chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Feeling abnormal, Hyperhidrosis
Clinical narrative: 12hrs - chills fatigue sweating, no fever 16hrs- migraine- that lasted 12 hours. Normal treatment that works for me( rizatroban) only slightly lessened. Advil Tylenol alternated for migraine and chills. Arm much less sore this time. I would say normal injection soreness.  But stayed in bed all day due to migraine, chills and fatigue. No way I could have worked. 36hrs- woke up feeling really foggy and some dizziness.  After drinking a few glasses of water feeling somewhat normal.  No fatigue today, arm feeling almost normal.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine
Clinical narrative: 12hrs - chills fatigue sweating, no fever 16hrs- migraine- that lasted 12 hours. Normal treatment that works for me( rizatroban) only slightly lessened. Advil Tylenol alternated for migraine and chills. Arm much less sore this time. I would say normal injection soreness.  But stayed in bed all day due to migraine, chills and fatigue. No way I could have worked. 36hrs- woke up feeling really foggy and some dizziness.  After drinking a few glasses of water feeling somewhat normal.  No fatigue today, arm feeling almost normal.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased
Clinical narrative: Tested blood sugar on 01-22 in the AM.  Normal sugar test is in the 150's. The blood sugar was in the high 180's.  Tested the blood sugar on 01-23 in the AM and it is still in the high 180's.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: I got hives and rash one week after my first dose on my left arm. the rash expanding up to my arm. It took 4 days to go away. the instructions from my doctor was to take Benadryl and cold compresses.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Body ache, headache, slight temperature - 98.9
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Swollen tongue
Clinical narrative: Within 5 min of injection on 01/16/2021, had slight tongue swelling and tingling feeling in chest and abdomen.  Headed to ER but symptoms began to subside within 20 minutes so did NOT go to to ER.  Symptoms never recurred so went home and monitored. Never needed epi pen.  NO further problems other than slightly sore arm.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site irritation, Injection site swelling, Syncope
Clinical narrative: The patient was due for their dose on 1/25/21 and received it early on 1/19/21. Around 10 minutes after receiving the second dose, the patient experienced some syncope which subsided about 10 minutes later and did not leave the vaccination site until she was feeling better. The other side effect that the patient experienced was redness/swelling/irritation at the injection site for about 24 hours after the injection.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Rash and swelling at injection site
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: 1-3 days after vaccine I had pain and soreness at the injection site and upper extremity, which was very tolerable.  Approx. 5 days after the vaccine my entire upper arm, above and below the injection site, became erythematous, warm, with a hardened area, and extreme pruritus. The redness, warmth and hardening lasted 6 days with just a slight redness approx 2 inches below the injection site. The pruritus is greatly improved but still present.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Headache, Nausea, Paraesthesia
Clinical narrative: dizziness, headache, nausea, tingling in hands, chest pain
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site discomfort
Clinical narrative: Slight discomfort at site of vaccination during arm movement from 6pm on day of vaccination until 10pm next day.   No other sign or symptom as of 1/21/2021 11:03AM
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination site discomfort
Clinical narrative: Slight discomfort at site of vaccination during arm movement from 6pm on day of vaccination until 10pm next day.   No other sign or symptom as of 1/21/2021 11:03AM
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Sleep disorder
Clinical narrative: Pain, swelling & redness of upper arm around injection site, starting 3 days after injection and increasing each day until about 14 days after injection when swelling and redness began to decrease. At its largest, swelling was about an oval about 2-1/2  wide x 3-1/2 long. Pain was significant enough that I couldn?t sleep on my right side. Swelling and redness are gone, but area is still tender to the touch.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Heart rate increased, Lymphadenopathy
Clinical narrative: Sore arm 5 hours after shot, low grade fatigue and fever and blood shot eyes 10 hours after shot, at 12 hours ever to 100.1, body aches, chills, joint pains, sore swollen neck glands, heart rate increased to 98 from 64 and O2 saturation dropped to 93% from 98 %.  After 24 hours, aches and pains were 80% better, heart rate and O2 saturation the same and fever 99.3 orally.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Ocular hyperaemia, Pain, Pain in extremity, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Sore arm 5 hours after shot, low grade fatigue and fever and blood shot eyes 10 hours after shot, at 12 hours ever to 100.1, body aches, chills, joint pains, sore swollen neck glands, heart rate increased to 98 from 64 and O2 saturation dropped to 93% from 98 %.  After 24 hours, aches and pains were 80% better, heart rate and O2 saturation the same and fever 99.3 orally.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Palpitations
