chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death 2 days later; This is a spontaneous report from a contactable Other HCP. A 97-year-old male patient received the 1st dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL0140) via intramuscular in the left arm on 18Jan2021 12:00 PM at single dose for covid-19 immunisation. Medical history included prostate cancer, macular degeneration, type 2 diabetes, atrial fibrillation. No known allergies. Concomitant medications included glipizide, warfarin and metformin in two weeks. The patient had no other vaccine in four weeks. The patient experienced death on 20Jan2021 at 09:00 PM. Death cause was undetermined. No autopsy was performed. No treatment was received for AE. The patient had no covid prior vaccination, no covid tested post vaccination. Outcome of the event was fatal.; Sender's Comments: Event unknown cause of death is assessed as Related until sufficient information is available to confirm an unrelated cause of death or if there is sufficient information to allow an unrelated causality assessment. Case will be reassessed when follow-up information is received. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: Death 2 days later
Sex: U
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Thrombosis
Clinical narrative: confirmed about a blood clot/check me for a blood clot, I didn't have one but it was kind of like a thrombosis kind of thing; Both of my legs, lower part of my legs were swollen that night when I went to bed and they got really red, almost purply red; Both of my legs, lower part of my legs were swollen that night when I went to bed and they got really red, almost purply red; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number and expiry date: not known), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The consumer stated that after the first vaccine and it might be coincidental, the patient was not sure because the patient didn't know what to expect. Both of the patient's legs, lower part of the patient's legs was swollen that night (unspecified date) when the patient went to bed and they got really red, almost purply red and the patient stayed that way for a couple of days. The patient went to see the doctor two days later and doctor confirmed about a blood clot, so they did check the patient for a blood clot; the patient didn't have one, but it was kind of like a thrombosis kind of thing. So, the doctor put the patient on antibiotics for that. The patient asked if it is related to the shot, the patient didn't know it happened the same day the patient got the shot; so, the patient didn't know about that. The outcome of the events was unknown.  Information on the Lot/Batch number has been requested.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes, Tenderness
Clinical narrative: Breakout in fever blisters all over my mouth; usually happens when my body is under stress like that; local tenderness; This is a spontaneous report from a contactable consumer (patient).  A 65-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE Lot EL3249), via an unspecified route of administration, on 12Jan2021 (at the age of 65-years-old) as a single dose for COVID-19 immunization.The facility where COVID-19 vaccine was administered was at a hospital.  Medical history included pain and anxiety depression from an unknown date and unknown if ongoing.  Concomitant medication included oxycodone hydrochloride, oxycodone terephthalate, paracetamol (PERCOCET [OXYCODONE HYDROCHLORIDE; OXYCODONE TEREPHTHALATE; PARACETAMOL]) for pain and desvenlafaxine succinate (PRISTIQ) for anxiety and depression.  On Jan2021, the patient experienced local tenderness and on 18Jan2021, the patient experienced breakout in fever blisters all over her mouth, stating this usually happens when her body is under stress like that. Therapeutic measures were taken as a result of local tenderness and breakout in fever blisters all over my mouth (anti-fever blister type medicine). The clinical outcome of the events fever blisters all over her mouth and local tenderness were unknown.  No follow-up attempts are possible. No further information is expected.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Super tired/exhausted; This is a spontaneous report from a contactable consumer (patient). This 90-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL1283 and expiry date unknown), via an unspecified route of administration on 07Jan2021 at a single dose for COVID-19 immunization. Medical history included blood cholesterol abnormal and thyroid disorder. Concomitant medications included levothyroxine for thyroid, atorvastatin for cholesterol, and unspecified vitamins. When she got the first dose of the vaccine, she felt fine when she got it in the morning and then she felt super tired later in the evening. She went to bed about an hour early as she was just exhausted. She stated that at her age, she was always tired in the evening but she was just exhausted that evening. She got "no temperature". The patient felt fine/normal the next day. She felt as good as she usually did. She did not receive treatment for the event. Due date for the second dose was reported as 28Jan2021. Outcome of the event was recovered on 07Jan2021.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Death, Myocardial infarction, Pain in extremity, SARS-CoV-2 test negative
