chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Laboratory test, Muscle spasms, Pain, Pain in extremity
Clinical narrative: pt stated that  went to bed w/ a sore are the night after receiving the covid vax.  She woke up the next day w/ unbearable pain all over her body, body aches, joint pain, head ache, back ache.  She felt like she had fever but she said it was only 99.  Her left arm was swollen, red  and hot around the injection site.   Pt states she still has shaky, achy legs and swelling in left arm. Pt called her PCP and left message for them to give her a CB.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sciatica, Tremor
Clinical narrative: pt stated that  went to bed w/ a sore are the night after receiving the covid vax.  She woke up the next day w/ unbearable pain all over her body, body aches, joint pain, head ache, back ache.  She felt like she had fever but she said it was only 99.  Her left arm was swollen, red  and hot around the injection site.   Pt states she still has shaky, achy legs and swelling in left arm. Pt called her PCP and left message for them to give her a CB.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness, Ear, nose and throat examination abnormal, Hypoacusis, Tinnitus
Clinical narrative: Tinnitus-especially in Left ear.  Previously had a very mild Tinnitus in both ears prior to vaccine.  Woke up after 2nd vaccine with extreme tinnitus in left ear.  Extreme ringing and muffled hearing in left ear.  Right ear remains mild tinnitus.  Went to ENT physician and saw NP and had hearing test performed.  Mild hearing loss noted but no previous ear testing performed to compare results to.  No other interventions available at this time.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Breast pain, Erythema, Hot flush
Clinical narrative: Significant Left under arm swelling (area swollen approximately size of baseball in half)  Significant pain under left arm Redness along outside of left breast Pain in Left breast Pain Left shoulder to Left elbow Nausea and hot flashes - Mild
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Nausea, Pain in extremity
Clinical narrative: Significant Left under arm swelling (area swollen approximately size of baseball in half)  Significant pain under left arm Redness along outside of left breast Pain in Left breast Pain Left shoulder to Left elbow Nausea and hot flashes - Mild
Sex: U
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: FATIGUE, BODY ACHES, AND HEADACHE.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Insomnia, Nausea
Clinical narrative: fever, chills, joint pain, nausea, headache, overall pain, insomnia
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: fever, chills, joint pain, nausea, headache, overall pain, insomnia
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Urticaria
Clinical narrative: She has completed both moderna vaccines first one 01/17/21 and 2nd one  2/4/21.   on 02/21/21 she started with unexplained HIVES over arms, abd and back.  She has never had hives before  She took benadryl which helped some and was given cetirizine and triamcinolone.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Oral discomfort
Clinical narrative: When she had thyroid cancer she had radiation, and the radiation caused a burning mouth sensation 10-12 years ago.  Is on medications for that which help.  With the injection this sensation worsened within the last day or two.  Spoke with her doctor who told her to increase her medications as it can exacerbate after a vaccine.  She still having the symptoms and has an APT with her PCP this afternoon.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Muscle spasms, Pruritus, Skin discolouration
Clinical narrative: Cramping /itching/spots on body
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever, body ache
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Night sweats
Clinical narrative: night sweats body wet all night long
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Night sweats, Pain
Clinical narrative: Extreme chills, aches, fever, blurry vision, sweats then exhaustion. Those occurred until approximately 2am. Then night sweats, tired and achy. Today feel better but still night sweats altho not as bad.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vision blurred
Clinical narrative: Extreme chills, aches, fever, blurry vision, sweats then exhaustion. Those occurred until approximately 2am. Then night sweats, tired and achy. Today feel better but still night sweats altho not as bad.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Dyspnoea, Feeding disorder, Feeling abnormal
Clinical narrative: Approximately 6 hours after receiving the injection I started running a temperature of 102.7 and feeling absolutely terrible all over.  Shortly there after I was having such sharp pains in my joints (pretty much all over) that I couldn't get out of a chair without much assistance.  Then I couldn't walk only barely shuffle y feet with my husband holding onto me.  I was very short of breath at this point with a pulse ox reading starting at 76 and finally reaching 88, but would not climb any higher.  I was very nauseous and unable to eat or drink.  The following day my temperature was still running 101, but not continuously.  I still felt bad, but could shuffle walking without assistance and was still nauseous.  I pretty much stayed in a recliner chair all that day, except to try to take a shower, which I really had a feeling I wasn't going to survive.  I went to bed without dressing, because felt so bad.  The next day I felt better, but was so short of breath I had to have a rolling chair to sit in to try to do something in the kitchen.  By afternoon February 15, 2021 I was feeling better, Only shortness of breath when walking and my pulse ox was 92.  Should I take the second Moderna vaccine?
