chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Confusional state, Dizziness, Dyspnoea, Electrocardiogram
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: vasovagal reaction -Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilation-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Medium, Additional Details: patient started hyperventilationg after vaccine. Was flush and said dizzy. Had patient lay down said getting hot and sweaty. Then said having trouble breathing. Checked pulse rapid. BP was 168/92. Repeated that having problems breathing so called 911. They did EKG-normal, BP was back to normal after I laid her down,elevated feet, put fan on her, gave cold compress and had do breathing exercises. EMT after assessement and refused blood glucose test said probable vaso vagal rxn.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Flushing, Heart rate increased, Hyperhidrosis, Hyperventilation
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: vasovagal reaction -Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilation-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Medium, Additional Details: patient started hyperventilationg after vaccine. Was flush and said dizzy. Had patient lay down said getting hot and sweaty. Then said having trouble breathing. Checked pulse rapid. BP was 168/92. Repeated that having problems breathing so called 911. They did EKG-normal, BP was back to normal after I laid her down,elevated feet, put fan on her, gave cold compress and had do breathing exercises. EMT after assessement and refused blood glucose test said probable vaso vagal rxn.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Presyncope, Tremor
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: vasovagal reaction -Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilation-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Medium, Additional Details: patient started hyperventilationg after vaccine. Was flush and said dizzy. Had patient lay down said getting hot and sweaty. Then said having trouble breathing. Checked pulse rapid. BP was 168/92. Repeated that having problems breathing so called 911. They did EKG-normal, BP was back to normal after I laid her down,elevated feet, put fan on her, gave cold compress and had do breathing exercises. EMT after assessement and refused blood glucose test said probable vaso vagal rxn.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus headache
Clinical narrative: Severe sinus headache.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Immediate post-injection reaction, Injected limb mobility decreased, Injection site muscle weakness, Injection site pain
Clinical narrative: Severe pain in right arm immediately after injection.  Weak, range of motion very limited. Pain is from my shoulder blade down to my bicep. 11 days later still in pain
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rotator cuff syndrome, X-ray limb abnormal
Clinical narrative: Severe pain in right arm immediately after injection.  Weak, range of motion very limited. Pain is from my shoulder blade down to my bicep. 11 days later still in pain
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Facial pain, Fatigue, Headache, Insomnia
Clinical narrative: Fever reaching a high of 101.7 degrees F, whole body muscle aches and pains, migraine, shivers, fatigue, unable to get comfortable enough to sleep, severe facial pain and headache
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Mucosal dryness, Myalgia, Pyrexia
Clinical narrative: Fever reaching a high of 101.7 degrees F, whole body muscle aches and pains, migraine, shivers, fatigue, unable to get comfortable enough to sleep, severe facial pain and headache
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Tinnitus
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Dizziness, Dyspnoea, Injection site pain, Paraesthesia
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: Pt presented with a temperature of 99.1F after running from another pharmacy to our pharmacy.  Shot was given  at 1:10PM and within 5 minutes after pt's arrival time.  Pt reported light headed, hard breathing and tingling in hands after 5 minutes of shot.  Offered Epipen but pt refused.  Continued to monitor pt, All adverse reactions were gone after 15 minutes.  Pt was contacted after 24 hours and have no chief complaints except soreness at injection site.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pruritus, Rash
Clinical narrative: Itching and rash NOT at injection site: head, neck, arms, chest, stomach, legs  Rash is fairly fine, NOT hives. Pops up on various parts of body, itchy and mild burning. This is NOT a terrible side effect, but I thought it best to report.  It is not yet getting better or subsiding (got injection 5 days ago).
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Hyperhidrosis, Hypoaesthesia, Joint contracture, Motor dysfunction
Clinical narrative: after receiving the shot within 10 minutes, patient became clammy, sweating. unable to feel his lower extremities, arms in contractors and fingers contorted. shaking but able to talk and breath, had trouble releasing his arms, could not grasp items or grip ion his hands
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: after receiving the shot within 10 minutes, patient became clammy, sweating. unable to feel his lower extremities, arms in contractors and fingers contorted. shaking but able to talk and breath, had trouble releasing his arms, could not grasp items or grip ion his hands
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Dizziness, Presyncope
Clinical narrative: About 30 minutes post vaccination the recipient complained of dizziness and lightheadedness. Recipient was evaluated by an on-site EMT who said vitals were normal with the exception of mild bradycardia.  Patient felt close to syncopal episode and so was transported by ambulance to hospital for observation.
