chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever, chills, severe body aches, especially the back and buttock area, nausea and vomiting, headache
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Fever, chills, severe body aches, especially the back and buttock area, nausea and vomiting, headache
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: I tested postive for COVID-19 on December 2, 2021.  I got my first vaccine shot on January 20, 2021. I didn't feel the shot at all. In fact, it is the gentlest shot I have ever received. Later that night I felt some pain in my left arm, which increased significantly that next day. The pain last for about two days, then almost suddenly went away. The pain then moved between by arm and neck for about 12 hours before going away. There were no other symptoms that I was aware of. No fever, no fatigue, etc.   SEE ATTACHED
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Pt tested positive for COVID-19 on 2/10/2021 and was deceased on 2/16/2021 per the caregiver.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test, Disorientation, Dizziness, Dysarthria
Clinical narrative: Blood pressure elevated from norm of 90/60 to 179/100, lethargy, disorientation, low respiratory rate, slurred speech
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Magnetic resonance imaging
Clinical narrative: Blood pressure elevated from norm of 90/60 to 179/100, lethargy, disorientation, low respiratory rate, slurred speech
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Flushing, Pruritus
Clinical narrative: Reported redness on left arm, cheeks, ears, and small amount on chest at 2:23 pm, reported itchy left arm at 2:31, itching resolved at 2:34, redness decreased  by 2:55. Client left clinic with husband at 3:05 and called staff at 4:32 reporting redness had resolved without treatment.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, itching, warmth and redness at site 7 days after shot
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Injection site rash, Pain, Pyrexia
Clinical narrative: 100.2 fever- 5 hours Body aches- 8 hours Fatigue- 12 hours Painful injection site with large rash- ongoing
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID-19 on 2/10/2021, and was deceased on 2/16/2021 at.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swelling
Clinical narrative: swelling and redness been applying an icepack every hour for 15 minutes
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Erythema, Induration, Swelling
Clinical narrative: swelling, erythema, induration, blister formation, 7 days after vaccine Vaccine given by Health Department on 2/17, presented by video visit 2/25 due to symptom onset on 2/24, referred to Allergy on 2/25, recommended anti-histamine and otc analgesic
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Itching at injection site on day 8 post injection. Swelling, redness and hot to touch at injection site on day 9. ?Covid arm?
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Pain, Pyrexia
Clinical narrative: Chills, fever, body aches, pain at injection site
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: I told the people who gave me the injection that I was allergic to dairy.  I was suppose to get  a Pfizer vaccine because it doesn't have dairy in it.  On my card, they gave me a Moderna injection.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Covid Arm: very itchy and a little red at injection site, 7 days after injection.  Before this, 48 hours after injection everything was normal until this, the 7th day.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neck pain, Pain in extremity, Peripheral swelling
Clinical narrative: left arm swelling, appeared within one hour of second vaccine dose. Swelling progressed with soreness of arm. Swelling worse day after. Started abating by Thursday 2/25/21 evening. Advised ice pack on arm, but pt. said it was too sore on day after dose given (Wednesday) to apply. Pt. took one aspirin on Wednesday morning. Advised her she could take a second later in the day. (Yesterday pt. stated she had taken a Tylenol. Today upon review she realized that she took an aspirin. Ibuprofen is also available. Advised pt. take an ibuprofen now over the phone as I waited. Taken at 8:13pm EST. No further medication taken on Wednesday. (Also encouraged ice pack on neck Wednesday for ongoing strong headache / neck pain yesterday. Pt. does not remember if she tried that. Head/neck pain resolved today.) Pt. states swelling today (Thursday) is mild-to-moderate, less than yesterday, but still noticeable. Doesn't hurt as much as it did yesterday, she says. She can now lift her arm without pain.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: No symptom
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Asthenia, Back pain, Chills
Clinical narrative: On Feb. 12th at 2PM symptoms started with lower back pain, pain in abdomen and stomach, cramping, chills, ear ache, pain level 8.  Felt sick all over, like having the flu and then whole body ached, not just GI track.  Left arm injection site was red, sore to touch, swollen (slightly).  Doctor couldn't get vaccination needle into arm muscle the first time and so had to try a second time.   Intense cramping of GI track started up again 8:45AM on Feb. 13th.   By 4PM Feb. 15th fever 102F, chills, felt freezing cold and had to wrap myself in a heating blanket.  Pain level 10, especially in pancreas. Fever broke around 2:30AM Feb. 16th and later when I was up at 8AM I felt very weak, faint, pancreas ached.  Pancreatic pain lasted another 3 days.  Pancreatic pain stayed around level 5.  On Feb. 17th took ibuprophen.  Pain level reduced to 1.   This was the only time that I took pain medication between Feb. 10th and 17th, because I am conservative about using Ibuprophen, Tylenol, and have a high threshold for pain.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Feeling cold, Influenza like illness, Injection site erythema, Injection site pain
