chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Loss of personal independence in daily activities, Psoriasis, Sleep disorder
Clinical narrative: Day of vaccine: Typical light chills and fatigue Within 12 hours of vaccine:  Psoriasis flare impacting whole scalp (not typical for previous year), and spreading to right ear and left side of neck. Ear and neck responded to over the counter topicals. Scalp has still not returned to pre-vaccine condition. Sudden onset of nocturnal waking/insomnia, with symptoms persisting for three weeks post-vaccine. No prior nocturnal waking or insomnia during prior 12 months (no continued insomnia during lifetime prior to vaccine.) Vivid and unusual dreams followed by nocturnal waking between 2-3:30 am. Calm state of mind (no racing thoughts or feeling of anxiety)  but unable to fall back to sleep until 5 am on 2/3rds of the night (and on 6 documented nights, no return to sleep at all.)  Resulting day time fatigue significantly impacted work and ability to drive. Sought out medical help at an outpatient clinic. Unable to find cause outside of vaccine. After three weeks, nocturnal waking decreased. Twenty-five days post-vaccine, sleep pattern returned to normal.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Nausea, Retching, Vertigo
Clinical narrative: Vertigo,  Dry heaves ( nausea ),   chills one time during night.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Woke up with a fever of 100, chills, body aches, and a headache. Everything felt better by 9am except the headache lasted until 4pm and I was fatigued until 3pm.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Dysgeusia
Clinical narrative: 5 minutes after injection developed metallic taste in mouth follwed by limited ability to taste starting to resolve 4/4/21.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Headache; fatigue; swelling, pain, & rash at injection site.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Rash vesicular, Scab, Urticaria
Clinical narrative: Cluster of 6-10 hive-like bumps on right shoulder/back. Bumps were itchy, some were fluid filled. Bumps eventually scabbed over after 4-5 days. Bumps have gotten smaller and have mostly resolved after 10 days but some still persist and are still itchy. Bumps seemed to cluster around a tattoo in the same area ? also in same area that bra strap met the band of bra.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Delirium, Fatigue, Insomnia, Myalgia, Pain
Clinical narrative: Starting about 8 hours after the shot and for about 12 hours thereafter: fever, insomnia, fatigue, mild delirium, and aches/soreness. One instance of vomiting during this period. Symptoms gradually lessened after about 12 hours (around 8:30 am on April 2), and by that evening, or about 24 hours after onset, were entirely gone except for fatigue, which was itself gone by the morning of April 3.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Starting about 8 hours after the shot and for about 12 hours thereafter: fever, insomnia, fatigue, mild delirium, and aches/soreness. One instance of vomiting during this period. Symptoms gradually lessened after about 12 hours (around 8:30 am on April 2), and by that evening, or about 24 hours after onset, were entirely gone except for fatigue, which was itself gone by the morning of April 3.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival blister, Rash
Clinical narrative: On the 3rd day, tiny red spots (the color of blood, no pain, no itchy) appeared on both arms, and a blister under the tongue. The blister disappeared in about 3 days.   The red spots (no increase in number) discolored a bit but still can be seen after 2 weeks.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Pain
Clinical narrative: Chills, body aches, headache and dizziness.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Migraine, Pain, Pyrexia, Rash
Clinical narrative: 1st dose:  dizziness and arm rash second week after the shot 2nd dose:  fever (102 degrees); migraine; severe aches; dizziness; and arm rash within an hour of the shot. Fever, migraine and aches finished within 48 hours, but the dizziness and rash persisted beyond that.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage, Headache, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Pfizer dose 1 - left arm hurt for 3 days - used ice pack and Advil to ease Pfizer dose 2 - started bleeding upon receiving the vaccine. Left arm again hurt the evening of the shot.  Next morning I was in a lot of pain and my arm had a red ring and lump. Very tender.  I also had a mild headache which turned into a migraine in the evening.   Third day after vaccine my arm still hurts and the red ring has grown in size and mildly itches.  (As I type I am in day 3).
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Migraine, Pain
Clinical narrative: Pfizer dose 1 - left arm hurt for 3 days - used ice pack and Advil to ease Pfizer dose 2 - started bleeding upon receiving the vaccine. Left arm again hurt the evening of the shot.  Next morning I was in a lot of pain and my arm had a red ring and lump. Very tender.  I also had a mild headache which turned into a migraine in the evening.   Third day after vaccine my arm still hurts and the red ring has grown in size and mildly itches.  (As I type I am in day 3).
