chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache
Clinical narrative: After the injection my arm got really sore.  I began to feel really tired and begin to have chills and shakes.  I started having diarreah and began throwing up. I had  a sever headache and body aches which all symptoms lasted for about 3 days and I felt so bad so on Wed 12/30 I went to Urgent Care and was given fluids which did make me begin to feel a little better. On Monday I was sent for a COVID test which was negative.  On Friday 1/1 i was finally able to return back to work.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, SARS-CoV-2 test negative, Tremor, Vomiting
Clinical narrative: After the injection my arm got really sore.  I began to feel really tired and begin to have chills and shakes.  I started having diarreah and began throwing up. I had  a sever headache and body aches which all symptoms lasted for about 3 days and I felt so bad so on Wed 12/30 I went to Urgent Care and was given fluids which did make me begin to feel a little better. On Monday I was sent for a COVID test which was negative.  On Friday 1/1 i was finally able to return back to work.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Altered state of consciousness, Fall, Feeling hot, Hyperhidrosis, Impaired work ability
Clinical narrative: Moderna COVID-19 Vaccine EUA received on Saturday.  Sunday morning in the middle of my sleep, I woke feeling hot and sweaty, slightly nauseated, and like I had to defecate.  I stood up, felt like low blood pressure but wanted to get to the bathroom.  I walked towards the door, opened the door and fainted, falling backwards.  My spouse  states I was pale,staring at the ceiling and kind of stiff in my arms and legs for about 3 minutes.  He spoke to me, checked my pulse, covered me, poked my feet. As I came back to awareness I tried to speak and was unintelligible but then became more conscious.  He tested me with questions to make sure I was ok.  I defecated after that but did not vomit.  I was tired the rest of the day and napped for several hours.  I don't seem to have hurt anything in the fall.  I am instructed to be off work Monday by my supervisor.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Nausea, Pallor, Syncope
Clinical narrative: Moderna COVID-19 Vaccine EUA received on Saturday.  Sunday morning in the middle of my sleep, I woke feeling hot and sweaty, slightly nauseated, and like I had to defecate.  I stood up, felt like low blood pressure but wanted to get to the bathroom.  I walked towards the door, opened the door and fainted, falling backwards.  My spouse  states I was pale,staring at the ceiling and kind of stiff in my arms and legs for about 3 minutes.  He spoke to me, checked my pulse, covered me, poked my feet. As I came back to awareness I tried to speak and was unintelligible but then became more conscious.  He tested me with questions to make sure I was ok.  I defecated after that but did not vomit.  I was tired the rest of the day and napped for several hours.  I don't seem to have hurt anything in the fall.  I am instructed to be off work Monday by my supervisor.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Malaise, Pain
Clinical narrative: Fatigue, malaise, aches and pain. Mainly at injection site. Just took sick leave for the day.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Swollen at injection site, hot to touch, painful, itch both at site and systemically. slowly resolved over the course of 3 days with Benedryl. some swelling remains along with bruising after 4 days
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Cardiac arrest, Death, Unresponsive to stimuli
Clinical narrative: Patient presented to our Emergency Department via EMS in full code status; asystole.  Patient expired. Per nursing, husband stated patient awoke this AM and reported pain in back between shoulders and in bilateral shoulders. Patient then went unresponsive and husband called EMS.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Pain, Pain in extremity
Clinical narrative: 54-year-old female presents for evaluation and treatment of right arm pain. Received the 1st dose of her covid-19 vaccine on 01/07. She initially had some soreness but that resolved over the following days. Her pain returned couple of days ago and has been significantly worse. She has not noticed any systemic signs of illness. No darkening of her urine. She has tried heat and ice. She took 1 dose ibuprofen. Pain is radiating up to her shoulder. It is worse with any kind of movement. Recommend ibuprofen 400 mg 3 times a day and given the muscle soreness will treat with a muscle relaxer.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Dizziness, Malaise, Nausea, Pain in extremity
Clinical narrative: about 5 hours post shot, I started to feel ill.....Nausea and ACUTE diarrhea, dizziness....This persisted for 24 hours and then, I just felt a bit dizzy and ICKY!....Then, returned to normal.  This was a rare event that would not have been associated with ingestion of bacterial pathogens/food or other extraneous events....I couldn't figure it out and was laying and bed and noted my sore arm...and thought "OH...the dang Shingrex shot!"
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Erythema, Fatigue, Headache, Induration
Clinical narrative: "I had the 'usual' reaction to the vaccine a week ago on Friday (1/8)--sore, red lump on arm, headache/body aches/fatigue. Everything except the arm was gone by Sunday (1/10). I took some Benadryl on Sunday and the arm appeared to be getting better. The hard lump never went away though and by Friday (1/15) it was huge, red, hot and swollen. Long story short, I ended up with a whopping case of cellulitis and am on some antibiotics. The Dr. was not sure who I should report it to...there's certainly the possibility that it's random (I could have ended up with cellulitis even if I was getting a tetanus vaccine or something and I realize that) or if it could be connected to the vaccine not dispersing in my arm?
