chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: At approximately 1654, patient reported slight tingling of the tongue to RN. Patient denied itchiness, rashes, hives, trouble swallowing, trouble breathing. Patient denied swelling and numbness of tongue, lips, and throat. Patient reported she had a similar reaction to her first dose of Pfizer Covid Vaccine. Patient reported she felt the same slight tingling sensation of the tongue. Patient reported her symptom started a "few hours" after her vaccination and "went away on its own". Patient reported allergies to flowers, cigarettes, rubber and petroleum-based products. Patient reported history of thalassemia and no current medications. At 1657, RN assessed patient vital signs: blood pressure 142/86 mmHg, pulse 65 beats/minute, and SpO2 99%. At 1658, RN offered diphenhydramine oral solution. Patient agreed to diphenhydramine oral solution. At 1700, RN administered 50 mg diphenhydramine oral solution. At 1705, RN reassessed patient vital signs: blood pressure 146/88 mmHg, pulse 57 beats/minute, and SpO2 99%. Patient reported "I can still feel it a little less". At 1710, RN  reassessed patient vital signs: blood pressure 138/80 mmHg, pulse 55 beats/minute, and SpO2 99%. At 1715, RN reassessed patient vital signs: blood pressure 138/88 mmHg, pulse 57 beats/minute, and SpO2 99%. Patient reported she was "getting better" and can "barely feel it". At 1729, patient reported her symptom is "gone". Patient denied tingling of tongue. RN educated patient on signs/symptoms of when to seek emergency care, to follow up with primary care physician, and to sign up on v-safe. At 1730, patient left facility with husband. Patient left facility with unlabored respirations and steady gait.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Disturbance in attention
Clinical narrative: Uncharacteristic difficulty retaining a set of ideas, facts, or people, after transferring to a different focus.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Herpes zoster, Skin abrasion
Clinical narrative: Herpes zoster without complication. Treated with valacyclovir 1000 mg TID for 7 days. Due to excoriations over affected areas, patient also treated with keflex 500 mg 4x daily for 7 days.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Headache, Oropharyngeal pain, Pain
Clinical narrative: Chills  Body aches - severe Sore throat  Headache   SOB - slight
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Diarrhoea, Dizziness, Dyspnoea
Clinical narrative: Pt Was admitted on 08/16/2021 Still in the hospital tested positive on 08/16/2021. Pt was admitted with 2 days of diarreah , fatigue, Weakness, dizzyness and difficulty breathing with a pulse ox. of 81%. Pt was Place on high flow Nasal cannula at 40% o2. On Solumedrel and completed Remdesivir on 8/21. Given one dose actemra Given on 8/17.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, SARS-CoV-2 test positive
Clinical narrative: Pt Was admitted on 08/16/2021 Still in the hospital tested positive on 08/16/2021. Pt was admitted with 2 days of diarreah , fatigue, Weakness, dizzyness and difficulty breathing with a pulse ox. of 81%. Pt was Place on high flow Nasal cannula at 40% o2. On Solumedrel and completed Remdesivir on 8/21. Given one dose actemra Given on 8/17.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Blister, Cutaneous T-cell lymphoma, Erythema, Malaise, Peripheral swelling
Clinical narrative: Patient called and left voicemail on 8/26/21 stating she was experiencing an unusual reaction to her flu shot that she received on 8/24/21. The pharmacist on duty called the patient back and went over what was happening. The patient stated that the night she received her vaccine, "a purple waterfilled raised area" appeared on the arm her vaccination was administered on. This was not at the site of the immunization but further down on her arm. Her arm became swollen and red to the touch. She did not seem to think she had a fever but stated she did not feel well. The purple raised area turned white today. The patient stated she has mycosis fungoid. The pharmacist advised her to go to urgent care sooner than later and follow up with her dermatologist.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Dizziness, Dyspnoea exertional, Injected limb mobility decreased
Clinical narrative: Saturday morning, I woke up with severe pain in my Left arm and was unable to raise arm above my head. I took ibuprofen and that resolved by the afternoon.  Since Saturday night around 9 pm, I have been experiencing blurred vision, dizziness, nausea, back pain, joint pain and shortness of breath on exertion
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Vision blurred
Clinical narrative: Saturday morning, I woke up with severe pain in my Left arm and was unable to raise arm above my head. I took ibuprofen and that resolved by the afternoon.  Since Saturday night around 9 pm, I have been experiencing blurred vision, dizziness, nausea, back pain, joint pain and shortness of breath on exertion
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Mobility decreased, Peripheral coldness, Pyrexia
Clinical narrative: Woke up at 1 AM shivering so bad, hardly could put on a pair of socks for my cold feet. Shivered for 3 hours, then fell asleep. Woke up at 4 AM with 102 fever, took Tylenol. Fell asleep woke up at 6:30 could hardly get out of bed, to take dog outside.  Took me three days to get back to normal.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Chills, Fibrin D dimer normal, Full blood count normal, Headache