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Feeling cold, Headache, Loss of consciousness
Clinical narrative: JANSSEN COVID-19 VACCINE EUA  I received the vaccine on 3rd April, 2021, at approximately 9:30 am. There were no immediate side effects. Approximately 10 hours later I began to feel EXTREME cold and chills. So much so that I had to put on 3 layers of clothing, socks and cover myself with 3-4 blankets. I also experienced a fever and body soreness. My wife tended to me with two ibuprofen tablets, 200 mg each and continually to put cold presses on my forehead. I drank a lot of water but my fever continued to spike to 102.8. The symptoms continued for another 3 hours. Out of concern we called the emergency room to ask if we should be concerned about the fever. We were advised to take two Tylenol tablets. My wife gave me two Tylenol PM tablets. About 30 mins after taking the Tylenol tablets and continuing to hydrate, my cold and chills began to subside and I began to shed all of my layers. About 30 minutes after that, my fever levelled out to abougt 100.8. Then I passed out. The following morning, I woke up with cold, chills and fever gone. I had a mild headache and took 2 Extra Strength Tylenol tablets. It's been four hours since then and I feel fine, just a little weak.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: JANSSEN COVID-19 VACCINE EUA  I received the vaccine on 3rd April, 2021, at approximately 9:30 am. There were no immediate side effects. Approximately 10 hours later I began to feel EXTREME cold and chills. So much so that I had to put on 3 layers of clothing, socks and cover myself with 3-4 blankets. I also experienced a fever and body soreness. My wife tended to me with two ibuprofen tablets, 200 mg each and continually to put cold presses on my forehead. I drank a lot of water but my fever continued to spike to 102.8. The symptoms continued for another 3 hours. Out of concern we called the emergency room to ask if we should be concerned about the fever. We were advised to take two Tylenol tablets. My wife gave me two Tylenol PM tablets. About 30 mins after taking the Tylenol tablets and continuing to hydrate, my cold and chills began to subside and I began to shed all of my layers. About 30 minutes after that, my fever levelled out to abougt 100.8. Then I passed out. The following morning, I woke up with cold, chills and fever gone. I had a mild headache and took 2 Extra Strength Tylenol tablets. It's been four hours since then and I feel fine, just a little weak.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Lymphadenopathy, Myalgia
Clinical narrative: Injection site pain, headache, muscle pain, chills, fever, nausea, swollen lymph nodes
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Injection site pain, headache, muscle pain, chills, fever, nausea, swollen lymph nodes
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Sensitive skin
Clinical narrative: Pain at injection site, fatigue, left side of face very sensitive to touch.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lymphadenopathy, Nausea, Pain
Clinical narrative: Nausea, chills, fever, body aches, headache, swollen right armpit (all day the following day from shot).
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Nausea, chills, fever, body aches, headache, swollen right armpit (all day the following day from shot).
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Headache, Hyperhidrosis, Mobility decreased
Clinical narrative: The whole night after the injection I was sweaty, couldn't get comfortable. Woke up feeling sore and dizzy with a terrible, painful headache. When I attempted to take a shower, I fainted for a few seconds and it was a struggle to move. Only felt comfortable when I was laying down. My muscles all felt painful and sore, had a painful headache, felt very disoriented and woozy. It was a struggle to walk or move, and couldn't talk loud or for a long time at once. Had to go home from work and spent the rest of the day sleeping. Around 4pm, 24 hours after the injection, my muscles felt less sore and was feeling better. The next morning, I was back to being completely normal.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Syncope
Clinical narrative: The whole night after the injection I was sweaty, couldn't get comfortable. Woke up feeling sore and dizzy with a terrible, painful headache. When I attempted to take a shower, I fainted for a few seconds and it was a struggle to move. Only felt comfortable when I was laying down. My muscles all felt painful and sore, had a painful headache, felt very disoriented and woozy. It was a struggle to walk or move, and couldn't talk loud or for a long time at once. Had to go home from work and spent the rest of the day sleeping. Around 4pm, 24 hours after the injection, my muscles felt less sore and was feeling better. The next morning, I was back to being completely normal.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Paraesthesia
Clinical narrative: 2-3 hours after vaccination I felt intense tingling in both arms, hands, feet, and legs. The tingling did not feel like numbness or static. After 10-15 minutes the tingling subsided into shivering, but I did not feel cold. The shivering went away about 15 minutes later. 30 minutes after that, the same pattern and duration of tingling and shivering happened again. The next day (about 24 hours after vaccination) I felt very nauseous and had a bad headache that lasted about 4 hours.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Feeling abnormal, Loss of consciousness
Clinical narrative: Woke up feeling very full. Didn?t feel good when standing. Sat down and continued to feel bad. Stood up and started to walk to restroom and passed out. Was not unconscious as I was aware of family responses. Put a cold wash rag to forehead. Within a few minutes I felt fine.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Chest Tightness
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain, Pain
Clinical narrative: Chills, joint pain (bilateral knees), fatigue, pain at injection site that radiated from deltoid to wrist
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Lethargy, Paraesthesia, Pyrexia