Clinical narrative: she was hurting at her chest/ Chest pain; on her left arm hurt real bad that's what the clot on her left arm; on her left arm hurt real bad that's what the clot on her left arm; She passed away; heart attack; This is a spontaneous report from a contactable consumer.  An 87-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 19Jan2021 at single dose for COVID-19 immunisation. Medical history included diabetes mellitus, for which she was taking a pill like an hour before she would take her meal. On Monday (Jan2021) the patient experienced was hurting at her chest/ chest pain, her left arm hurt real bad as she had a blockage in her left arm/clot on her left arm, and they wanted to put in a stent and after the surgery it went well and she all go home in two days. The patient was hospitalized in Jan2021 due to the events. She had a heart attack and that the chamber between the dividers had a hole in it and her heart tissue was too thin so much thin she couldn't repair it. The patient passed away on 26Jan2021. The patient was tested negative for COVID-19 on unknown date.  Information on the lot/batch number has been requested.; Reported Cause(s) of Death: She passed away
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Stent placement, Thrombosis
Clinical narrative: she was hurting at her chest/ Chest pain; on her left arm hurt real bad that's what the clot on her left arm; on her left arm hurt real bad that's what the clot on her left arm; She passed away; heart attack; This is a spontaneous report from a contactable consumer.  An 87-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 19Jan2021 at single dose for COVID-19 immunisation. Medical history included diabetes mellitus, for which she was taking a pill like an hour before she would take her meal. On Monday (Jan2021) the patient experienced was hurting at her chest/ chest pain, her left arm hurt real bad as she had a blockage in her left arm/clot on her left arm, and they wanted to put in a stent and after the surgery it went well and she all go home in two days. The patient was hospitalized in Jan2021 due to the events. She had a heart attack and that the chamber between the dividers had a hole in it and her heart tissue was too thin so much thin she couldn't repair it. The patient passed away on 26Jan2021. The patient was tested negative for COVID-19 on unknown date.  Information on the lot/batch number has been requested.; Reported Cause(s) of Death: She passed away
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Joint dislocation, Orthosis user, Upper limb fracture
Clinical narrative: re-dislocated right shoulder; This is a spontaneous report from two contactable physicians. A 54-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EL1283), via an unspecified route of administration on 09Jan2021 at a single dose for covid-19 immunization. Vaccination was done in a hospital. Vaccine was not administered at a military facility. The patient's medical history and concomitant medications were not reported. The patient previously took first dose of bnt162b2 (at the age of 54-year-old) lot number: EK5730, intramuscularly at the left arm on 19Dec2020 at a single dose for COVID-19 immunization and experienced fractured and dislocated rt shoulder while doing exercise on 20Dec2020 0930 and torn labrum on 24Dec2020. The patient had no history of previous immunization. The patient is not deceased. Patient had no other prior vaccinations within four weeks. The patient experienced re-dislocated right shoulder on 11Jan2021 15:50 but did not require hospital admission. Therapeutic measure was taken as a result of the event which included wearing brace and surgery tentative. Outcome of the event was not recovered. It was reported that there was a reasonable possibility that the event is related to suspect product.; Sender's Comments: Based on the available information the event "re-dislocated right shoulder" is attributed to an underlying medical condition and assessed unrelated to BNT162B2 vaccine. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Condition aggravated, Musculoskeletal stiffness, Neuralgic amyotrophy, Pain
Clinical narrative: Neurological concerns with parsons turner syndrome; sharp pain down middle of shoulder blade; difficulty snapping fingers; pain; Initial information received on 21-Jan-2021 regarding an unsolicited valid non-serious case from a other health professional.  This case involves male patient (age unknown) who experienced neurological concerns with parsons turner syndrome (neuralgic amyotrophy), sharp pain down middle of shoulder blade (arthralgia),difficulty snapping fingers (musculoskeletal stiffness) and pain, after receiving INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT].  The patient's past medical history, medical treatment(s), vaccination(s), concomitant medication(s) and family history were not provided.   On an unknown date, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B VACCINE (clarifying with patient prefilled syringes or MDV- Multidose vial), lot number and expiration not reported) via unknown route in unknown administration site for prophylactic vaccination.  On an unknown date, the patient developed a non-serious neurological concerns with parsons turner syndrome (neuralgic amyotrophy), sharp pain down middle of shoulder blade (arthralgia), difficulty snapping fingers (musculoskeletal stiffness) and pain, few weeks after receiving INFLUENZA QUADRIVAL A-B VACCINE.  No laboratory data reported.  Patient had to start steroids.  At the time of reporting, the outcome was unknown for all the events.  Reporter was investigating more on vaccine to see what strains it covers, had no way of knowing if cause or effect from vaccine.  There will be no information on the batch number for this case.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, Medication error