Age: 54.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Feeling hot, Pain, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Shot administered on  3/18/21 . Mild side effects within 24 hours (fever, sores arm and body). Five days later a small rash like a scratch appeared on my left arm,  6 hours later the rash was extended through my arm and it was swollen . Arm was warm. The following day contacted my doctor to report symptoms. Benadryl prescribed and taken before bed on 3/24/21.  Rash diminished considerably the following morning
Age: 54.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Rash
Clinical narrative: Shot administered on  3/18/21 . Mild side effects within 24 hours (fever, sores arm and body). Five days later a small rash like a scratch appeared on my left arm,  6 hours later the rash was extended through my arm and it was swollen . Arm was warm. The following day contacted my doctor to report symptoms. Benadryl prescribed and taken before bed on 3/24/21.  Rash diminished considerably the following morning
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Pyrexia
Clinical narrative: fever, chills, severe aching in joints,
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: O2-99%, BP 139/80;  HR 74; 10:52 am BP 150/90; Nausea Pt. exit at 10:54 am.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Rash erythematous
Clinical narrative: 8 days post vaccine red round rash at injection site that is itchy and uncomfortable to touch.  No big deal or anything, but considering the newness of the vaccine I thought you might want the information.  I am just putting lotion on it to keep it moisturized because it seems a little dry in that area.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Chest discomfort, Cough, Dizziness
Clinical narrative: High fever, body aches, cough, chest pressure, dizziness, lack of energy, lack of sleep, headache
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Sleep disorder
Clinical narrative: High fever, body aches, cough, chest pressure, dizziness, lack of energy, lack of sleep, headache
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia
Clinical narrative: Fever, fatigue for a day; Fatigue for a week after.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Headache, Night sweats, Pain, Pyrexia
Clinical narrative: 101+ fever, chills, night sweats, headache, body aches. Onset approximately 16 hours s/p second moderna dose and have persisted for last 3-4 hours.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: 03.24.2021 New onset of injection site tenderness 03.25.2021 Red, slightly itchy rash developed around injection site
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Night sweats, Pain
Clinical narrative: Symptoms started approximately 6 hours after injection. Felt chills, night sweats, headache, body ache.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Heart rate increased, Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Instant arm pain, red hot cheeks, high heart rate, numbness and tingling on face and in nasal passages,  Was told to take benedryl and Pepcid.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Skin hyperpigmentation
Clinical narrative: Instant arm pain, red hot cheeks, high heart rate, numbness and tingling on face and in nasal passages,  Was told to take benedryl and Pepcid.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Left arm is swollen, red, itchy, and painfully.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pruritus, Injection site rash, Pain in extremity
Clinical narrative: My left arm was very sore for about 3 days after 1st dose, but went away. 8 days after injection I developed a large lump at injection site along with a very itchy rash.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Large lump with redness and itching. Sore and hot to the touch. Continued for 1 1/2 weeks before I called my physician. She said to apply compresses and cortisone for the itching. The redness spread more so she gave me an antibiotic (Clindamycin) because she thought I might have an infection. The redness has gotten better since I started taking it but the site of the injection is still itchy and red and has not decreased in size.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Skin warm, Vital signs measurement
Clinical narrative: PATIENT STATED WITHIN 5 MIN OF RECIEVING THE VACCINE THAT HER ARM WAS FEELING WARM TO THE TOUCH AND HAD REDNESS THAT RADIATED DOWN TOWARDS HER HAND, SHE WAS ALSO FEELING DIZZY,  BENADRYL WAS GIVEN AND CLIENT STAYED FOR A DURATION OF 40 MIN WITH US AFTER RECIEVING THE VACCINE.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling hot, Headache, Pain
Clinical narrative: Vaccinated at 0820. Around 1800 same day, felt very tired suddenly and developed mild headache and malaise. Went to bed early around 2030. Woke up feeling better next day. Still had a mild headache. Some soreness when lifting arm that vaccine was received in. Ate breakfast at 0730 and immediately felt very hot, like flushed. Lasted around 20 minutes, mainly subsided now. Took acetaminophen.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Fatigue, Myalgia, Pyrexia
Clinical narrative: For 1 hour post injection, metallic taste in mouth. Beginning 6 hours later: myalgias, fatigue, fever -> resolved at 30 hours post vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nasal congestion, Nausea, Pyrexia
Clinical narrative: 12 hours after shot started to feel nauseous.  Then got chills, severe headache, stuffed nose, and ran 100.8 fever.  Lasted for about 12 hours except headache is still happening.  Tylenol is all I have taken to treat.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Heart rate increased, Vision blurred
