chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Chills, Ear discomfort, Heart rate increased
Clinical narrative: Day of shot, 3 hours later was in ER with kidney stone and UTI - probably unrelated and stone passed. UTI treated with Keflex.  Had fever, chills, and insomnia for a week after shot. A week after shot developed tinnitus in right ear, felt pressure burning and itching at times that would come and go. Tinnitus has moved to both ears. Has not stopped since. Heart rate at rest has been in 90's since shot. High heart rate with pain and pressure in chest along with feeling short of breath with mild amounts of activity like walking around a store.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Nephrolithiasis, Pyrexia, Tinnitus, Urinary tract infection
Clinical narrative: Day of shot, 3 hours later was in ER with kidney stone and UTI - probably unrelated and stone passed. UTI treated with Keflex.  Had fever, chills, and insomnia for a week after shot. A week after shot developed tinnitus in right ear, felt pressure burning and itching at times that would come and go. Tinnitus has moved to both ears. Has not stopped since. Heart rate at rest has been in 90's since shot. High heart rate with pain and pressure in chest along with feeling short of breath with mild amounts of activity like walking around a store.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Chest pain, Heart rate increased, Lymph node pain
Clinical narrative: High heartbeat rate 110-120bpm pain from lymph node chest pain
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast swelling, Lymphadenopathy
Clinical narrative: A few weeks after receiving my second dose of Pfizer vaccine my left breast started to become swollen and enlarged.  There are also lymph nodes under my armpit that are swollen and painful.  I received the shot in my left arm.  The condition has not improved.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Ear pain, Headache, Lip swelling, Neck pain
Clinical narrative: Bumps on right side of face, swelling on right side of face, tongue, lip.  Light headed, diziness, sharp pain on right side of neck and right ear.  Bad headache for approximately 2-3 days with no relief even after taking 800ml Ibuprofen. Swelling has reduced and the bumps gone as of today but the pain in neck and ear comes sporadically.  Not back to normal or how I felt previous to shot.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Swelling face, Swollen tongue
Clinical narrative: Bumps on right side of face, swelling on right side of face, tongue, lip.  Light headed, diziness, sharp pain on right side of neck and right ear.  Bad headache for approximately 2-3 days with no relief even after taking 800ml Ibuprofen. Swelling has reduced and the bumps gone as of today but the pain in neck and ear comes sporadically.  Not back to normal or how I felt previous to shot.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Dizziness, Nausea, No reaction on previous exposure to drug, Pain in extremity
Clinical narrative: First dose: No soreness or any other symptoms experienced.   Second Dose: Sore arm, back pain, dizziness, nausea
Sex: U
Vaccine: COVID19
Symptoms: C-reactive protein normal, Chest X-ray normal, Chest discomfort, Cold sweat, Differential white blood cell count normal
Clinical narrative: Aug 11- Awoke with small rash at injection site and a sense of being off. At approximately 1pm, began to experience tunnel vision, shortness of breath, chest pressure, clamy skin, loss of color, headache, dizziness and nausea. Went to hospital.
Sex: U
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Electrocardiogram normal, Full blood count normal, Headache
Clinical narrative: Aug 11- Awoke with small rash at injection site and a sense of being off. At approximately 1pm, began to experience tunnel vision, shortness of breath, chest pressure, clamy skin, loss of color, headache, dizziness and nausea. Went to hospital.
Sex: U
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Injection site rash, Metabolic function test normal, Nausea
Clinical narrative: Aug 11- Awoke with small rash at injection site and a sense of being off. At approximately 1pm, began to experience tunnel vision, shortness of breath, chest pressure, clamy skin, loss of color, headache, dizziness and nausea. Went to hospital.