Clinical narrative: within 15 min of receiving Covid-19 Moderna vaccine pt  C/O:  chest pain and heart palpitations.  Vitals 100/60 P: 80 Regular.   Learned later from family member that patient was taken to hospital and admitted.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Chills, fever, headache, muscle pain, fatigue, weakness
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills, fever, headache, muscle pain, fatigue, weakness
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever, aches, headache, fatigue
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Arthritis reactive, Aspartate aminotransferase increased, Blood bilirubin normal, Blood sodium decreased
Clinical narrative: Reactive arthritis affecting the hands (left more than right) and right knee and ankles.   Given toradol in ER.  Given prednisone taper on 1/21/21.  No outcome yet
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood uric acid normal, C-reactive protein increased, Full blood count, Glomerular filtration rate normal, Haemoglobin decreased
Clinical narrative: Reactive arthritis affecting the hands (left more than right) and right knee and ankles.   Given toradol in ER.  Given prednisone taper on 1/21/21.  No outcome yet
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: International normalised ratio increased, Lymphocyte count decreased, Monocyte count increased, Protein urine, Red blood cell sedimentation rate increased
Clinical narrative: Reactive arthritis affecting the hands (left more than right) and right knee and ankles.   Given toradol in ER.  Given prednisone taper on 1/21/21.  No outcome yet
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Rheumatoid factor negative, Streptococcus test negative, Ultrasound Doppler normal, White blood cell count normal
Clinical narrative: Reactive arthritis affecting the hands (left more than right) and right knee and ankles.   Given toradol in ER.  Given prednisone taper on 1/21/21.  No outcome yet
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discomfort, Pain in jaw
Clinical narrative: Leftside sudden onset jaw pain. Jaw pain 7 out of 10. Left arm discomfort to injection site 2  of 10.  Left jaw pain is constant ,achy, and at times throbbing. Unable to close mouth all the way on left side. Unable to chew food due to pain.  Received vaccination at 3:10pm and the sudden onset pain started at 8pm the same day.  Meds taken: Tylenol, ibuprofen, and benadryl. All meds have been un effective to help control pain. Ice and heat have been un effective for jaw pain. Ice has been effective for injection site pain.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Rash vesicular
Clinical narrative: shingles like rash with vesicles,  chest, not severe
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity, Peripheral swelling
Clinical narrative: Arm hurt through this past Tuesday. Woke up this morning with shoulder/arm very swollen and painful at injection site.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: 1 week after receiving the first dose,  I developed a hive (2-3 inches across)  at the injection site that was itchy,  raised,  red, and hot. It's 3 days later now and mostly gone,  but still a bit itchy.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Red, round, raised rash around injection site. Didn?t appear until 10 days after injection
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: One week (7 days) following vaccination, red, itchy bumps resembling hives appeared around injection site on left arm. The area is growing larger and there is slight swelling of arm. Area is also hot.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue
Clinical narrative: During the night coughing, chills, tired.  Temp this morning started at 91.1, currently 100.1
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Abdominal discomfort, Arthralgia, Blood test, Electrocardiogram, Pain
Clinical narrative: #23 Pneumonia Vacinne-second in the Series-#13 given 5/8/19. 15 minutes after injection I left and went to the parking lot, I immediately felt a tingling and aching in the back of both thighs. I sat down in the car and the sensation was also by then in the middle core of my body bellybutton height. The pain was excrushiating  . and I decided I need to go back in. By then the same symptoms went up and down my left arm to the shoulder then did the same on the right arm. By the time I got into the Dr's office I was bent over and needed to pull myself up the stairs to assist going up the flight of stairs.I got the staff attention very quickly. They responded and took vital-No BP problems;no Rash;no temperature;no piulse problems. Everything was Ok. . Symptoms resided in 30-60 mins. Dr. kept me about 90 mins to make sure I was Ok before I Left. Dr. talked to Pfizer but They didn't contact me. Now I have been advised to not take the COVID -19 Vacinne or any other one?
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: #23 Pneumonia Vacinne-second in the Series-#13 given 5/8/19. 15 minutes after injection I left and went to the parking lot, I immediately felt a tingling and aching in the back of both thighs. I sat down in the car and the sensation was also by then in the middle core of my body bellybutton height. The pain was excrushiating  . and I decided I need to go back in. By then the same symptoms went up and down my left arm to the shoulder then did the same on the right arm. By the time I got into the Dr's office I was bent over and needed to pull myself up the stairs to assist going up the flight of stairs.I got the staff attention very quickly. They responded and took vital-No BP problems;no Rash;no temperature;no piulse problems. Everything was Ok. . Symptoms resided in 30-60 mins. Dr. kept me about 90 mins to make sure I was Ok before I Left. Dr. talked to Pfizer but They didn't contact me. Now I have been advised to not take the COVID -19 Vacinne or any other one?