Clinical narrative: I received the vaccine outdoors in my car at the local fairgrounds.  Within 10 minutes of receiving the vaccine, I briefly experienced a rapid heartbeat.  I could breathe and swallow fine but for several minutes (maybe 20 or so) my throat felt heavy.  My most concerning symptom was blurred vision that would come and go. At times my near sighted vision was completely blurry but far sighted was fine, at times all my vision was so blurry I couldn't see anything and at one point all I saw was a bright white light, I think my vision was trying to adjust to the sunlight when this happened.   All of these symptoms cleared shortly before my 30 minute waiting period was over. After that I just experienced symptoms that I have read about that is common for the vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue discomfort
Clinical narrative: Patient reports she had COVID infection in November 2020. Reports uneventful without infusions or medications. Reports "recovered easily", but had burning tongue as a s/s. Reports resolved "quite a while after recovery". Reports after receiving first dose of COVID vaccine, s/s of burning tongue returned and was still experiencing s/s, though lessened, at time of 2nd COVID vaccination on 3/17/2021.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Throat tightness
Clinical narrative: About 20 min after receiving the vaccine, the bottom half of my face became numb/tingly, along with tightness in my throat. I went back in the store to advise the pharmacist and she gave me Benadryl.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lymph node pain, Lymphadenopathy
Clinical narrative: Soreness at injection site, not much worse than flu shot. Lymph node in under arm area swollen and very sore. Soreness goes down in to elbow.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Muscular weakness, Myalgia, Nausea
Clinical narrative: Injection at 8:00am. Woke up around 2am the next morning with strong chills, muscle aches, and mild fever. Took 2 ibuprofens which helped the fever, but still had trouble sleeping. Later in the morning 8am, had same symptoms plus had 3 different sudden episodes of dizziness,  nausea, and light headedness. I had to physically sit down as it felt like I might pass out. From 9am-1pm the symptoms steadily decreased until there was just a bit of muscle weakness. I was taking ibuprofen every 6hrs.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Injection at 8:00am. Woke up around 2am the next morning with strong chills, muscle aches, and mild fever. Took 2 ibuprofens which helped the fever, but still had trouble sleeping. Later in the morning 8am, had same symptoms plus had 3 different sudden episodes of dizziness,  nausea, and light headedness. I had to physically sit down as it felt like I might pass out. From 9am-1pm the symptoms steadily decreased until there was just a bit of muscle weakness. I was taking ibuprofen every 6hrs.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Pallor
Clinical narrative: At approx. 1757 PT was noticed by his wife that he had slumped over in the driver side of their vehicle.  PT was quickly evaluated by a volunteering EMS paramedic and a volunteer MD. PT presented with pale cool skin color and temp.  PT was quick to come back around and was a able to communicate with medical personnel.   PT stated that his last oral intake was earlier that morning and that he been "straight out all day at his school" where he works.  PT also stated that he had worked out twice earlier in the day prior to his vaccination.  Denies any history of any adverse reactions to any vaccinations in the past.   No interventions were needed from medical personnel on scene                                                                                                                                                          ne.  No EPI pen administration and PT was not transported from scene.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Body aches (back, knees, elbows), fever, headache
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Driving to work, pulled over to throw up. Twice on the way home. Only water and meds in my system . Called for a substitute, bought Sprite to sip, went to bed.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Mania, Suicidal ideation
Clinical narrative: I had a severe manic episodes with thoughts of ending my life. It lasted almost 5 hours.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Hyperhidrosis, Nausea
Clinical narrative: Time: 14-16 hours Severe body aches, chills, fever of 100.9, intense headache, nausea, dizziness, continuous sweating
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Time: 14-16 hours Severe body aches, chills, fever of 100.9, intense headache, nausea, dizziness, continuous sweating
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: The medicine made me extremely drowsy, as if I had taken NyQuil or even some sort of pain pill.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Mass, Skin discolouration, Skin warm, Swelling
Clinical narrative: Swollen dark lump dark red 2 inches , hot to touch.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Joint stiffness, Musculoskeletal stiffness, Pain
Clinical narrative: Within a couple of hours post shot I started getting a headache and had some stiffness and pain in my head and jaw. When I woke up the next morning (18 hrs post shot)  I was running a fever (highest documented was 100.4), body aches (felt like I had been hit by a truck), pounding headache and chills (couldn't get warm despite several blankets). This continued all day (hours 18-34 post shot). Fever broke around hour 34 and at hour 42 post shot all symtpoms have resolved.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw, Pyrexia
Clinical narrative: Within a couple of hours post shot I started getting a headache and had some stiffness and pain in my head and jaw. When I woke up the next morning (18 hrs post shot)  I was running a fever (highest documented was 100.4), body aches (felt like I had been hit by a truck), pounding headache and chills (couldn't get warm despite several blankets). This continued all day (hours 18-34 post shot). Fever broke around hour 34 and at hour 42 post shot all symtpoms have resolved.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pyrexia, Tremor
Clinical narrative: Bad chills and started shaking for 10 minutes along with a fever 101 and very tired with headache. I'm still tired on day 2.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: sore arm, started to hurt in the afternoon treating it at home with cold pack, trying to avoid OTC medications