Sex: U
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal, SARS-CoV-2 test negative, Serum ferritin normal, Skin discolouration, Tunnel vision
Clinical narrative: Aug 11- Awoke with small rash at injection site and a sense of being off. At approximately 1pm, began to experience tunnel vision, shortness of breath, chest pressure, clamy skin, loss of color, headache, dizziness and nausea. Went to hospital.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive Rapid COVID test on 08/13/2021. Patient fully vaccinated with Moderna at the Health Department
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient was administered her 1st dose of Pfizer Covid Vaccine  and while waiting for her 15 minutes observation, she started feeling dizziness and passed out.  911 was called and she was taken to the hospital
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Lethargy, Lymphadenopathy, Pain
Clinical narrative: Low-grade fever (99.5) that responded to alternating Tylenol and Advil Chills Body aches Swollen lymph node in left armpit Fatigue Lethargy Heart racing
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: Low-grade fever (99.5) that responded to alternating Tylenol and Advil Chills Body aches Swollen lymph node in left armpit Fatigue Lethargy Heart racing
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular, Vaccination site pain, Vaccination site pruritus, Vaccination site swelling
Clinical narrative: little bumps at shot the site/fist size red spot that is a litttle swollen and itchy; little bumps at shot the site/fist size red spot that is a litttle swollen and itchy; little bumps at shot the site/fist size red spot that is a litttle swollen and itchy; injections site was sore; This spontaneous case was reported by a consumer and describes the occurrence of RASH MACULAR (little bumps at shot the site/fist size red spot that is a litttle swollen and itchy), VACCINATION SITE PAIN (injections site was sore), VACCINATION SITE SWELLING (little bumps at shot the site/fist size red spot that is a litttle swollen and itchy) and VACCINATION SITE PRURITUS (little bumps at shot the site/fist size red spot that is a litttle swollen and itchy) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 0014M20A) for COVID-19 vaccination.     No Medical History information was reported.    On 09-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Mar-2021, the patient experienced VACCINATION SITE PAIN (injections site was sore). On 16-Mar-2021, the patient experienced RASH MACULAR (little bumps at shot the site/fist size red spot that is a litttle swollen and itchy), VACCINATION SITE SWELLING (little bumps at shot the site/fist size red spot that is a litttle swollen and itchy) and VACCINATION SITE PRURITUS (little bumps at shot the site/fist size red spot that is a litttle swollen and itchy). At the time of the report, RASH MACULAR (little bumps at shot the site/fist size red spot that is a litttle swollen and itchy), VACCINATION SITE PAIN (injections site was sore), VACCINATION SITE SWELLING (little bumps at shot the site/fist size red spot that is a litttle swollen and itchy) and VACCINATION SITE PRURITUS (little bumps at shot the site/fist size red spot that is a litttle swollen and itchy) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Concomitant medication was not provided by the reporter. No treatment information was provided.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Spondylitis
Clinical narrative: Chills, fatigue
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Vertigo
Clinical narrative: Extreme vertigo and nausea
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chest X-ray normal, Chest discomfort, Computerised tomogram normal, Dizziness
Clinical narrative: Extreme vertigo and nausea
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Fatigue, Feeling abnormal, Gastric disorder
Clinical narrative: Extreme vertigo and nausea
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hyperventilation, Pain in extremity, Respiration abnormal, Tinnitus
Clinical narrative: Extreme vertigo and nausea
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vision blurred, Visual field defect
Clinical narrative: Extreme vertigo and nausea
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chest pain, Headache, Laboratory test normal, Rhinorrhoea
Clinical narrative: Headache, runny nose Tuesday-Thursday then Thur evening started having chest and abdominal pain, the other symptoms went away except for the chest and abdominal pain
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Feeling cold, Hypoaesthesia, Paraesthesia
Clinical narrative: Both arms and hands went numb, started to tingle, then felt like they started to burn and then felt cold.  Did this for a couple of hours. Started at 4:13pm
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Nausea, Pain, Pain in extremity, Vomiting
Clinical narrative: Patient reported severe nausea/vomiting, large rash around injection site and significant pain in affected arm that radiated to entire body.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Electric shock sensation, Fatigue, Oropharyngeal discomfort
Clinical narrative: I became extremely tired and went to sleep. I was awakened by the feeling of something traveling up my esophagus toward my throat. It was unlike anything I?ve ever felt. As it reached my throat I began to cough. It was intense electrical energy like something wanted to get out. I have not stopped having daily coughing since that day. It is not extreme coughing and the feeling is less intense but it?s occurring daily.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: PATIENT PRESENTED TO THE PHARMACY FOR A COVID VACCINE. PATIENT SAID IT WAS HIS FIRST DOSE. WHEN I SAW HE MARKED THAT HE WAS IMMUNOCOMPROMISED, I ASKED HIM AGAIN IF THIS WAS HIS FIRST DOSE OF A COVID VACCINE AND HE SAID YES. WHEN IMPACTSIS FOR WAS DONE TECH PUT NAME INSTEAD OF FULL NAME WHICH BROUGHT NOTHING UP. I THEN GAVE THE VACCINATION AND WHEN SPEAKING WITH HIM HE MENTIONED HOW HE DID FINE WITH ALL HIS OTHER SHOTS LIKE SHINGLES AND HEPATITIS SO I KNEW SOMETHING WASN'T ADDING UP. I DID IMPACTSIS MYSELF LATER WITH PT AS FIRST NAME WHICH BROUGHT UP HIS WHOLE VACCINATION HISTORY AND THAT HE HAD RECEIVED JANSSEN ON 3/6/2021.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Arthralgia, Chest discomfort, Chills, Condition aggravated
