chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, White blood cell count increased
Clinical narrative: Pt to ED 4/18 for GI bleeding and altered mental status, pt awake and continues to be confused, pt is A&O x 1. 4/20 pt without new complaints; feeling better; no chest pain/palpitations, stable. 4/27 Sepsis BPA firing, but pt remains A&Ox3-4 and showing no s/s of distress. 5/1 Pt Magnesium still low, replacement done with Mg Sulfate 1gm IV x 3 doses per electrolyte replacement. 5/2 No acute complaints, denied being in pain. 5/4 pt A&Ox3 with some forgetfulness, VSS on room air, with no change in the pt assessment, pt s/p bone marrow biopsy.  5/8 pt Sepsis BPA fired for a score of 9. Due to temp of 100.3, HR 113, and WBC being 18.5. Pt tolerated procedure well. 5/13 Pt c/o cold symptoms, COVID+, discharged 5/13.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case. Moderna 047A21A 3/24/21, 043B21A 4/22/21, and boosted 034F21A 12/13/21.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse events. Instead of 0.25ml, patient received 0.5ml
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: Resident was administered the Pfizer Covid-19 vaccine as her second booster shot. Consent obtained by family. Call from nursing home to report that resident had already received her vaccine at the hospital on 6/7/2022. Resident received addition vaccine on 6/10/22. No ill effects
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Cardiac murmur, Electric shock sensation, Exercise tolerance decreased
Clinical narrative: Within 30 minutes, developed tingling to right arm and tingling/numbness to fingertips of right hand. The pins needles sensations progressed down to right leg working its way to top of head(this felt like an electrical sensation shooting across the top of my scalp) then proceeding down my spine crossing to left arm and then down left leg. This took about an hour to progress across the body. Once this happened, I started having the sensations at random sites on my body- no pattern.  within 2 hours, developed sharp, stabbing pain to right lower back. episode brief but painful.  within 4 hours, developed tension headache- lots of pressure across my head. 6 hours developed deep itching to chest/torso/back. leg vibrations occurred briefly while laying in bed.  12 hours woke up with sweat drenching my chest, abdominal cramps, lower back pain, spotting. Right arm extremely painful.   Headadche lasted for 2 days, sensations occurred consistently for 2 days, abdominal cramps and spotting lasted for 3 days.   developed exercise fatigue, palpitations within 5 days of vaccination. heart murmur detected 21 days after vaccination. continue to have pins/needles sensations to this day- random.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Head discomfort, Headache, Hyperhidrosis, Hypoaesthesia
Clinical narrative: Within 30 minutes, developed tingling to right arm and tingling/numbness to fingertips of right hand. The pins needles sensations progressed down to right leg working its way to top of head(this felt like an electrical sensation shooting across the top of my scalp) then proceeding down my spine crossing to left arm and then down left leg. This took about an hour to progress across the body. Once this happened, I started having the sensations at random sites on my body- no pattern.  within 2 hours, developed sharp, stabbing pain to right lower back. episode brief but painful.  within 4 hours, developed tension headache- lots of pressure across my head. 6 hours developed deep itching to chest/torso/back. leg vibrations occurred briefly while laying in bed.  12 hours woke up with sweat drenching my chest, abdominal cramps, lower back pain, spotting. Right arm extremely painful.   Headadche lasted for 2 days, sensations occurred consistently for 2 days, abdominal cramps and spotting lasted for 3 days.   developed exercise fatigue, palpitations within 5 days of vaccination. heart murmur detected 21 days after vaccination. continue to have pins/needles sensations to this day- random.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Palpitations, Paraesthesia, Pruritus, Tension headache
Clinical narrative: Within 30 minutes, developed tingling to right arm and tingling/numbness to fingertips of right hand. The pins needles sensations progressed down to right leg working its way to top of head(this felt like an electrical sensation shooting across the top of my scalp) then proceeding down my spine crossing to left arm and then down left leg. This took about an hour to progress across the body. Once this happened, I started having the sensations at random sites on my body- no pattern.  within 2 hours, developed sharp, stabbing pain to right lower back. episode brief but painful.  within 4 hours, developed tension headache- lots of pressure across my head. 6 hours developed deep itching to chest/torso/back. leg vibrations occurred briefly while laying in bed.  12 hours woke up with sweat drenching my chest, abdominal cramps, lower back pain, spotting. Right arm extremely painful.   Headadche lasted for 2 days, sensations occurred consistently for 2 days, abdominal cramps and spotting lasted for 3 days.   developed exercise fatigue, palpitations within 5 days of vaccination. heart murmur detected 21 days after vaccination. continue to have pins/needles sensations to this day- random.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage, Vibratory sense increased