Clinical narrative: Error: Wrong Dose of Vaccine - Too High
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Vasovagal syncope intermittent for 45 minutes, still present but remaining in a laying position
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Medication error
Clinical narrative: This patient was given a second dose of the Moderna Covid vaccine on 4/3/21 with the vaccine administrator unknowingly unaware that the first dose had already been administered the day before on 4/2/21. The patient did not have any significant immediate side effect but the patient will be checked by the yard physician today 4/4/21 to reevaluate the patient.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: 12 hours post-injection recipient developed a low-grade fever, body aches, and headache that lasted about 24 hours.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Ear pain, Headache
Clinical narrative: Intermittent sharp pain in top of skull began yesterday and has moved to intermittent sharp pain in right ear. No treatment. Just waiting to see if it subsides
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: Red, warm, swollen, hard lump at injection site
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: left arm very sore several hours after vaccine and even more sore the next day
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hypoaesthesia, Paraesthesia
Clinical narrative: Redness numbness and tingling in both hands  Increases when hands are pointed down improves when lifted above the heart Is lessening  but is clearly not listed as a side effect     It is improving however is concerning more information and direction needs to be addressed several other coworkers have experienced or went to the ED  with the same adverse effect.   It is clearly not life threatening but I hope it will not increase with the second dose or continue in the future
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Hypoaesthesia, Oral discomfort, Pain in extremity
Clinical narrative: Noticed aching in left hip/leg.  Was out shopping and the pain progressively got worse by the time I got home was having trouble even walking.  The pain seemed to be in whole leg and seemed to be muscular and also a lot of pain in hip joint area.  Also was feeling a burning and numbness sensation down my leg.  By 7pm was in bed because it was too painful to walk.  Took 600 mg of Ibuprofen.  This morning the hip pain is better and I am walking ok. I still have burning and numbness mostly in the calf area of left leg. I am also feeling burning and numbness on the left area of my lip. This is an area of my lip where I have had cold sore in past but don't see a cold sore.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Glossodynia, Headache, Increased upper airway secretion, Injection site pain
Clinical narrative: Headache Tongue sore; site tenderness; throat congestion Narrative:  12/25 tenderness at injection site Mild headache Tongue sore 12/26 tenderness at injection site Tongue white Visible sores under tongue...difficult to eat....very sore Throat congestion Mod headache.....took ibuprofen 3-4 times 12/27 Tongue very sore ...sores under tongue and on top and sides of tongue. Difficult to eat and talk Migraine headache.... Light sensitive...took Ibuprofen In bed majority of day Throat congestion 12/28 Exact same.....but tongue no longer white 12/29 Migraine Sores on top of tongue are gone. Sores remain under tongue and on sides of tongue Throat congestion gone 12/30 mild headache upon awakening.....back to work today 2 sores under tongue...all others are gone
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Photophobia
Clinical narrative: Headache Tongue sore; site tenderness; throat congestion Narrative:  12/25 tenderness at injection site Mild headache Tongue sore 12/26 tenderness at injection site Tongue white Visible sores under tongue...difficult to eat....very sore Throat congestion Mod headache.....took ibuprofen 3-4 times 12/27 Tongue very sore ...sores under tongue and on top and sides of tongue. Difficult to eat and talk Migraine headache.... Light sensitive...took Ibuprofen In bed majority of day Throat congestion 12/28 Exact same.....but tongue no longer white 12/29 Migraine Sores on top of tongue are gone. Sores remain under tongue and on sides of tongue Throat congestion gone 12/30 mild headache upon awakening.....back to work today 2 sores under tongue...all others are gone
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Muscle fatigue, Pain, Pyrexia
Clinical narrative: 1. Muscle fatigue 2. Chills 3. Headache 4. Body Ache
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: All syptoms occur at vaccination site.  Swollen itchy rash, area hot to touch.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pruritus, Urticaria
Clinical narrative: fatigue  itching  both arms  hands and hives
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: extreme headache, went back to facility and talked with nurse.  Advised to wait to see if it clears up as normal reaction to shot.  Woke up morning of 2/4 and headache was gone.
