chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Self-injurious ideation, Vaccine positive rechallenge
Clinical narrative: I had the first dose (Moderna, Lot 030L20A, Left Arm on 1/31/2021). The same side effect happened for both doses.  I am 18 weeks, 5 day pregnant. Pregnancy is normal, 1 baby, no issues thus far.  During the 24-48 hours post vaccine administration, I have had an increase of depression/self harm thoughts. I was diagnosed with mild depression and generalized anxiety disorder over 15 years ago, but have not experienced a major episode in over 5-7 years and have been able to manage these conditions without medication for over 10 years. With in the time frame given for both shots I have been extremely depressed, angry and had hurtful thoughts. I have done the necessary things to keep myself safe and to curb the thoughts, but I found it more than a coincidence to happen both times after the shot.   Normal side effects that occurred that I did anticipate - Sore arm, overall body fatigue.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Bell's palsy, Electrocardiogram, Full blood count, Metabolic function test
Clinical narrative: developed Bell's Palsy  placed on one week of steroids.  Left side  of face as of today 90% improved Am an RN  and thought  I should make you aware.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: severe itching, large red spot, swelling, and small lump in arm
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Lymphadenopathy, Pain, Pain in extremity
Clinical narrative: Elevated temperature (100.2), body aches, chills, sore arm, extremely swollen auxiliary lymph nodes on left side.  All symptoms began about 24hrs post vaccine. Swollen lymph nodes and near breast , below armpit stayed very sore and swollen for 5 days. All other symptoms were gone after about 24 hrs (48hrs post vaccine). Treated with ice, cool compress, probiotic, ibuprofen.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncope post vaccine
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Full blood count normal, Lymphocyte count decreased, Metabolic function test
Clinical narrative: After 2 1/2 days of chills, starting feeling symptoms of peripheral neuropathy (crawling, tingling, pins & needles, goosebumps sensations.  All over body, at time very intense.  Some episodes of dizziness, not too frequent.  No fever.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: After 2 1/2 days of chills, starting feeling symptoms of peripheral neuropathy (crawling, tingling, pins & needles, goosebumps sensations.  All over body, at time very intense.  Some episodes of dizziness, not too frequent.  No fever.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Malaise, Nausea
Clinical narrative: Started to feel poorly about 20 hours after the vaccine. Low grade temp of about 99, chills, nausea, arm sore at the injection site, overall fatigue. Symptoms lasted for about 24 hours.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Started to feel poorly about 20 hours after the vaccine. Low grade temp of about 99, chills, nausea, arm sore at the injection site, overall fatigue. Symptoms lasted for about 24 hours.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Seizure, Syncope
Clinical narrative: Patient had vaccine and waited the 15 minute waiting period.  He felt well after 15 minutes and left the observation waiting area. He went up front to purchase something 5 minutes later and collapsed face first on the floor as observed by a nearby customer. The customer said he started having convulsing seizures and the customer went to aid in keeping the patient safe. the pharmacy manager (myself) was alerted and I immediately ran upfront to the patient with the emergency bag. 911 was already on the cashiers phone. They dispatched an ambulance. The only treatment was keeping the patient on his side and safe. He was having some labored breathing initially which quickly calmed down. The EMT arrived and they called his Dr office off the VAR. They said he had some hx of seizure. He had selected no to question #6 on VAR (Have you had  History of seizure for which you are on medication for). He became conscious before transport to the hospital. The EMT stated that he seemed to be covering  as expected from seizure.   He was then transported to Hospital Center.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Low grade temperature, muscle aches, fatigue, mild headache.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Herpes zoster, Rash
Clinical narrative: 19 days after the vaccine,  I started to have some rash on the forehead, swollen left eye the next day.  I thought it was allergies, but it didn?t get better with antihistamines, triamcinolone,  and antibiotic .  I went to the urgent clinic on the third day and was diagnosed with Shingles. I am prescribed with acyclovir for treatment. I am not sure if it?s related to the vaccine but something triggered it and I?m not in the normal age group that gets it.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Tremor
Clinical narrative: This was the second Covid vaccine from Pfizer.  First vaccine was given 1/28/21 . EL3244.   No adverse side effects other than slightly sore arm at site of injection.  Second vaccine was given on  2/18/21 within a couple day I noticed tremors in my hands.  When to the doctor on Feb 25, 2021 , I talked to her about tremors.  No treatment at that time.  March 4, 2021 had a video doctor appointment and talked about tremors. She prescribed Propranolol 40mg.  No previous history of tremors.  Tremors are a little better with medicine after a couple days but not gone.  I can't use fork, button my sleeves or work tools at my job.  I did notice tremors in my back when climbing on a ladder at work.  These tremors started within  2 days of second vaccine.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain
Clinical narrative: 2/26/21 at 9am developed severe pain all over my entire body and every joint and extreme fatigue. Each day got a little better but lasted 3 days. No headache or fever.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: My arm where I got the injection became VERY swollen, it honestly looked like a softball was in my arm. It also was painful, red, and rashy. For about three days following the shot I exp were winced fatigue and headaches.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: My arm where I got the injection became VERY swollen, it honestly looked like a softball was in my arm. It also was painful, red, and rashy. For about three days following the shot I exp were winced fatigue and headaches.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Gait disturbance, Incontinence, Lethargy, Muscular weakness
Clinical narrative: The day after vaccination  (4March21) pt. slept all day, and had the chills.  Got up next morning (5March21) feeling  better. By noon felt lethargic and slept the remainder of day. He experienced incontinence while sleeping. He had trouble walking, and could not make it to the bathroom without support. While in the bathroom he went to the floor, (did not fall), could not get up. I had him crawl on his hands and knees to the living room. It's a though his muscles went soft. Remained lethargic the remainder of the day. Did not see a doctor.  Stayed at home and waited for symptoms to pass.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: The day after vaccination  (4March21) pt. slept all day, and had the chills.  Got up next morning (5March21) feeling  better. By noon felt lethargic and slept the remainder of day. He experienced incontinence while sleeping. He had trouble walking, and could not make it to the bathroom without support. While in the bathroom he went to the floor, (did not fall), could not get up. I had him crawl on his hands and knees to the living room. It's a though his muscles went soft. Remained lethargic the remainder of the day. Did not see a doctor.  Stayed at home and waited for symptoms to pass.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Rash
Clinical narrative: 36 hours after injection: full body rash, chest pain, shortness of breath  slowly worsened throughout the day
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Headache, Pain, Pruritus, Sleep disorder
Clinical narrative: After injection, that night woke up with a blinding headache but it has gone away. Swollen, burning, itching, soreness and can't sleep on that side.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: After injection, that night woke up with a blinding headache but it has gone away. Swollen, burning, itching, soreness and can't sleep on that side.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pyrexia, Urticaria
Clinical narrative: Fever, chills, hives, headache, nausea
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Death, Influenza like illness, Pain in extremity, Syncope
Clinical narrative: Per patient's daughter the patient had severe flu like symptoms, shaking, extreme pain in wrists/fingers/feet. Patient collapsed at home and pronounced dead at scene.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Per patient's daughter the patient had severe flu like symptoms, shaking, extreme pain in wrists/fingers/feet. Patient collapsed at home and pronounced dead at scene.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: 31 y/o male came in for first dose of COVID-19 Vaccine-Moderna Lot# 013A21A exp:04/04/2021. After patient completed his 15 minutes in the  observation he verbalized to check out OA he wished to speak to a Nurse. Upon arrival to patient, he was complaining of itchiness to his neck and back. Redness to his forehead and neck noted. Initial vitals O2sat-100%, P-102, Bp-132/86. 1533- One 50mg capsule given with water.  1539-V/S130/86 99% P-98. No SOB noted nor reported by patient, A/O, No compliant of breathing by patient. Redness noted to be less to forehead and neck. 1543-bp-126/80, p-70 O2-100%. Patient verbalized feeling better, slight redness noted to neck only. 1550-118/70 P-76, O2 99%. Patient called his mom who gave him a ride home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot
Clinical narrative: Patient complained of "lightheadedness and feeling hot". Patient denied dizziness. Patient alert and oriented. Patient denies chest pain, SOB, rash, and itchiness. Patient provided with ice pack. Blood pressure 128/88, respiratory rate 16, and temperature 97.4F.  Symptoms subsided at 1530 with ice pack, rest, and relaxing measures.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Itchy, swollen raised bumpy injection site
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on lower extremities
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Faeces soft, Fatigue, Headache
Clinical narrative: Fever, chills, stomach pain, muscle pain, headache, nausea, soft stool, fatigue.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Fever, chills, stomach pain, muscle pain, headache, nausea, soft stool, fatigue.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Nausea, Pain
Clinical narrative: Started feeling poorly about 9 hours after the vaccine. Chills, nausea, dry heaves, body aches, head ache, low grade temp, sore arm at injection site. Felt really bad for about 72 hours
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Retching
Clinical narrative: Started feeling poorly about 9 hours after the vaccine. Chills, nausea, dry heaves, body aches, head ache, low grade temp, sore arm at injection site. Felt really bad for about 72 hours
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dry throat, Skin warm