Age: 2.83
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Immediate post-injection reaction, Injection site rash, Rash erythematous
Clinical narrative: Child here with mother today for vaccinations. Received MMR, HPAC, and DHI in left anterior thigh. Received VZV, PCV13, and HIB in right anterior thigh. Immediately after receiving vaccines, noted local site reaction, erythematous flat rash, to right thigh. No other reactions noted at this time. Nurse manager notified. Mother opted to take child to local emergency room via personal vehicle. Attempted to contact mother twice x 2 attempts.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Covid arm
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Asthma, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Within 2 or 3 minutes my left arm was itching, within 10 minutes my head, chest and other arm were itching. I got lightheaded and for an instant felt like I was going to black out but didn't, in 15 mins my entire body was itching. I was given 1 Benedryl capsule orally and told to wait 15 more mins. The itching kept spreading, I started feeling like I was going into an asthma attack. They had me wait 15 more mins. It seemed to stop getting worse as quickly. They gave me another Benedryl and I left since I did have an Epi-pen with me. I got home and took another Benedryl about an hour later and about every 6 hours. I got up the next morning and felt horrible and was still itching so took more Benedryl. Tuesday night it felt like it was getting a little better but felt like I was having a slight asthma attack but my inhaler wasn't helping. On Friday I went to my family doctor and was put on a short dose of Prednisone, 20 mg twice a day for 5 days. It did help. Since I've gotten the shot, when I eat it's like my stomach bloats up and diarrhea and generally don't feel like myself. I was really tired until I got on the Prednisone. Each day I feel more like myself but not back to 100% yet. I started taking my Brio again to see if it would help.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Pruritus
Clinical narrative: Within 2 or 3 minutes my left arm was itching, within 10 minutes my head, chest and other arm were itching. I got lightheaded and for an instant felt like I was going to black out but didn't, in 15 mins my entire body was itching. I was given 1 Benedryl capsule orally and told to wait 15 more mins. The itching kept spreading, I started feeling like I was going into an asthma attack. They had me wait 15 more mins. It seemed to stop getting worse as quickly. They gave me another Benedryl and I left since I did have an Epi-pen with me. I got home and took another Benedryl about an hour later and about every 6 hours. I got up the next morning and felt horrible and was still itching so took more Benedryl. Tuesday night it felt like it was getting a little better but felt like I was having a slight asthma attack but my inhaler wasn't helping. On Friday I went to my family doctor and was put on a short dose of Prednisone, 20 mg twice a day for 5 days. It did help. Since I've gotten the shot, when I eat it's like my stomach bloats up and diarrhea and generally don't feel like myself. I was really tired until I got on the Prednisone. Each day I feel more like myself but not back to 100% yet. I started taking my Brio again to see if it would help.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Headache, Vision blurred
Clinical narrative: About 24 hours after vaccine, I experienced blurry vision, headache and confusion. It resolved within about 3 hours.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: itching all over body, throughout day.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: -14-21 around 4pm, noticed hard, hot, itching, redness, swelling, to injection site. Took benadrly orally and topically. lasted 2 days
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pain
Clinical narrative: I have a sore arm and larger lump developing at injection site
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash erythematous, Rash pruritic
Clinical narrative: 8 days after shot, left arm (arm that received the injection) started swelling below the injection site, developed a red, itchy rash that was oval shaped and approximately 6" x 4". 24 hours later, the swelling went down and the itchiness abated but the redness is still visible as of today.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Heart rate increased, Laboratory test, Oral pruritus
Clinical narrative: Tingling sensation in tongue within 2 minutes of injection, swelling of tongue to twice the thickness, itchy mouth, and rapid heartrate within 10 minutes, redness, burning, swelling, and itchy skin on face within 15 minutes. Epi-pen given within 14 minutes, and transport to hospital, wheezing in bases of lungs noted by ER physician and diphenhydramine, famotidine, and solumedrol given. Swelling of tongue took 1.5 hours to reduce to half. Overnight stay at hospital, due to severity and duration of symptoms.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Pruritus, Swelling, Swollen tongue, Wheezing
Clinical narrative: Tingling sensation in tongue within 2 minutes of injection, swelling of tongue to twice the thickness, itchy mouth, and rapid heartrate within 10 minutes, redness, burning, swelling, and itchy skin on face within 15 minutes. Epi-pen given within 14 minutes, and transport to hospital, wheezing in bases of lungs noted by ER physician and diphenhydramine, famotidine, and solumedrol given. Swelling of tongue took 1.5 hours to reduce to half. Overnight stay at hospital, due to severity and duration of symptoms.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Hypokinesia, Pain in extremity, Peripheral swelling
Clinical narrative: Left arm and hand swollen and red.  Lots of pain and cannot lift arm over waist height.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Outbreak of hives over entire body