Sex: U
Vaccine: COVID19
Symptoms: Bone pain, Fatigue, Headache, Myalgia, Pain in extremity
Clinical narrative: sore arm, mild headache, aching bones and muscles, headache fever 102.5. fatigue
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Vital signs measurement
Clinical narrative: patient felt lightheaded within 5 minutes of arriving in observation areas. Vitals upon initial symptom reporting BP 158/101, HR 66, O2 sat 97%, temperature 36.9. Patient reported not eating anything this morning prior to arrival at vaccination site. Water, crackers provided. Feet elevated for 30 min and ice packs provided. Vitals 30 min later noted BP 170/78, HR 60, O2 sat 99%. Patient transported to ED via wheelchair with RN for further monitoring.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Pruritus
Clinical narrative: On day 2 (48-72 hours later), developed urticaria and itchiness. Resolved spontaneously over the next few days. Then on day 8 (1/27/2021), developed redness, itchiness, swelling, and mild pain at the injection site. Seemed to be a delayed injection site reaction. Resolved spontaneously over the next few days.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: On day 2 (48-72 hours later), developed urticaria and itchiness. Resolved spontaneously over the next few days. Then on day 8 (1/27/2021), developed redness, itchiness, swelling, and mild pain at the injection site. Seemed to be a delayed injection site reaction. Resolved spontaneously over the next few days.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: fever, chills, body aches, headache, nausea
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pain in extremity
Clinical narrative: Chills, body aches, headaches, fever, fatigue, pain in my left arm
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills, body aches, headaches, fever, fatigue, pain in my left arm
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: 1st dose of COVID19 (Pfizer) vaccine received on 12/29/2020.  Day #1 (12/30/2020) following 1st vaccine individual developed arm soreness and redness at injection site.  On Day #5 (1/2/2021), body ache, fatigue, and headache, plus development of skin eruptions on tops (anterior) of hands and arms (bilateral).  Skin eruptions associated with significant pruritus and pain.  Individual thought reaction was related to eczema (past medical history) and treatment initiated with topical steroid and hydroxyzine without relief.  Received  2nd dose of COVID19 (Pfizer) vaccine on 1/19/2021.  Following receipt of 2nd dose, skin eruptions progressed to involvement of back (posterior/dorsal) of arms/wrist, chest, face, and scalp.  Currently 2 weeks post-2nd vaccine, individual continues to have skin eruptions present with persistent pruritus and pain.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pruritus, Rash
Clinical narrative: 1st dose of COVID19 (Pfizer) vaccine received on 12/29/2020.  Day #1 (12/30/2020) following 1st vaccine individual developed arm soreness and redness at injection site.  On Day #5 (1/2/2021), body ache, fatigue, and headache, plus development of skin eruptions on tops (anterior) of hands and arms (bilateral).  Skin eruptions associated with significant pruritus and pain.  Individual thought reaction was related to eczema (past medical history) and treatment initiated with topical steroid and hydroxyzine without relief.  Received  2nd dose of COVID19 (Pfizer) vaccine on 1/19/2021.  Following receipt of 2nd dose, skin eruptions progressed to involvement of back (posterior/dorsal) of arms/wrist, chest, face, and scalp.  Currently 2 weeks post-2nd vaccine, individual continues to have skin eruptions present with persistent pruritus and pain.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Discomfort, Headache, Hyperhidrosis, Pain
Clinical narrative: sore body, body feeling heavy, chills and sweats, not being able to sleep ( the night of getting the vaccine)  headache ( next day)
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: sore body, body feeling heavy, chills and sweats, not being able to sleep ( the night of getting the vaccine)  headache ( next day)
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Laboratory test, Lymphadenopathy, Metabolic function test
Clinical narrative: Supraclavicular Lymphadenopathy
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gingival swelling, Mouth ulceration, Stomatitis, Tooth disorder
