chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Pain in extremity, Pruritus, Skin reaction
Clinical narrative: Vaccine administered evening of 1/25/21;  Late afternoon of 2/2/21 I developed a localized reaction (referred to as ?COVID Arm?). There is mild itching, mild to moderate swelling, redness & ?chicken skin? hives, and moderate/moderate to severe pain, tenderness, soreness at the site, and spreading down to my hand, up to my neck, and down to my shoulder blade. It is warm to the touch as well.  I feel cold, but do not have a fever, am not having chills, nausea, etc.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Swelling, Tenderness, Urticaria
Clinical narrative: Vaccine administered evening of 1/25/21;  Late afternoon of 2/2/21 I developed a localized reaction (referred to as ?COVID Arm?). There is mild itching, mild to moderate swelling, redness & ?chicken skin? hives, and moderate/moderate to severe pain, tenderness, soreness at the site, and spreading down to my hand, up to my neck, and down to my shoulder blade. It is warm to the touch as well.  I feel cold, but do not have a fever, am not having chills, nausea, etc.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Erythema, Injection site erythema, Injection site irritation, Injection site swelling
Clinical narrative: Received vaccine in left hip on a Thursday; on the second day after the shot, I woke up with redness and irritation at the site.  The third day, I woke up with increased redness, discomfort and swelling around the vaccination site.  I used ice packs that day, and saw a physician on the next day (Monday, 4th day after).  He treated with an antibiotic and Zyrtec and recommended hydrocortisone for the irritation.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test negative, Chest discomfort, Visual impairment
Clinical narrative: 15-30 min developed symptoms of chest tightness, vision abnormality -described as increased vision acuity "like someone on amphetamines". Symptoms would come and go for about 20 hours and then resolved
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Electroencephalogram normal, Full blood count normal, Generalised tonic-clonic seizure, Magnetic resonance imaging brain normal
Clinical narrative: Two tonic clonic seizures experienced 6&12 hours post chemotherapy (4 days post vaccine) regimen, cycle 2 of adriamycin and cytoxan
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test normal
Clinical narrative: Two tonic clonic seizures experienced 6&12 hours post chemotherapy (4 days post vaccine) regimen, cycle 2 of adriamycin and cytoxan
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Waited 30 minutes in clinic.  As she was exiting, she felt chest tightness and SOB.  Rapid response called.  Pt was evaluated by RR and dc'd back to clinic.  Chest tightness improved.  Refused ED.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Heart rate irregular, SARS-CoV-2 test
Clinical narrative: Severe Diarrhea for 48 hours, Extreme Fatigue, Headache, Elevated Heart Rate
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Resident vaccinated-1/8 Resident deceased-1/16
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Tenderness, Ultrasound breast
Clinical narrative: Lump in clavicle started small and painful, increased in size, pain also felt underneath breast and in the underarm region.  Lump increased in size and is tender to touch.  It hurts to move or lie in certain positions.  I had an ultra sound on  January 29.  I was told that it may be a reaction from the vaccine but not certain and I was given a referral to a general surgeon- I have an appointment with that doctor on February 2, 2021.   After the ultrasound visit on January 29 another lump has appeared on January 30 in front of the clavical, it is shaped different than the initial lump and is also tender.  It has increased in size since it appeared.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Sudden cardiac death
Clinical narrative: Resident passed away unexpectedly on 1/27/21 from presumed sudden cardiac death.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Blood albumin, Blood alkaline phosphatase normal, Blood bilirubin normal
Clinical narrative: patient developed progressive diffuse muscle weakness, altered mental status including excessive drowsiness, decreased oral intake starting on 1/31/2021.  Symptoms continued to worsen overnight and he was evaluated in the emergency room on 2/2/2021 and admitted with dehydration and altered mental status.  He was aggressively hydrated overnight, but showed persistent diffuse muscle weakness, altered mental status with decreased responsiveness progressing, but no focal neurological findings noted.  CT scan of the head on 3/3/2021 showed no findings other than age-related diffuse cerebral atrophy.  The patient did spike a fever to 103 on the morning of 2/3/2021.  CBC, CMP, procalcitonin and lactic acid levels remained normal.  He remains hospitalized in stable condition as of 2/3/2021 @1300.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood calcium, Blood chloride normal, Blood creatine phosphokinase MB decreased, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase normal
Clinical narrative: patient developed progressive diffuse muscle weakness, altered mental status including excessive drowsiness, decreased oral intake starting on 1/31/2021.  Symptoms continued to worsen overnight and he was evaluated in the emergency room on 2/2/2021 and admitted with dehydration and altered mental status.  He was aggressively hydrated overnight, but showed persistent diffuse muscle weakness, altered mental status with decreased responsiveness progressing, but no focal neurological findings noted.  CT scan of the head on 3/3/2021 showed no findings other than age-related diffuse cerebral atrophy.  The patient did spike a fever to 103 on the morning of 2/3/2021.  CBC, CMP, procalcitonin and lactic acid levels remained normal.  He remains hospitalized in stable condition as of 2/3/2021 @1300.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine increased, Blood glucose increased, Blood lactic acid, Blood lactic acid normal, Blood potassium normal