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Mobility decreased, Nausea
Clinical narrative: Approximately 6 hours after receiving the injection I started running a temperature of 102.7 and feeling absolutely terrible all over.  Shortly there after I was having such sharp pains in my joints (pretty much all over) that I couldn't get out of a chair without much assistance.  Then I couldn't walk only barely shuffle y feet with my husband holding onto me.  I was very short of breath at this point with a pulse ox reading starting at 76 and finally reaching 88, but would not climb any higher.  I was very nauseous and unable to eat or drink.  The following day my temperature was still running 101, but not continuously.  I still felt bad, but could shuffle walking without assistance and was still nauseous.  I pretty much stayed in a recliner chair all that day, except to try to take a shower, which I really had a feeling I wasn't going to survive.  I went to bed without dressing, because felt so bad.  The next day I felt better, but was so short of breath I had to have a rolling chair to sit in to try to do something in the kitchen.  By afternoon February 15, 2021 I was feeling better, Only shortness of breath when walking and my pulse ox was 92.  Should I take the second Moderna vaccine?
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Lymphadenopathy, Pain
Clinical narrative: A few days after the vaccine I woke up to the lymph nodes in both sides of my neck swollen with the left being more affected than the right.  On 1/13 my PCP advised rest, ibuprophen and tylenol to help with the pain.  1/14 I had to call out to work because I just couldnt move my neck from left to right.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Headache
Clinical narrative: extreme headache lasting for 5 days.  Felt immense pressure  in whole head area.  Headache not completely resolved with ibuprofen or acetminophen at maximum recommended doses .  Headache did finally resolve after the 5th day.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Headache, Bodyache
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Lymphadenopathy
Clinical narrative: 1 hour after vaccination L arm and neck were numb, L axillary lymph node swollen
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Body temperature increased, Decreased appetite, Dizziness, Headache
Clinical narrative: Head ache within 5 minutes of vaccine. Then along with headache, high blood pressure and rapid pulse. Temperature of 101.4 for several hours. Nausea has lasted for 4 days. Dizziness, weakness, lack of appetite and severe cold sores on upper lip. Soreness at vaccination site.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Hypertension, Injection site pain, Nausea, Oral herpes
Clinical narrative: Head ache within 5 minutes of vaccine. Then along with headache, high blood pressure and rapid pulse. Temperature of 101.4 for several hours. Nausea has lasted for 4 days. Dizziness, weakness, lack of appetite and severe cold sores on upper lip. Soreness at vaccination site.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis allergic, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Delayed cutaneous hypersensitivity. Nine days after my first vaccination, my arm became pink, swollen, and sore near the injection site. It remains that way as I submit this form xxx days later. I'm expecting the issue to resolve at some point, but am submitting this report for information purposes.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash erythematous, Rash pruritic
Clinical narrative: About a week after the injection, I got a red rash that itched around the injection site that lasted about 4 days.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dry mouth, Dysphagia, Swollen tongue
Clinical narrative: This patient started to feel lightheaded and had a dry mouth approximately 5 minutes after receiving her Pfizer mRNA COVID-19 vaccine.  Over the next 20 to 25 minutes she progressed to having a sensation of tongue swelling, then difficulty swallowing, then chest tightness.  Her vital signs were stable throughout the observation period (blood pressure 144/74 and 150/70, pulse in the high 80s to low 90s, and oxygen saturation 96-98% on room air) and she was able to speak in full sentences without any respiratory distress.  Her lungs were clear and she had no stridor.  She never had any pruritic symptoms or rash/hives.  Because of the progressive nature of her symptoms, however, I felt she needed emergency room evaluation for observation.  We never administered any medication while at the vaccine clinic including epinephrine or Benadryl.  After approximately 25 minutes, 911 was called and she was transported by ambulance to the emergency room in stable condition.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: FEVER, HEADACHE, AND CHILLS
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Reported dizziness and lightheadedness 4 minutes after injection. VSS. Laid on stretcher for 30 minutes and felt good enough to go home.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Sensation of foreign body, Urticaria
Clinical narrative: At 3:30pm after receiving vaccine patient began to notice itching of both arms and anterior of neck.  Said she felt like she had something in had a lump in throat.  She was given Benadryl 25mg tablet, orally and a ice pack placed on injection site due to complaint of pain in arm.  BP was 118/80, pulse 80, respirations 16.  She was alert, skin was pink, warm to touch and dry.   10 minutes later hives started to subside, BP was 116/72, pulse 68, respirations 16, skin was warm, pink and dry.  4:15pm left clinic site being driven by mother - no itching, no lump i throat, redness resolved.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash papular, Sensitive skin
