med po) was given with improvement.  She denied shortness of breath, oral/airway symptoms, rash, pruritic, faintness, weakness or nausea.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: injection site is still hard, red, and swollen. site has become itchy in the last day or so. vaccine was administered 9 days ago.  no treatment
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site swelling
Clinical narrative: Site: Swelling at Injection Site-Mild, Systemic: Other- induration around injection site
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dysphagia, Fatigue, Headache, Injection site warmth
Clinical narrative: Burning entire body, headache, body aches, fever, chills, head cold, swollen glands, severe body fatigue, couldn?t move right arm all day and night when shot was given, rash on face and chest, day two of shot I can now move arm but body is still burning and site of injection feels like it?s on fire.  Body aches are relieving after day two and it?s 9:39 in the morning. Headache is still there but able to function, throat still swollen and hard to swallow, still low grade fever.  Have been taking aleve for pain and fever. Rash is now gone.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mobility decreased, Nasopharyngitis, Pain, Pharyngeal swelling
Clinical narrative: Burning entire body, headache, body aches, fever, chills, head cold, swollen glands, severe body fatigue, couldn?t move right arm all day and night when shot was given, rash on face and chest, day two of shot I can now move arm but body is still burning and site of injection feels like it?s on fire.  Body aches are relieving after day two and it?s 9:39 in the morning. Headache is still there but able to function, throat still swollen and hard to swallow, still low grade fever.  Have been taking aleve for pain and fever. Rash is now gone.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Skin burning sensation
Clinical narrative: Burning entire body, headache, body aches, fever, chills, head cold, swollen glands, severe body fatigue, couldn?t move right arm all day and night when shot was given, rash on face and chest, day two of shot I can now move arm but body is still burning and site of injection feels like it?s on fire.  Body aches are relieving after day two and it?s 9:39 in the morning. Headache is still there but able to function, throat still swollen and hard to swallow, still low grade fever.  Have been taking aleve for pain and fever. Rash is now gone.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoaesthesia, Injection site erythema, Injection site hypoaesthesia, Injection site swelling
Clinical narrative: Numbness to left arm and leg, redness, swelling, and warmth at injection site, nausea, fatigue. Given Zofran, monitoring symptoms
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Nausea
Clinical narrative: Numbness to left arm and leg, redness, swelling, and warmth at injection site, nausea, fatigue. Given Zofran, monitoring symptoms
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Herpes zoster, Pain
Clinical narrative: Shingles on under right shoulder blade. Valacyclovir 1 gram every 8 hours for a week. Areas healed. Symptoms included burning sensation and pain at area that had the shingles. Vestibule areas on same location.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever 102.3 chills headache body ache weakness until 8:30pm on 2/4/21
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling cold, Headache, Nausea
Clinical narrative: Cold; nausea; headache; lightheaded
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Injection site reaction, Rash erythematous
Clinical narrative: Red rash around injection site about 5 inches developed on 2/3 One week prior on 1/27 at 6:30 pm developed very painful upper back. Topical cream and OTC med not helpful. Gone by the next morning
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Syncope
Clinical narrative: Patient states that her physician advised against second dose. She states she had a severe headache for days following  vaccine, she collapsed at work and was hospitalized for a few days. She also reports ongoing dizziness. All information was left in a private message sent to the health departments social media page. Further requests for information have been unsuccessful thus far.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vertigo
Clinical narrative: I got severe vertigo.  I was dizzy and had naseau.  This was approximately 60 hours after the shot.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Hyperhidrosis, Insomnia, Mobility decreased
Clinical narrative: Fever (100.8 highest) chills body aches inability to move no appetite couldnt sleep sweats