Clinical narrative: 7/16/21 Pfizer Lot #EW0176 2PM Health Center/Clinic  Friday Side Effects: Headache, arm sore (6/10), swollen and warm to touch at injection site  Saturday side Effects:  Headache, arm sore (9/10) (hard to move) and swollen at injection site, chills, sore throat  Sunday Side Effects: Headache, arm sore (4/10)  Monday Side Effects: Mild soreness at injection site only  Other: Bruise at injection site for 16 days  Medications taken: Tylenol 500mg every 5-6 hours as needed   8/6/21 Pfizer Lot #EW0168 2PM Health Center/Clinic  Friday Side Effects: Headache, arm sore (5/10) and swollen at injection site, extreme nausea  Saturday Side Effects:  Headache, arm sore (7/10) and swollen and warm to touch at injection site, chills, sore throat, swollen neck glands, sinus pressure, fever (up to 101.2), muscle aches (calves specifically), joint pain (wrist, fingers, toes specifically), extreme nausea, elevated heart rate (up to 145 standing still), chest pressure  Sunday Side Effects: Headache, arm sore (2/10), swollen neck glands, sinus pressure, fever (up to 100.4), diarrhea, abdominal pain, chest pressure  Monday Side Effects: Itchy, red rash on vaccine arm, bloody nose, diarrhea, abdominal pain, chest pressure  Tuesday Side Effects:  Itchy, red rash on vaccine arm, abdominal pain  Wednesday Side Effects: Red rash on vaccine arm, abdominal pain  Thursday Side Effects: Rash on vaccine arm  Friday Side Effects: Rash on vaccine arm   Medications Taken: Tylenol 500mg every 4-6 hours as needed Benadryl 12.5mg
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Epistaxis, Headache, Heart rate increased, Injection site bruising
Clinical narrative: 7/16/21 Pfizer Lot #EW0176 2PM Health Center/Clinic  Friday Side Effects: Headache, arm sore (6/10), swollen and warm to touch at injection site  Saturday side Effects:  Headache, arm sore (9/10) (hard to move) and swollen at injection site, chills, sore throat  Sunday Side Effects: Headache, arm sore (4/10)  Monday Side Effects: Mild soreness at injection site only  Other: Bruise at injection site for 16 days  Medications taken: Tylenol 500mg every 5-6 hours as needed   8/6/21 Pfizer Lot #EW0168 2PM Health Center/Clinic  Friday Side Effects: Headache, arm sore (5/10) and swollen at injection site, extreme nausea  Saturday Side Effects:  Headache, arm sore (7/10) and swollen and warm to touch at injection site, chills, sore throat, swollen neck glands, sinus pressure, fever (up to 101.2), muscle aches (calves specifically), joint pain (wrist, fingers, toes specifically), extreme nausea, elevated heart rate (up to 145 standing still), chest pressure  Sunday Side Effects: Headache, arm sore (2/10), swollen neck glands, sinus pressure, fever (up to 100.4), diarrhea, abdominal pain, chest pressure  Monday Side Effects: Itchy, red rash on vaccine arm, bloody nose, diarrhea, abdominal pain, chest pressure  Tuesday Side Effects:  Itchy, red rash on vaccine arm, abdominal pain  Wednesday Side Effects: Red rash on vaccine arm, abdominal pain  Thursday Side Effects: Rash on vaccine arm  Friday Side Effects: Rash on vaccine arm   Medications Taken: Tylenol 500mg every 4-6 hours as needed Benadryl 12.5mg
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Lymphadenopathy, Mobility decreased
Clinical narrative: 7/16/21 Pfizer Lot #EW0176 2PM Health Center/Clinic  Friday Side Effects: Headache, arm sore (6/10), swollen and warm to touch at injection site  Saturday side Effects:  Headache, arm sore (9/10) (hard to move) and swollen at injection site, chills, sore throat  Sunday Side Effects: Headache, arm sore (4/10)  Monday Side Effects: Mild soreness at injection site only  Other: Bruise at injection site for 16 days  Medications taken: Tylenol 500mg every 5-6 hours as needed   8/6/21 Pfizer Lot #EW0168 2PM Health Center/Clinic  Friday Side Effects: Headache, arm sore (5/10) and swollen at injection site, extreme nausea  Saturday Side Effects:  Headache, arm sore (7/10) and swollen and warm to touch at injection site, chills, sore throat, swollen neck glands, sinus pressure, fever (up to 101.2), muscle aches (calves specifically), joint pain (wrist, fingers, toes specifically), extreme nausea, elevated heart rate (up to 145 standing still), chest pressure  Sunday Side Effects: Headache, arm sore (2/10), swollen neck glands, sinus pressure, fever (up to 100.4), diarrhea, abdominal pain, chest pressure  Monday Side Effects: Itchy, red rash on vaccine arm, bloody nose, diarrhea, abdominal pain, chest pressure  Tuesday Side Effects:  Itchy, red rash on vaccine arm, abdominal pain  Wednesday Side Effects: Red rash on vaccine arm, abdominal pain  Thursday Side Effects: Rash on vaccine arm  Friday Side Effects: Rash on vaccine arm   Medications Taken: Tylenol 500mg every 4-6 hours as needed Benadryl 12.5mg
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Nausea, Oropharyngeal pain, Pain in extremity, Paranasal sinus discomfort