Clinical narrative: Red, bumpy rash started Feb.20, 2021 on upper right arm.  At first, area was  somewhat itchy and occasionally sensitive to touch.  Bumps are disappearing and area became less red as time goes on but is still visible.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus
Clinical narrative: I developed a relatively severe itch at the injection site. It lasted for about two weeks. I suspect it was an allergic reaction. It is not deterring me from getting the second shot and did not produce any other systemic anaphylactic symptoms. I used hydrocortisone on it for symptom relief.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Fatigue, Feeling hot, Hyperaesthesia
Clinical narrative: By next morning arm was red about the size of a quarter and sensitive to the touch and warm to the touch as well as Body aches, fatigue and joint pain. Later in the afternoon the red area around injection site started getting larger and itchy that was Sunday as my injection was given Saturday morning Monday still suffered from fatigue bodyaches and joint pain as well as redness on arm and itchiness the temperature of the site or the injection site was very warm too touch. By Tuesday the bodyaches and joint pain have begun to subside the arm is still painful to touch the redness is still extremely large around the site there?s still a knot at site of injection and it still itches but has mildly improved from day before.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Pain
Clinical narrative: By next morning arm was red about the size of a quarter and sensitive to the touch and warm to the touch as well as Body aches, fatigue and joint pain. Later in the afternoon the red area around injection site started getting larger and itchy that was Sunday as my injection was given Saturday morning Monday still suffered from fatigue bodyaches and joint pain as well as redness on arm and itchiness the temperature of the site or the injection site was very warm too touch. By Tuesday the bodyaches and joint pain have begun to subside the arm is still painful to touch the redness is still extremely large around the site there?s still a knot at site of injection and it still itches but has mildly improved from day before.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: By next morning arm was red about the size of a quarter and sensitive to the touch and warm to the touch as well as Body aches, fatigue and joint pain. Later in the afternoon the red area around injection site started getting larger and itchy that was Sunday as my injection was given Saturday morning Monday still suffered from fatigue bodyaches and joint pain as well as redness on arm and itchiness the temperature of the site or the injection site was very warm too touch. By Tuesday the bodyaches and joint pain have begun to subside the arm is still painful to touch the redness is still extremely large around the site there?s still a knot at site of injection and it still itches but has mildly improved from day before.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Cough, Fatigue, Headache
Clinical narrative: Evening of vaccine date, experienced chills, fatigue.  on Day 2 she developed fever 99.4 & sweats, and chills continued. Day 3 developed pain under arm pit &, headache. Day 4 woke up tired, restless sleep due to chills, stuffy nose and cough. Self treating: Tylenol, rest, fluids. Tested on 2/22/21 for COVID due to cough and stuffy nose. Results pending.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nasal congestion, Pyrexia, SARS-CoV-2 test, Sleep disorder
Clinical narrative: Evening of vaccine date, experienced chills, fatigue.  on Day 2 she developed fever 99.4 & sweats, and chills continued. Day 3 developed pain under arm pit &, headache. Day 4 woke up tired, restless sleep due to chills, stuffy nose and cough. Self treating: Tylenol, rest, fluids. Tested on 2/22/21 for COVID due to cough and stuffy nose. Results pending.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Headache, bodyache
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Limb discomfort, Pain in extremity
Clinical narrative: Arm felt extra heavy for 10 minutes. Hours later it became sore for a day.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Chills, Fatigue, Headache
Clinical narrative: The Moderna vaccine injection was placed in the acromion process above the deltoid. The placement was just below the joint of my left arm. Immediate burning/tingling sensation began. I was observed for 15 minutes and sent home anyway.  I could not move my arm for 4 days. The pain level was a 9 out of 10. If I had to move or turn, I involuntarily would cry out in pain. There was no redness, rash or swelling at the injection site. Just intense pain that shot down the left arm to my middle and ring fingers, top of the hand, with pain in my left shoulder blade and mild pain in the left side of my neck. Fatigue and chills started the evening of day 1 and lasted 7 days. The fatigue intensified in day 2 and dissipated on days 5 and 6. No fever was present at any time. On day 2, the nausea started and I vomited twice- the night of day 4 and morning of day 5. Intense headaches with light sensitivity were present from the night of day 3 through day 6. These felt like extreme migraines. These, combined with nausea and arm pain, prevented/interrupted my sleep. I also had loose stools on days 2 and 4.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Insomnia, Migraine, Nausea, Neck pain