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever (100.8 highest) chills body aches inability to move no appetite couldnt sleep sweats
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Within 15-minutes of vaccination, the patient reported a mildly swollen tongue. EMS managed the patient's care on-site.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulation test, Laboratory test, Rash
Clinical narrative: BILATERALLY RASH ON LOWER EXT 4 DAYS POST VACCINATION, CONTINUED THRU TODAY. NO PAIN OR ITCHING ASSOCIATED WITH RASH, NORMAL SKIN TEMPERATURE. NO C/O DIB, SOB, OR CHEST PAIN.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Injection site induration, Injection site mass, Injection site pain
Clinical narrative: Large area around injection site became hives,  burning sensation, red, itchy, swollen, hard, lumpy, hot to the touch and very painful. It?s still ongoing as of today 02/05/2021
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Injection site urticaria, Skin warm
Clinical narrative: Large area around injection site became hives,  burning sensation, red, itchy, swollen, hard, lumpy, hot to the touch and very painful. It?s still ongoing as of today 02/05/2021
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Pyrexia
Clinical narrative: fevor 102.2 for about an hour - night of vaccine from 2 hours after time of extreme pain at site of injection (felt like abowling ball was dropped and left on my arm) fatique
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Oropharyngeal pain
Clinical narrative: Sore injection site  Tiredness  Sore throat
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: injection  area sore 1 hr. After injection.  5 am. On 4 woke up to whole body hurting. Lasted about 24 hrs.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Pt reports vaccine was given at another facility. Information unknown.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Nausea, Pain in extremity
Clinical narrative: symptoms began 02/02/21 that night and lasted about 24 hours.  headache, muscle aches, nausea, fever, chills, right arm soreness
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test
Clinical narrative: symptoms began 02/02/21 that night and lasted about 24 hours.  headache, muscle aches, nausea, fever, chills, right arm soreness
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Dizziness, Nausea
Clinical narrative: 0.7?F temp increase from my baseline. Nausea, lightheadedness for a few hours.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Heart rate increased, Hypertension, Nausea
Clinical narrative: Systemic: Abdominal Pain-Severe, Systemic: Nausea-Severe, Systemic: Other- High blood pressure and heart rate
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: I have cosmetic fillers and my face was swollen at the site of fillers when I woke up this morning. Only my left side was swollen, as my doctor has told me in the past that they Injects much more filler on that side due to physiological differences that she is trying to balance.   I got these fillers I think july 2020  No other signs of side effects other than mild swelling od the left side of face. Took an antihistamine around 9:00am.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Fatigue, Myalgia, Pain
Clinical narrative: Since 3am today I?ve had horrible pains in my left arm radiating into my chest and down my left leg.  So bad that it hurts to breathe.  Muscle aches all over, chills, face and body warm to the touch.  All over exhaustion.  I?ve never felt so horrible in my entire life.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Painful respiration, Skin warm
Clinical narrative: Since 3am today I?ve had horrible pains in my left arm radiating into my chest and down my left leg.  So bad that it hurts to breathe.  Muscle aches all over, chills, face and body warm to the touch.  All over exhaustion.  I?ve never felt so horrible in my entire life.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: INJECTION SITE REACTION, SWELLING, REDNESS, HOT TO THE TOUCH, LIMITED TO INJECTION SITE WITH MILD SPREADING NOT BELOW THE ELBOW.
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Body temperature increased, Discomfort, Headache, Hyperhidrosis
Clinical narrative: 1/5/2021 @0718 Pt received 2nd COVID vaccine 1/4/21. Oral temp 100.6, near syncope, muscle aches and head aches. Per EMS NSR, denies SOB, and chest pain. 500 ml bolus received in route. In ED, Pt c/o nausea. Pt anxious, sweating and uncomfortable. 0855 Pt resting comfortably, reports decease in pain/body aches 4/10. 1043 Discharge disposition: home.  Accompanied By: self.  Mode:  walk.
