chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Burning sensation, Condition aggravated, Electric shock sensation, Hypoaesthesia
Clinical narrative: On  January 16, the day after being vaccinated (1/15/21),  I woke up with my arms, hands, legs and feet tingling and numb all over and it lasted on and off all day January 16 and on and off all day January 17 and has persisted every day until Monday, January 26 when the symptoms became worse. Instead of tingling in all extremities (with some numbness)  the sensations changed to a pins and needles sensation with burning and random electrical shock sensations. I want to note that, yes, I have radiculopathies  - however, I have never had them change so suddenly and increase in intensity so fast. Also, the pins and needles sensation with burning and random electrical shocks are brand new symptoms for me (my radiculopathies have not presented this way before).  I reported these symptoms to my primary care provider today (1/29/21) and she instructed me to report my symptoms to VAERS and she is referring me to neurology. Note: I received my vaccination outside of my health care system and received it through the county because I could get the vaccination sooner that way.  I did not report these symptoms sooner because they were not listed as a possible adverse effect of getting the COVID19 Moderna  vaccination. However, as these symptoms have worsened over the past 2 weeks I have become concerned.  I have not added any OTC medications or supplements to the ones listed prior. I have gone to a chiropractor twice during this time for relief of my back pain with  no positive outcomes. Waiting to see the neurologist.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: On  January 16, the day after being vaccinated (1/15/21),  I woke up with my arms, hands, legs and feet tingling and numb all over and it lasted on and off all day January 16 and on and off all day January 17 and has persisted every day until Monday, January 26 when the symptoms became worse. Instead of tingling in all extremities (with some numbness)  the sensations changed to a pins and needles sensation with burning and random electrical shock sensations. I want to note that, yes, I have radiculopathies  - however, I have never had them change so suddenly and increase in intensity so fast. Also, the pins and needles sensation with burning and random electrical shocks are brand new symptoms for me (my radiculopathies have not presented this way before).  I reported these symptoms to my primary care provider today (1/29/21) and she instructed me to report my symptoms to VAERS and she is referring me to neurology. Note: I received my vaccination outside of my health care system and received it through the county because I could get the vaccination sooner that way.  I did not report these symptoms sooner because they were not listed as a possible adverse effect of getting the COVID19 Moderna  vaccination. However, as these symptoms have worsened over the past 2 weeks I have become concerned.  I have not added any OTC medications or supplements to the ones listed prior. I have gone to a chiropractor twice during this time for relief of my back pain with  no positive outcomes. Waiting to see the neurologist.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Diarrhoea, Fatigue, Immediate post-injection reaction
Clinical narrative: "Moderna COVID-19 Vaccine EUA".  At the site of the injection, my left arm got very swollen, red, and hot.  It began itching right away and that became worse over the course of the day and the following days.  I felt deep exhaustion, and my body hurt all over especially my joints.   I had stomach cramps, diarrhea, and nausea.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Nausea
Clinical narrative: "Moderna COVID-19 Vaccine EUA".  At the site of the injection, my left arm got very swollen, red, and hot.  It began itching right away and that became worse over the course of the day and the following days.  I felt deep exhaustion, and my body hurt all over especially my joints.   I had stomach cramps, diarrhea, and nausea.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: "Moderna COVID-19 Vaccine EUA".  At the site of the injection, my left arm got very swollen, red, and hot.  It began itching right away and that became worse over the course of the day and the following days.  I felt deep exhaustion, and my body hurt all over especially my joints.   I had stomach cramps, diarrhea, and nausea.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Retching, Vomiting
Clinical narrative: The day following the vaccine injection, Sunday, January 24, as I was finishing a 45 minute hike I began feeling dizzy.  I made it home, then felt nauseous and threw up, more drive heaves than food.   I laid down for awhile.  Since then I have felt woozy when I get up and start moving around.  The wooziness comes and goes.   I still have the symptoms.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Type IV hypersensitivity reaction, Vaccination site plaque
Clinical narrative: delayed hypersensitivity reaction. large 6x6cm indurated plaque around inoculation site on arm. very painful. lasted for about 4 days then resolved without treatment.
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest discomfort, Chest pain, Chills, Fatigue
Clinical narrative: I experienced  low back pain, body aches, chest tightness and chills. I also experienced a low grade fever, extreme fatigue, severe body pains which lasted two days. I saw my PCP who put me on a muscle relaxer with Benadryl.  Today I continue having chest pain with congestion and I am not able to move around due to the body aches and pain.