Clinical narrative: patient developed progressive diffuse muscle weakness, altered mental status including excessive drowsiness, decreased oral intake starting on 1/31/2021.  Symptoms continued to worsen overnight and he was evaluated in the emergency room on 2/2/2021 and admitted with dehydration and altered mental status.  He was aggressively hydrated overnight, but showed persistent diffuse muscle weakness, altered mental status with decreased responsiveness progressing, but no focal neurological findings noted.  CT scan of the head on 3/3/2021 showed no findings other than age-related diffuse cerebral atrophy.  The patient did spike a fever to 103 on the morning of 2/3/2021.  CBC, CMP, procalcitonin and lactic acid levels remained normal.  He remains hospitalized in stable condition as of 2/3/2021 @1300.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood sodium decreased, Blood urea increased, Blood urine absent, Brain natriuretic peptide normal, Carbon dioxide decreased
Clinical narrative: patient developed progressive diffuse muscle weakness, altered mental status including excessive drowsiness, decreased oral intake starting on 1/31/2021.  Symptoms continued to worsen overnight and he was evaluated in the emergency room on 2/2/2021 and admitted with dehydration and altered mental status.  He was aggressively hydrated overnight, but showed persistent diffuse muscle weakness, altered mental status with decreased responsiveness progressing, but no focal neurological findings noted.  CT scan of the head on 3/3/2021 showed no findings other than age-related diffuse cerebral atrophy.  The patient did spike a fever to 103 on the morning of 2/3/2021.  CBC, CMP, procalcitonin and lactic acid levels remained normal.  He remains hospitalized in stable condition as of 2/3/2021 @1300.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebral atrophy, Chest X-ray normal, Computerised tomogram head normal, Dehydration, Full blood count normal
Clinical narrative: patient developed progressive diffuse muscle weakness, altered mental status including excessive drowsiness, decreased oral intake starting on 1/31/2021.  Symptoms continued to worsen overnight and he was evaluated in the emergency room on 2/2/2021 and admitted with dehydration and altered mental status.  He was aggressively hydrated overnight, but showed persistent diffuse muscle weakness, altered mental status with decreased responsiveness progressing, but no focal neurological findings noted.  CT scan of the head on 3/3/2021 showed no findings other than age-related diffuse cerebral atrophy.  The patient did spike a fever to 103 on the morning of 2/3/2021.  CBC, CMP, procalcitonin and lactic acid levels remained normal.  He remains hospitalized in stable condition as of 2/3/2021 @1300.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haematocrit normal, Haemoglobin decreased, Hypophagia, Hyporesponsive to stimuli, Immunology test
Clinical narrative: patient developed progressive diffuse muscle weakness, altered mental status including excessive drowsiness, decreased oral intake starting on 1/31/2021.  Symptoms continued to worsen overnight and he was evaluated in the emergency room on 2/2/2021 and admitted with dehydration and altered mental status.  He was aggressively hydrated overnight, but showed persistent diffuse muscle weakness, altered mental status with decreased responsiveness progressing, but no focal neurological findings noted.  CT scan of the head on 3/3/2021 showed no findings other than age-related diffuse cerebral atrophy.  The patient did spike a fever to 103 on the morning of 2/3/2021.  CBC, CMP, procalcitonin and lactic acid levels remained normal.  He remains hospitalized in stable condition as of 2/3/2021 @1300.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Metabolic function test, Muscular weakness, Platelet count normal, Procalcitonin normal
Clinical narrative: patient developed progressive diffuse muscle weakness, altered mental status including excessive drowsiness, decreased oral intake starting on 1/31/2021.  Symptoms continued to worsen overnight and he was evaluated in the emergency room on 2/2/2021 and admitted with dehydration and altered mental status.  He was aggressively hydrated overnight, but showed persistent diffuse muscle weakness, altered mental status with decreased responsiveness progressing, but no focal neurological findings noted.  CT scan of the head on 3/3/2021 showed no findings other than age-related diffuse cerebral atrophy.  The patient did spike a fever to 103 on the morning of 2/3/2021.  CBC, CMP, procalcitonin and lactic acid levels remained normal.  He remains hospitalized in stable condition as of 2/3/2021 @1300.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Protein urine, Pyrexia, SARS-CoV-2 test negative, Somnolence, Specific gravity urine normal
