chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Sluggishness
Clinical narrative: I developed Chills, low grade temp, muscle aches, headache, fatigue that started the first night of the second dose vaccine (Wednesday) and lasted throughout the night. I took Tylenol at 2 am. Woke up at 6 am with headache, nausea, body aches and fatigue. I medicated throughout the second day (Thursday) with Tylenol. I experienced the same symptoms on night two (Thursday), but lesser degree. I Woke up on day 3 (Friday) feeling sluggish but no headache, no chills, no fever. Just an overall feeling of tiredness however, feeling much better.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: One week post vaccine administration, the site has erythema (east/west in orientation, about 2.5" in diameter), warm to the touch and tender.  Tenderness started 1/21/21 but I didn't not look at it until this morning and saw the change in color and temperature of skin.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Face, Neck, Lips,  Tongue went numb for 1.5 hours.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Blood pressure increased, Bundle branch block right, Echocardiogram normal, Full blood count abnormal
Clinical narrative: About 30 hours later (next day), noted his Apple watch showed HR to be around 120's, he was essentially asymptomatic. Waited for 1 hr, spoke with colleague, where a decision was made to bring him to ED for monitoring. Had overnight stay in ED with spontaneous resolution of his tachycardia, elevated BP and had in hospital work up and discharged at 0920 hrs on 01/22/21.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test normal, Platelet count increased, Sinus tachycardia, Troponin increased
Clinical narrative: About 30 hours later (next day), noted his Apple watch showed HR to be around 120's, he was essentially asymptomatic. Waited for 1 hr, spoke with colleague, where a decision was made to bring him to ED for monitoring. Had overnight stay in ED with spontaneous resolution of his tachycardia, elevated BP and had in hospital work up and discharged at 0920 hrs on 01/22/21.
Sex: U
Vaccine: COVID19
Symptoms: Chills, Pain, Peripheral swelling, Product administered at inappropriate site, Pyrexia
Clinical narrative: "nurse injected vaccination in the joint not in the muscle.  injection site was way to high.     kkh - additional notes from staff member: I gave myself 1000mg Tylenol TID and 600 mg IBU TID for the next 48 hours.    my entire arm from my neck down to my hand swelled to half again it's size.  4 hours after injection I started having the chills.  feverish through the noc.  woke up with arm swollen, and body aches for the first 2 days after the shot.    staff member also noted seasonal and some medication allergies"
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Patient recieved dose of pfizer COVID-19 vaccine and at some point during the week after had a seizure that lasted 10 seconds. Patient is being monitored.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient inadvertently received 2 doses of Pfizer COVID-19 < 21 day interval (01/08/2021 and 01/21/2021).
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Asthenia, Body temperature increased, Feeling hot, Headache
Clinical narrative: Started with a severe HA the day after with extremely sore and hot arm.  Progressed to weakness and flu-like symptoms with low grade fever of 101.  Was off work for 2 days unable to hardly get out of bed.  Then on day 2 post vaccine, started with lower abd pain, sharp and continuous.  Day 3 post vaccine, feeling much better but not 100%, Stomach pains continue.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Loss of personal independence in daily activities, Pain in extremity
Clinical narrative: Started with a severe HA the day after with extremely sore and hot arm.  Progressed to weakness and flu-like symptoms with low grade fever of 101.  Was off work for 2 days unable to hardly get out of bed.  Then on day 2 post vaccine, started with lower abd pain, sharp and continuous.  Day 3 post vaccine, feeling much better but not 100%, Stomach pains continue.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Headache, Hyperhidrosis, Impaired work ability
Clinical narrative: fever 101, body aches, chills, profuse sweating  headache, abdominal cramping call sick 1/19 and 1/20
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: fever 101, body aches, chills, profuse sweating  headache, abdominal cramping call sick 1/19 and 1/20
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Eye pain, Headache, Pain, Pyrexia
Clinical narrative: Chills with low grade fever 100.5 Body aches Headache with most pain behind right eye
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fluid intake reduced, Flushing, Hypophagia, Pyrexia
Clinical narrative: At approx 5:13pm on 1/21/2021, change in status with being unresponsive to conversation, Face flushed, taken no food for fluids for the day. T-101.5-102.3 pulse 88-100 02 sat 86%. Unable to take anything orally. Dr updated with request to be evaled in ER. Admitted  to rule out UTI, Covid test was negative, continued high temp, WBC count high.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Unresponsive to stimuli, White blood cell count increased
Clinical narrative: At approx 5:13pm on 1/21/2021, change in status with being unresponsive to conversation, Face flushed, taken no food for fluids for the day. T-101.5-102.3 pulse 88-100 02 sat 86%. Unable to take anything orally. Dr updated with request to be evaled in ER. Admitted  to rule out UTI, Covid test was negative, continued high temp, WBC count high.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Headache, Hypoaesthesia, Limb discomfort
Clinical narrative: C/o lightheadedness, frontal headache 4/10,numbness/tingling of left fingers only, bilateral lower extremities heaviness mild from hips down to feet, "states I just feel off".  Ambulated  short distance to parametics handoff. BP 132/64 HR 70,O2 98%, alert and  oriented x3, denies itchiness,hives, difficulty swallowing. Vitals remaining stable over 45 minutes of evaluating, with numbness in left hand subsided, H/A remains at 4/10, able to stand with remaining heaviness. Patient has declined transport to the ED, although has called for ride home(awaiting).