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Nasal congestion, Pain, Pyrexia
Clinical narrative: I experienced  low back pain, body aches, chest tightness and chills. I also experienced a low grade fever, extreme fatigue, severe body pains which lasted two days. I saw my PCP who put me on a muscle relaxer with Benadryl.  Today I continue having chest pain with congestion and I am not able to move around due to the body aches and pain.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cold sweat, Dizziness, Dizziness postural, Eye irritation
Clinical narrative: starting on 1/19: headache; burning behind eyes and sore throat; x 3 days which have now resolved  - now dizzy when standing;  fatigue - arms feels heavy when taking shower;  pale; remains very weak and tired; dizzy - feels like anemia - tried to work last night but broke out in cold sweat and pale so sent home from work last night - sxs are not worsening
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Impaired work ability, Limb discomfort, Oropharyngeal pain
Clinical narrative: starting on 1/19: headache; burning behind eyes and sore throat; x 3 days which have now resolved  - now dizzy when standing;  fatigue - arms feels heavy when taking shower;  pale; remains very weak and tired; dizzy - feels like anemia - tried to work last night but broke out in cold sweat and pale so sent home from work last night - sxs are not worsening
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor
Clinical narrative: starting on 1/19: headache; burning behind eyes and sore throat; x 3 days which have now resolved  - now dizzy when standing;  fatigue - arms feels heavy when taking shower;  pale; remains very weak and tired; dizzy - feels like anemia - tried to work last night but broke out in cold sweat and pale so sent home from work last night - sxs are not worsening
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt. received the Pfizer vaccine for first dose.  when she came back for the 2nd dose, she was inadvertently given Moderna as the 2nd dose.  It was discovered later in the day when we were checking on the status of the vaccines.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Feeling abnormal, Headache
Clinical narrative: Symptoms: Alternating fever and chills (mild), full-body muscle ache (moderate), sensitivity to touch (moderate), dizziness (moderate), difficulty focusing (moderate-severe), fatigue (moderate-severe) headache (SEVERE). Treatment: Took the day after the shot off of work and slept a LOT (approx 18 hours on and off), stayed hydrated and fed. Did not take painkillers due to hearing it would interfere with vaccine uptake. Most symptoms except for headache had gone away by 30-hour mark. Only some lingering fatigue and achiness left over past 36-hour mark.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperaesthesia, Hypersomnia, Impaired work ability, Pain, Pyrexia
Clinical narrative: Symptoms: Alternating fever and chills (mild), full-body muscle ache (moderate), sensitivity to touch (moderate), dizziness (moderate), difficulty focusing (moderate-severe), fatigue (moderate-severe) headache (SEVERE). Treatment: Took the day after the shot off of work and slept a LOT (approx 18 hours on and off), stayed hydrated and fed. Did not take painkillers due to hearing it would interfere with vaccine uptake. Most symptoms except for headache had gone away by 30-hour mark. Only some lingering fatigue and achiness left over past 36-hour mark.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 17 Year Old
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Chest pain, Dyspnoea, Feeling cold, Head injury
Clinical narrative: Pt reported to Covid-19 vaccination clinic for Pfizer lot #EL3302 first dose.Reported allergy to sulfa drugs and was in observation for 30 minutes.  At approximately 25 minutes post vaccination at 10:15am, Pt signaled that he wanted to leave & was instructed to stay 5 more minutes.  Pt anxious and began to shake, saying he could not breathe.  Vitals were 147/88, HR 86, O2 98% on RA.  Pt was reclined on floor and reported being cold and was striking his head on the blanket; head stabilized.  Patient was alert and oriented x3, but complained of chest pain.  EMS called, arrived at 10:25, Vitals: 144/92, HR83 O2 99% on 2L.  Pt stable & transported to hospital by EMS at 10:35am
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tremor
Clinical narrative: Pt reported to Covid-19 vaccination clinic for Pfizer lot #EL3302 first dose.Reported allergy to sulfa drugs and was in observation for 30 minutes.  At approximately 25 minutes post vaccination at 10:15am, Pt signaled that he wanted to leave & was instructed to stay 5 more minutes.  Pt anxious and began to shake, saying he could not breathe.  Vitals were 147/88, HR 86, O2 98% on RA.  Pt was reclined on floor and reported being cold and was striking his head on the blanket; head stabilized.  Patient was alert and oriented x3, but complained of chest pain.  EMS called, arrived at 10:25, Vitals: 144/92, HR83 O2 99% on 2L.  Pt stable & transported to hospital by EMS at 10:35am
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Chest pain, Chills, Dyspnoea, Feeling cold
Clinical narrative: Pt reported to Covid-19 vaccination clinic for Pfizer lot #EL3302 first dose.Reported allergy to sulfa drugs and was in observation for 30 minutes.  At approximately 25 minutes post vaccination at 10:15am, Pt signaled that he wanted to leave & was instructed to stay 5 more minutes.  Pt anxious and began to shake, saying he could not breathe.  Vitals were 147/88, HR 86, O2 98% on RA.  Pt was reclined on floor and reported being cold and was striking his head on the blanket; head stabilized.  Patient was alert and oriented x3, but complained of chest pain.  EMS called, arrived at 10:25, Vitals: 144/92, HR83 O2 99% on 2L.  Pt stable & transported to hospital by EMS at 10:35am