Clinical narrative: patient developed progressive diffuse muscle weakness, altered mental status including excessive drowsiness, decreased oral intake starting on 1/31/2021.  Symptoms continued to worsen overnight and he was evaluated in the emergency room on 2/2/2021 and admitted with dehydration and altered mental status.  He was aggressively hydrated overnight, but showed persistent diffuse muscle weakness, altered mental status with decreased responsiveness progressing, but no focal neurological findings noted.  CT scan of the head on 3/3/2021 showed no findings other than age-related diffuse cerebral atrophy.  The patient did spike a fever to 103 on the morning of 2/3/2021.  CBC, CMP, procalcitonin and lactic acid levels remained normal.  He remains hospitalized in stable condition as of 2/3/2021 @1300.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin I normal, White blood cell count normal, pH urine normal
Clinical narrative: patient developed progressive diffuse muscle weakness, altered mental status including excessive drowsiness, decreased oral intake starting on 1/31/2021.  Symptoms continued to worsen overnight and he was evaluated in the emergency room on 2/2/2021 and admitted with dehydration and altered mental status.  He was aggressively hydrated overnight, but showed persistent diffuse muscle weakness, altered mental status with decreased responsiveness progressing, but no focal neurological findings noted.  CT scan of the head on 3/3/2021 showed no findings other than age-related diffuse cerebral atrophy.  The patient did spike a fever to 103 on the morning of 2/3/2021.  CBC, CMP, procalcitonin and lactic acid levels remained normal.  He remains hospitalized in stable condition as of 2/3/2021 @1300.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Confusional state
Clinical narrative: patient developed progressive diffuse muscle weakness, altered mental status including excessive drowsiness, decreased oral intake starting on 1/31/2021.  Symptoms continued to worsen overnight and he was evaluated in the emergency room on 2/2/2021 and admitted with dehydration and altered mental status.  He was aggressively hydrated overnight, but showed persistent diffuse muscle weakness, altered mental status with decreased responsiveness progressing, but no focal neurological findings noted.  CT scan of the head on 3/3/2021 showed no findings other than age-related diffuse cerebral atrophy.  The patient did spike a fever to 103 on the morning of 2/3/2021.  CBC, CMP, procalcitonin and lactic acid levels remained normal.  He remains hospitalized in stable condition as of 2/3/2021 @1300.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Blood albumin, Blood alkaline phosphatase normal, Blood bilirubin normal
Clinical narrative: We were told that patient was at the ER I believe the evening of 02/02/2021, we were called 02/03/2021 and told report that the patient was having altered mental issues (confusion).
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood calcium, Blood chloride normal, Blood creatine phosphokinase MB decreased, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase normal
Clinical narrative: We were told that patient was at the ER I believe the evening of 02/02/2021, we were called 02/03/2021 and told report that the patient was having altered mental issues (confusion).
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine increased, Blood glucose increased, Blood lactic acid, Blood lactic acid normal, Blood potassium normal
Clinical narrative: We were told that patient was at the ER I believe the evening of 02/02/2021, we were called 02/03/2021 and told report that the patient was having altered mental issues (confusion).
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood sodium decreased, Blood urea increased, Blood urine absent, Brain natriuretic peptide normal, Carbon dioxide decreased
Clinical narrative: We were told that patient was at the ER I believe the evening of 02/02/2021, we were called 02/03/2021 and told report that the patient was having altered mental issues (confusion).
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebral atrophy, Chest X-ray normal, Computerised tomogram head normal, Dehydration, Full blood count normal
Clinical narrative: We were told that patient was at the ER I believe the evening of 02/02/2021, we were called 02/03/2021 and told report that the patient was having altered mental issues (confusion).
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haematocrit normal, Haemoglobin decreased, Hypophagia, Hyporesponsive to stimuli, Immunology test
Clinical narrative: We were told that patient was at the ER I believe the evening of 02/02/2021, we were called 02/03/2021 and told report that the patient was having altered mental issues (confusion).
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Metabolic function test, Muscular weakness, Platelet count normal, Procalcitonin normal
Clinical narrative: We were told that patient was at the ER I believe the evening of 02/02/2021, we were called 02/03/2021 and told report that the patient was having altered mental issues (confusion).
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Protein urine, Pyrexia, SARS-CoV-2 test negative, Somnolence, Specific gravity urine normal
Clinical narrative: We were told that patient was at the ER I believe the evening of 02/02/2021, we were called 02/03/2021 and told report that the patient was having altered mental issues (confusion).
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin I normal, White blood cell count normal, pH urine normal
Clinical narrative: We were told that patient was at the ER I believe the evening of 02/02/2021, we were called 02/03/2021 and told report that the patient was having altered mental issues (confusion).
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Confusional state
Clinical narrative: We were told that patient was at the ER I believe the evening of 02/02/2021, we were called 02/03/2021 and told report that the patient was having altered mental issues (confusion).