Clinical narrative: On Feb. 12th at 2PM symptoms started with lower back pain, pain in abdomen and stomach, cramping, chills, ear ache, pain level 8.  Felt sick all over, like having the flu and then whole body ached, not just GI track.  Left arm injection site was red, sore to touch, swollen (slightly).  Doctor couldn't get vaccination needle into arm muscle the first time and so had to try a second time.   Intense cramping of GI track started up again 8:45AM on Feb. 13th.   By 4PM Feb. 15th fever 102F, chills, felt freezing cold and had to wrap myself in a heating blanket.  Pain level 10, especially in pancreas. Fever broke around 2:30AM Feb. 16th and later when I was up at 8AM I felt very weak, faint, pancreas ached.  Pancreatic pain lasted another 3 days.  Pancreatic pain stayed around level 5.  On Feb. 17th took ibuprophen.  Pain level reduced to 1.   This was the only time that I took pain medication between Feb. 10th and 17th, because I am conservative about using Ibuprophen, Tylenol, and have a high threshold for pain.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Malaise, Muscle spasms, Pain, Pyrexia
Clinical narrative: On Feb. 12th at 2PM symptoms started with lower back pain, pain in abdomen and stomach, cramping, chills, ear ache, pain level 8.  Felt sick all over, like having the flu and then whole body ached, not just GI track.  Left arm injection site was red, sore to touch, swollen (slightly).  Doctor couldn't get vaccination needle into arm muscle the first time and so had to try a second time.   Intense cramping of GI track started up again 8:45AM on Feb. 13th.   By 4PM Feb. 15th fever 102F, chills, felt freezing cold and had to wrap myself in a heating blanket.  Pain level 10, especially in pancreas. Fever broke around 2:30AM Feb. 16th and later when I was up at 8AM I felt very weak, faint, pancreas ached.  Pancreatic pain lasted another 3 days.  Pancreatic pain stayed around level 5.  On Feb. 17th took ibuprophen.  Pain level reduced to 1.   This was the only time that I took pain medication between Feb. 10th and 17th, because I am conservative about using Ibuprophen, Tylenol, and have a high threshold for pain.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: On Feb. 12th at 2PM symptoms started with lower back pain, pain in abdomen and stomach, cramping, chills, ear ache, pain level 8.  Felt sick all over, like having the flu and then whole body ached, not just GI track.  Left arm injection site was red, sore to touch, swollen (slightly).  Doctor couldn't get vaccination needle into arm muscle the first time and so had to try a second time.   Intense cramping of GI track started up again 8:45AM on Feb. 13th.   By 4PM Feb. 15th fever 102F, chills, felt freezing cold and had to wrap myself in a heating blanket.  Pain level 10, especially in pancreas. Fever broke around 2:30AM Feb. 16th and later when I was up at 8AM I felt very weak, faint, pancreas ached.  Pancreatic pain lasted another 3 days.  Pancreatic pain stayed around level 5.  On Feb. 17th took ibuprophen.  Pain level reduced to 1.   This was the only time that I took pain medication between Feb. 10th and 17th, because I am conservative about using Ibuprophen, Tylenol, and have a high threshold for pain.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Headache, Neck pain, Pain in extremity
Clinical narrative: No discomfort until 2:00 a.m. on 2/11.  Woke up in intense pain in right arm, shoulder, front right bodice, up the back of my neck and head on only the right side.  I took Tylenol, placed hot packs on the area and drank fluids.  I took Advil at 4:00 a.m.  Fell asleep and woke up at 8 a.m.  I had no temperature but headache was intense.  I ate a small breakfast and stayed quiet with hot packs on all areas - 5 p.m. I was feeling much better - went to bed at 7:00 p.m. next morning I was ok.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID-19 on 2/10/2021, and deceased on 2/12/2021, per caregiver at.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Nausea
Clinical narrative: headache, muscle pain, chills, nausea
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Temperature, chills, headache, muscle aches, sore throat, occasional loss of taste, sinus congestion, fatigue.  These symptoms start around 4 pm every day and stop about 9 pm.  Gradually improving each day, but today is 9 days after the 2nd shot.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Sinus congestion
Clinical narrative: Temperature, chills, headache, muscle aches, sore throat, occasional loss of taste, sinus congestion, fatigue.  These symptoms start around 4 pm every day and stop about 9 pm.  Gradually improving each day, but today is 9 days after the 2nd shot.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Feeling abnormal, Pain, Pain in extremity
Clinical narrative: None stated.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: None stated.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Iritis, Ophthalmological examination
Clinical narrative: Iritis of right eye  beginning 0500 2-23-21. Saw Dr that day at 0810 since my Dr not in that day. Prescribed a 2 month tapering course of prednisone start at 40mg daily for 2 weeks. Prescribed cyclopentol 1% eye drops to use twice a day for 3 weeks. I have had this condition before but it has not flared up in years, so timing was suspicious when so close to vaccine.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Lethargy, Pain, Pain in extremity, Somnolence
Clinical narrative: Slight soreness in arm,  body aches like flu,  fever 2nd day of 101.6, lethargic  and sleepy evening of  1st day and all of 2nd day. Normal 3rd day
