chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hyperhidrosis, Influenza like illness, Injected limb mobility decreased
Clinical narrative: At approximately 5PM on 02/08/11 (the day of the vaccine) severe fatigue set in and within two hours of that, a headache and other flulike symptoms including nausea, vomiting, sweats, chills, body aches and fever appeared.  The injection site was extremely sore to the point of not being able to lay on that side or use my arm for the first 24 hours or so before getting better.  I also experienced an unusual tightness on the sides of the neck and periodic tightness in the chest. The symptoms (with the exception of the arm, which felt better after 24 hours, but is still itchy, with a 4 inch round light red circle) continued to worsen for approximately the first 36 hours or so after the vaccine and then slowly began to lessen.  The last time I vomited was approximately 3 am on 02/10/21,  I took my temperature later that morning and it was around 101.  I was unable to eat until 02/10/21 and had half of a small papaya and continued to drink water as tolerated.  2/11/21 was the first day I was able to get out of bed without vomiting, fever and headache.  Still feeling weak, with some minor nausea, but no vomiting.  The condition has improved since 02/08/21 and appears to be continuing to improve.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Muscle tightness, Nausea, Pain, Pruritus
Clinical narrative: At approximately 5PM on 02/08/11 (the day of the vaccine) severe fatigue set in and within two hours of that, a headache and other flulike symptoms including nausea, vomiting, sweats, chills, body aches and fever appeared.  The injection site was extremely sore to the point of not being able to lay on that side or use my arm for the first 24 hours or so before getting better.  I also experienced an unusual tightness on the sides of the neck and periodic tightness in the chest. The symptoms (with the exception of the arm, which felt better after 24 hours, but is still itchy, with a 4 inch round light red circle) continued to worsen for approximately the first 36 hours or so after the vaccine and then slowly began to lessen.  The last time I vomited was approximately 3 am on 02/10/21,  I took my temperature later that morning and it was around 101.  I was unable to eat until 02/10/21 and had half of a small papaya and continued to drink water as tolerated.  2/11/21 was the first day I was able to get out of bed without vomiting, fever and headache.  Still feeling weak, with some minor nausea, but no vomiting.  The condition has improved since 02/08/21 and appears to be continuing to improve.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: At approximately 5PM on 02/08/11 (the day of the vaccine) severe fatigue set in and within two hours of that, a headache and other flulike symptoms including nausea, vomiting, sweats, chills, body aches and fever appeared.  The injection site was extremely sore to the point of not being able to lay on that side or use my arm for the first 24 hours or so before getting better.  I also experienced an unusual tightness on the sides of the neck and periodic tightness in the chest. The symptoms (with the exception of the arm, which felt better after 24 hours, but is still itchy, with a 4 inch round light red circle) continued to worsen for approximately the first 36 hours or so after the vaccine and then slowly began to lessen.  The last time I vomited was approximately 3 am on 02/10/21,  I took my temperature later that morning and it was around 101.  I was unable to eat until 02/10/21 and had half of a small papaya and continued to drink water as tolerated.  2/11/21 was the first day I was able to get out of bed without vomiting, fever and headache.  Still feeling weak, with some minor nausea, but no vomiting.  The condition has improved since 02/08/21 and appears to be continuing to improve.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: COVID-19 vaccine - Red, swollen, hot,  4 inch diameter swelling  on left deltoid where injection was administered, lasting 6 days and is finally starting to improve.  Approximately 12 hours after my initial shot:  Severe chills, shaking of abdominals , pectorals and neck muscles, hands and feet were ice cold.  Theperature was 101.8 for 36 hours.  Slept 16 hours during the night temperature.  No headache, or confusion experienced.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral coldness, Tremor
Clinical narrative: COVID-19 vaccine - Red, swollen, hot,  4 inch diameter swelling  on left deltoid where injection was administered, lasting 6 days and is finally starting to improve.  Approximately 12 hours after my initial shot:  Severe chills, shaking of abdominals , pectorals and neck muscles, hands and feet were ice cold.  Theperature was 101.8 for 36 hours.  Slept 16 hours during the night temperature.  No headache, or confusion experienced.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Muscular weakness, Paraesthesia
Clinical narrative: According to patient,, The inject site is itchy and there is a tingling sensation on the left arm. The left arm is weak
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fibrin D dimer, Full blood count, Metabolic function test, Skin discolouration
Clinical narrative: Pinching feeling in my wrist that has come and gone.  Hand of arm that got shot is blue.   Still blue - 1 week out.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Pinching feeling in my wrist that has come and gone.  Hand of arm that got shot is blue.   Still blue - 1 week out.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood blister
Clinical narrative: Patient called today and said she developed a cluster of blood blisters on her left wrist & left breast after receiving the 2nd dose on 2/6/2021
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash erythematous
Clinical narrative: Red rash on my arm. Itchy.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Fatigue, Joint range of motion decreased, Pain in extremity, Peripheral swelling