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pain, Presyncope
Clinical narrative: 1/5/2021 @0718 Pt received 2nd COVID vaccine 1/4/21. Oral temp 100.6, near syncope, muscle aches and head aches. Per EMS NSR, denies SOB, and chest pain. 500 ml bolus received in route. In ED, Pt c/o nausea. Pt anxious, sweating and uncomfortable. 0855 Pt resting comfortably, reports decease in pain/body aches 4/10. 1043 Discharge disposition: home.  Accompanied By: self.  Mode:  walk.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Axillary pain, Back pain, Immobile
Clinical narrative: Extreme disabling, immobilizing arm pain on side shot was received, radiating down to hip back and abdomen on same side about 6 hours after vaccine administered.  This symptom lasted for about 48 hours.  After that symptom cleared, a bulding slightly painful soft mass protuded from the left armpit near vaccination, and remained for 5-6 days. Swelling of all lymphnodes.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mass, Pain, Pain in extremity, Ultrasound scan
Clinical narrative: Extreme disabling, immobilizing arm pain on side shot was received, radiating down to hip back and abdomen on same side about 6 hours after vaccine administered.  This symptom lasted for about 48 hours.  After that symptom cleared, a bulding slightly painful soft mass protuded from the left armpit near vaccination, and remained for 5-6 days. Swelling of all lymphnodes.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain, Malaise
Clinical narrative: 3 hours after vaccination, injection site started to get sore to the touch and when raising arm. 7 hours after vaccination, started having chills. Went to bed and was restless throughout the night.  Woke up in the morning and had body aches, exhaustion, intense joint pain, and sore arm.  Join pain increased throughout the morning. Was feeling too poorly to go to work. Was able to subdue pain with ibuprofen and Tylenol.  By 3:30pm, 26 hours post vaccination,  symptoms had all subsided except injection site still sore to the touch.   42 hours post vaccination, feeling back to normal, went to work, all symptoms gone.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Poor quality sleep
Clinical narrative: 3 hours after vaccination, injection site started to get sore to the touch and when raising arm. 7 hours after vaccination, started having chills. Went to bed and was restless throughout the night.  Woke up in the morning and had body aches, exhaustion, intense joint pain, and sore arm.  Join pain increased throughout the morning. Was feeling too poorly to go to work. Was able to subdue pain with ibuprofen and Tylenol.  By 3:30pm, 26 hours post vaccination,  symptoms had all subsided except injection site still sore to the touch.   42 hours post vaccination, feeling back to normal, went to work, all symptoms gone.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Grip strength decreased, Hyperhidrosis, Sleep disorder
Clinical narrative: Took Tylenol after injection at approximately 9:30 AM on 26 January 2021; approximately 1:30 AM on 27 January 2021 was awakened by severe chills/tremors/ rigors (to the point it was difficult to hold a glass of water); took Tylenol and waited approximately 1.5 hours for chills and 100 deg. temp to subside. Took Advil at approximately 8:00 AM. Worked all day and at approximately 7:30 PM began having chills again and a fever of 101 deg.  temp. Took Tylenol and temperature began lowering and I went to bed. Woke up again at approximately 1:30 AM 28 January 2021 with significant sweating. Took my temp and it was near normal. No further side effects/symptoms following this event.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Took Tylenol after injection at approximately 9:30 AM on 26 January 2021; approximately 1:30 AM on 27 January 2021 was awakened by severe chills/tremors/ rigors (to the point it was difficult to hold a glass of water); took Tylenol and waited approximately 1.5 hours for chills and 100 deg. temp to subside. Took Advil at approximately 8:00 AM. Worked all day and at approximately 7:30 PM began having chills again and a fever of 101 deg.  temp. Took Tylenol and temperature began lowering and I went to bed. Woke up again at approximately 1:30 AM 28 January 2021 with significant sweating. Took my temp and it was near normal. No further side effects/symptoms following this event.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site rash, Myalgia, Pruritus, Skin warm