Clinical narrative: 1435 received vaccine. 1445 warmness to arm and dry mouth, anxiety. 124/80, hr-114, 02 sat 94%ra. Warmness to arm resolved 1500. anxiouness resolved 1505. throat cont to be dry able to drink water w/o difficulty. drank one full bottle of water. Report sensitive and has many allergies. Pt husband is in car and informed of pt condition. 1520 pt condition dryness in  needs to take mask off.. went outside totake off and get fresh air. 1540 128/89-hr-122-02 sat 96%ra r-18. Pt instructed to f/u with MD has appointment on tuesday. upon discharge reports tired and dry throat.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Fear of injection, Nausea
Clinical narrative: Nausea, fear of needles. BP 114/81 (pulse 77), 99% O2 sat.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Itchy red rash on both arms, full abdomen and back and neck
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Malaise, Myalgia
Clinical narrative: Patient reports she has autoimmune disorders, lupus, rosacea and others.  She's reporting that since getting the vaccine she has not felt well, had chills, myalgia, joint pain- woke up feeling worse "hit like a truck", still can barely get out of bed and still feels this way.  She states she is declining and canceling coming back for second dose.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Feeling cold, Headache, Heart rate increased, Malaise
Clinical narrative: At Approximately 1140, patient  finished getting her 1st dose vaccine Pfizer (Lot# 6201 Exp. 06/2021) and went to EMT observation area.    At approximately 1210, patient informed EMT that she was not feeling well. Patient was given the zero gravity chair to sit in. Per EMT, patient c/o fast heart beat. EMT took vitals and assessed patient: BP systolic of 128, HR 88, pupils equally reactive, LOC X4, skin warm, RR of 8. Per EMT, patient was anxious and complaining of discomfort from occipital area of her head and nape. Per EMT, patient was instructed to do deep breathing exercises and patient was given some ice to initiate vagal response. Approximately 15-20 mins later, patient complained that she was not feeling well.   At 1235 EMT came over to lead RNs stating that she was having difficulty getting an accurate BP reading due to the lack of having the proper size of BP cuff onsite. RN used personal BP cuff to take patient's vitals. Per  RN, At 1238, patient's BP was 170/100, HR 88, RR 12, regular breathing. Per RN, Patient c/o swollen tongue, throat itchiness, and feeling cold, patient's skin showed visible cold urticaria. After assessment, RN instructed RN to call 911. EMT gave report to 911 operator. After the medics were on their way to site, Patient insisted needing to go to the bathroom to urinate, RN and EMT assisted patient to the bathroom. Patient was ambulatory.    At 1244 Fire paramedics and AMR arrived. Patient relayed to medics that her tongue is swollen, that she is feeling itchiness in her throat, and that she has a raspy voice. Medics gave patient Benedryl IM in L arm at 1248. Patient refused to be transported to a hospital per Medics recommendation. Patient signed documents declining further medical care. Patient was instructed to call 911 for any difficulty breathing and any throat swelling. Medics and AMR left at 1258. At 1300 niece came from parking lot to assist patient to go to her car to go home.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Swollen tongue, Throat irritation
Clinical narrative: At Approximately 1140, patient  finished getting her 1st dose vaccine Pfizer (Lot# 6201 Exp. 06/2021) and went to EMT observation area.    At approximately 1210, patient informed EMT that she was not feeling well. Patient was given the zero gravity chair to sit in. Per EMT, patient c/o fast heart beat. EMT took vitals and assessed patient: BP systolic of 128, HR 88, pupils equally reactive, LOC X4, skin warm, RR of 8. Per EMT, patient was anxious and complaining of discomfort from occipital area of her head and nape. Per EMT, patient was instructed to do deep breathing exercises and patient was given some ice to initiate vagal response. Approximately 15-20 mins later, patient complained that she was not feeling well.   At 1235 EMT came over to lead RNs stating that she was having difficulty getting an accurate BP reading due to the lack of having the proper size of BP cuff onsite. RN used personal BP cuff to take patient's vitals. Per  RN, At 1238, patient's BP was 170/100, HR 88, RR 12, regular breathing. Per RN, Patient c/o swollen tongue, throat itchiness, and feeling cold, patient's skin showed visible cold urticaria. After assessment, RN instructed RN to call 911. EMT gave report to 911 operator. After the medics were on their way to site, Patient insisted needing to go to the bathroom to urinate, RN and EMT assisted patient to the bathroom. Patient was ambulatory.    At 1244 Fire paramedics and AMR arrived. Patient relayed to medics that her tongue is swollen, that she is feeling itchiness in her throat, and that she has a raspy voice. Medics gave patient Benedryl IM in L arm at 1248. Patient refused to be transported to a hospital per Medics recommendation. Patient signed documents declining further medical care. Patient was instructed to call 911 for any difficulty breathing and any throat swelling. Medics and AMR left at 1258. At 1300 niece came from parking lot to assist patient to go to her car to go home.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient passed away three days after receiving the vaccine.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Client c/o of a little throat tightness during the 15 minute observation. Client taken to exam room. Vitals taken  Bp127/73, HR, 58, o2 96%, RR 14. Client given benadryl 25mg and observed for 30 more minutes.  Client stated throat improved. Breath sounds clear, heart sounds s1s2.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Red, swollen, and itchy at injection site Treated with 50mg Benadryl
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Nausea, Pyrexia
Clinical narrative: Fever, nausea, headache diarrhea