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: "I had the 'usual' reaction to the vaccine a week ago on Friday (1/8)--sore, red lump on arm, headache/body aches/fatigue. Everything except the arm was gone by Sunday (1/10). I took some Benadryl on Sunday and the arm appeared to be getting better. The hard lump never went away though and by Friday (1/15) it was huge, red, hot and swollen. Long story short, I ended up with a whopping case of cellulitis and am on some antibiotics. The Dr. was not sure who I should report it to...there's certainly the possibility that it's random (I could have ended up with cellulitis even if I was getting a tetanus vaccine or something and I realize that) or if it could be connected to the vaccine not dispersing in my arm?
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Feeling cold, Heart rate increased, Paraesthesia
Clinical narrative: little bit of difficulty catching breath, heart beat became rapid for a short period, experienced cold tingling feeling in chest
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Myalgia
Clinical narrative: my initial symptoms were redness at the site, moderate swelling at the injection site and muscle soreness. This lasted through Friday/Saturday and my symptoms resolved. Starting 1/5 in the evening, the injection site began to swell, become red again and itch. I now have an almost 2" diameter swelling that continues to increase. I'm assuming its related to the vaccine although I don't understand the delay in the symptoms.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Lymphadenopathy, Petechiae
Clinical narrative: my initial symptoms were redness at the site, moderate swelling at the injection site and muscle soreness. This lasted through Friday/Saturday and my symptoms resolved. Starting 1/5 in the evening, the injection site began to swell, become red again and itch. I now have an almost 2" diameter swelling that continues to increase. I'm assuming its related to the vaccine although I don't understand the delay in the symptoms.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pain, Skin warm
Clinical narrative: redness, hardness of skin, hot to touch, soreness
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Flushing, Hyperhidrosis, Local reaction, Oropharyngeal discomfort
Clinical narrative: Evening after receiving vaccine, felt "fuzzy, full feeling in tongue and throat".  No breathing issue.  Fever (101 degree)  and rash (all over body, red, flat petechiae) developed 24 hours after vaccine with diaphoresis and general skin flushing, body aches and, severe local arm reaction.  All symptoms resolved after 48 hrs.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia oral, Petechiae, Pyrexia, Rash
Clinical narrative: Evening after receiving vaccine, felt "fuzzy, full feeling in tongue and throat".  No breathing issue.  Fever (101 degree)  and rash (all over body, red, flat petechiae) developed 24 hours after vaccine with diaphoresis and general skin flushing, body aches and, severe local arm reaction.  All symptoms resolved after 48 hrs.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Patient c/o severe nausea. RN offered pt a seat near the bathroom. Pt sat down and waited until nausea decreased. RN gave pt a bottle of water and she drank about 60ml. After about 10 minutes, pt stated she was still nauseous but felt slightly better. RN ensured pt that she could stay as long as she needed to and until her symptoms subsided. Pt and family member agreed that they were comfortable enough to head home. RN instructed pt to notify healthcare worker of her episode of nausea before she received the second dose of the covid-19 vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Erythema, Pharyngeal swelling, Sensation of foreign body
Clinical narrative: Patient called to report symptoms:at 3:30pm face redness, hot ears, "lump" in her throat (feels like closing), breathing is normal.  Took 25mg benadryl at 3:30pm and 25mg benadryl at 3:37pm. Called patient every 10 minutes to make sure she was feeling ok and to call 911 if symptoms got worse.  She reports being fine at 4:00pm.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Pain, Vomiting
Clinical narrative: Nausea for 3 days, vomiting, body aches for 2 days, diarrhea
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain
Clinical narrative: body aches headache nausea for 2 days
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: 8 days post vaccination developing a large area of erythema local to the site of vaccination, posterior right upper arm. Systemic symptoms: body aches, swollen lymph nodes, axillary pain, pain at site of erythema, mild itching and tenderness at site of erythema. Afebrile on exam. Area of erythema 10cmX14 cm, tender to palpation and warm. Previous marked outline showed increase of size 3cm in 3 hours. Submandibular and cervical lymphadenopathy. Given this delayed reaction, there were concerns for cellulitis vs injection site reaction and side effect of vaccine. It was a Friday and given the presentation paired with limited follow-up availability due to the clinic being closed on weekend, and systemic systems, elected to treat for cellulitis. Follow-up on 1/12/2021 showed resolution of systemic systems along with lymphadenopathy and erythema. Now with more data available it would appear this was delayed vaccine reaction and not cellulitis.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain
