chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dysstasia, Pharyngeal swelling, Tachycardia, Throat tightness
Clinical narrative: Patient received covid vaccine and went to observation room for 15 minutes. While sitting in observation room patient began c/o of dizziness. Staff RN in observation room  elevated patient's feet on a second chair. Patient had normal pulse ox, HR and RR. After another 10-15 minutes, patient began c/o of chest pain and EMS was called. Ambulance took patient to ED.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Pain
Clinical narrative: For 48 hours following injection, mild to moderate injection site pain was experienced. 5 days after the injection, symptoms including headache, body aches, fatigue lasting 24 hours.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Throat clearing, Throat tightness
Clinical narrative: Client returned to Clinic reporting "Tightness in the back of his throat". Denied difficulty breathing or other symptoms. Patient was clearing his throat periodically. Patient states he has anxiety, so he also believes that is adding to his symptoms. After checking vitals  administered epi and dial 911. Patient had started to clear his throat more often.  Continued to monitor patients symptoms and did not have any worsening of symptoms and after approximately 5 minutes, he stated he felt better. EMS arrived and discussed with patient and he elected to refuse transport to the hospital. He has a buddy in the parking lot who drove him here.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing
Clinical narrative: Approximately 10 minutes after receiving the vaccine pt reported flushed area near chest.  Denied itching or dyspnea.  Speech clear. md notified and requested patient take benadryl 25mg oral now - given to patient. patient is under observation for 1 hour of time.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pain, Paraesthesia, Skin warm
Clinical narrative: redness, sore, warm, raised, tingling, hard. applied warm compress
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: redness, sore, warm, raised, tingling, hard. applied warm compress
Age: 38.0
Sex: U
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Joint range of motion decreased, Nausea, Pain
Clinical narrative: left arm felt sore. She was nauseous, dizzy and had body aches, including back pain and pain extending down left leg into foot. Left arm became swollen to the hand as the day progressed and has had difficulty moving the shoulder
Age: 38.0
Sex: U
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: left arm felt sore. She was nauseous, dizzy and had body aches, including back pain and pain extending down left leg into foot. Left arm became swollen to the hand as the day progressed and has had difficulty moving the shoulder
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Headache, Nausea, Pain
Clinical narrative: Achiness, fatigue, fever, nausea, headache, loss of appetite, arm soreness Tylenol, Zoltan, rest, stay home from work 3 days
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Achiness, fatigue, fever, nausea, headache, loss of appetite, arm soreness Tylenol, Zoltan, rest, stay home from work 3 days
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Eructation, Rash, Urticaria
Clinical narrative: I developed a hive/rash below and above my waist line on my stomach area.  I also felt bloated in my lower stomach.  I noticed it when I was undressing for bed. It was a mild reaction that came and went quickly once I laid down to go to sleep.  Some belching relieved the bloating in my stomach.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Left arm and fingers became numb for over 24hours
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: 1-6-21 Left arm numbness and tingling, 1-7-21 Headache, body aches and chills,
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Post COVID vaccination (received on 12/14) Had MULTIPLE episodes of palpitations lasting several minutes. These palpitations started the evening of 12/14 and continued throughout 12/15/2020
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria
Clinical narrative: Delayed (9 days) injection site erythema (hives)/itching -2 inches.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Malaise
Clinical narrative: Patient did not report any signs or symptoms of adverse reaction to vaccine. Patient suffered from several comorbidities  (diabetes and renal insufficiency). Patient reported not feeling well 01/06/2021 and passed away that day.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: swelling, hardness, itching at site. took Benadryl and warm compress
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint stiffness, Mobility decreased, Muscle tightness, Pain in extremity
Clinical narrative: Presumed right arm muscle injury.  Several hours after the injection my arm was extremely sore and painful. The joint was painful as well. No redness or swelling. It was tender to touch. I was having difficulty reaching my arm up or moving it upward. Ex: it hurt to lift my hand to touch my face.  I also couldn?t let it fall. If I got my arm above my head I would have to assist it down. I couldn?t sleep that night because of the pain. I was having trouble with pushing movements in that arm. And also letting it hang dependently (like letting my arm hang when I hinged forward). I started taking Motrin 24 hours after the injection. Motrin helped, so I took it Friday and Saturday. Sunday, my arm felt 99% back to normal.  Monday and Tuesday I didn?t notice anything.   Wednesday  morning I woke up with the same pain again and difficulty moving my arm. Wednesday night, I couldn?t sleep again because of the pain/couldn?t get my arm in a comfortable position. I?m taking Motrin, with not as much relief as before. I?ve applied heat and I?ve tried to stretch it as well.   The only way i really know how to describe it? is that it feels as if my deltoid was injured. And my other muscles are fine. It?s hindering my movement in that arm. It is again, tender to touch my deltoid area. The tightness has extended in to my shoulder and neck. It has now been 8 days since my vaccination.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Tenderness