Clinical narrative: Within 30 minutes, developed tingling to right arm and tingling/numbness to fingertips of right hand. The pins needles sensations progressed down to right leg working its way to top of head(this felt like an electrical sensation shooting across the top of my scalp) then proceeding down my spine crossing to left arm and then down left leg. This took about an hour to progress across the body. Once this happened, I started having the sensations at random sites on my body- no pattern.  within 2 hours, developed sharp, stabbing pain to right lower back. episode brief but painful.  within 4 hours, developed tension headache- lots of pressure across my head. 6 hours developed deep itching to chest/torso/back. leg vibrations occurred briefly while laying in bed.  12 hours woke up with sweat drenching my chest, abdominal cramps, lower back pain, spotting. Right arm extremely painful.   Headadche lasted for 2 days, sensations occurred consistently for 2 days, abdominal cramps and spotting lasted for 3 days.   developed exercise fatigue, palpitations within 5 days of vaccination. heart murmur detected 21 days after vaccination. continue to have pins/needles sensations to this day- random.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Laboratory test, Mechanical urticaria, Urticaria
Clinical narrative: Severe allergic reaction 10 days after 3rd Moderna shot. Hives all over body and now have dermatographia up to this day. Was given steroid shot and prescribed prednisone, famotidine, Dexamethasone and triamcinolone acetonide 0.1 % topical cream during a month's period. Eventually was told to take over the counter antihistamines as needed.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Dermatitis, Erythema, Psoriasis
Clinical narrative: He got his vaccine, around 3-4 days after the vaccine he started getting spots all over his body, arms, legs, back and head.  He saw a dermatologist, took a biopsy and determined to be psoriasis.  He did not have this prior to that.  He did have eczema in the past in high school.   He was treated with some creams as his insurance would not pay for a biological medication, which is $7,000.00.  He has spent a lot money on creams and biopsies and now reporting it as it is getting out of hand.  The creams keep it in check, but if he misses a day then he gets red red and inflamed, but the creams make it crusty and so forth.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac arrest, Death, Dyspnoea
Clinical narrative: 1/3/22 pt in Medical Center for AMS; tested positive for COVID; hx of falls at home; NRB in hospital; dobhoff tube placed, but pt ripped it out; family decided on comfort feeding with comfort measures and hospice; 1/11/22 admitted to Hospice with dx COVID PNA; on O2 6 L via NC for SOB; pt found by nurse without a pulse or heart beat; expired in Hospice
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal tube insertion, Intentional medical device removal by patient, Mental status changes, Pulse absent, SARS-CoV-2 test positive
Clinical narrative: 1/3/22 pt in Medical Center for AMS; tested positive for COVID; hx of falls at home; NRB in hospital; dobhoff tube placed, but pt ripped it out; family decided on comfort feeding with comfort measures and hospice; 1/11/22 admitted to Hospice with dx COVID PNA; on O2 6 L via NC for SOB; pt found by nurse without a pulse or heart beat; expired in Hospice
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: It was just that I got Covid, congestion, sore throat, slight cough, horrible headache. I'm still having symptom and I'm on day 14 from testing positive. They have been minor.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 4/30 for generalized weakness and fatigue. Pt is AOx2, hx dementia. COVID+  5/1, on RA O2,  started on Decadron and room-air oxygen, mild to moderate severity. 5/3 He denies any pain.  Denies any chest pain or shortness of breath. Is requiring oxygen at about 5 L. 5/4 No new complaints noted; stable; no acute cardiac issues. Pt discharged 5/5.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient should of received adult dose for second shot but instead received the pediatric dose.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: 1/6/22 COVID test positive; ordered by Medical Center; no medical records on this patient; pt per Death Certificate died at Hospice on 1/11/22
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Influenza like illness, Pain
Clinical narrative: Very flu like symptoms body ache, chills, fever, headache and fatigue. Its last for about 3 days.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Very flu like symptoms body ache, chills, fever, headache and fatigue. Its last for about 3 days.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Extra dose administered, SARS-CoV-2 test positive
Clinical narrative: I received 2 shot vaccine (Pfizer), then 3rd booster 9/24/21, then 4th booster 5/1/22.  I contracted Covid while on vacation and tested positive on 6/10/22.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received the Pfizer booster dose on 6/14/22 at 9:20am.  It wasn't discovered until 3:15pm that the vaccine had expired on 4/10/22.  I have followed up with the patient and he is doing fine.  I have reached out to Pfizer to see if the patient needs to be revaccinated or not.  Awaiting results from Pfizer
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Expired product administered, Influenza like illness
Clinical narrative: Patient received the Pfizer booster dose on 6/14/22 at 9:20am.  It wasn't discovered until 3:15pm that the vaccine had expired on 4/10/22.  I have followed up with the patient and he is doing fine.  I have reached out to Pfizer to see if the patient needs to be revaccinated or not.  Awaiting results from Pfizer
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Drug ineffective, SARS-CoV-2 test