Clinical narrative: Vaccine #1 3/31/21 at 7pm at pharmacy: 10 minutes after vaccine was administered a sensation traveled up my right arm into my throat leaving a "full sensation" in the back of my throat.  Sent to urgent care.  Assessed for anaphylaxis.  No swelling in throat or breathing issues.  Dr. recommended Benadryl.  Sensation resolved within 4 hours.  Vaccine #2 4/21/21 at 7:30pm :  That same "full sensation" in my throat returned at minute 4 post vaccine.  I was monitored for 45 minutes.  No issues arose, just the stable sensation.  Was sent home.  No medications taken.  The "full sensation" in my throat had resolved about 14 hours post vaccine.  Within 15 hours I had flu-like symptoms.  Mild fever of 99.9*F, chills, headache & muscle aches.  I continued my 10hr shift at work.  When I got home, I took an Aleve for the headache & within an hour I was back to normal. I was tired for about 24 hour after this but nothing that I couldn't do my day to day stuff from.  I started my period on 4/26 & on 4/27- mid-July I got full paresthesia in my arms, legs & torso.  Nothing in my hands, feet or face.  Torso was very sensitive to heat.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect route of product administration, Influenza like illness, Laboratory test normal, Magnetic resonance imaging head normal, Myalgia
Clinical narrative: Vaccine #1 3/31/21 at 7pm at pharmacy: 10 minutes after vaccine was administered a sensation traveled up my right arm into my throat leaving a "full sensation" in the back of my throat.  Sent to urgent care.  Assessed for anaphylaxis.  No swelling in throat or breathing issues.  Dr. recommended Benadryl.  Sensation resolved within 4 hours.  Vaccine #2 4/21/21 at 7:30pm :  That same "full sensation" in my throat returned at minute 4 post vaccine.  I was monitored for 45 minutes.  No issues arose, just the stable sensation.  Was sent home.  No medications taken.  The "full sensation" in my throat had resolved about 14 hours post vaccine.  Within 15 hours I had flu-like symptoms.  Mild fever of 99.9*F, chills, headache & muscle aches.  I continued my 10hr shift at work.  When I got home, I took an Aleve for the headache & within an hour I was back to normal. I was tired for about 24 hour after this but nothing that I couldn't do my day to day stuff from.  I started my period on 4/26 & on 4/27- mid-July I got full paresthesia in my arms, legs & torso.  Nothing in my hands, feet or face.  Torso was very sensitive to heat.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Pyrexia, Sensory disturbance, Swelling, Temperature intolerance
Clinical narrative: Vaccine #1 3/31/21 at 7pm at pharmacy: 10 minutes after vaccine was administered a sensation traveled up my right arm into my throat leaving a "full sensation" in the back of my throat.  Sent to urgent care.  Assessed for anaphylaxis.  No swelling in throat or breathing issues.  Dr. recommended Benadryl.  Sensation resolved within 4 hours.  Vaccine #2 4/21/21 at 7:30pm :  That same "full sensation" in my throat returned at minute 4 post vaccine.  I was monitored for 45 minutes.  No issues arose, just the stable sensation.  Was sent home.  No medications taken.  The "full sensation" in my throat had resolved about 14 hours post vaccine.  Within 15 hours I had flu-like symptoms.  Mild fever of 99.9*F, chills, headache & muscle aches.  I continued my 10hr shift at work.  When I got home, I took an Aleve for the headache & within an hour I was back to normal. I was tired for about 24 hour after this but nothing that I couldn't do my day to day stuff from.  I started my period on 4/26 & on 4/27- mid-July I got full paresthesia in my arms, legs & torso.  Nothing in my hands, feet or face.  Torso was very sensitive to heat.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness, Thyroxine normal
Clinical narrative: Vaccine #1 3/31/21 at 7pm at pharmacy: 10 minutes after vaccine was administered a sensation traveled up my right arm into my throat leaving a "full sensation" in the back of my throat.  Sent to urgent care.  Assessed for anaphylaxis.  No swelling in throat or breathing issues.  Dr. recommended Benadryl.  Sensation resolved within 4 hours.  Vaccine #2 4/21/21 at 7:30pm :  That same "full sensation" in my throat returned at minute 4 post vaccine.  I was monitored for 45 minutes.  No issues arose, just the stable sensation.  Was sent home.  No medications taken.  The "full sensation" in my throat had resolved about 14 hours post vaccine.  Within 15 hours I had flu-like symptoms.  Mild fever of 99.9*F, chills, headache & muscle aches.  I continued my 10hr shift at work.  When I got home, I took an Aleve for the headache & within an hour I was back to normal. I was tired for about 24 hour after this but nothing that I couldn't do my day to day stuff from.  I started my period on 4/26 & on 4/27- mid-July I got full paresthesia in my arms, legs & torso.  Nothing in my hands, feet or face.  Torso was very sensitive to heat.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac tamponade, Pericardial effusion, Pericardial excision
Clinical narrative: Pericardial effusion presenting with cardiac tamponade
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Cough, Dyspnoea, SARS-CoV-2 test, Sinus congestion
Clinical narrative: Cough, sinus congestion, SOB.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Cough, Discomfort, Dyspnoea
Clinical narrative: I was experiencing severe long term cough/congestion in my chest. I had a pulmonary infection, it lasted 1 month. I was wheezing, coughing, shortness of breath, it was very uncomfortable. I saw my PCP who prescribed antibiotics and steroids. I had a chest x-ray and blood work also. I had two rounds of each and he prescribed a inhaler Trelegy. After I started the new inhaler and 2nd round of medicines I have been fine.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary infarction, Respiratory tract congestion, Wheezing
Clinical narrative: I was experiencing severe long term cough/congestion in my chest. I had a pulmonary infection, it lasted 1 month. I was wheezing, coughing, shortness of breath, it was very uncomfortable. I saw my PCP who prescribed antibiotics and steroids. I had a chest x-ray and blood work also. I had two rounds of each and he prescribed a inhaler Trelegy. After I started the new inhaler and 2nd round of medicines I have been fine.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody negative, Arthralgia, Pain in extremity, Rheumatoid factor negative
Clinical narrative: Joint pain developed in fingers of left hand the day after injection, which has not improved. A month after injection  my doctor tested  for lupus and rheumatoid arthritis. Both tests negative.