Clinical narrative: Fever 99 degrees (starting 24 hours post injection lasting 2 days).  Severe lethargy (starting 6 hours post injection lasting 24 hours).  Moderate body aches 18 hours -> then severe body aches 6 hours -> then moderate body aches 10 hours.  Intermittent tingling and numbness in Right hand, wrist and thumb (injection was in Left bicep) starting 6 hours post injection.  Numbness in Right thumb and occasional tingling in right hand continues 1 week post injection.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Cold sweat, Fatigue, Headache
Clinical narrative: Headache. Body aches. Fatigue. Nausea. Chills. Cold sweats. Elevated body temperature. Restless legs, thigh muscle cramps. No energy whatsoever to even go to the bathroom
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Muscle spasms, Nausea, Pain, Restless legs syndrome
Clinical narrative: Headache. Body aches. Fatigue. Nausea. Chills. Cold sweats. Elevated body temperature. Restless legs, thigh muscle cramps. No energy whatsoever to even go to the bathroom
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Headache, injection site soreness, muscle aches, fatigue
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Low grade fever, chills, body ache, head ache, extremely tired for about 18 hours.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dry throat, Dysphagia
Clinical narrative: Janssen COVID-19 Vaccine EUA  Dry throat and dry cough. Painful cough. Discomfort eating and drinking.  Drinking lots of water and using a humidifier has not helped.  First started experiencing around 8:00 AM, and has been ongoing sicne.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Tinnitus
Clinical narrative: Dizziness nausea and ears ringing for 2 days with out relief from medication.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: I had a sore arm for four days, fatigue starting on day 2, vomiting with fever and chills starting on day 3. By day 4, it was back to sore arm and fatigue. Fatigue lasted about a week.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bilevel positive airway pressure, Cerebrovascular accident, Condition aggravated, Confusional state
Clinical narrative: new CVA symptoms, memory, slurred speech, > weakness, < oxygenation, > confussion
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dysarthria, Memory impairment
Clinical narrative: new CVA symptoms, memory, slurred speech, > weakness, < oxygenation, > confussion
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Moderately sore upper arm.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dark circles under eyes, Dizziness, Fatigue, Paraesthesia, Peripheral swelling
Clinical narrative: It was the pfizer vaccine, got a little tingly and light headed which I am accustomed to.  I got very tired  but I was able to drive home.  At home I fell asleep for an hour or two, swelling started in my legs mostly but also arms and all over.  They were swollen like balloons and it was difficult to bend the knee. Swelling was visable, white, no redness,  Next day my face was swollen and dark bags under my eyes.  I have had this swelling before and another bad episode was after surgery with anesthesia.  It is still very tight and sore mostly in my knees.  Not sure if it is autommune reaction or allergy.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Swelling face
Clinical narrative: It was the pfizer vaccine, got a little tingly and light headed which I am accustomed to.  I got very tired  but I was able to drive home.  At home I fell asleep for an hour or two, swelling started in my legs mostly but also arms and all over.  They were swollen like balloons and it was difficult to bend the knee. Swelling was visable, white, no redness,  Next day my face was swollen and dark bags under my eyes.  I have had this swelling before and another bad episode was after surgery with anesthesia.  It is still very tight and sore mostly in my knees.  Not sure if it is autommune reaction or allergy.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot
Clinical narrative: Hot/warm feeling in left arm/neck. Vitals wnl. Benadryl 50 mg PO given.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Mobility decreased, Pain in extremity
Clinical narrative: Mild soreness when using shoulder on vaccine arm (left) at 7:58am Sudden headache, at 9:45pm Arm soreness increases substantially (cannot comfortably raise whatsoever) 9:45pm Chills at 9:50pm Fever 100 degrees F at 10:30pm Fever broke and chills stopped at around 3:00 am on 3/31 (the next day) Headache where it hurts to look to the side persists until 4/2 after which it gradually goes away becoming negligible by 4/4
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Mild soreness when using shoulder on vaccine arm (left) at 7:58am Sudden headache, at 9:45pm Arm soreness increases substantially (cannot comfortably raise whatsoever) 9:45pm Chills at 9:50pm Fever 100 degrees F at 10:30pm Fever broke and chills stopped at around 3:00 am on 3/31 (the next day) Headache where it hurts to look to the side persists until 4/2 after which it gradually goes away becoming negligible by 4/4
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: HPI: Patient is a * year old * who received a single dose of J&J COVID19 vaccine in the left deltoid.  About 5 minutes following administration of the vaccine, patient started to develop a red and pruritic rash on the left forearm and left hand.  Patient related that she has an alcohol sensitivity where she develops red and itchy skin following consumption of alcoholic beverages.  She relates she also experiences cold urticaria where she develops a red, itchy rash following submersion in cold water.  When this occurs, she typically takes Benadryl or Zyrtec/Claritin (depending on the time of day), of which resolves the itching and the rash subsides.  She has an allergy to Bactrim.  She relates a past medical history of asthma, which she takes a daily inhaler, as well as uses her rescue inhaler twice a week.  She has not seen her PCP in about 1 year.  She denies chest pain/tightness, shortness of breath, difficulty breathing, swelling of the face/lips/tongue/throat, skin rash/itching, cramping abdominal pain, nausea, and vomiting.       Exam (update as needed): GEN: Alert and oriented x 4, in NAD HEAD: NCAT EYES: PERRL, EOMI ENT: Ears normal, Nose normal, OP normal, no evidence of angioedema NECK: Supple, without LAD.  CV: RRR, no m/r/g PULM: Clear to auscultation bilaterally, no accessory muscle use ABD: Soft, no tenderness. SKIN: Erythematous, coalescing raised papules in the distribution of the left forearm and left dorsal hand.  