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Limb discomfort, Myalgia, Pain in jaw
Clinical narrative: brief period of feeling extreme heaviness in shoulders and arms, tingling hands/feet. Followed by muscle aches, general body tension, chills, mild headache. Also ear/jaw pain (possibly related to prior sinus infection)
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Tension
Clinical narrative: brief period of feeling extreme heaviness in shoulders and arms, tingling hands/feet. Followed by muscle aches, general body tension, chills, mild headache. Also ear/jaw pain (possibly related to prior sinus infection)
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Headache, Heart rate increased
Clinical narrative: COVID-19 Vaccine EUA, neck and shoulder stiffness and aching; headache; severe arm soreness, chills, unable to sleep; dizziness whenever I stood up; general feeling of malaise; fast heartbeat and increase in palpitations; weakness
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Musculoskeletal stiffness, Pain, Pain in extremity, Palpitations
Clinical narrative: COVID-19 Vaccine EUA, neck and shoulder stiffness and aching; headache; severe arm soreness, chills, unable to sleep; dizziness whenever I stood up; general feeling of malaise; fast heartbeat and increase in palpitations; weakness
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: COVID-19 Vaccine EUA, neck and shoulder stiffness and aching; headache; severe arm soreness, chills, unable to sleep; dizziness whenever I stood up; general feeling of malaise; fast heartbeat and increase in palpitations; weakness
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Feeling cold, Hyperhidrosis, Paraesthesia, Rash erythematous
Clinical narrative: Vaccinated at 11:50am. Developed blanket like raised red rash on chest approx 2x3 inches within first 15minutrs. Patient anxious stated maybe I?m having a panic attack, I?m sweating, but not visible. Continued observation. One Hive  developed on neck approx 12:20pm. Patient complained hands and feet very cold. Hands visibly dusky. Patient also claimed of feet and hand tingling. At 12:25pm BP 120/90. Reassurance observation is tachy 128. At 12:30pm BP remained at 120/90. Hive faded. Continued observation at 1:00pm. Given 50mg Benadryl and discharged to home where she continued under observation since she is my family member. Very anxious, very cold, no breathing difficulties at anytime. 20 min after Benadryl no signs of rash. Encouraged to rest.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Tachycardia, Urticaria
Clinical narrative: Vaccinated at 11:50am. Developed blanket like raised red rash on chest approx 2x3 inches within first 15minutrs. Patient anxious stated maybe I?m having a panic attack, I?m sweating, but not visible. Continued observation. One Hive  developed on neck approx 12:20pm. Patient complained hands and feet very cold. Hands visibly dusky. Patient also claimed of feet and hand tingling. At 12:25pm BP 120/90. Reassurance observation is tachy 128. At 12:30pm BP remained at 120/90. Hive faded. Continued observation at 1:00pm. Given 50mg Benadryl and discharged to home where she continued under observation since she is my family member. Very anxious, very cold, no breathing difficulties at anytime. 20 min after Benadryl no signs of rash. Encouraged to rest.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Oral discomfort, Oropharyngeal discomfort
Clinical narrative: Patient reports thickness on roof of mouth and back of throat. NP notified and 25mg Benadryl PO given with good effect
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Swelling, Swelling face
Clinical narrative: Had swelling and lymph nodes in my neck, had face and neck swelling.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Impaired driving ability, Loss of personal independence in daily activities, Magnetic resonance imaging, Pain in extremity
Clinical narrative: Pain in left shoulder and arm to the elbow,unable to get enough sleep hard to get dressed or Drive a Car no help from pain meds. or creames.Except i am not Dead dit not push that button on the bottom
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Sleep disorder, X-ray
Clinical narrative: Pain in left shoulder and arm to the elbow,unable to get enough sleep hard to get dressed or Drive a Car no help from pain meds. or creames.Except i am not Dead dit not push that button on the bottom
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Inappropriate schedule of product administration
Clinical narrative: The patient was scheduled to receive her 2nd dose of the series on 1/27/21 and received it on 1/19/21. The patient reports experiencing a headache, chills, fatigue, and a high temperature of 100.1 within 6 hours of receiving the vaccination. The symptoms were intermittent and resolved within 24 hours of receiving the vaccination.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Adnexa uteri pain, Chills, Fatigue, Myalgia, Pyrexia