Clinical narrative: Presumed right arm muscle injury.  Several hours after the injection my arm was extremely sore and painful. The joint was painful as well. No redness or swelling. It was tender to touch. I was having difficulty reaching my arm up or moving it upward. Ex: it hurt to lift my hand to touch my face.  I also couldn?t let it fall. If I got my arm above my head I would have to assist it down. I couldn?t sleep that night because of the pain. I was having trouble with pushing movements in that arm. And also letting it hang dependently (like letting my arm hang when I hinged forward). I started taking Motrin 24 hours after the injection. Motrin helped, so I took it Friday and Saturday. Sunday, my arm felt 99% back to normal.  Monday and Tuesday I didn?t notice anything.   Wednesday  morning I woke up with the same pain again and difficulty moving my arm. Wednesday night, I couldn?t sleep again because of the pain/couldn?t get my arm in a comfortable position. I?m taking Motrin, with not as much relief as before. I?ve applied heat and I?ve tried to stretch it as well.   The only way i really know how to describe it? is that it feels as if my deltoid was injured. And my other muscles are fine. It?s hindering my movement in that arm. It is again, tender to touch my deltoid area. The tightness has extended in to my shoulder and neck. It has now been 8 days since my vaccination.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Palpitations, Paraesthesia
Clinical narrative: Flush, tingling, palpitations. Observed for 2 hours. 150/90, pulse 72, SPO2 99% -> 140/90, 68, SPO2 99%.  Felt better, sent home.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: At day 8 noted itching, then reddness, swelling and sensitive to touch below injection site of right upper arm. It was also warm to touch. showed DO and I am giving several of these injections to staff and community and have noted more than eight occurrences of the same result and I have asked these individuals to report to us or online to document this adverse reaction. I am on day 10 at this time and it is still the same.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Headache, Nausea, Rash macular, Swollen tongue
Clinical narrative: 12/31/20 developed headache, some blurry vision, nausea and splotchy rash.  Took Benadryl around 2100 and went to sleep.  Woke up with tongue swelling and difficulty speaking, decided to go to emergency room on 1/1/21.  When she first presented she had significant swelling noted to her tongue.  SoluMedrol IV, Pepcid IV, and Benadryl IV given in ED.  Also administered 0.3 mg Epinephrine.  Discharged with Pepcid and Prednisone for 3 days and Benadryl prn
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: 12/31/20 developed headache, some blurry vision, nausea and splotchy rash.  Took Benadryl around 2100 and went to sleep.  Woke up with tongue swelling and difficulty speaking, decided to go to emergency room on 1/1/21.  When she first presented she had significant swelling noted to her tongue.  SoluMedrol IV, Pepcid IV, and Benadryl IV given in ED.  Also administered 0.3 mg Epinephrine.  Discharged with Pepcid and Prednisone for 3 days and Benadryl prn
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: About 40 minutes after I received the injection in my right arm,  my right arm began to tingle all the way to my fingertips.   The sensation lasted for approximately 30-40 minutes,  then subsided.   No other reactions so far after that.   No loss of mobility in my arm or hand.
Age: 65.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: Patient given a pediatric dose of Hepatitis B (0.5mL). Patient will need to be revaccinated with adult dose. Patient is aware, had no adverse reactions.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Diarrhoea, Nausea, Pain
Clinical narrative: Diarrhea, nausea, Temp 102, body achestx with Ibuprofen  with some relief
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Pain, Pain in extremity
Clinical narrative: 6 hours post vaccine-- > arm soreness 12 hours post vaccine-- > fever, chills, headache, body aches, sharp hip and thigh pain bilaterally 24 hours post vaccine-- > symptoms continued; taking OTC Advil 30 hours post vaccine-- > fever 102.2 with continued symptoms;taking OTC Advil 36 hours post vaccine-- > symptoms start to resolve with temp of 99.1
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 6 hours post vaccine-- > arm soreness 12 hours post vaccine-- > fever, chills, headache, body aches, sharp hip and thigh pain bilaterally 24 hours post vaccine-- > symptoms continued; taking OTC Advil 30 hours post vaccine-- > fever 102.2 with continued symptoms;taking OTC Advil 36 hours post vaccine-- > symptoms start to resolve with temp of 99.1
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Rash
Clinical narrative: 1/6 a rash developed at the injection site and by 1/7 it had spread to the belly and chest.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site indentation, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Large circular area developed 9 days after injection.  Arm is sore, area is tender to touch.  Area is swollen, red, and warm to touch.  Feels like hard knot.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Large circular area developed 9 days after injection.  Arm is sore, area is tender to touch.  Area is swollen, red, and warm to touch.  Feels like hard knot.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Back pain, Blood urine present, Computerised tomogram