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart rate, Investigation, Oxygen saturation
Clinical narrative: Pt reported to Covid-19 vaccination clinic for Pfizer lot #EL3302 first dose.Reported allergy to sulfa drugs and was in observation for 30 minutes.  At approximately 25 minutes post vaccination at 10:15am, Pt signaled that he wanted to leave & was instructed to stay 5 more minutes.  Pt anxious and began to shake, saying he could not breathe.  Vitals were 147/88, HR 86, O2 98% on RA.  Pt was reclined on floor and reported being cold and was striking his head on the blanket; head stabilized.  Patient was alert and oriented x3, but complained of chest pain.  EMS called, arrived at 10:25, Vitals: 144/92, HR83 O2 99% on 2L.  Pt stable & transported to hospital by EMS at 10:35am
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Pain at injection site days 1-3, subsided. On day 8, pain at injection site resurfaced at night.  Then in morning of day 9, itchy red rash appeared near injection site.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Lymphadenopathy, Pain, Paraesthesia
Clinical narrative: I took on the 13th and on the 15th at night I felt pins and needles on my left side by my left arm for 3 hours then it went pins and needles it started to go everywhere, bottom, stomach, right and left, and my head. I almost felt tingling. At the same time my heart beat started to go fast, for maybe 5-6 hours. 97-105 beats an hour. I got scared I called my husband he felt my heart racing at my neck. I called my son (son is a doctor) he said if my heart beat goes over 110 then I needed to call 911. It lasted till about 4 AM and I was able to sleep. Everything the pain and heartbeat both started to go  down. My heartbeat to went back down to 85. In the morning I was fine. On the 16th at night I felt my neck left side lymph node on the left getting swollen, like a bump. I called my son again and he said my lymph node getting swollen due to vaccine, it stayed until Sunday night and it started to get better. When you push it was painful.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dizziness, Dyspnoea, Lip swelling, Rash
Clinical narrative: Took vaccine on 1/21/21. Symptoms on 1/23/21 included widespread rash, lips swelling, hives, dizziness, trouble breathing. Received epinephrine, steroids, benadryl.  Diagnosed with acute anaphylaxis due to possible allergy to Polyethylene Glycol
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Took vaccine on 1/21/21. Symptoms on 1/23/21 included widespread rash, lips swelling, hives, dizziness, trouble breathing. Received epinephrine, steroids, benadryl.  Diagnosed with acute anaphylaxis due to possible allergy to Polyethylene Glycol
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling cold
Clinical narrative: c/o of dizziness and s/p vaccine IM of Pfizer, lasting only a few minutes. Denies any associated sxs. Denies any chest pain, nausea, vomiting. Denies history of any similar reactions. c/o coldness to Right arm lasting a few minutes. B/P 124/62, rr 18 Pulse 77, spO2 98%. Pt instructed to call 911 or go to ER for worsen sx. Pt Verbalized understanding and Patient signed form.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site paraesthesia, Paraesthesia
Clinical narrative: Tingling from injection site L deltoid down through L hand and fingers.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose given too early
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Syncope
Clinical narrative: Excessive sweating with two episodes of syncope.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia
Clinical narrative: Tingling sensation in throat 5 minutes after vaccine to 45 minutes after. Sensation didn't decrease. Went back to work at unit. Has history of anaphylaxis to certain medications and ADR to TDaP
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Lethargy, Musculoskeletal stiffness, Nausea, Pain
Clinical narrative: Headache, body aches, lethargy, stiff neck, nausea
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia, Vomiting
Clinical narrative: Fever 102-103 with vomiting and chills for three days.  starting to feel better now.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time, Activated partial thromboplastin time normal, Asthenia, Blood folate, Blood magnesium
Clinical narrative: Next day fever 100.8 and chills.  2 days later very bad headaches that lasted until 1/23.  ER visit on 1/21 for chest pressure, lightheadedness, dizzy.  Cardiac work up- negative.  Discharged.  Still lightheaded and dizzy 1/22 - 1/24.  On 1/25 sharp chest pains went to see my PCP.  She prescribed a steroid pack.   1/26 at 3:30 pm felt weak, felt like I was going to black out.  Went back to the ER- full cardiac work up, head CT, admitted to the hospital for observation.  Stress test on 1/27.  Everything normal.  Follow up with PCP on 1/29 still very lightheaded.  Ordered a 48 hour heart monitor and Neurology consult.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac stress test normal, Chest X-ray, Chest discomfort, Chest pain, Chills
