chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, COVID-19, COVID-19 pneumonia, SARS-CoV-2 test, Vaccination failure
Clinical narrative: patient was admitted for covid-19, CTA positive for covid-19 pneumonia and covid-19 PCR positive, after 2 completed doses of Pfizer vaccine.; patient was admitted for covid-19, CTA positive for covid-19 pneumonia and covid-19 PCR positive, after 2 completed doses of Pfizer vaccine.; covid-19 pneumonia; This is a spontaneous report from a non-contactable other HCP.  An 87-year-old male patient received on an unknown date the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot unknown) and on 11Feb2021 the second dose (30mcg/0.3mL, lot unknown), both via an unspecified route of administration for COVID-19 immunization (age at vaccination 87-year-old). Medical history included: Chronic lymphocytic leukaemia (CLL) and hypogammaglobulinemia. Concomitant medication was not reported. The patient was recently admitted for covid-19, CTA positive for covid-19 pneumonia and covid-19 PCR positive, after 2 completed doses of Pfizer vaccine. On 23Feb2021 (post vaccination), the patient's COVID test nasal swab was positive. Patient did not have COVID prior vaccination. Outcome of events was unknown.  No follow-up attempts are possible; information about Lot/batch number cannot be obtained.; Sender's Comments: Based on available information, a possible contributory role of the subject product, BNT162B2 vaccine, cannot be excluded for the reported events of Covid-19 , COVID 19 pneumonia and vaccination failure due to temporal relationship.
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Drug ineffective, SARS-CoV-2 test positive, Tenderness
Clinical narrative: COVID positive; COVID positive; a little tenseness in his arm; This is a spontaneous report from a contactable consumer (patient) and from same contactable consumer (patient) via Pfizer-sponsored program.   A male patient of an unspecified age received the 1st dose of bnt162b2 (BNT162B2) at single dose on 01Feb2021 about noon for COVID-19 immunisation.  The patient medical history and concomitant medications were not reported.  On 01Feb2021 maybe 11pm that night as he raised his arm, he could feel a little tenseness in his arm. On 23Feb2021, he was diagnosed COVID positive, he tested positive for COVID but has no symptoms. The patient underwent lab tests and procedures which included Sars-cov-2 test: positive. The outcome of events was unknown. The patient was due to have his 2nd dose on 03Mar2021. The patient asked if he should still take the 2nd dose. A product complaint was filed.  Information about lot/batch number has been requested.
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Drug ineffective, SARS-CoV-2 test
Clinical narrative: COVID positive; COVID positive; a little tenseness in his arm; This is a spontaneous report from a contactable consumer (patient) and from same contactable consumer (patient) via Pfizer-sponsored program.   A male patient of an unspecified age received the 1st dose of bnt162b2 (BNT162B2) at single dose on 01Feb2021 about noon for COVID-19 immunisation.  The patient medical history and concomitant medications were not reported.  On 01Feb2021 maybe 11pm that night as he raised his arm, he could feel a little tenseness in his arm. On 23Feb2021, he was diagnosed COVID positive, he tested positive for COVID but has no symptoms. The patient underwent lab tests and procedures which included Sars-cov-2 test: positive. The outcome of events was unknown. The patient was due to have his 2nd dose on 03Mar2021. The patient asked if he should still take the 2nd dose. A product complaint was filed.  Information about lot/batch number has been requested.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Disease recurrence, Presyncope
Clinical narrative: vasovagal reaction (i.e., dizziness, ringing in ears, feeling faint); vasovagal reaction (i.e., dizziness, ringing in ears, feeling faint)/prior instances of vasovagal reaction to getting a shot; This is a spontaneous report from a contactable consumer.  A 23-year-old female patient (reporter's daughter) received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number: EN6202), via an unspecified route of administration on 26Feb2021 15:30 (at 23-years-old) at single dose (Left arm) for COVID-19 immunization. Facility type vaccine: Public Health Clinic facility.  Medical history included asthma and prior instances of vasovagal reaction to getting a shot. Known allergies included sulfa drugs, penicillin, and amoxicillin. Patient had no COVID prior vaccination. Patient is not pregnant. Concomitant medication included ethinylestradiol, norgestimate (SPRINTEC), clindamycin (manufacturer unknown), triamcinolone acetonide (manufacturer unknown), tretinoin (RETIN-A), and multivitamin. Within 5 minutes on 26Feb2021 (also reported to be 03:30 PM) of receiving the vaccination, she experienced a vasovagal reaction (i.e., dizziness, ringing in ears, feeling faint). She immediately laid on the floor and the symptoms resolved within 15 minutes. No treatment was given. Patient was not COVID tested post vaccination. The outcome of the events was recovered on 26Feb2021.