Clinical narrative: patient described her arm being swollen and painful/red/hot to the touch. tried taking tylenol, applying ice and it was unhelpful-she stated that she couldn't have movement in her arm until yesterday and was very fatigued (6 total days). she requested we submit this vaers even though she read all the adverse events were as expected.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin warm
Clinical narrative: patient described her arm being swollen and painful/red/hot to the touch. tried taking tylenol, applying ice and it was unhelpful-she stated that she couldn't have movement in her arm until yesterday and was very fatigued (6 total days). she requested we submit this vaers even though she read all the adverse events were as expected.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Hyperhidrosis, Tremor, Vertigo
Clinical narrative: Vertigo, sweating, diarrhea, shaking chills, vomiting
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Vertigo, sweating, diarrhea, shaking chills, vomiting
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient accidently received two doses of Pfizer in one day.  He had already received his first dose 21 days prior.  He has not had any adverse outcome at this time.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Pain
Clinical narrative: Headache and body aches began about 10.5 hours after dose and came on quick. Chills began about 12 hours after vaccination. Woke up the next morning ~23 hours later drenched in sweat
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Pain in extremity, Pyrexia
Clinical narrative: 4 hrs after injection I had severe pain in shoulder and unable to move 1/2 inch without severe pain. The pain compares to post op shoulder surgery or an injury and radiates thru arm into fingers. 24 hrs after injection. I spiked a fever of  101 degrees after taking ibuprofen 3 hrs prior.  Also have severe fever and aches and pains accompanying the fever.
Age: 64.0
Sex: U
Vaccine: UNK
Symptoms: Body temperature increased
Clinical narrative: 104 degree temp.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Chills, Fatigue, Feeling cold
Clinical narrative: Shivers, blood pressure reduced, cold, tired.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue
Clinical narrative: Temperature. Chills, extreme fatigue
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Severe nausea with vomiting; lasted approximately 2 hours.  Ate the same food as rest of household for dinner that night.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Since first vaccine, on 12/22, noted bilateral axillary lymphadenopathy. Had 2nd dose on 1/11/2021. On 2/11, pt called with persistent bilateral lympadenopathy without any improvement. Has not taken any medications for it. Non tender.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Influenza virus test negative, Pain
Clinical narrative: Chills, body ache, fatigue, weakness beginning two days after injection and continuing for ten days (as of today's date). Ibuprofen Symptoms are ongoing.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Chills, body ache, fatigue, weakness beginning two days after injection and continuing for ten days (as of today's date). Ibuprofen Symptoms are ongoing.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling hot, Hyperhidrosis, Nausea
Clinical narrative: Ten minutes after receiving the vaccine started to feel hot; sweating; nauseated; and dizzy. At that time the doctor evaluated client was found blood pressure and heart beat were WNL. Since 01/16 client has had the following symptoms: nauseous, dizzy,  fatigue, fever, sweating intermittently on a daily basis.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Ten minutes after receiving the vaccine started to feel hot; sweating; nauseated; and dizzy. At that time the doctor evaluated client was found blood pressure and heart beat were WNL. Since 01/16 client has had the following symptoms: nauseous, dizzy,  fatigue, fever, sweating intermittently on a daily basis.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea
Clinical narrative: the day after the shot i experienced fatigue, nausea, chills, and that evening another bout of Covid toes the following day felt much better
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Chills, Fatigue, Feeling abnormal
Clinical narrative: 6pm extreme body/ joint pains; teeth chattering chills; fatigue, stomach cramps, brain fog. Not functional until next day, around 24 hours after injection.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: 6pm extreme body/ joint pains; teeth chattering chills; fatigue, stomach cramps, brain fog. Not functional until next day, around 24 hours after injection.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received mixed dose series: first dose Pfizer, second dose Moderna due to vaccine site not having any Pfizer vaccine available. Patient was counseled and advised to wait for additional shipment of Pfizer vaccine. Patient refused to wait for second dose Pfizer and demanded administration of Moderna vaccine despite counseling on unknown efficacy of mixed dose series.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Hypoaesthesia oral, Swollen tongue
Clinical narrative: Ten minutes after receiving the vaccine, my tongue felt like it was swelling and then went numb and I had difficulty swallowing.  I was given two doses of Benadryl and was observed for another 45 minutes. My symptoms began to improve enough that I felt like I could drive home.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Paraesthesia oral
Clinical narrative: Ten minutes after receiving the vaccine, my tongue felt like it was swelling and then went numb and I had difficulty swallowing.  I was given two doses of Benadryl and was observed for another 45 minutes. My symptoms began to improve enough that I felt like I could drive home.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Intermenstrual bleeding
Clinical narrative: On 02/08/2021 I started experiencing menstrual  brown spotting which increased in volume to bright red blood and cramping on 02/11/2021. I am on hormonal birth control and my period should not start until approximately 02/20/2021. Breakthrough bleeding has never occurred while I have been on nuvaring (for 14 years).