Clinical narrative: Patient received the Pfizer booster dose on 6/14/22 at 9:20am.  It wasn't discovered until 3:15pm that the vaccine had expired on 4/10/22.  I have followed up with the patient and he is doing fine.  I have reached out to Pfizer to see if the patient needs to be revaccinated or not.  Awaiting results from Pfizer
Age: 24.0
Sex: M
Vaccine: MMRV, VARCEL
Symptoms: Wrong product administered
Clinical narrative: Provider had ordered Varicella, as well as a MMR vaccination. Patient was injected with a MMRV vaccination, already containing the Varicella vaccination, as well as a regular Varicella immunization. This was in error, as the incorrect MMR/MMRV was drawn up, resulting in the patient receiving a double dose of Varicella. Due to patient's age, provider stated that the possible side effects are flue like symptoms, and rash.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Caesarean section, Death of relative, Exposure during pregnancy, Foetal growth restriction, Laboratory test
Clinical narrative: I was 4 months pregnant at first vaccine. 12/2022 5 months pregnant at second dose 1/2022  Completely normal anatomy scan at 20 weeks gestation and completely normal scans at perinatology on 12/27/2022  At 6 months pregnant I became severely preeclamptic and with SEVERE IUGR. Symptoms started on 2/7/2022 and I was hospitalized on 2/9/2022 with delivery scheduled due to severity of preeclampsia.   I have had a prior pregnancy with NO complications. I meet ZERO risk factors for preeclampsia.   I had to deliver my daughter at 25 weeks gestation via Csection  in which she passed away 6 hours later. She was 404grams. Placenta was sent for testing and many complications related to placenta in which were not seen on any prior scans prior to vaccines.   Estimated due date was 5/22/2022. Severe prematurity and IUGR as diagnosis on death certificate.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pre-eclampsia, Premature delivery, Scan normal
Clinical narrative: I was 4 months pregnant at first vaccine. 12/2022 5 months pregnant at second dose 1/2022  Completely normal anatomy scan at 20 weeks gestation and completely normal scans at perinatology on 12/27/2022  At 6 months pregnant I became severely preeclamptic and with SEVERE IUGR. Symptoms started on 2/7/2022 and I was hospitalized on 2/9/2022 with delivery scheduled due to severity of preeclampsia.   I have had a prior pregnancy with NO complications. I meet ZERO risk factors for preeclampsia.   I had to deliver my daughter at 25 weeks gestation via Csection  in which she passed away 6 hours later. She was 404grams. Placenta was sent for testing and many complications related to placenta in which were not seen on any prior scans prior to vaccines.   Estimated due date was 5/22/2022. Severe prematurity and IUGR as diagnosis on death certificate.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: Headache, Fever
Age: 13.0
Sex: M
Vaccine: HEPA, HPV9, MNQ, TDAP
Symptoms: Anxiety, Crying, Cyanosis, Dizziness, Eye movement disorder
Clinical narrative: At 0930 on 6/15/2022, completed administration of immunizations to client (order Right Arm: Hep A, MenQuadfi, Left Arm: Tdap, HPV). After five seconds, client's skin color became pale, lip color turned blue, eyes rolled into head, and client lost consciousness. Client unconscious for thirty seconds before awaking. Client alert but oriented to person. Client anxious, crying. Assured client he was safe and brought mother around into client's vision better. Reclined chair back 45 degrees. Used cool compress to the temples. After five minutes of mother talking and providing touch, client stopped crying and became oriented x 4. Client stated felt dizzy and nauseous. RN gave client some time but also outlined for mother and client goals for client to drink, eat, and be steady on feet before client could leave clinic. Provided water and Graham crackers. After five minutes, client sat forward on own in chair and able to tolerate water and graham crackers. Skin color pink, lip color pink, behavior almost returned to baseline. After five minutes, client wants to attempt standing. Client stood and took five steps in room; client stated feeling dizzy. Returned client to reclined chair, encouraging client to sip water. After ten minutes, client attempts standing again. Client able to tolerate. RN and mother escort client to private vehicle.
Age: 13.0
Sex: M
Vaccine: HEPA, HPV9, MNQ, TDAP
Symptoms: Loss of consciousness, Nausea, Pallor
Clinical narrative: At 0930 on 6/15/2022, completed administration of immunizations to client (order Right Arm: Hep A, MenQuadfi, Left Arm: Tdap, HPV). After five seconds, client's skin color became pale, lip color turned blue, eyes rolled into head, and client lost consciousness. Client unconscious for thirty seconds before awaking. Client alert but oriented to person. Client anxious, crying. Assured client he was safe and brought mother around into client's vision better. Reclined chair back 45 degrees. Used cool compress to the temples. After five minutes of mother talking and providing touch, client stopped crying and became oriented x 4. Client stated felt dizzy and nauseous. RN gave client some time but also outlined for mother and client goals for client to drink, eat, and be steady on feet before client could leave clinic. Provided water and Graham crackers. After five minutes, client sat forward on own in chair and able to tolerate water and graham crackers. Skin color pink, lip color pink, behavior almost returned to baseline. After five minutes, client wants to attempt standing. Client stood and took five steps in room; client stated feeling dizzy. Returned client to reclined chair, encouraging client to sip water. After ten minutes, client attempts standing again. Client able to tolerate. RN and mother escort client to private vehicle.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Incidental COVID positive No URI or new respiratory symptoms.  Likely asymptomatic, patient fully vaccinated.  No COVID therapies at this time but appropriate isolation.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Chills, Erythema, Headache, Mobility decreased