Age: 49.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Muscle spasms, Neck pain
Clinical narrative: Pt with left arm muscle spasm,  shoulder pain and neck pain
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pain
Clinical narrative: Mild soreness the night she rcvd her 1st dose on 3/10/2021, soreness cleared up the next day. Caller mentioned that approx. 9 days after rcvding her vaccine on 3/19/2021 she noticed her left deltoid area had a pink coloration that is the size of a tanagrine (no pain, swelling or soreness) and as a precaution she took otc Benadryl the morning of 3/20/2021 and applied hydrocortisone cream on the area. Caller also stated it was a possiblity that she had gotten bitten by an insect while working in her yard on 3/19/2021.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Rash erythematous
Clinical narrative: Covid Arm - Large red raised rash for about a week but happened 8-9 days after vaccination.  Had cold at the exact same time when rash appeared. Went away after a week.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills
Clinical narrative: Chills and 101.2° fever.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: redness, swelling, heat, knot feeling, tenderness at injection site and area approx 6x6; body aches; run down feeling; nausea began evening of shot and has gotten worse over last 3 days treated with tylenol/ibuprofen with little to no results
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Pain
Clinical narrative: redness, swelling, heat, knot feeling, tenderness at injection site and area approx 6x6; body aches; run down feeling; nausea began evening of shot and has gotten worse over last 3 days treated with tylenol/ibuprofen with little to no results
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Fever - 102, chills for 12 hours, followed by 101 fever for 12 more hours
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy
Clinical narrative: Pt received 1st dose COVID vaccine on 2/24/21. When she returned for 2nd dose on 3/17/21, reported that she had "fatigue for 3 days afterward, but also worked long hours those 3 days". Reported "swollen glands in throat and neck" on the 3rd day "that lasted about 8 hours". Reported "she could breathe fine through nose" and denied any other difficulties breathing. Stated her grandson "said she didn't sound right when she was sleeping" but pt denied any difficulty breathing or sleeping. Denied any rash, itching, or other s/s allergic ran/anaphylaxis. Did not seek medical care.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthralgia, Feeling of body temperature change, Headache, Myalgia
Clinical narrative: Date and time adverse event started: 3/22/2021 less than 12 hours after 1st dose Adverse events experienced and are they still occurring now:  started with headache and muscle pain less than 12 hours of receiving first dose. On 3/23/21 experiencing body ache, joint pain, hot/cold feeling, upset stomach (no diarrhea). Feeling much better, symptoms resolved except for fatigue.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Date and time adverse event started: 3/22/2021 less than 12 hours after 1st dose Adverse events experienced and are they still occurring now:  started with headache and muscle pain less than 12 hours of receiving first dose. On 3/23/21 experiencing body ache, joint pain, hot/cold feeling, upset stomach (no diarrhea). Feeling much better, symptoms resolved except for fatigue.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Headache, Hypoaesthesia, Palpitations, Paraesthesia
Clinical narrative: tingling, numbness and generalized weakness, headache, palpitations with in a few minutes of administration of the vaccine
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Axillary pain, Depression, Hyperhidrosis, Insomnia
Clinical narrative: In the week following my vaccination, I presented no symptoms. After day 7, I developed soreness/tenderness in my left armpit and a series of neurological symptoms that are very concerning including depression, anxiety, insomnia (accompanied with heart racing, sweating, tingling in extremities, obsessive thoughts etc). Although, I have had sleep issues during the course of the pandemic, I do not deal with daily anxiety. I very rarely have to turn to any medication and especially have not had any  anxiety symptoms or sleep issues recently.   I do not believe the CDC has commented on the connection between vaccine safety and any relationship between vaccine immune response and neuropsychiatric disorders. Or how antibodies produced via vaccine react to other proteins.  My daily activities have been significantly impacted over the course of this week.  I would appreciate learning if there is possible cross-reactivity and if that has presented in other adults.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Obsessive thoughts, Palpitations, Paraesthesia, Tenderness
Clinical narrative: In the week following my vaccination, I presented no symptoms. After day 7, I developed soreness/tenderness in my left armpit and a series of neurological symptoms that are very concerning including depression, anxiety, insomnia (accompanied with heart racing, sweating, tingling in extremities, obsessive thoughts etc). Although, I have had sleep issues during the course of the pandemic, I do not deal with daily anxiety. I very rarely have to turn to any medication and especially have not had any  anxiety symptoms or sleep issues recently.   I do not believe the CDC has commented on the connection between vaccine safety and any relationship between vaccine immune response and neuropsychiatric disorders. Or how antibodies produced via vaccine react to other proteins.  My daily activities have been significantly impacted over the course of this week.  I would appreciate learning if there is possible cross-reactivity and if that has presented in other adults.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: 24 hours later lost all feeling in both arms and both legs. This sensation lasted 12 hours and than I was ok.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Nausea, Pyrexia, Sleep disorder