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: C/o lightheadedness, frontal headache 4/10,numbness/tingling of left fingers only, bilateral lower extremities heaviness mild from hips down to feet, "states I just feel off".  Ambulated  short distance to parametics handoff. BP 132/64 HR 70,O2 98%, alert and  oriented x3, denies itchiness,hives, difficulty swallowing. Vitals remaining stable over 45 minutes of evaluating, with numbness in left hand subsided, H/A remains at 4/10, able to stand with remaining heaviness. Patient has declined transport to the ED, although has called for ride home(awaiting).
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Pt received COVID vaccine (2nd dose) at 0857. Pt reported after twenty-five minutes that it was "difficult to take a deep breath". RN and EMT took VS. VSS. Clear lung sounds. RN told pt to remain for an additional 15 min of observation. Patient stable and able to leave on her own at the end of 15 min observation.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Periorbital oedema, Pruritus, Rash erythematous, Taste disorder
Clinical narrative: Patient   began to have itching on her legs, which spread to the rest of her body as a macular red rash, she received Epi 0.3mg, Prednisolone 45mg po, Benadryl 50mg po, Famotidine 40mg po. Patient was monitored with BP, HR, RR, pulse ox, all normal with increased BP and HR after Epi administered. She was placed supine with legs elevated above the height of the hear.  Pt was anxious so oxygen was administered by nasal cannula at 4 liters per minute.  Within the 15 minutes after meds were given, pt had periorbital edema, a "strange " taste in her mouth as well  pressure in her chest and the rash did not abate but progressed to her face. EMS came and took pt to ED by ambulance.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Vital signs measurement
Clinical narrative: Patient   began to have itching on her legs, which spread to the rest of her body as a macular red rash, she received Epi 0.3mg, Prednisolone 45mg po, Benadryl 50mg po, Famotidine 40mg po. Patient was monitored with BP, HR, RR, pulse ox, all normal with increased BP and HR after Epi administered. She was placed supine with legs elevated above the height of the hear.  Pt was anxious so oxygen was administered by nasal cannula at 4 liters per minute.  Within the 15 minutes after meds were given, pt had periorbital edema, a "strange " taste in her mouth as well  pressure in her chest and the rash did not abate but progressed to her face. EMS came and took pt to ED by ambulance.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Palpitations
Clinical narrative: 0805 Felt confused , heart pounding, lightheadness. BP 180/102 0809 911 called 0810 160-90 0816 Paramedics arrived, Hx of panic attacks that precipitate ED visit, not on any meds.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Tinnitus
Clinical narrative: At 2 a.m. on January 10th, I woke up with a high pitched ringing  sound in my head. The sound was constant and disrupts my sleep significantly. It is always present but not as noticeable during the day when there is noise in the surrounding area, however, my job requires a lot of report writing and for that I work in silence. Therefore, the ringing sound is very distracting and makes it hard to focus. I saw my general practitioner, on January 14th at 4:15 p.m.. She cleaned out my right ear and started me on a 6-day steroid. She did not clean out the left ear because it did not appear to have any wax buildup. I began taking the steroid on Saturday January 16th. The ringing is still there but it does seem to be more on my left side than my right now. I went to an ent specialist on January 19th who checked my hearing and said there was no hearing loss. Her recommendations were to call her in a week and if ringing doesn't go away, she will try another steroid. As of today, the ringing is still present and I have finished the course of steroid.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: FEVER (103.8), CHILLS, ACHY
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Dizziness, Headache
Clinical narrative: Became lightheaded within 30 minutes.  Developed stomach cramps and diarrhea  and chills through the night.  The next day had a headache  and muscle aches in her legs.  Vaccination site was also very sore, feverish and had a small lump .  Symptoms were much better within 2 days.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site warmth, Myalgia
Clinical narrative: Became lightheaded within 30 minutes.  Developed stomach cramps and diarrhea  and chills through the night.  The next day had a headache  and muscle aches in her legs.  Vaccination site was also very sore, feverish and had a small lump .  Symptoms were much better within 2 days.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site swelling, Lymphadenopathy, Myalgia
Clinical narrative: Nausea Vomiting Fatigue Muscle aches Joint aches Swollen Lymph nodes in both armpits; more severe swelling on injection side.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea Vomiting Fatigue Muscle aches Joint aches Swollen Lymph nodes in both armpits; more severe swelling on injection side.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Palpitations
Clinical narrative: Client presented stating she felt like her heart was racing. Initial pulse 120 S/R. Talked for a few minutes and client stated no itching or shortness of breath. After 5 minutes pulse 86 S/R. After 10 minutes pulse 78 S/R. Client stated normal resting heart rate of 65. She takes 12.5mg HCTZ PO daily.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscular weakness, Pain