Clinical narrative: Day after injection tired and exhausted 2 days after injection fatigue 3 days post injection sores in mouth 4 days post injection ulcers in moth, swollen gums and wasn't able to put teeth together
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site warmth, Urticaria
Clinical narrative: 24 hours after injection recipient developed a sizeable welt at injection site that is warm to touch and painful.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Urticaria
Clinical narrative: low grade fever up to 101 degrees. After 36 hours, hives on right cheek appeared, despite cessation of fever.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 7 days post injection I noticed a small raised spot near the injection site that was approximately the size of a quarter. (7am)  By 9am the spot was about the size of 2 quarters, red and hot to touch.   As the day progressed the spot began to get larger, swell, become very warm to touch and extremely itchy.  By 9pm it was swollen to the size of a softball.   The next morning (24 hours since first onset of reaction)  it had progressed larger and encompassed most of my upper arm.   Today is now 8 days post reaction (14 days post injection) and it is still slightly warm on the edges of where the reaction spread and slightly red and occasionally itchy.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Swelling
Clinical narrative: Swelling in armpit on left arm, small dime size swelling in collar bone left side
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Pain, Pyrexia
Clinical narrative: fever (101.2), fatigue, body aches, foggy brain
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Pain
Clinical narrative: Fatigue, chills, body aches, elevated body temp (don't have access to thermometer, so exact temp could not be determined) - all symptoms onset 36 hours post injection and only lasted 12 hours from onset.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Erythema, Lymphadenopathy, Periorbital swelling, Rash
Clinical narrative: Patient received Moderna vaccine #2 at 1451. After 28 minutes patient alerted staff she developed a rash on her chest. Patient taken to a private room by the RN.   Initial assessment:              Patient denies any SOB or difficulty breathing. Denies any swelling in the throat. C/o rash localized to chest that itches.              VSS. Lung sounds clear to auscultation. A maculopapular rash noted on patients chest. Mild erythema noted on patient bilateral cheeks. Mild bilateral cervical lymph nodes swollen.   1545: Patient c/o increased swelling in cheeks. Mild perioribital swelling noted on exam. Lungs clear to auscultation. Rash has spread to bilateral upper extremities and chest. BP increased to 158/100. HR stable. 25 mg benadryl provided to patient.      1600: Patient states that the swelling in her face has improved. She states the rash has decreased and her itching has improved.  On exam periorbital swelling decreased. Rash has decreased in size and localized to chest.       1615: Vital signs reviewed. Patient's symptoms improving. Patient appears stable at this time and in no acute respiratory distress. Patient is able to ambulate without difficulty.          Discharge instructions verbally provided to patient. If patient's rash reappears she may take OTC benadryl as prescribed on bottle. Explained to patient that if she develops any difficulty breathing, SOB, or angioedema she should call 911 and be evaluated in ER. Patient in agreement with plan of care.    Writer plans to call patient tomorrow to follow up on status.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Swelling face
Clinical narrative: Patient received Moderna vaccine #2 at 1451. After 28 minutes patient alerted staff she developed a rash on her chest. Patient taken to a private room by the RN.   Initial assessment:              Patient denies any SOB or difficulty breathing. Denies any swelling in the throat. C/o rash localized to chest that itches.              VSS. Lung sounds clear to auscultation. A maculopapular rash noted on patients chest. Mild erythema noted on patient bilateral cheeks. Mild bilateral cervical lymph nodes swollen.   1545: Patient c/o increased swelling in cheeks. Mild perioribital swelling noted on exam. Lungs clear to auscultation. Rash has spread to bilateral upper extremities and chest. BP increased to 158/100. HR stable. 25 mg benadryl provided to patient.      1600: Patient states that the swelling in her face has improved. She states the rash has decreased and her itching has improved.  