Clinical narrative: 9 days after injection rapid onset rash at injection site and approximately 6 inches down arm. Intense red color, mild itching, warm/hot to touch,  muscle of arm under rash ached. Began to fade 8-10 days after onset of rash.  No treatment but reported immediately to physician.  Use of cortisone cream was recommended but not used.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: FOLLOWING SECOND COVID-19 SHOT PATIENT REPORTED FEELING LIKE SHE WAS GOING TO PASS OUT. SHE WAS TAKEN TO THE MEDIC AREA FOR FURTHER ASSESSMENT. AFTER APPROXIMATELY 30 MINUTES SHE RECOVERED AND LEFT THE PREMISES.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Chest pain, Dizziness, Pain
Clinical narrative: Low grade fever (100.1) that did not respond to treatment, body aches, abdominal pain, chest pain, dizziness, weakness, tingling in toes on right foot
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: Low grade fever (100.1) that did not respond to treatment, body aches, abdominal pain, chest pain, dizziness, weakness, tingling in toes on right foot
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Loss of personal independence in daily activities, Mobility decreased, Pain
Clinical narrative: Shot may not have been administered properly and as a result I have been unable to move my arm freely.  There is localized pain and a burning sensation including joint pain.  I am unable to use my arm for normal activity.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Nervousness, Oropharyngeal discomfort, Palpitations
Clinical narrative: employee presented to Covid Vaccine Clinic for 2nd Moderna vaccine. Following administration sx onset began at 0845:  dizziness, a feeling of a "headrush", feeling faint. 0846, BP 100/70, HR 85, shaky. "I just don't feel right, I can't describe it. I feel like my heart is racing, My head feels really weird. My throat feels like it has a little tickle but I can't be sure." NO h/o anxiety, panic, anaphylaxis. 900 am "my throat feels like it is swelling on the inside"
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: employee presented to Covid Vaccine Clinic for 2nd Moderna vaccine. Following administration sx onset began at 0845:  dizziness, a feeling of a "headrush", feeling faint. 0846, BP 100/70, HR 85, shaky. "I just don't feel right, I can't describe it. I feel like my heart is racing, My head feels really weird. My throat feels like it has a little tickle but I can't be sure." NO h/o anxiety, panic, anaphylaxis. 900 am "my throat feels like it is swelling on the inside"
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: all symptoms came on suddenly, body aches, exhaustion, nausea, headache, uncontrollable body shivers, sore arm (MUCH more sore than first dose of vaccine)
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: all symptoms came on suddenly, body aches, exhaustion, nausea, headache, uncontrollable body shivers, sore arm (MUCH more sore than first dose of vaccine)
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: I received my first vaccination yesterday in my car, a 1999 Miata.  If you would allow folks to exit very low cars, it would let us avoid a virtually straight down shot angle.  My injection was in the very top of the bicep muscle and it is still quite swollen.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: 6 hours after shot became extremely dizzy and nauseous.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Nausea, Pain
Clinical narrative: headache, fever 101, body aches, chills, nausea, wheezing and coughing
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Wheezing
Clinical narrative: headache, fever 101, body aches, chills, nausea, wheezing and coughing
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Pyrexia
Clinical narrative: Fever, headache, chills, feeling worn down, tiredness, dizziness. Took Tylenol and slept and felt better within 14 hours.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Decreased appetite, Influenza like illness, Influenza virus test negative
Clinical narrative: Flu like symptoms, chest heaviness, anorexia, cough...symptoms have resolved as of 1/29/21
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Flu like symptoms, chest heaviness, anorexia, cough...symptoms have resolved as of 1/29/21