Clinical narrative: Left ovary stabbing on/off pain. I also had some of the expected side effects (fever of 101.5, chills, sore muscles, and tiredness). Ovary pain stopped in 24 hrs after vaccine given, other symptoms stopped in 34hrs more or less. I did take Ibuprofen 400mg twice, and 200mg once, when fever was higher than 100.4.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Full blood count normal, Injection site swelling
Clinical narrative: 8 days post injection I was directed to go to urgent care by my primary physician. They said it looked like cellulitis and drew a circle around it. It continued to rapidly grow and I was told to go to the emergency room. At the ER I was told it looked more like a reaction to the vaccine as there was no entry spot for the bacterial infection.  I was told to complete the oral antibiotics. 24 hours later there was still swelling and spreading and I was given a second oral antibiotic to take at the same time.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Pt states is was at least one week after receiving the vaccine she began to develop an itchy red rash on arm of the injection.  States it was very itchy and red and then went away.   Was visible on much of the upper arm.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Vaccinated on Day 1. Day 2-6, severe headache (worse/longer than usual migraines), not alleviated by OTC painkillers. Took imitrex, so may have been rebound headache and/or related to barometric pressure (Hx of migraines). Day 7, injection site itchy and swollen (minor reactions). Day 8: injection site has visible rash (size of a quarter), no pain.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: No complications until day 7 when a 4" x 2" red, hot and itchy area appeared where I received the vaccination
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Flushing, Headache, Oropharyngeal pain, Pain in extremity
Clinical narrative: Waited 30 min felt ok, took off mask in car saw  cheeks & nose were flushed. Approx 1 hr after injection had severe headache, severe sore throat, left side of face felt odd/tingly, left side of throat felt itchy & appeared red. Took Benadryl. Had taken Zyrtec 1.5 hrs prior to vaccine. Was drowsy, itching & throat started to feel less itchy, face still flushed.  Severe headache continued till next day as did sore throat. Took Tylenol at 5pm & again at 11pm. Symptoms resolved except for a sore throat & mild headache. Arm was sore but not severely so.  Napped, took it easy. Felt mostly normal by Saturday 1/23.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Somnolence, Throat irritation
Clinical narrative: Waited 30 min felt ok, took off mask in car saw  cheeks & nose were flushed. Approx 1 hr after injection had severe headache, severe sore throat, left side of face felt odd/tingly, left side of throat felt itchy & appeared red. Took Benadryl. Had taken Zyrtec 1.5 hrs prior to vaccine. Was drowsy, itching & throat started to feel less itchy, face still flushed.  Severe headache continued till next day as did sore throat. Took Tylenol at 5pm & again at 11pm. Symptoms resolved except for a sore throat & mild headache. Arm was sore but not severely so.  Napped, took it easy. Felt mostly normal by Saturday 1/23.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Headache
Clinical narrative: Moderna COVID-19 vaccine EUA about 1 day after receiving the vaccine, I developed chills, an elevated temperature & a headache for several hours. When I awoke the next morning the chills & temperature were gone. I still have a significant headache & I feel quite tired.
Age: 63.0
Sex: U
Vaccine: UNK
Symptoms: Aphasia, Illness, Mobility decreased, Pain
Clinical narrative: I became ill after taken the last vaccine and i am upset because the truth was not told and I am a Registered Nurse and have been one for decades please  do not lie to me.I  work with  COVID_19 patients everyday    I  had  soreness  over  my whole body I could not talk   or move my   body at all
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute myocardial infarction, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased
Clinical narrative: fever up to 103, chills, aches, malaise, abd pain, vomiting, went to the ER had IVF abnormal labs, + non st elevation MI
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, Chills, Malaise, Pain, Pyrexia
Clinical narrative: fever up to 103, chills, aches, malaise, abd pain, vomiting, went to the ER had IVF abnormal labs, + non st elevation MI
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased, Vomiting
Clinical narrative: fever up to 103, chills, aches, malaise, abd pain, vomiting, went to the ER had IVF abnormal labs, + non st elevation MI
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Hypoxia
Clinical narrative: patient immediately got short of breath and hypoxic requiring intubation
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Rash papular, Rash pruritic
Clinical narrative: Rash at the injection site, onset on day 7 after the first dose of COVID vaccine. The rash is raised, slightly itchy, and measure 8 cm in length, and 6 cm wide. No other signs or symptoms - I was just surprised at the reaction a week after the shot so I thought I should report it.