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Feeling abnormal, Lethargy, Pain in extremity
Clinical narrative: I was perfectly fine after the vaccine, except for a sore arm. On day 3 I noticed my tongue starting to swell and lips tingling. It got a little worse and I felt it moving towards my throat, and then it stopped. This only lasted maybe a couple of hours, and not more than three hours. I had not eaten anything since the day before, so knew it was not food related. I didn?t associate this reaction to the vaccine until I searched online, and found that tongue swelling and facial paralysis could be common. I was also tired that day. On day 4 I had none of those symptoms but was very tired and did not feel myself; little energy, somewhat lethargic.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Swollen tongue
Clinical narrative: I was perfectly fine after the vaccine, except for a sore arm. On day 3 I noticed my tongue starting to swell and lips tingling. It got a little worse and I felt it moving towards my throat, and then it stopped. This only lasted maybe a couple of hours, and not more than three hours. I had not eaten anything since the day before, so knew it was not food related. I didn?t associate this reaction to the vaccine until I searched online, and found that tongue swelling and facial paralysis could be common. I was also tired that day. On day 4 I had none of those symptoms but was very tired and did not feel myself; little energy, somewhat lethargic.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Injection site pruritus, Injection site rash, Pain
Clinical narrative: Large red lesion at the injection site with extreme itching and rash that showed up on day 7 Pain upon injection for 24 hours after injection Fever/Chills for 24 hours after injection
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Skin lesion
Clinical narrative: Large red lesion at the injection site with extreme itching and rash that showed up on day 7 Pain upon injection for 24 hours after injection Fever/Chills for 24 hours after injection
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Discomfort, Fatigue, Headache
Clinical narrative: One week post injection, on February 18, I developed  chills and a fever starting around 9 PM. I experienced diarrhea starting around 10 PM. Fever was approx 100.4 F and was accompanied by a splitting headache and significant body aches, to the point where I was unable to get any sleep that night. I noticed Covid arm the next morning. Fever, headache and body aches continued until Monday morning. I took only Extra Strength Tylenol. Most of the time Tylenol was effective only for the first 2-3 hrs before the discomfort overcame it. I was tested twice for COVID, both Friday AM and Monday AM. Both came back negative. Starting Monday the body aches and fever began to subside but I was left with a feeling of exhaustion and required continuous sleep.  Today is the first day I feel back to normal. I still have a large Covid arm rash, two weeks post injection. It causes no discomfort whatsoever.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Pain, Pyrexia, SARS-CoV-2 test negative, Sleep disorder
Clinical narrative: One week post injection, on February 18, I developed  chills and a fever starting around 9 PM. I experienced diarrhea starting around 10 PM. Fever was approx 100.4 F and was accompanied by a splitting headache and significant body aches, to the point where I was unable to get any sleep that night. I noticed Covid arm the next morning. Fever, headache and body aches continued until Monday morning. I took only Extra Strength Tylenol. Most of the time Tylenol was effective only for the first 2-3 hrs before the discomfort overcame it. I was tested twice for COVID, both Friday AM and Monday AM. Both came back negative. Starting Monday the body aches and fever began to subside but I was left with a feeling of exhaustion and required continuous sleep.  Today is the first day I feel back to normal. I still have a large Covid arm rash, two weeks post injection. It causes no discomfort whatsoever.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: One week post injection, on February 18, I developed  chills and a fever starting around 9 PM. I experienced diarrhea starting around 10 PM. Fever was approx 100.4 F and was accompanied by a splitting headache and significant body aches, to the point where I was unable to get any sleep that night. I noticed Covid arm the next morning. Fever, headache and body aches continued until Monday morning. I took only Extra Strength Tylenol. Most of the time Tylenol was effective only for the first 2-3 hrs before the discomfort overcame it. I was tested twice for COVID, both Friday AM and Monday AM. Both came back negative. Starting Monday the body aches and fever began to subside but I was left with a feeling of exhaustion and required continuous sleep.  Today is the first day I feel back to normal. I still have a large Covid arm rash, two weeks post injection. It causes no discomfort whatsoever.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Oropharyngeal pain, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Since the vaccine, headache, sore throat, vomiting and chills