Clinical narrative: Blood in urine, pain in abdominal area and side lower back kidney area
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain lower, Computerised tomogram abdomen abnormal, Culture urine, Flank pain, Haematuria
Clinical narrative: Blood in urine, pain in abdominal area and side lower back kidney area
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyelonephritis, Renal injury
Clinical narrative: Blood in urine, pain in abdominal area and side lower back kidney area
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urine present, Culture, Diarrhoea, Headache
Clinical narrative: I exp headache and diarrhea The next day after I was urinating blood. I went to my PCP I got Culture and given antibiotics.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Moderna vaccine vial was opened on 12/30/2020, and the vial was placed back into the fridge later that afternoon, like 2-3 hours after puncture. The opened vial was reused for this patient the next morning for an injection when it should have been discarded. No adverse events occurred
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Dyspnoea, Feeling cold, Headache, Photophobia
Clinical narrative: Around 11pm started having chills. Around 3:00am. fever, started shaking, had temperature 104 around 5: AM vomited and is having headache, had trouble breathing like someone was pushing on her chest last night. Now she is talking normal. Headache is bad and the light hurts her eyes.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor, Vomiting
Clinical narrative: Around 11pm started having chills. Around 3:00am. fever, started shaking, had temperature 104 around 5: AM vomited and is having headache, had trouble breathing like someone was pushing on her chest last night. Now she is talking normal. Headache is bad and the light hurts her eyes.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain
Clinical narrative: Body Aches and chilling
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Lip pruritus, Petechiae, Pruritus, Rash
Clinical narrative: Approximately 5 minutes after receiving vaccine, patient experienced itching on upper lip and itching on left upper arm.  Appears to have a petechial rash with redness on left upper arm.  Itching is stable and not getting worse.  Left arm feels a little heavy with some unusual sensation.  Initial BP 155/91 HR=80.  O2=98%.  Repeat BP 137/90 HR=77  O2=97%.  Patient declined Benadryl because the symptoms are stable and patient did not want to get sleepy from the Benadryl and patient wanted to return to work.  Patient clinically stable.  Patient released at 10:15am.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Sensory disturbance
Clinical narrative: Approximately 5 minutes after receiving vaccine, patient experienced itching on upper lip and itching on left upper arm.  Appears to have a petechial rash with redness on left upper arm.  Itching is stable and not getting worse.  Left arm feels a little heavy with some unusual sensation.  Initial BP 155/91 HR=80.  O2=98%.  Repeat BP 137/90 HR=77  O2=97%.  Patient declined Benadryl because the symptoms are stable and patient did not want to get sleepy from the Benadryl and patient wanted to return to work.  Patient clinically stable.  Patient released at 10:15am.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Nausea, Pyrexia, Tremor
Clinical narrative: 18 hours after injection, patient described fever of 102.5 degrees, chills, shakes, and nausea.  All symptoms resolved within 24 hours.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Decreased appetite, Fatigue, Influenza like illness, Pain
Clinical narrative: Lot# is on card at work. Had COVID in April. Flu like symptoms. Tired, ached from head to toe. No appetite. Went home and slept for 5 hours.  Next day felt a little better. Today she is back to normal.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Limb discomfort, Musculoskeletal discomfort, Musculoskeletal stiffness, Neck pain
Clinical narrative: Approximately 10 minutes after receiving vaccine patient began to experience some mild discomfort on the left neck (mild "stiff neck"), heavy arm or discomfort, and mild tingling in the fingers.  Initial BP 149/92  HR 91.  Patient clinically stable at 30 minutes post-vaccination.  Neck pain gone 30 minutes post-vaccination; patient only feels pain at injection site.  BP 143/95  HR 86  O2=98%.  Patient released from clinic at 2:22pm.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Approximately 10 minutes after receiving vaccine patient began to experience some mild discomfort on the left neck (mild "stiff neck"), heavy arm or discomfort, and mild tingling in the fingers.  Initial BP 149/92  HR 91.  Patient clinically stable at 30 minutes post-vaccination.  Neck pain gone 30 minutes post-vaccination; patient only feels pain at injection site.  BP 143/95  HR 86  O2=98%.  Patient released from clinic at 2:22pm.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swollen tongue, Throat tightness
Clinical narrative: Started having tongue swelling about 1 hour after injection, treated myself at home with Benadryl. Around midnight increased tongue swelling, throat tightness and shortness of breathe. Went to emergency room and treated with epinephrine, steroids, Benadryl, Pepcid and required a nebulizer (duoneb). Discharged home from ER with prescription s for Prednisone, Pepcid and Benadryl
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allergy test, Anaphylactic reaction, Chest discomfort, Cough, Dyspnoea