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Basedow's disease, Hyperthyroidism, Tachycardia
Clinical narrative: First CPVOD Pfizer on 1/22/2021, 2nd COVID Pfizer on 2/19/2021 Developed episodes of tachycardia starting 2/12/21. Seen by me (MD)  2/15. BW showed low TSH, otherwise NL. Labs repeated and TSH undetectible with high Total T3 and NL Free T$. TSH stimulating AB very high, suggesting new Graves disease/Hyperthyroidism. We have a NORMAL TSH on file from March 2020
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Induration, Pruritus, Skin warm
Clinical narrative: That morning when i got up i noticed by left arm had splotchy hives on it. over the next few days  it turned deeper red (about 4in high from the shoulder down & 2in across).  There were areas that were very hard & that area was very red.  the hardness  went away & it was just warm & red. it lasted for about 10days. it occasionally itched. i didn't notice anything else; i was able to use my arm okay. i was a little tired but not sure if that was related or just the other stuff i was doing.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: That morning when i got up i noticed by left arm had splotchy hives on it. over the next few days  it turned deeper red (about 4in high from the shoulder down & 2in across).  There were areas that were very hard & that area was very red.  the hardness  went away & it was just warm & red. it lasted for about 10days. it occasionally itched. i didn't notice anything else; i was able to use my arm okay. i was a little tired but not sure if that was related or just the other stuff i was doing.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Night sweats, Pain, Pain in extremity, Pharyngeal swelling
Clinical narrative: March 2nd-March 4th: Sore left arm body aches night sweats throat inflammation
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Body temperature increased, Dyspnoea, Headache
Clinical narrative: Patient had vaccine moderna fisrt dose at 237pm, in right arm. Pt. sittngn inobservation area aat 3pm, c/o of headache sharp, adn SOB, vitalas take at 3pm, BP 142/94, pulse 106. Temp 98.9F Right arm 154/95  pulse 112   SAT O2 100%... pulse 116 Pt anxious as well. Wheeled via wheeklchair to ER, for evaluation in satble condition Alertt adn oriented to arrvial ER; lot # 0011A21A   exp 8/16/2021 moderna  first dose
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: 11days after vaccinated I have a large rash  at the vaccination site. It is red and warn to the touch and itches. Today is day 13 and it is darker red and itching is worse.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Electrocardiogram normal, Loss of consciousness, Mental disorder, Pain
Clinical narrative: 2:15 - Altered mental status, responsive to verbal, c/o and pain and "indigestion" 2:16 - Loss of consciousness & urinary incontinence, EMS activated 2:17 -  Transported via wheelchair to treatment room 2:20 - A&O x 3, EKG (Normal sinus rhythm) 2:25 - EMS on scene, Patient signed Against Medical Advise form.  EMS released patient to friend to be transported home via POV
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary incontinence
Clinical narrative: 2:15 - Altered mental status, responsive to verbal, c/o and pain and "indigestion" 2:16 - Loss of consciousness & urinary incontinence, EMS activated 2:17 -  Transported via wheelchair to treatment room 2:20 - A&O x 3, EKG (Normal sinus rhythm) 2:25 - EMS on scene, Patient signed Against Medical Advise form.  EMS released patient to friend to be transported home via POV
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Circumoral swelling
Clinical narrative: Slight swelling around mouth. ( Previously had  juvederm injections June 2020. ) No  medicine taken for swelling and it subsided within a couple of hours.  No issues after that.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint range of motion decreased
Clinical narrative: My shoulder became very sore, very quickly.  After 3 weeks, I am still unable to lift my arm out to the side above my shoulder.  I started treatment at my acupuncturist last week and it is helping some, but I still have limited use of my right arm.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Syringe issue, Underdose
Clinical narrative: During the process of administering a Covid vaccine to a customer ,using the provided Vanishpoint syringe, Rph  did not administer the dose properly. The dose was given on 4/4/21, and a follow up with the patient (a family member) by the Rph the next morning, revealed that the customer had no soreness/pain in the arm or the injection site.  In reviewing the process, the Rph recalled  that in the act of administering the injection  felt resistance,(this was the first time using VanishPoint syringes) thinking the inner seal had reached the needle and not wanting to hit bone(small frame)  removed the needle and proceeded to retract the needle.  Rph felt a release and then the retraction of the needle. Some liquid was on the floor beside the chair, at the time the Rph thought it was disinfecting solution from cleaning  the booth and chairs. In reviewing the process the Rph is confident the patent did not receive the recommended dose.  Rph  contacted next level of management on 3/5/21 and was instructed to give another dose (after clinical team was notified)  as soon as possible in the opposite arm.  Dose was administered to patient approx 1:50pm on 3/5/21.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site hypoaesthesia, Injection site rash
Clinical narrative: I experienced numbness in my left hand shortly after my vaccine, which lasted about a day and on day 8 on 2/23/2021, I had a large reddish-pink raised oval mark on my arm around the injection site and a series of reddish -pink  horizontal itchy hives   a few inches  below the  injection site mark. The itchiness subsided on day 9 and by day 11, the entire reaction on my arm disappeared .