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: The patient presented today at counselling for an antibiotic. The patient stated she was seen today in the ER today for a rash she developed on her arm where she received the Moderna Covid-19 vaccine 2 weeks ago. The patient stated she started itching on her right deltoid 4 days ago and since then the rash has progressed down and around her bicep. The patient stated that the rash was not painful and therefore, the doctor did not think it was cellulitis but prescribed the antibiotic just in case. I thanked the patient for letting me know and I informed her that I would be reporting the reaction to Vaccine Adverse Event Reporting System.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: This was a vaccine administration error.  I used a syringe/needle combo that was not tightly connected, and I didn't realize it until the vaccine leaked out and down the patient's arm.  The amount that leaked out looked significant,  so I readministered the dose in her other arm.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, SARS-CoV-2 test negative
Clinical narrative: Temp 102.7. Chills and fatigue
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Emotional distress, Nervousness, Palpitations, Paraesthesia
Clinical narrative: Patient received her first COVID vaccination today at 8:30 pm.  Within 15 min of injection, she began to look distressed and reported sensations of tingling in her elbows and behind her knees. No SOB, facial swelling, or heart palpitations.  It was felt she may be nervous and she was given water and monitored closely.   Vitals  taken with O2 100%, HR 58, BP 134/89 Pt received Benedryl 25 mg when she began to note mild erythematous blotching on neck   10 min later vitals stable with bp 138/82 and pulse 62   Pt was given a second 25 mg dose to take if any symptoms worsened on way home- she was driving therefore I did not want to give her another dose at the time.  She understands to call for emergency care if any SOB, facial swelling, or any distress   Pt confirmed at 10 pm that she made it safely home with some improvement in her symptoms.  I will follow up with her in the morning as well and will complete a VAERS report.  I have educated her that at this time CDC would recommend not receiving the second vaccination, given potential allergic reaction within first 4 hours.  We will review this again tomorrow     I communicated with patient morning of 2/25/21- she states still mild tingling of arms but no new or worsening symptoms.  She feels this is more consistent with anxiety and hesitant to not receive her second dose. I suggested she discuss with her primary care provider before her next visit and if she were to proceed with her second vaccination, I would suggest someone being with her to drive and she take 50 mg of benedryl 1 hr prior to vaccine.  She was appreciative.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash macular, Swelling face
Clinical narrative: Patient received her first COVID vaccination today at 8:30 pm.  Within 15 min of injection, she began to look distressed and reported sensations of tingling in her elbows and behind her knees. No SOB, facial swelling, or heart palpitations.  It was felt she may be nervous and she was given water and monitored closely.   Vitals  taken with O2 100%, HR 58, BP 134/89 Pt received Benedryl 25 mg when she began to note mild erythematous blotching on neck   10 min later vitals stable with bp 138/82 and pulse 62   Pt was given a second 25 mg dose to take if any symptoms worsened on way home- she was driving therefore I did not want to give her another dose at the time.  She understands to call for emergency care if any SOB, facial swelling, or any distress   Pt confirmed at 10 pm that she made it safely home with some improvement in her symptoms.  I will follow up with her in the morning as well and will complete a VAERS report.  I have educated her that at this time CDC would recommend not receiving the second vaccination, given potential allergic reaction within first 4 hours.  We will review this again tomorrow     I communicated with patient morning of 2/25/21- she states still mild tingling of arms but no new or worsening symptoms.  She feels this is more consistent with anxiety and hesitant to not receive her second dose. I suggested she discuss with her primary care provider before her next visit and if she were to proceed with her second vaccination, I would suggest someone being with her to drive and she take 50 mg of benedryl 1 hr prior to vaccine.  She was appreciative.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Dyspnoea, Fatigue, Headache
Clinical narrative: Sun 2/21 - fever (101.1), site of injection soreness, body aches, joint aches, headache, fatigue, loss of appetite. Mon 2/22 - same as Sunday 2/21 but fever came down to 100.1 and symptoms were generally milder Tues 2/23 - better in general and fever broke during early hours of morning. Most symptoms still present but milder Wed 2/24 11:30am mild breathing difficulty began and at 1 pm inhaler was used.  Breathing difficulty subsided (but not fully restored)until @7pm and 1st nebulizer treatment was done. Breathing difficulty subsided (but not fully restored) until @10:45pm and 2nd nebulizer treatment was done. Hands were noticed to have purple coloring prior this nebulizer treatment. Thurs 2/25 7:00am breathing was labored and became difficult by 8:30am and was taken to emergency room for evaluation and treatment.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Peak expiratory flow rate, Pyrexia, Skin discolouration
Clinical narrative: Sun 2/21 - fever (101.1), site of injection soreness, body aches, joint aches, headache, fatigue, loss of appetite. Mon 2/22 - same as Sunday 2/21 but fever came down to 100.1 and symptoms were generally milder Tues 2/23 - better in general and fever broke during early hours of morning. Most symptoms still present but milder Wed 2/24 11:30am mild breathing difficulty began and at 1 pm inhaler was used.  Breathing difficulty subsided (but not fully restored)until @7pm and 1st nebulizer treatment was done. Breathing difficulty subsided (but not fully restored) until @10:45pm and 2nd nebulizer treatment was done. Hands were noticed to have purple coloring prior this nebulizer treatment. Thurs 2/25 7:00am breathing was labored and became difficult by 8:30am and was taken to emergency room for evaluation and treatment.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Dizziness, Feeling cold, Immediate post-injection reaction, Pain