Clinical narrative: 8 days post vaccination developing a large area of erythema local to the site of vaccination, posterior right upper arm. Systemic symptoms: body aches, swollen lymph nodes, axillary pain, pain at site of erythema, mild itching and tenderness at site of erythema. Afebrile on exam. Area of erythema 10cmX14 cm, tender to palpation and warm. Previous marked outline showed increase of size 3cm in 3 hours. Submandibular and cervical lymphadenopathy. Given this delayed reaction, there were concerns for cellulitis vs injection site reaction and side effect of vaccine. It was a Friday and given the presentation paired with limited follow-up availability due to the clinic being closed on weekend, and systemic systems, elected to treat for cellulitis. Follow-up on 1/12/2021 showed resolution of systemic systems along with lymphadenopathy and erythema. Now with more data available it would appear this was delayed vaccine reaction and not cellulitis.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Dizziness, Myalgia, Pyrexia
Clinical narrative: Lightheadedness Fever, despite Tylenol (101.3) Muscle pain - primarily in lower back and quads Joint pain - ankles, knees, hips
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea
Clinical narrative: Patient stated she had chest heaviness and SOB the evening after receiving the vaccine.  She saw her PCP and got a steroid shot and took Benadryl on 1/15.  On 1/17 she came to the ER with complaints of cough and chest heaviness thought to be caused by the vaccine.  She was treated for underlying pneumonia with azithromycin 500mg PO, cefdinir 300mg PO, and a one time dose of methylprednisolone 125mg IM.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chest pain, Cough, Dizziness, Dyspnoea
Clinical narrative: Patient stated she had chest heaviness and SOB the evening after receiving the vaccine.  She saw her PCP and got a steroid shot and took Benadryl on 1/15.  On 1/17 she came to the ER with complaints of cough and chest heaviness thought to be caused by the vaccine.  She was treated for underlying pneumonia with azithromycin 500mg PO, cefdinir 300mg PO, and a one time dose of methylprednisolone 125mg IM.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Fear, Feeling abnormal
Clinical narrative: Patient stated she had chest heaviness and SOB the evening after receiving the vaccine.  She saw her PCP and got a steroid shot and took Benadryl on 1/15.  On 1/17 she came to the ER with complaints of cough and chest heaviness thought to be caused by the vaccine.  She was treated for underlying pneumonia with azithromycin 500mg PO, cefdinir 300mg PO, and a one time dose of methylprednisolone 125mg IM.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Headache, Injection site pain, Rhinorrhoea
Clinical narrative: 12/21 night Headache, pain at injection site, body chills, runny nose. Symptoms gone by next morning. Tested positive for Covid-19 on 12/23.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous
Clinical narrative: On January 7th, (day 8 of vaccine), I noticed that my arm starting itching where I received the vaccine.  On the 8th, I noticed a red rash about the size of a tennis ball. The rash continued to get bigger each day through the 12th of January. The outside  of the rash was red, and the inside looked normal. On the worse day, the rash was almost to my elbow. The biggest that it got was about the size of a cantelope.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Dermatitis acneiform, Pruritus, Rash, Rash erythematous, Scab
Clinical narrative: Rash noticed by PCP during annual assessment. Patient had a pink red pimply rash with numerous scabs on his front torso and back. The patient was very itchy during the physical exam on 1/12 and was unaware he had an extensive rash. As of 1/18/21, patient has been scheduled for follow-up with dermatology to determine whether rash was due to allergic reaction. Patient is in stable condition at his ALF, and is still recovering from the rash.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Malaise
Clinical narrative: I received my COVID vaccine 1/8/21 & experience mild expected side effects of soreness of R deltoid, HA & fatigue/malaise.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia
Clinical narrative: Throat tickling.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test, Electrocardiogram, Heart rate abnormal, Thirst
Clinical narrative: Rapid heart rate and  increase in blood pressure, excessive thirst
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Electrocardiogram, Laboratory test, Nausea
Clinical narrative: 1/7/2021 - NAUSEA, LEG PAIN, CHILLS, FEVER (100); 1/8/2021 - CHEST TIGHTNESS; VA HOSPITAL ED @3PM. GOT AN EKG, XRAY, BLOOD TEST. FEVER UNTIL 8PM (101 F); BODY ACHES.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, X-ray
Clinical narrative: 1/7/2021 - NAUSEA, LEG PAIN, CHILLS, FEVER (100); 1/8/2021 - CHEST TIGHTNESS; VA HOSPITAL ED @3PM. GOT AN EKG, XRAY, BLOOD TEST. FEVER UNTIL 8PM (101 F); BODY ACHES.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Rash, Vital signs measurement
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: Patient presented for her second Pfizer vaccine January 11, 2021. She waited 15 minutes and started to pull away when she noticed that she was beginning to get warm. She looked in her car mirror and noticed a rash on her neck and chest. She then notified staff of reaction. Vital signs checked. BP was 122/68. HR was 97. Sp02 was 99% on RA. She denied any SOB. She was given diphenhydramine po that she swallowed without any difficulties. She reported that she began to feel better. Rash started to look better. Patient waited another 15 minutes. Patient was alert and oriented x4 and was talking without difficulty.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Injection site pain, Pain, Skin lesion, Urticaria