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Headache, Pyrexia, Tremor
Clinical narrative: Uncontrollable shaking chills, fever, headache stomach pain
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itchiness started on Sunday, Feb. 7th.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Fever, body aches, headache started about 20 hours after shot and lasted about 20 hours
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 8 days after injection and about two inches below injection developed large, 6 inches long, 3 inches wide red raised oval, itching and hot, last 4-5 days
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Day 7 & 8   Painful injection site with itching and welted area
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Hydronephrosis, Renal pain
Clinical narrative: Swollen and painful kidneys that started about 36 hours after shot.  Very painful for 3 days before getting better but still tender.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Pneumonia, Pulmonary embolism, SARS-CoV-2 test
Clinical narrative: Developed bi lateral pulmonary embolisms (multiple) and pneumonia in left lung
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan, X-ray
Clinical narrative: Developed bi lateral pulmonary embolisms (multiple) and pneumonia in left lung
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Rash pruritic
Clinical narrative: the top of my hands, the left side of my face  and top of right  of my eye lid all broke out in a rash. It was very itchy, red and rough.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: erythematous site reaction about 3 inches by 2 inches. Recommended treatment included icepack
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Impaired work ability, Pain, Pyrexia
Clinical narrative: Woke up @ 2 AM with Fever/chills vomiting  Muscle pain and body aches . Lasted 6 Hours then severe headache all day Missed work and could not resume daily activities
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Patient began having tightness in his chest while sitting in the lot for observation.  Wife stated she was transporting the patient to local hospital by private vehicle.    ON 2/11/2021 @ 4:20 p.m. patient was called.  He stated that he and his wife decided not to go to the hospital.  States that his chest is still tight.  Nurse asked his if he was following up with his private cardiologist to which he replied he will visit   sometime.  Said that he went recently and next visit "will be in a while"   Nurse asked him to call  911 and/or visit his private provider regarding  continued illness.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received mixed dose series: 1st dose Pfizer 1/12/2021, 2nd dose Moderna due to no Pfizer vaccine available at vaccine site. Patient counseled on unknown safety/efficacy of mixed dose series and advised to wait for Pfizer vaccine availability at a later date. Patient refused and demanded to be vaccinated with Moderna which was the only vaccine available at the site.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Patient stated that she had  extreme pain, redness, swelling in her arm. She had throbbing  pain and mentioned about some involuntary arm movement.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pain, Lethargy, Pain, Pain in extremity
Clinical narrative: Covid #1 shot in left arm IM resulted in minor sore arm for about 24 hr then no adverse effects afterwards. Covid #2 shot in left arm  IM 30 days later resulted in significant sore arm with swollen lump in muscle for about 3 days. Additionally, day 2 had some flu-like symptoms for entire next day: sore muscles everywhere, lethargic, very thirsty, temp only 98.1.  Day #3 had only sore arm at IM location but no other symptoms.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Thirst
Clinical narrative: Covid #1 shot in left arm IM resulted in minor sore arm for about 24 hr then no adverse effects afterwards. Covid #2 shot in left arm  IM 30 days later resulted in significant sore arm with swollen lump in muscle for about 3 days. Additionally, day 2 had some flu-like symptoms for entire next day: sore muscles everywhere, lethargic, very thirsty, temp only 98.1.  Day #3 had only sore arm at IM location but no other symptoms.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Swollen tongue
Clinical narrative: About 20 minutes after receiving second dose of Moderna COVID-19 vaccine (Lot# 013L20A), pt reports tingling in mouth and subjective sensation of tongue "swollen".  Assessed by NP - no changes noted on tongue/uvula.  Pt declines antihistamine due to concern for drowsiness.  She reports a h/o allergies to ciprofloxacin and sulfa antibiotic.  Observed for additional 30 minutes w/ no additional s/sx.  Pt aware to contact emergency services if any changes develops.  Left ambulatory in NAD.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash vesicular
Clinical narrative: Patient had no immediate reaction, but developed a Shingles like rash on face about 5 days after vaccine.  She will be seeing her primary care doctor to follow up. She is in no pain or real discomfort, just called us to check if this was a normal reaction.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Fatigue, Pyrexia
Clinical narrative: this morning, 2/11/ 21 was fatigued., then had dizziness when gettin up to urinate, had fever  101.8 , gave him 2 tylenol  both shoulders hurting  ( he has had some shoulder ache in right shoulder for some time)
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dry throat, Dysphagia, Hypoaesthesia oral, Nausea, Paraesthesia oral