Clinical narrative: Day of vaccination arm was slightly tender. Day 6 my sleep was disturbed about 2 AM by a sick feeling (slight nausea and headache).  Got out of bed at 5 AM with headache still present. Fever of 99.4 about 7AM.  Headache continued on and off all day with 2 Tylenol.  Fever went down but rose to 99.4 approx. 8PM no headache.  Woke today, Thursday, at 5 with no headache but a fever of 100.4; went back to bed until 6. After a shower, my temp was down to 99. After exercise, it was 98.  Feeling okay right now.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Day of vaccination arm was slightly tender. Day 6 my sleep was disturbed about 2 AM by a sick feeling (slight nausea and headache).  Got out of bed at 5 AM with headache still present. Fever of 99.4 about 7AM.  Headache continued on and off all day with 2 Tylenol.  Fever went down but rose to 99.4 approx. 8PM no headache.  Woke today, Thursday, at 5 with no headache but a fever of 100.4; went back to bed until 6. After a shower, my temp was down to 99. After exercise, it was 98.  Feeling okay right now.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Pain in extremity
Clinical narrative: the evening of the injection, patient noted arm pain radiating from shoulder to hand.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness
Clinical narrative: Flu like symptoms for 4 -5 hours
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Musculoskeletal stiffness
Clinical narrative: Swelling, pain at injection site, itching, stiff neck
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: swollen lymph nodes under arm  patient is taking Aleve for symptoms, recommended HCF eval if sx persist
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Tremor
Clinical narrative: Body feeling unusually cold , chills and shaking . Lasted overnight after vacinc=ation
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Impaired work ability, Pain, Pain in extremity
Clinical narrative: At about 9:30 I was looking at my phone. My vision started going blurry. I started seeing flashing lights and could not be around any light. I went to a dark room and about 30 minutes later it stopped where a wasn't seeing a flashing line.  I took melatonin and went to bed figuring I was starting to get tired.  I woke up at 638am. Arm super sore, a red spot over the size of a quarter at injection site. Low grade 99.1 and my entire body hurts and a small headache. Called in to work to rest for the day.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia, Photopsia, Vision blurred
Clinical narrative: At about 9:30 I was looking at my phone. My vision started going blurry. I started seeing flashing lights and could not be around any light. I went to a dark room and about 30 minutes later it stopped where a wasn't seeing a flashing line.  I took melatonin and went to bed figuring I was starting to get tired.  I woke up at 638am. Arm super sore, a red spot over the size of a quarter at injection site. Low grade 99.1 and my entire body hurts and a small headache. Called in to work to rest for the day.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Body temperature decreased, Cyanosis, Eye movement disorder, Hypotonia, Immediate post-injection reaction
Clinical narrative: Baby became limp and lethargic instantaneously. Face began to turn blue, eyes rolled back into head. No temperature, cold to touch. 10 mins later had more mild episode of same symptoms without turning blue. Temperature came about 30 mins after episodes in the ambulance on her way to the hospital.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Laboratory test normal, Lethargy, Peripheral coldness
Clinical narrative: Baby became limp and lethargic instantaneously. Face began to turn blue, eyes rolled back into head. No temperature, cold to touch. 10 mins later had more mild episode of same symptoms without turning blue. Temperature came about 30 mins after episodes in the ambulance on her way to the hospital.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Obstructive airways disorder, Urticaria
Clinical narrative: Airway closing, hives
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, SARS-CoV-2 test negative
Clinical narrative: 5 days after the shot- Body aches, headache. Mostly body aches in the legs, Same body aches that I had 24 hours after the shot. Ended up getting rapid and PCR tested- both negative. 6 days after the shot- body aches turned to sore and tired. 7 days after- gone.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Fatigue, Feeling hot, Myalgia
Clinical narrative: 8 days straight now of nausea, muscle ache, extreme fatigue, stomach ache, chills, hot from inside out, nasal congestion  taking Flonase
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nausea
Clinical narrative: 8 days straight now of nausea, muscle ache, extreme fatigue, stomach ache, chills, hot from inside out, nasal congestion  taking Flonase
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Neck pain, Pain, Pain in extremity
Clinical narrative: Intense, chronic pain on my neck, shoulder and upper arm (even if my arm is stationary). Pain exacerbated when I lift or move my arm.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: PATIENT RECEIVED MODERNA FOR  HER SECOND DOSE INSTEAD OF PFIZER. THE LOT NUMBER OF THE PFIZER VACCINE THAT HE FISRT RECEIVED ON MARCH 03-2021 WAS EN6202. PATIENT HAS NO ADVERSE REACTION SO FAR
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Lymphadenopathy
Clinical narrative: inflamed joints and lymph nodes. previous carpel tunnel syndrome that has been dormant for 10+ years became inflamed.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Muscle strain, Myalgia, Sleep disorder, Tenderness
Clinical narrative: Took my second Pfizer shot on Jan 25. About 5 days later Left arm muscle really hurt. After 2 months, it STILL hurts-- . Feels like a pulled muscle and sometimes extends to my breast bone. Cannot sleep on that side. Very tender to the touch but not red or inflamed. But it has not gone away.  Has that reaction been experienced by others? Is there something I can do about it? Will it eventually go away?