Small, erythematous wheal on the dorsum of the left shoulder.  No erythema or edema of the injection site.  Skin warm and dry MSK: FROM, MS 5/5 NEURO: Alert and oriented x 4, CN 2-12 grossly intact, no ataxia, gait steady   Clinical Impression/Field Tx: Urticarial rash.  Patient was observed for 15 minutes following 30 minute observation period.  During that time, the skin manifestations stabilized.  Patient did not display signs/symptoms of anaphylaxis.  Vital signs were stable.  Patient offered evaluation by EMS, however, patient denied evaluation and preferred to go home.  Patient was driven to site by significant other and self-administered OTC Benadryl.   Patient asked to follow up with PCP/allergist and to inform them of the post-vaccination reaction, as well as to further discuss asthma/urticaria management.  Patient instructed to go to the emergency department should she develop chest pain, shortness of breath, and swelling of the face/lips/mouth/tongue/throat, as these could be possible signs of anaphylaxis that require immediate attention.    Medications administered: None.  Patient self-administered OTC benadryl   Disposition:  Home
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Neck pain
Clinical narrative: Had a very intense right earache that lasted for about 30 minutes, with some neck pain. This disappeared after 30 minutes entirely.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness unilateral, Ear discomfort
Clinical narrative: I had  first  dose  of the  vaccine .  03/24/2021 .. 5  days  after  began feeling  stuffed up  left ear .. not  clearing .. Persistent  blockage and some hearing  loss   on  left  side . to this  day  4/4/2021.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time shortened, Alanine aminotransferase normal, Aortic dilatation, Aortic valve incompetence, Aphasia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Pt received 1st dose vaccine 2/17/2021, 2nd dose vaccine 3/10/2021.  Had been on warfarin since 2015, unclear if pt had been taking atorvastatin (last refill was 2019 according to Dr, Adult Primary Care clinic). Pt was last seen normal by his wife at approximately 1030am, out in the yard.  She went out at approximately 1130 am and found him down on the ground.  Pt was brought in by paramedic to ER.   IN ER, score =22, aphasic, R hemiplegic, CT scan of head showed large parenchymal hematoma in L basal ganglia with small SAH plus 2 mm L to F subfalcine midline shift.    Pt was intubated in ER for airway protection after an episode of vomiting. In ER, pt was given - Vitamin K 10 mg IV x1, Levetiracetam 1500 mg IV x1, Nicardipine infusion, 4-factor PCC (KCentra) 3500 unitsx1, Sodium chloride 3% infusion, pantoprazole 40 mg IV x1, Ondansetron 4 mg IVx1.  After intubation, pt also received propofol infusion, and admitted to CCU.   3/15 Repeat CT head showed expansion of hematoma associated with midline shift. 3/16-3/17 transfer to hospital was arranged, pt remained unresponsive. 3/18-3/19 comfort care
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aspartate aminotransferase normal, Atelectasis, Blood alkaline phosphatase normal, Blood bilirubin increased, Blood cholesterol normal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Pt received 1st dose vaccine 2/17/2021, 2nd dose vaccine 3/10/2021.  Had been on warfarin since 2015, unclear if pt had been taking atorvastatin (last refill was 2019 according to Dr, Adult Primary Care clinic). Pt was last seen normal by his wife at approximately 1030am, out in the yard.  She went out at approximately 1130 am and found him down on the ground.  Pt was brought in by paramedic to ER.   IN ER, score =22, aphasic, R hemiplegic, CT scan of head showed large parenchymal hematoma in L basal ganglia with small SAH plus 2 mm L to F subfalcine midline shift.    Pt was intubated in ER for airway protection after an episode of vomiting. In ER, pt was given - Vitamin K 10 mg IV x1, Levetiracetam 1500 mg IV x1, Nicardipine infusion, 4-factor PCC (KCentra) 3500 unitsx1, Sodium chloride 3% infusion, pantoprazole 40 mg IV x1, Ondansetron 4 mg IVx1.  After intubation, pt also received propofol infusion, and admitted to CCU.   3/15 Repeat CT head showed expansion of hematoma associated with midline shift. 3/16-3/17 transfer to hospital was arranged, pt remained unresponsive. 3/18-3/19 comfort care
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood triglycerides normal, Blood urea normal, Brain oedema, Brain scan abnormal, Cerebral haematoma
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Pt received 1st dose vaccine 2/17/2021, 2nd dose vaccine 3/10/2021.  Had been on warfarin since 2015, unclear if pt had been taking atorvastatin (last refill was 2019 according to Dr, Adult Primary Care clinic). Pt was last seen normal by his wife at approximately 1030am, out in the yard.  She went out at approximately 1130 am and found him down on the ground.  Pt was brought in by paramedic to ER.   IN ER, score =22, aphasic, R hemiplegic, CT scan of head showed large parenchymal hematoma in L basal ganglia with small SAH plus 2 mm L to F subfalcine midline shift.    Pt was intubated in ER for airway protection after an episode of vomiting. In ER, pt was given - Vitamin K 10 mg IV x1, Levetiracetam 1500 mg IV x1, Nicardipine infusion, 4-factor PCC (KCentra) 3500 unitsx1, Sodium chloride 3% infusion, pantoprazole 40 mg IV x1, Ondansetron 4 mg IVx1.  After intubation, pt also received propofol infusion, and admitted to CCU.   3/15 Repeat CT head showed expansion of hematoma associated with midline shift. 3/16-3/17 transfer to hospital was arranged, pt remained unresponsive. 3/18-3/19 comfort care