Age: 46.0
Sex: M
Vaccine: YF
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Injection site developed localized redness, slightly raised.   No itching or pain noted.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Rash, Rash maculo-papular, Rash pruritic, Sleep disorder
Clinical narrative: 32 Y/O male  presents to clinic for rash along entire body for 2 days. States he received to COVID vaccine 3 days ago and the rash started shortly after. Pt states that he has had a similar reaction to the smallpox vaccine presenting with the same reaction. Pt states that the rash is along his entire body and that it is very itchy. States he is not currently having pain but he is having discomfort and issues sleeping due to the itching keeping him up. States it is worse on both arms and his legs than the other areas. Denies change in soaps, detergents, any new medications, lotions, or changes in lifestyle that would cause the outbreak. Pt is currently on arming status but does not arm up at this time.  Approximately one day later he developed an intensely pruritic rash all over his body but worse on arms and legs. He presented for evaluation on 12 Jan where the physical exam was as follows: Maculopapular rash noted along anterior and posterior portions of entire body except face/neck/feet.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood culture, Blood lactic acid normal, COVID-19, Chills
Clinical narrative: Pt admitted to hospital  Pt is a 50 year old woman with a PMH of newly diagnosed breast Ca (this year) -s/p initial chemo and just received second dose of Taxol. She is FU with Dr. She received her second dose of Covid vaccine last Tuesday. On Friday, she developed a fever with chills. She then developed cough and diarrhea.  Fevers have persisted and she feels weak and very fatigued.  Diarrhea is better since Monday. Cough is still present but is some better.  She feels a little dyspneic, has no appetite but denies any NV . No melena or HC.   Prior to her breast cancer, she had no PMH.  She is alert and in no acute distress but appears ill and tired.  Sats remain OK while she is talking - on RA.  Exam as noted. Mucosa dry. Port L ant chest is intact with  No erythema or sts.  Lungs with good bilat BS . Coarse crackles R base. NO wheezes.  CV RRR wom. Abd soft, no tenderness. extr wo edema or rash.  Labs and xray as detailed in note.  vss BP 145/81  Pulse 94  Temp 99.2 °F (37.3 °C)  Resp 19  Ht 5' 4"  Wt 245 lb  SpO2 94%  BMI 42.05 kg/m2 Assessment and POC and as detailed in Resident note: --  Acute febrile illness, multisystem complaints cw viral illness,  likely Covid.  Inflammatory markers high.  Lactate negative. PCR sent. IF negative, will send viral panel. HOlding abx for now with close observation and will start for CAP if sx change.  Blood cultures obtained. UA negative.  Supportive symptomatic care with close monitoring for potential for deterioration requiring acute intervention.  --  Breast cancer  --  Obesity with high BMI  Due to medical issues in the assessment and plan, continued hospitalization will be required.  Assessment and plan, medications, test results, discharge plans, follow up and plan of care as detailed in Dr. note and discussed with patient and with resident.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Diarrhoea, Dyspnoea, Fatigue
Clinical narrative: Pt admitted to hospital  Pt is a 50 year old woman with a PMH of newly diagnosed breast Ca (this year) -s/p initial chemo and just received second dose of Taxol. She is FU with Dr. She received her second dose of Covid vaccine last Tuesday. On Friday, she developed a fever with chills. She then developed cough and diarrhea.  Fevers have persisted and she feels weak and very fatigued.  Diarrhea is better since Monday. Cough is still present but is some better.  She feels a little dyspneic, has no appetite but denies any NV . No melena or HC.   Prior to her breast cancer, she had no PMH.  She is alert and in no acute distress but appears ill and tired.  Sats remain OK while she is talking - on RA.  Exam as noted. Mucosa dry. Port L ant chest is intact with  No erythema or sts.  Lungs with good bilat BS . Coarse crackles R base. NO wheezes.  CV RRR wom. Abd soft, no tenderness. extr wo edema or rash.  Labs and xray as detailed in note.  vss BP 145/81  Pulse 94  Temp 99.2 °F (37.3 °C)  Resp 19  Ht 5' 4"  Wt 245 lb  SpO2 94%  BMI 42.05 kg/m2 Assessment and POC and as detailed in Resident note: --  Acute febrile illness, multisystem complaints cw viral illness,  likely Covid.  Inflammatory markers high.  Lactate negative. PCR sent. IF negative, will send viral panel. HOlding abx for now with close observation and will start for CAP if sx change.  Blood cultures obtained. UA negative.  Supportive symptomatic care with close monitoring for potential for deterioration requiring acute intervention.  --  Breast cancer  --  Obesity with high BMI  Due to medical issues in the assessment and plan, continued hospitalization will be required.  Assessment and plan, medications, test results, discharge plans, follow up and plan of care as detailed in Dr. note and discussed with patient and with resident.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: General physical condition abnormal, Illness, Inflammatory marker increased, Malaise, Nasal dryness