Age: 86.0
Sex: M
Vaccine: UNK
Symptoms: Chills, Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine EUA      I had chills and fever which lasted about one hour. I took 2 advils
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: COVID-19 Vaccine EUA On approximately the 6th day after injection, I noticed a light red area about 2" in diameter in the area of the injection site.  The area is firm and slightly warm. Pharmacy advised taking benadryl if needed.  Have not done so at this time.  Symptoms seem stable or improving at this time.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Chills, Dizziness, Fatigue, Internal haemorrhage
Clinical narrative: I had very slight nausea soon after the first shot, then started having chills and whole body ache from the night (12/18/2020) for 24 hours followed by spontaneous internal hemorrhage (lower GI, significant blood in stool) in the morning  and in the afternoon of 12/20/2020.  The hemorrhage lasted for about 24 hours.  It started slowing down on 12/21/2020, then stopped.    I was evaluated by Dr., (GI) who was not sure if the bleeding was vaccine induced vs. coincidence on 12/23/2021.  Since the bleeding stopped, she cleared me for the 2nd vaccine and advised me for close monitoring for any other episode of bleeding.  I had some fatigue for about 4-5 days since the first shot, then I felt normalized.    Soon after the 2nd vaccine (in about 5-10mins) on 1/8/2021, I started having some discomfort/pain in lower rib region where spleen is.  Initially I felt like some chest pain, but it was more near spleen region, I think... I also had slight intermittent dizziness for about 2 hours after the 2nd injection.  The discomfort in left lower chest/rib improved and resolved in an hour or so.    Then, similar pattern started including chills and whole body ache on the night of 1/8/2021 followed by internal hemorrhage again (significant blood in stool) in the morning and in the afternoon of 1/9/2021.  The bleeding slowed down on 1/10/2021, then stopped.   I reported it to again my GI doctor on 1/11/2021 who ordered CBC to monitor my platelet level.  The result showed down trending from my baseline.    I think the COVID vaccine transiently affected me with internal hemorrhage and lowering platelets/likely potential thrombocytopenia given the clinical symptoms (spontaneous internal hemorrhage).   Platelet level is improving at this time and I feel normalized today.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal chest pain, Nausea, Pain, Platelet count
Clinical narrative: I had very slight nausea soon after the first shot, then started having chills and whole body ache from the night (12/18/2020) for 24 hours followed by spontaneous internal hemorrhage (lower GI, significant blood in stool) in the morning  and in the afternoon of 12/20/2020.  The hemorrhage lasted for about 24 hours.  It started slowing down on 12/21/2020, then stopped.    I was evaluated by Dr., (GI) who was not sure if the bleeding was vaccine induced vs. coincidence on 12/23/2021.  Since the bleeding stopped, she cleared me for the 2nd vaccine and advised me for close monitoring for any other episode of bleeding.  I had some fatigue for about 4-5 days since the first shot, then I felt normalized.    Soon after the 2nd vaccine (in about 5-10mins) on 1/8/2021, I started having some discomfort/pain in lower rib region where spleen is.  Initially I felt like some chest pain, but it was more near spleen region, I think... I also had slight intermittent dizziness for about 2 hours after the 2nd injection.  The discomfort in left lower chest/rib improved and resolved in an hour or so.    Then, similar pattern started including chills and whole body ache on the night of 1/8/2021 followed by internal hemorrhage again (significant blood in stool) in the morning and in the afternoon of 1/9/2021.  The bleeding slowed down on 1/10/2021, then stopped.   I reported it to again my GI doctor on 1/11/2021 who ordered CBC to monitor my platelet level.  The result showed down trending from my baseline.    I think the COVID vaccine transiently affected me with internal hemorrhage and lowering platelets/likely potential thrombocytopenia given the clinical symptoms (spontaneous internal hemorrhage).   Platelet level is improving at this time and I feel normalized today.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Metamorphopsia, Mobility decreased, Pain
Clinical narrative: Fever of 103.5 , severe headache, body aches, chills, distorted vision,  left arm pain and soreness. Unable to use left arm for the most part.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Fever of 103.5 , severe headache, body aches, chills, distorted vision,  left arm pain and soreness. Unable to use left arm for the most part.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: 2-3 hrs after injection, L check muscle twitching that lasted until bedtime (3 hrs). Next morning, L check was not twitching but felt as though it might. This lasted all day. Within 2 days, there was a nerve sensation that radiated to L eye and L side of mouth. This sensation has persisted but improved now.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site reaction, Injection site warmth
Clinical narrative: 7 days after  vaccine administration, my right shoulder began itching and several large red welts appeared. I took Benadryl before bed and that alleviated some itching. The following morning I had a 4 inch by 6 inch area of redness like a sunburn on my shoulder. The skin is hot. My husband who is a physician described the area as indurated. I was able to go to work. I used ice packs for the itching because Benadryl is sedating. Friday evening the shoulder continued to be red and indurated and hot. Saturday AM the shoulder has a center area of white with decreased sensation of hardness. There is a dull ache and the skin is hot.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pallor, Urticaria