Clinical narrative: Swollen armpit and chest across collar bone above breast. Redness/warm to touch.  Chills Headache Bodyache Inability to lift left arm
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Pain, Skin warm
Clinical narrative: Swollen armpit and chest across collar bone above breast. Redness/warm to touch.  Chills Headache Bodyache Inability to lift left arm
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Lethargy, Neck pain, Pain
Clinical narrative: Severe headache, body aches (ankles and wrists), neck ache across shoulders and base of neck, lethargy
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 2nd booster to early. Received it at 3 months instead of 4 months after 1st booster
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Pyrexia
Clinical narrative: Pt to ED 5/3 for cough and shortness of breath since yesterday, also fever and chills. COVID+ upon arrival 5/3, Bebtelovimab infusion ordered, started on dexamethasone and breathing treatments. No c/o any pain or shortness of breath.  O2 in place via nc at 4L. 5/4 pt is AxOx4, very pleasant. Denies SOB or any discomfort, no new complaints noted; stable; no acute cardiac issues noted. 5/5 no apparent distress noted, Orders to administer one time dose of hydralazine. Pt discharged 5/5.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pt to ED 5/3 for cough and shortness of breath since yesterday, also fever and chills. COVID+ upon arrival 5/3, Bebtelovimab infusion ordered, started on dexamethasone and breathing treatments. No c/o any pain or shortness of breath.  O2 in place via nc at 4L. 5/4 pt is AxOx4, very pleasant. Denies SOB or any discomfort, no new complaints noted; stable; no acute cardiac issues noted. 5/5 no apparent distress noted, Orders to administer one time dose of hydralazine. Pt discharged 5/5.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Audiogram, Deafness, Tinnitus
Clinical narrative: was napping and heard static in my right ear. Then my hearing stopped working. I am left with very loud tinnitus in my right ear. My aunt lost her hearing a year prior, almost to the date, after a sinus infection.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Nausea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I did not have any side effects from the vaccine but I test positive for Covid 19 on 06/05/2022.  My systems: nauseated, sneezing (thought it was my allergies), gasping for air, difficulty in breathing.  Two home test on 06/05 and they where positive. Visited an Urgent Care center and tested positive 06/06/2022.  I used a steroid nasal spray (Ipratropium) that I usually use for my allergies but it didn't help. I did not take anything else to help with my systems.  I started to feel better on 06/12/2022
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Autopsy, Death, Laboratory test normal, Left ventricular enlargement
Clinical narrative: Found deceased at home, less than two weeks after second Pfizer  vaccine.  Had no complaints of illness, chest pain, dizziness, dyspnea or SOB on exertion,  ME exam tox negative,  enlarged left ventricle , likely dysrhythmia .   Very active man,  without significant PMH ED, borderline HTN when at MD office once, (140/84), normal EKG at age 50.  No family history of sudden cardiac death.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Pain
Clinical narrative: I tested positive for COVID-19 4/19/22. On 4/16/22, I had some fatigue, runny nose, slight fever, a raw sore throat, mucus, coughing, and body aches. This lasted for about a week and a half before I started to feel better. I still have some remanence of mucus and a runny nose.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I tested positive for COVID-19 4/19/22. On 4/16/22, I had some fatigue, runny nose, slight fever, a raw sore throat, mucus, coughing, and body aches. This lasted for about a week and a half before I started to feel better. I still have some remanence of mucus and a runny nose.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Spiked a fever of 101.5. With chills and muscle aches
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Clinical Lead contacted Pfizer Safety Data program to discuss stability of Pfizer product in refrigerator past 10 weeks Use By Date. Pfizer representatives confirmed this product is no longer stable. Guidelines indicate child should be revaccinated immediately, with no waiting period. Administering RN was informed of Pfizer safety data results on 6/10/22. The client's parents speak predominantly another language. Administering RN made 6 attempts to connect with a interpreter through contracted Language Line and was unsuccessful with these attempts to create a secure and working connection with a speaking interpreter. On 6/13/22, administering RN contacted Language Line and secured a working connection with a interpreter and contacted FOC to discuss. RN explained that the dose the child received on 6/2/22 was considered invalid and advised FOC to bring child back to clinic to be revaccinated. Administering RN answered FOC's questions and FOC indicated he would return to the clinic during normal hours to revaccinate the child.                                   Signed: 6/13/22
Age: 10.0
Sex: U
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Patient received undiluted dose of 0.2ml. manufacturer notified.