Clinical narrative: Pt admitted to hospital  Pt is a 50 year old woman with a PMH of newly diagnosed breast Ca (this year) -s/p initial chemo and just received second dose of Taxol. She is FU with Dr. She received her second dose of Covid vaccine last Tuesday. On Friday, she developed a fever with chills. She then developed cough and diarrhea.  Fevers have persisted and she feels weak and very fatigued.  Diarrhea is better since Monday. Cough is still present but is some better.  She feels a little dyspneic, has no appetite but denies any NV . No melena or HC.   Prior to her breast cancer, she had no PMH.  She is alert and in no acute distress but appears ill and tired.  Sats remain OK while she is talking - on RA.  Exam as noted. Mucosa dry. Port L ant chest is intact with  No erythema or sts.  Lungs with good bilat BS . Coarse crackles R base. NO wheezes.  CV RRR wom. Abd soft, no tenderness. extr wo edema or rash.  Labs and xray as detailed in note.  vss BP 145/81  Pulse 94  Temp 99.2 °F (37.3 °C)  Resp 19  Ht 5' 4"  Wt 245 lb  SpO2 94%  BMI 42.05 kg/m2 Assessment and POC and as detailed in Resident note: --  Acute febrile illness, multisystem complaints cw viral illness,  likely Covid.  Inflammatory markers high.  Lactate negative. PCR sent. IF negative, will send viral panel. HOlding abx for now with close observation and will start for CAP if sx change.  Blood cultures obtained. UA negative.  Supportive symptomatic care with close monitoring for potential for deterioration requiring acute intervention.  --  Breast cancer  --  Obesity with high BMI  Due to medical issues in the assessment and plan, continued hospitalization will be required.  Assessment and plan, medications, test results, discharge plans, follow up and plan of care as detailed in Dr. note and discussed with patient and with resident.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rales, SARS-CoV-2 test positive, Urine analysis normal, Viral infection
Clinical narrative: Pt admitted to hospital  Pt is a 50 year old woman with a PMH of newly diagnosed breast Ca (this year) -s/p initial chemo and just received second dose of Taxol. She is FU with Dr. She received her second dose of Covid vaccine last Tuesday. On Friday, she developed a fever with chills. She then developed cough and diarrhea.  Fevers have persisted and she feels weak and very fatigued.  Diarrhea is better since Monday. Cough is still present but is some better.  She feels a little dyspneic, has no appetite but denies any NV . No melena or HC.   Prior to her breast cancer, she had no PMH.  She is alert and in no acute distress but appears ill and tired.  Sats remain OK while she is talking - on RA.  Exam as noted. Mucosa dry. Port L ant chest is intact with  No erythema or sts.  Lungs with good bilat BS . Coarse crackles R base. NO wheezes.  CV RRR wom. Abd soft, no tenderness. extr wo edema or rash.  Labs and xray as detailed in note.  vss BP 145/81  Pulse 94  Temp 99.2 °F (37.3 °C)  Resp 19  Ht 5' 4"  Wt 245 lb  SpO2 94%  BMI 42.05 kg/m2 Assessment and POC and as detailed in Resident note: --  Acute febrile illness, multisystem complaints cw viral illness,  likely Covid.  Inflammatory markers high.  Lactate negative. PCR sent. IF negative, will send viral panel. HOlding abx for now with close observation and will start for CAP if sx change.  Blood cultures obtained. UA negative.  Supportive symptomatic care with close monitoring for potential for deterioration requiring acute intervention.  --  Breast cancer  --  Obesity with high BMI  Due to medical issues in the assessment and plan, continued hospitalization will be required.  Assessment and plan, medications, test results, discharge plans, follow up and plan of care as detailed in Dr. note and discussed with patient and with resident.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Vaccine administered to patient in wheelchair in back of van.  Pt had been reclined position prior to vaccination but raised to receive the injection.  While speaking to spouse, patient closed eyes and did not respond to husband for a few seconds.  Husband thinks she "passed out".  Patient did respond to nurse immediately.  No further problems.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Autoscopy, Chills, Delirium, Hyperhidrosis, Nausea
Clinical narrative: Severe swelling, chills, sweating, nausea, weight loss. Severe pain. Pt reports out of body experience/delerium she thinks due to the pain for 48 hours. Pt has treated with ice, rest, and some exercises she was told to do by her provider. Pt states she has had similar reactions in the past to prednisone and dexamethasone injections.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Swelling, Weight decreased
Clinical narrative: Severe swelling, chills, sweating, nausea, weight loss. Severe pain. Pt reports out of body experience/delerium she thinks due to the pain for 48 hours. Pt has treated with ice, rest, and some exercises she was told to do by her provider. Pt states she has had similar reactions in the past to prednisone and dexamethasone injections.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Herpes zoster, Influenza like illness, Lymph node pain, Lymphadenopathy
Clinical narrative: Shingles. Rash on right side of upper back, very swollen and painful lymph nodes under arm and right side. Feeling like i had the flu with body aches and joint pain
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rash
Clinical narrative: Shingles. Rash on right side of upper back, very swollen and painful lymph nodes under arm and right side. Feeling like i had the flu with body aches and joint pain
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Headache, Impaired work ability, Injection site discomfort