Clinical narrative: The Moderna vaccine injection was placed in the acromion process above the deltoid. The placement was just below the joint of my left arm. Immediate burning/tingling sensation began. I was observed for 15 minutes and sent home anyway.  I could not move my arm for 4 days. The pain level was a 9 out of 10. If I had to move or turn, I involuntarily would cry out in pain. There was no redness, rash or swelling at the injection site. Just intense pain that shot down the left arm to my middle and ring fingers, top of the hand, with pain in my left shoulder blade and mild pain in the left side of my neck. Fatigue and chills started the evening of day 1 and lasted 7 days. The fatigue intensified in day 2 and dissipated on days 5 and 6. No fever was present at any time. On day 2, the nausea started and I vomited twice- the night of day 4 and morning of day 5. Intense headaches with light sensitivity were present from the night of day 3 through day 6. These felt like extreme migraines. These, combined with nausea and arm pain, prevented/interrupted my sleep. I also had loose stools on days 2 and 4.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia, Photophobia, SARS-CoV-2 test negative
Clinical narrative: The Moderna vaccine injection was placed in the acromion process above the deltoid. The placement was just below the joint of my left arm. Immediate burning/tingling sensation began. I was observed for 15 minutes and sent home anyway.  I could not move my arm for 4 days. The pain level was a 9 out of 10. If I had to move or turn, I involuntarily would cry out in pain. There was no redness, rash or swelling at the injection site. Just intense pain that shot down the left arm to my middle and ring fingers, top of the hand, with pain in my left shoulder blade and mild pain in the left side of my neck. Fatigue and chills started the evening of day 1 and lasted 7 days. The fatigue intensified in day 2 and dissipated on days 5 and 6. No fever was present at any time. On day 2, the nausea started and I vomited twice- the night of day 4 and morning of day 5. Intense headaches with light sensitivity were present from the night of day 3 through day 6. These felt like extreme migraines. These, combined with nausea and arm pain, prevented/interrupted my sleep. I also had loose stools on days 2 and 4.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, Wrong technique in product usage process
Clinical narrative: The Moderna vaccine injection was placed in the acromion process above the deltoid. The placement was just below the joint of my left arm. Immediate burning/tingling sensation began. I was observed for 15 minutes and sent home anyway.  I could not move my arm for 4 days. The pain level was a 9 out of 10. If I had to move or turn, I involuntarily would cry out in pain. There was no redness, rash or swelling at the injection site. Just intense pain that shot down the left arm to my middle and ring fingers, top of the hand, with pain in my left shoulder blade and mild pain in the left side of my neck. Fatigue and chills started the evening of day 1 and lasted 7 days. The fatigue intensified in day 2 and dissipated on days 5 and 6. No fever was present at any time. On day 2, the nausea started and I vomited twice- the night of day 4 and morning of day 5. Intense headaches with light sensitivity were present from the night of day 3 through day 6. These felt like extreme migraines. These, combined with nausea and arm pain, prevented/interrupted my sleep. I also had loose stools on days 2 and 4.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: ONE WEEK AFTER RECEIVING THE VACCINE, THE PATIENT HAD SWELLING, PAIN, AND A RASH THAT DEVELOPED AROUND THE INJECTION SITE. IT RESOLVED AFTER A FEW DAYS.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Myalgia, Pain, Pyrexia
Clinical narrative: Pain at sight of injection. Ongoing since injection (4 days) Fatigue - ongoing Fever - 100.8 - resolved on 3rd day Confused thinking - ongoing Body and muscle aches - resolved on 4th day
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Thinking abnormal
Clinical narrative: Pain at sight of injection. Ongoing since injection (4 days) Fatigue - ongoing Fever - 100.8 - resolved on 3rd day Confused thinking - ongoing Body and muscle aches - resolved on 4th day
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Pruritus
Clinical narrative: rec'd on 2/12 and didn't have much of a reaction until 8 days later it felt like the shot was just received, arm began to sting and red and itchy and that's been since 2/12.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hypersensitivity, Peripheral swelling, Pruritus, Rash
Clinical narrative: after administration, patient comes up with severe allergic reaction redness and  rashes starting  from left lower arm spreading  all the way to the neck and swelling with patient itching and patient acknowledge and started saying he is having severe reaction. Epipen was administered and after about 4 to 5 minutes of administration of epipen all those reactions stopped and patient said he felt better and thank me for the care. I was going to call 911 but patient said he was ok and there is no need . Patient waited  for another 25 to 30 minutes after the administration of epipen in the pharamacy area  to observe the patient .  Patient left after about 30 minutes with no further reaction
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Fatigue, Injection site erythema, Oedema peripheral
Clinical narrative: Pain to left axilla with swelling, redness to inject site one week later, general fatigue x 1 week.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, Arthralgia, Chills, Confusional state, Fatigue