Clinical narrative: About 4 hours after receiving my shot, I could not raise my arm to my waist.  My arm was useless.  I started taking 800mg ibuprofen twice daily starting the evening of the 8th until the afternoon of the 10th.  My arm appeared to be getting better.  By the 12th, I would say I was about 85%, still having pain upon raising my arm and using it in most circumstances - muscle weakness as well.  By the 15th, the full uselessness of my arm returned just like it was 4 hours after vaccine administration.  I again started 800mg ibuprofen twice daily through the weekend of the 17th. Again, there was gradual improvement.  It's now been 2 weeks since vaccine administration and my arm is still only about 80% functional, and always with some pain or discomfort.  I cannot take off my shirt over my head, for example. I will say the nurse who gave me the vaccination gave it way too high so this is definitely a shoulder injury, but I cannot say as to whether it is from her administration technique or the vaccine itself.  I have never had a reaction like this, ever, and I get vaccines every year.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Malaise, Myalgia
Clinical narrative: Headache, muscle pain (extensive), joint pain (extensive), chills and then night sweats. Generalized malaise
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Night sweats
Clinical narrative: Headache, muscle pain (extensive), joint pain (extensive), chills and then night sweats. Generalized malaise
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient arrived for booster of Pfizer vaccine. Given Moderna instead. Patient PCP notified and follow-up to be conducted.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: On day 8 post vaccination, I started to develop a rash around the injections site. I was itchy, warm, raised, and red. It was not a perfect circle. Today is day 9, and the affected area has become larger.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Described local reaction as "red, raised, and itchy." Treated with "steroidal cream."
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Decreased appetite, Headache, Pain
Clinical narrative: Fever of 102.6 for approximately 12 hours; Body aches; Headache; Low energy; No appetite;
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Death, which I believe is unrelated to vaccination
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Vertigo
Clinical narrative: extreme exhaustion at 10 Wed. night. Upon awakening around 7 AM Thurs. morning, severe vertigo.  Had to crawl because of room spinning.  This continued all day and abated around 6 PM.  Left me feeling tired, and still tired on Fri. AM
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: First dose Pfizer COVID vaccine given 1/6/21 and second dose given at 16 days 1/22/21.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site discomfort, Nausea, Poor quality sleep
Clinical narrative: Day of vaccine (1-20-21)there was significant discomfort at the injection site, 1-325mg of acetaminophen taken prior to bed, resolved by next morning. Slept poorly that night(1-20-21) and woke up at 0630 on 1-21-21 with a headache and nausea. I took 2-325mg acetaminophen at ~0640, which helped with the headache, fully resolved by ~0900.  Nausea did result in 1 episode of vomiting at ~0705. Fatigue was present throughout the day 1-21-21. Woke up on 1-22-21 and all events were resolved.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Day of vaccine (1-20-21)there was significant discomfort at the injection site, 1-325mg of acetaminophen taken prior to bed, resolved by next morning. Slept poorly that night(1-20-21) and woke up at 0630 on 1-21-21 with a headache and nausea. I took 2-325mg acetaminophen at ~0640, which helped with the headache, fully resolved by ~0900.  Nausea did result in 1 episode of vomiting at ~0705. Fatigue was present throughout the day 1-21-21. Woke up on 1-22-21 and all events were resolved.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Muscular weakness, Myalgia
Clinical narrative: *Vomiting and diarrhea by 4:30pm *Headache by 6:30 *Fever of 101.3 by 10:00 continued until 4:00am on January 22 *Extreme fatigue for 24 hours *muscle pain and weakness for 24 hours
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: *Vomiting and diarrhea by 4:30pm *Headache by 6:30 *Fever of 101.3 by 10:00 continued until 4:00am on January 22 *Extreme fatigue for 24 hours *muscle pain and weakness for 24 hours
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hyperhidrosis, Nausea, Pyrexia
Clinical narrative: Approx 5.5 days after receiving her first COVID-19 vaccine, reporter developed a low-grade fever of 99.1-99.4F, headache, light nausea, and fatigue.  Noted profuse sweating upon waking on 1/21/21.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Headache, body aches, exhaustion, slight chills with no fever. Lasted until sometime in the late night of 1/21.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Peripheral swelling
Clinical narrative: Localized reaction-- 2 sites left deltoid region. Site 1- 2 cm x 0.5 cm, Site 2- 9 cm x 2 cm- erythema, warmth, upper arm swelling 1.5 cm greater on left side (non-dominant). Tx- cool compresses, hydrocortisone ointment, NSAIDS