Clinical narrative: approx 12-15 min post vaccine, reported dry throat. progressed over the next ten minutes to numbness/tingling to back of tongue and throat swelling. Speaking clearly but states difficulty swallowing saliva. Provided 50mg diphenhydramine IM to left deltoid at 1447. symptoms resolved within ten  minutes. post meds reported nausea, drowsiness and emesis x1.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: approx 12-15 min post vaccine, reported dry throat. progressed over the next ten minutes to numbness/tingling to back of tongue and throat swelling. Speaking clearly but states difficulty swallowing saliva. Provided 50mg diphenhydramine IM to left deltoid at 1447. symptoms resolved within ten  minutes. post meds reported nausea, drowsiness and emesis x1.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Infusion related reaction, Urticaria
Clinical narrative: I had an allergic reaction to my renflexis infusion on 12/30/2020 for the first time ever after receiving my first COVID vaccine on 12/16/2020. Flushing, chest pressure, tachycardia in the 130?s, tachypneic, dizzy, tingling. I received my second Pfizer vaccine on 1/4 /2021, and had my next renflexis infusion on 2/10/2021, to which I had another allergic reaction despite premeds (hives, urticaria). I?ve been receiving this infusion for well over a year without any issues, and only started reacting since I got the Pfizer vaccine.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: Throat swelling
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Tremor
Clinical narrative: patient starting shaking and fell down to the ground from chair.  No LOC or confusion.  Also felt light headed with VSS.  EMS called.  no known history of seizures.  Transported to the ED
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Swelling face, Swollen tongue
Clinical narrative: Swelling of tongue and face with heat. Waited 30 min it started to subside went home took Benzedrine got better. Good so far
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Skin discolouration
Clinical narrative: Large, painless, non-friction blister appeared on side of 3rd toe of right foot. Smaller one appeared on top of toe 4, same foot.  Saw podiatrist on Jan. 19. Treated with antiseptic. Saw again on Jan.26. It had darkened and was lanced by podiatrist. Treated with antiseptic Followed up with in person visit to PCP, antibiotic cream prescribed. Both are healing w/o infection. New blister formed on 2nd toe of same foot on Feb. 1(?) Discussed and researched Covid toe and it's presentation on skin of color. Patient and physicians agree it's strong possibility to be the case.. prescribed topical steroid. Current treatment.  Negative Covid 19 test on Feb. 4th. Followed up with rheumatologist and kidney transplant team. Advised by all physicians advise not to take dose 2.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Tenderness
Clinical narrative: Woke up with a swollen, red, tender left arm 8 days after receiving the first vaccine
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Head discomfort, Hyperventilation, Joint hyperextension
Clinical narrative: Describe adverse reaction: After administration at 15:45,  patient hyperextended her neck/ head tilted back. Inhaled deeply, exhaled deeply, became pale and flushed in cheeks. Patient complained of pressure in her head. Transferred to wheeled chair , and moved to private holding room in Covid Vaccine Clinic. Pt complained of dizziness. Transferred with assistance to gurnee.   AT 15:46: BP 153/98 in RA Pulse ox 95%, Heart rate 91 bpm, after just being placed in gurnee. Offered water, juice, and crackers. she declined. HOB at 45 degrees  AT 15:53 vitals were: BP 147/59, pulse ox 96%, Heart rate 89bpm. Pt states less dizziness, and feeling a bit better.   At 16:16: BP 148/84, Heart rate 86, Pulse ox 94%. Patient denies dizziness and headache. Says she is feeling better. Brough to sit at edge of bed for a minute. Standing for one minute. Then ambulating about room without dizziness. Patient states she feels okay to go home. Left to home with family member, who would be driving patient home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor
Clinical narrative: Describe adverse reaction: After administration at 15:45,  patient hyperextended her neck/ head tilted back. Inhaled deeply, exhaled deeply, became pale and flushed in cheeks. Patient complained of pressure in her head. Transferred to wheeled chair , and moved to private holding room in Covid Vaccine Clinic. Pt complained of dizziness. Transferred with assistance to gurnee.   AT 15:46: BP 153/98 in RA Pulse ox 95%, Heart rate 91 bpm, after just being placed in gurnee. Offered water, juice, and crackers. she declined. HOB at 45 degrees  AT 15:53 vitals were: BP 147/59, pulse ox 96%, Heart rate 89bpm. Pt states less dizziness, and feeling a bit better.   At 16:16: BP 148/84, Heart rate 86, Pulse ox 94%. Patient denies dizziness and headache. Says she is feeling better. Brough to sit at edge of bed for a minute. Standing for one minute. Then ambulating about room without dizziness. Patient states she feels okay to go home. Left to home with family member, who would be driving patient home.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received mixed dose series: 1st dose Pfizer 01/11/2021, second dose Moderna, due to no Pfizer vaccine available. Patient counseled about risks of unknown efficacy mixed dose series and demanded to proceed with Moderna rather than wait for Pfizer availability at unknown time in the future.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Recovered from covid-19 December 2020. Mild case with antibodies but all covid tests were negative  After vaccine Arm soreness Fever above 102 Severe body aches Fatigue Headache