Clinical narrative: 7/16/21 Pfizer Lot #EW0176 2PM Health Center/Clinic  Friday Side Effects: Headache, arm sore (6/10), swollen and warm to touch at injection site  Saturday side Effects:  Headache, arm sore (9/10) (hard to move) and swollen at injection site, chills, sore throat  Sunday Side Effects: Headache, arm sore (4/10)  Monday Side Effects: Mild soreness at injection site only  Other: Bruise at injection site for 16 days  Medications taken: Tylenol 500mg every 5-6 hours as needed   8/6/21 Pfizer Lot #EW0168 2PM Health Center/Clinic  Friday Side Effects: Headache, arm sore (5/10) and swollen at injection site, extreme nausea  Saturday Side Effects:  Headache, arm sore (7/10) and swollen and warm to touch at injection site, chills, sore throat, swollen neck glands, sinus pressure, fever (up to 101.2), muscle aches (calves specifically), joint pain (wrist, fingers, toes specifically), extreme nausea, elevated heart rate (up to 145 standing still), chest pressure  Sunday Side Effects: Headache, arm sore (2/10), swollen neck glands, sinus pressure, fever (up to 100.4), diarrhea, abdominal pain, chest pressure  Monday Side Effects: Itchy, red rash on vaccine arm, bloody nose, diarrhea, abdominal pain, chest pressure  Tuesday Side Effects:  Itchy, red rash on vaccine arm, abdominal pain  Wednesday Side Effects: Red rash on vaccine arm, abdominal pain  Thursday Side Effects: Rash on vaccine arm  Friday Side Effects: Rash on vaccine arm   Medications Taken: Tylenol 500mg every 4-6 hours as needed Benadryl 12.5mg
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rash, Rash erythematous, Rash pruritic
Clinical narrative: 7/16/21 Pfizer Lot #EW0176 2PM Health Center/Clinic  Friday Side Effects: Headache, arm sore (6/10), swollen and warm to touch at injection site  Saturday side Effects:  Headache, arm sore (9/10) (hard to move) and swollen at injection site, chills, sore throat  Sunday Side Effects: Headache, arm sore (4/10)  Monday Side Effects: Mild soreness at injection site only  Other: Bruise at injection site for 16 days  Medications taken: Tylenol 500mg every 5-6 hours as needed   8/6/21 Pfizer Lot #EW0168 2PM Health Center/Clinic  Friday Side Effects: Headache, arm sore (5/10) and swollen at injection site, extreme nausea  Saturday Side Effects:  Headache, arm sore (7/10) and swollen and warm to touch at injection site, chills, sore throat, swollen neck glands, sinus pressure, fever (up to 101.2), muscle aches (calves specifically), joint pain (wrist, fingers, toes specifically), extreme nausea, elevated heart rate (up to 145 standing still), chest pressure  Sunday Side Effects: Headache, arm sore (2/10), swollen neck glands, sinus pressure, fever (up to 100.4), diarrhea, abdominal pain, chest pressure  Monday Side Effects: Itchy, red rash on vaccine arm, bloody nose, diarrhea, abdominal pain, chest pressure  Tuesday Side Effects:  Itchy, red rash on vaccine arm, abdominal pain  Wednesday Side Effects: Red rash on vaccine arm, abdominal pain  Thursday Side Effects: Rash on vaccine arm  Friday Side Effects: Rash on vaccine arm   Medications Taken: Tylenol 500mg every 4-6 hours as needed Benadryl 12.5mg
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Human chorionic gonadotropin decreased, Pregnancy, Ultrasound antenatal screen abnormal, Uterine dilation and curettage
Clinical narrative: Miscarriage Treatment- D&C x2
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Positive dose response relationship, Psychomotor hyperactivity
Clinical narrative: Felt hyper as if he took some cold medication; Positive benefit after first dose, lungs felt so good that he did not need to take any asthma medications, asthma complications (cough and phlegm) easily decreased by 75%; This spontaneous case was reported by a consumer and describes the occurrence of PSYCHOMOTOR HYPERACTIVITY (Felt hyper as if he took some cold medication) and POSITIVE DOSE RESPONSE RELATIONSHIP (Positive benefit after first dose, lungs felt so good that he did not need to take any asthma medications, asthma complications (cough and phlegm) easily decreased by 75%) in a 62-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026A21A) for COVID-19 vaccination.     Concurrent medical conditions included Asthma. Concomitant products included LISINOPRIL for an unknown indication.    On 16-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Mar-2021, the patient experienced PSYCHOMOTOR HYPERACTIVITY (Felt hyper as if he took some cold medication) and POSITIVE DOSE RESPONSE RELATIONSHIP (Positive benefit after first dose, lungs felt so good that he did not need to take any asthma medications, asthma complications (cough and phlegm) easily decreased by 75%). On 17-Mar-2021, PSYCHOMOTOR HYPERACTIVITY (Felt hyper as if he took some cold medication) and POSITIVE DOSE RESPONSE RELATIONSHIP (Positive benefit after first dose, lungs felt so good that he did not need to take any asthma medications, asthma complications (cough and phlegm) easily decreased by 75%) had resolved.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       The patient was key'd up and ready to go (only lasted for a day).  No treatment information was provided.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Chest pain and shortness of breath after one hour of vaccination
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Full blood count, Full blood count normal, Laboratory test, Neuralgia
Clinical narrative: After the first shot on 03/25/21- I had extreme muscle/joint pain. I debated whether to get a second shot out of concern. I received the second shot on 04/19/21 and neurolgical nerve pain is intensified. I have a history of spine issues, but after the vaccine it intensified. Nerve pain started going into both hips, knees, and ankles. Meaning I received new symptoms. Also, I have disc replacement at C4/5 and while I've had difficulty with the disc, the pain now goes down both arms into my elbows and then I get more pain in the fingers. While, I certainly had pain before the vaccine, I would say it was taken to a new level. I've been to several doctors including traditional and holistic.  Neurosurgeon said spine is stable, primary MD has heard of people getting flared up after vaccine. I've seen a functional med practitioner to ensure I am taking care of my body in all ways. And finally, a counselor due to the flare up being difficult to deal with mentally.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: After the first shot on 03/25/21- I had extreme muscle/joint pain. I debated whether to get a second shot out of concern. I received the second shot on 04/19/21 and neurolgical nerve pain is intensified. I have a history of spine issues, but after the vaccine it intensified. Nerve pain started going into both hips, knees, and ankles. Meaning I received new symptoms. Also, I have disc replacement at C4/5 and while I've had difficulty with the disc, the pain now goes down both arms into my elbows and then I get more pain in the fingers. While, I certainly had pain before the vaccine, I would say it was taken to a new level. I've been to several doctors including traditional and holistic.  Neurosurgeon said spine is stable, primary MD has heard of people getting flared up after vaccine. I've seen a functional med practitioner to ensure I am taking care of my body in all ways. And finally, a counselor due to the flare up being difficult to deal with mentally.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Ultrasound scan