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Chills, Decreased appetite, Nausea
Clinical narrative: 2 days after, complaining of chills, nausea, no appetite and significant weight loss of 10#.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Weight decreased
Clinical narrative: 2 days after, complaining of chills, nausea, no appetite and significant weight loss of 10#.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: next day soreness at site of injection
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal dreams, Arthralgia, Chills, Headache, Injection site pain
Clinical narrative: Overnight after receiving 2nd dose of vaccine, patient developed intense body aches, joint pain in larger joints, and chills. Also very vivid dreams, headache and intermittent nausea, but no vomiting. R upper arm at injection site is very tender, but no redness or warmth.  Ibuprofen helped with the aches and chills.   Unsure of exact temp, as thermometer just reads ?low? (think the battery needs to be replaced).   Pt rested, increased fluids, and used anti-pyretics as needed to recover. Symptoms subsided after 24 hours.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain
Clinical narrative: Overnight after receiving 2nd dose of vaccine, patient developed intense body aches, joint pain in larger joints, and chills. Also very vivid dreams, headache and intermittent nausea, but no vomiting. R upper arm at injection site is very tender, but no redness or warmth.  Ibuprofen helped with the aches and chills.   Unsure of exact temp, as thermometer just reads ?low? (think the battery needs to be replaced).   Pt rested, increased fluids, and used anti-pyretics as needed to recover. Symptoms subsided after 24 hours.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Loss of personal independence in daily activities, Nausea
Clinical narrative: Nausea, headache, fatigue, diarrhea, body aches. Lasted for 5 days. I had to miss work. I looked on website to see if this was a side effect, but none of these symptoms were listed. A couple of coworkers had the same symptoms with time frame
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Nausea, headache, fatigue, diarrhea, body aches. Lasted for 5 days. I had to miss work. I looked on website to see if this was a side effect, but none of these symptoms were listed. A couple of coworkers had the same symptoms with time frame
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Feeling hot, Headache
Clinical narrative: Later that night on the day I got my injection, I started to get chills. After a few hours the chills turned into a feeling of being warm. I had my wife check my temp 2-3 times and it was 100.3. I also had a headache.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Diarrhoea, Fatigue, Headache, Injection site pain
Clinical narrative: Headache/congestion nausea diarrhea body aches bone ache extreme fatigue very painful arm At  injection site
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Respiratory tract congestion, SARS-CoV-2 test
Clinical narrative: Headache/congestion nausea diarrhea body aches bone ache extreme fatigue very painful arm At  injection site
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypertension, Vital signs measurement
Clinical narrative: Patient stated she felt dizzy, and was slightly hypertensive (150/85 mm/Hg & 158/90 mm/Hg) She denied shortness of breath or chest pain and the dizziness subsided
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Flushing, Nausea
Clinical narrative: Started with flushing. Recieved 25mg Bendaryl po, which did not seem to help. progressed to nausea, some SOB, received epi, then started to break out. Prepare to take to BMC. Another dose of epi was given prior to transport. BP 176/106 HR 84 P 22
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dry mouth, Feeling hot, Flushing, Headache
Clinical narrative: Started with flushing. Recieved 25mg Bendaryl po, which did not seem to help. progressed to nausea, some SOB, received epi, then started to break out. Prepare to take to BMC. Another dose of epi was given prior to transport. BP 176/106 HR 84 P 22
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate, Heart rate increased, Nausea, Rash, SARS-CoV-2 test
Clinical narrative: Started with flushing. Recieved 25mg Bendaryl po, which did not seem to help. progressed to nausea, some SOB, received epi, then started to break out. Prepare to take to BMC. Another dose of epi was given prior to transport. BP 176/106 HR 84 P 22
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swollen tongue, Urticaria
Clinical narrative: Started with flushing. Recieved 25mg Bendaryl po, which did not seem to help. progressed to nausea, some SOB, received epi, then started to break out. Prepare to take to BMC. Another dose of epi was given prior to transport. BP 176/106 HR 84 P 22
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Moderna COVID-19 Vaccine EUA Rash below vaccine site - oval shape, center clear, red slightly raised rim, slightly warm. No pain, itching. No other symptoms. First noticed 1/21/2021.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokalaemia, Laboratory test normal, Myalgia, Red blood cell sedimentation rate normal