Clinical narrative: HE WOKE UP AT 4:30 CONFUSED, TALKING OUT OF HIS HEAD, THEN WENT BACK TO SLEEP AND WOKE UP AT 0630 WITH HARD SHAKING CHILLS, JOINT PAIN (SHOULDERS AND KNEES), ALTHOUGH HE HAS HAD 2 TOTAL KNEE REPLACEMENTS), HEADACHE, FATIGUE AND MALAISE, AND TEMPERATURE OF 101,5(NOT RESPONSIVE TO EXTRA STRENGTH TYLENOL) 20BENADRYL 25MG EACH , PEPCID 20MG AND GATORAID. .  COULD NOT RAISE EITHER ARMS AND STATED THAT THE "BALL JOINTS" IN SHOULDER WERE VERY PAINFUL. AT 4;20 PM TEMP WENT DOWN TO 101.4, AT 6;30 TEMP 100.3 AND 8:45PM TEMP 99.3. AFTER THIS HIS SYMPTOMS SUBSIDED EXCEPT FOR SORE ARM AND SHOULDERS, SIDE EFFECTS LASTED ABOUT 14 HOURS.  BUT STRANGE THING HAPPENED ON 02/21/21 HIS ENTIRE MIDDLE FINGER ON LEFT HAND TURNED VERY RED, BUT NO SORENESS OR PAIN. , AND NO OTHER FINGERS WERE RED AND RESOLVED ON 2/22/21
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Malaise, Pyrexia, Skin discolouration, Tremor
Clinical narrative: HE WOKE UP AT 4:30 CONFUSED, TALKING OUT OF HIS HEAD, THEN WENT BACK TO SLEEP AND WOKE UP AT 0630 WITH HARD SHAKING CHILLS, JOINT PAIN (SHOULDERS AND KNEES), ALTHOUGH HE HAS HAD 2 TOTAL KNEE REPLACEMENTS), HEADACHE, FATIGUE AND MALAISE, AND TEMPERATURE OF 101,5(NOT RESPONSIVE TO EXTRA STRENGTH TYLENOL) 20BENADRYL 25MG EACH , PEPCID 20MG AND GATORAID. .  COULD NOT RAISE EITHER ARMS AND STATED THAT THE "BALL JOINTS" IN SHOULDER WERE VERY PAINFUL. AT 4;20 PM TEMP WENT DOWN TO 101.4, AT 6;30 TEMP 100.3 AND 8:45PM TEMP 99.3. AFTER THIS HIS SYMPTOMS SUBSIDED EXCEPT FOR SORE ARM AND SHOULDERS, SIDE EFFECTS LASTED ABOUT 14 HOURS.  BUT STRANGE THING HAPPENED ON 02/21/21 HIS ENTIRE MIDDLE FINGER ON LEFT HAND TURNED VERY RED, BUT NO SORENESS OR PAIN. , AND NO OTHER FINGERS WERE RED AND RESOLVED ON 2/22/21
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Body aches, fever, headache
Age: 51.0
Sex: U
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: HEADACHES AND FATIGUE
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Condition aggravated, Electrocardiogram, Headache
Clinical narrative: Patient complained of worsening of a headache she experienced since 2/8/2021 after receiving the vaccine. Reported the headache was 8/10 on pain scale. She also reported she has hx of migraine headaches 2-3 times weekly. Was taken to ER via ambulance. She was given medications to control B/P and pain, then discharged to home after six hours.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling hot, Injection site pain, Injection site rash, Pruritus
Clinical narrative: LARGE RASH AND SORENESS AT INJECTION SITE ---WARM SENSATION , ITCTING SWELLING & UNSETTLING AND AGRAVATED FEELINGS THROUGH-OUT THE DAY
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: LARGE RASH AND SORENESS AT INJECTION SITE ---WARM SENSATION , ITCTING SWELLING & UNSETTLING AND AGRAVATED FEELINGS THROUGH-OUT THE DAY
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Pain
Clinical narrative: Chills, body ache, fatigue
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Extremely itchy rash at injection site.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour, Amnesia, Chills, Pain, Pain in extremity
Clinical narrative: My mom had a fever, chills, aches all over, sore arm, and had 2 days of memory loss/crazy behavior.  It was almost as if she had dementia - she repeatedly called myself and my daughter claiming that her phone didn't work and she needed help. She was trying to tell me a phone number but kept giving me random words instead.  She doesn't remember talking to any one of us who spoke to her Saturday and Sunday. She was repeatedly asking what a specific button did on her TV remote, and would then ask again a few minutes later the exact same question. This went on for 2 days.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: My mom had a fever, chills, aches all over, sore arm, and had 2 days of memory loss/crazy behavior.  It was almost as if she had dementia - she repeatedly called myself and my daughter claiming that her phone didn't work and she needed help. She was trying to tell me a phone number but kept giving me random words instead.  She doesn't remember talking to any one of us who spoke to her Saturday and Sunday. She was repeatedly asking what a specific button did on her TV remote, and would then ask again a few minutes later the exact same question. This went on for 2 days.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypoaesthesia, Hypoaesthesia oral, Immediate post-injection reaction
Clinical narrative: After receiving the first dose of the Covid-19 vaccine, I started feeling numbness in my left fingers within seconds. The injection site with in my left arm. Within 5 minutes, I felt some numbness in my lower lip on the right side. Within a few days, the numbness decreased along with my other, more common symptoms, such as fatigue and headache.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue
Clinical narrative: Vaccine was received on 02/19/2021 at 0738. Symptoms began on 02/19/2021 at 1000. She experienced diarrhea and fatigue.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Hyperhidrosis, Injection site pain, Malaise
Clinical narrative: Fever, sweating, chills, malaise, soreness, muscle and joint pain, nausea, tenderness at injection site.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Fever, sweating, chills, malaise, soreness, muscle and joint pain, nausea, tenderness at injection site.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: itchy, red, hot upper arm around injection site
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Death, Resuscitation