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hot flush, Lacrimation increased
Clinical narrative: Patient was administered pfizer covid vaccine at off-site clinic.  approx 10 min post injection, she developed hot flashes, mild sob, and consistent tearing. she did not require any meds on site.  Her BP was 222/125.  EMS was called.  they confirmed BP reading and advised transport.  Patient declined transport.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Cough, Fatigue, Hyperhidrosis
Clinical narrative: Fever, muscle aches, chills, sweats, nausea, vomiting, fatigue, tight chest, cough, soreness in shoulder (where I got vaccinated). Nausea lasted about 4 hours, fever lasted about 6-7 hours, aches and sweats lasted about 15 hours, fatigue lasted about 40 hours, chest tightness and mild cough lasted 48 hours and sore shoulder is continuing beyond 48 hours but slowly improving with time
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Nausea, Pyrexia
Clinical narrative: Fever, muscle aches, chills, sweats, nausea, vomiting, fatigue, tight chest, cough, soreness in shoulder (where I got vaccinated). Nausea lasted about 4 hours, fever lasted about 6-7 hours, aches and sweats lasted about 15 hours, fatigue lasted about 40 hours, chest tightness and mild cough lasted 48 hours and sore shoulder is continuing beyond 48 hours but slowly improving with time
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Shortness of breath, chest tightness. BP 179/111, pulse 103, 97% O2 sat.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt was given pfizer as second dose, pt was supposed to receive moderna.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Extremely early menstrual cycle. My period ended 2/23 one week before I was vaccinated and started again 2 days after vaccination. My periods are regular (between 27-29 days) so this is very irregular and concerning. No other changes has occurred in my life to cause such a drastic cycle change. I am only on day 2 of my period but so far it looks like any other day two so I'm assuming it will run the full 5 day course.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rash erythematous
Clinical narrative: Aching and red rash
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: 1 hour after arm and hand felt colder than just cold Saturday afternoon suddenly exhausted and felt faint Developed large red bump at injection site that itched quite a lot. Still itchy 2 weeks later though no longer raised and redness fading
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral coldness
Clinical narrative: 1 hour after arm and hand felt colder than just cold Saturday afternoon suddenly exhausted and felt faint Developed large red bump at injection site that itched quite a lot. Still itchy 2 weeks later though no longer raised and redness fading
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: On day 8 after receiving vaccine my left arm started itching around site and is red and a little puffy.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Myalgia, Peripheral swelling
Clinical narrative: Three days after second vaccination developed red, itchy rash covering  large portion of outer upper arm,. Was swollen. Also, diarrhea that day. Later in day of shot was fatigued, during night chills and severe muscle aches. Aches and low fever the next day.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash erythematous, Rash pruritic
Clinical narrative: Three days after second vaccination developed red, itchy rash covering  large portion of outer upper arm,. Was swollen. Also, diarrhea that day. Later in day of shot was fatigued, during night chills and severe muscle aches. Aches and low fever the next day.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash papular
Clinical narrative: localized rash to low back, rash is dry, erythematous, small, papular, non tender, non vesicular, non crusting rash
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Nausea
Clinical narrative: On Fri 3/5 one of the RPhs on duty administered the vaccine around 2:45 PM. RPh advised patient to wait in the waiting room for 15 minutes to make sure she felt fine. Around 3 PM patient told another patient sitting in the waiting room that she was feeling light headed and told her to call the pharmacy staff, which she did. One of the RPhs went out of the pharmacy into the waiting room to check up on her while the other pharmacist called 911. RPh who went to check up on her found her on the floor slouching. RPh tried to shake her awake and she appeared nodding off and on. Finally after a minute of two, she became more coherent and conscious. Team member grabbed orange juice to give to her. Other patient who grabbed our attention stated she was slowly sliding off her chair. RPh stayed by her side until paramedics arrived. Although she marked "No" on Section B #5 on the VAR form, she stated that she gets light headed and dizzy whenever she gets blood drawn or at the dentist. Paramedics checked on her vitals, was within normal range. Patient opted not to be taken to the hospital. RPh advised patient to call a  family member to pick her up because although she felt ok to drive, she stated she felt a little nauseous and her head kind of hurts. Mother picked her up about an hour after the incident occurred.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Disorientation, Dizziness
Clinical narrative: Patient became very lightheaded and fell to the floor approximately 15 minutes after receiving the vaccine.  She did not completely lose consciousness and did not hit her head but was very confused and disoriented.  An ambulance was  called and the patient was taken to the hospital.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed shingles post vaccine day #5
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Chills, Discomfort, Feeling cold, Heart rate increased
Clinical narrative: Client notifed paramedics she didn't feel well.  LOC-alert Lung sounds- clear Skin-pale Pain-no oxygen- non rebreather at 10 L   11:36AM- BP was 110/80;Pulse 60; O2 sat 99 11:39AM- pulse was 107 Benadryl 50mg was given at 11:36AM 11:42AM- O2 sat 95 Slow capillary refill numbness and tingling in extremities cold/shivering/goosebumps shaking rapid/thready pulse  Did not eat prior to coming to appointment Blood sugar 91 Gave the client water during all of this, she stated she felt heavy. We laid her on the floor and elevated her feet. The ambulance came and took her to the local hospital.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Loss of consciousness, Malaise, Pain, Pallor
Clinical narrative: Client notifed paramedics she didn't feel well.  LOC-alert Lung sounds- clear Skin-pale Pain-no oxygen- non rebreather at 10 L   11:36AM- BP was 110/80;Pulse 60; O2 sat 99 11:39AM- pulse was 107 Benadryl 50mg was given at 11:36AM 11:42AM- O2 sat 95 Slow capillary refill numbness and tingling in extremities cold/shivering/goosebumps shaking rapid/thready pulse  Did not eat prior to coming to appointment Blood sugar 91 Gave the client water during all of this, she stated she felt heavy. We laid her on the floor and elevated her feet. The ambulance came and took her to the local hospital.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Piloerection, Pulse abnormal, Tremor
Clinical narrative: Client notifed paramedics she didn't feel well.  LOC-alert Lung sounds- clear Skin-pale Pain-no oxygen- non rebreather at 10 L   11:36AM- BP was 110/80;Pulse 60; O2 sat 99 11:39AM- pulse was 107 Benadryl 50mg was given at 11:36AM 11:42AM- O2 sat 95 Slow capillary refill numbness and tingling in extremities cold/shivering/goosebumps shaking rapid/thready pulse  Did not eat prior to coming to appointment Blood sugar 91 Gave the client water during all of this, she stated she felt heavy. We laid her on the floor and elevated her feet. The ambulance came and took her to the local hospital.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pyrexia, Visual impairment
Clinical narrative: 2nd dose at 1615 on March 4, HA started morning of the 5th, pt called and spoke with triage RN at 1400, triaged per protocol and pt directed to ED for "worst HA of life". Pt also endorsing fever, nausea, "sparkles" in vision of 1 eye. Pt took tylenol and advil w/o relief (doses unknown).