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Abdominal pain upper, Faeces discoloured
Clinical narrative: Stomach pain/abdominal pain started on March 4th, black stool started March 3rd (only lasted 4 days after the vaccine)-currently normal as of march 23rd and the patient states stomach pain is almost normal but not 100%, just an uncomfortable full feeling Patient didn't do anything and didn't see a PCP
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Dizziness, Headache, Pyrexia
Clinical narrative: I've been running a fever of 103.4 and I have a really bad headache dizzy and light-headed and sick to my stomach
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Headache  Body aches Fever  Chills Nausea  Vomiting
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Headache  Body aches Fever  Chills Nausea  Vomiting
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue
Clinical narrative: Fatigue, dizziness, weakness
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Vital signs measurement
Clinical narrative: Approximately 25 minutes post injection patient experienced tingling to lips and tongue. Vital signs taken blood pressure 145/100. EpiPen was administered at 12:16 p.m. Patient was transported via ambulance to mission hospital. VAERS form completed by this nurse in conjunction with patient spouse. VS: blood pressure 145 /100, heart rate 89, 02 saturation 99% vital signs were taken by EMT/fire fighter at 12:15 p.m.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Date and time adverse event started:  03/15/21 rash started at waist line and spread from there Recommendation: please apply a cold compress to the area where rash is presented, you could also take benadryl for the itching please take it at night prior to sleeping do not drive or use any heave machinery when taking this medication. Please contact your doctor for additional recommendations or for a check up since the rash diffused across your body, we want to make sure that if it is an allergic reaction it doesnt close your airway, if at any moment you do experience shortness of breath please go to the nearest emergency room.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Feeling cold
Clinical narrative: Extreme weakness the day after my vaccine and cold chills for two days
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased
Clinical narrative: during counseling before the shot and reviewing her consent form she stated she had a reaction to a flu shot when she was a baby but has not had any reactions to vaccines since-she does not get a yearly flu shot but other vaccines were stated as no incident.  she received the shot without incident and sat with me for a few minutes in the counseling room and was fine.  several minutes after that she  told one of my technicians who was leaving the pharmacy she was going to pass out.  we laid her down on the floor and proceeded to call 911.  she said her heart rate was up and she self monitored with her apple watch.  she never lost consciousness and was ok when the ems arrived.  she chose not to go with ems and left with her husband who had been called.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Client passed out-Syncopal episode. Going to Hospital. BS-96, BP 80/40, HR 58, O2 97%.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cheilitis, Oral mucosal eruption
Clinical narrative: rash inside of mouth, upper and lower inside lip.  Enanthem like lesion.  "Dry" sensation/no moisture.  Slight atypical tissue
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nasopharyngitis, Nausea, Pain
Clinical narrative: Freezing, muscle aches, sharp pain throughout the body and feet, bp 175/78, fever 100.9, Nauseous, headache, fever is 96.8 now Patient took tylenol 3:30pm on 3/22/21 and 7pm and then on 5:30am on 3/23/21
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Freezing, muscle aches, sharp pain throughout the body and feet, bp 175/78, fever 100.9, Nauseous, headache, fever is 96.8 now Patient took tylenol 3:30pm on 3/22/21 and 7pm and then on 5:30am on 3/23/21
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Influenza like illness, Vertigo, Vision blurred
Clinical narrative: I woke up with cold/flu like symptoms and severe vertigo on Sunday March 21 2021.  I could not even walk straight the vertigo was so severe.  Monday the cold symptoms were much better mostly fatigue and I still had vertigo but not as bad.  To this day I still have the vertigo.   When I get up or down from a laying position the room spins.  If I lean my head back even when I'm standing the room spins.  If I stand too long I get a fuzzy feeling.   My vision is also a bit cloudy than before.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chest discomfort, Ear disorder, Feeling hot, Neck pain
Clinical narrative: Very sharp shooting pain from left clavicle to left TMJ, tachycardia, left ear hot, burning sensation, chest tightness, pain radiating into left arm and left leg. Tx: diphenhydramine 50 mg orally every 10 min until symptoms lessened/resolved.  Aprox 300 mg over 30 min  All symptoms resolved within 60 min
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Tachycardia, Temporomandibular joint syndrome
Clinical narrative: Very sharp shooting pain from left clavicle to left TMJ, tachycardia, left ear hot, burning sensation, chest tightness, pain radiating into left arm and left leg. Tx: diphenhydramine 50 mg orally every 10 min until symptoms lessened/resolved.  Aprox 300 mg over 30 min  All symptoms resolved within 60 min
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: I got a rash on my torso that looked very much like a sunburn. It started on my chest on Sunday, by Tuesday, it had spread to my stomach. Today is Thursday, I still have a small patch on my side.