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Pain, Pyrexia
Clinical narrative: Low grade fever, feeling flu like, achy
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: While attempting vaccine administration fluid was noted on patient arm and jacket.  Appeared that entire dose of vaccine leaked out from the needle hub.  Executive director of the clinic notified physician liaison and recommendation to redose and administer vaccine.  This was completed.  No adverse reactions after wait period.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site hypersensitivity, Pyrexia
Clinical narrative: fever 101; max, lasted for about 24 hours; fatigue 24 hours; headache 36 hours; sensitivity at injection site 36 hours
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, Nausea, SARS-CoV-2 test positive
Clinical narrative: patient tested positive for covid on 1/29/21. was hospitalized on 2/8/21  for shortness of breath, generalized weakness, nausea.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Migraine, Muscular weakness, Myalgia
Clinical narrative: Muscle pain, muscle weakness, cramping, vertigo, migraine with light sensitivity, fatigue, loss of appetite.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Photosensitivity reaction, Vertigo
Clinical narrative: Muscle pain, muscle weakness, cramping, vertigo, migraine with light sensitivity, fatigue, loss of appetite.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: He reports that he got an all over body rash after the 2nd dose. He has a chronic condition that give him a rash, and tried using the soap he uses when he has a flair, but it did not work, so he saw his dermatologist. He was told that it wasn't due to his condition, but was vascular in nature. On 2/10 he was prescribed a steroid cream, and told to take Zyrtec. He will follow up to let me know if this helps.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Headache
Clinical narrative: I am a well 80 year old woman.  I have no preexisting medical conditions.  I take no prescribed drugs or over the counter medications.  I had no side effects for shot one.  The second day after shot two I had a very very severe headaches for 22 hours.  When I tried to drink water , it came right back up.  I could not keep anything down for the same 22 hours.  I am now fine.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Pain in extremity, Paraesthesia, Peripheral swelling, Pyrexia
Clinical narrative: Started 8 p.m.-ish last Sat. Injection arm (right) very swollen, painful, tingly to fingertips. Fever 101. Unable to move arm or sleep for pain. Symptoms bad through Wed. a.m., when fever broke, swelling/pain started to subside. It's now Thurs.: She's still symptomatic but slowly getting better. Tried inserting Julia's current meds/supplements in Continuation Page but wouldn't accept copy so putting here: Aspirin 81 mg/day; clopidegrel 75 mg every other day; hydrochlorothiaziada 12.5 mg/day; amlopidine besylate 5 mg/2x day; losartan potassium 50 mg/2x day; rosuvastatin calcium 41 mg/day; nexium/2 per day; esomeprazole magnesium 20 mg/2x day; vitamin d3 1000 iu/day; calcium carbonate 1200 mg/day; multivitamin Centrum
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Started 8 p.m.-ish last Sat. Injection arm (right) very swollen, painful, tingly to fingertips. Fever 101. Unable to move arm or sleep for pain. Symptoms bad through Wed. a.m., when fever broke, swelling/pain started to subside. It's now Thurs.: She's still symptomatic but slowly getting better. Tried inserting Julia's current meds/supplements in Continuation Page but wouldn't accept copy so putting here: Aspirin 81 mg/day; clopidegrel 75 mg every other day; hydrochlorothiaziada 12.5 mg/day; amlopidine besylate 5 mg/2x day; losartan potassium 50 mg/2x day; rosuvastatin calcium 41 mg/day; nexium/2 per day; esomeprazole magnesium 20 mg/2x day; vitamin d3 1000 iu/day; calcium carbonate 1200 mg/day; multivitamin Centrum
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: From 10am -10pm on 1/29/2021 experienced nausea/vomiting/ fever from 102-104/chills/ body aches/fatigue/soar arm. Took tylenol for fever. 1/30/21 - nausea/vomiting/fever/chills all subsided 1/30/21-2/7/21- experienced fatigue and muscle soarness
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Vaccination site mass, Vaccination site rash, Vaccination site warmth
Clinical narrative: Hot lump at vaccine cite with large rash and mild itchiness.  Taking antihistamine and applying cortisone cream.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Nausea
Clinical narrative: Patient received Moderna Covid 19 EUA vaccine at 5:05pm and reported feeling nauseous and anxious at 5:21pm. Vitals: 5:25 135/92, HR 103, O297% 5:30pm 126/90 HR112 O2 96% 5:35 128/83 HR100 O296%, 5:40pm 129/89, HR101 O297% 5:45pm 134/89 HR98 O2 97%.  Patient reported nausea came and went and he was given water.  By 5:45 patient reported feeling better and was released with instructions to call MD or go to ER if symptoms recur.  Patient has history of taking flax seed daily to lower heart rate, which he stated often ran high.  Patient also has history of prostate issues
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Pruritus
Clinical narrative: Patient stated she was having some flushness in the face and some itching. No swelling, tongue swelling, fever, or headaches. No trouble breathing. Patient has had anaphylactic reactions before and stated this was not a repeat of that.  Just mainly the itching and she described it as a "cortisol flush".