Sex: U
Vaccine: FLU3
Symptoms: Body temperature increased, Incorrect dose administered, Medication error
Clinical narrative: This case involves a patient (unknown demographics) who had high temperature (pyrexia) and received 0.5 mL of vaccine instead of 0.25 mL, while he/she received INFLUENZA USP TRIVAL A-B SUBVIRION NO PRESERVATIVE VACCINE [FLUZONE] (underdose). The patient's medical history, past medical treatment(s), vaccination(s), concomitant medications and family history were not provided. On an unknown date, the patient received a 0.5 mL dose of suspect INFLUENZA USP TRIVAL A-B SUBVIRION NO PRESERVATIVE VACCINE (batch number and expiry date not reported) via an unknown route in an unknown administration site for prophylactic vaccination. On an unknown date, the patient developed a non-serious high temperature (pyrexia) (unknown latency) following the administration of INFLUENZA USP TRIVAL A-B SUBVIRION NO PRESERVATIVE VACCINE. This was a case of actual medication error due to overdose (latency 1 day). There were no other lab data/results available. It is unknown if the patient experienced any additional symptoms/events. It was not reported if the patient received a corrective treatment. At the time of reporting, the outcome was unknown for the event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. There will be no batch number available for this case.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Dyspnoea, Fatigue, Headache, Malaise
Clinical narrative: I was fine the day I received the shot, the next morning I woke up with a headache and arm pain. My breathing started to get worst. I already was having problems since I had Covid in January into February.  A week later I woke up and felt very sick, started throwing up all day into the night, had 101 fever and chills. That lasted about a day and a half. I still felt sick for the next two days. I continue using having breathing problems worst than before the shot. I am also very exhausted.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: I was fine the day I received the shot, the next morning I woke up with a headache and arm pain. My breathing started to get worst. I already was having problems since I had Covid in January into February.  A week later I woke up and felt very sick, started throwing up all day into the night, had 101 fever and chills. That lasted about a day and a half. I still felt sick for the next two days. I continue using having breathing problems worst than before the shot. I am also very exhausted.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chills, Extrasystoles, Fatigue, Pain in extremity
Clinical narrative: Besides sore arm, chills, and fatigue, heart flutters were felt within 2- 3 hours of injection.  Heart felt like it was skipping a beat and was continuous the rest of the day and night. Subsided gradually over the next 2 days after injection.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Back pain, Bone pain, Gait disturbance, Mobility decreased
Clinical narrative: For several weeks, starting on the day of the vaccine, I have been immobilized and barely able to walk. I have pain in my bones in my back and my legs, and my arms. Much pain in my neck and shoulder.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Neck pain, Pain in extremity
Clinical narrative: For several weeks, starting on the day of the vaccine, I have been immobilized and barely able to walk. I have pain in my bones in my back and my legs, and my arms. Much pain in my neck and shoulder.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody positive, Antinuclear antibody, Antinuclear antibody negative, Antinuclear antibody positive, Arthralgia
Clinical narrative: For several weeks, starting on the day of the vaccine, I have been immobilized and barely able to walk. I have pain in my bones in my back and my legs, and my arms. Much pain in my neck and shoulder.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blindness unilateral, Blood creatine phosphokinase normal, C-reactive protein increased, Complement factor C3, Complement factor C4
Clinical narrative: For several weeks, starting on the day of the vaccine, I have been immobilized and barely able to walk. I have pain in my bones in my back and my legs, and my arms. Much pain in my neck and shoulder.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Deafness unilateral, Double stranded DNA antibody, Electromyogram normal, Gait disturbance, Inflammatory marker increased
Clinical narrative: For several weeks, starting on the day of the vaccine, I have been immobilized and barely able to walk. I have pain in my bones in my back and my legs, and my arms. Much pain in my neck and shoulder.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Loss of personal independence in daily activities, Magnetic resonance imaging spinal abnormal, Mobility decreased, Musculoskeletal stiffness, Myalgia
Clinical narrative: For several weeks, starting on the day of the vaccine, I have been immobilized and barely able to walk. I have pain in my bones in my back and my legs, and my arms. Much pain in my neck and shoulder.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Polymyalgia rheumatica, Pyrexia, Red blood cell sedimentation rate increased, Rheumatoid factor negative, Scan with contrast abnormal
Clinical narrative: For several weeks, starting on the day of the vaccine, I have been immobilized and barely able to walk. I have pain in my bones in my back and my legs, and my arms. Much pain in my neck and shoulder.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Spinal disorder, Spinal osteoarthritis, Treponema test positive, Walking aid user
Clinical narrative: For several weeks, starting on the day of the vaccine, I have been immobilized and barely able to walk. I have pain in my bones in my back and my legs, and my arms. Much pain in my neck and shoulder.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness unilateral, Blood pressure increased
Clinical narrative: Increased BP, right side vision loss
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Patient had been waiting for 30 minutes due to the shellfish allergy that requires an epipen.  After waiting her time she complained of the area itching and that it was hot to the touch. The area was red as well.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dyspnoea, Headache, Pain