Clinical narrative: severe myalgias from days 10-13 post-injection.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Seven days after my 1st dose, I developed a large red swollen area at the injection site. The swelling was about 3 inches x 3 inches. It was red, hot to the touch, firm, and made my arm very sore. I took one dose of Bendaryl. The next day, it was less firm and not as swollen, but it was still hot to the touch, and the red color began to spread into a larger patch. It was also itchy. I took two doses of Advil. Today, it is much less swollen, but is still hot to the touch and a large red patch. I have taken ibuprofen to help with the achiness.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: Seven days after my 1st dose, I developed a large red swollen area at the injection site. The swelling was about 3 inches x 3 inches. It was red, hot to the touch, firm, and made my arm very sore. I took one dose of Bendaryl. The next day, it was less firm and not as swollen, but it was still hot to the touch, and the red color began to spread into a larger patch. It was also itchy. I took two doses of Advil. Today, it is much less swollen, but is still hot to the touch and a large red patch. I have taken ibuprofen to help with the achiness.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea
Clinical narrative: Chills, nausea, headache
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: CHILLS AND FEVER ON 1ST DAY AFTER VACCINE. MUSCLE ACHE, HEADACHE, NAUSEA AND TIREDNESS ON 2ND DAY. TOOK TYLENOL AND IBUPROFEN
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: CHILLS AND FEVER ON 1ST DAY AFTER VACCINE. MUSCLE ACHE, HEADACHE, NAUSEA AND TIREDNESS ON 2ND DAY. TOOK TYLENOL AND IBUPROFEN
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Nausea
Clinical narrative: Noticed a few hours after I got vaccine. Not exactly sure exact time because work nights and came home and went to sleep after vaccine .  Achy spine, front of my head hurt, nauseous. Same 2nd day. 3rd day just achy spine. Slept on and of last few days.  Did not call Dr.  Or go into office because symptoms didnt worsen. I work in hospital and kept in contact with EHO on monitoring steps i needed to take.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Urticaria
Clinical narrative: Temp of 102 took Tylenol stated to go down them Spikes again 24 hours later back to 102 took more Tylenol and has finally gone below 100 Hives  on chest back behind knees back of legs and bottom of feet.  Stated in one spot and progresses thought out the day and night. Took Benadryl and put Benadryl cream on  has calmed down after several doses of Benadryl
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pain in extremity, Rash macular
Clinical narrative: Sore arm and nickel sized red 'dot' started same day as injection. soreness has lessened since the date of the vaccine, red 'dot' has remained. Mild dizziness the following morning for about 2 or 3 hours.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Tenderness
Clinical narrative: Client received the vaccine on 1/8/21.  The arm was sore until 1/16/21 when it became red and tender to touch. Was still red and tender when she reported the reaction to the health department.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Hot flush, Pain
Clinical narrative: Chills, body aches, headache, light headed, hot flashes. Lasted 24 hours
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Large swollen area surrounding injection site appeared 6 days after vaccine was administered.  The area is also red, warm to touch, and itchy.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Pain
Clinical narrative: Extreme arm soreness, body aches, joint pain, headache, chills , congestion, runny nose, and fever up to 100.9 even on Tylenol.   Symptoms were more than moderate.  Had to alternate Tylenol and Advil every 3 hours for fever.  Arm soreness started just hours after shot and hurt even when arm was stationary.  Other symptoms started overnight and lasted through the next night.  Received shot We?d at 4:30 and took until Friday for major symptoms to subside. Still with some congestion, runny nose and tiredness as of today (Friday).
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Extreme arm soreness, body aches, joint pain, headache, chills , congestion, runny nose, and fever up to 100.9 even on Tylenol.   Symptoms were more than moderate.  Had to alternate Tylenol and Advil every 3 hours for fever.  Arm soreness started just hours after shot and hurt even when arm was stationary.  Other symptoms started overnight and lasted through the next night.  Received shot We?d at 4:30 and took until Friday for major symptoms to subside. Still with some congestion, runny nose and tiredness as of today (Friday).
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Fatigue, Injection site swelling
Clinical narrative: 16-40 hours post injection: joint pain/body aches, mid-grade fever, chills, lack of energy, tired.  38+ hours post injection: swelling lymph node in arm pit of arm where injection was administered.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Pyrexia
Clinical narrative: 16-40 hours post injection: joint pain/body aches, mid-grade fever, chills, lack of energy, tired.  38+ hours post injection: swelling lymph node in arm pit of arm where injection was administered.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Malaise, Nausea, Pyrexia
Clinical narrative: Chills, fever to 100.7, mild nausea, malaise, fatigue all resolving in 24 hours. A transient light rash (hives) noted at bedtime 48 hours after injection, totally resolving by morning. Not sure this were real adverse advents,but very happy to have had a robust reaction indicating it's working! !!