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Nausea
Clinical narrative: Dizziness, headache, nausea, fatigue- 3 days post vaccine, symptoms still present
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Seizure
Clinical narrative: Fever over 103 Seizure
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Patient received the Moderna Covid 19 EUA vaccine @9:59, at 10:30 reported heart racing & palpitaitons.  Vitals: 10:35 135/80 HR 75 O297%, 10:40 150/82, HR 71, O2 96%, 10:50 136/86, HR64 O296% Patient history of diabetes, takes Glipizide and Hypertension, takes Bystolic.  Patient reported she was very nervous about vaccine. Patient reported feeling better by 10:50 with no more palpitations and was released home with her spouse.
Age: 53.0
Sex: M
Vaccine: UNK
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Fever, headache, chills starting about 12 hours after received vaccine, continuing into the next day
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Patient received Pfizer BioNTech EUA Covid 19 Vaccine at 2:47pm.  At 3:02 pm he reported tingling tongue from back sides around to front edges.  Vitals: 3:05 133/86, HR 82 O2 94%, 3:10 133/87, HR81 O2 95%, 3:16 124/83 HR78 O294%, 3:21 112/74 HR77 O2 95%, 3:32 129/84, HR80 O2 93%.  By 3:32 patient reported tingling had receded and was released home with instructions to call MD or ER if symptoms should recur.  Patient has history of daily smoking and takes 81mg of aspirin and multivitamins daily.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure measurement, Heart rate, Oxygen saturation, Paraesthesia oral
Clinical narrative: Patient received Pfizer BioNTech EUA Covid 19 Vaccine at 2:47pm.  At 3:02 pm he reported tingling tongue from back sides around to front edges.  Vitals: 3:05 133/86, HR 82 O2 94%, 3:10 133/87, HR81 O2 95%, 3:16 124/83 HR78 O294%, 3:21 112/74 HR77 O2 95%, 3:32 129/84, HR80 O2 93%.  By 3:32 patient reported tingling had receded and was released home with instructions to call MD or ER if symptoms should recur.  Patient has history of daily smoking and takes 81mg of aspirin and multivitamins daily.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: The patient developed an itchy, red rash on her neck almost immediately after receiving the vaccine. She said she's had that type of reaction before. She's been to the allergist, and they said she's allergic to dustmites. The patient said she felt fine other than the rash. After the 15 minute period, there was no signs/symptoms of anaphylaxis. She drank water and took 2 diphenhydramine 25mg tablets.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Side effects included low grade fever for 12-14 hours,  and redness/swelling around the injection site that has lasted more than 36 hours.
Age: 73.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Hypersomnia
Clinical narrative: Received injection at 3:30 Tuesday 2/9. By early evening I felt symptoms - fatigue and general muscle aches. By Wednesday morning (2/10) the symptoms persisted, but I went to work. By noon   I had many of the same symptoms I experienced when I contracted COVID in December (9th). Headache, body aches all over, severe fatigue, loss of appetite and chills. Only this time it was worse than I remembered from December. I went home at noon, went to bed. Got up around 6PM and tried to eat, but had no appetite at all. I went to bed at 6:30 PM Wednesday and woke up at 7:00 AM Thursday with only a couple of bathroom trips. Today (Wednesday) symptoms have subsided significantly. Almost gone. Will work tomorrow.