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen Lynch node (right side of neck).   Gotten smaller, checked out by Dr. when I went back for 2nd dosage
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Rash
Clinical narrative: about 2hrs after shot got really tired, lasted  about 2hrs. Next day Sat. in afternoon broke in rash on chest, shoulders, and back. On left arm about 3 inches below injection had a round spot (red) about the size of a tennis ball. Next day Sun. rash got better. Next day Mon. rash got worse. Next day Tues. got better, almost gone by Tues. night. Red spot on arm almost gone. Wed. morning a little rash on chest right below neck.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain
Clinical narrative: Body aches, large swelling under left underarm
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Furuncle, Injection site swelling
Clinical narrative: A couple hours after receiving vaccine, bumped back of deltoid and noticed had a painful boil. The boil wasn't at the vaccination site. Hasn't subsided over 2 weeks. Hasn't tried any other remedies. Hasn't tried anything to improve it. No pus so hasn't tried to pop it.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Cyanosis, Hyperventilation, Hypotension, Oxygen saturation decreased, Respiration abnormal
Clinical narrative: Nurse was summoned to the dining room @ 0910 and found resident to be sitting in his wheelchair in an upright position with his head down with chin to chest.  Lips were noted to be blue, resident was not responding to  verbal or painful stimuli.  Sternal rub resulted no change but a few small and deep breaths.  Resident was assisted back to room , still remained unresponsive, assisted with 4 staff and hoyer back to bed.  Noted VS at 98.3-54-12-87/46 O2 stats @ 85%  on RA.  O2 was started and increased up to 4 liters.  Noted O2 stats at 86% @ 10:30 .  Repeated B/P after 30 minutes was noted @ 75/35.  Vitals @ 12:25 101/64 - 98 -57-14-O2 87% with O2 on, blood sugar 171, verbal response to questions @ this time.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Nurse was summoned to the dining room @ 0910 and found resident to be sitting in his wheelchair in an upright position with his head down with chin to chest.  Lips were noted to be blue, resident was not responding to  verbal or painful stimuli.  Sternal rub resulted no change but a few small and deep breaths.  Resident was assisted back to room , still remained unresponsive, assisted with 4 staff and hoyer back to bed.  Noted VS at 98.3-54-12-87/46 O2 stats @ 85%  on RA.  O2 was started and increased up to 4 liters.  Noted O2 stats at 86% @ 10:30 .  Repeated B/P after 30 minutes was noted @ 75/35.  Vitals @ 12:25 101/64 - 98 -57-14-O2 87% with O2 on, blood sugar 171, verbal response to questions @ this time.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: My husband is complaining of severe headache and dizziness.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pruritus, Skin warm
Clinical narrative: Moderna COVID-19 Vaccine EUA  Exactly, to the hour, one week after vaccination, site became very itchy, red, hard and warm.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: left arm around injection site was noted to be warm, red, and swollen ~23 hours after the injection for the second dose.  There was mild pain and discomfort but the site did not itch.  Applied ice when able without interfering with other activities and took cetirizine tablets.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dyspnoea, Fatigue, Headache
Clinical narrative: Day 1 (1/19/2021) First symptom was vomiting at 12:30 p.m. then more symptoms developed after vomiting including  chills, headache, achy from head to toes, pain radiated from injection site to fingers after vomiting episode.  At 2:30 p.m., event of diarrhea.  At 3:30 p.m. 100.2F temperature recorded Severe tiredness and increased thirst which led to increased urination Fever broke at 8:00 p.m. and temperature recording was 98.5F Next morning: symptoms of swollen face, difficulty breathing (band around chest feeling), post nasal drip, body aches After 3 days, symptoms gradually went away.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pollakiuria, Pyrexia, Swelling face, Upper-airway cough syndrome
Clinical narrative: Day 1 (1/19/2021) First symptom was vomiting at 12:30 p.m. then more symptoms developed after vomiting including  chills, headache, achy from head to toes, pain radiated from injection site to fingers after vomiting episode.  At 2:30 p.m., event of diarrhea.  At 3:30 p.m. 100.2F temperature recorded Severe tiredness and increased thirst which led to increased urination Fever broke at 8:00 p.m. and temperature recording was 98.5F Next morning: symptoms of swollen face, difficulty breathing (band around chest feeling), post nasal drip, body aches After 3 days, symptoms gradually went away.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Day 1 (1/19/2021) First symptom was vomiting at 12:30 p.m. then more symptoms developed after vomiting including  chills, headache, achy from head to toes, pain radiated from injection site to fingers after vomiting episode.  At 2:30 p.m., event of diarrhea.  At 3:30 p.m. 100.2F temperature recorded Severe tiredness and increased thirst which led to increased urination Fever broke at 8:00 p.m. and temperature recording was 98.5F Next morning: symptoms of swollen face, difficulty breathing (band around chest feeling), post nasal drip, body aches After 3 days, symptoms gradually went away.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Covid arm, slight swelling, minor temperature at site, minor itching and pain and rash delayed response at injection site. Injection received 1/21/21, did not notice any effect until 2/1/21
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Tachycardia
Clinical narrative: Tachycardia that started approximately 23 hours after vaccination.  I have a history of heart arrhythmia (atrial flutter and atrial fibrillation) that were treated with ablation in July 2018.  Periodically, I have tachycardia, so I am not sure if this is separate from the shot or not.  Other symptoms are body aches.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Fibromyalgia