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: This information was received from previous outreach RN and verbal handoff from another RN on seen that day. In paper documentation she states patient was given COVID19 Moderna vaccine 1st dose at 1308 and was awaiting her observation time when she began feeling her knees were itchy and have little red bumps that are listed as hives. Noted that patient was Alert and oriented times 4 and heartrate was 78 bpm. She was given 50mg of Benadryl IM at 1440.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Rapid onset of injection site pain, chills, myalgia, diffuse arthralgia, mild episodic headache, fatigue beginning 6 hours after injection.  Symptoms worsened progressively over next 18 hours, then gradually dissipated.  Moderate improvement with acetaminophen 1000 mg q6 h.  Largely resolved after 36 hours with residual fatigue which resolved after 48 hours.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Rapid onset of injection site pain, chills, myalgia, diffuse arthralgia, mild episodic headache, fatigue beginning 6 hours after injection.  Symptoms worsened progressively over next 18 hours, then gradually dissipated.  Moderate improvement with acetaminophen 1000 mg q6 h.  Largely resolved after 36 hours with residual fatigue which resolved after 48 hours.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Syncope, Tremor
Clinical narrative: Pt had the vaccine at 7:15 a.m. today, sat at the facility where he received the vaccine for 15 minutes, pt was with his mother who was driving.   Pt then went to his mom's car, they were driving when pt had a syncope episode, per his mother his hands were shaking, pt's mother then drove him to our ER facility.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Lip blister, Lip swelling, Oral pain
Clinical narrative: Swollen lips and a extreme soreness of the skin on the inner lips. Areas of the inner lip skin seemed to blister as if burned and sloughed off. No, I have never had lip fillers, botox or other lip injections. My care provider prescribed a 6 day steroid pack. The swelling stopped  and reversed shortly after the first dose was taken. My inner lip skin healed and was normal after 5 days. I would like to know if your recommendation as to whether I should get the second shot or not? I'm sure I could get the steroid pack in advance in case I have a similar reaction to the second shot.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoaesthesia, Muscular weakness, Pain in extremity, Paraesthesia
Clinical narrative: About 3 hours after receiving the vaccine pain both right and left arm, weakness in both right and left arm still happening, weakness right and left leg still happening. Overall feeling of coldness over my extremities (feet, hands, ect.) still happening The first night after vaccination both right and left arm had tingling and numbness, it felt like when you arm falls asleep last about one day.  I have been feeling fatigued which has been improving.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral coldness
Clinical narrative: About 3 hours after receiving the vaccine pain both right and left arm, weakness in both right and left arm still happening, weakness right and left leg still happening. Overall feeling of coldness over my extremities (feet, hands, ect.) still happening The first night after vaccination both right and left arm had tingling and numbness, it felt like when you arm falls asleep last about one day.  I have been feeling fatigued which has been improving.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Chills, Headache, Lymphadenopathy, Nausea
Clinical narrative: Day 1:Swelling on left side of face, swollen lymph nodes, chills, fever, body ache, headache; Day 2:extreme headache, nausea; Day 3:headache; Day 4:headache; Day 5: Doctor diagnosed with acute Bell's Palsy.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Swelling face
Clinical narrative: Day 1:Swelling on left side of face, swollen lymph nodes, chills, fever, body ache, headache; Day 2:extreme headache, nausea; Day 3:headache; Day 4:headache; Day 5: Doctor diagnosed with acute Bell's Palsy.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Fatigue, Feeling abnormal, Headache
Clinical narrative: Headache onset within 45 minutes of vaccine administration.  Headache worsened with dizziness and vomiting.  Felt foggy.  Other symptoms - muscle aches, fatigue, site pain,  started overnight.  2/5/21 @ 0400 was woken up due to wheezing and coughing fits.  Wheezing resolved with albuterol treatment.   patient was advised to seek medical care for evaluation
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Sleep disorder, Vomiting, Wheezing
Clinical narrative: Headache onset within 45 minutes of vaccine administration.  Headache worsened with dizziness and vomiting.  Felt foggy.  Other symptoms - muscle aches, fatigue, site pain,  started overnight.  2/5/21 @ 0400 was woken up due to wheezing and coughing fits.  Wheezing resolved with albuterol treatment.   patient was advised to seek medical care for evaluation
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bells Palsy. receiving Prednisone 20 mg
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Myalgia, Nausea
Clinical narrative: Today I have muscle and joint pain, a headache and nausea
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Injection site pain, Injection site rash