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Chills, fever to 100.7, mild nausea, malaise, fatigue all resolving in 24 hours. A transient light rash (hives) noted at bedtime 48 hours after injection, totally resolving by morning. Not sure this were real adverse advents,but very happy to have had a robust reaction indicating it's working! !!
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue, Headache, Rash, Throat irritation
Clinical narrative: Headache, fever between 100-101 degrees F, rash on both arms, body fatigue, itchy throat
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Headache, Fever, Chills, Nausea, Body Aches. Restless. Worst symptoms lasted 24 hours. The next 24 hours was lingering headache, fatigue, but improved from day before.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Restlessness
Clinical narrative: Headache, Fever, Chills, Nausea, Body Aches. Restless. Worst symptoms lasted 24 hours. The next 24 hours was lingering headache, fatigue, but improved from day before.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: slight fever, chills, , sore muscles, slight head ache, fatigue
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood heavy metal normal, Blood thyroid stimulating hormone, Burning sensation, Fatigue, Feeling abnormal
Clinical narrative: Moderate burning on right leg from mid thigh to ankle. Difficult to have clothing or sheets touching.  Lasted about 8 to 10 days. Resolved. Mild Numbness in lips for a week. Resolved. Previous lip fillers used fyi within the last 18 months.  Extreme brain fog and fatigue that lasted about 8 to 10 days. Worst of it was over after five days.  Visual distortion in left eye that lasted 2 minutes on Jan 3rd. Small circular area rolled around in Visual field. Not painful and Resolved.  UTI around 1/10 assuming unrelated.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Hypoaesthesia oral, Magnetic resonance imaging, Metamorphopsia, Sensitive skin
Clinical narrative: Moderate burning on right leg from mid thigh to ankle. Difficult to have clothing or sheets touching.  Lasted about 8 to 10 days. Resolved. Mild Numbness in lips for a week. Resolved. Previous lip fillers used fyi within the last 18 months.  Extreme brain fog and fatigue that lasted about 8 to 10 days. Worst of it was over after five days.  Visual distortion in left eye that lasted 2 minutes on Jan 3rd. Small circular area rolled around in Visual field. Not painful and Resolved.  UTI around 1/10 assuming unrelated.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Vitamin B12
Clinical narrative: Moderate burning on right leg from mid thigh to ankle. Difficult to have clothing or sheets touching.  Lasted about 8 to 10 days. Resolved. Mild Numbness in lips for a week. Resolved. Previous lip fillers used fyi within the last 18 months.  Extreme brain fog and fatigue that lasted about 8 to 10 days. Worst of it was over after five days.  Visual distortion in left eye that lasted 2 minutes on Jan 3rd. Small circular area rolled around in Visual field. Not painful and Resolved.  UTI around 1/10 assuming unrelated.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Swelling
Clinical narrative: Swollen, red, sore arm from shoulder to the elbow beginning Friday 1/15/21. Physician recommended Benadryl 25 mg every 6 hours.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: body aches for 36 hours and low grade fever for unknown amount of time
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: C/O feeling woozy. Evaluated by EMT. VSS. O2 Sat 99 %. Patient had water and snack to take home. She was alert, oriented, gait steady at time of "discharge". She declined transfer to the hospital.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: FEVER -99.1; MINOR ACHINESS; SLIGHT FATIGUE
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Vital signs measurement
Clinical narrative: Patient states having headache added an additional 15 minutes to observation
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: 48 hours after vaccine developed Left axillary lymph node swelling and pain. Currently taking alleve for pain.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: c/o dizziness after receiving vaccine. Given PO fluids and crackers. Felt better and d/c'ed home.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Mobility decreased, Muscle tightness, Pain, Pruritus
Clinical narrative: Extremely sore for 24-48 hours (which is I believe is somewhat normal) however mild soreness remains one week later.  Couldn't abduct arm for about 24 hours due to pain.  Very faint red rash a few inches below injection site that goes across arm.  Arm is moderately itchy and has been since Monday 1/18/21.  Arm feels tight and is still pretty sore when reaching out and stretching it above my head.   No redness, itchiness, or discomfort around injection site.  Everything is in the middle of the upper arm.  The itchiness and prolonged soreness are my concerns, considering I still need a 2nd dose.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Extremely sore for 24-48 hours (which is I believe is somewhat normal) however mild soreness remains one week later.  Couldn't abduct arm for about 24 hours due to pain.  Very faint red rash a few inches below injection site that goes across arm.  Arm is moderately itchy and has been since Monday 1/18/21.  Arm feels tight and is still pretty sore when reaching out and stretching it above my head.   No redness, itchiness, or discomfort around injection site.  Everything is in the middle of the upper arm.  The itchiness and prolonged soreness are my concerns, considering I still need a 2nd dose.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Patient suffered stroke morning after vaccine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: Headache, fever, fatigue
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Urticaria
Clinical narrative: One week later had redness, slight swelling and slight itching at injection site in one place about the size of 3 quarters and one small place above that about the size of a Lima  bean. Was same size, but less itchy the following day. I can?t be 100% sure it was not from an insect bite, but looked more like hives.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Rash, Rash macular, Urticaria
Clinical narrative: One week after receiving first dose, developed intense itching and redness at area of and surrounding injection site. First time woke me from sleep around 1 AM(?), so unsure how long it lasted.  I forgot about it until it started again. Intense itching started again around 11 AM lasted about 1-1.5 hours. This was first time I looked at it and the area was blotchy, slightly red (~ 5 cm)and there were some urticaria and an underlying rash. Slight redness remained all day. Itching returned several times that day but did not last as long. Hydrocortisone cream helped. It is still present as of today,  but is resolving with intermittent redness and itching.