Clinical narrative: Patient passed away Saturday at 14:04pm. Patient's wife reports his death was sudden, he passed away sitting in his chair his heart just stopped she said. They tried to perform CPR, 911 was called and paramedics arrived at the scene and he was given medication but never had any return of vital signs and so his death was called at the scene. Wife reports he was not ill, did not have any symptoms prior to the event. They are not going to be doing a autopsy. She wanted us to know based on timing that there may be some possible correlation with his COVID19 vaccine. He obtained the vaccine on 02/09/2021 - wife reports he had no symptoms, not even arm soreness after the vaccine. Had no fever, shortness of breath. Did not complain of chest pain. We can update chart to reflect the patient is deceased and lets make a card for the family.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: very rapid heart rate for 45 minutes 6 hours after vaccine
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Feeling hot, Pain in extremity, Rash, Sleep disorder
Clinical narrative: Patient is getting the 2 dose in the series of 2. Patient got the dose in the morning and she had to wake up at night as she was feeling hot and when she checked herself she had rash on her chest and the arm on which she got the vaccine. she has mild soreness of the arm when she came back  to the pharmacy at 11.00 am
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Fatigue, Rhinorrhoea, SARS-CoV-2 test negative, Upper respiratory tract infection
Clinical narrative: received 2nd vaccine on 2/14/21, on 2/16/21 started having cough, nasal drainage, fatigue. Went to urgent care on 2/23/21 and diagnosed with URI
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Delusion, Gait disturbance, Incoherent, Pyrexia
Clinical narrative: After 1st vaccine, (1/18/21  the next day. Went to hospital 1/20/21. incoherent and loss of balance. Went to hospital for 3 days. After 2nd shot 2/15/21 he got a reaction 6 days later. Very incoherent, delusional and loss of balance, unable to walk.  Fever
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pyrexia
Clinical narrative: Fever, Headache, Nausea
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injected limb mobility decreased, Pyrexia
Clinical narrative: CANT LEFT RIGHT ARM, FEVER, AND DIZZINESS
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Redness with moderate pain and mild swelling beginning at injection site and spread distally/down arm. Began small in size but currently approx. 3" x 6". Started 2 days after receiving second dose. I had no issue with the first dose.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Redness with moderate pain and mild swelling beginning at injection site and spread distally/down arm. Began small in size but currently approx. 3" x 6". Started 2 days after receiving second dose. I had no issue with the first dose.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Large red circle at the injection sight
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Delayed cutaneous reaction.  Swelling, heat, redness, itch, soreness.  Started 7 days after injection at site.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Skin reaction
Clinical narrative: Delayed cutaneous reaction.  Swelling, heat, redness, itch, soreness.  Started 7 days after injection at site.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Loss of personal independence in daily activities, Myalgia
Clinical narrative: Headache, muscle pain, sore throat, fever, sinus pressure, difficulty focusing eyes, fatigue.  Memorable symptoms began on Feb. 19th, the worst day was Feb. 20th, when I was unable to complete my usual daily activities.  My symptoms have begun to improve today, Feb 23rd. On Dec. 17th, 2020 I was diagnosed with COVID19.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Paranasal sinus discomfort, Pyrexia, Vision blurred
Clinical narrative: Headache, muscle pain, sore throat, fever, sinus pressure, difficulty focusing eyes, fatigue.  Memorable symptoms began on Feb. 19th, the worst day was Feb. 20th, when I was unable to complete my usual daily activities.  My symptoms have begun to improve today, Feb 23rd. On Dec. 17th, 2020 I was diagnosed with COVID19.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: I had no reaction to the initial vaccination.  On February 21 ? 8 days after the vaccination ? I awoke with a bit of swelling, light redness, and a slight itch at the vaccination site.  I understand this is called "COVID arm" and am only reporting it for research purposes.  The swelling has not increased and I have no real pain.  I have no concerns about this reaction.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Condition aggravated, Disorientation, Feeling abnormal
Clinical narrative: Pfizer-BioNTech COVID-19 first dose, 1/23/2021, little reaction. second dose, 2/13/2021: headache one day later, disorientation/foggy mind 2 days after, then cleared up, muscle pain was short-lived, moderate chills, feeling unwell with weakness, restless leg syndrome (managed since 2004 with medications) returned 10 days after second shot.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Myalgia, Restless legs syndrome
Clinical narrative: Pfizer-BioNTech COVID-19 first dose, 1/23/2021, little reaction. second dose, 2/13/2021: headache one day later, disorientation/foggy mind 2 days after, then cleared up, muscle pain was short-lived, moderate chills, feeling unwell with weakness, restless leg syndrome (managed since 2004 with medications) returned 10 days after second shot.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia
Clinical narrative: chills, muscle aching, fatigue  Advil/Tylenol   lasted about  5 hours
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Peripheral swelling, Pruritus