Age: 19.0
Sex: F
Vaccine: UNK
Symptoms: Dyspnoea, Laboratory test normal, Language disorder, Mobility decreased, Muscle tightness
Clinical narrative: Right side of neck tightened up pulled jaw locked right side of body not working cannot talk difficulty breathing swollen tongue throat shutdown rush to ER Benadryl given before transportation
Age: 19.0
Sex: F
Vaccine: UNK
Symptoms: Oropharyngeal discomfort, Swollen tongue
Clinical narrative: Right side of neck tightened up pulled jaw locked right side of body not working cannot talk difficulty breathing swollen tongue throat shutdown rush to ER Benadryl given before transportation
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Malaise, Nervousness, Vomiting
Clinical narrative: dizziness / vomiting both occurring now paramedics called. Conference call operator / patient's daughter. Pt rcvd Covid vaccine 2nd dose yesterday.  patient having protracted vomiting/dizziness.  pt does get medication for dizziness regularly and has history of stress induced vomit.  pt not feeling well.  Daughter able to provide some of the information regarding vaccine but very nervous and d/c as soon as EMS arrived. Agency had recommended to have EMS evaluated and transport as needed. Adv pt should f/u w/PCP ASAP. Adv to call back if any questions. Adv daughter that she may get call back from PIC/Covid Hotline.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature abnormal, Fatigue, Flushing, Loss of personal independence in daily activities, Nausea
Clinical narrative: Approximately 2-3 hours after getting shot I started to feel flush my temperature was slightly higher than my normal at 98.9 (my normal is about 97.7). I also felt a little tired, I work 2nd shift so I went to work as normal. About 4 or 5pm the fatigue started to worsen and it was difficult to do my job I also felt nauseous, I struggled to finish my shift because of the fatigue. When I came home at 11pm I went straight to bed. When I awoke in the morning the fatigue was worse and it was difficult to stay awake but the nausea had passed. I was extremely tired all day until about 8pm or so when the fatigue started to lessen. By the next morning I was still a little tired but I could resume my normal schedule although I felt like I didn't get a good nights sleep. By Saturday morning (20th) I was not feeling any adverse effects.  I have sleep apnea which I forgot to list on medical conditions and I can't go backwards on the form so I am including it here.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Swelling
Clinical narrative: Patient received first dose of COVID vaccine on 2/23/2021. Presented to clinic for 2nd dose on 3/16/21. Reported that she had swelling on the left side of her neck x3 days after first dose and also had fatigue. Reports s/s resolved after 3 days. Did not seek medical care. Clinic staff contacted medical advisor to discuss before giving 2nd dose. MD recommended to vaccinate with 2nd dose. Patient agreeable. Received 2nd dose without incident.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Pain
Clinical narrative: 3/4/21: Severe pain throughout whole body. The more I moved the worse it got. Left work early. 3/25/21: Woke up with pain started getting ready for work the more I moved the worse it got. Called off work. Severe fatigue. Third day was not as bad but suffered with pain for 1.5 weeks.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hot flush, Pain in extremity, Sinus headache, Sinus pain
Clinical narrative: On March 17, 2021 I got a really bad sinus headache and my sinuses began hurting. This headache is still and issue. A few days later I got hot flashes at night and had disturbed sleep. The headache has at times caused ear ringing, but not all the time. March 23 I had chills at night. March 24th, I had chills all day. March 25 I still have the headache and my right arm hurts which is where I have lymphedema.