Clinical narrative: Severe pain at injection site and radiating down arm/up neck and headache  started 1/27/2020 2100 and continued through 1/31/2020. Dizziness fatigue began 1/28/2020 1100 lasted through 2/4/2020. Rash at injection site observed at 0700 on 2/4/2020 still present
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain in extremity
Clinical narrative: I took the shot at 8:30am and took two Tylenol at 9:30 am for headache. At 3:45pm, I started getting a headache that started at the base of my skull and worked upward. I took two Tylenol at that time and it dulled it. At 7:30pm that evening, I got the chills, I covered up with four blankets and finally went to sleep. I woke up the next morning at 5:30am and felt fine except for a sore arm where the injection was given. The sore arm lasted about two days.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: High Fever (102.9), body ache,headache,chills.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site pain, Lymphadenopathy, Rash erythematous
Clinical narrative: Large, red, painful ring (about 5 inches in diameter)  appeared near vaccination site (began on day 8 and dissipated by day 10) on dorsum of left arm Axillary pain and swelling under left arm started on day 6, continues through day 10
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Within 15-minutes of vaccination, the patient reported feeling lightheaded. EMS managed the patient's care on-site.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Nodule, Swelling
Clinical narrative: Redness, swelling, hard knot in center - Hydrocortisone cream TID
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Hyperhidrosis, Injection site reaction, Lymph node pain
Clinical narrative: Injection site reaction - muscle pain; cold chills; sweats, low grade fever (99.7); significant muscle aches - specifically lower back and hips; armpit soreness/lymph nodes
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Injection site reaction - muscle pain; cold chills; sweats, low grade fever (99.7); significant muscle aches - specifically lower back and hips; armpit soreness/lymph nodes
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Noticed knot in arm at injection site in the morning during shower. Throughout the day, knot increased in size, became red, warm, tender and itchy.  Continued to increase in size and pain, being three inches in diameter at largest. Pain rated a 3 on a 10 point scale. PCP was contacted 01/13/21. She said it was an expected reaction and suggested Benadryl. I can't remember if I took anything for the pain. I took Benadryl throughout the day as the spot was really uncomfortable. Knot was largely resolved by 1/15/21.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Pruritus, Rash
Clinical narrative: Covid arm (itchy, painful rash localized to right arm - injection arm)
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Rash macular
Clinical narrative: Upper arm swelling, warm, 2 1/2 x 2 1/2 red blotch.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Nausea, Pain, Pyrexia
Clinical narrative: Severe bodyaches, nausea, diarrhea, fatigue, low grade fever
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Injection site pain, Pain, Tendon pain
Clinical narrative: Identical reaction to both shots (above): dull pain (4-5/10) right Achilles tendon and lateral soft tissue.   - Onset: within 12 -24 hours of vaccination   - Duration: 2 - 3 weeks to resolve after first shot. Second shot of equal clinical presentation - now only       1 day old.   - Related symptoms: pain at site of injection, otherwise no fever, myalgia, cephalgia, cough, chills,       diaphoresis   - Aggravating factors: Ambulation   - Alleviating factors: Tylenol, rest, ice
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Medication error
Clinical narrative: Upon administration the patient noted a clear fluid on her deltoid when the needle was withdrawn.  A bandaid was applied and the patient later noted that the bandaid was soaked with clear fluid.  Additionally, the patient noted she had no injection site pain, soreness, warmth, etc. into the evening.  She noted this was atypical , especially relative to her first vaccination in the series.  We are identifying this as an administration error and will re-vaccinate.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Lymphadenopathy, Myalgia
Clinical narrative: I had fever, chills, muscle aches, joint pain, headaches and lymph nodes swelling on the left side.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I had fever, chills, muscle aches, joint pain, headaches and lymph nodes swelling on the left side.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Lymph node in my neck, same side as I got the injection, became swollen one week after first shot.   It wiggles, pea size and no discoloration on my skin