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebral mass effect, Computerised tomogram head abnormal, Echocardiogram abnormal, Endotracheal intubation, Hemiplegia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Pt received 1st dose vaccine 2/17/2021, 2nd dose vaccine 3/10/2021.  Had been on warfarin since 2015, unclear if pt had been taking atorvastatin (last refill was 2019 according to Dr, Adult Primary Care clinic). Pt was last seen normal by his wife at approximately 1030am, out in the yard.  She went out at approximately 1130 am and found him down on the ground.  Pt was brought in by paramedic to ER.   IN ER, score =22, aphasic, R hemiplegic, CT scan of head showed large parenchymal hematoma in L basal ganglia with small SAH plus 2 mm L to F subfalcine midline shift.    Pt was intubated in ER for airway protection after an episode of vomiting. In ER, pt was given - Vitamin K 10 mg IV x1, Levetiracetam 1500 mg IV x1, Nicardipine infusion, 4-factor PCC (KCentra) 3500 unitsx1, Sodium chloride 3% infusion, pantoprazole 40 mg IV x1, Ondansetron 4 mg IVx1.  After intubation, pt also received propofol infusion, and admitted to CCU.   3/15 Repeat CT head showed expansion of hematoma associated with midline shift. 3/16-3/17 transfer to hospital was arranged, pt remained unresponsive. 3/18-3/19 comfort care
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: High density lipoprotein normal, International normalised ratio increased, Low density lipoprotein normal, Lung consolidation, Lung opacity
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Pt received 1st dose vaccine 2/17/2021, 2nd dose vaccine 3/10/2021.  Had been on warfarin since 2015, unclear if pt had been taking atorvastatin (last refill was 2019 according to Dr, Adult Primary Care clinic). Pt was last seen normal by his wife at approximately 1030am, out in the yard.  She went out at approximately 1130 am and found him down on the ground.  Pt was brought in by paramedic to ER.   IN ER, score =22, aphasic, R hemiplegic, CT scan of head showed large parenchymal hematoma in L basal ganglia with small SAH plus 2 mm L to F subfalcine midline shift.    Pt was intubated in ER for airway protection after an episode of vomiting. In ER, pt was given - Vitamin K 10 mg IV x1, Levetiracetam 1500 mg IV x1, Nicardipine infusion, 4-factor PCC (KCentra) 3500 unitsx1, Sodium chloride 3% infusion, pantoprazole 40 mg IV x1, Ondansetron 4 mg IVx1.  After intubation, pt also received propofol infusion, and admitted to CCU.   3/15 Repeat CT head showed expansion of hematoma associated with midline shift. 3/16-3/17 transfer to hospital was arranged, pt remained unresponsive. 3/18-3/19 comfort care
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphocyte percentage decreased, Neutrophil percentage, Platelet count normal, Pleural effusion, Pneumonia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Pt received 1st dose vaccine 2/17/2021, 2nd dose vaccine 3/10/2021.  Had been on warfarin since 2015, unclear if pt had been taking atorvastatin (last refill was 2019 according to Dr, Adult Primary Care clinic). Pt was last seen normal by his wife at approximately 1030am, out in the yard.  She went out at approximately 1130 am and found him down on the ground.  Pt was brought in by paramedic to ER.   IN ER, score =22, aphasic, R hemiplegic, CT scan of head showed large parenchymal hematoma in L basal ganglia with small SAH plus 2 mm L to F subfalcine midline shift.    Pt was intubated in ER for airway protection after an episode of vomiting. In ER, pt was given - Vitamin K 10 mg IV x1, Levetiracetam 1500 mg IV x1, Nicardipine infusion, 4-factor PCC (KCentra) 3500 unitsx1, Sodium chloride 3% infusion, pantoprazole 40 mg IV x1, Ondansetron 4 mg IVx1.  After intubation, pt also received propofol infusion, and admitted to CCU.   3/15 Repeat CT head showed expansion of hematoma associated with midline shift. 3/16-3/17 transfer to hospital was arranged, pt remained unresponsive. 3/18-3/19 comfort care
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Procalcitonin increased, Prothrombin time prolonged, Pulmonary oedema, Red blood cell count normal, Septum pellucidum agenesis
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Pt received 1st dose vaccine 2/17/2021, 2nd dose vaccine 3/10/2021.  Had been on warfarin since 2015, unclear if pt had been taking atorvastatin (last refill was 2019 according to Dr, Adult Primary Care clinic). Pt was last seen normal by his wife at approximately 1030am, out in the yard.  She went out at approximately 1130 am and found him down on the ground.  Pt was brought in by paramedic to ER.   IN ER, score =22, aphasic, R hemiplegic, CT scan of head showed large parenchymal hematoma in L basal ganglia with small SAH plus 2 mm L to F subfalcine midline shift.    Pt was intubated in ER for airway protection after an episode of vomiting. In ER, pt was given - Vitamin K 10 mg IV x1, Levetiracetam 1500 mg IV x1, Nicardipine infusion, 4-factor PCC (KCentra) 3500 unitsx1, Sodium chloride 3% infusion, pantoprazole 40 mg IV x1, Ondansetron 4 mg IVx1.  After intubation, pt also received propofol infusion, and admitted to CCU.   3/15 Repeat CT head showed expansion of hematoma associated with midline shift. 3/16-3/17 transfer to hospital was arranged, pt remained unresponsive. 3/18-3/19 comfort care
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Subarachnoid haemorrhage, Troponin I normal, Unresponsive to stimuli, Ventricular hypertrophy, Vomiting
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Pt received 1st dose vaccine 2/17/2021, 2nd dose vaccine 3/10/2021.  Had been on warfarin since 2015, unclear if pt had been taking atorvastatin (last refill was 2019 according to Dr, Adult Primary Care clinic). Pt was last seen normal by his wife at approximately 1030am, out in the yard.  She went out at approximately 1130 am and found him down on the ground.  Pt was brought in by paramedic to ER.   IN ER, score =22, aphasic, R hemiplegic, CT scan of head showed large parenchymal hematoma in L basal ganglia with small SAH plus 2 mm L to F subfalcine midline shift.    Pt was intubated in ER for airway protection after an episode of vomiting. In ER, pt was given - Vitamin K 10 mg IV x1, Levetiracetam 1500 mg IV x1, Nicardipine infusion, 4-factor PCC (KCentra) 3500 unitsx1, Sodium chloride 3% infusion, pantoprazole 40 mg IV x1, Ondansetron 4 mg IVx1.  After intubation, pt also received propofol infusion, and admitted to CCU.   3/15 Repeat CT head showed expansion of hematoma associated with midline shift. 3/16-3/17 transfer to hospital was arranged, pt remained unresponsive. 3/18-3/19 comfort care