Clinical narrative: fever of 101, 102.5, and 103.5 chills body aches mild headache difficulty taking a deep breath (not painful) run down feeling sore arm normal temp is 97.6 and since the shot my temp is consistently in the 99 range
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: fever of 101, 102.5, and 103.5 chills body aches mild headache difficulty taking a deep breath (not painful) run down feeling sore arm normal temp is 97.6 and since the shot my temp is consistently in the 99 range
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eye pain, Headache, Hypoaesthesia, Ocular discomfort
Clinical narrative: During the first fifteen minutes after receiving the vaccine, the right side of my face started tingling and became numb. The left side of my face was not affected and there was no respiratory involvement. In the following few hours, my right eye had transient pain and my cheek felt swollen. The next day, I had chills, arm soreness, mild headache at times, and while my facial symptoms were still present, they had improved. The second day I only had mild numbness and tingling on my face with some lip tingling. Day three, four, and five I had slight numbness of the right side of my face and tingling lips, no further symptoms. As of day 6, I have slight eye pressure around my right eye and mild lip tingling.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Paraesthesia oral, Swelling face
Clinical narrative: During the first fifteen minutes after receiving the vaccine, the right side of my face started tingling and became numb. The left side of my face was not affected and there was no respiratory involvement. In the following few hours, my right eye had transient pain and my cheek felt swollen. The next day, I had chills, arm soreness, mild headache at times, and while my facial symptoms were still present, they had improved. The second day I only had mild numbness and tingling on my face with some lip tingling. Day three, four, and five I had slight numbness of the right side of my face and tingling lips, no further symptoms. As of day 6, I have slight eye pressure around my right eye and mild lip tingling.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Vaccination site swelling
Clinical narrative: Approx 7-8 days after vaccine patient got localized redness, swelling and itching that lasted 3-4 days
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Hyperhidrosis, Nausea, Pyrexia
Clinical narrative: Light-headedness, dizziness, nausea, chills in extremities, feverishness, hot spots on arms and other body areas, later on under the blanket sweating.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Light-headedness, dizziness, nausea, chills in extremities, feverishness, hot spots on arms and other body areas, later on under the blanket sweating.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Influenza like illness, Myalgia, Nasal congestion, Pyrexia
Clinical narrative: Reaction the day following the shot was flu-like symptoms: sore aching muscles, fatigue, head congestion, felt feverish but no fever.  Lasted all the day, then fine the following morning.
Age: 54.0
Sex: U
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site scar
Clinical narrative: Had his vaccine 02/05/21 and is still dealing with a scar at the injection site. Itching a lot. Physician provided him ointment but nothing is working to relieve the itching and burning.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Discomfort, Renal pain
Clinical narrative: Normal side effects except extreme pain at back and left kidney. Felt like I had been kicked in the kidney by a mule. Lasted Wednesday  through Friday. Could not get comfortable.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Immediate post-injection reaction, Malaise, Nausea, Nervousness
Clinical narrative: After taking Moderna Covid19 vaccine, I felt heat all around my body ,and nausea. I feel nervous ,and just not good .My vaccine was at 12pm ,and symptoms started right after.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: pain, tenderness, fatigue, headache, chills, nausea and fever.   No treatment.  Symptoms gone by the following day.  First shot experienced rash in left arm after 10 days.  This disappeared in about 6 days.  It did not itch and did not bother me.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tenderness
Clinical narrative: pain, tenderness, fatigue, headache, chills, nausea and fever.   No treatment.  Symptoms gone by the following day.  First shot experienced rash in left arm after 10 days.  This disappeared in about 6 days.  It did not itch and did not bother me.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: 1st Vaccine 8-10  hours after the injection my arm was sore. I was tired.  7 days later I started itching. It is severe. I have to ice it to get relief. It wakes me up at night. It hasn't stopped.  Today is 3  1/2 weeks. 2nd vaccine  8-10 hours later sore arm, fever for 24-30 hours.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Factor II mutation, Pain in extremity, Ultrasound Doppler abnormal
Clinical narrative: Developed R calf pain on 1/16/21, progressively worsening over 3-4 weeks. Diagnosed with R posterior tibial DVT on 2/6/21 and started on apixaban.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site pruritus
Clinical narrative: fever, nauseous, redness itch lower injection area, fatigue, headache, urinated 10 times that evening, tired, chills, itching, swollen arm
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Peripheral swelling, Pruritus, Pyrexia
Clinical narrative: fever, nauseous, redness itch lower injection area, fatigue, headache, urinated 10 times that evening, tired, chills, itching, swollen arm
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Chest pain, Flank pain, Lymphadenopathy