Age: 30.0
Sex: F
Vaccine: PNC20
Symptoms: Crying, Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: Got PCV 20 vaccine on 6/6/22 Didn't hurt at time of shot Hurt later that night Then started to really hurt and get swollen and hot Yesterday was the worst, was crying Today somewhat better Skin: Right upper arm with warmth, mild erythema, palpable thickening approximately 5.5cm x 5 cm, with central area very tender to palpation, no fluctuance Axillae: Right side with prominent lymphadenopathy, tender to palpation; Left without lymphadenopathy, non tender
Age: 30.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site warmth, Lymph node pain, Lymphadenopathy, Skin hypertrophy
Clinical narrative: Got PCV 20 vaccine on 6/6/22 Didn't hurt at time of shot Hurt later that night Then started to really hurt and get swollen and hot Yesterday was the worst, was crying Today somewhat better Skin: Right upper arm with warmth, mild erythema, palpable thickening approximately 5.5cm x 5 cm, with central area very tender to palpation, no fluctuance Axillae: Right side with prominent lymphadenopathy, tender to palpation; Left without lymphadenopathy, non tender
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Headache, Oropharyngeal pain, Sinusitis
Clinical narrative: About week after vaccine, sore throat, sinus infection, headache, lot of coughing. Telehealth call to doctor, prescribed antibiotic Augmentin,  Robitussin with Codeine.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Fatigue, Feeling cold, Headache, Injection site swelling
Clinical narrative: Pain on the left arm with some discoloration and swollen at the site of the injection., tired, weak, sleepy, headache, freezing cold.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Pain in extremity, Skin discolouration, Somnolence
Clinical narrative: Pain on the left arm with some discoloration and swollen at the site of the injection., tired, weak, sleepy, headache, freezing cold.
Age: 7.0
Sex: U
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: patient received undiluted dose of 0.2ml, no treatment necessary.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Lethargy, Pain
Clinical narrative: I tested positive for COVID-19 5/28/22. I had a fever of 101-101.5, body aches, headache, and lethargy. The fever lasted for 4 days and the fatigue lasted for about 8 days.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID-19 5/28/22. I had a fever of 101-101.5, body aches, headache, and lethargy. The fever lasted for 4 days and the fatigue lasted for about 8 days.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: PFIZER COVID 19 VACCINE LOT FL8095 (PEDIATRIC DOSES) 0.2 ML DOSE WAS GIVEN TO PATIENT WHO IS 13 YEARS OLD NO ADVERSE EVENT ARE PRESENT ON PATIENT
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Tremor
Clinical narrative: 12 days following the 1st dose, patient started having a tremor in her right hand. It is mild and intermittent, but has been consistent ever since and has not dissipated.
Age: 7.0
Sex: U
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Patient received undiluted dose of 0.2ml, no treatment required.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Myalgia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection on 6/13/2022 with myalgias. Unknown symptom onset.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest pain, Dizziness, Electrocardiogram normal, Electroencephalogram normal
Clinical narrative: Approximately 30 minutes after receiving vaccine experienced severe chest pain and spasms in chest wall, sweaty and light headedness.  Went back to pharmacy and they called the emergency number.  About 45 minutes later and after 2 Nitroglycerine sublingual tablets and gel on chest, pain began to subside.  Stayed overnight in hospital for observation and tests.  Went home next day.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Immunisation reaction, Laboratory test, Muscle spasms
Clinical narrative: Approximately 30 minutes after receiving vaccine experienced severe chest pain and spasms in chest wall, sweaty and light headedness.  Went back to pharmacy and they called the emergency number.  About 45 minutes later and after 2 Nitroglycerine sublingual tablets and gel on chest, pain began to subside.  Stayed overnight in hospital for observation and tests.  Went home next day.
Age: 6.0
Sex: U
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Patient received undiluted dose of 0.2ml, no treatment required.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Palpitations, Pericarditis
Clinical narrative: Shortness of breath, palpitations,  chest pain, chest discomfort. Pericarditis
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient came in with mother/family. Patient had two Moderna vaccines with documentation provided to nurse. Mother stated the entire family received the Moderna vaccine and would not like to mix and match. Nurse did note year of birth appropriate for 18 but incorrect math, patient 17 years and 10 months.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Cardiac arrest
Clinical narrative: PFIZER VACCINE #3 GIVEN 8/19/21, LOT #FC3183; 1/10/22 pt to ED with increasing SOB, generalized fatigue, nasal congestion, productive cough, diarrhea; states was diagnosed with COVID 1 wk prior to ED; COVID test positive in ED as well; O2 sats on 2 L via NC were 69% in ED; placed on NRB with improvement; transferred to ICU; AHRF secondary to COVID pneumonia; given IV Solu-Medrol, baricitinib, ASA, Lovenox, remdesivir; respiratory status continued to worsen requiring intubation with mechanical ventilation; pt continued to decline; pt became unresponsive, asystole; expired at the hospital