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Generalised tonic-clonic seizure
Clinical narrative: Approximately 3 minutes post-vaccination, the patient suffered a witnessed tonic-clonic seizure, which lasted less than a minute.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Conversion disorder, Dysarthria, Dyskinesia, Facial pain
Clinical narrative: This is a 37 year old female.  Within 10 minutes of her 1st dose Moderna, the patient developed a mild rash (location not specified).  She took a dose of diphenhydramine with some relief.  She went home.  2.5 hours later, she developed a facial twitching and reported to the ED.  She reported involuntary facial muscle twitching, like spasms, that were painful.  On ED presentation, BP=121/86, HR=93, RR=16, SpO2=98%.  ED noted no swelling, itching, SOB, chest pain, N/V/D, or rash.  The ED notes describe the symptoms as "Numerous and varying facial movements including contraction of the lower cheek muscles on the left and then the right along with movement of the tongue from side to side at which point she bites or gets the tongue in the way while trying to speak.  Speech is therefore slurred however at times clear. Oropharynx is clear with mildly dry mucous membranes.  No oral or pharyngeal swelling, difficulty swallowing, or stridor.  Neck is supple and nontender without adenopathy. Differential diagnosis includes: allergic reaction, dystonic drug reaction (unusual to be varying from the left to the right), dyskinesia, anxiety, somatization or conversion disorder, among others.  Her symptoms are not consistent with Bell's palsy, stroke, or clearly tardive dyskinesia. Subsequently given diazepam, fentanyl, and 500mL IV fluids."  She was discharged home.  Patient returned to the ED on 12/31 (within 24hrs) with ongoing symptoms.  Patient was monitored and discharged home again.   One month later, on 1/28/21, chart notes indicate that she has continued to have intermittent symptoms continue.  A trial of steroids reportedly made symptoms worse.  She reports that she also feels fatigued and with 'brain fog.'  She currently has a neurology consult pending.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Muscle twitching, Rash, Somatic symptom disorder
Clinical narrative: This is a 37 year old female.  Within 10 minutes of her 1st dose Moderna, the patient developed a mild rash (location not specified).  She took a dose of diphenhydramine with some relief.  She went home.  2.5 hours later, she developed a facial twitching and reported to the ED.  She reported involuntary facial muscle twitching, like spasms, that were painful.  On ED presentation, BP=121/86, HR=93, RR=16, SpO2=98%.  ED noted no swelling, itching, SOB, chest pain, N/V/D, or rash.  The ED notes describe the symptoms as "Numerous and varying facial movements including contraction of the lower cheek muscles on the left and then the right along with movement of the tongue from side to side at which point she bites or gets the tongue in the way while trying to speak.  Speech is therefore slurred however at times clear. Oropharynx is clear with mildly dry mucous membranes.  No oral or pharyngeal swelling, difficulty swallowing, or stridor.  Neck is supple and nontender without adenopathy. Differential diagnosis includes: allergic reaction, dystonic drug reaction (unusual to be varying from the left to the right), dyskinesia, anxiety, somatization or conversion disorder, among others.  Her symptoms are not consistent with Bell's palsy, stroke, or clearly tardive dyskinesia. Subsequently given diazepam, fentanyl, and 500mL IV fluids."  She was discharged home.  Patient returned to the ED on 12/31 (within 24hrs) with ongoing symptoms.  Patient was monitored and discharged home again.   One month later, on 1/28/21, chart notes indicate that she has continued to have intermittent symptoms continue.  A trial of steroids reportedly made symptoms worse.  She reports that she also feels fatigued and with 'brain fog.'  She currently has a neurology consult pending.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Resuscitation, Swollen tongue