On exam periorbital swelling decreased. Rash has decreased in size and localized to chest.       1615: Vital signs reviewed. Patient's symptoms improving. Patient appears stable at this time and in no acute respiratory distress. Patient is able to ambulate without difficulty.          Discharge instructions verbally provided to patient. If patient's rash reappears she may take OTC benadryl as prescribed on bottle. Explained to patient that if she develops any difficulty breathing, SOB, or angioedema she should call 911 and be evaluated in ER. Patient in agreement with plan of care.    Writer plans to call patient tomorrow to follow up on status.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pain in extremity
Clinical narrative: Moderna Second Shot Fatigue Arm pain Headache Body aches
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Nausea, Pain in extremity
Clinical narrative: Sore arm , mild naeusia, joint soreness, loss of appitite
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Death, Pleural effusion
Clinical narrative: Patient with past medical history of CAD, CKD, sCHF, LGL Leukemia admitted to Hospital on 1/19 with pleural effusion. Pt expired on 2/1/2021. Hs of essential HTN, complete heart block, T2Diabetes,thyroid issues, stroke, papillary CA of thyroid, dyslipidemia, anemia, hypercalcemia, pulmonary nodule, hypoparathyroidism, pacemaker, bilat carotid stenosis, afib, pleural effusion, pancytopenia, cardiomyopathy, severe aortic stenosis, sick sinus syndrome, Dressler syndrome, empyema, ESRD
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Malaise, Pain, Pain in extremity
Clinical narrative: Headache Body feeling crappy Sore arm
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Death
Clinical narrative: in addition to above, pt had the  following diagnosis: portal HTN, abnormal blood chem, essential tremor, depressive disorder, abnormal glucose tolerance test, hyperlipidemia, hypothyroidism, insomnia, localized osteoarthrosis, calculus of kidney, pancytopenia, odule on liver, hepatocellular CA, hyotension, hypovolemia, hepatorenal syndrome   additional meds: zoloft, aldactone, thiamine,demadex, ultram, kenalog, vitamins, bactroban ung
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Left arm breaking out in hives in an oval area about 4" by 2"
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia
Clinical narrative: Muscle pain in lower left side and joint pain
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Very sore right shoulder.   Not in shot location but near shoulder joint.  Painful at times up to 5 on scale of 10.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Chills, Headache, Pain in extremity, Pyrexia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Headache, chills, sore arm, low grade fever for 2 days following administration starting 12 hours after vaccine. 2.5 days later, I got upper lip angioedema that resolved within 1 day with Benadryl and Zyrtec
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Chest discomfort, Electrocardiogram normal, Troponin increased
Clinical narrative: Patient received second COVID-19 vaccine. While waiting in observation, he developed chest heaviness. Described it as a 4 year old sitting on his chest. B/P up slightly at 148/102 (highest) and 143/84 (lowest). HR in the 90's. Denies chest pain and shortness of breath. Patient taken to the emergency department for observation and diagnostic testing   Patient is a recent liver transplant recipient (2020). In ED, patient's EKG was normal. Troponin less than 4. Monitored for several hours and symptoms resolved. Discharged home.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Electrocardiogram normal, Palpitations
Clinical narrative: Patient received second COVID-19 vaccine. While waiting in observation, he developed chest heaviness. Described it as a 4 year old sitting on his chest. B/P up slightly at 148/102 (highest) and 143/84 (lowest). HR in the 90's. Denies chest pain and shortness of breath. Patient taken to the emergency department for observation and diagnostic testing   Patient is a recent liver transplant recipient (2020). In ED, patient's EKG was normal. Troponin less than 4. Monitored for several hours and symptoms resolved. Discharged home.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Chest discomfort, Electrocardiogram normal, Troponin increased