Age: 73.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Pain
Clinical narrative: Received injection at 3:30 Tuesday 2/9. By early evening I felt symptoms - fatigue and general muscle aches. By Wednesday morning (2/10) the symptoms persisted, but I went to work. By noon   I had many of the same symptoms I experienced when I contracted COVID in December (9th). Headache, body aches all over, severe fatigue, loss of appetite and chills. Only this time it was worse than I remembered from December. I went home at noon, went to bed. Got up around 6PM and tried to eat, but had no appetite at all. I went to bed at 6:30 PM Wednesday and woke up at 7:00 AM Thursday with only a couple of bathroom trips. Today (Wednesday) symptoms have subsided significantly. Almost gone. Will work tomorrow.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Migraine
Clinical narrative: Patient developed spontaneous nosebleed, lasting 20  minutes, one day after injection. Patient reported 2nd spontaneous nose bleed lasting 10 minutes two weeks post injection. Patient has no known history of nosebleeds in the past, and no recent accidents, falls or other injuries to the head, neck or face. Patient experienced first ever migraine two weeks post injection.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Presyncope  15 min post vaccination
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Itching and spreading red area around injection site
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fall
Clinical narrative: Right before the shot, patient seemed out of it. Do not know if that is how he is on a day to day basis. He could answer questions from the nurses but would respond really slowly. He received the shot on his right arm then he went to stand in the nurse window. Around 10 minutes later, we heard a thud and glass fall down and saw that he had fallen on the floor. His eyes were open and he was responsive. He had the same slow demeaner. He said that his legs felt weak so he fell. The paramedics were called and the staff nurse told them that he had fallen about 10 days ago. He had no issues with his first Covid dose. The paramedics took him to the nearest hospital.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Fatigue, Feeling abnormal, Headache, Nausea
Clinical narrative: Stomachache and nausea  Headache Fatigue Brain fog  Vertigo
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Stomachache and nausea  Headache Fatigue Brain fog  Vertigo
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Itching in left arm at first then redness appeared the next day along with redness.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Patient experienced likely vasovagal syncope.  Felt "woozy, dizzy," then momentary syncopal episode, then slight nausea and dizziness.  VS monitored Q 5 mins x 35 mins, incl orthostatics.  Patient assisted to gurney with head raised, given bottle of H2O to drink.  Pt states had eaten Taco Bell immed prior to vaccine appt and was well-hydrated.  Pt states that she experienced a similar event in Oct 2020 after a blood draw.  Pt felt back to normal within 10-15 minutes, this RN continued to monitor and provide support for an additional 20 mins.  Pt reported feeling "completely normal" at discharge.  Conversing and ambulating well.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: Administration error: During the vaccination the needle came loose from the syringe and approximately 50% of the vaccine was spilled.  When removing from arm the needle on attached syringe and the needle was separately removed from the arm.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site irritation, Injection site pruritus, Injection site reaction, Pain in extremity, Rash macular
Clinical narrative: Arm started itching at injection site on Day 9.  Red Bloch about 2-3 inches wide at injection site and smaller spot below injection site.  Itchy and irritating.    Still present after almost 12 hours.   Put anti-itch cream on to help with itching.  Had sore arm for about 36 hours after initial injection.  Arm was very painful to lift.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Hyperhidrosis, Injection site pruritus
Clinical narrative: Uncontrollable chills alternating with sweating for 48 hours Joint ache for 48 hours Unbearable headache for 60 hours Fever over 101 Unable to get out of bed other than for basic needs for 36 hours Huge swollen area around injection site (with shot #1 this lasted 2 weeks) Site very itchy (with shot #1 this lasted 2 weeks)
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Mobility decreased, Pyrexia
Clinical narrative: Uncontrollable chills alternating with sweating for 48 hours Joint ache for 48 hours Unbearable headache for 60 hours Fever over 101 Unable to get out of bed other than for basic needs for 36 hours Huge swollen area around injection site (with shot #1 this lasted 2 weeks) Site very itchy (with shot #1 this lasted 2 weeks)
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Nausea, Pruritus
Clinical narrative: I already did.  Face itching/burning and nausea  I had no red face and no discernible hives or rash.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site induration, Injection site swelling, Pruritus, Skin warm
Clinical narrative: Starting today, my upper arm became hot, red, and itchy.  There also feels like there is a hard bump around the injection site
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Discomfort, Dysgeusia, Hypoaesthesia oral, Lip swelling
Clinical narrative: Approximately 5 minutes following administration of my second dose of the Pfizer COVID 19 vaccine I began to have signs of lip numbness and lip swelling at the same time. No issues were noted with tongue or throat swelling associated with anaphylaxis. Additionally I noted an odd taste in my mouth, potentially metallic. I also experienced some abdominal pain at that time that passed in approximately 10 minutes. Discomfort and swelling feeling of the lips has persisted for the past 2 hours. Still no difficulty breathing, raving heart or other signed of anaphylaxis. Lips are only slightly swollen on outside appearance if at all but the feeling of swelling is noticeable
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood glucose increased, Dizziness, Flushing, Muscle tightness
Clinical narrative: She waited the 15 min period but look flushed and said she felt some light-headedness. After 10 more mins she state hear rib on the left felt discomforted/"tightness", and some discomfort in her throat but said she did not have SOB.  She took a 5ml dose of diphenhydramine 12.5mg/5ml.  Called to to check-on on her at 7:30pm and she said "she was fine and relaxing".
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort
Clinical narrative: She waited the 15 min period but look flushed and said she felt some light-headedness. After 10 more mins she state hear rib on the left felt discomforted/"tightness", and some discomfort in her throat but said she did not have SOB.  She took a 5ml dose of diphenhydramine 12.5mg/5ml.  Called to to check-on on her at 7:30pm and she said "she was fine and relaxing".