Clinical narrative: On 08/25/21 @ 1346, reported she developed SOB  2 days after receiving her 2nd Pfizer vaccine dose. Admits SOB has worsened and is evident at rest and more severe with exertion. Admits to fever/chills and headaches initially post vaccination. F/C have resolved. H/A has improved with Ibuprofen. Denies CP, palpitations, injection site pain/redness/swelling/rash. Admits to missing work on 08/23/21 -08/24/21 due to SOB. Care coordination with Home Dept, Human Resources and ED Charge Nurse) for further follow-up. was escorted by her supervisor to the ED for further eval. HCW admit to minor injection site discomfort with Pfizer Dose #1 given 7/30/21.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: On 08/25/21 @ 1346, reported she developed SOB  2 days after receiving her 2nd Pfizer vaccine dose. Admits SOB has worsened and is evident at rest and more severe with exertion. Admits to fever/chills and headaches initially post vaccination. F/C have resolved. H/A has improved with Ibuprofen. Denies CP, palpitations, injection site pain/redness/swelling/rash. Admits to missing work on 08/23/21 -08/24/21 due to SOB. Care coordination with Home Dept, Human Resources and ED Charge Nurse) for further follow-up. was escorted by her supervisor to the ED for further eval. HCW admit to minor injection site discomfort with Pfizer Dose #1 given 7/30/21.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Electrocardiogram abnormal, Extrasystoles, Feeling cold
Clinical narrative: 3:00 pm face got puffy, got flush & lasted about an hour.  By 8:00 pm I had extreme pain when I tried to walk. Right leg. It got a little better, I could walk but couldn?t lift my leg without a lot of pain for 1 week. I consulted my doctor & she said to take Advil. I took it for several days & symptoms went away.  2nd vaccination- within 5 minutes I had a cold sensation throughout my limbs. Then my blood pressure went very high & was erratic for several hours. I was advised to go to emergency hospital .
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hypertension, Pain, Pain in extremity, Skin swelling
Clinical narrative: 3:00 pm face got puffy, got flush & lasted about an hour.  By 8:00 pm I had extreme pain when I tried to walk. Right leg. It got a little better, I could walk but couldn?t lift my leg without a lot of pain for 1 week. I consulted my doctor & she said to take Advil. I took it for several days & symptoms went away.  2nd vaccination- within 5 minutes I had a cold sensation throughout my limbs. Then my blood pressure went very high & was erratic for several hours. I was advised to go to emergency hospital .
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Anger, Dizziness, Dyspnoea exertional, Flushing, Testicular pain
Clinical narrative: TESTICULAR PAIN 6/10, DIZZINESS, SHORTNESS OF BREATH ON EXERTION, FLUSHING, ANGER 10/10
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Product substitution
Clinical narrative: Patient was given Moderna as first Covid Vaccine and we gave Pfizer as second dose.   Patient had no complaints, no adverse outcome, and no treatment was required
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Hallucination, Pyrexia, SARS-CoV-2 test
Clinical narrative: Hallucinations, fever.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Computerised tomogram head, Confusional state, Hallucination, Laboratory test
Clinical narrative: Hallucinations, fever.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test, Urine analysis
Clinical narrative: Hallucinations, fever.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Vaccine was beyond the Use By Date, not beyond the expiration date.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fasciotomy, Peripheral ischaemia, Thromboembolectomy
Clinical narrative: Acute limb ischemia of right leg required an open thromboembolectomy of right common femoral, SFA and profunda artery and a right lower extremity 4-compartment fasciotomy
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Bacterial test, Blood glucose normal, Blood lactate dehydrogenase increased, C-reactive protein increased, COVID-19
Clinical narrative: Pt admitted to hospital  72 yo male patient with PMH of asthma, SSS S/p pacemaker, Parkinson's disease, Barret's esophagus, recent hospitalization for syncope, was brought by his wife to the ED, stating pt mental status has change becoming more sluggish after he was discharge from the hospital last Friday. She reported pt started presenting urinary incontinence for the past 2 days and referred this is the first time it happens. Pt's wife expressed he has been laying in bed for the last 2 days which she described is unsual on him. No fever, abdominal pain, dysuria reported. Pt denies syncope episodes.    In the ED, lab workup pertinent to LDH: 241, CRP: 15.07, Glucose:117, Ferritin:334, CBC remarkable for Neutrophilia:88.1. ESR: 51.  UA remarkable for pyuria, WBC:21-50. RBC: 51-100, blood:1+, protein UA: 2+ Ketone:1+, bacteria: trace. Chest xray unremarkable, pt has a pacemaker.   Pertinent Summary of prior admission(s)/Care everywhere/ED visit/Clinic visit:  Pt was discharged on 8/6/21 after being evaluated and treated for Syncope.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Full blood count, Mental status changes, Neutrophil count increased, Neutrophilia
Clinical narrative: Pt admitted to hospital  72 yo male patient with PMH of asthma, SSS S/p pacemaker, Parkinson's disease, Barret's esophagus, recent hospitalization for syncope, was brought by his wife to the ED, stating pt mental status has change becoming more sluggish after he was discharge from the hospital last Friday. She reported pt started presenting urinary incontinence for the past 2 days and referred this is the first time it happens. Pt's wife expressed he has been laying in bed for the last 2 days which she described is unsual on him. No fever, abdominal pain, dysuria reported. Pt denies syncope episodes.    In the ED, lab workup pertinent to LDH: 241, CRP: 15.07, Glucose:117, Ferritin:334, CBC remarkable for Neutrophilia:88.1. ESR: 51.  UA remarkable for pyuria, WBC:21-50. RBC: 51-100, blood:1+, protein UA: 2+ Ketone:1+, bacteria: trace. Chest xray unremarkable, pt has a pacemaker.   Pertinent Summary of prior admission(s)/Care everywhere/ED visit/Clinic visit:  Pt was discharged on 8/6/21 after being evaluated and treated for Syncope.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Protein urine present, Pyuria, Red blood cell sedimentation rate increased, Red blood cells urine positive, SARS-CoV-2 test positive