Clinical narrative: 7 days after  vaccine administration, my right shoulder began itching and several large red welts appeared. I took Benadryl before bed and that alleviated some itching. The following morning I had a 4 inch by 6 inch area of redness like a sunburn on my shoulder. The skin is hot. My husband who is a physician described the area as indurated. I was able to go to work. I used ice packs for the itching because Benadryl is sedating. Friday evening the shoulder continued to be red and indurated and hot. Saturday AM the shoulder has a center area of white with decreased sensation of hardness. There is a dull ache and the skin is hot.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Syncope
Clinical narrative: Patient felt faint, dizzy, and warm within one to two minutes after receiving the vaccine. She reports that she typically faints in response to vaccinations in the past. Symptoms lasted approximately 25 minutes and resolved without medical treatment.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Onset of symptoms approx. 9.5 hours after vaccine included muscle aches, fatigue, chills. Approx 24 hour after vaccine symptoms included muscle aches, joint pain, chills, headache, fatigue. Symptoms of muscle aches, chills, fatigue improved but day three. Symptoms of severe joint pain have continued and have not improved. Joint pain is severe and limits daily activities with severe pain in hips, back, knees with  standing and walking. Other joint pain in hands, arms, toes is moderate.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Injection site erythema, Injection site pruritus, Peripheral swelling
Clinical narrative: COVID-19 Vaccine EUA Ten days after the injection of Covid 19 injection my arm swelled up, and became very red and itchy at the site of the injection.  It just came up out of nowhere it seems as I had no reaction at all to the vaccine during the prior 10 days since the vaccination. This continued for two days.  The first day after it happened I felt tired and weak in the morning.  I got into work here at the house and the weakness went away.  I treated the itchy situation with Clobetasol Propionate Cream which I had here and was prescribed by my dermatologist for poison ivy.  That took away the itchy situation that was very annoying.  Two days into it the swelling began to go down.  Today is the 4th day since the problem occurred and there is no swelling and only a slight redness.  I am assuming that I can take injection #2 on February 9 as scheduled.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Neck pain, Pain in extremity, Pain of skin, Rash
Clinical narrative: Received Moderna vaccine at work on 1/7/21. Had a sore arm for a few days. However I developed Shingles on 1/16/21. First was pain in scalp and neck and then a rash developed on my neck. Diagnosed on 1/19/21. Was told to report just encase this was a side effect.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Injection site pain
Clinical narrative: The patient was scheduled to receive the second dose of the series on 1/25/21 and received it on 1/19/21. The patient reported injection site soreness lasting 24 hours.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness,pain,swelling and heat at injection sight.  Redness spreading on day 3 after first vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Rash macular
Clinical narrative: Inital reaction started one week post injection, there was swelling, redness, itching below the injection site, measuring approx. 1.5 in by 2 in, first noticed around 8:30 pm when getting ready for bed. Sensation was similar to a bad spider bite.  24 hours later, the swelling was somewhat reduced, although the itching persisted and the redness spread, measuring approx. 2in by 2.5 in.  At 36 hours after initially noticing the reaction, swelling is almost gone, redness is still present and splotchy, and the itching is mild. No medications were used for symptom management other than calamine lotion the first night for the itching. Pictures of each timeframe are available if necessary.  I will be consulting with my PCP to see if an office visit is necessary. While symptoms are concerning, they do not appear to be emergent.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lung disorder, Myalgia, Pyrexia
Clinical narrative: Fever, muscle aches, lung burning/tightness, chills
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Gait disturbance
Clinical narrative: I remained at the site for 15mins.  Everything seemed fine.  I was driving home and my left side started to feel numb from my neck down to my foot.  As the evening went on my left hip & back became very sore and my legs to the point where I couldn't walk.  I took Tylenol and Advil with little relief.  This has continue since I got the vaccine.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Pruritus
Clinical narrative: Large inflamed, itchy area on left arm.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Nausea, Pain
Clinical narrative: fever, chills. headache, body ache. temp 100.8, nausea
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fever, chills. headache, body ache. temp 100.8, nausea
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site discomfort, Injection site pain, Lymphadenopathy
Clinical narrative: On the 15th  I noticed a swollen supraclavicular lymph node  (above the clavicle and at the base of the neck) on my left side. It is slightly tender to the touch and otherwise there's a general feeling of pressure at the site.  As of today, the 23rd, it is still swollen and similar in size.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Influenza virus test negative, Injection site erythema