Clinical narrative: Started having tongue swelling about 1 hour after injection, treated myself at home with Benadryl. Around midnight increased tongue swelling, throat tightness and shortness of breathe. Went to emergency room and treated with epinephrine, steroids, Benadryl, Pepcid and required a nebulizer (duoneb). Discharged home from ER with prescription s for Prednisone, Pepcid and Benadryl
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypersensitivity, Lip swelling, Swollen tongue, Throat tightness
Clinical narrative: Started having tongue swelling about 1 hour after injection, treated myself at home with Benadryl. Around midnight increased tongue swelling, throat tightness and shortness of breathe. Went to emergency room and treated with epinephrine, steroids, Benadryl, Pepcid and required a nebulizer (duoneb). Discharged home from ER with prescription s for Prednisone, Pepcid and Benadryl
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Skin warm, Urticaria
Clinical narrative: Bumps Welts Hot to touch Red super painful for a day 5 inches in diameter
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Gingivitis, Noninfective gingivitis
Clinical narrative: I developed gingivitis, it started on the right bottom side the day after the vaccine and now the inflammation is on all of my gums
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Hyperhidrosis, Pharyngeal swelling, Throat tightness
Clinical narrative: During 15 minute observation period post vaccine: Patient develop tightness in the throat and had trouble breathing.  Reported head pounding, throat swelling and sweaty feet.  BP of the patient was taken by Nurse faculty at the facility and recorded at 201/110.  Heart Rate was recorded at 180. Benadryl was given to the patient.(50mg total)  Patient was taken to hospital by staff at facility at 11:02am.  Confirmed check-in at 11:25am.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pruritus, Pyrexia
Clinical narrative: Fever, chills, fatigue, itching
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Post injection day 8 - red, itchy, raised, hive like bump at the injection site.  Improving on day 9, however red bump still present.   Headache also day 9.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria
Clinical narrative: Post injection day 8 - red, itchy, raised, hive like bump at the injection site.  Improving on day 9, however red bump still present.   Headache also day 9.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Fatigue, Mobility decreased, Night sweats
Clinical narrative: That night of the vaccine I started to have difficulty lifting my arm, then around 12:30am I was taking a shower and started feeling body ached and chills. Around 8 hours later I woke up with night sweats, and fever or 99.0 Fever started getting higher through out the day. The day after my temp was at 101. On the third day temp went away and I just felt fatigue, but I got chest tightness and the urge to clear my throat and some mucus came up. The chest tightness was two day and the mucus three days.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Secretion discharge, Throat clearing
Clinical narrative: That night of the vaccine I started to have difficulty lifting my arm, then around 12:30am I was taking a shower and started feeling body ached and chills. Around 8 hours later I woke up with night sweats, and fever or 99.0 Fever started getting higher through out the day. The day after my temp was at 101. On the third day temp went away and I just felt fatigue, but I got chest tightness and the urge to clear my throat and some mucus came up. The chest tightness was two day and the mucus three days.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine
Clinical narrative: Left sided Migraine that lasted 3 days. I took BC powder, Excedrin, and my regular prescribed migraine meds. Nothing helped, it was relentless. I am still having some pain but not as severe. I did not seek treatment as I hate the shots they used to do before my Topamax was prescribed. I had been migraine free for a little over year before this shot.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure increased, Burning sensation, Chest discomfort, Dyspnoea
Clinical narrative: warm, trouble breathing, nausea, chest pressure, arm burning, increased blood pressure  Next day f/u - stick neck, shoulder pain + heat, left cheek swollen been taking tylenol and benadryl saw PCP - received rx for prednisone
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Joint warmth, Musculoskeletal stiffness, Nausea, Swelling face
Clinical narrative: warm, trouble breathing, nausea, chest pressure, arm burning, increased blood pressure  Next day f/u - stick neck, shoulder pain + heat, left cheek swollen been taking tylenol and benadryl saw PCP - received rx for prednisone
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Injection site erythema, Pain in extremity, Pruritus
Clinical narrative: I did have a headache and slight fever not to long after I got the shot. The next day my arm was super painful. Several days after the shot my arm where the injection site is was red. It then started going back to normal color. Two days ago it itched a little then the redness appeared back again and now it is hot to the touch.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Skin warm
Clinical narrative: I did have a headache and slight fever not to long after I got the shot. The next day my arm was super painful. Several days after the shot my arm where the injection site is was red. It then started going back to normal color. Two days ago it itched a little then the redness appeared back again and now it is hot to the touch.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site haematoma
Clinical narrative: Hematoma at the site of injection after 3 days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain
Clinical narrative: Fatigue, headache and muscle pain (on site of injection).