Clinical narrative: Swollen left foot
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chest X-ray normal, Chest pain, Electrocardiogram normal, Hypoaesthesia
Clinical narrative: Between the 3rd and 4th day after the shot, patient developed  acute onset of excruciating back pain, acute onset of paresthesias and numbness in the right 3rd middle and  distal phalanx on palmar aspect. He also developed midsternal chest pain, worsened with lying down and improved slightly with sitting up. It is now 1.5 weeks after the 1st dose, and he continues to have chest pain, which is worsened with lying down and improved with sitting up, which are typical of pericarditis. He has been sitting up to sleep every night since the first dose. The numbness is slightly improved but still present. The back pain and chest pain persist.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Spinal X-ray, Troponin normal
Clinical narrative: Between the 3rd and 4th day after the shot, patient developed  acute onset of excruciating back pain, acute onset of paresthesias and numbness in the right 3rd middle and  distal phalanx on palmar aspect. He also developed midsternal chest pain, worsened with lying down and improved slightly with sitting up. It is now 1.5 weeks after the 1st dose, and he continues to have chest pain, which is worsened with lying down and improved with sitting up, which are typical of pericarditis. He has been sitting up to sleep every night since the first dose. The numbness is slightly improved but still present. The back pain and chest pain persist.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Throat tightness
Clinical narrative: My body started to tingle and my throat started getting tight. It lasted for about 40 minutes.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Cough, Fatigue, Pyrexia
Clinical narrative: Fever, Cough, Fatigue, Weakness
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo
Clinical narrative: Severe vertigo,  nausea.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal pain, Pyrexia
Clinical narrative: fever of 100 degrees and severe musculoskeletal  pain for 3 days
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness
Clinical narrative: felt a little weak; lightheaded; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (lightheaded) and ASTHENIA (felt a little weak) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006B21A) for COVID-19 vaccination.     No Medical History information was reported.    On 17-Mar-2021 at 1:30 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Mar-2021 at 1:30 PM,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced DIZZINESS (lightheaded). On 17-Mar-2021 at 6:30 PM, the patient experienced ASTHENIA (felt a little weak). On 17-Mar-2021 at 7:00 PM, DIZZINESS (lightheaded) and ASTHENIA (felt a little weak) had resolved.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Patient went to lift weights later around 630-7PM and felt a little weak. He wants to know if he should take the second vaccine or not. He has not taken any medications for the side effects. He states that nothing was going within the first 15 minutes but then he felt lightheaded. He had a salad and water and then the lightheadedness went away. Consent given to Safety for follow-up.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Herpes zoster, Neuralgia, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: I began exhibiting congested coughing from 0 to 4 times a day and it has not ceased to the present day. I have tested negative for covid 3 times.   I also noticed a ?shingles ? type rash on my back with associated nerve pain in that area. That presented about a week after my second shot.   I didn?t see a doctor and it has resolved on its own. The coughing as if this report continues.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Dyspnoea, Dyspnoea exertional, Fatigue
Clinical narrative: About 3 hours after injection (8/6/21), started having shortness of breath  and tightness in chest. For about 48 hours it was pretty regular every few hours. Felt like I couldn't take a deep breath. Asthma? Histamine reaction? Got fatigued easily and couldn't exercise at all without getting out of breath. It took a week for it to go away. Still not doing regular exercise. Taking it slow. Had hip pain(8 /7/21). At 1:00 am on 8/8/21 I was woken up by left arm pain. Not a injection site, but above and below elbow(including elbow) Took an hour or two to find a comfortable position to go to sleep.  Had a few red spots on legs appear in the first week.  I don't feel as well as I did before the shot. (Breathing, lung capacity)
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rash, Rash erythematous, Total lung capacity abnormal
Clinical narrative: About 3 hours after injection (8/6/21), started having shortness of breath  and tightness in chest. For about 48 hours it was pretty regular every few hours. Felt like I couldn't take a deep breath. Asthma? Histamine reaction? Got fatigued easily and couldn't exercise at all without getting out of breath. It took a week for it to go away. Still not doing regular exercise. Taking it slow. Had hip pain(8 /7/21). At 1:00 am on 8/8/21 I was woken up by left arm pain. Not a injection site, but above and below elbow(including elbow) Took an hour or two to find a comfortable position to go to sleep.  Had a few red spots on legs appear in the first week.  I don't feel as well as I did before the shot. (Breathing, lung capacity)