Clinical narrative: 01/12/21: Severe fatigue and brain fog 01/17/21:  Pharyngitis of unknown cause.  Fever over 102F, bilaterally swollen tonsils with white coating, bilaterally swollen lymph nodes in the neck, headache, fatigue. Initially prescribed Penicillin 500mg TID x 7 days (Telehealth).  After day 3, symptoms continued to get worse.   Strep test, Flu test, and COVID-19 tests were all negative. Prescribed Prednisone 40mg x 7 days. Symptoms began to subside on 01/21/21. Cause still unknown - possible viral infection (CMV, EBV). 01/21/21: Swollen, red rash began to develop at injection site. Subsided without treatment within 24 hours.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Lymphadenopathy, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: 01/12/21: Severe fatigue and brain fog 01/17/21:  Pharyngitis of unknown cause.  Fever over 102F, bilaterally swollen tonsils with white coating, bilaterally swollen lymph nodes in the neck, headache, fatigue. Initially prescribed Penicillin 500mg TID x 7 days (Telehealth).  After day 3, symptoms continued to get worse.   Strep test, Flu test, and COVID-19 tests were all negative. Prescribed Prednisone 40mg x 7 days. Symptoms began to subside on 01/21/21. Cause still unknown - possible viral infection (CMV, EBV). 01/21/21: Swollen, red rash began to develop at injection site. Subsided without treatment within 24 hours.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test negative, Tonsillar hypertrophy
Clinical narrative: 01/12/21: Severe fatigue and brain fog 01/17/21:  Pharyngitis of unknown cause.  Fever over 102F, bilaterally swollen tonsils with white coating, bilaterally swollen lymph nodes in the neck, headache, fatigue. Initially prescribed Penicillin 500mg TID x 7 days (Telehealth).  After day 3, symptoms continued to get worse.   Strep test, Flu test, and COVID-19 tests were all negative. Prescribed Prednisone 40mg x 7 days. Symptoms began to subside on 01/21/21. Cause still unknown - possible viral infection (CMV, EBV). 01/21/21: Swollen, red rash began to develop at injection site. Subsided without treatment within 24 hours.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site erythema, Injection site mass
Clinical narrative: A week after the immunization she started to notive arm pit sorness, redness and knot about the size of a quarter near site not usre if it is at the injection site.  Was informed that sorness in the arm pit is normal, but since she does not know if the knot was at the injection site she should see her primary care and if it gets bigger or any difficulty breathing to go to emergency room.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Injection site pain, Mobility decreased, Neck pain, Pain in extremity
Clinical narrative: Very bad pain at injection site and radiating into my chest, up my neck and down my arm.  Raising my arm is difficult  and extremely painful.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: My menstrual period came after 20 days from the previous period and lasted 10 days. This is not consistent with my normal cycle.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: paresthesia arms and legs for 2 days following Covid vaccine - Day 3 upper body only (has not gotten worse - just a mild tingling sensation)  - no pain
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: one week afetr injection, I have a large, red, swollen and hot area around the injection site. It is also itchy.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: one week afetr injection, I have a large, red, swollen and hot area around the injection site. It is also itchy.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site urticaria
Clinical narrative: Rash/hives at injection site
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Cellulitis, Swelling face
Clinical narrative: swelling and blistering  of skin around nose, right eye and right cheek. started 4 days after injection and worsened over 4 additional days before seeking medical treatment
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain in extremity, Pyrexia, Rhinorrhoea
Clinical narrative: Achy sore legs, chills, sniffles, fever 99.4 began around 1:00 am and are still ongoing now at 12:07pm
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site bruising, Injection site erythema, Injection site pain, Injection site reaction
Clinical narrative: At the site: soreness, redness, bruising, swelling, a red ring around the site.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: At the site: soreness, redness, bruising, swelling, a red ring around the site.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Nausea, Pain
Clinical narrative: Low grade fever, nausea, vomiting diarrhea, body aches, chills, fatigue
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Low grade fever, nausea, vomiting diarrhea, body aches, chills, fatigue
Age: 26.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Headache, Neck pain, Pyrexia
Clinical narrative: Severe headache, 102-103 fever, significant neck and shoulder pain, significant joint pain. 24 hours.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: Exactly one week, the injection site became indurated, pruritic, hot, erythematous, about 7 cm in diameter.   Lasted for 72 hours.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Diarrhoea
Clinical narrative: Body Chills and diarrhea
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Dehydration, Diarrhoea
Clinical narrative: Body Chills and diarrhea
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dysphagia, Nasal congestion, Paraesthesia, Paraesthesia oral
Clinical narrative: Tingling of mouth and soft palate. Congestion/tightening of nasal passages. Throat tightening.  Difficult to swallow. All within 1-2 min of vaccine. Felt scratchy throat from 5- 10 minutes. Loose stool with sudden onset 20min after vaccine. All symptoms improved to near baseline by 12noon. With only the Benadryl 50mg (premedication at 45min prior to vaccine)
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Throat tightness