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Diarrhoea, Dyspnoea, Endotracheal intubation, Fatigue
Clinical narrative: PFIZER VACCINE #3 GIVEN 8/19/21, LOT #FC3183; 1/10/22 pt to ED with increasing SOB, generalized fatigue, nasal congestion, productive cough, diarrhea; states was diagnosed with COVID 1 wk prior to ED; COVID test positive in ED as well; O2 sats on 2 L via NC were 69% in ED; placed on NRB with improvement; transferred to ICU; AHRF secondary to COVID pneumonia; given IV Solu-Medrol, baricitinib, ASA, Lovenox, remdesivir; respiratory status continued to worsen requiring intubation with mechanical ventilation; pt continued to decline; pt became unresponsive, asystole; expired at the hospital
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Intensive care, Mechanical ventilation, Nasal congestion, Productive cough
Clinical narrative: PFIZER VACCINE #3 GIVEN 8/19/21, LOT #FC3183; 1/10/22 pt to ED with increasing SOB, generalized fatigue, nasal congestion, productive cough, diarrhea; states was diagnosed with COVID 1 wk prior to ED; COVID test positive in ED as well; O2 sats on 2 L via NC were 69% in ED; placed on NRB with improvement; transferred to ICU; AHRF secondary to COVID pneumonia; given IV Solu-Medrol, baricitinib, ASA, Lovenox, remdesivir; respiratory status continued to worsen requiring intubation with mechanical ventilation; pt continued to decline; pt became unresponsive, asystole; expired at the hospital
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: PFIZER VACCINE #3 GIVEN 8/19/21, LOT #FC3183; 1/10/22 pt to ED with increasing SOB, generalized fatigue, nasal congestion, productive cough, diarrhea; states was diagnosed with COVID 1 wk prior to ED; COVID test positive in ED as well; O2 sats on 2 L via NC were 69% in ED; placed on NRB with improvement; transferred to ICU; AHRF secondary to COVID pneumonia; given IV Solu-Medrol, baricitinib, ASA, Lovenox, remdesivir; respiratory status continued to worsen requiring intubation with mechanical ventilation; pt continued to decline; pt became unresponsive, asystole; expired at the hospital
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Vaccination site erythema, Vaccination site warmth
Clinical narrative: Patient received first shingrix shot on 6/7/22. On 6/11/22 she called the pharmacy and reported redness and warmth to the vaccination site presuming possible infection or reaction to vaccination. Patient went to patient first and received cephalexin for treatment. She was not upset and understood the situation.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection. Potential COVID exposure on 6/10/2022. Tested positive for COVID after complaining of scratchy throat and runny nose on 6/13/2022.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Communication disorder, Hypersomnia, SARS-CoV-2 test positive
Clinical narrative: Unexpected side effects or adverse reactions from intake of Paxvolib slept six days solid- from Tuesday 6 p.m.  5/31/22 at 6 p.m. until Monday June 6th mid midmorning could not spell week of Monday June 6th after I "woke up"
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Cough, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: 1.Sore throat, congestion and coughing 2. Drank tea, throat spray, 3. Felt better four days later
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Bladder catheterisation, Blood culture positive, COVID-19, Death, General physical health deterioration
Clinical narrative: 12/28/2022 pt brought to ED with hematuria after home health nurse changed suprapubic catheter; came from assisted living facility; in ED, pt was febrile, hypertensive, tachycardia and tachypnea; had a positive COVID test; admitted with sepsis and COVID; blood cultures positive for Klebsiella; antibiotic given; volume resuscitation; DNR; pt continued to decline with increasing tachycardia and tachypnea; transitioned to comfort care and he expired in the hospital
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Haematuria, Hypertension, Klebsiella test positive, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 12/28/2022 pt brought to ED with hematuria after home health nurse changed suprapubic catheter; came from assisted living facility; in ED, pt was febrile, hypertensive, tachycardia and tachypnea; had a positive COVID test; admitted with sepsis and COVID; blood cultures positive for Klebsiella; antibiotic given; volume resuscitation; DNR; pt continued to decline with increasing tachycardia and tachypnea; transitioned to comfort care and he expired in the hospital
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Tachycardia, Tachypnoea
Clinical narrative: 12/28/2022 pt brought to ED with hematuria after home health nurse changed suprapubic catheter; came from assisted living facility; in ED, pt was febrile, hypertensive, tachycardia and tachypnea; had a positive COVID test; admitted with sepsis and COVID; blood cultures positive for Klebsiella; antibiotic given; volume resuscitation; DNR; pt continued to decline with increasing tachycardia and tachypnea; transitioned to comfort care and he expired in the hospital
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Blood test abnormal, Inflammation, Metatarsalgia, Pain in extremity
Clinical narrative: Onset of Rheumatoid Arthritis within days.  Severe swelling, inflammation, and joint pain in right hand, right foot.  Metatarsalgia in right foot.  Blood tests result in positive RH factor.