Clinical narrative: Pt admitted to hospital  72 yo male patient with PMH of asthma, SSS S/p pacemaker, Parkinson's disease, Barret's esophagus, recent hospitalization for syncope, was brought by his wife to the ED, stating pt mental status has change becoming more sluggish after he was discharge from the hospital last Friday. She reported pt started presenting urinary incontinence for the past 2 days and referred this is the first time it happens. Pt's wife expressed he has been laying in bed for the last 2 days which she described is unsual on him. No fever, abdominal pain, dysuria reported. Pt denies syncope episodes.    In the ED, lab workup pertinent to LDH: 241, CRP: 15.07, Glucose:117, Ferritin:334, CBC remarkable for Neutrophilia:88.1. ESR: 51.  UA remarkable for pyuria, WBC:21-50. RBC: 51-100, blood:1+, protein UA: 2+ Ketone:1+, bacteria: trace. Chest xray unremarkable, pt has a pacemaker.   Pertinent Summary of prior admission(s)/Care everywhere/ED visit/Clinic visit:  Pt was discharged on 8/6/21 after being evaluated and treated for Syncope.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Serum ferritin increased, Sluggishness, Syncope, Urinary incontinence, Urine analysis abnormal
Clinical narrative: Pt admitted to hospital  72 yo male patient with PMH of asthma, SSS S/p pacemaker, Parkinson's disease, Barret's esophagus, recent hospitalization for syncope, was brought by his wife to the ED, stating pt mental status has change becoming more sluggish after he was discharge from the hospital last Friday. She reported pt started presenting urinary incontinence for the past 2 days and referred this is the first time it happens. Pt's wife expressed he has been laying in bed for the last 2 days which she described is unsual on him. No fever, abdominal pain, dysuria reported. Pt denies syncope episodes.    In the ED, lab workup pertinent to LDH: 241, CRP: 15.07, Glucose:117, Ferritin:334, CBC remarkable for Neutrophilia:88.1. ESR: 51.  UA remarkable for pyuria, WBC:21-50. RBC: 51-100, blood:1+, protein UA: 2+ Ketone:1+, bacteria: trace. Chest xray unremarkable, pt has a pacemaker.   Pertinent Summary of prior admission(s)/Care everywhere/ED visit/Clinic visit:  Pt was discharged on 8/6/21 after being evaluated and treated for Syncope.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Urine ketone body present, White blood cells urine positive
Clinical narrative: Pt admitted to hospital  72 yo male patient with PMH of asthma, SSS S/p pacemaker, Parkinson's disease, Barret's esophagus, recent hospitalization for syncope, was brought by his wife to the ED, stating pt mental status has change becoming more sluggish after he was discharge from the hospital last Friday. She reported pt started presenting urinary incontinence for the past 2 days and referred this is the first time it happens. Pt's wife expressed he has been laying in bed for the last 2 days which she described is unsual on him. No fever, abdominal pain, dysuria reported. Pt denies syncope episodes.    In the ED, lab workup pertinent to LDH: 241, CRP: 15.07, Glucose:117, Ferritin:334, CBC remarkable for Neutrophilia:88.1. ESR: 51.  UA remarkable for pyuria, WBC:21-50. RBC: 51-100, blood:1+, protein UA: 2+ Ketone:1+, bacteria: trace. Chest xray unremarkable, pt has a pacemaker.   Pertinent Summary of prior admission(s)/Care everywhere/ED visit/Clinic visit:  Pt was discharged on 8/6/21 after being evaluated and treated for Syncope.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Myalgia, Nasal congestion, Rhinorrhoea
Clinical narrative: Muscle aches, Runny nose/Congestion, Cough, positive COVID-19 test
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Muscle aches, Runny nose/Congestion, Cough, positive COVID-19 test
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Have Covid
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Pain in extremity
Clinical narrative: I started to get severe pain in my hands and feet a couple of weeks after the vaccine.  in the palm of my hand at the base of my fingers, I have been getting sharp stabbing pain. some days it can be so bad  I cannot move my and or use it. It comes and goes. It's not all the time. In my feet, at the balls of my feet, I get the same sharp stabbing pain. it feels like a knife is in my foot. some days it moves to my arches and makes it difficult to walk. sometimes my foot feels frozen from the pain. eventually, it goes away. but it always comes back 4 or 5 times a day.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Hypotension, Vomiting
Clinical narrative: low blood pressure, dizziness, vomiting, fatigue
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus
Clinical narrative: Patient developed a painful itchy lump about the size of a golf ball the day of the injection at the injection site that has persisted for 7 days post-vaccination despite used of HC cream and ibuprofen.   On exam, it is slightly erythematous and TTP, approx 2.5 cm in diameter.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: I was given a Pfizer vaccine that was diluted with 0.9mls of 0.9% of sodium chloride instead of 1.8mls of 0.9% of normal saline. No adverse reaction
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood thyroid stimulating hormone, Swelling, Thyroid mass, Ultrasound thyroid
Clinical narrative: Severe epigastric pain-MD Visit GI referral  Swollen thyroid nodule requiring MD visit, TSH blood level drawn, Thyroid ultrasound; resulted in grade 2 nodule requiring monitoring and yearly ultrasound
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Tachycardia
Clinical narrative: Nursing staff alert us for a patient with a tachycardia Upon arrival patient is alert, conscious and oriented. She reports having an episode of tachycardia and feeling anxious. She is kept under observation. Patient reports improvement with symptoms and leaves the center.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Seizure 2 weeks after first dose of vaccine. No history of seizures.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Pain, Paraesthesia, Peripheral swelling