Clinical narrative: Tingling of mouth and soft palate. Congestion/tightening of nasal passages. Throat tightening.  Difficult to swallow. All within 1-2 min of vaccine. Felt scratchy throat from 5- 10 minutes. Loose stool with sudden onset 20min after vaccine. All symptoms improved to near baseline by 12noon. With only the Benadryl 50mg (premedication at 45min prior to vaccine)
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Flushing, Palpitations, Pruritus, Rash
Clinical narrative: Flushed, itching, Rash on face, neck, chest and back, palpitations and elevated blood pressure; Treatment: oral benadryl and IV drip with benadryl.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Diagnosed with shingles on 1/21/21 at age 38. Started symptoms about 9 days after receiving the second dose of the covid vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Hypotonia, Loss of consciousness, Pyrexia
Clinical narrative: Febrile throughout the night. Chills when I woke up in the AM. Suddenly felt dizzy and lightheaded. Sat down, had a few sips of juice and placed a cold rag on my neck. With assistance, agreed to move to the couch. Stood up and went limp. Guided down to the floor. Per report, body shuttered initially. +LOC for 5-10 seconds.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Febrile throughout the night. Chills when I woke up in the AM. Suddenly felt dizzy and lightheaded. Sat down, had a few sips of juice and placed a cold rag on my neck. With assistance, agreed to move to the couch. Stood up and went limp. Guided down to the floor. Per report, body shuttered initially. +LOC for 5-10 seconds.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Bruise-like spot on the left side of the neck.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site swelling, Rash erythematous
Clinical narrative: Itching began at injection site 7 days post injection.  Mild itching, slight swelling and pale red  rash around injection site on 8th day.  Larger, more pronounced  rash area today, 9th day.  Area is not tender or warm to touch.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Injection site nodule, Injection site rash, Rash
Clinical narrative: Pfizer-BioNT Tech COVID-19 Vaccine EUA. Rash of bumps on the left arm where injection occurred as well as a rash on right side of neck some difficulty breathing. Albuterol and Benadryl were taken to address the reaction.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Rash, Vaccination site papule, Vaccination site rash
Clinical narrative: Pfizer-BioNT Tech COVID-19 Vaccine EUA. Rash of bumps on the left arm where injection occurred as well as a rash on right side of neck some difficulty breathing. Albuterol and Benadryl were taken to address the reaction.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Feeling numbness on left arm, since 2:00PM (Night) and Saturday.  Whole left side - Feet to head has numbness. Called VARES to report but open only Mon- Fri. I will checking with local health today.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Malaise, Migraine, Mobility decreased, Nausea
Clinical narrative: Received vaccine just before 0830 am on 1/19. At about 8:30 pm 1/19 starting feeling feverish. Arm was sore and couldn?t be raised above shoulder height. Had nausea, body aches, developed migraine and neck ache so severe I couldn?t turn my head left or right. Developed dizziness and malaise. Fever was 100.5  F. Went home from work and took cold/flu medicine. Symptoms lasted about 3 days.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: Received vaccine just before 0830 am on 1/19. At about 8:30 pm 1/19 starting feeling feverish. Arm was sore and couldn?t be raised above shoulder height. Had nausea, body aches, developed migraine and neck ache so severe I couldn?t turn my head left or right. Developed dizziness and malaise. Fever was 100.5  F. Went home from work and took cold/flu medicine. Symptoms lasted about 3 days.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: One week after vaccination (01/22/2021), developed red, raised rash distal to injection site. Following day (01/23/2021) rash no longer raised, but reddened area now larger than previous day and site also swollen
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Injection site pain
Clinical narrative: The patient was to receive the second dose of the series on 1/25/21 and received it on 1/19/21. The patient experienced injection site soreness for a period of about 24 hours.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: New redness, swelling, warmth, soreness and itching at injection site.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Hypoaesthesia, Impaired driving ability, Nausea
Clinical narrative: After I had the 2nd dose of the Pfizer, my left arm was numb and couldn?t drive but I was able to live with it until the 4th day, during working period I suddenly felt dizzy and nauseous, went to throw up, dizziness was intense then I fell off my chair and was rushed to the Emergency for treatment, was treated for vertigo and given Meclizine to reduce the dizziness and nausea. Till date the dizziness wouldn?t go away.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo, Vomiting
Clinical narrative: After I had the 2nd dose of the Pfizer, my left arm was numb and couldn?t drive but I was able to live with it until the 4th day, during working period I suddenly felt dizzy and nauseous, went to throw up, dizziness was intense then I fell off my chair and was rushed to the Emergency for treatment, was treated for vertigo and given Meclizine to reduce the dizziness and nausea. Till date the dizziness wouldn?t go away.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fixed eruption, Rash
Clinical narrative: Rash around all lymph nodes on body, fixed drug eruption
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Headache, chills, fatigue ,body aches,
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Pain, Pyrexia
Clinical narrative: Chills, body aches, low grade fever, upset stomach
Age: 50.0
Sex: M
Vaccine: UNK
Symptoms: Rash, Urticaria
Clinical narrative: Facial rash and hives