Clinical narrative: Patient on phone call follow-up noted having a fibromyalgia flare about 36 hours after vaccination that is still ongoing. Patient managing with current medications and has not seen provider for further steps.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Patient stated she had a headache and felt like her blood pressure was high. Vital signs: BP 160/102, P 88, R 14, O2 96%. Head to toe assessment completed. Advised patient to stay for 15 minutes for monitoring. Patient did not want to stay for monitoring and left AMA.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Extreme swelling of Axillary area of right arm.  Ibuprofen, Pepcid and Loratidine - Swelling went from Softball size to golfball size with first 2 days of medication therapy.  Swelling continues to reduce with additional doses.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Injection site pain, Joint range of motion decreased, Pain, Pain in extremity
Clinical narrative: had arm soreness at site of injection and spread to hands, no redness, up until last week (week 1/18/21) could not get up over his head, now (1/25/21)  can get overhead but still uncomfortable and periodically will feel radiation to hand, states injection was high
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Had a mild headache before going to bed. Woke up at midnight with a fever, body aches, and chills. Took ibuprofen and it did not break the fever until 4:30 AM. Around 11:45 AM same day fever spiked again up to 102.3 highest tempt. Immediately took ibuprofen and still has not fully broken fever and it is 2:19 PM
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Sensory disturbance
Clinical narrative: I don't know if this is relevant, but I'm reporting it anyway. A few minutes I had a "rush," sensation similar to when I had allergy injections,  which my allergist explained was most likely due to a sudden release of histamines, and I felt like I might have been get flush. I got the attention of one of the nurses, and she took my BP and pulse and said things looked okay. The "rush" last maybe four minutes, and dissipated. I stayed an extra few minutes at hospital and then left, feeling ok. No other "events" in the 26 hours since the injection.  The nurse said she's heard of other people experiencing that. Is it something to worry about? Have other people reported the same experience?  I'll be sure to mention this experience to the nurse who gives me the second injection on Tuesday, February 23, at hospital.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Approximately 30 minutes following vaccine I developed Left arm and facial numbness. Slowly resolved on its own over the next 48 hours.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Contusion, Erythema, Pain, Swelling
Clinical narrative: The first night (2/1-2/2)the pain woke me up and this morning I had a bruise and big red swollen spot. I happened to have a doc appt and she said it looked like a histamine reaction.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Insomnia, Nausea, Vitreous floaters
Clinical narrative: received Moderna lot #025L20A at 1445. at 1503 she notified observer of nausea, dizziness, and spots in her vision. Moved to a dark quiet room and had her lay down. Per her report she has only gotten 3hrs of sleep the last two nights. Vitals stable at BP 126/88 (102), HR-65, 97%, and 36.8. Rechecked vitals throughout stay remained stable. Laid down for 15mins and then sat up. After feeling good sitting up she had water, juice and crackers. At this point she reporting feeling much better and headed home after 30mins in the first aid room and 45mins after getting the vaccine. Requested that tell staff about this prior to getting second dose.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Oedema, Pain in extremity, Pruritus
Clinical narrative: erythema, edema, pruritis and aching of right hand on top and palm especially at thumb
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: PT had uticaria approx 45 mins after getting vaccine
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Hot flush, Pruritus, Rash
Clinical narrative: Rash, hot flash, itching
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Somewhat sore arm
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Hypoaesthesia, Medial tibial stress syndrome
Clinical narrative: Numbness in feet. Shin pain. Tightness in chest
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: Woke up with chills.  Lasted about 3 hours.  Took 1-Naaproxen Sodium pill
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Injection site rash, Pruritus
Clinical narrative: Rash on left arm, slight itchiness, slight discomfort. Onset approximately one week after vaccine administered, lasted 2-3 days.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Within 90 minutes after receiving 1st dose of Moderna vaccine on January 4, the patient experience a sensation of tongue swelling. She took oral benadryl and it resolved, did not recur. She did not have any hives, pruritus or shortness of breath. She did not report the reaction until presenting for her second dose on February 2. The second dose was not administered on February 2. Her primary care physician was notified about the reaction and evaluation by an allergist was recommended.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: swelling of upper lip tree days after injection on 2/1/21
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Movement disorder, Pain, Pain in extremity
Clinical narrative: Painful left arm, unable to move, no swelling or redness.  Chills and body aches first 12 hours, arm pain continues with no ability to move.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Severe arm pain, low grade fever 99.9, generalize muscle aches, fatigue, headache. Started 5:30am the day after the injection and lasting 12-15 hours. Managed with tylenol 500mg taken 3 times (5:40am, 11:00am, and 6:00pm roughly). That reduced pain to manageable level for koisleeping, and reduced fever to within normal range.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gastrointestinal pain, Headache, Injection site erythema, Injection site pain