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vertigo
Clinical narrative: Vertigo and nausea.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous
Clinical narrative: I was 3 weeks pregnant at the time of the 2nd moderna shot. Due date was set for 1/9/22. Discovered I was miscarrying at 15 weeks (7/16/21). Contact from the V-safe program reached out and suggested I submit a report.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal pain, Pyrexia, Vomiting
Clinical narrative: high fever of 102 degrees  vomiting for 8 hours severe musculoskeletal pain
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient did not accurately complete the vaccine immunization record form prior to vaccination. Patient checked box on questionnaire incorrectly, stating that they were 18 years of age or older when in fact patient was only 17 years. Patient was given Janssen vaccine that is not approved for under 18 years.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Condition aggravated
Clinical narrative: Lower Back pain. It's the same pain I felt when I was positive for covid 19. It started as a side effect the day after the shot. Comes and goes since the first dose.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Anxiety, Fatigue
Clinical narrative: On 8/12 loss available to taste and smell and still not able to.  8/14 little tired 8/14 little anxiety on and off
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes, Vertigo
Clinical narrative: Vertigo aggravated; Cold Sore on the lips; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ORAL HERPES (Cold Sore on the lips) and VERTIGO (Vertigo aggravated) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002A21A) for an unknown indication.     Patient medication history was not provided by the reporter.     On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Mar-2021, the patient experienced ORAL HERPES (Cold Sore on the lips). On 07-Mar-2021, the patient experienced VERTIGO (Vertigo aggravated). The patient was treated with MECLIZINE [MECLOZINE] for Vertigo, at a dose of 1 UNK. At the time of the report, ORAL HERPES (Cold Sore on the lips) had resolved and VERTIGO (Vertigo aggravated) had not resolved. Not Provided      The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Lymphadenopathy, Neck pain, Pain in extremity
Clinical narrative: Next day my little son woke me  up at 10 am because I was making noises like whimpering. I was covered up to my neck in a blanket because I was freezing but felt hot to the touch. I have a headache still and pain on my injected arm and neck. I notice a swollen bump of the side of my collarbone/neck where I was injected. I feel tired and I?m pain. I also had a fever of 101 the day after the injection.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Skin warm
Clinical narrative: Next day my little son woke me  up at 10 am because I was making noises like whimpering. I was covered up to my neck in a blanket because I was freezing but felt hot to the touch. I have a headache still and pain on my injected arm and neck. I notice a swollen bump of the side of my collarbone/neck where I was injected. I feel tired and I?m pain. I also had a fever of 101 the day after the injection.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Blepharospasm, Blood test, Dizziness, Dysarthria
Clinical narrative: On 7/23 I had my first of many episodes and these have continued sporadically through today (8/15). Symptoms - feeling unbalanced/lightheaded, fatigue/slight numbness in arms/hands and calves/feet, cloudy brain, slurred speech, eye twitching (sometimes visible by dr, other times it feels like it?s occurring behind my eye internally). Episodes have no consistent onset. Spells can last throughout the day or for only a few hours. Dr provided me with an RX for Meclizine. When taking a dose of that, symptoms subside.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Feeling abnormal, Hypoaesthesia, Magnetic resonance imaging head, Thyroid function test
Clinical narrative: On 7/23 I had my first of many episodes and these have continued sporadically through today (8/15). Symptoms - feeling unbalanced/lightheaded, fatigue/slight numbness in arms/hands and calves/feet, cloudy brain, slurred speech, eye twitching (sometimes visible by dr, other times it feels like it?s occurring behind my eye internally). Episodes have no consistent onset. Spells can last throughout the day or for only a few hours. Dr provided me with an RX for Meclizine. When taking a dose of that, symptoms subside.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Heart rate irregular
Clinical narrative: Bursts of chaotic heartbeat 3 days after first shot.  Random "burning"  pain in chest.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Appendicectomy, Appendicitis
Clinical narrative: `-Acute appendicitis, appendectomy -disappearance of menstrual cycle
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Pain
Clinical narrative: Body aches, joint aches, fatigue,
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Formication, Neuropathy peripheral
Clinical narrative: Developed peripheral neuropathy bilaterally in feet with crawling sensation up both calves.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Fatigue, Headache, Pain in extremity, Pyrexia
Clinical narrative: Sore red arm with both shots. With 2nd shot I had fever, severe shaking for an hour about 10 hours after injection, fatigue and headache that latest 48 hours. Shaking lasted an hour. Fever was 12 hours long. Within a few days I had a upper lip twitch for a couple months after that 2nd shot.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tremor