Clinical narrative: Patient received the first shot on 2/17/21. Nothing seemed unusual during the following days; no complaining of soreness or anything. He hadn't introduce any new medicine or food into his routine. On the morning of 2/21/21, he woke up around 5 AM as usual. He spoke with his wife for a bit. Around 7:00 AM, he started having trouble breathing. He asked for help from family members. 911 was called. EMT's preformed heart compressions for about 45 minutes before pronouncing patient deceased. During EMT's initial encounter, EMT's struggled getting a tube down patient's throat due to his tongue being swallon
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None - Pt. under the age of 18
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever onset (100F) along with chills uncontrollable shivering and teeth chattering around 8 PM. Around 5 Am, fever had hit 103F and body temperature (measured by an Oura ring) recorded average body temperature increase of +5.6F while sleeping compared to baseline. Fever remained intermittently throughout the next day, as well as headache, sore throat, chills.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: I am experiencing severe ringing in the ears (tinnitus) that occured within 24 hours post getting the vaccine. I am still experiencing ringing in the ears and have since made an appointment with my ENT to determine if there are any other possible issues. I never had ringing in the ears prior to the  vaccine.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, body aches, chills, treated with fluids, rest, and Tylenol
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Crying, Delirium, Myalgia, Pain in extremity
Clinical narrative: PT HUSBAND CALLED PHARMACY AROUND NOON ON 3/4/21. HE STATED THAT PT WAS 'DELIRIOUS' TALKING AND HAD A TEMP OF 103*. HISTORY HE GAVE WAS THAT AT 7:OOPM ON NIGHT OF VACCINATION (3/3/21) PT ARM BECAME SORE, THEN AT 10PM IT BECAME SORE WITH MUSCLE ACHES, BY 1:20AM SHE WAS HAVING SEVERE MUSCLE ACHES WITH FEVER. PT SAID ON 3/4/21 HE CAME HOME FOR LUNCH AND PT WAS CRYING, TALKING DELIRIOUS AND TEMP WAS AT THE 103*. PT HAD TAKEN TYLENOL BUT ONLY 10 MINUTES PRIOR TO THEIR CALL TO THE PHARMACY. PT'S HUSBAND HAD TRIED TO CALL THEIR DOCTOR BUT WAS TOLD THEY WOULD HAVE TO WAIT FOR A CALL BACK. AFTER CALLING PT LATER THAT DAY TO CHECK ON HER SHE SAID THAT SHE HAD GONE TO THE ER WHERE THEY ADMINISTERED FLUIDS TO HER.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: PT HUSBAND CALLED PHARMACY AROUND NOON ON 3/4/21. HE STATED THAT PT WAS 'DELIRIOUS' TALKING AND HAD A TEMP OF 103*. HISTORY HE GAVE WAS THAT AT 7:OOPM ON NIGHT OF VACCINATION (3/3/21) PT ARM BECAME SORE, THEN AT 10PM IT BECAME SORE WITH MUSCLE ACHES, BY 1:20AM SHE WAS HAVING SEVERE MUSCLE ACHES WITH FEVER. PT SAID ON 3/4/21 HE CAME HOME FOR LUNCH AND PT WAS CRYING, TALKING DELIRIOUS AND TEMP WAS AT THE 103*. PT HAD TAKEN TYLENOL BUT ONLY 10 MINUTES PRIOR TO THEIR CALL TO THE PHARMACY. PT'S HUSBAND HAD TRIED TO CALL THEIR DOCTOR BUT WAS TOLD THEY WOULD HAVE TO WAIT FOR A CALL BACK. AFTER CALLING PT LATER THAT DAY TO CHECK ON HER SHE SAID THAT SHE HAD GONE TO THE ER WHERE THEY ADMINISTERED FLUIDS TO HER.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Fatigue, Lacrimation increased, Malaise, Oral herpes
Clinical narrative: States two days prior to vaccine he first noticed a fever blister. Reports since receiving first vaccine dose last Friday (2/26/21) he has not been feeling well, notes swollen eyes (lid overlap eyelashes), eyes wet/watery constant, swollen throat, face swelling, and fatigue. Reports this has improved somewhat. Denies any pain/injection site reaction from vaccine.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Swelling face
Clinical narrative: States two days prior to vaccine he first noticed a fever blister. Reports since receiving first vaccine dose last Friday (2/26/21) he has not been feeling well, notes swollen eyes (lid overlap eyelashes), eyes wet/watery constant, swollen throat, face swelling, and fatigue. Reports this has improved somewhat. Denies any pain/injection site reaction from vaccine.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal
Clinical narrative: As the patient was walking out the door, after getting his vaccine, states, " It feels like my blood pressure is high".