Clinical narrative: Patient developed fever which lasted for 1 day. Patient developed painful tender swelling to the left axilla radiating into the shoulder and chest. Patient received 1 dose ketorolac 30mg IM in clinic and ibuprofen 600mg PO q6 hours for home. Follow up scheduled in 1 week.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Patient developed fever which lasted for 1 day. Patient developed painful tender swelling to the left axilla radiating into the shoulder and chest. Patient received 1 dose ketorolac 30mg IM in clinic and ibuprofen 600mg PO q6 hours for home. Follow up scheduled in 1 week.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin warm, Urticaria
Clinical narrative: About three hours after getting my second Moderna shot, the skin on my stomach got really warm, broke out in a rash, and hives broke out. The rash, etc stayed on my stomach and didn't spread. I did not seek medical care. I've never had this happen before so it's a good guess that it may be due to the vaccine.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Chills, Myalgia, Pyrexia
Clinical narrative: Fever 102, severe lower right quadrant abdominal pain, HR 150, chills, myalgia
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: developed rash and redness in the arm i recieved the shot; there was pain in the arm as well in the area i received the shot
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site rash, Pyrexia, Rash erythematous, Rash pruritic
Clinical narrative: Large (approximately 4" X 4") red rash surrounding injection site.  Second dose only.  Rash was bright red, warm, and itchy.  Stopped expanding in size by day 4.  Started to fade and gone within one week.    Other adverse effects that lasted the night of 2/25/21 included fever (102.1 ) and headache.  No medical assistance sought after reviewing health sites on internet.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Large (approximately 4" X 4") red rash surrounding injection site.  Second dose only.  Rash was bright red, warm, and itchy.  Stopped expanding in size by day 4.  Started to fade and gone within one week.    Other adverse effects that lasted the night of 2/25/21 included fever (102.1 ) and headache.  No medical assistance sought after reviewing health sites on internet.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: Had the vaccine at 11:40 am, started headache around 9 pm that night. Went to bed, had fever, chills, shaking all over, terrible joint and muscle aches and pains, headache, nausea, couldn't sleep. Injection site was and still is very swollen, red, itchy.  Still sick the next day, Friday, March 12th and Saturday March 13th. Had bouts of diarrhea on Saturday evening. Cramping, nausea. Slightly better Sunday March 14th, but still extremely tired and achey.  Today, Monday, March 15th I am able to sit up and function finally. Not as much nausea, no cramping, only slightly achey.  I had Covid July 2020 and this reaction, etc was worse than the covid experience!! Not sure I want to get my second vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Insomnia, Malaise
Clinical narrative: Had the vaccine at 11:40 am, started headache around 9 pm that night. Went to bed, had fever, chills, shaking all over, terrible joint and muscle aches and pains, headache, nausea, couldn't sleep. Injection site was and still is very swollen, red, itchy.  Still sick the next day, Friday, March 12th and Saturday March 13th. Had bouts of diarrhea on Saturday evening. Cramping, nausea. Slightly better Sunday March 14th, but still extremely tired and achey.  Today, Monday, March 15th I am able to sit up and function finally. Not as much nausea, no cramping, only slightly achey.  I had Covid July 2020 and this reaction, etc was worse than the covid experience!! Not sure I want to get my second vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Myalgia, Nausea, Pain, Pyrexia
Clinical narrative: Had the vaccine at 11:40 am, started headache around 9 pm that night. Went to bed, had fever, chills, shaking all over, terrible joint and muscle aches and pains, headache, nausea, couldn't sleep. Injection site was and still is very swollen, red, itchy.  Still sick the next day, Friday, March 12th and Saturday March 13th. Had bouts of diarrhea on Saturday evening. Cramping, nausea. Slightly better Sunday March 14th, but still extremely tired and achey.  Today, Monday, March 15th I am able to sit up and function finally. Not as much nausea, no cramping, only slightly achey.  I had Covid July 2020 and this reaction, etc was worse than the covid experience!! Not sure I want to get my second vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Had the vaccine at 11:40 am, started headache around 9 pm that night. Went to bed, had fever, chills, shaking all over, terrible joint and muscle aches and pains, headache, nausea, couldn't sleep. Injection site was and still is very swollen, red, itchy.  Still sick the next day, Friday, March 12th and Saturday March 13th. Had bouts of diarrhea on Saturday evening. Cramping, nausea. Slightly better Sunday March 14th, but still extremely tired and achey.  Today, Monday, March 15th I am able to sit up and function finally. Not as much nausea, no cramping, only slightly achey.  I had Covid July 2020 and this reaction, etc was worse than the covid experience!! Not sure I want to get my second vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Rash
Clinical narrative: 3-13-21 1:15PM RASH NOTED ON FACE, NECK AND CHEST, EYES ARE ' ITCHY'.  NO SOB / DYSPNEA,  NO SWELLING OF MOUTH, TONGUE OR THROAT. GIVEN BENADRYL 50MG PO. PT STATES SHE 'FEELS OK TO GO HOME WITH HUSBAND'.  HUSBAND TO DRIVE PT HOME. PT A/O, PINK, W/D, RESP REG WITH EASE. AMBULATORY BRISK/STEADY. NO ACUTE DISTRESS NOTED. 3-15-21 10AM TC: 'STILL HAS VERY SLIGHT RASH, NO OTHER SYMPTOMS'. CHECK WITH PCP R/T DOSE #2.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Throat irritation
Clinical narrative: Shortly after vaccination complained of itchiness to face and throat. Symptoms progressed. Received Benedryl 50mg orally followed by Epinephrine 0,3 IM.  Transported to hospital
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain
Clinical narrative: Chills; Fatigue; body aches; went away when took ibuporfin; came back as soon it wore off, had to take 3 doses.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Injection site reaction, Urticaria