Clinical narrative: Sore red arm with both shots. With 2nd shot I had fever, severe shaking for an hour about 10 hours after injection, fatigue and headache that latest 48 hours. Shaking lasted an hour. Fever was 12 hours long. Within a few days I had a upper lip twitch for a couple months after that 2nd shot.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac imaging procedure abnormal, Oedema peripheral, Pericardial effusion, Pericarditis
Clinical narrative: Acute pericarditis with effusion 5.5 months after vaccination. Presented with peripheral edema, abnl cardiac MRI (evaluation done in city, state). Not hospitalized. Treated with NSAIDs, colchicine. Final outcome TBD
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chest pain, Cough, Dry mouth
Clinical narrative: 1 - 1  1/2 days after getting the vaccine I started having a dry cough, difficulty breathing, chest pain, itching in my hands and feet, weakness, neck and shoulder pain and my mouth is extremely dry. I have 2 inhalers and a nebulizer and am now on steroids and it isn?t helping my breathing.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Neck pain, Pruritus
Clinical narrative: 1 - 1  1/2 days after getting the vaccine I started having a dry cough, difficulty breathing, chest pain, itching in my hands and feet, weakness, neck and shoulder pain and my mouth is extremely dry. I have 2 inhalers and a nebulizer and am now on steroids and it isn?t helping my breathing.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Aneurysm, Angiogram normal, Back pain, Computerised tomogram normal, Fatigue
Clinical narrative: 3/19:  Onset:  Crippling sudden headache - inability to move head (neck stiffness) went to emergency room - Cat scan - everything looked normal given migraine medicine and sent home 3/22: back pain and leg spasms set in - continuous headache and tiredness 3/25: doctor visit and shot of torodol, which relieved pain slightly 3/27: back to ER for intense leg spasms, back pain and persistent headache given torodol and prednisone shots and pills to take home That treatment worked and leg spasms went away - tightness in back persisted a bit and headaches went away 3 weeks after onset 3/31: MRI - results were normal 4/28: Allergist - believes reaction not allergy but was some type of reaction  6/29:  Neurologist (took a long time to get in to see her) - wanted to have me checked for aneurysm by vascular doctor - she suspected aneurysm or aseptic meningitis 7/12: vascular appointment - ordered an MRA 7/19: MRA - results normal 8/5: follow-up visit with Neurologist - she has concluded based on everything that it was Aseptic Meningitis probably triggered by vaccine 8/16: scheduled visit with immunologist to figure out path forward - if I should have 2nd dose or another type of vaccine
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Magnetic resonance imaging normal, Meningitis aseptic, Muscle spasms, Musculoskeletal stiffness
Clinical narrative: 3/19:  Onset:  Crippling sudden headache - inability to move head (neck stiffness) went to emergency room - Cat scan - everything looked normal given migraine medicine and sent home 3/22: back pain and leg spasms set in - continuous headache and tiredness 3/25: doctor visit and shot of torodol, which relieved pain slightly 3/27: back to ER for intense leg spasms, back pain and persistent headache given torodol and prednisone shots and pills to take home That treatment worked and leg spasms went away - tightness in back persisted a bit and headaches went away 3 weeks after onset 3/31: MRI - results were normal 4/28: Allergist - believes reaction not allergy but was some type of reaction  6/29:  Neurologist (took a long time to get in to see her) - wanted to have me checked for aneurysm by vascular doctor - she suspected aneurysm or aseptic meningitis 7/12: vascular appointment - ordered an MRA 7/19: MRA - results normal 8/5: follow-up visit with Neurologist - she has concluded based on everything that it was Aseptic Meningitis probably triggered by vaccine 8/16: scheduled visit with immunologist to figure out path forward - if I should have 2nd dose or another type of vaccine
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Chest pain
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Heart rate increased, Injection site pain
Clinical narrative: 102 fever, chills, headache, body and joint aches, soreness in injection site,racing pulse
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: 102 fever, chills, headache, body and joint aches, soreness in injection site,racing pulse
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain in extremity, Pyrexia
Clinical narrative: Developed a 102 degree fever 12 hours after vaccine. also chills and a very very sore arm.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Experienced severe seizure
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pain in extremity
Clinical narrative: This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm was sore), CHILLS (Chills) and MYALGIA (Body Aches) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) for COVID-19 vaccination.     The patient's past medical history included Vertigo. Concurrent medical conditions included Cancer, Drug allergy (Amoxicillin) and Drug allergy (Simezax). Concomitant products included CARFILZOMIB (KYPROLIS) for Cancer, POTASSIUM, CALCIUM, COLECALCIFEROL (VIT D [COLECALCIFEROL]) and VENETOCLAX (VENCLEXTA) for an unknown indication.    On 22-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Feb-2021, the patient experienced PAIN IN EXTREMITY (Arm was sore), CHILLS (Chills) and MYALGIA (Body Aches). At the time of the report, PAIN IN EXTREMITY (Arm was sore), CHILLS (Chills) and MYALGIA (Body Aches) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Description: The patient received the first dose of the vaccine on 22 Feb 2021 in the left arm. After receiving it, the patient experienced chills, body aches and the arm was sore.   This case was linked to MOD-2021-049921 (Patient Link).