Clinical narrative: Next day fever 100.8 and chills.  2 days later very bad headaches that lasted until 1/23.  ER visit on 1/21 for chest pressure, lightheadedness, dizzy.  Cardiac work up- negative.  Discharged.  Still lightheaded and dizzy 1/22 - 1/24.  On 1/25 sharp chest pains went to see my PCP.  She prescribed a steroid pack.   1/26 at 3:30 pm felt weak, felt like I was going to black out.  Went back to the ER- full cardiac work up, head CT, admitted to the hospital for observation.  Stress test on 1/27.  Everything normal.  Follow up with PCP on 1/29 still very lightheaded.  Ordered a 48 hour heart monitor and Neurology consult.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Dizziness, Electrocardiogram, Feeling abnormal, Fibrin D dimer
Clinical narrative: Next day fever 100.8 and chills.  2 days later very bad headaches that lasted until 1/23.  ER visit on 1/21 for chest pressure, lightheadedness, dizzy.  Cardiac work up- negative.  Discharged.  Still lightheaded and dizzy 1/22 - 1/24.  On 1/25 sharp chest pains went to see my PCP.  She prescribed a steroid pack.   1/26 at 3:30 pm felt weak, felt like I was going to black out.  Went back to the ER- full cardiac work up, head CT, admitted to the hospital for observation.  Stress test on 1/27.  Everything normal.  Follow up with PCP on 1/29 still very lightheaded.  Ordered a 48 hour heart monitor and Neurology consult.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Headache, Lipase, Metabolic function test, Prothrombin time
Clinical narrative: Next day fever 100.8 and chills.  2 days later very bad headaches that lasted until 1/23.  ER visit on 1/21 for chest pressure, lightheadedness, dizzy.  Cardiac work up- negative.  Discharged.  Still lightheaded and dizzy 1/22 - 1/24.  On 1/25 sharp chest pains went to see my PCP.  She prescribed a steroid pack.   1/26 at 3:30 pm felt weak, felt like I was going to black out.  Went back to the ER- full cardiac work up, head CT, admitted to the hospital for observation.  Stress test on 1/27.  Everything normal.  Follow up with PCP on 1/29 still very lightheaded.  Ordered a 48 hour heart monitor and Neurology consult.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Red blood cell sedimentation rate, Red blood cell sedimentation rate normal, SARS-CoV-2 test, Troponin
Clinical narrative: Next day fever 100.8 and chills.  2 days later very bad headaches that lasted until 1/23.  ER visit on 1/21 for chest pressure, lightheadedness, dizzy.  Cardiac work up- negative.  Discharged.  Still lightheaded and dizzy 1/22 - 1/24.  On 1/25 sharp chest pains went to see my PCP.  She prescribed a steroid pack.   1/26 at 3:30 pm felt weak, felt like I was going to black out.  Went back to the ER- full cardiac work up, head CT, admitted to the hospital for observation.  Stress test on 1/27.  Everything normal.  Follow up with PCP on 1/29 still very lightheaded.  Ordered a 48 hour heart monitor and Neurology consult.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vitamin B12, X-ray
Clinical narrative: Next day fever 100.8 and chills.  2 days later very bad headaches that lasted until 1/23.  ER visit on 1/21 for chest pressure, lightheadedness, dizzy.  Cardiac work up- negative.  Discharged.  Still lightheaded and dizzy 1/22 - 1/24.  On 1/25 sharp chest pains went to see my PCP.  She prescribed a steroid pack.   1/26 at 3:30 pm felt weak, felt like I was going to black out.  Went back to the ER- full cardiac work up, head CT, admitted to the hospital for observation.  Stress test on 1/27.  Everything normal.  Follow up with PCP on 1/29 still very lightheaded.  Ordered a 48 hour heart monitor and Neurology consult.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Body temperature, Cardiac stress test, Chest discomfort, Chest pain
Clinical narrative: Next day fever 100.8 and chills.  2 days later very bad headaches that lasted until 1/23.  ER visit on 1/21 for chest pressure, lightheadedness, dizzy.  Cardiac work up- negative.  Discharged.  Still lightheaded and dizzy 1/22 - 1/24.  On 1/25 sharp chest pains went to see my PCP.  She prescribed a steroid pack.   1/26 at 3:30 pm felt weak, felt like I was going to black out.  Went back to the ER- full cardiac work up, head CT, admitted to the hospital for observation.  Stress test on 1/27.  Everything normal.  Follow up with PCP on 1/29 still very lightheaded.  Ordered a 48 hour heart monitor and Neurology consult.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Migraine
Clinical narrative: Next day fever 100.8 and chills.  2 days later very bad headaches that lasted until 1/23.  ER visit on 1/21 for chest pressure, lightheadedness, dizzy.  Cardiac work up- negative.  Discharged.  Still lightheaded and dizzy 1/22 - 1/24.  On 1/25 sharp chest pains went to see my PCP.  She prescribed a steroid pack.   1/26 at 3:30 pm felt weak, felt like I was going to black out.  Went back to the ER- full cardiac work up, head CT, admitted to the hospital for observation.  Stress test on 1/27.  Everything normal.  Follow up with PCP on 1/29 still very lightheaded.  Ordered a 48 hour heart monitor and Neurology consult.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test
Clinical narrative: Next day fever 100.8 and chills.  2 days later very bad headaches that lasted until 1/23.  ER visit on 1/21 for chest pressure, lightheadedness, dizzy.  Cardiac work up- negative.  Discharged.  Still lightheaded and dizzy 1/22 - 1/24.  On 1/25 sharp chest pains went to see my PCP.  She prescribed a steroid pack.   1/26 at 3:30 pm felt weak, felt like I was going to black out.  Went back to the ER- full cardiac work up, head CT, admitted to the hospital for observation.  Stress test on 1/27.  Everything normal.  Follow up with PCP on 1/29 still very lightheaded.  Ordered a 48 hour heart monitor and Neurology consult.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Flushing