Clinical narrative: 7 days after injection, developed extreme rash, swelling, pain  and itching around the injection site and entire upper arm, along with headache, upper GI pain, and fatigue. Symptoms continued for 5 days.  Pain did not respond to pain medication. Itch did not respond to any topical itch relief. Ice was effective. Currently day 6 of symptoms. Started on Doxycyclene 2 days ago and symptoms are now much better. Arm still red
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling, Pruritus
Clinical narrative: 7 days after injection, developed extreme rash, swelling, pain  and itching around the injection site and entire upper arm, along with headache, upper GI pain, and fatigue. Symptoms continued for 5 days.  Pain did not respond to pain medication. Itch did not respond to any topical itch relief. Ice was effective. Currently day 6 of symptoms. Started on Doxycyclene 2 days ago and symptoms are now much better. Arm still red
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site bruising
Clinical narrative: mild headache, chills (for a couple of hours the day after the vaccine was given), bruise at the injection site.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lymphadenopathy, Nausea, Pain, Pyrexia
Clinical narrative: Fever,  chills , very bad body aches, swelling lymph node , nausea vomiting
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Vomiting
Clinical narrative: Fever,  chills , very bad body aches, swelling lymph node , nausea vomiting
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Agitation, Blood creatinine increased, Hallucination, Hypersomnia
Clinical narrative: Since receiving the COVID-19 vaccine, patient has been sleeping 20 hours a day with decreased oral intake. On 1/30, his mobility began decreasing and he was no longer able to use the walker he normally uses. He is also usually alert and oriented x 4, altered (including hallucinations) when admitted to the ICU on 2/1/21. Also with hypertension and AKI.  Management: precedex for agitation, labetalol for hypertension, fluids and foley for AKI
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Hypophagia, Intensive care, Mental status changes, Mobility decreased
Clinical narrative: Since receiving the COVID-19 vaccine, patient has been sleeping 20 hours a day with decreased oral intake. On 1/30, his mobility began decreasing and he was no longer able to use the walker he normally uses. He is also usually alert and oriented x 4, altered (including hallucinations) when admitted to the ICU on 2/1/21. Also with hypertension and AKI.  Management: precedex for agitation, labetalol for hypertension, fluids and foley for AKI
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: redness came up many days later and as of 17 days after the injection I still have redness on that shoulder
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic, Swelling
Clinical narrative: RAISED, RED, ANGRY, ITCHY RASH TO THE LEFT SIDE OF NECK, BEHIND LEFT EAR,  AND GOING UP ONTO LEFT SIDE OF LOWER JAW.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: 19 minutes post-vaccination, C/O tingling of tongue and roof of mouth; no dyspnea; BP 120/80, pulse 104 resp-18 O2 sat= 98%; gave Benedryl po 50 mg and juice; continued to observe until 2pm at which times s/s subsided; vitals signs remained stable; discharged in the care of her mother.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site induration
Clinical narrative: Given 1st dose Moderna Covid- 19 vaccine on Jan. 11, 2021 in right deltoid- Ususal tiredness, sl. fatigue, headache later that day. That evening, developed swelling in armpit area into right breast area on side near arm.  Used ibuprofen, ice pack for comfort. Next day had body aches, sl. fever, chills. Right arm hurt for 6 days. Armpti swelling reduced by day 4 .On day 4 following vaccine- observed red, swollen, hard area at injection site size of a small saucer. Somwhat blanched white above and below red area.  Went away in two days. Used Ibuprofen, ice for comfort. Symptoms subsided in week.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site swelling, Lymphadenopathy, Pain, Pain in extremity, Pallor
Clinical narrative: Given 1st dose Moderna Covid- 19 vaccine on Jan. 11, 2021 in right deltoid- Ususal tiredness, sl. fatigue, headache later that day. That evening, developed swelling in armpit area into right breast area on side near arm.  Used ibuprofen, ice pack for comfort. Next day had body aches, sl. fever, chills. Right arm hurt for 6 days. Armpti swelling reduced by day 4 .On day 4 following vaccine- observed red, swollen, hard area at injection site size of a small saucer. Somwhat blanched white above and below red area.  Went away in two days. Used Ibuprofen, ice for comfort. Symptoms subsided in week.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Given 1st dose Moderna Covid- 19 vaccine on Jan. 11, 2021 in right deltoid- Ususal tiredness, sl. fatigue, headache later that day. That evening, developed swelling in armpit area into right breast area on side near arm.  Used ibuprofen, ice pack for comfort. Next day had body aches, sl. fever, chills. Right arm hurt for 6 days. Armpti swelling reduced by day 4 .On day 4 following vaccine- observed red, swollen, hard area at injection site size of a small saucer. Somwhat blanched white above and below red area.  Went away in two days. Used Ibuprofen, ice for comfort. Symptoms subsided in week.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Acute coronary syndrome, Death, Endotracheal intubation, Laboratory test, Respiratory failure
Clinical narrative: Resident passed away unexpectedly on 01/19/21 after developing acute hypoxic respiratory failure on morning of 01/19/21.  She was transferred to hospital via EMS  where she was intubated, coded, and ultimately expired with uncertain underlying cause, potentially ACS.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypertension
Clinical narrative: Patient reported feeling  dizzy after vaccination. Patient's blood pressure was taken and trended high - it was 140s-150/80. It was high 10 minutes after vaccination. Patient was instructed to stay seated and wait under supervision for 15 more minutes. Patient was given water and BP remained high, ~140/80s. Over the entire course of observation, the patient's pulse was normal (80 BPM).