Clinical narrative: About a week or two after vaccine I started feeling pain in my joints in my hands. I thought it would just away so I continued to work and do whatever. A couple of weeks later, I started noticing my fingers and feet starting to swell but it could be part of pregnancy. It does feel like carpal tunnel but my Doctor said it could be part of pregnancy or the vaccine. She recommended I wear a wrist brace. I've been elevating my hand so the swelling could go down but I still feel pain when I bend it and sometimes I get numbness and tingling in the fingers and the whole hand and arm. This is still ongoing. I've had carpal tunnel before but never had pain in my joints, so I do know this is a little different. Third Pregnancy.  38 Weeks Pregnant.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient received the Pfizer vaccine on 1/26/21 and 2/16/21, so was fully vaccinated when they tested positive for COVID-19 on 8/25/21.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Cardiac flutter
Clinical narrative: PATIENT STATES THAT WITHIN THE LAST WEEK OR SO THAT SHE FEELS LIKE HER HEART IS FLUTTERING AND FEELS EXCITED SOME OF THE TIME. SHE SAYS THIS CAN HAPPEN SEVERAL TIMES A DAY.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient came into the clinic and stated he needed his second dose of Moderna. After completing questions Moderna vaccine was administered. When entering  it was noticed that his first dose was actually Pfizer. Patient notified and instructed to go to the ER if and adverse reactions occurred. No adverse reactions occurred in the clinic. Patient waited 15 minutes.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Hypotension, Pain
Clinical narrative: Pt was admitted on 08/18/2021 Hypotension r/t dehydration and had diffuse body pain, one week of diarreah and fatigue. Pt received Ive fluids. No need for O2 or steroids.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product administration duration
Clinical narrative: Vaccine was beyond the Use By Date, not beyond the expiration date.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Patient came to facility to receive 2nd dose Pfizer. Patient reported that she had a slight tingling sensation of the tongue . Patient reported that her symptom started a few hours after her vaccination. Patient reported symptom went away on its own and took no medications for it.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, SARS-CoV-2 test positive, Sick relative
Clinical narrative: Tired, wife was sick, Tested for COVID-19 and came back positive (July 29, 2021), quarantined for 2 weeks, has recovered.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anosmia, Body temperature increased, Cough, Diarrhoea
Clinical narrative: first 72 hours I ran a temperature of 102. Had severe abdominal cramps and loose stool. Headaches, body aches, severe cough, stuffy and runny nose. Then on Saturday August 21st, those symptoms went away and I noticed that I lost my ability to smell. Even now , almost a week later, I still cannot smell. My nostrils feel ike their boring. I also developed a sty over my right eye on Thursday, August 19th. As of today it is finally starting to drain.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nasal congestion, Pain, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: first 72 hours I ran a temperature of 102. Had severe abdominal cramps and loose stool. Headaches, body aches, severe cough, stuffy and runny nose. Then on Saturday August 21st, those symptoms went away and I noticed that I lost my ability to smell. Even now , almost a week later, I still cannot smell. My nostrils feel ike their boring. I also developed a sty over my right eye on Thursday, August 19th. As of today it is finally starting to drain.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Condition aggravated, Erythema, Feeling abnormal, Hot flush
Clinical narrative: hot flashes- 1-2 months; muscle aches- ongoing; brain fog- ongoing; sever back pain~ 6 months sever ithcing with large raised red areas after-- this lasted months~5 months.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypothyroidism, Myalgia, Pruritus
Clinical narrative: hot flashes- 1-2 months; muscle aches- ongoing; brain fog- ongoing; sever back pain~ 6 months sever ithcing with large raised red areas after-- this lasted months~5 months.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Nephrolithiasis
Clinical narrative: Patient went to the DR. for a check up and was told that he had elevated caridinary  and kidney stones in both kidneys.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient attended clinic stating she received her first shot in April 2021 and never went back for the second.  She had lost her vaccine card and thought her first shot was the Pfizer Covid Vaccine.  After injection was given, staff checked database and discovered that her first shot was actually the Johnson & Johnson vaccine.  She was monitored by staff for 30 minutes for side effects.  She did not experience any.  She was informed to seek medical care with any change in condition.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dyskinesia, Fatigue, Headache
Clinical narrative: At 2 am, 14 hours following the shot, I experienced sudden extreme chills, extreme body aches, involuntary jerking movements in my arms and legs, extreme tiredness, a moderate headache and moderate joint aches. These symptoms stayed consistent for approximately 8 hours at which time I had brief periods of feeling ok followed by symptoms resuming. This continued until the folding morning and for the remainder of that day I was sore and tired. In addition to the above at 2am I had a muted sense of taste for approximately 4 hours. I do exclusively nurse my 4 month old and she had no reactions.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Hypogeusia, Maternal exposure during breast feeding, Pain