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Rash erythematous, Rash papular, Skin warm
Clinical narrative: I received the pfizer COVID vaccine Wednesday 12/16. I noted an erythematous raised warm painful confluent blanching rash on 12/18.   So far I have not has SOB, fatigue, N/V - any other systemic sx.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Diarrhoea, Headache, Nausea
Clinical narrative: 12 hours after injection I had chills, body aches, fever, headache, nausea, vomited, diarrhea. Temperature was in the 101.5 range for more than 24 hours, About 30 hours with a fever.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test, Vomiting
Clinical narrative: 12 hours after injection I had chills, body aches, fever, headache, nausea, vomited, diarrhea. Temperature was in the 101.5 range for more than 24 hours, About 30 hours with a fever.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash papular, Rash pruritic
Clinical narrative: 5days after the shot had raised rashes right below the injected site and itchy. 2 days later the raised area has flattened but the rash site got bigger and less itchy.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dizziness, Nausea, Neck pain, Pain
Clinical narrative: C/O left arm pain radiating down arm and up neck; pointed to mid-sternal area and reported "chest twinge". Radial pulse measured 88- pulse felt weak. Brought over to EMS for evaluation, monitor shows HR 87, BP 185/98 (160/88 manual), O2 99% on RA. HR came down to 79, BP 142/80. Around 0910 c/o nausea and dizziness. 0915 called daughter to drive her home, refused to transfer with EMT to hospital.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Pulse abnormal
Clinical narrative: C/O left arm pain radiating down arm and up neck; pointed to mid-sternal area and reported "chest twinge". Radial pulse measured 88- pulse felt weak. Brought over to EMS for evaluation, monitor shows HR 87, BP 185/98 (160/88 manual), O2 99% on RA. HR came down to 79, BP 142/80. Around 0910 c/o nausea and dizziness. 0915 called daughter to drive her home, refused to transfer with EMT to hospital.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Chills, Dizziness, Dyspnoea, Fatigue
Clinical narrative: C/O left arm pain radiating down arm and up neck; pointed to mid-sternal area and reported "chest twinge". Radial pulse measured 88- pulse felt weak. Brought over to EMS for evaluation, monitor shows HR 87, BP 185/98 (160/88 manual), O2 99% on RA. HR came down to 79, BP 142/80. Around 0910 c/o nausea and dizziness. 0915 called daughter to drive her home, refused to transfer with EMT to hospital.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Impaired work ability, Muscle spasms, Myalgia, Painful respiration
Clinical narrative: C/O left arm pain radiating down arm and up neck; pointed to mid-sternal area and reported "chest twinge". Radial pulse measured 88- pulse felt weak. Brought over to EMS for evaluation, monitor shows HR 87, BP 185/98 (160/88 manual), O2 99% on RA. HR came down to 79, BP 142/80. Around 0910 c/o nausea and dizziness. 0915 called daughter to drive her home, refused to transfer with EMT to hospital.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Dizzy, lightheaded, shortness of breath, tachycardic Vaccine given at approximately 1612 Benadryl given at 1614. 1615 Epi in L thigh. Pt transported to ED by wheelchair
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Tenderness
Clinical narrative: Pt phoned in to clinic with complaints of severely swollen, red, itchy, tender left upper arm. Pt denies any systematic reactions at this time. Referred to follow-up with PCP, pt stated she is going to send him a picture of her arm per MD request. Per pt, Dr. instructed her to elevate, ice, and to take ibuprofen/anti-histamine as well. Pt stated it started getting much better last night and is going to follow-up with PCP for order to continue series or not.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient reports arm became numb right after receiving the COVID-19 vaccine. Two hours later patient reports the numbness being limited to the bottom of the arm and hand. Patient states to being able to use hand but reports there is numbness and tingling.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia
Clinical narrative: Insomnia lasting for 5 days at this time an continuing
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Injection site pain, Lymph node pain
Clinical narrative: Pt reports running a temperature of 102.5 with chills that started at about 1700 and lasted 10-12 hours. After temperature lowered to "low grade temp" and patient reported fatigue for 2-3 days. Also reported "lymph glands" swollen in right side of neck, right axillary area and tenderness  extending down right arm to elbow. Symptoms have resolved at this time.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Pt reports running a temperature of 102.5 with chills that started at about 1700 and lasted 10-12 hours. After temperature lowered to "low grade temp" and patient reported fatigue for 2-3 days. Also reported "lymph glands" swollen in right side of neck, right axillary area and tenderness  extending down right arm to elbow. Symptoms have resolved at this time.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Injection site pruritus, Injection site reaction