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Within 15-minutes of vaccination, the patient reported shortness of breath and difficulty breathing. EMS managed the patient's care on-site. No further documentation has been provided on the patient's treatment or outcome.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site paraesthesia, Loss of personal independence in daily activities, Mobility decreased, Musculoskeletal stiffness
Clinical narrative: UNABLE TO USE LEFT ARM.   CAN NOT RAISE ARM, HARD TO GET DRESSED AND UNDRESSED BECAUSE OF SEVERE STIFFNESS.  HAD TINGLING AT INJECTION SITE SOON AFTER INJECTION WAS DONE.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Injection site reaction, Pruritus, Rash papular
Clinical narrative: 10x8 cm red, slightly raised rash left arm .  Warm and firm to touch.  Mild itching and tenderness.  Not resolved as of today.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Tenderness
Clinical narrative: 10x8 cm red, slightly raised rash left arm .  Warm and firm to touch.  Mild itching and tenderness.  Not resolved as of today.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Site: Swelling at Injection Site-Medium
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: Started out with achiness and chills.  At 2230 started feverish 99.6.  By 2245 vomiting violently for 15-20 min, sweating profusely.  Then fatigue. Still with some chills. Woke up the next say at 0600 slightly fatigued and fairly normal.  Of note, I had covid in November.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Started out with achiness and chills.  At 2230 started feverish 99.6.  By 2245 vomiting violently for 15-20 min, sweating profusely.  Then fatigue. Still with some chills. Woke up the next say at 0600 slightly fatigued and fairly normal.  Of note, I had covid in November.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Bone pain, Chills, Headache
Clinical narrative: I got after the first dose what some people are to experience after their second dose.  This could be because I had Covid in November and probably have circulating antibodies already.  My right arm had 10/10 pain starting around midnight waking me up and was persistent with any movement which extended up into my neck and down to my elbow area.  Ibuprofen and tylenol did not help with the pain. Currently on post-vaccine day 3 I still am unable to get full ROM to my right arm due to pain but it is better than yesterday.  Other symptoms I had was the fevers, chills, headache, extreme hypersensitivity to my skin, and bone pain with movement especially to my hips and back with walking which seems to be subsiding.  whole body aches/pain which seems to be subsiding as well.  What I don't see mentioned in a lot of the expected side effects is TINNITUS.  I am experiencing moderate tinnitus.  I have experienced this previously in my 20's when taking a full dose of aspirin and I avoid aspirin products because of that.  I did not see anywhere that there is aspirin products in these injections.  It has not subsided yet at this time and I am wanting to report this.  Not sure if others are experiencing this as well.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Pain, Pain in extremity, Pyrexia, Sensitive skin
Clinical narrative: I got after the first dose what some people are to experience after their second dose.  This could be because I had Covid in November and probably have circulating antibodies already.  My right arm had 10/10 pain starting around midnight waking me up and was persistent with any movement which extended up into my neck and down to my elbow area.  Ibuprofen and tylenol did not help with the pain. Currently on post-vaccine day 3 I still am unable to get full ROM to my right arm due to pain but it is better than yesterday.  Other symptoms I had was the fevers, chills, headache, extreme hypersensitivity to my skin, and bone pain with movement especially to my hips and back with walking which seems to be subsiding.  whole body aches/pain which seems to be subsiding as well.  What I don't see mentioned in a lot of the expected side effects is TINNITUS.  I am experiencing moderate tinnitus.  I have experienced this previously in my 20's when taking a full dose of aspirin and I avoid aspirin products because of that.  I did not see anywhere that there is aspirin products in these injections.  It has not subsided yet at this time and I am wanting to report this.  Not sure if others are experiencing this as well.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Tinnitus