Clinical narrative: Redness and flushing to face, neck and chest beginning 45 mins after receiving the vaccine.  Took benadryl with good effect.  Symptoms completely resolved by the following morning.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pruritus, Rash, Rash papular
Clinical narrative: Developed a local reaction to the injection site about the size of a silver dollar, after about a week it grew in size  and developed a rash on the back of the arm . Rash was raised and itchy took Benadyl for 2 weeks for relief.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Confusional state, Delirium, Dysgeusia, Fatigue
Clinical narrative: Headache, Fever- 102.3, Severe Body aches, Severe chills, couldn't feel botoms of feet, metallic taste in mouth, hives, tiredness, stuffy nose, confusion, delerium.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Nasal congestion, Pain, Pyrexia
Clinical narrative: Headache, Fever- 102.3, Severe Body aches, Severe chills, couldn't feel botoms of feet, metallic taste in mouth, hives, tiredness, stuffy nose, confusion, delerium.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Headache, Fever- 102.3, Severe Body aches, Severe chills, couldn't feel botoms of feet, metallic taste in mouth, hives, tiredness, stuffy nose, confusion, delerium.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Vomiting
Clinical narrative: Headache, temperature, vomiting, chills
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Ageusia, Anosmia, Cough, Headache
Clinical narrative: Headache, fever, body aches, GI issues, cough feels like something is restricting the back of left lung when taking deep breath, no smell or taste.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Respiration abnormal, SARS-CoV-2 test positive
Clinical narrative: Headache, fever, body aches, GI issues, cough feels like something is restricting the back of left lung when taking deep breath, no smell or taste.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased
Clinical narrative: elevated temperature
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Confusional state, Disorientation
Clinical narrative: Total confusion and disorientation - he did not know where he was or how he got here the morning after the shot.  He has Alzheimer's, so he is confused and disoriented normally but this was way above and beyond his ususal state.  Not sure if it was the vaccination that caused it, but reporting it just for your information.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Injection site pain, Injection site swelling
Clinical narrative: Day 1 after injection:  fever of 101.0, chills, site pain and swelling,  muscle pain radiating from injection site., headache and diarrhea.  Day 2 after injection:  same symptoms except the fever was only 100.8.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Day 1 after injection:  fever of 101.0, chills, site pain and swelling,  muscle pain radiating from injection site., headache and diarrhea.  Day 2 after injection:  same symptoms except the fever was only 100.8.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Vomiting
Clinical narrative: weakness, no energy, vomiting
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Flushing, Tremor
Clinical narrative: Anxiety, flushing, EPs-tremors 12:30 increasing. MD on site assessing. Pharmacist administered epi pen at 12:40. 911 called. Left facility at 12:45
Sex: U
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Dyspnoea, Fatigue
Clinical narrative: 19:00 (11 hrs post vaccination) - headache, fatigue 22:00 - headache, fatigue and muscle aches 02:00 - worsening headache, despite Motrin, chills 03:00 - dizziness, fatigue, aching all over, weakness, tightening in chest, having to put more effort into breathing. 99.9 fever, palpitations, heart rate 100-130
Sex: U
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pain, Palpitations, Paraesthesia
Clinical narrative: 19:00 (11 hrs post vaccination) - headache, fatigue 22:00 - headache, fatigue and muscle aches 02:00 - worsening headache, despite Motrin, chills 03:00 - dizziness, fatigue, aching all over, weakness, tightening in chest, having to put more effort into breathing. 99.9 fever, palpitations, heart rate 100-130
Sex: U
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 19:00 (11 hrs post vaccination) - headache, fatigue 22:00 - headache, fatigue and muscle aches 02:00 - worsening headache, despite Motrin, chills 03:00 - dizziness, fatigue, aching all over, weakness, tightening in chest, having to put more effort into breathing. 99.9 fever, palpitations, heart rate 100-130
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Headache
Clinical narrative: Difficulty breathing 4 hours after shot (lungs and nose). some headache and dizziness
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram, Heart rate increased
Clinical narrative: resting heart rate 128-130 with chest pain
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram, Dizziness, Dysphagia, Full blood count
Clinical narrative: Immediately after the 1st injection employee had tachycardia, hypertension, nausea, dizziness, hot flash, ringing in the ears, sweating.  Was monitored for 30 minutes and symptoms resolved.  Approximately 10 hours after 2nd vaccine employee had nausea, vomiting, fever, body aches and cramps, chills, headache.  Approximately 18 hours post 2nd vaccine, Lymph nodes in neck began to swell and throat was scratchy and having difficulty swallowing.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hot flush, Hyperhidrosis, Hypertension, Immediate post-injection reaction