Clinical narrative: Sharp shooting pain down arm at time of injection.  Subsided quickly and then 20 minutes later arm got sore, painful to lift or move around. Icy feeling and aching when arm is quiet.  Painful to rotate shoulder. Some dizziness and lightheadedness.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity
Clinical narrative: Sharp shooting pain down arm at time of injection.  Subsided quickly and then 20 minutes later arm got sore, painful to lift or move around. Icy feeling and aching when arm is quiet.  Painful to rotate shoulder. Some dizziness and lightheadedness.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Immediate post-injection reaction, Injection site pain, Mobility decreased, Neuralgia
Clinical narrative: Sharp shooting pain down arm at time of injection.  Subsided quickly and then 20 minutes later arm got sore, painful to lift or move around. Icy feeling and aching when arm is quiet.  Painful to rotate shoulder. Some dizziness and lightheadedness.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Skin warm
Clinical narrative: Sharp shooting pain down arm at time of injection.  Subsided quickly and then 20 minutes later arm got sore, painful to lift or move around. Icy feeling and aching when arm is quiet.  Painful to rotate shoulder. Some dizziness and lightheadedness.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Computerised tomogram, Electrocardiogram, Electroencephalogram, Laboratory test
Clinical narrative: Seizure 2 weeks later with overnight hospitalization after not having seizure since 10/2016
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Seizure
Clinical narrative: Seizure 2 weeks later with overnight hospitalization after not having seizure since 10/2016
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Emotional disorder, Nausea, Rash
Clinical narrative: She did not have any reactions to the first dose; however, this dose made her feel lightheaded, dizzy, and nauseas. She felt "off" to the point of tears. EMS took a look at her and her blood pressure was elevated. When she developed a rash the decided to transport her to the hospital for further evaluation. She was given Benadryl 12.5mg PO before she left the clinic. They started an IV for the patient but did not hook any medications or fluids up at the time.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Injection site swelling, Pain in extremity, Peripheral swelling
Clinical narrative: I had my first AND ONLY SHINGRIX  injection August 13th 2020 from Pharmacist  several hours after injection arm began to swell and become painful. Called Pharmacy- was told to ice site. Swelling continued through August, September, October and November - small painful 'bump' can still be felt at Inection site.  I have NO RANGE MOTION IN UPPER LEFT ARM. I Cannot LIFT MY LEFT ARM OVER MY HEAD i CANNOT LIFT MY LEFT ARM LEVEL  MY LEFT ARM HURTS CONSTANTLY ANTI-INFLAMITORIES (TRAMADOL) DO NO HELP
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever of 100.9
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Hemiparesis, Magnetic resonance imaging, Neurological symptom, Ultrasound Doppler
Clinical narrative: Patient's wife reported at 3:30 PM (about 1.5 hours after vaccination) that patient described having weakness in the right side of his body.     Patient described as "stroke symptoms".  Patient was transported by ambulance to Hospital.  MRI performed at 10 PM that night.  Told that brain and carotid scans were fine.  Patient's wife told me that ER department ruled as a light stroke, but dissolved by itself.  Patient was allowed to leave hospital due to no beds available.
Age: 61.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Chills, Pain
Clinical narrative: chills no fever body aches
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dyspnoea, Fatigue, Headache, Pain
Clinical narrative: Symptoms started after first shot after sleeping. Sore arm then a headache. After 12 hours symptoms got worse. Fatigue, slight SOB, overall body weakness/soreness. After 24 hrs of those symptoms they were mostly gone and 24 hrs after that I was symptoms free. No symptoms after second dose. I work in a out and inpatient hospital doing ultrasounds. I have done covid patients since March. I have never tested or tested positive for Covid but have been around it.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity
Clinical narrative: Symptoms started after first shot after sleeping. Sore arm then a headache. After 12 hours symptoms got worse. Fatigue, slight SOB, overall body weakness/soreness. After 24 hrs of those symptoms they were mostly gone and 24 hrs after that I was symptoms free. No symptoms after second dose. I work in a out and inpatient hospital doing ultrasounds. I have done covid patients since March. I have never tested or tested positive for Covid but have been around it.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone decreased, Electrocardiogram abnormal, Fatigue, Heart rate increased, Laboratory test normal
Clinical narrative: The week of getting my second vaccine I noticed my heart rate was at times up to 115 bpm. The day after I received the vaccine I was very tired feeling, my left arm very sore, and I noticed my heart rate was staying higher. At one point at work my heart rate went up to 140 bpm. I went to the doctor after work and was diagnosed with sinus tachycardia. I was prescribed metoprolol for tachycardia. I do not know what caused my heart rate to increase, but the metoprolol has my rate controlled now. I felt the fatigue lasted about 3-4 days and then I was back to normal.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Sinus tachycardia, Thyroxine normal, Tri-iodothyronine normal, Ultrasound thyroid normal