Clinical narrative: Large red itchy hard welt appeared at injection site   Four weeks pregnant estimated delivery day Nov 1st
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Headache from 8p the night of until 12n the day after the shot. Treated unsuccessfully with tylenol and advil. Resolved itself. Chills and fever alternating from 8p the night of until 5a the morning after the shot. Resolved itself.  Body aches from 11p the night of until 5a the morning after the shot. Resolved itself.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Moderna COVID-19 Vaccine EUA  Red, bumpy, itchy rash on arm and torso
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Feeding disorder, Nausea
Clinical narrative: NAUSEA STARTED 24 HOURS AFTER THE SECOND VACCINATION AND AFTER 10 DAYS THE NAUSEA WORSENED TO A CHRONIC CONDITION WHEREBY THE PATIENT WAS UNABLE TO EAT FOR 36 HOURS AT WHICH TIME THE PATIENT ATTENDED AN URGENT CARE FACILITY ON 3/15/2021. THE PATIENT WAS DIAGNOSED WITH CHRONIC NAUSEA AND PRESCRIBED ONDANSETRON ODT FOR THE NAUSEA.  THE PATIENT HAS TAKEN ONE 4MG DOSE AND IS PROCEEDING TO TAKE FOOD AGAIN AS ADVISED BY THE MEDICAL PRACTITIONER. THE LONG TERM EFFECTS ARE NOT KNOWN AT THE TIME OF FILING THIS REPORT.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysmenorrhoea, Exposure during pregnancy, Induced labour, Premature labour, Premature rupture of membranes
Clinical narrative: I received the first dose of the vaccine on 1/31/21. I was 33 weeks pregnant, with an estimated due date on 3/21/21. This was my first pregnancy and I had no complications up to that point. On 2/2/21 I began experiencing menstrual type cramps, which continued for a few days. On 2/5/21, my OBGYN suggested I be examined in Labor and Delivery, where it was determined I was in pre-term labor. Contractions were temporarily stopped, however my water broke on 2/7/21 and it was suggested that I be induced. I was induced on a later date at 34w1d pregnant and delivered my son, who weighed in at 4lbs. 15oz.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Retching
Clinical narrative: Started to become nauseated with dry heaving, observed for 30 minutes. Vitals remained. Stable, nausea resolved, liquid challenge.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left-arm swollen and red from the injection site to elbow and hard to the touch.   I woke up with this the morning after the injection.  As of today 3/15/2021, the whole area is still swollen and red.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Headache, Paraesthesia oral, Vision blurred, Vital signs measurement
Clinical narrative: Within 10 minutes of receiving the vaccine, pt reported having tingling to left side of tongue and lips. BP 199/88 and continued to rise over the course of 15 minutes to 239/103. Pt denied shortness of breath, but tingling did not improve so Benadryl 50mg PO adminsitered but offered minimal relief. Pt then began to complain of blurry vision to left eye and headache. EMS called and manual BP was 258/100. Pt transported to local ED and treated. ED physician noted that he felt that this was a drug reaction related to the COVID vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: I woke up and tried to get up and everything was spinning around really bad.  Since I that night,  every time I?m laying down and start to get up I get a dizzy spell.  And for the first time at work today, I had a dizzy spell.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Listless
Clinical narrative: Headache- Thursday 3-11-21-- took tylenol Feeling listless 3-12-21 Severe Dizziness in the middle of the night 3-14-21 All adverse symptoms went away on there own.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Blood test normal, Dizziness, Pain in extremity, Paraesthesia
Clinical narrative: Initial side effects (24 hours) soreness in upper arm. Within 36 hours I started getting extreme light headed. Within 3 days I started having pins and needle sensation in my right arm, from my shoulder to my finger, mainly my pinky and ring finger. I progressed to my left arm and right leg.  I've had back pain since then but not sure if it's related. The pins an needles I feel every now and then but not as bad. The light headedness has not gone away, I can't shake it.  I've seen my Dr, he put me on an anxiety medication.  My blood work came out good. I started the anxiety meds and started seeing a Therapist , but I don't really see a difference, it's nice to see someone but not getting better. I'm coming off the anxiety med because a side effect is light headedness and that's not helping me much.  I have not got the second dose and do not plan on getting it.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Patient presented with nausea 13 minutes post injection, which resolved after having patient lay down for 10 minutes. Per patient, she did not take any of her medications or eat breakfast this morning.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Injection site rash, Injection site warmth, Pain
Clinical narrative: 3/8/2021 - I woke @ 5:00 am with body aches and chills.  Ran fever throughout the day ranging from 99.2 - 100.6.   3/9/2021 - I woke approx 6:00 am and above symptoms were gone and I felt fine.   3/10/2021 - My left are became painful as the day progressed and developed a raised, red rash approx 3" below injection sight, hot to the touch.  It felt as if I had been punched in the arm many times and it was difficult to sleep on left arm and also was painful to the touch. 3/14/2021 - rash is gone and now area just feels like it's slightly bruised.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Rash erythematous, Rash papular
Clinical narrative: 3/8/2021 - I woke @ 5:00 am with body aches and chills.  Ran fever throughout the day ranging from 99.2 - 100.6.   3/9/2021 - I woke approx 6:00 am and above symptoms were gone and I felt fine.   3/10/2021 - My left are became painful as the day progressed and developed a raised, red rash approx 3" below injection sight, hot to the touch.  It felt as if I had been punched in the arm many times and it was difficult to sleep on left arm and also was painful to the touch. 3/14/2021 - rash is gone and now area just feels like it's slightly bruised.