Age: 47.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: headaches, nausea, dizzy
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Lymphadenopathy
Clinical narrative: I had one enlarged surgical lymph node on left side was seen by a EMT. I went to get a CT scan it appeared to be enlarged.After I went to see my ENT wants to follow up in a month if hasn't gotten any better will schedule appt for ultrasound.(lymph node it appeared a size of a nickel coin in height at first and now has decreased to a size of a raisin)
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient reported experiencing pain, redness and swelling at injection site, mild fever, headache, fatigue. Symptoms onset about 6 hours after second dose of Moderna COVID-19 vaccine. Symptoms resolved within 24 hours of onset.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient reported experiencing pain, redness and swelling at injection site, mild fever, headache, fatigue. Symptoms onset about 6 hours after second dose of Moderna COVID-19 vaccine. Symptoms resolved within 24 hours of onset.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Got ?COVID arm? , very itchy and red welts;  took antihistamine and was good the next day. 2 days later I am getting red welts on both arms and chest, 2 days in a row now; spoke with doc and am taking antihistamines ; not sure if this will be ongoing
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Hot flush, Hyperhidrosis
Clinical narrative: received 2nd dose of Moderna COVID vaccine in the morning, started having dizziness, shortness of breath, chest tightness at 3:00PM. BP was 179/101, HR-115, Temp-98.3, O2 Sat-98%, RR-28, complaining of hot flashes and sweating. Taken to the emergency room.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Feeling of pins and needles, and later pain in right forearm.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient had appropriate first dose of pneumovax23 on 04/26/2016. Patient was incorrectly given a second dose of pneumovax23 on 02/02/2021. This was less than 5 years between doses and patient was not due again for another pneumonia vaccine until she is 35 years old. At this time patient reports no adverse events or symptoms. Instructed patient to contact primary care provider or myself with any new adverse events, symptoms, or concerns.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Itchy rash that began on chest and progressed to neck, face, entire trunk/ back
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Contusion, Haematoma, Injection site bruising, Peripheral swelling
Clinical narrative: Patient reported experiencing swelling on the upper left arm on Saturday. On Sunday, he started seeing the injection site turning blue. On Tuesday, he called back and reported the entire upper arm is purplish blue. I recommended him to call his PCP on Wednesday and apply ice pack to the upper arm. When following up with him on Wednesday (2/3/21), he reported the PCP stated that he has hematoma. No treatment necessary, but to continue the ice pack method.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash pruritic
Clinical narrative: Large oval shaped itchy rash on left shoulder that showed up on 2/1/21 and mostly gone by 2/3/21, although a vestige remains as of this submission
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Pyrexia
Clinical narrative: Fever, Chills joint pain
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient complaint of dizziness. BP 132/78, P 66, R 16, O2 95%. Head to assessment completed. Patient monitored for 15 minutes. Patient felt better after 15 minutes and left clinic.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Hyperhidrosis, Hypoaesthesia oral, Tremor
Clinical narrative: Sweaty palms, numb lips, cold sweats, shakiness
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: patient developed hive from hair line to waist, pt went to urgent care and was instructed to take diphenhydramine  and given steroid cream to treat hives
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Myalgia, Pyrexia
Clinical narrative: Chills, severe muscle aches, fever that reached 102.3 F, headache, and diarrhea. Tylenol was taken at 12:30 am on Tuesday, again in the afternoon and again in the evening. The fever did not go down until late Tuesday night.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: SEVERE CHILLS FEVER 100.9 FATIGUE LASTING 24 HOURS
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: Moderna Covid-19 Vaccine EUA  Lot # 032L20A
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Erythema, Feeling hot, Flushing, Peripheral swelling
Clinical narrative: 15 minutes after booster injection, patient verbalized bilateral hand swelling and hot sensation over entire body. Skin color became red and flushed. Patient took a po 25mg Benadryl. Symptoms did not resolve. Rapid Response called and patient transported to ED for evaluation. BP 120/68. No respiratory distress or airway compromise noted.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypersensitivity, Peripheral swelling, Urticaria
Clinical narrative: 15 minutes after booster injection, patient verbalized bilateral hand swelling and hot sensation over entire body. Skin color became red and flushed. Patient took a po 25mg Benadryl. Symptoms did not resolve. Rapid Response called and patient transported to ED for evaluation. BP 120/68. No respiratory distress or airway compromise noted.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Stridor
Clinical narrative: Difficulty breathing, stridor about 30 minutes after vaccine,  Pt received albuterol treatment, solumedrol  and benadryl IV.   Pt's respiratory status improved
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Pain in extremity
Clinical narrative: I work up at 2am with my right pinky- first knuckle -  pounding in pain. Never had that happen before.  Then I realized my mouth was extremely dry. I got up, drank some water and layed back down. After about 15-20 minutes the pain subsidded and I was able to fall back to sleep.  Just weird! Odd side effect for sure. Hope the second shot is that simple too!