Clinical narrative: Immediately after the 1st injection employee had tachycardia, hypertension, nausea, dizziness, hot flash, ringing in the ears, sweating.  Was monitored for 30 minutes and symptoms resolved.  Approximately 10 hours after 2nd vaccine employee had nausea, vomiting, fever, body aches and cramps, chills, headache.  Approximately 18 hours post 2nd vaccine, Lymph nodes in neck began to swell and throat was scratchy and having difficulty swallowing.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Lymphadenopathy, Metabolic function test, Muscle spasms, Nausea
Clinical narrative: Immediately after the 1st injection employee had tachycardia, hypertension, nausea, dizziness, hot flash, ringing in the ears, sweating.  Was monitored for 30 minutes and symptoms resolved.  Approximately 10 hours after 2nd vaccine employee had nausea, vomiting, fever, body aches and cramps, chills, headache.  Approximately 18 hours post 2nd vaccine, Lymph nodes in neck began to swell and throat was scratchy and having difficulty swallowing.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Tachycardia, Throat irritation, Tinnitus
Clinical narrative: Immediately after the 1st injection employee had tachycardia, hypertension, nausea, dizziness, hot flash, ringing in the ears, sweating.  Was monitored for 30 minutes and symptoms resolved.  Approximately 10 hours after 2nd vaccine employee had nausea, vomiting, fever, body aches and cramps, chills, headache.  Approximately 18 hours post 2nd vaccine, Lymph nodes in neck began to swell and throat was scratchy and having difficulty swallowing.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Immediately after the 1st injection employee had tachycardia, hypertension, nausea, dizziness, hot flash, ringing in the ears, sweating.  Was monitored for 30 minutes and symptoms resolved.  Approximately 10 hours after 2nd vaccine employee had nausea, vomiting, fever, body aches and cramps, chills, headache.  Approximately 18 hours post 2nd vaccine, Lymph nodes in neck began to swell and throat was scratchy and having difficulty swallowing.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose given too soon
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Chills, Headache, Myalgia, Nausea
Clinical narrative: chills, shivering, mild but constant nausea, body ache, muscle and bone pain, headache lasted for 24hrs
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: chills, shivering, mild but constant nausea, body ache, muscle and bone pain, headache lasted for 24hrs
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Fever of 101.4 F, body aches, headache.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blood electrolytes normal, Chills, Diarrhoea, Dizziness, Flank pain
Clinical narrative: Moderna COVID- 19 Vaccine EUA: One day after vaccination patient presented to the emergency department with fever, chills, myalgias, diarrhea, flank pain, blurry vision, and feeling of almost passing out. All vital signs within normal ranges and stable, including temperature of 36.8 degrees Celsius. No abnormal findings on physical examination. Patient received intravenous fluids, symptoms improved, and discharged to home.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Vision blurred
Clinical narrative: Moderna COVID- 19 Vaccine EUA: One day after vaccination patient presented to the emergency department with fever, chills, myalgias, diarrhea, flank pain, blurry vision, and feeling of almost passing out. All vital signs within normal ranges and stable, including temperature of 36.8 degrees Celsius. No abnormal findings on physical examination. Patient received intravenous fluids, symptoms improved, and discharged to home.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: A red ring around the injection site appeared 1.5 weeks after getting the injection. It was not red at all the week after getting the injection. The red ring was slightly raised on the skin. It was not particularly painful. It went away in about 48 hours.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Musculoskeletal stiffness, Nausea, Pain
Clinical narrative: Severe pounding  head ache, right nape stiffness, nausea. Tylenol 500 2tablet every 4 hours and  mucinex 2 caplet every 4 hours for pain and pressure. Ice pack on the head.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: On 12/30, patient had subjective fevers, body aches, joint pain (bilateral elbows and knees) and posterior cervical headache as well as fatigue that lasted until 1/8/20.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Movement disorder, Muscular weakness
Clinical narrative: 5 hours later - extreme soreness of arm;  6 hours later - arm was very weak  6 1/2 hours later - unable to move arm "dead weight" - had to lift it with other arm; 7 hours later - alternating fever & chills 9 hours later - headache 24  hours later - dizziness
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: 5 hours later - extreme soreness of arm;  6 hours later - arm was very weak  6 1/2 hours later - unable to move arm "dead weight" - had to lift it with other arm; 7 hours later - alternating fever & chills 9 hours later - headache 24  hours later - dizziness
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site rash
Clinical narrative: Patient reported feeling dizzy and lighted after vaccine administration was given. Patient was taken to the ER to be observed. Patient then called on 1/29/21 to report that her arm where she had the injection looked like she had a rash. it has been 8 days since she has had the vaccine. Advised her to go to her PCP if she was worried about it being an allergic reaction to the vaccine. Advised that vaccines can cause local reactions.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Redness, swelling , pain. Onset 7 days following 6inx2.5in