Age: 100.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death on 1-5-21
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Paraesthesia oral
Clinical narrative: Within 5 mins of vaccination the patient reported tingling tongue and mouth. Headache beginning about 11:16 am
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Confusional state, Dizziness, Dysarthria, Dyspnoea
Clinical narrative: Immediately started getting rapid heart beat, difficulty breathing, dizziness.  Half an hour later got chest pain, mental confusion and slurring of speech.  Had to sit for over 30 minutes.  Is allergic to Epinephrine so not able to give Epi Pen.  Just had observation.   It lasted a little over an hour, but was still dizzy.  On 1/21/21 felt horrible, felt like he was getting sick, but has now recovered fully from the event.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Heart rate increased, Malaise
Clinical narrative: Immediately started getting rapid heart beat, difficulty breathing, dizziness.  Half an hour later got chest pain, mental confusion and slurring of speech.  Had to sit for over 30 minutes.  Is allergic to Epinephrine so not able to give Epi Pen.  Just had observation.   It lasted a little over an hour, but was still dizzy.  On 1/21/21 felt horrible, felt like he was getting sick, but has now recovered fully from the event.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash and itching starting 8 days after vaccine was given across chest, upper inner arm, posterior knees/thighs
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pallor, Paraesthesia
Clinical narrative: Patient had stated she felt well. 1-2 minutes later she c/o feeling woozy and was uncertain if her right hand was pale. + tingling. Brought to be evaluated by EMT.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dyspepsia, Injection site pain, Pain
Clinical narrative: vaccine site soreness very thirsty chills body aches diarrhea fever 101.4 acid burning feeling in stomach
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Thirst
Clinical narrative: vaccine site soreness very thirsty chills body aches diarrhea fever 101.4 acid burning feeling in stomach
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Grunting, Paraesthesia oral, Pharyngeal swelling, Syncope
Clinical narrative: Pt had Moderna Vaccine.  Pt verbalized lip tingling sensation, followed by throat swelling and fainting and grunting with inspiration.  Was not able to obtain BP at the time.  Epinephrine 0.1 mcg x 2 was given 3-5 minutes apart.  Pt responded well.  Was alert, and verbally responsive. Pt also received Benadryl 50 mg IM, Famotidine 20 mg, and Solumedrol 40 mg.  Pt was taken by Paramedics to Emergency department for continued management.  Pt was advised to not take second dose of Moderna Vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: Hard, red, painful, warm lump at injection site that is progressively getting larger since receiving vaccine. Started as a small light red bump when vaccine was giving but over the last 48-72 hours has grown, became warm, darker red color.   Sensitivity and swelling in Armpit started within the last 24 hours
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Tenderness
Clinical narrative: Hard, red, painful, warm lump at injection site that is progressively getting larger since receiving vaccine. Started as a small light red bump when vaccine was giving but over the last 48-72 hours has grown, became warm, darker red color.   Sensitivity and swelling in Armpit started within the last 24 hours
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dysstasia, Headache, Pyrexia, Vomiting
Clinical narrative: Strong reaction(not moderate). High fever, labored breathing, vomiting, headache. Could not stand. Lasted about 12 hours and then started to feel better.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Feeling abnormal, Feeling hot, Headache, Impaired work ability
Clinical narrative: 1/5- I woke at 11:00 p.m. with a horrible headache, nauseous, and could not go back to sleep.  1/6- I had horrible migraine like headache, nauseous, felt sluggish, weak, hot. That night I was having sever night sweats, running fever, headache, nauseous. Could not sleep.  1/7- I could not go to work same symptoms continued. Migraine type headache, nauseous, weak, overall feeling horrible.  1/8- Still had headache but other symptoms were getting better.  1/9- Started feeling back to normal.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nausea, Night sweats, Pyrexia, Sleep disorder
Clinical narrative: 1/5- I woke at 11:00 p.m. with a horrible headache, nauseous, and could not go back to sleep.  1/6- I had horrible migraine like headache, nauseous, felt sluggish, weak, hot. That night I was having sever night sweats, running fever, headache, nauseous. Could not sleep.  1/7- I could not go to work same symptoms continued. Migraine type headache, nauseous, weak, overall feeling horrible.  1/8- Still had headache but other symptoms were getting better.  1/9- Started feeling back to normal.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Sluggishness