Clinical narrative: Patient C/O left arm pain at site of injection as well as body aches and then felt dizzy. He was assessed and gradually felt better, was able to return to work but then returned again, 20 minutes after leaving to show that he had urticarial lesions on his left forearm. Vs remained stable, rash did not progress and he was sent home with instructions to return  to the ER in the event of progression of symptoms.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: After one week of getting the vaccine my left arm, right around where I got the injection, formed a rash and became very red, swollen, and hot. After taking Benadryl and putting on hydrocortisone there has been no changes. It itches only if something rubs against it or if i touch it. It is about 3inches in length and about 3inches in width.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: Strange red patch in axilla on the same side of vaccine. Circular. noticed about a week after. Seems to be resolving.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Actually not bad. Doing this form thinking it helps your data. I had a sore arm at injection site, shoulder soreness and maybe a slight headache. It lasted from Friday late PM until early Sunday, declining in soreness during that time.  Otherwise did not notice much else. Hope this helps.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus
Clinical narrative: Patient complained of local itching around injection site approximately 15 minutes after vaccination. Patient had history of allergies to other meds and pharmacist administered diphenhydramine by mouth to patient. Patient said itching went away within a few minutes of taking diphenhydramine. Pharmacist continued to monitor for an additional 45 minutes. Patient had no further complaints
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: She had 101.5 fever after her vaccine, but it went away within 24 hours
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Metabolic function test, Myalgia
Clinical narrative: A 48-year-old female presents for evaluation treatment of myalgias. She relates it to getting her covid-19 vaccine on 1 7. It is worse at night. Currently is bothering her arms and overnight it was her legs. She has been taking NSAIDs and acetaminophen with no benefit. No fever. No darkening of her urine. Myalgias likely an adverse effect of her vaccine. Normal CBC and BMP.  No evidence of infection, rhabdo. Will prescribe her cyclobenzaprine and she can follow-up as needed.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Injection site swelling
Clinical narrative: Starting with headaches, injection site soreness, swollen lymph nodes in arm of injection, treated by ibuprofen, about 12 hours after the vaccine About 16 hours after the vaccine fever, chills, muscle aches, nausea, vomiting,  headaches, lymph node soreness lasting 12+ hours 2nd day after vaccine intense fatigue and headaches, arm and lymph node soreness 3rd day after the vaccine , headaches and arm/lymph node soreness 4th day after the vaccine, arm and lymph node soreness
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Myalgia, Nausea, Pyrexia
Clinical narrative: Starting with headaches, injection site soreness, swollen lymph nodes in arm of injection, treated by ibuprofen, about 12 hours after the vaccine About 16 hours after the vaccine fever, chills, muscle aches, nausea, vomiting,  headaches, lymph node soreness lasting 12+ hours 2nd day after vaccine intense fatigue and headaches, arm and lymph node soreness 3rd day after the vaccine , headaches and arm/lymph node soreness 4th day after the vaccine, arm and lymph node soreness
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Starting with headaches, injection site soreness, swollen lymph nodes in arm of injection, treated by ibuprofen, about 12 hours after the vaccine About 16 hours after the vaccine fever, chills, muscle aches, nausea, vomiting,  headaches, lymph node soreness lasting 12+ hours 2nd day after vaccine intense fatigue and headaches, arm and lymph node soreness 3rd day after the vaccine , headaches and arm/lymph node soreness 4th day after the vaccine, arm and lymph node soreness
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, SARS-CoV-2 test positive
Clinical narrative: Received vaccine on 1/13/2021, arm tender on Friday 1/15. On Saturday, 1/16, felt slightly nauseous and tired. Continue to feel the same and went to get tested on 1/18/2021. Tested positive for Covid.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: HIVES throughout body
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Dorsum of both hands reddened and itchy on 1/15/2021. OTC Cortisone and Benadryl Cream
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Malaise
Clinical narrative: Dizziness, malaise, and headache.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Left sided Bells Palsy.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Depressed level of consciousness, Mental disorder, Nausea, Vomiting