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Exposure during pregnancy, Headache, Hyperhidrosis
Clinical narrative: 24 weeks pregnant at time of 2nd shot. Shot given at 1430 on 1/27 in left deltoid. Felt great rest of day. @0500 on 1/28 woke up shivering uncontrollably. Mild fever of 100.5(highest recorded during this whole episode). Body aches, chills, sweats, headache rest of day. 1000 mg Tylenol helped with fever/chills but headache progressed to migraine w/nausea. Took 50 mg sumatriptan and 25 mg doxylamine in evening and this seemed to help with headache and allow me to get to sleep 1/28.  Woke up at 0300 1/29 with chills/cold sweats. Took 1000 mg Tylenol again (didn't check temp) and went back to sleep. Woke up at 0530 for work - checked temp since I'm a healthcare worker and it was 100.4 (with tylenol). Waited until clinic opened up and called them at 0700 for recommendations on going to work or not (temp by then was 99.8, with tylenol). Was advised to stay home and if febrile tomorrow to get COVID tested on 1/30. As of right now (1300 on 1/29) headache has returned but mild. Body aches still. Temp 99.4 w/tylenol redosed at 1000.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Migraine, Nausea, Pain, Pyrexia
Clinical narrative: 24 weeks pregnant at time of 2nd shot. Shot given at 1430 on 1/27 in left deltoid. Felt great rest of day. @0500 on 1/28 woke up shivering uncontrollably. Mild fever of 100.5(highest recorded during this whole episode). Body aches, chills, sweats, headache rest of day. 1000 mg Tylenol helped with fever/chills but headache progressed to migraine w/nausea. Took 50 mg sumatriptan and 25 mg doxylamine in evening and this seemed to help with headache and allow me to get to sleep 1/28.  Woke up at 0300 1/29 with chills/cold sweats. Took 1000 mg Tylenol again (didn't check temp) and went back to sleep. Woke up at 0530 for work - checked temp since I'm a healthcare worker and it was 100.4 (with tylenol). Waited until clinic opened up and called them at 0700 for recommendations on going to work or not (temp by then was 99.8, with tylenol). Was advised to stay home and if febrile tomorrow to get COVID tested on 1/30. As of right now (1300 on 1/29) headache has returned but mild. Body aches still. Temp 99.4 w/tylenol redosed at 1000.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Intensive care, Nausea, Palpitations, Pharyngeal swelling
Clinical narrative: Response (1/27) after receiving 2nd dose of Moderna COVID-19 vaccine (~1840), c/o itching, throat swelling, SOB, racing heart & nausea about 50min after vaccination. S/p IM Epi, Benadryl, Pepcid, Solumedrol & Racemic Epi. CCM consulted. Close monitoring in ICU overnight. (1/28) Symptoms resolved, plan to discharge home with Rx for Epi pen.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Response (1/27) after receiving 2nd dose of Moderna COVID-19 vaccine (~1840), c/o itching, throat swelling, SOB, racing heart & nausea about 50min after vaccination. S/p IM Epi, Benadryl, Pepcid, Solumedrol & Racemic Epi. CCM consulted. Close monitoring in ICU overnight. (1/28) Symptoms resolved, plan to discharge home with Rx for Epi pen.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose given too soon
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Diarrhoea, Erythema, Nausea, Oedema peripheral
Clinical narrative: 7-8 days after injection, right arm began to swell, become painful, and a raised reddened area measuring approximately 2" diameter developed. Site was hot to touch and was itchy. The swelling extended around the circumference of upper arm and into armpit. Benadryl and ice was administered. Approximately 4 hours later, the swelling and pain had decreased, however the redness had extended to approximately 3" and was splotchy, red, itchy, and warm to touch; GI discomfort (diarrhea, nausea) had also developed. More benadryl was administered. 2 days after onset of symptoms, GI symptoms, swelling, pain and redness has improved however, there is still itchiness and and mild redness.  PCP aware and advised to contact CDC for advisement on whether to continue with 2nd dose and continue with current treatment.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pruritus, Rash macular, Skin warm
Clinical narrative: 7-8 days after injection, right arm began to swell, become painful, and a raised reddened area measuring approximately 2" diameter developed. Site was hot to touch and was itchy. The swelling extended around the circumference of upper arm and into armpit. Benadryl and ice was administered. Approximately 4 hours later, the swelling and pain had decreased, however the redness had extended to approximately 3" and was splotchy, red, itchy, and warm to touch; GI discomfort (diarrhea, nausea) had also developed. More benadryl was administered. 2 days after onset of symptoms, GI symptoms, swelling, pain and redness has improved however, there is still itchiness and and mild redness.  PCP aware and advised to contact CDC for advisement on whether to continue with 2nd dose and continue with current treatment.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Have a swollen lymph node on L side of lower portion near neck collar
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever of 101.6 F, body aches, chills, headache, nausea and vomiting, and fainting.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: Fever of 101.6 F, body aches, chills, headache, nausea and vomiting, and fainting.