Clinical narrative: The week of getting my second vaccine I noticed my heart rate was at times up to 115 bpm. The day after I received the vaccine I was very tired feeling, my left arm very sore, and I noticed my heart rate was staying higher. At one point at work my heart rate went up to 140 bpm. I went to the doctor after work and was diagnosed with sinus tachycardia. I was prescribed metoprolol for tachycardia. I do not know what caused my heart rate to increase, but the metoprolol has my rate controlled now. I felt the fatigue lasted about 3-4 days and then I was back to normal.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pyrexia
Clinical narrative: Nausea; Headache; low grade fever
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspepsia, Echocardiogram abnormal, Headache, Pericardial effusion
Clinical narrative: starting that evening, I had fever to 101, headache, heartburn and diarrhea for about 30  hours. on 2/25 I had an echocardiogram that had been scheduled 3 months prior.  It showed a trace pericardial effusion which was unexpected.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: starting that evening, I had fever to 101, headache, heartburn and diarrhea for about 30  hours. on 2/25 I had an echocardiogram that had been scheduled 3 months prior.  It showed a trace pericardial effusion which was unexpected.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Injection site pain
Clinical narrative: Could not sleep for 2 nights (Thursday and Friday). Fever, chills, top fever 102.1; splitting headache that was worse when I tried to lie down, so ended up resting in a reclining chair but unable to sleep. Fatigue. Loss of appetite. Very thirsty. Arm where injection received was tender and started to ache within a couple of hours of the injection. Tenderness and aching in arm continued for three days. Fever resolved on 2/20/21. Was able to sleep that night.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Pyrexia, Thirst
Clinical narrative: Could not sleep for 2 nights (Thursday and Friday). Fever, chills, top fever 102.1; splitting headache that was worse when I tried to lie down, so ended up resting in a reclining chair but unable to sleep. Fatigue. Loss of appetite. Very thirsty. Arm where injection received was tender and started to ache within a couple of hours of the injection. Tenderness and aching in arm continued for three days. Fever resolved on 2/20/21. Was able to sleep that night.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Plasminogen activator inhibitor, Thrombectomy
Clinical narrative: On Day 5 (February 21st) after receiving her 2nd COVID vaccine injection, the patient suffered a massive stroke. She was rushed to an ED, arriving within 45 minutes, immediately received TPA treatment and thrombectomy from the right side of her brain. She continues to receive acute treatment inpatient.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site reaction, Rash papular
Clinical narrative: I developed a raised, itchy spot at the injection site exactly one week after receiving the vaccine.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Severe diarrhea / Resolved with rest, increased fluid intake and temporary change in diet / Lasted one day
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site discolouration, Injection site reaction, Injection site swelling, Lymphadenopathy
Clinical narrative: Large Swollen Red Rash and Ring at Injection Site. Pain, tenderness, Itching. Swollen Lymph Nodes under arm put (Starting 7 days after vaccine, lasting three days so far.) Bad headache (one day)
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus, Rash erythematous, Tenderness
Clinical narrative: Large Swollen Red Rash and Ring at Injection Site. Pain, tenderness, Itching. Swollen Lymph Nodes under arm put (Starting 7 days after vaccine, lasting three days so far.) Bad headache (one day)
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dry skin, Pallor, Skin warm
Clinical narrative: skin pale and warm and dry.  Lasted for at least 10 seconds.  Dizziness.  Patient returned to normal within15 minutes.  Drank 2 boxes of juice.  BP 124/86, HR 80 and regular, respiratory rate 16 O2 saturation 100%
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Dizziness, Fatigue
Clinical narrative: 1 hour past 2nd shot, I felt fatigue, dizziness, brain fog and mild nausea.  Possibly 12 hours past the shot, I awoke with a massive headache, achy joints & muscles from head to toe, chills, sweating, congestion, sore throat, increased dizziness and weakness.  This was similar, but not as severe, as the onset of Covid-19 symptoms I experienced on January 5, 2021.  30 hours past the 2nd shot, I am still experiencing aches, pains, dizziness, fatigue, and a headache I cannot alleviate with Ibuprofen.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Hyperhidrosis, Inappropriate schedule of product administration, Myalgia
Clinical narrative: 1 hour past 2nd shot, I felt fatigue, dizziness, brain fog and mild nausea.  Possibly 12 hours past the shot, I awoke with a massive headache, achy joints & muscles from head to toe, chills, sweating, congestion, sore throat, increased dizziness and weakness.  This was similar, but not as severe, as the onset of Covid-19 symptoms I experienced on January 5, 2021.  30 hours past the 2nd shot, I am still experiencing aches, pains, dizziness, fatigue, and a headache I cannot alleviate with Ibuprofen.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: 1 hour past 2nd shot, I felt fatigue, dizziness, brain fog and mild nausea.  Possibly 12 hours past the shot, I awoke with a massive headache, achy joints & muscles from head to toe, chills, sweating, congestion, sore throat, increased dizziness and weakness.  This was similar, but not as severe, as the onset of Covid-19 symptoms I experienced on January 5, 2021.  30 hours past the 2nd shot, I am still experiencing aches, pains, dizziness, fatigue, and a headache I cannot alleviate with Ibuprofen.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Cough, Fatigue, Headache