Clinical narrative: Patient received the 2nd dose covid 19 vaccine at 12:07 and at approximately 12:10 began to feel nauseated.  Patient immediately began vomiting copious amounts and had a decreased level of consciousness.  Pt was responding to painful stimuli and then after a minute to verbal commands but remained with an altered mental status.  HR tachycardia at 118 bpm, pulse oximetry initially 96 on room air.  The rapid response team arrived, an IV was established, cardiac monitor placed, Oxygen at 15 lpm via non rebreather mask. Zofran IM given prior to IV being established. Zofran IV given next. Solumedrol given IV. Bolus of Normal Saline given.  Patient transported to the emergency department via stretcher.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Malaise, Mobility decreased, Pain in extremity
Clinical narrative: 6:00PM R arm very sore, soreness progressed to R side of body, began to feel very weak, unable to lift leg to bed, malaise 24-36 hrs, exhaustion, wanting to sleep all the time, extremely weak next day
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: 6:00PM R arm very sore, soreness progressed to R side of body, began to feel very weak, unable to lift leg to bed, malaise 24-36 hrs, exhaustion, wanting to sleep all the time, extremely weak next day
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cough, Fatigue, Inflammation, Lymphadenopathy
Clinical narrative: Fever of 102-103 F. Nausea, Vomiting, weakness, cough and post nasal drip. Inflammation of lymph nodes left upper extremity , head and neck.  Began to feel difficulty swelling due to inflamed lymph nodes  Treatment: Intravenous fluids, anti-inflammatory medication, sought treatment at an urgent care center. Ultrasound of left arm, axillary and neck and chest area for enlarged lymph nodes.  Outcome- all symptoms resolved by 1/14 except some fatigue
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Peripheral swelling, Pyrexia, Ultrasound abdomen, Upper-airway cough syndrome
Clinical narrative: Fever of 102-103 F. Nausea, Vomiting, weakness, cough and post nasal drip. Inflammation of lymph nodes left upper extremity , head and neck.  Began to feel difficulty swelling due to inflamed lymph nodes  Treatment: Intravenous fluids, anti-inflammatory medication, sought treatment at an urgent care center. Ultrasound of left arm, axillary and neck and chest area for enlarged lymph nodes.  Outcome- all symptoms resolved by 1/14 except some fatigue
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Fever of 102-103 F. Nausea, Vomiting, weakness, cough and post nasal drip. Inflammation of lymph nodes left upper extremity , head and neck.  Began to feel difficulty swelling due to inflamed lymph nodes  Treatment: Intravenous fluids, anti-inflammatory medication, sought treatment at an urgent care center. Ultrasound of left arm, axillary and neck and chest area for enlarged lymph nodes.  Outcome- all symptoms resolved by 1/14 except some fatigue
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache
Clinical narrative: Headache Chills
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Skin warm
Clinical narrative: On January 5   I received the first dose. No immediate reactions. Next day sore arm. On Jan. 14 noticed arm area was a bit sore and a bit itchy. The next day read area where itchy. It is not on injection site but over towards inside area. The area became redder, felt warm to the touch. Went to see doctor see thought possible bug bite but did not see. Confirmed red area, warmth. No other symptoms. She took a picture and consulted with another doctor. He indicated this was a normal reaction to Moderna . Take Tylenol and ice area. Notify Health Dept. and observe area and other symptoms. Call or come back if worse. Also said to show picture when I returned for 2nd  dose.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Staff member reported that he was home sick with body aches, fever, headache
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: ON 1/7; CHILLS, LOW GRADE FEVER (100F), BODY ACHES, HEADACHE, AND FATIGUE X 14 HRS. TOOK ADVIL - 2 TABS AND REST.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Influenza virus test negative, Nasal congestion
Clinical narrative: Starting the night after the vaccination Jan. 7 the patient woke up with a fever of 100.2 and also arm soreness, body aches and headache. Patient temperature spiked to 101.2 at 9pm that evening.  Jan 9 patient temperature was 100.5 at 3pm and patient noticed some stuffiness in the nose. Jan 10 temperature 99.5. Jan 11 3am temperature of 101.3, stuffy nose, cough, body aches, headache, nausea. Jan 12 temperature of 102.8 with Rigors. Jan 13 still having headaches, on and off nausea, cough, low grade fever 99.2. Jan 14 Temperature 100.9. Jan 15 Temperature 101.8. Patient continues to have fever every evening.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Starting the night after the vaccination Jan. 7 the patient woke up with a fever of 100.2 and also arm soreness, body aches and headache. Patient temperature spiked to 101.2 at 9pm that evening.  Jan 9 patient temperature was 100.5 at 3pm and patient noticed some stuffiness in the nose. Jan 10 temperature 99.5. Jan 11 3am temperature of 101.3, stuffy nose, cough, body aches, headache, nausea. Jan 12 temperature of 102.8 with Rigors. Jan 13 still having headaches, on and off nausea, cough, low grade fever 99.2. Jan 14 Temperature 100.9. Jan 15 Temperature 101.8. Patient continues to have fever every evening.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: I have a red, itchy rash all over my body.