Clinical narrative: 1/5- I woke at 11:00 p.m. with a horrible headache, nauseous, and could not go back to sleep.  1/6- I had horrible migraine like headache, nauseous, felt sluggish, weak, hot. That night I was having sever night sweats, running fever, headache, nauseous. Could not sleep.  1/7- I could not go to work same symptoms continued. Migraine type headache, nauseous, weak, overall feeling horrible.  1/8- Still had headache but other symptoms were getting better.  1/9- Started feeling back to normal.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Pain, Pruritus
Clinical narrative: Experienced normal pain after first receiving the shot which was gone by day three. On day eight, a rash began to appear in the area right below the shot. It expanded and defined itself overnight. Mild itching  and some pain returning. Treatment of Advil and ice packs will be used.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: Patient reported redness that began to spread down arm towards elbow. Patient consulted w/ PCP and was prescribed oral antibiotics.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Inflammation, Neck pain, Spinal X-ray
Clinical narrative: Dolor de Pecho  (Chest Pain). Dolor e inflamacion area izquierda del cuello (Neck Pain/ Inflammation).  A small bump is noticeable and palpable at neck (left side).   Visit Emergency Room and received medications for pain ( Ketorolac ) and muscle relaxant  (Orphenadrine).
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Dolor de Pecho  (Chest Pain). Dolor e inflamacion area izquierda del cuello (Neck Pain/ Inflammation).  A small bump is noticeable and palpable at neck (left side).   Visit Emergency Room and received medications for pain ( Ketorolac ) and muscle relaxant  (Orphenadrine).
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Chest pain, Groin pain, Hypoaesthesia, Injection site pain
Clinical narrative: Swelling and pain to right deltoid (injection site). Swelling to right Axillary described as "size of baseball". Swelling and pain radiated to right side of neck. Pain radiated to mid sternum, right side of chest, down right arm. Intermittent numbness and tingling to right arm, may include entire arm or sections of right arm. Moving from sit to stand, pain in right side groin area. Pain overall rated at 5/10. Right axillary pain 7/10. 01/22/2021, pain has "significantly improved",  numbness resolved on 01/20/2020, tingling continues at this time. Overall rated pain currently 3/10, continues in all sites listed above. Visited PCP on 01/20/2021, prescribed 800mg 3 times daily for pain. Recommended to follow up Public Health or CDC. PCP had no further guidance for future vaccinations, client would need to make that decision independently. PCP recommended follow up if symptoms continue or worsen.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site swelling, Lymphadenopathy, Neck pain, Pain, Pain in extremity
Clinical narrative: Swelling and pain to right deltoid (injection site). Swelling to right Axillary described as "size of baseball". Swelling and pain radiated to right side of neck. Pain radiated to mid sternum, right side of chest, down right arm. Intermittent numbness and tingling to right arm, may include entire arm or sections of right arm. Moving from sit to stand, pain in right side groin area. Pain overall rated at 5/10. Right axillary pain 7/10. 01/22/2021, pain has "significantly improved",  numbness resolved on 01/20/2020, tingling continues at this time. Overall rated pain currently 3/10, continues in all sites listed above. Visited PCP on 01/20/2021, prescribed 800mg 3 times daily for pain. Recommended to follow up Public Health or CDC. PCP had no further guidance for future vaccinations, client would need to make that decision independently. PCP recommended follow up if symptoms continue or worsen.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia
Clinical narrative: Swelling and pain to right deltoid (injection site). Swelling to right Axillary described as "size of baseball". Swelling and pain radiated to right side of neck. Pain radiated to mid sternum, right side of chest, down right arm. Intermittent numbness and tingling to right arm, may include entire arm or sections of right arm. Moving from sit to stand, pain in right side groin area. Pain overall rated at 5/10. Right axillary pain 7/10. 01/22/2021, pain has "significantly improved",  numbness resolved on 01/20/2020, tingling continues at this time. Overall rated pain currently 3/10, continues in all sites listed above. Visited PCP on 01/20/2021, prescribed 800mg 3 times daily for pain. Recommended to follow up Public Health or CDC. PCP had no further guidance for future vaccinations, client would need to make that decision independently. PCP recommended follow up if symptoms continue or worsen.