Clinical narrative: 2/21/21  woke  up 2:30am with severe shoulder/neck pain, felt like a broken collar bone, pain intense with a headache.  restless could not sleep.  next day extreme fatigue,  constant coughing, chills, aches and pains unable to work, had to go back to bed every 2 hours for a 2-3 hour sleep.  this same pattern has continued up until today thursday 02/25/21.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Pain, Poor quality sleep, SARS-CoV-2 test negative
Clinical narrative: 2/21/21  woke  up 2:30am with severe shoulder/neck pain, felt like a broken collar bone, pain intense with a headache.  restless could not sleep.  next day extreme fatigue,  constant coughing, chills, aches and pains unable to work, had to go back to bed every 2 hours for a 2-3 hour sleep.  this same pattern has continued up until today thursday 02/25/21.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Foetal heart rate abnormal, Pregnancy
Clinical narrative: I was 8-weeks pregnant when I received my first dose of the Pfizer COVID-19 vaccine. This first dose was administered on Friday January 29, 2021. Three days later on Monday February 1, 2021, I was told my baby did not have a heartbeat on the ultrasound in the clinic (confirmed by radiology that day as well) and that I was having a miscarriage.  I had no other signs or symptoms of miscarriage or illness.  Pregnancy history - I do not have any other children yet.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash erythematous
Clinical narrative: Approximately 20 minutes post vaccination -Patient had rash in bilateral antecubital region, erythematous base with pruritus. Patient stated she did not have this rash prior to vaccine, no reaction noted on injection site, Benadryl given with good effect. Post Benadryl pruritus resolved and erythema improving on bilateral antecubital regions and patient discharged home.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness transient, Dizziness, Feeling abnormal, Syncope
Clinical narrative: Dizziness; faint; feeling of falling off my chair; vision went black.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Red raised itchy area on arm. There was a small area the day after the shot and then today 8 days later it is larger and itches worse
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia, Restlessness
Clinical narrative: Started with chills for about 1 hour then fever (about 100.4) and tired.   It was now in the middle of night when chills ended then I was very restless.  It lasted about 24 hours then I felt fine - no fever.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Lacrimation increased
Clinical narrative: About 5 to 10 minutes after receiving his vaccine, the patient's eyes were excessively teary. He waited around for 45 minutes and they were still more watery than usual, but there were no other signs of allergic reaction. The patient said that it wasn't watery to the point of blurry vision and went home.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Condition aggravated, Contusion, Eczema
Clinical narrative: fever, headache, full-body muscle aches, generalized joint pain, injection-site pain, chills, purple, speckled rash bilateral arms, eczema flare on  left arm around injection site
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Myalgia, Pyrexia, Rash
Clinical narrative: fever, headache, full-body muscle aches, generalized joint pain, injection-site pain, chills, purple, speckled rash bilateral arms, eczema flare on  left arm around injection site
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Patient noted small area of itching and erythema on neck approximately 10-15 minutes after her first COVID vaccination.  No SOB, facial swelling or difficulty swallowing.     Vitals at 1:50 BP 152/95, Pulse 60 and O2 sats 100% She received 25 mg oral benedryl and water and observed another 15 minutes.  No progression of rash but continued itching on neck and chin,no facial swelling SOB or trouble swallowing. Stable vitals, she took second dose of benedryl 25 mg and will head home to rest.  Will monitor for any change in symptoms- does have epi available at home (due to children with severe allergies).   She was educated that current CDC recommendations are that with any allergic reaction within first 4 hrs, that the individual not go on to receive second vaccination. She was disappointed by will follow CDC for updates.  She did enroll in vsafe. She was agreeable to me checking in on her later.  Will submit VAERS for thoroughness tomorrow with update.      I confirmed with patient on 2/25/21 that when she awoke today, she noted complete resolution of her itching and rash she experienced on 2/24/21 after vaccination.  I invited her to visit with her PCP if she wanted to discuss further the safety of proceeding with second vaccination. She was appreciative.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site reaction, Rash erythematous
Clinical narrative: Red rash at injection site that is firm and may be causing some itchiness and/or soreness.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site rash, Pruritus
Clinical narrative: RASH ON RIGHT ARM AROUND INJECTION SITE.  ITCHINESS BEGAN ON 2/21 AND THE FOLLOWING MORNING DEVELOPED SMALL RASH THAT HAS SEEM TO HAVE GROWN. AS OF THURSDAY THE ARM STILL EXHIBITS THE RASH.  HAVE HAD AN ON AND OFF AGAIN HEADACHE.  NOT SURE IF THAT IS RELATED TO THE VACCINE.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest X-ray, Muscle spasms, Pain in extremity, Skin burning sensation