Age: 55.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Chest X-ray, Chills, Computerised tomogram, Dyspnoea, Full blood count
Clinical narrative: 12/27/20 - Presented to urgent care with Nausea, swelling on face and hands, SOB.  Was given dose of SoluMedrol 125mg and sent to the emergency room.  12/27/20 Presents feeling sick, body aches, chills, nausea, rash and vomiting.  SOB better.   Given Zofran and IV fluids in ER.  D/C home with prednisone and Zofran.   D/C dx:  Acute allergic reaction, Nausea and vomiting
Age: 55.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Hypersensitivity, Influenza virus test, Malaise, Nausea, Pain
Clinical narrative: 12/27/20 - Presented to urgent care with Nausea, swelling on face and hands, SOB.  Was given dose of SoluMedrol 125mg and sent to the emergency room.  12/27/20 Presents feeling sick, body aches, chills, nausea, rash and vomiting.  SOB better.   Given Zofran and IV fluids in ER.  D/C home with prednisone and Zofran.   D/C dx:  Acute allergic reaction, Nausea and vomiting
Age: 55.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Peripheral swelling, Rash, SARS-CoV-2 test negative, Swelling face, Vomiting
Clinical narrative: 12/27/20 - Presented to urgent care with Nausea, swelling on face and hands, SOB.  Was given dose of SoluMedrol 125mg and sent to the emergency room.  12/27/20 Presents feeling sick, body aches, chills, nausea, rash and vomiting.  SOB better.   Given Zofran and IV fluids in ER.  D/C home with prednisone and Zofran.   D/C dx:  Acute allergic reaction, Nausea and vomiting
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes
Clinical narrative: COld sores on bridge of nose near right eye
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: full body erythematous rash on face, chest, shoulders, back of elbows, front of knees, and top of feet.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Dizziness and headache on 1/18
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus
Clinical narrative: Large, red, hard, itchy bump on the arm of the insertion site that spread across down the arm and hand
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Rash
Clinical narrative: Large, red, hard, itchy bump on the arm of the insertion site that spread across down the arm and hand
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site warmth
Clinical narrative: Red welt about 2 inches in diameter at injection site, swelling itching hot to the touch. Currently treating with OTC Benadryl and hydrocortisone cream. Started treatment 1/18/2021 ( 8 days after injection, so results of treatment not yet known.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue, Injection site pain
Clinical narrative: Soreness started within 1 hour after injection; fatigue grew. Soreness in left arm increased, much worse than typical flu shot or even tetanus. Low-grade fever developed 5-6 hours after injection ; only 1-2 degrees (99F) . 2nd day no ongoing fever or nausea but soreness in L arm affects reaching; and mild fatigue remains.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pyrexia, Respiratory arrest
Clinical narrative: 1/11/21 at 8:57 Resident with fever and at 11 am saturation down to 83  O2  to 10 liters.  Resident continued to decline until CTB on 1/14/2021 at 1325
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Neuropathy peripheral
Clinical narrative: 10 Days after the injection the left are is extremely red , swollen , fevered and itches.  Both feet are experience extreme nuropothy pain in the toe next to the big toe and feel as though the blood flow is restricted.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Poor peripheral circulation
Clinical narrative: 10 Days after the injection the left are is extremely red , swollen , fevered and itches.  Both feet are experience extreme nuropothy pain in the toe next to the big toe and feel as though the blood flow is restricted.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Impaired work ability, Palpitations
Clinical narrative: Patient felt dizzy and short of breath.  Complained of feeling like her heart was racing and chest pain.  Was seen in the ED and received antihistamines and was monitored.  Continued to complain of symptoms 7 days after receiving the vaccine and called in to work that day as well.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Pain in extremity, Pain in jaw, Pharyngeal swelling
Clinical narrative: Had sore arm quickly after Chills 24hours after 30 hours after woke up with serve left side jaw pain into cheekbone and facial swelling on left side of face.   Sunday called my employee health who sent me to ER.   Given steroids for 4 days for swelling and pain to left cheekbone and jaw area (especially at the joint)  noted mild left side throat swelling on exam (internal)
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Had sore arm quickly after Chills 24hours after 30 hours after woke up with serve left side jaw pain into cheekbone and facial swelling on left side of face.   Sunday called my employee health who sent me to ER.   Given steroids for 4 days for swelling and pain to left cheekbone and jaw area (especially at the joint)  noted mild left side throat swelling on exam (internal)
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Erythema, Gastrointestinal disorder, Nausea, Pruritus
Clinical narrative: On 1/10,  noted GI symptoms, nausea, diarrhea and on 1/12 the arm became red and warm and itchy.  The area of redness expanded on 1/13.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: On 1/10,  noted GI symptoms, nausea, diarrhea and on 1/12 the arm became red and warm and itchy.  The area of redness expanded on 1/13.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Pharyngeal swelling, Sensation of foreign body, Throat clearing, Throat irritation
Clinical narrative: Received vaccine at 1700, at 1715 started to feel a lump in her throat, itchy eyes, throat swelling, constantly clearing her throat. Epi-pen given, oral Benadryl sent to Urgent Care. In Urgent care given Pepcid and fluids. At 2030 patient felt throat was scratchy and tight, felt the need to clear throat and throat tightness. Second epi=pen given and transferred to Emergency Department via EMS