Age: 37.0
Sex: M
Vaccine: ANTH, MNQ, TD, TYP
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Vaccines received Wednesday morning. On Friday night, patient noticed pruritic, red rash to right arm. Took Benadryl with relief. No further issues.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Colonoscopy, Computerised tomogram, Dehydration
Clinical narrative: Chills Fever  Severe diarrhea for 6 weeks Dehydration  Pleurisy  Esophagus inflammation  Lethargy
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Lethargy, Oesophagitis, Pleurisy, Pyrexia
Clinical narrative: Chills Fever  Severe diarrhea for 6 weeks Dehydration  Pleurisy  Esophagus inflammation  Lethargy
Age: 67.0
Sex: U
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Fatigue, Headache, Malaise
Clinical narrative: Not really adverse...just arm sore, big time, felt nauseous, headache,  slight fever, chills, clammy skin and very very tired! Slept most of the 14th... feeling unwell! Did not have that experience with the 1st dose . Today is the 15th and I feel so much better!
Age: 67.0
Sex: U
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Pyrexia
Clinical narrative: Not really adverse...just arm sore, big time, felt nauseous, headache,  slight fever, chills, clammy skin and very very tired! Slept most of the 14th... feeling unwell! Did not have that experience with the 1st dose . Today is the 15th and I feel so much better!
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Unresponsive to stimuli
Clinical narrative: Patient became sweaty, unresponsive, and felt dizzy. Patient was given orange juice and had her place her head between her legs to increase blood flow. EMS was called.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Influenza like illness, Myalgia, Pain
Clinical narrative: Flu-like with diffuse aches (mostly musculoskeletal about lower back and joints) and tiredness and myalgia  Lasted 24 hours
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Due to language barrier this patient was given the Janssen Vaccine at age 16. this was not caught until data entry. the patient has not reported any adverse reactions or complications. County Health and State Health have been notified. this report in being submitted at their direction
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood follicle stimulating hormone, Blood luteinising hormone, Blood test, Blood thyroid stimulating hormone, C-reactive protein
Clinical narrative: Heart palpitations in the evening and lasting 3 days on and off. No problems for the next 2 days and then palpitations, racing heart and high blood pressure. Continuing high blood pressure.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Culture urine, Electrocardiogram, Full blood count, Hypertension
Clinical narrative: Heart palpitations in the evening and lasting 3 days on and off. No problems for the next 2 days and then palpitations, racing heart and high blood pressure. Continuing high blood pressure.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test, Metabolic function test, Palpitations, SARS-CoV-2 test
Clinical narrative: Heart palpitations in the evening and lasting 3 days on and off. No problems for the next 2 days and then palpitations, racing heart and high blood pressure. Continuing high blood pressure.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Severe rash
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Flushing, Hyperhidrosis, Vital signs measurement
Clinical narrative: Pt began to feel lightheaded and flushed about 2 minutes after receiving vaccine. Pt noted to be diaphoretic. BP 119/78, HR 75 and 100% on RA. Pt states that she was anxious about receiving the vaccine prior to.  Pt given some water and placed in trendelenburg position. Within about 10 minutes, pt recovered and felt back to baseline. Pt observed by RN for approximately 30 minutes.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Dizziness, Erythema, Pruritus
Clinical narrative: Pruritus and angioedema to face with redness as well as dizziness for 5 days
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site induration, Injection site pain
Clinical narrative: Body aches around 6 hours after injection. Headache and fever shortly thereafter. Fever reached 102. Fever resulting in shivering with multiple layers of clothing.  These symptoms lasted through the evening. Headache, fatigue and injection site stiffness and pain  lasted for multiple days.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Body aches around 6 hours after injection. Headache and fever shortly thereafter. Fever reached 102. Fever resulting in shivering with multiple layers of clothing.  These symptoms lasted through the evening. Headache, fatigue and injection site stiffness and pain  lasted for multiple days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Electrocardiogram, Myocardial necrosis marker, Nausea
Clinical narrative: Chest pain radiatinig down left arm since day after moderna vaccine. Took nitroglycerin twice. Some nausea. Presented to ER for chest pain for 2 days, paininto left arm, No acute changes in EKG, non-cardiac chest pain. Medication changes made per cardiologist.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Headache, Injection site reaction, Injection site warmth