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Peripheral swelling, Rheumatoid arthritis, Rheumatoid factor positive
Clinical narrative: Onset of Rheumatoid Arthritis within days.  Severe swelling, inflammation, and joint pain in right hand, right foot.  Metatarsalgia in right foot.  Blood tests result in positive RH factor.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Insomnia, Myalgia
Clinical narrative: I had very heavy fatigue, muscle aches, moderate fever of 101.5F, nasal congestion and coughing at night a month ago. I had trouble sleeping and decided to test for COVID-19. I decided to take an at-home COVID-19 on 5/10/2022, and it came back positive. So I decided to go to a pharmacy and got PCR tested on 5/13/2022, but it came back negative. So I waited some days and got retested on 05/16/2022 with another PCR test, and this one came back positive. I called my doctor and told them in which he prescribed me medication, but I never called to get it filled. So I took ibuprofen daily until I got better.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had very heavy fatigue, muscle aches, moderate fever of 101.5F, nasal congestion and coughing at night a month ago. I had trouble sleeping and decided to test for COVID-19. I decided to take an at-home COVID-19 on 5/10/2022, and it came back positive. So I decided to go to a pharmacy and got PCR tested on 5/13/2022, but it came back negative. So I waited some days and got retested on 05/16/2022 with another PCR test, and this one came back positive. I called my doctor and told them in which he prescribed me medication, but I never called to get it filled. So I took ibuprofen daily until I got better.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Influenza A virus test, Influenza B virus test, SARS-CoV-2 test positive
Clinical narrative: Breakthough COVID infection. Shortness of breath noted. Unknown onset of symptoms.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthough COVID infection. Shortness of breath noted. Unknown onset of symptoms.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 2nd dose in primary series 1 week to early.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema
Clinical narrative: Two days ago ( 6/13/22)pt. received his MMRV and DTap-IPV vaccines. Both were given in the left thigh. about 12 hour after administration of the vaccines mother noted 4-5cm area of redness around on his left thigh. The following morning (about 24 hours after the vaccines were given) the area of redness was much larger. Her photo shows an area of about 10x13 cm of redness. Today (48 hours after administration) the area of redness is even bigger. Discomfort is not worse. Mother gave him zyrtec but not sure if it did anything for him. He has complained of itching and irritation , he has no fever, not limping.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Fatigue, Unresponsive to stimuli
Clinical narrative: Extreme weakness, diarrhea, unresponsive, BP 66/34. (during the night following the vaccine. Next couple days tired and weak).
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Malaise, Syncope
Clinical narrative: PER PATIENT GOT THE VACCINE ON 06/03/22 AT 09:31 AM, PATIENT LEFT FOR CITY THE NEXT DAY. ON 06/10/22 PATIENT FAINTED IN KITCHEN. PATIENT ALSO STATED HE WAS FEELING NOT GOOD AFTER VACCINE ('' UNEASY FEELING, TIRED ''). PATIENT WAS DISCHARED ON 06/12/22 FROM HOSPITAL. PER PATIENT HOSPITALIST TOLD HIM NEXT TIME FOR VACCINE HE WILL HAVE TO GO TO DOCTOR SO YHE CAN BE OBSERVED AFTER.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Dehydration, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: My parents tested positive for COVID last Tuesday, I tested Negative myself, but Thursday evening I had nasal congestion, throat felt hard, low fever that night, at the middle of the night I have chills and very high feverish, Friday I continued with congestion and coughing and Friday morning I called the doctor, and they prescribed Paxlovid. Friday night I had fever of 103, I was dehydrated, very bad headache, that was my worst night. Fever went away, this morning I finished Paxlovid but I am taking Mucinex, I still feel congested and tired.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Induration, Nasal congestion, Pyrexia, Respiratory tract congestion
Clinical narrative: My parents tested positive for COVID last Tuesday, I tested Negative myself, but Thursday evening I had nasal congestion, throat felt hard, low fever that night, at the middle of the night I have chills and very high feverish, Friday I continued with congestion and coughing and Friday morning I called the doctor, and they prescribed Paxlovid. Friday night I had fever of 103, I was dehydrated, very bad headache, that was my worst night. Fever went away, this morning I finished Paxlovid but I am taking Mucinex, I still feel congested and tired.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: My parents tested positive for COVID last Tuesday, I tested Negative myself, but Thursday evening I had nasal congestion, throat felt hard, low fever that night, at the middle of the night I have chills and very high feverish, Friday I continued with congestion and coughing and Friday morning I called the doctor, and they prescribed Paxlovid. Friday night I had fever of 103, I was dehydrated, very bad headache, that was my worst night. Fever went away, this morning I finished Paxlovid but I am taking Mucinex, I still feel congested and tired.