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Received vaccine at 1700, at 1715 started to feel a lump in her throat, itchy eyes, throat swelling, constantly clearing her throat. Epi-pen given, oral Benadryl sent to Urgent Care. In Urgent care given Pepcid and fluids. At 2030 patient felt throat was scratchy and tight, felt the need to clear throat and throat tightness. Second epi=pen given and transferred to Emergency Department via EMS
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Patient has reddened area at injection site that increased in size.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pruritus, Rash, Skin warm, Swelling face
Clinical narrative: on 1/15/21 woke with a rash all over my face and very itchy, took Benadryl and went on with my day around 9pm that night my face was swollen and left eye was swollen shut. Went to ER and was told a possible reaction to the Covid vaccine and was given a oral  steriod in the er that night and sent home with a script for a steriod for 3 days. Went home and woke up (1/16/21 that morning 3 times as I had to change my clothes as I was soaking wet in sweat. Changed my clothes and took my meds and as the night went on the swollen in my face got worse and took more Benadryl.  Sunday 1/17/21 swollen no better and the rash is worse. I took it easy and took meds.. Monday 1/18/2021 woke up with a very swollen face and very itchy. Face very warm to the touch (No fever 97.9) Called my primary Doctor and she told me to come over asap as the I was feeling any better and getting worse. Both eyes are almost swollen shout and my face is very hot to the touch. Doctor extended my dose of steriods and gave me a script for Pepcidfor 7 days.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling of eyelid
Clinical narrative: on 1/15/21 woke with a rash all over my face and very itchy, took Benadryl and went on with my day around 9pm that night my face was swollen and left eye was swollen shut. Went to ER and was told a possible reaction to the Covid vaccine and was given a oral  steriod in the er that night and sent home with a script for a steriod for 3 days. Went home and woke up (1/16/21 that morning 3 times as I had to change my clothes as I was soaking wet in sweat. Changed my clothes and took my meds and as the night went on the swollen in my face got worse and took more Benadryl.  Sunday 1/17/21 swollen no better and the rash is worse. I took it easy and took meds.. Monday 1/18/2021 woke up with a very swollen face and very itchy. Face very warm to the touch (No fever 97.9) Called my primary Doctor and she told me to come over asap as the I was feeling any better and getting worse. Both eyes are almost swollen shout and my face is very hot to the touch. Doctor extended my dose of steriods and gave me a script for Pepcidfor 7 days.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Aphthous ulcer, Oral pain, Pain
Clinical narrative: Multiple gradually progressive apthous ulcers in my oropharynx that developed over the course of a week and have been painful and persistent for 6 days and counting. Painful to talk and painful in certain positions or if food touches them.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Injection site discomfort, Paraesthesia, Paraesthesia oral
Clinical narrative: Patient reports numbness and tingling of bilateral upper extremities that began 4 days post vaccination. Occasional lip tingling. Day of vaccination mild discomfort at injection site and headache. Resolved. No other systemic symptoms. On exam afebrile individual who is neurologically intact. Sensation, range of motion, and strength in all cervical dermatomes/myotomes intact. Given history of B12 deficiency, recommended screening with PCP. No other recent cervical trauma, no history of vaccine reactions, no history of neurologic conditions. Scheduled to follow-up and see if symptoms resolve or can be attributed to another condition besides vaccine reaction, since this is currently not known as a vaccine side effect in the research data provided by Moderna.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Neuropathy peripheral, Pain, Pain in extremity
Clinical narrative: Body aches, cold sensitivity, chills, headache, and arm pain.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pain, Skin warm, Tremor
Clinical narrative: She has a circle on the left deltoid area; the area is 7 cm. The area is warm to the touch. She has sweats; she is shaking.  She has pain all over.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Nausea, Pain, Pain in extremity
Clinical narrative: I had pain in my arm when I received the vaccine. I also had nausea, a headache, joint pain, and body aches the day after and everyday since I received the vaccine. Today I vomited twice due to the headache and nausea.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I had pain in my arm when I received the vaccine. I also had nausea, a headache, joint pain, and body aches the day after and everyday since I received the vaccine. Today I vomited twice due to the headache and nausea.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Nausea, Throat tightness
Clinical narrative: It has been 6 days - I am still nauseus; lite headed; throat feels tight; lack of energy. I'm this way off and on thru out the day.  I have been using Mucinex to relieve the mucus in my throat and Benadrl to relieve other side effects.  I have not been ill nor have I experienced any pain.  I have an allergy to bee stings but have never been on medication for it.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pharyngeal paraesthesia
Clinical narrative: Tingling in throat, and dizziness.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema
Clinical narrative: Patient reports edema and pain in the left deltoid
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Emotional distress, Rash, SARS-CoV-2 antibody test negative