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Headache, Heart rate increased, Hyperhidrosis
Clinical narrative: Dizziness to a point where driving a motor vehicle would have been unsafe. Occurred initially while swimming (lap swimming, outdoors). Coincided with symptoms of heat exhaustion, to include nausea, weakness, rapid pulse, and profuse sweating. Heat injury symptoms subsided within 1-2 hours. Dizziness continued for 3 days, followed by mild headache for an additional 1 day.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired driving ability, Nausea
Clinical narrative: Dizziness to a point where driving a motor vehicle would have been unsafe. Occurred initially while swimming (lap swimming, outdoors). Coincided with symptoms of heat exhaustion, to include nausea, weakness, rapid pulse, and profuse sweating. Heat injury symptoms subsided within 1-2 hours. Dizziness continued for 3 days, followed by mild headache for an additional 1 day.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blepharospasm, Blood test, Chills, Chromaturia
Clinical narrative: Within a few hours or my first Moderna, I had pain in my arm, upset stomach, a VERY sharp pain in the front of my right neck, had a rash all over my neck and chest, was dizzy, had a fever, chills and then that night my pee changed color and smelled like asparagus pee. Then, I had sharp,  intense sharp pain in my neck and blood vessels pumping and that went on and on for days and days and days. Then on the following day, I was accidentally stabbed in the face and had to go to urgent care and  my primary care doc insisted I get a TD vaccine (in my right arm this time) just a little more than 24 hours after my first Moderna shot and then I really got sick and not only had massive diarrhea, but I had a fever and rash for about a month but worst of all  I developed facial twitching on the right side of my face/eye and lip that has lasted this whole time. I have also continued to have rashes and strange nerve pains.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Face injury, Laboratory test, Malaise
Clinical narrative: Within a few hours or my first Moderna, I had pain in my arm, upset stomach, a VERY sharp pain in the front of my right neck, had a rash all over my neck and chest, was dizzy, had a fever, chills and then that night my pee changed color and smelled like asparagus pee. Then, I had sharp,  intense sharp pain in my neck and blood vessels pumping and that went on and on for days and days and days. Then on the following day, I was accidentally stabbed in the face and had to go to urgent care and  my primary care doc insisted I get a TD vaccine (in my right arm this time) just a little more than 24 hours after my first Moderna shot and then I really got sick and not only had massive diarrhea, but I had a fever and rash for about a month but worst of all  I developed facial twitching on the right side of my face/eye and lip that has lasted this whole time. I have also continued to have rashes and strange nerve pains.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, Neck pain, Neuralgia, Pain in extremity, Pyrexia
Clinical narrative: Within a few hours or my first Moderna, I had pain in my arm, upset stomach, a VERY sharp pain in the front of my right neck, had a rash all over my neck and chest, was dizzy, had a fever, chills and then that night my pee changed color and smelled like asparagus pee. Then, I had sharp,  intense sharp pain in my neck and blood vessels pumping and that went on and on for days and days and days. Then on the following day, I was accidentally stabbed in the face and had to go to urgent care and  my primary care doc insisted I get a TD vaccine (in my right arm this time) just a little more than 24 hours after my first Moderna shot and then I really got sick and not only had massive diarrhea, but I had a fever and rash for about a month but worst of all  I developed facial twitching on the right side of my face/eye and lip that has lasted this whole time. I have also continued to have rashes and strange nerve pains.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Scan brain, Scan with contrast, Sensory disturbance, Urine odour abnormal
Clinical narrative: Within a few hours or my first Moderna, I had pain in my arm, upset stomach, a VERY sharp pain in the front of my right neck, had a rash all over my neck and chest, was dizzy, had a fever, chills and then that night my pee changed color and smelled like asparagus pee. Then, I had sharp,  intense sharp pain in my neck and blood vessels pumping and that went on and on for days and days and days. Then on the following day, I was accidentally stabbed in the face and had to go to urgent care and  my primary care doc insisted I get a TD vaccine (in my right arm this time) just a little more than 24 hours after my first Moderna shot and then I really got sick and not only had massive diarrhea, but I had a fever and rash for about a month but worst of all  I developed facial twitching on the right side of my face/eye and lip that has lasted this whole time. I have also continued to have rashes and strange nerve pains.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Explosive diarrhea around 10am on 8/15/2021 (48 hrs post-shot) Vomiting around 11:30 am on 8/15/2021
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: After vaccine was administered at 1035, a completed series of Pfizer vaccine on 3/07/21 and 3/28/21 was shown. Patient denies having ever received any other covid vaccine. Patient was educated that he will not be able to receive 2nd dose of series until this is corrected.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site swelling
Clinical narrative: red itchy and swollen at injection site