Clinical narrative: After the COVID shot around 8:30AM waiting 15mins to see if there would be a reaction (nothing) . Until 6pm is when my arm was burning up, bright red. My temperature was high 102 , headache, body aches, and cold chills started to happen around the same time.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: After the COVID shot around 8:30AM waiting 15mins to see if there would be a reaction (nothing) . Until 6pm is when my arm was burning up, bright red. My temperature was high 102 , headache, body aches, and cold chills started to happen around the same time.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash, Rash erythematous
Clinical narrative: Developed a small patchy red rash near injection site.  It did not itch or cause pain.  It may have been there before I noticed it.  It was gone within 24 hours after I first noticed it.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: I received the Moderna COVID-19 vaccine - 1st dose.  My arm (site of injection) was sore right away and through Friday and Saturday during the day.  The soreness ended at the same time the other symptoms (reported before) started and lasted about 24 hours.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Headache, Mobility decreased, Myalgia
Clinical narrative: Fever started at around 4:30 am the morning after receiving the vaccine. The chills woke me up, so I took Tylenol 1000 mg and my fever broke about an hour later. I had to keep taking Tylenol 1000 mg at 10:30 am and 4:30 pm to control my fever. Each dose worked well for the first 3 hours or so on the fever, but then it would come back. I also had muscle and headaches and fatigue, which made it very difficult to move around. The Tylenol also helped with that somewhat, but I spent most of the day in bed and on the couch (and I am normally very active). By around 5:30-6pm, the symptoms were fading slowly. I felt a lot less achy and my body temperature felt closer to regular by the time I went to bed at 9pm.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: Fever started at around 4:30 am the morning after receiving the vaccine. The chills woke me up, so I took Tylenol 1000 mg and my fever broke about an hour later. I had to keep taking Tylenol 1000 mg at 10:30 am and 4:30 pm to control my fever. Each dose worked well for the first 3 hours or so on the fever, but then it would come back. I also had muscle and headaches and fatigue, which made it very difficult to move around. The Tylenol also helped with that somewhat, but I spent most of the day in bed and on the couch (and I am normally very active). By around 5:30-6pm, the symptoms were fading slowly. I felt a lot less achy and my body temperature felt closer to regular by the time I went to bed at 9pm.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Hyperhidrosis, Hyperventilation, Nausea
Clinical narrative: 5 after injection: sweating, chills 10 after injection: lightheadedness, nausea, sweating 15 after injection: lightheadedness, nausea, hyperventilation Moved outside after hyperventilation began, symptoms subsided within 20 minutes after vaccination
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Musculoskeletal stiffness
Clinical narrative: Vaccine triggered migraine. Relief from sumatriptan and motrin. Continued to come back for 2 more days but was relieved by  motrin. Also stiffness in shoulder and neck on opposite side of body that was damaged years ago in car accident causing whiplash. That is still ongoing 11 days later, but seems to be resolving slowly.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chills, Cough, Dyspnoea, Hypoxia
Clinical narrative: Patient received second Moderna COVID injection on 2/27/2021. Patient admitted to the ICU on 3/15/2021 with shortness of breath and fever.  Was hypoxic on room air and ultimately transitioned to Optiflow.   Symptoms positive for cough, shortness of breath, chills, fever,
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient received second Moderna COVID injection on 2/27/2021. Patient admitted to the ICU on 3/15/2021 with shortness of breath and fever.  Was hypoxic on room air and ultimately transitioned to Optiflow.   Symptoms positive for cough, shortness of breath, chills, fever,
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Influenza like illness, Myalgia, Pain
Clinical narrative: I received my 2nd dose of covid vaccine from pfizer on March 13,, 2021, I was warned  already  because the nurse who gave it to me said  that since I had slight S/E from the first shot the second one would be a little more sore in site.  I went home felt fine, the symptoms started around 1-2 am in the morning when I got up to use the bathroom went back to the bed shivering , I had to get me additional cover, then  I woke in that morning feeling the flu symptoms such as joint and muscle ache as if beaten up, and low grade fever.  I manage the ache by just drinking water and tea. The next morning (Monday) I felt fine my joint and muscle ache and fever were gone. Such weird symptoms of flu.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I received my 2nd dose of covid vaccine from pfizer on March 13,, 2021, I was warned  already  because the nurse who gave it to me said  that since I had slight S/E from the first shot the second one would be a little more sore in site.  I went home felt fine, the symptoms started around 1-2 am in the morning when I got up to use the bathroom went back to the bed shivering , I had to get me additional cover, then  I woke in that morning feeling the flu symptoms such as joint and muscle ache as if beaten up, and low grade fever.  I manage the ache by just drinking water and tea. The next morning (Monday) I felt fine my joint and muscle ache and fever were gone. Such weird symptoms of flu.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Moderna COVID-19 Vaccine EUA Pfizer-BioNTech COVID-19 Vaccine EUA   Patient received COVID-19 Vaccine dose #1 as Moderna from a different provider,  and dose #2 as Pfizer on March 10, 2021.  Patient did not have his vaccine card with him at time of second dose.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rash erythematous, Rash pruritic