Age: 50.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Abdominal pain upper, Arthralgia, Asthenia, Chromaturia, Decreased appetite
Clinical narrative: NOTE - The Pfizer shot was my second booster. I received my original 2 - shot vaccine in 2021 (Pfizer). In January I received my first COVID booster (Moderna) and in June 2022 I received my 2nd covid booster (Pfizer). After ~24 hours - severe stomach pain and nausea, then muscle/joint aches, then acid reflux, no appetite, fatigue, weakness; this went on for several days Day 6 - diagnosed with Gastritis Day 7 - urine started turning dark Day 8 - whites of eyes turning yellow Day 9 - diagnosed with non-infectious Hepatitis, jaundice It is now Day 13, energy is better, still have jaundice, some nausea, weakness, fatigue
Age: 50.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Extra dose administered, Fatigue, Gastritis, Gastrooesophageal reflux disease, Hepatitis
Clinical narrative: NOTE - The Pfizer shot was my second booster. I received my original 2 - shot vaccine in 2021 (Pfizer). In January I received my first COVID booster (Moderna) and in June 2022 I received my 2nd covid booster (Pfizer). After ~24 hours - severe stomach pain and nausea, then muscle/joint aches, then acid reflux, no appetite, fatigue, weakness; this went on for several days Day 6 - diagnosed with Gastritis Day 7 - urine started turning dark Day 8 - whites of eyes turning yellow Day 9 - diagnosed with non-infectious Hepatitis, jaundice It is now Day 13, energy is better, still have jaundice, some nausea, weakness, fatigue
Age: 50.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Interchange of vaccine products, Jaundice, Laboratory test abnormal, Liver injury, Myalgia
Clinical narrative: NOTE - The Pfizer shot was my second booster. I received my original 2 - shot vaccine in 2021 (Pfizer). In January I received my first COVID booster (Moderna) and in June 2022 I received my 2nd covid booster (Pfizer). After ~24 hours - severe stomach pain and nausea, then muscle/joint aches, then acid reflux, no appetite, fatigue, weakness; this went on for several days Day 6 - diagnosed with Gastritis Day 7 - urine started turning dark Day 8 - whites of eyes turning yellow Day 9 - diagnosed with non-infectious Hepatitis, jaundice It is now Day 13, energy is better, still have jaundice, some nausea, weakness, fatigue
Age: 50.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Nausea, Ocular icterus
Clinical narrative: NOTE - The Pfizer shot was my second booster. I received my original 2 - shot vaccine in 2021 (Pfizer). In January I received my first COVID booster (Moderna) and in June 2022 I received my 2nd covid booster (Pfizer). After ~24 hours - severe stomach pain and nausea, then muscle/joint aches, then acid reflux, no appetite, fatigue, weakness; this went on for several days Day 6 - diagnosed with Gastritis Day 7 - urine started turning dark Day 8 - whites of eyes turning yellow Day 9 - diagnosed with non-infectious Hepatitis, jaundice It is now Day 13, energy is better, still have jaundice, some nausea, weakness, fatigue
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination error
Clinical narrative: Patient was not supposed to receive this 3rd dose. Patient was vaccinated with J & J on 5/13/21, received a Pfizer booster on 1/3/22 and then this 2nd dose of Pfizer on 2/10/22
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aspiration pleural cavity, COVID-19, Condition aggravated, Death
Clinical narrative: 12/13/22 pt brought to ED with c/o not feeling well last few days, decrease in appetite; bilateral LE edema; found to be in worsening renal failure; 12/21/22 pt had a positive COVID test; acute on chronic hypoxic respiratory failure secondary to COVID 19; diastolic heart failure; pulmonary edema; pleural effusion; on Vapotherm; thoracentesis bilaterally; poor prognosis; DNR; pt's condition worsened; increase in hypoxia; transitioned to comfort care and pt expired in the hospital
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, General physical health deterioration, Left ventricular failure, Malaise, Oedema peripheral
Clinical narrative: 12/13/22 pt brought to ED with c/o not feeling well last few days, decrease in appetite; bilateral LE edema; found to be in worsening renal failure; 12/21/22 pt had a positive COVID test; acute on chronic hypoxic respiratory failure secondary to COVID 19; diastolic heart failure; pulmonary edema; pleural effusion; on Vapotherm; thoracentesis bilaterally; poor prognosis; DNR; pt's condition worsened; increase in hypoxia; transitioned to comfort care and pt expired in the hospital
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pleural effusion, Pulmonary oedema, Renal failure, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: 12/13/22 pt brought to ED with c/o not feeling well last few days, decrease in appetite; bilateral LE edema; found to be in worsening renal failure; 12/21/22 pt had a positive COVID test; acute on chronic hypoxic respiratory failure secondary to COVID 19; diastolic heart failure; pulmonary edema; pleural effusion; on Vapotherm; thoracentesis bilaterally; poor prognosis; DNR; pt's condition worsened; increase in hypoxia; transitioned to comfort care and pt expired in the hospital
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Ear discomfort, Fatigue, Increased upper airway secretion, Metabolic function test abnormal
Clinical narrative: My symptoms of a bad cold and scratchy throat. My ears were plugged and I started having throat drainage. I started taking Tylenol and Sudafed for my head congestion until I did go get tested for COVID-19. After I tested positive, I received the COVID 19 Antiviral Paxlovid which made a huge difference. Within 2 days I was feeling better other than the fatigue. I am still having slight fatigue but it is getting better.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Renal impairment, SARS-CoV-2 test positive, Sinus congestion, Throat irritation
Clinical narrative: My symptoms of a bad cold and scratchy throat. My ears were plugged and I started having throat drainage. I started taking Tylenol and Sudafed for my head congestion until I did go get tested for COVID-19. After I tested positive, I received the COVID 19 Antiviral Paxlovid which made a huge difference. Within 2 days I was feeling better other than the fatigue. I am still having slight fatigue but it is getting better.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: breakthrough COVID infection.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling abnormal, Peripheral swelling, Pyrexia, Skin warm
Clinical narrative: I woke the next day after I had gotten the vaccine, it was around 12 hours later, my arm was hot to the touch and red and swollen. I had a fever and I felt very wiped out, it was very similar to the reaction that I had with my first vaccine. But in the this case it was much shorter lived I was better in 2 days.