Clinical narrative: About 3 hrs after the first dose, I had full body itching, severe chills, body aches, a severe headache, some swelling in my right arm with a red circe that lated about two weeks, lost all the skin on my hands both inside and out. This happened with both doses.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Skin exfoliation
Clinical narrative: About 3 hrs after the first dose, I had full body itching, severe chills, body aches, a severe headache, some swelling in my right arm with a red circe that lated about two weeks, lost all the skin on my hands both inside and out. This happened with both doses.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Pt has hx of rash on bil arms with her first dose of Moderna and she denies no other reactions including shortness of breath , chest pain, dizziness, headaches, fever, difficulty breathing, dyspnea,dysphagia or wheezing. Pt does notes to have underlying dysphagia which is a chronic issue for pt.  Today pt was here for her second Moderna Imm which she tolerated well but at 0845 am reported mild headache which to her seemed similar to her previous migraine headaches which she gets off and on . Denied any nausea vomiting, dizziness, chest pain, shortness of breath, dysphagia, dyspnea, wheezing or coughing or difficulty breathing.  Pt was given water and crackers which helped her sx immediately.  BP: 134/83 HR: 76 O2: 98% RR: 17.  Neuro: pt A&O and able to follow instructions.  Pt was monitored for 40 mins total and she left in stable condition.ER precautions were given to pt incase she has any worsening of sx, shortness of breath, chest pain, wheezing , difficulty breathing. She reported understanding.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Body aches
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Patient rcvd 1st covid 19 vaccine on 1/26/2021.  Patient had house guests on 1/30/21.  Those house guests tested positive for covid on 2/1/2021.  Patient started getting symptoms on 02/2/2021.  Patient tested postivie on 2/4/2021.  Patient was hospitalized 2/7/2021.  Patient passed away on 2/21/21.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pain in extremity, Pyrexia
Clinical narrative: Sore arm, severe body aches and pains, chills, fever. Sore arm was immediately, body aches started about 9 hours after vaccine was given. Chills started next morning, and fever started around 10:30 AM on 2/23/2021.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Lip swelling, Peripheral swelling, Pruritus
Clinical narrative: Started having reaction on both elbows. Started as pain, then redness then itching.  There after reaction moved to neck, with hives that were extremely itchy.  Then after, hives were all over body. Lip started swelling, hands were very swollen, red, itchy. Was treated in ED with prednisone, antihistamine, Benadryl, and Pepcid.   Went to see allergist after PCP appt due to 2 ER visits.  They prescribed more medications.  Meds in the morning were:  Prednisone 40mg, Zyrtec 10mg, Pepcid 20mg, and Benadryl 50mg.  Meds in the evening were:  Zyrtec 10mg, Pepcid 20mg, Benadryl 50mg and Singular 10mg.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Started having reaction on both elbows. Started as pain, then redness then itching.  There after reaction moved to neck, with hives that were extremely itchy.  Then after, hives were all over body. Lip started swelling, hands were very swollen, red, itchy. Was treated in ED with prednisone, antihistamine, Benadryl, and Pepcid.   Went to see allergist after PCP appt due to 2 ER visits.  They prescribed more medications.  Meds in the morning were:  Prednisone 40mg, Zyrtec 10mg, Pepcid 20mg, and Benadryl 50mg.  Meds in the evening were:  Zyrtec 10mg, Pepcid 20mg, Benadryl 50mg and Singular 10mg.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Hypoaesthesia, Oral mucosal blistering, Pain in jaw, Paraesthesia
Clinical narrative: Within 1/2 hr. of receiving the vaccine, the left side of my face went tingling/numb.  By evening it became very painful.  Pain running from behind my left ear over my left checks, including upper and lower jaw on left side.  By morning, I had blisters on top of my palate and part of my throat and in my sinus'.   Pain became increasingly worse over next few days.  Now on medication for it. I am hesitant to receive the second shot as I don't want to go through this again.  Please advise.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea
Clinical narrative: 1st vaccine 1/30/21; 2nd vaccine 2/20/21; developed SOA 2/21/21; seen in ED for ongoing SOA 2/23/21
Sex: U
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Fatigue
Clinical narrative: CHILLS, DIZZINESS, WEAK, AND FATIGUE
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased
Clinical narrative: Felt dizzy and light headed. Watch indicated heart rate climbing up to 172bpm momentarily and dropped back down to 120bpm.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Nausea, Urticaria
Clinical narrative: Diarreah, cramping, nausea, hives
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Pyrexia
Clinical narrative: Rash at injection side, swelling, redness, fever, sore to touch Had prescription cream from derm for another skin issue, used on rash on 2-23-2021 Has taken tylenol with arthritis for pain as well as regular tylenol
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever,chills,bodyaches
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Chills, Hyperhidrosis, Migraine, Pain
Clinical narrative: FEVER OF 103 CHILLS SWEATS MIGRAINE WHOLE BODY ACHES  LOSS OF TASTE
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: FEVER OF 103 CHILLS SWEATS MIGRAINE WHOLE BODY ACHES  LOSS OF TASTE
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product substitution