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: White blood cell count normal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Pt received 1st dose vaccine 2/17/2021, 2nd dose vaccine 3/10/2021.  Had been on warfarin since 2015, unclear if pt had been taking atorvastatin (last refill was 2019 according to Dr, Adult Primary Care clinic). Pt was last seen normal by his wife at approximately 1030am, out in the yard.  She went out at approximately 1130 am and found him down on the ground.  Pt was brought in by paramedic to ER.   IN ER, score =22, aphasic, R hemiplegic, CT scan of head showed large parenchymal hematoma in L basal ganglia with small SAH plus 2 mm L to F subfalcine midline shift.    Pt was intubated in ER for airway protection after an episode of vomiting. In ER, pt was given - Vitamin K 10 mg IV x1, Levetiracetam 1500 mg IV x1, Nicardipine infusion, 4-factor PCC (KCentra) 3500 unitsx1, Sodium chloride 3% infusion, pantoprazole 40 mg IV x1, Ondansetron 4 mg IVx1.  After intubation, pt also received propofol infusion, and admitted to CCU.   3/15 Repeat CT head showed expansion of hematoma associated with midline shift. 3/16-3/17 transfer to hospital was arranged, pt remained unresponsive. 3/18-3/19 comfort care
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Discomfort, Dizziness, Headache, Nervousness
Clinical narrative: Patient presented with dizziness, headache, felt "heavy" and shaky. Patient had just received a dose of Moderna vaccine. She was offered juice. EMTs were called, and they recommended that the patient be monitored for an extra 15 minutes. Patient's vital signs were taken (below). Patient was released to go home by paramedics at 12:32pm.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Pain, Parosmia, Periorbital discomfort, Periorbital swelling
Clinical narrative: Appointment with family doctor next week
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Skin discolouration
Clinical narrative: Appointment with family doctor next week
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: Covid arm
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Urine analysis
Clinical narrative: Urinary tract infection
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Flushing, Headache, Immediate post-injection reaction, Injection site pain
Clinical narrative: While receiving the vaccine, I immediately had a rush of a strong metallic taste in my mouth. I equally had a metallic odor in my nose.  Within 5 minutes of receiving the vaccine, I experienced flushing and a headache (only on the left side of my head.)  My arm at the injection site grew progressively painful (I did not have any redness or bruising at the site.)   The headache subsided after approximately 20 minutes; the flushing went away within a couple of hours of receiving the vaccine.   Several hours after receiving the vaccine, I developed some minor itching. My arm continued to hurt more at the injection site (I never developed any redness or bruising at the site.) I experienced body aches and general malaise (as I was informed was to be expected.)  I continued to have the strong metallic taste in my mouth into the evening and nighttime hours following the vaccine. During the night (approximately 9 hours after receiving the vaccine,) I awoke to an unfamiliar odor, and feeling nauseous.  The odor was emitted from my skin.   It has been approximately  72 hours since I received the Pfizer COVID  vaccine. The skin odor and metallic state have lessened, but are still persistent.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Pain, Parosmia, Pruritus
Clinical narrative: While receiving the vaccine, I immediately had a rush of a strong metallic taste in my mouth. I equally had a metallic odor in my nose.  Within 5 minutes of receiving the vaccine, I experienced flushing and a headache (only on the left side of my head.)  My arm at the injection site grew progressively painful (I did not have any redness or bruising at the site.)   The headache subsided after approximately 20 minutes; the flushing went away within a couple of hours of receiving the vaccine.   Several hours after receiving the vaccine, I developed some minor itching. My arm continued to hurt more at the injection site (I never developed any redness or bruising at the site.) I experienced body aches and general malaise (as I was informed was to be expected.)  I continued to have the strong metallic taste in my mouth into the evening and nighttime hours following the vaccine. During the night (approximately 9 hours after receiving the vaccine,) I awoke to an unfamiliar odor, and feeling nauseous.  The odor was emitted from my skin.   It has been approximately  72 hours since I received the Pfizer COVID  vaccine. The skin odor and metallic state have lessened, but are still persistent.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Skin odour abnormal
Clinical narrative: While receiving the vaccine, I immediately had a rush of a strong metallic taste in my mouth. I equally had a metallic odor in my nose.  Within 5 minutes of receiving the vaccine, I experienced flushing and a headache (only on the left side of my head.)  My arm at the injection site grew progressively painful (I did not have any redness or bruising at the site.)   The headache subsided after approximately 20 minutes; the flushing went away within a couple of hours of receiving the vaccine.   Several hours after receiving the vaccine, I developed some minor itching. My arm continued to hurt more at the injection site (I never developed any redness or bruising at the site.) I experienced body aches and general malaise (as I was informed was to be expected.)  I continued to have the strong metallic taste in my mouth into the evening and nighttime hours following the vaccine. During the night (approximately 9 hours after receiving the vaccine,) I awoke to an unfamiliar odor, and feeling nauseous.  The odor was emitted from my skin.   It has been approximately  72 hours since I received the Pfizer COVID  vaccine. The skin odor and metallic state have lessened, but are still persistent.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone increased, Cerebral venous sinus thrombosis, Computerised tomogram head abnormal, Computerised tomogram neck, Condition aggravated