Clinical narrative: Started 2/17/21 two days after vaccine shot.   Left arm and shoulder pain upon waking.  Intense burning sensation  across top of shoulder, down over shoulder blade and entire left arm, including hand.  Sharp pain with cramping feeling.  Difficulty finding a comfortable position because entire arm is tender, sore to the touch, as well burning feeling. Duration: 2/17/21 - still ongoing.      2 ER Visits.  2 PCP Visits
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal X-ray, Ultrasound Doppler
Clinical narrative: Started 2/17/21 two days after vaccine shot.   Left arm and shoulder pain upon waking.  Intense burning sensation  across top of shoulder, down over shoulder blade and entire left arm, including hand.  Sharp pain with cramping feeling.  Difficulty finding a comfortable position because entire arm is tender, sore to the touch, as well burning feeling. Duration: 2/17/21 - still ongoing.      2 ER Visits.  2 PCP Visits
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Loss of consciousness, Snoring
Clinical narrative: PT DENIED HAVING A REACTION TO ANY VACCINE PREVIOUSLY AND DENIED HAVING AN ALLERGY TO PEG OR POLYSORBATE. AFTER RECEIVING THE VACCINE AT 2:43PM PT STATED HE FELT DIZZY AND WOULD LIKE TO SIT DOWN. I WALKED HIM TO THE PATIENT CARE AREA AND SAT BESIDE HIM FOR HIS 15 MIN WAITING PERIOD. AT 2:45PM PATIENT STARTED TO SNORE LOUDLY AND COULD NOT BE WAKEN UP. CALL 911 . FTER PATIENT WAS ON THE GROUND HE GAIN CONSCIOUNESS. HE STATED HE TOOK A GREAT NAP AND WAS ABLE TO TELL ME HIS NAME, DOB, MY NAME AND WHERE HE WAS AT. HE BP WAS LOW UPON CHECKING THE FIRST TIME IT SPB WAS 74 THEN WHEN EMS ARRIVED WAS 94/60 WITH A PULSE OF 80BPM. HE ALSO STATED HE DID NOT WANT EMS TO TAKE HIM TO THE HOSPITAL. EMS ARRIVED AT 2:52PM. AT 4:07 PM EMS CAME BACK TO THE PHARMACY AND STATED THE PATIENT REFUSED TO GO TO THE HOSPITAL AND FOR HIPPA REASONS COULD NOT SHARE WHAT WAS GOING ON. CALLED THE PT LATER THIS EVENING AND HE SAYS HE IS DOING FINE AND HAS HAD NO FURTHER COMPLICATIONS.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Skin warm, Swelling
Clinical narrative: Rash, very itchy, warm to touch, slight swelling
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Started out with just a sore where injection was given. then it started to swell and turn red and feel warm to the touch . Its now   3 inches long by 2 inches wide.  I have contact agency and they advised me to see my doctor immediately. I hung up from them and contacted my doctor who can not see me until tomorrow at 1:15.  Feb 26,2021
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth
Clinical narrative: Prolonged dry mouth.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Headache, Heart rate increased
Clinical narrative: Heart racing, fast pulse, heaviness in chest, light headed, short of breath, headache.  Lasted about an hour, drank  20oz of water and rested.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Heart racing, fast pulse, heaviness in chest, light headed, short of breath, headache.  Lasted about an hour, drank  20oz of water and rested.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Lymph node swelling in right side neck above clavicle. Showed up day after vaccine. 3 weeks later no change in shape or size. Going for ultrasound tomorrow 3/25/21.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis, Erythema, Pruritus, Rash
Clinical narrative: 2 weeks after my second dose of Moderna COVID vaccine I've started to develop a rash that will appear in different places all over my body. My neck, wrists, ankle and torso. The skin will get itchy then I will scratch it (lightly) and it will become very red and inflamed. It comes on quickly and also disappears quickly. I have gotten it on my face as well.  I spoke with my primary care doctor yesterday (about a week after this reaction began ). I sent her pictures. She is pretty certain this is caused by the vaccine and has prescribed Zyrtec 10 mg twice daily for 14 days. I've only taken 2 dose and I'm still getting the rash. The rash appears in no predictable way in terms of where it appears on the body.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient is 15 years old. Was enrolled in a mass vaccination clinic by health department. Patient age was not noticed by pharmacist, and vaccine was given. Age was noticed later in the evening at processing pharmacy. Patient's mother, was contacted by me on 2/25/21 to inform her that the shot was not indicated for patient. She reported that patient was showing no symptoms, and would contact me if that changed. I informed her that patient is not eligible for dose 2.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity
Clinical narrative: Local hypersensitivity reaction that has extended from the shoulder to the elbow.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pain, Pruritus, Rash
Clinical narrative: Rash ,nausea ,vomiting  body aches  tiredness ,extreme itching
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Rash ,nausea ,vomiting  body aches  tiredness ,extreme itching
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: On day 8 mild redness & mild itching at injection site.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Swelling at site of injection. Started within 1 hour of injection (noted on ride home). Swelling increased, and pain increased, a day later. Arm still swollen, less so, two days after injection.  Pain reduced but still present two days after injection. Advised ice pack yesterday. Swelling seems to have gone down by 56 hours after injection, only slight. (but has lasted past 48 hours.