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Palpitations, Paraesthesia oral, Urticaria
Clinical narrative: lip tingling, dizziness, heart racing had hives 24-48 hours after 1st dose
Age: 6.0
Sex: F
Vaccine: IPV, VARCEL
Symptoms: Chills, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Fever, chills, aches, half of a softball size lump at injection site, intense itching and burning at injection site, hot at injection site
Age: 6.0
Sex: F
Vaccine: IPV, VARCEL
Symptoms: Pain, Pyrexia
Clinical narrative: Fever, chills, aches, half of a softball size lump at injection site, intense itching and burning at injection site, hot at injection site
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Joint stiffness, Mobility decreased
Clinical narrative: Severe joint pain - inability to stand  Difficulty to Move fingers or legs
Age: 1.67
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Inflammation, Skin warm, Somnolence
Clinical narrative: COPIED & PASTED FROM PROVIDER NOTE:  Adverse effect of diphtheria vaccine, initial encounter Comments: local inflammatory response  Reassured Continue symptomatic care prn - reviewed Activity ad lib as tolerated May take several days to resolve No contraindication to future booster Call or RTC if symptoms persist or worsen  HPI: Pt is here today w/ his Mom for a reaction to his immunizations - had shots on 2/9. dtap was in his RQ - just noticed today, gradually getting worse - gave tylenol & claritin at approx 1300 today - no fevers but slept a lot today  PE: Area of mild erythema with underlying mild swelling, mild local warmth, approx 11cmx7cm diam oval shaped area on right upper thigh
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Loss of personal independence in daily activities, Myalgia
Clinical narrative: Normal, expected fatigue the next day, but nothing I couldn't work through.  The following day, Sudden onset of dizziness and nausea.  Upon sitting down, sudden onset of extreme chills, to the point of shaking so terribly that my muscles hurt.  I sat with 4 or 5 blankets on me and tried to rest until the shaking subsided.  I asked a family member to sit and monitor me, as I was unable to do anything due to the shaking.  This lasted approximately 2.5 hours, then stopped, leaving my muscles feeling sore and overworked. It was exhausting.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Tremor
Clinical narrative: Normal, expected fatigue the next day, but nothing I couldn't work through.  The following day, Sudden onset of dizziness and nausea.  Upon sitting down, sudden onset of extreme chills, to the point of shaking so terribly that my muscles hurt.  I sat with 4 or 5 blankets on me and tried to rest until the shaking subsided.  I asked a family member to sit and monitor me, as I was unable to do anything due to the shaking.  This lasted approximately 2.5 hours, then stopped, leaving my muscles feeling sore and overworked. It was exhausting.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Feeling abnormal, Feeling hot, Hot flush
Clinical narrative: Day 1: Started regimen of Tylenol and ibuprofen around 1am Tuesday morning, second dose around 9:30am after waking. Noticed slight lightheaded/faint feeling, stayed in bed due to known symptoms of first shot being pretty bad. Let Tylenol/ibuprofen cocktail wear off and did not take dose at scheduled interval (curious to see if symptoms would start) and that?s when chills, body aches started up. Took Tylenol/ibuprofen around 7pm and started to warm up after an hour or so. Went to bed and had night sweats/hot flash/fever. Arm was sore all day despite medication but not unbearable. Next day itching started. No other symptoms except sore arm. Continuing Tylenol/ibuprofen, seems to help keep symptoms away.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pruritus, Pyrexia
Clinical narrative: Day 1: Started regimen of Tylenol and ibuprofen around 1am Tuesday morning, second dose around 9:30am after waking. Noticed slight lightheaded/faint feeling, stayed in bed due to known symptoms of first shot being pretty bad. Let Tylenol/ibuprofen cocktail wear off and did not take dose at scheduled interval (curious to see if symptoms would start) and that?s when chills, body aches started up. Took Tylenol/ibuprofen around 7pm and started to warm up after an hour or so. Went to bed and had night sweats/hot flash/fever. Arm was sore all day despite medication but not unbearable. Next day itching started. No other symptoms except sore arm. Continuing Tylenol/ibuprofen, seems to help keep symptoms away.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Muscular weakness, Pain, Pain in extremity
Clinical narrative: Left arm is sore and feels weak, similar to the first 24 hours after I got the shot. But that went away until today.  The joint where my arm connects to shoulder hurts and the pain increases when pressure is applied or movement of the arm happens.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue, Headache, Rash
Clinical narrative: - mild fatigue lasted 2 days - increased body temperature , 99.0 (taken using forehead thermometer) lasted 2 days - mild headache lasted a few hours - mild rash across chest started  5 days after vaccination
Age: 84.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Blood sodium decreased, Dysstasia, Hyperhidrosis, Hyponatraemia
Clinical narrative: 84 yo F h/o HTN, AZ, CAD s/p CABG and PCI, COVID +12/12, asym received COVID vaccine on 2/9 with no immediate reaction p/w altered mental status on 2/10.  At 3AM on 2/10, pt was weak and could not stand without support.  Later in AM, found by husband incoherent, feverish and diaphoretic-- > Called EMS, found to be hyponatremia 129 and received 500mL NS.  Suspect post vaccine inflammatory response and patient started on Isolyte and PRN APAP for fever.  She improved overnight with IV hydration and supportive care and was discharged home on 2/11/21.