Clinical narrative: I got after the first dose what some people are to experience after their second dose.  This could be because I had Covid in November and probably have circulating antibodies already.  My right arm had 10/10 pain starting around midnight waking me up and was persistent with any movement which extended up into my neck and down to my elbow area.  Ibuprofen and tylenol did not help with the pain. Currently on post-vaccine day 3 I still am unable to get full ROM to my right arm due to pain but it is better than yesterday.  Other symptoms I had was the fevers, chills, headache, extreme hypersensitivity to my skin, and bone pain with movement especially to my hips and back with walking which seems to be subsiding.  whole body aches/pain which seems to be subsiding as well.  What I don't see mentioned in a lot of the expected side effects is TINNITUS.  I am experiencing moderate tinnitus.  I have experienced this previously in my 20's when taking a full dose of aspirin and I avoid aspirin products because of that.  I did not see anywhere that there is aspirin products in these injections.  It has not subsided yet at this time and I am wanting to report this.  Not sure if others are experiencing this as well.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Per chart review, received her Moderna Covid vaccination.  Shortly thereafter complained of bilateral temporal area throbbing.  BP was 181/96.  45 min thereafter, BP remained 195/95.  No history of HTN.  She was directed to the ED.  There, she received Tylenol and BP came down on its own and she was discharged home.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Vaccination site swelling
Clinical narrative: oblong oval redness and swelling at vaccine site on the right arm
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Vertigo
Clinical narrative: Vertigo x 1day on and off No period since receiving the vaccine, was due for cycle to begin week following first vaccination, has yet to still have a cycle (here for second dose 2/5/21).
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Peripheral swelling, Rash erythematous, Rash pruritic, Urticaria
Clinical narrative: On day 9 after shot, a bump on the arm in the area of the injection site and a red, slightly itchy, hive-like area about 2" in diameter.  By end of day 10 after shot, the area had increased to about 5" in diameter.  This is day 11, and it has reduced in size to about 4" in diameter
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Rapid onset of injection site pain, chills, myalgia, diffuse arthralgia, mild episodic headache, fatigue beginning 6 hours after injection.  Symptoms worsened progressively over next 18 hours, then gradually dissipated.  Moderate improvement with acetaminophen 1000 mg q6 h.  Largely resolved after 36 hours with residual fatigue which resolved after 48 hours.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Rapid onset of injection site pain, chills, myalgia, diffuse arthralgia, mild episodic headache, fatigue beginning 6 hours after injection.  Symptoms worsened progressively over next 18 hours, then gradually dissipated.  Moderate improvement with acetaminophen 1000 mg q6 h.  Largely resolved after 36 hours with residual fatigue which resolved after 48 hours.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site paraesthesia
Clinical narrative: redness around the shot sight.  Slight tingle in shot area.  NO fever or other reaction.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Electric shock sensation, Eye pain, Facial pain, Gingival pain, Headache
Clinical narrative: This is a new diagnosis for this patient who has not previously experienced these symptoms - episodes of severe, shooting or jabbing pain that feels like an electric shock, in areas supplied by the trigeminal nerve, including the cheek, jaw, teeth, gums, lips, eye and forehead.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Lip pain, Pain, Pain in jaw, Toothache
Clinical narrative: This is a new diagnosis for this patient who has not previously experienced these symptoms - episodes of severe, shooting or jabbing pain that feels like an electric shock, in areas supplied by the trigeminal nerve, including the cheek, jaw, teeth, gums, lips, eye and forehead.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: 12:45 CLIENT REPORTED HAND STARTED FEELING NUMB RIGHT AFTER INJECTION. NO C/O OF TROUBLE BREATHING. CLIENTED STATED THIS HAPPENS AT HOME ALSO AND IS "NORMAL" FOR HER. B/P 110/60, P-88, R-20.  1:00- B/P 112/64, P-84, R-16. DR NOTIFIED AND EMS CALLED. 1:15 B/P 110/62, P-82, R-18. NO TROUBLE WITH BREATHING. A & O X'S 5. 1:17 EMS ARRIVED. 1:23 CLIENT DECLINED EMS SERVICES. EMS DECLINATION SIGNED AND WITNESSED.  OUTCOME: CLIENT LEFT PREMISES DRIVING HER CAR.