Clinical narrative: The patient is a 45 y/o male prisoner who presented 4/3/2021 with 3 days of headache, neck pain and stiffness, sensitivity to light, and nausea.  He was found to have extensive dural venous sinus thrombosis causing the symptoms.  He has hypothyroidism was taking levothyroxine 150 mcg daily at time of vaccination.  On admission on 4/3/2021 his TSH was found to be 12 and levothyroxine dose was increased to 175 mcg on 4/4/2021.  He has no prior history of thrombosis and the only family member with thrombosis is his mother who had DVTs associated with lung cancer.  He has a history of prior COVID-19 infection in April of 2020 and at that time reported 3-4 days of mild symptoms and was not hospitalized or given anticoagulation.  He has not had fevers, chills, or other symptoms of infection.  He received his first dose of the Moderna COVID-19 vaccine at the prison on 3/23/2021 which was 9 days prior to symptom on set 12 days prior to presentation at the hospital.  He reports 2-3 days of arm soreness at the injection site in his right arm, mild neck soreness, and fatigue after the injection which had resolved prior to his current symptoms starting.  He currently remains hospitalized and is being treated with anticoagulation.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypothyroidism, Injection site pain, Jugular vein occlusion
Clinical narrative: The patient is a 45 y/o male prisoner who presented 4/3/2021 with 3 days of headache, neck pain and stiffness, sensitivity to light, and nausea.  He was found to have extensive dural venous sinus thrombosis causing the symptoms.  He has hypothyroidism was taking levothyroxine 150 mcg daily at time of vaccination.  On admission on 4/3/2021 his TSH was found to be 12 and levothyroxine dose was increased to 175 mcg on 4/4/2021.  He has no prior history of thrombosis and the only family member with thrombosis is his mother who had DVTs associated with lung cancer.  He has a history of prior COVID-19 infection in April of 2020 and at that time reported 3-4 days of mild symptoms and was not hospitalized or given anticoagulation.  He has not had fevers, chills, or other symptoms of infection.  He received his first dose of the Moderna COVID-19 vaccine at the prison on 3/23/2021 which was 9 days prior to symptom on set 12 days prior to presentation at the hospital.  He reports 2-3 days of arm soreness at the injection site in his right arm, mild neck soreness, and fatigue after the injection which had resolved prior to his current symptoms starting.  He currently remains hospitalized and is being treated with anticoagulation.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, Musculoskeletal stiffness, Nausea, Neck pain, Photophobia
Clinical narrative: The patient is a 45 y/o male prisoner who presented 4/3/2021 with 3 days of headache, neck pain and stiffness, sensitivity to light, and nausea.  He was found to have extensive dural venous sinus thrombosis causing the symptoms.  He has hypothyroidism was taking levothyroxine 150 mcg daily at time of vaccination.  On admission on 4/3/2021 his TSH was found to be 12 and levothyroxine dose was increased to 175 mcg on 4/4/2021.  He has no prior history of thrombosis and the only family member with thrombosis is his mother who had DVTs associated with lung cancer.  He has a history of prior COVID-19 infection in April of 2020 and at that time reported 3-4 days of mild symptoms and was not hospitalized or given anticoagulation.  He has not had fevers, chills, or other symptoms of infection.  He received his first dose of the Moderna COVID-19 vaccine at the prison on 3/23/2021 which was 9 days prior to symptom on set 12 days prior to presentation at the hospital.  He reports 2-3 days of arm soreness at the injection site in his right arm, mild neck soreness, and fatigue after the injection which had resolved prior to his current symptoms starting.  He currently remains hospitalized and is being treated with anticoagulation.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Scan with contrast, Venogram abnormal
Clinical narrative: The patient is a 45 y/o male prisoner who presented 4/3/2021 with 3 days of headache, neck pain and stiffness, sensitivity to light, and nausea.  He was found to have extensive dural venous sinus thrombosis causing the symptoms.  He has hypothyroidism was taking levothyroxine 150 mcg daily at time of vaccination.  On admission on 4/3/2021 his TSH was found to be 12 and levothyroxine dose was increased to 175 mcg on 4/4/2021.  He has no prior history of thrombosis and the only family member with thrombosis is his mother who had DVTs associated with lung cancer.  He has a history of prior COVID-19 infection in April of 2020 and at that time reported 3-4 days of mild symptoms and was not hospitalized or given anticoagulation.  He has not had fevers, chills, or other symptoms of infection.  He received his first dose of the Moderna COVID-19 vaccine at the prison on 3/23/2021 which was 9 days prior to symptom on set 12 days prior to presentation at the hospital.  He reports 2-3 days of arm soreness at the injection site in his right arm, mild neck soreness, and fatigue after the injection which had resolved prior to his current symptoms starting.  He currently remains hospitalized and is being treated with anticoagulation.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain
Clinical narrative: C/O feeling aching pain in back. H/o anxiety. BP 152/90 (pulse 64). Final BP 139/82 (pulse 59). O2 sats 100%.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose, Blood glucose increased, Fatigue, Headache, Pain
Clinical narrative: Aches and pains, slight headache, fatigue, large spike in blood sugar. Blood glucose levels reached 590 mg/dl
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Influenza like illness, Injection site reaction
Clinical narrative: warm itchy rash around vaccination site, sore throat, chills, headache, fatigue, body aches.  flu like symptoms lasted 3 days, rash persisted for 1 week.  Took benadryl and tylenol.  rash covered entire upper arm by the end of the week and disappeared overnight.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Oropharyngeal pain, Pain, Rash pruritic
Clinical narrative: warm itchy rash around vaccination site, sore throat, chills, headache, fatigue, body aches.  flu like symptoms lasted 3 days, rash persisted for 1 week.  Took benadryl and tylenol.  rash covered entire upper arm by the end of the week and disappeared overnight.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever 100°, sore arms, back, legs, fingers, toes
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Fatigue, Neck pain
Clinical narrative: Received Moderna COVID-19 Vaccine EUA Fever, chills,  extreme fatigue and aches (especially back/shoulders/neck).