Clinical narrative: Arm soreness with red circular itchy rash
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Dizziness, Fatigue, Feeling abnormal, Headache
Clinical narrative: dizzy/vertigo / fatigue /mental fog feeling  / headache right sided all symptoms started post second vaccine approximately 2-14 days later , still persisting
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Nasoendoscopy, Vertigo
Clinical narrative: dizzy/vertigo / fatigue /mental fog feeling  / headache right sided all symptoms started post second vaccine approximately 2-14 days later , still persisting
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Eye irritation, Pruritus, Rash erythematous
Clinical narrative: Intense intermittent itching and redness, mainly on tops of feet and occasionally on wrists and arms. On 7th day, hives with raised red bumps and welts and intense burning itch appeared on lower legs. These gradually spread to upper legs and abdomen over several hours. After taking OTC antihistamine, itching subsided. Rash was gone the following day.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Urticaria
Clinical narrative: Intense intermittent itching and redness, mainly on tops of feet and occasionally on wrists and arms. On 7th day, hives with raised red bumps and welts and intense burning itch appeared on lower legs. These gradually spread to upper legs and abdomen over several hours. After taking OTC antihistamine, itching subsided. Rash was gone the following day.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Craniocerebral injury, Febrile convulsion, Generalised tonic-clonic seizure, Head injury
Clinical narrative: tonic-clonic seizure Patient has a history of seizure disorders, dissociative convulsions, and head trauma.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Skin discolouration
Clinical narrative: Patient called 5 days after vaccination to report a potential adverse reaction to the vaccine.   She reports as of today some swelling in her hand along with discoloration.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia, Pyrexia
Clinical narrative: chills, fever, headache, vomiting, sore muscles and joints
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: chills, fever, headache, vomiting, sore muscles and joints
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Immediate post-injection reaction, Paraesthesia oral
Clinical narrative: Pt began to have tingling in her tongue within minutes of receiving vaccine.  Pt reports allergy to topical benadryl, so benadryl was not administered and two RN's observed patient with Epi on hand should it be needed. BP up to 212/90, HR 126 and 99% on RA. Pt observed by RN's approximately one hour until symptoms resolved and pt returned to baseline.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus, Rash
Clinical narrative: Left deltoid region started to get itchy, red, hot, swollen, and a rash over the entire area. Started exactly 1 week after the first vaccine was given. On Friday, March 12 symptoms began in the late afternoon. On Saturday am, pain was about a 6/10 and the area was extremely swollen and hot to the touch.  Treated with  Benadryl 50 mg and Advil 600 mg. On Sunday, March 14, paid had decreased but rash had spread. Swelling was very diminished. Monday, March 15, all pain and swelling are gone. Rash is still present. It is moving lower down the arm. (gone from the upper region)
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Left deltoid region started to get itchy, red, hot, swollen, and a rash over the entire area. Started exactly 1 week after the first vaccine was given. On Friday, March 12 symptoms began in the late afternoon. On Saturday am, pain was about a 6/10 and the area was extremely swollen and hot to the touch.  Treated with  Benadryl 50 mg and Advil 600 mg. On Sunday, March 14, paid had decreased but rash had spread. Swelling was very diminished. Monday, March 15, all pain and swelling are gone. Rash is still present. It is moving lower down the arm. (gone from the upper region)
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness
Clinical narrative: This may have already been reported by ER.   Patient went to ER 30 minutes after receiving her COVID vaccine due to a tightness in her neck.  Epi administered & patient received Rx for epi pen. No previous anaphylactic reactions.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: 3-9-21 2:49PM 'TONGUE SWELLING'.  STATES SHE DID TAKE BENADRYL @ 1PM TODAY.  A/O, PINK, W/D, RESP WITHOUT ANY DISTRESS.  2:53PM TOOK BENADRYL 50MG PO (HER OWN).  3PM 'FEELS BETTER'.  3:14PM STATES SHE FEELS LIKE SHE CAN GO HOME-'FEELING BETTER'. 3:30PM HOME WITH HUSBAND PER S.C.A.T.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Somnolence
Clinical narrative: fever of 100.4,achy feeling all over, nausea,sleepy ness