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial flutter, Condition aggravated
Clinical narrative: Patient said she experienced atrial flutter later that evening. She reported that it went back into normal rhythm in a day and a half. She stated she would contact her cardiologist to discuss.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Vertigo
Clinical narrative: Severe dizziness, vertigo, fatigue, brain fog. Persistent since vaccination 9 days ago.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Hypoacusis
Clinical narrative: "Pfizer-BioNTech COVID-19 Vaccine EUA"  I woke up the morning after my vaccine with diminished hearing in my left ear. I could feel pressure in my ear but hearing was distinctly muffled. I took 2 "DayQuil" cold capsules hoping an antihistamine might alleviate the situation. I had no relief until 8 hours later when I noticed the pressure in my ear was reduced and my hearing seems to be returning to normal.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Swelling
Clinical narrative: Patient described significant flare-up of arthritis symptoms including joint pain and swelling. Likely due to typical post-vaccination immune response, but more severe considering this patient's underlying medical conditions and treatments. She returned for the 2nd dose, but wanted to report to increase available data regarding this vaccine in immunodiverse individuals.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Wheezing
Clinical narrative: After the client received the vaccine she was in the observation area and the client approached the nurse and stated that she felt like she was having trouble swallowing and the nurse directed her towards the paramedic. the paramedics checked her out and gave her some water. She wasn't feeling any better so they gave her 50mg of Benadryl at 10:00AM. Her BP was 135/84 at 10:02am, pulse 68, resp 16 and 02 sat 96.  Another dose of Benadryl 50mg was given at 10:15 and vitals were BP 144/92, pulse 64, o2 98. At 10:30am the client was given the epi pen while an ambulance was called. Her vitals were at 10:30am BP 160/96, pulse 81, resp 16, o2sat 99.  Lung sounds were clear with light wheezing when checked at 10:20 She was taken via ambulance to the local hospital.  At 3:25PM- the health department staff called the client to check on her. She answered the phone and said that she was at home sleeping. That they didn't do anything for her at the hospital, that she got another epi pen in the ambulance and no diagnosis was given.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swollen tongue, Tongue pruritus
Clinical narrative: At Approximately 1040, patient (Age 35,) received her 2nd dose of Pfizer vaccine (Lot# 6200 Exp. 06/2021). At approximately 1055, EMT was alerted by patient that she felt her tongue somewhat swollen and itchiness in the back of tongue, patient was sitting in observation chair at this time, A&Ox4. At approximately 1100, pt was moved to zero gravity chair, water was given, pt remained A&Ox4 and pink in color. Pt reported allergy to Penicillin- reaction Hives and also has seasonal allergies, with no past history of anaphylaxis. At approximately 1112, RN Lead spoke with patient and EMT about how patient is feeling, patient declined to have EMS called, patient was offered Benadryl, patient agreed and took Benadryl 25mg in 10ml Oral Solution. Vital signs at 1117: HR 74, RR 14, BP 130/90, Vital Signs at 1123 HR 70, RR 14, BP 128/90. At 1125, Patient claims symptoms not worsening. At 1128, tongue did not swell up more than initial complaint. At 1128, Pt stated she ?felt better? and left the facility, Pt A&Ox4, pink in color, ambulating with steady gait, driving herself in her vehicle. Pt verbalized understanding to call her doctor or 911 if she felt anything worsening.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Chills, fever, headache, muscle pain, and tiredness.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Itching and rash to neck
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Long term severe nausea
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hypoaesthesia, Pain, Pain in extremity, Pyrexia
Clinical narrative: Aching arm < 30 minutes after shot. Swelling in neck (left side) 2-3 hrs after shot. Body aches within 6 hours. Fever, chills, and ringing in head within 10 hrs after shot. Fever up to 102.5F.  Shot given 2/16 at 8:30 am. 2/18 at 1pm numbness to left side of face. Went to ED. Swelling in neck  visible with movable gland. Discharged home. 2/19 numbness gone and swelling decreasing. 3/5 arm aches, swelling mild in neck, movable gland persists, ringing in head continues.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Tinnitus
Clinical narrative: Aching arm < 30 minutes after shot. Swelling in neck (left side) 2-3 hrs after shot. Body aches within 6 hours. Fever, chills, and ringing in head within 10 hrs after shot. Fever up to 102.5F.  Shot given 2/16 at 8:30 am. 2/18 at 1pm numbness to left side of face. Went to ED. Swelling in neck  visible with movable gland. Discharged home. 2/19 numbness gone and swelling decreasing. 3/5 arm aches, swelling mild in neck, movable gland persists, ringing in head continues.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Influenza like illness, Injection site erythema, Injection site swelling
Clinical narrative: Following the vaccine the patient began experiencing flu-like symptoms including headache and fatigue the same day. They subsided the next day, however the injection site began to swell, turning warm and red. A large portion of patients deltoid around administration site continues to be swollen and red 3 days following administration. The patient hasn't noticed the area getting any larger and is going to continue to monitor for any worsening symptoms. Patient was advised to seek medical care if symptoms worsened.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: Following the vaccine the patient began experiencing flu-like symptoms including headache and fatigue the same day. They subsided the next day, however the injection site began to swell, turning warm and red. A large portion of patients deltoid around administration site continues to be swollen and red 3 days following administration. The patient hasn't noticed the area getting any larger and is going to continue to monitor for any worsening symptoms. Patient was advised to seek medical care if symptoms worsened.