Clinical narrative: Patient received her first Moderna vaccine 1/25/21 at hospital. Today patient came in for Moderna vaccine #2 but was given a Pfizer vaccine instead.  No adverse affects. Per  Dr. recommendation, there is no need to get a third vaccine.  This will complete her series.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity
Clinical narrative: Sore arm, tired, extreme fatigue
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Large sore red area with redder ring around reaction with heat lasting more than 9 days at site of injection
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Lymphadenitis, Neck pain, Paraesthesia, Peripheral swelling
Clinical narrative: Acute  nontraumatic pain in neck, left side, and upper left extemity(shoulder).    Acute left cervical lymphadenitis.    Still have discomfort in shoulder blade, some swelling yet of lymph node.   Tingling in two fingers on left arm, had swelling  over same two knuckles but that has receded just have like my hand is asleep, more at night time.   Fullness feeling inside of arm at bend, vein area.  Injection site is high - about 1 1/2 fingers down.   Have had no x-rays or tests. Went to Urgent Care  - prescribed Predisone for 5 days - no help.  Nec k, now, has less swelling. Mom
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain in extremity, Pyrexia
Clinical narrative: HEADACHES, CHILLS, FEVER, PAIN IN ARM, AND FATIGUE
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dysgeusia, Eye pain, Feeling abnormal
Clinical narrative: Within 1-2 minutes, felt like an infusion or flush with a chemical/metallic smell, taste. Extreme weakness, dizziness. Had to sit down for a long time, couldn't really open my eyes. Bad head feeling. Eyes hurt, but were not swollen. No swelling, just that constant metallic overwhelming. Dizzy. Stayed at pharmacy for about 40 minutes. On drive home, hot face, metallic infusion, very warm. Fever at home,  achy all over, 99.8, very dizzy, brain fog, very weak, arm sore. Next morning, no better. Took a Nexium and immediately big hive popped up on my chest. Disappeared about an hour later. Took 3 days to feel like myself. Still concerned about allergic reaction. I'm a little itchy, tingly. I'm now terrified of getting that second shot.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Pain, Pain in extremity, Paraesthesia, Parosmia
Clinical narrative: Within 1-2 minutes, felt like an infusion or flush with a chemical/metallic smell, taste. Extreme weakness, dizziness. Had to sit down for a long time, couldn't really open my eyes. Bad head feeling. Eyes hurt, but were not swollen. No swelling, just that constant metallic overwhelming. Dizzy. Stayed at pharmacy for about 40 minutes. On drive home, hot face, metallic infusion, very warm. Fever at home,  achy all over, 99.8, very dizzy, brain fog, very weak, arm sore. Next morning, no better. Took a Nexium and immediately big hive popped up on my chest. Disappeared about an hour later. Took 3 days to feel like myself. Still concerned about allergic reaction. I'm a little itchy, tingly. I'm now terrified of getting that second shot.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Urticaria
Clinical narrative: Within 1-2 minutes, felt like an infusion or flush with a chemical/metallic smell, taste. Extreme weakness, dizziness. Had to sit down for a long time, couldn't really open my eyes. Bad head feeling. Eyes hurt, but were not swollen. No swelling, just that constant metallic overwhelming. Dizzy. Stayed at pharmacy for about 40 minutes. On drive home, hot face, metallic infusion, very warm. Fever at home,  achy all over, 99.8, very dizzy, brain fog, very weak, arm sore. Next morning, no better. Took a Nexium and immediately big hive popped up on my chest. Disappeared about an hour later. Took 3 days to feel like myself. Still concerned about allergic reaction. I'm a little itchy, tingly. I'm now terrified of getting that second shot.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pyrexia
Clinical narrative: Slight fever 99.6 degrees, joint soreness throughout the body
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Erythema, Fatigue, Flatulence, Gastrointestinal disorder
Clinical narrative: Date: Reaction 02/20/2021: Unusual moderate generalized fatigue, body aches, and upper/lower back muscle spasms unrelated to activity; no known exposure to cause; duration of approximately 12 hours; 02/21/2021: Mild fatigue and muscle weakness persisting but improved; mild nausea with GI symptoms of increased gaseousness; unusual lack of appetite without known cause or exposure; slight localized tenderness of left deltoid; 02/22/2021: Fatigue, generalized muscle weakness, nausea, gaseousness and appetite improved; left deltoid slightly more tender; 02/23/2021: Fatigue, generalized muscled weakness, nausea, gaseousness improved; appetite "back to normal"; left deltoid reddened, increased local tenderness, mildly firm
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Muscular weakness, Nausea, Pain, SARS-CoV-2 test negative
Clinical narrative: Date: Reaction 02/20/2021: Unusual moderate generalized fatigue, body aches, and upper/lower back muscle spasms unrelated to activity; no known exposure to cause; duration of approximately 12 hours; 02/21/2021: Mild fatigue and muscle weakness persisting but improved; mild nausea with GI symptoms of increased gaseousness; unusual lack of appetite without known cause or exposure; slight localized tenderness of left deltoid; 02/22/2021: Fatigue, generalized muscle weakness, nausea, gaseousness and appetite improved; left deltoid slightly more tender; 02/23/2021: Fatigue, generalized muscled weakness, nausea, gaseousness improved; appetite "back to normal"; left deltoid reddened, increased local tenderness, mildly firm