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Received Moderna COVID-19 Vaccine EUA Fever, chills,  extreme fatigue and aches (especially back/shoulders/neck).
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Vaccine positive rechallenge
Clinical narrative: Patient c/o dizziness after vaccine was given. The same happened on his first dose. He was diaphoretic and passed out for few second. He was medically cleared to receive vaccine. He declined to be taken to the hospital.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Fibromyalgia, Headache
Clinical narrative: Extreme exhaustion Headaches Increased fibromyalgia pain
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Lethargy
Clinical narrative: At tie of injection extreme pain in arm where shot was given.  About 7 hrs after vaccination (10:00 pm), I got body aches, chills, fever, slight headache, and sore arm at injection site.  I took 1 Tylenol and went to bed.  The next day, I felt slightly achy and tired/ low energy all day.   By the 3rd day, felt ok, other than a sore arm.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: At tie of injection extreme pain in arm where shot was given.  About 7 hrs after vaccination (10:00 pm), I got body aches, chills, fever, slight headache, and sore arm at injection site.  I took 1 Tylenol and went to bed.  The next day, I felt slightly achy and tired/ low energy all day.   By the 3rd day, felt ok, other than a sore arm.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Nausea, Sinus congestion
Clinical narrative: 1) Extreme fatigue: started approx 24 hours after vaccine, still ongoing 48 hours after vaccine. no treatment. 2) Nausea:  started approx 24 hours after vaccine, still ongoing 48 hours after vaccine. no treatment. 3) Dizziness: started approx 36 hours after vaccine, still ongoing 48 hours after vaccine. no treatment. 4) Sinus congestion: started approx 24 hours after vaccine, still ongoing 48 hours after vaccine. Used saline nasal rinse, not very helpful. 5) Headache: started approx 24 hours after vaccine, still ongoing 48 hours after vaccine. Tried naproxen, not very helpful.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain
Clinical narrative: Chills, body aches
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eye irritation, Fatigue, Headache, Hot flush
Clinical narrative: DIARRHEA 3 TIMES IN 5 HOURS AND NAUSEA, EYES BURNING,  HEADACHE, TIREDNESS, VACCINATION SITE VERY SORE WHICH LASTED 2-3 DAYS.  THE TIREDNESS AND GENERAL NOT FEELING WELL RETURNED SEVERAL TIMES DURING THE NEXT 3 WEEKS. AFTER THE SECOND SHOT ON 3/31/21 AT A VACCINATION SITE. THE SIDE EFFECTS STARTED AFTER 20 HOURS AS FOLLOWS: ACHY ALL OVER, HEADACHE, CHILLS, BURNING EYES,  HOT FLASHES, TIREDNESS WHICH HAS BEEN HAPPENING OFF AND ON SINCE 3/31/21.  FEEL I MAY NEED BLOOD WORK TO SEE WHAT IS GOING ON.  I HAVE HAD EPSTEIN BARR VIRUS AND WONDER IF THIS HAS BEEN REACTIVATED.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: DIARRHEA 3 TIMES IN 5 HOURS AND NAUSEA, EYES BURNING,  HEADACHE, TIREDNESS, VACCINATION SITE VERY SORE WHICH LASTED 2-3 DAYS.  THE TIREDNESS AND GENERAL NOT FEELING WELL RETURNED SEVERAL TIMES DURING THE NEXT 3 WEEKS. AFTER THE SECOND SHOT ON 3/31/21 AT A VACCINATION SITE. THE SIDE EFFECTS STARTED AFTER 20 HOURS AS FOLLOWS: ACHY ALL OVER, HEADACHE, CHILLS, BURNING EYES,  HOT FLASHES, TIREDNESS WHICH HAS BEEN HAPPENING OFF AND ON SINCE 3/31/21.  FEEL I MAY NEED BLOOD WORK TO SEE WHAT IS GOING ON.  I HAVE HAD EPSTEIN BARR VIRUS AND WONDER IF THIS HAS BEEN REACTIVATED.