Clinical narrative: A rash started developing about within a day or two of the vaccination. By day 4 or 5, the rash was spreading and appearing in other areas including scalp. By day 6, I was in complete distress. Saw Dermatologist on Day 6 and was prescribed Prednisone and increased antihistamines up to the day of the second injection scheduled for Feb 5, 2021. By today, Day 10, the rash has mostly receded while I continue meds prescribed. I believe that I had Covid early on starting March 28 accompanied by sudden fatigue, nausea, fever, chills, body aches, no appetite, for the first few days, then developed hives all over face and head until my eyes were swollen shut. My doctors, both derm and primary, didn't want me to be tested or come in or go to the hospital, perhaps because so early on in the pandemic, little was known and they feared if it wasn't Covid, I would contract it in those circumstances. They again prescribed creams and antibiotics and prednisone.  I don't remember how the rash side effects lasted but I continue to have scalp problems since. I did not have a cough, but did experience instances of shortness of breath 7 to 10 days after the onset. The fatigue, body aches and brain fog continued for  months. I was feeling much better by the time I got the vaccine and then returned to the rash symptoms I had had before.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Computerised tomogram thorax, Heart rate, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Called to see pt in drive up lane 4 min post vaccination. She immediately felt after the vaccination, numbness and tingling of face, tongue, throat.   Past med history of rheumatoid arthritis and HTN. Possible allergy to Benadryl and Demoral.  Initial examination lungs CTA, regular tachycardia. Swelling of lips, and tongue, uvula midplane, not deviated. Pt moved to observation area.  Initial vitals:   BP: 185/87, HR 128, RR 20, 100% O2 at 10:25  EMS notified and first injection 3mg Epi pen injection given at 10:23am;   911 called. BP: 185/87, HR 128, RR 20, 100% O2 at 10:25. Second epinephrine 3mg injection given at 10:26am. BP 185/87, HR 134, O2 sat 100% at 10:29am. Benadryl 50 mg po given at 10:29am. Next dose of epi given at 10:34 failed, 4th dose given at 10:35am. EMS arrived and she was taken to hospital at 10:45.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Lip swelling, Oxygen saturation, Pharyngeal hypoaesthesia, Swollen tongue
Clinical narrative: Called to see pt in drive up lane 4 min post vaccination. She immediately felt after the vaccination, numbness and tingling of face, tongue, throat.   Past med history of rheumatoid arthritis and HTN. Possible allergy to Benadryl and Demoral.  Initial examination lungs CTA, regular tachycardia. Swelling of lips, and tongue, uvula midplane, not deviated. Pt moved to observation area.  Initial vitals:   BP: 185/87, HR 128, RR 20, 100% O2 at 10:25  EMS notified and first injection 3mg Epi pen injection given at 10:23am;   911 called. BP: 185/87, HR 128, RR 20, 100% O2 at 10:25. Second epinephrine 3mg injection given at 10:26am. BP 185/87, HR 134, O2 sat 100% at 10:29am. Benadryl 50 mg po given at 10:29am. Next dose of epi given at 10:34 failed, 4th dose given at 10:35am. EMS arrived and she was taken to hospital at 10:45.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Called to see pt in drive up lane 4 min post vaccination. She immediately felt after the vaccination, numbness and tingling of face, tongue, throat.   Past med history of rheumatoid arthritis and HTN. Possible allergy to Benadryl and Demoral.  Initial examination lungs CTA, regular tachycardia. Swelling of lips, and tongue, uvula midplane, not deviated. Pt moved to observation area.  Initial vitals:   BP: 185/87, HR 128, RR 20, 100% O2 at 10:25  EMS notified and first injection 3mg Epi pen injection given at 10:23am;   911 called. BP: 185/87, HR 128, RR 20, 100% O2 at 10:25. Second epinephrine 3mg injection given at 10:26am. BP 185/87, HR 134, O2 sat 100% at 10:29am. Benadryl 50 mg po given at 10:29am. Next dose of epi given at 10:34 failed, 4th dose given at 10:35am. EMS arrived and she was taken to hospital at 10:45.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Electrocardiogram, Fatigue, Hyperhidrosis
Clinical narrative: Sore arm x 2-3 days, itching arm started on 1/15 through 1/16, tingling lips for the first hour after vaccine, felt fatigued the day of the vaccine for about an hour after, On 1/14 at 0530 woke up with a horrible right calf cramp was relieved by massage. Sat at side of bed began feeling extremely nauseated, diaphoretic then syncopal episode that lasted approximately 5 seconds.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Muscle spasms, Nausea, Pain in extremity, Paraesthesia oral
Clinical narrative: Sore arm x 2-3 days, itching arm started on 1/15 through 1/16, tingling lips for the first hour after vaccine, felt fatigued the day of the vaccine for about an hour after, On 1/14 at 0530 woke up with a horrible right calf cramp was relieved by massage. Sat at side of bed began feeling extremely nauseated, diaphoretic then syncopal episode that lasted approximately 5 seconds.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Sore arm x 2-3 days, itching arm started on 1/15 through 1/16, tingling lips for the first hour after vaccine, felt fatigued the day of the vaccine for about an hour after, On 1/14 at 0530 woke up with a horrible right calf cramp was relieved by massage. Sat at side of bed began feeling extremely nauseated, diaphoretic then syncopal episode that lasted approximately 5 seconds.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Hypoaesthesia, Lymph node pain, Lymphadenopathy
Clinical narrative: Enlarged left axillary lymph nodes developed 6 days after first vaccine. Then approximately 10-15 min after 2nd injection, upper arms became numb and tingly. Became dizzy. Sweating. Upper thighs tingling. Thready pulse. Alerted staff. Pulse ox checked normal. Symptoms improved after 30 minutes. Very tender and enlarged left axillary lymph nodes followed, have not resolved.