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Lymphadenopathy, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Fever of 101.7 until 2/1/21 Blood pressure 169/110(with meds taken) Swollen lymph nodes under arm of shot site(to date) Stiffness in said arm Joint pain on left side of shot site
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: Red rash.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: injection site pain, swelling, redness and extensive rash
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure increased, Diarrhoea, Dizziness, Fatigue
Clinical narrative: About 2 minutes after injection, I had a sudden rush of warmth throughout my body starting in my abdomen then causing my pulse to feel like it was pounding out of my neck. Got light headed. EMS came and my blood pressure raised to 155/95 and my pulse was up in the 150s and I was shaking.  Started to go down but felt crappy for over 2 hours. Happened again 30seconds after the second injection. Pulse up to almost 160. 02 stats stayed normal. Post first injection had sore arm and lots of fatigue and brain fog. Following the second injection 12 hours post started having nausea, and diarrhea. Continued to have joint pain, muscle aches, headaches for days, and my lymph nodes swelled up and were extremely painful.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling hot, Headache, Heart rate increased, Lymph node pain
Clinical narrative: About 2 minutes after injection, I had a sudden rush of warmth throughout my body starting in my abdomen then causing my pulse to feel like it was pounding out of my neck. Got light headed. EMS came and my blood pressure raised to 155/95 and my pulse was up in the 150s and I was shaking.  Started to go down but felt crappy for over 2 hours. Happened again 30seconds after the second injection. Pulse up to almost 160. 02 stats stayed normal. Post first injection had sore arm and lots of fatigue and brain fog. Following the second injection 12 hours post started having nausea, and diarrhea. Continued to have joint pain, muscle aches, headaches for days, and my lymph nodes swelled up and were extremely painful.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Myalgia, Nausea, Pain in extremity, Tremor
Clinical narrative: About 2 minutes after injection, I had a sudden rush of warmth throughout my body starting in my abdomen then causing my pulse to feel like it was pounding out of my neck. Got light headed. EMS came and my blood pressure raised to 155/95 and my pulse was up in the 150s and I was shaking.  Started to go down but felt crappy for over 2 hours. Happened again 30seconds after the second injection. Pulse up to almost 160. 02 stats stayed normal. Post first injection had sore arm and lots of fatigue and brain fog. Following the second injection 12 hours post started having nausea, and diarrhea. Continued to have joint pain, muscle aches, headaches for days, and my lymph nodes swelled up and were extremely painful.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Exposure to SARS-CoV-2
Clinical narrative: DEVELOPED S/S OF COVID 18 DAYS AFTER VACCINATION, TESTED ON DAY 19 POST VACCINATION, AND RESULTED POSITIVE ON SARS 2019 n-Cov PCR ON DAY 20 POST VACCINATION. PT DID ALSO HAVE A WORK EXPOSURE ON 1/21/21, AND HUSBAND IS ALSO A POSITIVE CASE. S/S WERE: COUGH, SINUS CONGESTION, LOSS OF TASTE AND SMELL, HEADACHE, AND SNEEZING.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, SARS-CoV-2 test positive, Sinus congestion, Sneezing
Clinical narrative: DEVELOPED S/S OF COVID 18 DAYS AFTER VACCINATION, TESTED ON DAY 19 POST VACCINATION, AND RESULTED POSITIVE ON SARS 2019 n-Cov PCR ON DAY 20 POST VACCINATION. PT DID ALSO HAVE A WORK EXPOSURE ON 1/21/21, AND HUSBAND IS ALSO A POSITIVE CASE. S/S WERE: COUGH, SINUS CONGESTION, LOSS OF TASTE AND SMELL, HEADACHE, AND SNEEZING.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea
Clinical narrative: Had nausea and some diarrhea yesterday. Feels much better today with slight diarrhea. She took Milk of Magnesia with improvement.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: mild numbness of jaw (left side) radiating to lower left side of face beginning 4 hours after injection, no tx, resolved within 12 hours
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Hyperhidrosis, Malaise
Clinical narrative: Chills, sweats, weakness , malaise