Clinical narrative: At 2 am, 14 hours following the shot, I experienced sudden extreme chills, extreme body aches, involuntary jerking movements in my arms and legs, extreme tiredness, a moderate headache and moderate joint aches. These symptoms stayed consistent for approximately 8 hours at which time I had brief periods of feeling ok followed by symptoms resuming. This continued until the folding morning and for the remainder of that day I was sore and tired. In addition to the above at 2am I had a muted sense of taste for approximately 4 hours. I do exclusively nurse my 4 month old and she had no reactions.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: About two weeks after receiving the 1st does of the Pfizer vaccine.. I started having slight ringing in my ears. It is most noticeable when going to bed or am in a very silent area.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, SARS-CoV-2 test positive
Clinical narrative: Fatigue, Headache, positive COVID-19 test
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram abnormal, Pulmonary embolism
Clinical narrative: pulmonary embolism
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody negative, Antinuclear antibody, Arthralgia, Asthenia, Blood 25-hydroxycholecalciferol
Clinical narrative: ***** FIRST VACCINE DOSE 3/1/2021, SECOND DOSE 4/2/2021. SYMPTOMS BEGAN APPROXIMATELY 3/25/2021.  Severe myalgias that continue through 8/25/2021, pain started in knee, then all muscles, hurt to touch, pain when her cat walked across her lap. Pain has been moderately debilitating, just now starting to subside some (5 months of symptoms thus far). Has had complete rheumatologic workup, as noted below. no etiology found.  Also, is on OCP but missed 2 of 6 periods in the last 6 months.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase normal, Blood immunoglobulin A normal, Blood immunoglobulin G normal, Borrelia test negative, C-reactive protein normal
Clinical narrative: ***** FIRST VACCINE DOSE 3/1/2021, SECOND DOSE 4/2/2021. SYMPTOMS BEGAN APPROXIMATELY 3/25/2021.  Severe myalgias that continue through 8/25/2021, pain started in knee, then all muscles, hurt to touch, pain when her cat walked across her lap. Pain has been moderately debilitating, just now starting to subside some (5 months of symptoms thus far). Has had complete rheumatologic workup, as noted below. no etiology found.  Also, is on OCP but missed 2 of 6 periods in the last 6 months.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Differential white blood cell count normal, Full blood count normal, Inappropriate schedule of product administration, Influenza A virus test negative, Influenza B virus test
Clinical narrative: ***** FIRST VACCINE DOSE 3/1/2021, SECOND DOSE 4/2/2021. SYMPTOMS BEGAN APPROXIMATELY 3/25/2021.  Severe myalgias that continue through 8/25/2021, pain started in knee, then all muscles, hurt to touch, pain when her cat walked across her lap. Pain has been moderately debilitating, just now starting to subside some (5 months of symptoms thus far). Has had complete rheumatologic workup, as noted below. no etiology found.  Also, is on OCP but missed 2 of 6 periods in the last 6 months.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Influenza virus test negative, Menstruation irregular, Metabolic function test normal, Myalgia, Platelet count normal
Clinical narrative: ***** FIRST VACCINE DOSE 3/1/2021, SECOND DOSE 4/2/2021. SYMPTOMS BEGAN APPROXIMATELY 3/25/2021.  Severe myalgias that continue through 8/25/2021, pain started in knee, then all muscles, hurt to touch, pain when her cat walked across her lap. Pain has been moderately debilitating, just now starting to subside some (5 months of symptoms thus far). Has had complete rheumatologic workup, as noted below. no etiology found.  Also, is on OCP but missed 2 of 6 periods in the last 6 months.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pregnancy test urine negative, Red blood cell sedimentation rate normal, Respiratory syncytial virus test negative, Rheumatoid factor negative, SARS-CoV-2 test negative
Clinical narrative: ***** FIRST VACCINE DOSE 3/1/2021, SECOND DOSE 4/2/2021. SYMPTOMS BEGAN APPROXIMATELY 3/25/2021.  Severe myalgias that continue through 8/25/2021, pain started in knee, then all muscles, hurt to touch, pain when her cat walked across her lap. Pain has been moderately debilitating, just now starting to subside some (5 months of symptoms thus far). Has had complete rheumatologic workup, as noted below. no etiology found.  Also, is on OCP but missed 2 of 6 periods in the last 6 months.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tenderness, Treponema test negative, Vitamin D
Clinical narrative: ***** FIRST VACCINE DOSE 3/1/2021, SECOND DOSE 4/2/2021. SYMPTOMS BEGAN APPROXIMATELY 3/25/2021.  Severe myalgias that continue through 8/25/2021, pain started in knee, then all muscles, hurt to touch, pain when her cat walked across her lap. Pain has been moderately debilitating, just now starting to subside some (5 months of symptoms thus far). Has had complete rheumatologic workup, as noted below. no etiology found.  Also, is on OCP but missed 2 of 6 periods in the last 6 months.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Dyspnoea, Headache, Hyperhidrosis
Clinical narrative: 1st day sore arm, diarrhea 2nd day fever  3rd day shortness of breath when working out 4th day shortness of breath when working out 5th day headache  6th day large red raise circle at injection site 7th day injection site reaction still there 8th day injection site reaction still there 9th day injection site reaction still there, also that night sweating and felt faint