Clinical narrative: I received Moderna dose 1 on December 29th, 2020 around 10:30 a.m.  I did experience chills, body aches, extreme fatigue, pain and swelling at injection site for about 36 hours.  However, symptoms seems to resolve after a couple of days.  On Tuesday, January 5th around 5 p.m. at the injection site in my right arm it began to itch.  By 9 p.m. I had a huge red circle around 3 inches in diameter around the injection site, it was sore, swollen, warm to the touch. itchy and lymph nodes under right axilla were swollen.  I contacted my Dr. immediately the morning of Wednesday, January 6th and after assessing me she felt it was a skin infection. She prescribed Doxycycline antibiotic and Zyrtec by day, Benadryl by night.  I began the antibiotic treatment with first dose on 1/6/21 at 1:30 p.m., dose 2 9:00 p.m. and dose 3 on Thursday, January 7th 2020 around 8:00 a.m.  I have responded well to the treatment and already my arm is much improved.  My Dr. felt it could have been the technique of the administration of the vaccine that caused infection.  However, I wanted to report in case anyone else with this batch also experienced similar response.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Lymphadenopathy, Pain, Skin infection
Clinical narrative: I received Moderna dose 1 on December 29th, 2020 around 10:30 a.m.  I did experience chills, body aches, extreme fatigue, pain and swelling at injection site for about 36 hours.  However, symptoms seems to resolve after a couple of days.  On Tuesday, January 5th around 5 p.m. at the injection site in my right arm it began to itch.  By 9 p.m. I had a huge red circle around 3 inches in diameter around the injection site, it was sore, swollen, warm to the touch. itchy and lymph nodes under right axilla were swollen.  I contacted my Dr. immediately the morning of Wednesday, January 6th and after assessing me she felt it was a skin infection. She prescribed Doxycycline antibiotic and Zyrtec by day, Benadryl by night.  I began the antibiotic treatment with first dose on 1/6/21 at 1:30 p.m., dose 2 9:00 p.m. and dose 3 on Thursday, January 7th 2020 around 8:00 a.m.  I have responded well to the treatment and already my arm is much improved.  My Dr. felt it could have been the technique of the administration of the vaccine that caused infection.  However, I wanted to report in case anyone else with this batch also experienced similar response.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Blood pressure decreased, Bone pain, Chest X-ray
Clinical narrative: 25min after. Rapid heart rate, drop in blood pressure ER visit 1 Day  1-3headache, neck ache Day 4 heart palpitations/dizziness ER visit 2 Day 5 Heart palpitations/dizziness ER visit 3 Day  6 mild heart palpitations, bone aches in left ankle  Day 7 general weakness, aching joints, tired all week, ankle still  aches
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Fatigue, Full blood count, Headache
Clinical narrative: 25min after. Rapid heart rate, drop in blood pressure ER visit 1 Day  1-3headache, neck ache Day 4 heart palpitations/dizziness ER visit 2 Day 5 Heart palpitations/dizziness ER visit 3 Day  6 mild heart palpitations, bone aches in left ankle  Day 7 general weakness, aching joints, tired all week, ankle still  aches
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Neck pain, Palpitations, SARS-CoV-2 test negative
Clinical narrative: 25min after. Rapid heart rate, drop in blood pressure ER visit 1 Day  1-3headache, neck ache Day 4 heart palpitations/dizziness ER visit 2 Day 5 Heart palpitations/dizziness ER visit 3 Day  6 mild heart palpitations, bone aches in left ankle  Day 7 general weakness, aching joints, tired all week, ankle still  aches
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Insomnia, Pain, Pyrexia
Clinical narrative: 100 degree fever, body aches, chills, insomnia overnight. Other symptoms still persist . I was unable to work today as scheduled due to these symptoms.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chills, Flushing, Heart rate increased, Tremor
Clinical narrative: Rapid heart rate >170, flushing, chills, shaking, increased blood pressure
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Dermatitis, Rash, Rash papular
Clinical narrative: PAPULAR RASH/DERMATITIS AFFECTING BOTH UPPER EXTREMITIES, NECK AND BEHIND EARS, HAPPENED 3.5 HOURS AFTER THE DOSE
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Neck pain, Pain in extremity, Pruritus
Clinical narrative: Soreness to left arm and neck, extreme itching of hands and feet, feeling of being on fire from inside/out, fatigue.  Treatment: Tylenol and Benadryl.  Lasting 2 days.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia
Clinical narrative: pt c/o tingling in B/L arms and head. pt stated she was a "bit" dizzy at first but sx subsided. Pt sat in view of Rn for extended time period. VS 198/108 HR92 SPO2 97. Pt VS rechecked BP 148/90 SPO2 97 HR 94 pt stated she felt better. Pt ambulated independently, RR even and unlabored, NAD noted, Skin NFR. Pt declined transport to ED.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dysgeusia, Fatigue, Headache, Neck pain
Clinical narrative: One hour after administration adverse events noticed: major headache that continued on and off for 7+ days, metallic taste with fullness of throat on and off for a few days, following day neck and upper shoulder soreness on and off for 7 + days, general fatigue on and off for 7+ days
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: One hour after administration adverse events noticed: major headache that continued on and off for 7+ days, metallic taste with fullness of throat on and off for a few days, following day neck and upper shoulder soreness on and off for 7 + days, general fatigue on and off for 7+ days
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Swelling of eyelid
Clinical narrative: Patient received the Moderna COVID vaccine and 24 hours later her eyelids were puffy. She had also experience puffy eyelids when she had COVID. At that time, she sought medical guidance  and everything else was ruled out. No itching and no watery eyes.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eye pain, Petechiae, Swelling, Urticaria