Age: 44.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Arthralgia, Impaired work ability, Mobility decreased, Pain
Clinical narrative: Right shoulder pain with decreased range of motion Pain was better 1/25/21 but it hits intensely with posterior rotation and adduction.  This is new for this shoulder and interferes with work.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: by 1700 same day  - lots of pain in 4rd digit on flexion and extension 8/10  - thought it was her knuckle at first - couldn't grip or extend finger; now better - pain 5/10 -  now can extend and grip - may be medial nerve irritation  digits 3, 4, 5 a little painful but not like 4th digit  slight shoulder pain at injection site
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Peripheral swelling
Clinical narrative: 2 hours after shot, severe and fast angioedema in left hand and 4 hours later, mild angioedema in left foot. Swelling stabalized and appears to be going down  slowly - 6 hours after shot.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, SARS-CoV-2 test negative
Clinical narrative: Headache, Temp max 101.8.  Tylenol, motrin taken. Fever from 8pm 1/27 to 8pm 1/28
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: On the eighth day after the first shot of vaccine, I noticed a red patch just below the injection.  It was about three inches by three inches.  I had itching but otherwise, no symptoms.  This am, which was the day after, I noticed that the patch had diminished in size but was still red.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Erythema and induration (13x7 cm), pruritis and tenderness at injection site along with increased fatigue, beginning 1 week following vaccination. There had been a local injection site reaction as well as fatigue and headache starting 24  hours after vaccine administration, which had resolved entirely within 72 hours.  New onset of injection site reaction began with pruritis only, starting in the morning 7 days after the vaccination, which progressed to include fatigue, erythema and induration during that day and into the next (today, the day of reporting). Oral certrizine was taken the evening that symptom recrudescence began, with some relief of pruritis but not erythema or induration.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus
Clinical narrative: Erythema and induration (13x7 cm), pruritis and tenderness at injection site along with increased fatigue, beginning 1 week following vaccination. There had been a local injection site reaction as well as fatigue and headache starting 24  hours after vaccine administration, which had resolved entirely within 72 hours.  New onset of injection site reaction began with pruritis only, starting in the morning 7 days after the vaccination, which progressed to include fatigue, erythema and induration during that day and into the next (today, the day of reporting). Oral certrizine was taken the evening that symptom recrudescence began, with some relief of pruritis but not erythema or induration.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Haematuria, Headache, Nausea
Clinical narrative: severe headache, dizziness, diarrhea and nausea followed by 1 day gross hematuria
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Chills, fatigue, fever, Arm soreness
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Flushing, Immediate post-injection reaction, Palpitations
Clinical narrative: Pt. developed feeling of flushing and dizziness immediately after receiving the vaccine , then C/O palpitations and chest tightness a few minutes later at 6:14pm.  After vital signs were found to be stable and improving with reassurance her complaints resolved without medication or treatment.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Headache, Chills and Fever. Chills began at 4pm with Headache appearing shortly thereafter. Fever began the next morning. Took Tylenol and Advil at intervals prior to the vaccination.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Chills, Musculoskeletal stiffness, Tremor
Clinical narrative: Starting noticing at 4:00 PM noticing pain in the shoulder.  The pain in the shoulder got worse to where he had tightness in his chest, but was shaking uncontrollably shivering sensation but was not cold that continued for several hours.   Today is still having the pain in his shoulder, and while laying down has the neck stiffness.  While sitting up has pain in the shoulder and is applying ice on it now.  He took some  Acetimenophen as he was told to wait 24 hours before taking anything.   Has chronic back pain for which he takes that as well, but now for the shoulder pain as well.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: One week after my first dose I noticed that my right supraclavicular lymph node became swollen, today is 01/29/2021 and it hasn't gone away. (I got my second dose 2 weeks  after the first one).
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose given too soon
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: I had no symptoms until one week later, 1/28/21. I began getting itchy, redness and minor swelling at injection site. I spoke to a doctor and he prescribed  Twice daily, of Doxycycline Hyclate. He said it was unusual to develop symptoms at this time so it could be a delayed  reaction or an infection. Airing on the side of caution, he prescribed the antibiotic. My temperature is normal and I have no other symptoms.  I?m also taking Benadryl to relieve itching. I?m on the medication for the next ten days.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash maculo-papular, Rash pruritic
Clinical narrative: Maculopapular pruritc rash on bilateral arms, chest, and back-improving 1/29/21 only with rash on arms-prescribed Zyrtec and Clobetasol cream She is recovering but 100% back to noraml
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site rash, Injection site swelling, Pharyngeal swelling, Rash
Clinical narrative: Rash and swelling at injection site 8 days after vaccine. Swelling of the throat, light headedness, then tiny rash bumps all over hands and forearms and some amounts on stomach.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension
Clinical narrative: Hot Hypertensive (BP checked 6 times, elevated all times).   Given Juice and crackers, felt cooler and better after sitting and eating
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Pain, Pyrexia, Rash
Clinical narrative: One week later, developed soreness and a localized skin rash with a small fever. The rash is only around the injection site.  Arm feels hard under the skin.