Clinical narrative: Patient received the Moderna COVID vaccine and 24 hours later her eyelids were puffy. She had also experience puffy eyelids when she had COVID. At that time, she sought medical guidance  and everything else was ruled out. No itching and no watery eyes.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Facial discomfort, Headache, Ocular discomfort, Throat irritation
Clinical narrative: 50 minutes after administration of the vaccine, the patient started to feel  like her throat was somewhat itchy and tight.  There was no wheezing or difficulty breathing.  IM benadryl was administered immediately, and blood pressure taken--which was found to be elevated.  Blood pressure continued to elevate further to the 180s/110s, and patient developed a "pounding headache"  She also complained of pressure behind her eyes and "a funny feeling in my face" (bilateral).  She was given 0.1mg of clonidine and was taken to the hospital by EMS
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: 50 minutes after administration of the vaccine, the patient started to feel  like her throat was somewhat itchy and tight.  There was no wheezing or difficulty breathing.  IM benadryl was administered immediately, and blood pressure taken--which was found to be elevated.  Blood pressure continued to elevate further to the 180s/110s, and patient developed a "pounding headache"  She also complained of pressure behind her eyes and "a funny feeling in my face" (bilateral).  She was given 0.1mg of clonidine and was taken to the hospital by EMS
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Chills, Dizziness, Electrocardiogram, Full blood count
Clinical narrative: Dizziness, generalized weakness, and palpitations, and chills.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Myocardial necrosis marker, Pain, Palpitations
Clinical narrative: Dizziness, generalized weakness, and palpitations, and chills.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness, Palpitations
Clinical narrative: Patient reported she felt her blood pressure was going down 8 minutes after getting vaccinated. Patient complained of dizziness and palpitations. Vital signs were checked: 190/100(L) PR 121 HR was regular.  RR 20 BT 98.2.. Rechecked blood pressure: 160/98(R) PR 72. Called 911 at 3pm, and the patient reached her family. Rescue squads arrived at 3:08pm. Patient sent to Shady Grove Hospital with ambulance..
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Injection site erythema
Clinical narrative: Tired, nausea, muscle soreness, shivering, mild headache, shivering, stomach pain, low grade temp (99.9F), red, sore, swollen injection site for 3 days.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Myalgia, Nausea, Pyrexia
Clinical narrative: Tired, nausea, muscle soreness, shivering, mild headache, shivering, stomach pain, low grade temp (99.9F), red, sore, swollen injection site for 3 days.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration
Clinical narrative: Delayed onset (9 days) injection site induration.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Patient complained of having an itchy throat. Patient seen by Resident and examined. Vital signs stable. Patient given Benadryl for itchy throat.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain
Clinical narrative: chills and body aches
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache
Clinical narrative: Reported Chilling and headache for approximately 8 hours.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Chills, Injection site pain, Myalgia
Clinical narrative: Fever, chills, body aches, ( muscle and joint pain), pain at injection site, nausea, 1 episode of vomiting, abdominal pain
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Fever, chills, body aches, ( muscle and joint pain), pain at injection site, nausea, 1 episode of vomiting, abdominal pain
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: left foot swelling and pain
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Pruritus, Tachycardia
Clinical narrative: Facial flushing with extension to anterior neck approximately 10 minutes status post vaccination. Mild pruritis forehead reported. Denies SOB and other symptoms. Epinephrine x 1 administered 15 minutes after vaccination left thigh. After epinephrine felt better and transported to ER via ambulance without incidence.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Headache, Hypoaesthesia, Peripheral coldness
Clinical narrative: left fingers felt cold and numb slightly light headed Felt 'goofy' and headache  still feeling the same today - did register for V-safe
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Injection site erythema, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pt received Pfizer-COVID vaccine (under EUA) yesterday 16 Dec 2020 at approx 1700.  She did not have any immediate problems after vaccination.  .  She woke up today feeling achy and feverish, and measured her oral temp at 1000 as 101.4 at home.  She drank fluids, but took no meds -- repeat oral temp at 1200 was 99.0.  .  Other sxms include sore arm at vaccination site with min redness but no swelling.   .  She additionally reports nasal congestion and sore throat that began 1 day prior to vaccination, that she attributed to her seasonal allergies.  No meds for allergies.  No cough or SOB.  No headache or neuro sxms.  No GI sxms.  .  She was concerned about fever and went to drive-thru COVID testing at approx 1300... results due back in 24h.  She has no known COVID contacts.  .  She works in sterile processing at NMCSD with no direct patient contact usually; She is on night shift now.  -  Fever and achy symptoms, as above, in previously healthy hospital worker, with onset approx 18h after receipt of COVID-Pfizer vaccine, dose #1.  With questionable URI-like sxms one day prior to vaccination, COVID testing was very reasonable -- and results are pending now.  If COVID test negative, this most likely represents mild-moderate systemic reaction to vaccine.  Advised no work this evening, rest at home, increase clear fluids, and take Motrin 400mg q4-6h as needed for subjective fever or achiness -- use/precautions reviewed.  Will follow-up tomorrow with this team by phone.  If vaccine reaction, expect sxms to lessen rapidly and resolve over next 1-2 days.  Indications for urgent care -- including marked worsening of sxms or new sxms -- reviewed.  She also has number for 24/7 Immunization Support.  Will file VAERS, since work missed for sxms.  Will encourage enrollment in VSAFE as well.  Advised that, if mild-moderate systemic reaction determined most likely source of sxms, dose #2 of COVID-Pfizer vaccine will still generally be recommended.  Pt expresses understanding and appreciation of all issues.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pain
Clinical narrative: Pt received Pfizer-COVID vaccine (under EUA) yesterday 16 Dec 2020 at approx 1700.  She did not have any immediate problems after vaccination.  .  She woke up today feeling achy and feverish, and measured her oral temp at 1000 as 101.4 at home.  She drank fluids, but took no meds -- repeat oral temp at 1200 was 99.0.  .  Other sxms include sore arm at vaccination site with min redness but no swelling.   .  She additionally reports nasal congestion and sore throat that began 1 day prior to vaccination, that she attributed to her seasonal allergies.  No meds for allergies.  No cough or SOB.  No headache or neuro sxms.  No GI sxms.  .  She was concerned about fever and went to drive-thru COVID testing at approx 1300... results due back in 24h.  She has no known COVID contacts.  .  She works in sterile processing at NMCSD with no direct patient contact usually; She is on night shift now.  -  Fever and achy symptoms, as above, in previously healthy hospital worker, with onset approx 18h after receipt of COVID-Pfizer vaccine, dose #1.  With questionable URI-like sxms one day prior to vaccination, COVID testing was very reasonable -- and results are pending now.  If COVID test negative, this most likely represents mild-moderate systemic reaction to vaccine.  Advised no work this evening, rest at home, increase clear fluids, and take Motrin 400mg q4-6h as needed for subjective fever or achiness -- use/precautions reviewed.  Will follow-up tomorrow with this team by phone.  If vaccine reaction, expect sxms to lessen rapidly and resolve over next 1-2 days.  Indications for urgent care -- including marked worsening of sxms or new sxms -- reviewed.  She also has number for 24/7 Immunization Support.  Will file VAERS, since work missed for sxms.  Will encourage enrollment in VSAFE as well.  Advised that, if mild-moderate systemic reaction determined most likely source of sxms, dose #2 of COVID-Pfizer vaccine will still generally be recommended.  Pt expresses understanding and appreciation of all issues.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles outbreak with no previous history
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Cough, Dyspnoea, Rash, Rash erythematous
Clinical narrative: Presented to ER 12/31/2020 red rash to chest, arms became splotchy, cough and shortness of breath. 25mg Benadryl and 1000mg Tylenol administered Chest x-ray completed-No acute intrathoracic process.  RX for Prednisone 50mg PO daily for 5 days given
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: Presented to ER 12/31/2020 red rash to chest, arms became splotchy, cough and shortness of breath. 25mg Benadryl and 1000mg Tylenol administered Chest x-ray completed-No acute intrathoracic process.  RX for Prednisone 50mg PO daily for 5 days given
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Decreased appetite, Fatigue, Headache
Clinical narrative: Moderate headache, back pain, R arm muscle soreness, moderate fatigue, loss of appetite, hot flashes/chills alernating
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Myalgia, Pain in extremity, Reaction to previous exposure to any vaccine
Clinical narrative: Moderate headache, back pain, R arm muscle soreness, moderate fatigue, loss of appetite, hot flashes/chills alernating
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Tremor
Clinical narrative: I experienced side effects from the COVID vaccine, including notable fatigue, chills/shaking, body aches for approximately 2 days. The third day I woke up without any symptoms.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Headache
Clinical narrative: Tuesday- Headache, temp from 97 to 98.1. Took Tylenol. Headache didn't go away.  Wednesday- temp ranged from 100.0 to 101.0 Thursday- no temperature
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chills, Dyspnoea, Erythema, Fatigue
Clinical narrative: at the injection site, burning at insertion site radiating down the arm, then extreme fatigue with blurry vision and my face started burning at this time took claritin ready tabs x2 . mild sob they took my BP it was over 170/90 hr was over 90 they took it every 15 min until it started lowering and the reddness and burning in my face got better and my vison cleared up and was allowed to go home. 3 hours after the shot started feeling short of breath , was on the phone with the allergist and was told to take my inhaler , albuterol 2 puffs and allegra 180mg. and had extreme fatigue and chills and body aches, took 2 tylenol and took a nap. 7hours after the shot all symptoms had resolved except for the arm site pain and a mild headache.