Clinical narrative: patient had palpitations immediately after vaccination and a sense of 'chest pressure.'  Transferred to ED for evaluation.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Electrocardiogram normal, Palpitations
Clinical narrative: patient had palpitations immediately after vaccination and a sense of 'chest pressure.'  Transferred to ED for evaluation.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site rash
Clinical narrative: Circular rash at injection site 8 days later.  Lasted a couple of days.  Not itchy or sore just visual and a little hard
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Cough, Dyspnoea, Hiccups
Clinical narrative: I began having mild, localized left axilla pain and anterior shoulder joint pain at 24 hours post injection.   Over the next 24 hours (ie 48 hours post injection) the symptoms progressed to severe sharp, stabbing pain radiating to the left lateral neck along the jaw line, left anterior shoulder, left chest wall and along the left ribcage approximately T2/3 down to T9/10.  Also experienced gnawing-type stomach pain with some nausea at this time.  At the height of symptoms (approx 36 hours post injection), pain level was 9/10 and described as knifelike, sharp, and stabbing.  It was exacerbated by movement, particularly cough, sneeze, and hiccup.  Relieving factors included heat to the ice, but mild relief.  Pain levels began to diminish between hours 48 and 72 post-injection. By 72 hours post injection the jaw and left neck pain had resolved.  The left anterior shoulder/axilla and chest wall pain persisted, but severity had reduced from 9/10 to 4-5/10.  At 96 hours post injection severity had diminished to 2/10 with pain only at the left chest wall approximately T4/5 down to T9/10.  I am now 3.5 days out from injection and have pain level of 1/10 to the left chest wall with hiccup, sneeze, cough, and deep breath.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Pain in jaw, Sneezing
Clinical narrative: I began having mild, localized left axilla pain and anterior shoulder joint pain at 24 hours post injection.   Over the next 24 hours (ie 48 hours post injection) the symptoms progressed to severe sharp, stabbing pain radiating to the left lateral neck along the jaw line, left anterior shoulder, left chest wall and along the left ribcage approximately T2/3 down to T9/10.  Also experienced gnawing-type stomach pain with some nausea at this time.  At the height of symptoms (approx 36 hours post injection), pain level was 9/10 and described as knifelike, sharp, and stabbing.  It was exacerbated by movement, particularly cough, sneeze, and hiccup.  Relieving factors included heat to the ice, but mild relief.  Pain levels began to diminish between hours 48 and 72 post-injection. By 72 hours post injection the jaw and left neck pain had resolved.  The left anterior shoulder/axilla and chest wall pain persisted, but severity had reduced from 9/10 to 4-5/10.  At 96 hours post injection severity had diminished to 2/10 with pain only at the left chest wall approximately T4/5 down to T9/10.  I am now 3.5 days out from injection and have pain level of 1/10 to the left chest wall with hiccup, sneeze, cough, and deep breath.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Dyspnoea, Eyelid ptosis, Fatigue
Clinical narrative: a week after vaccination, patient developed fatigue and weakness, SOB, eye ptosis similar to her myasthenia flares. she was admitted for IVIG and discharged 1/31
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Immunoglobulin therapy, Myasthenia gravis
Clinical narrative: a week after vaccination, patient developed fatigue and weakness, SOB, eye ptosis similar to her myasthenia flares. she was admitted for IVIG and discharged 1/31
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Hyperhidrosis
Clinical narrative: sweats, possible fever, rigors, severe headache, nausea, severe full body myalgias and arthralgias, extreme fatigue.    Had to take Nyquil a couple times for symptoms and slept off and on for nearly 24 hours.  Symptoms have now almost totally resolved after 24 hours.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Sleep disorder
Clinical narrative: sweats, possible fever, rigors, severe headache, nausea, severe full body myalgias and arthralgias, extreme fatigue.    Had to take Nyquil a couple times for symptoms and slept off and on for nearly 24 hours.  Symptoms have now almost totally resolved after 24 hours.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Impaired work ability, Myalgia, Pyrexia
Clinical narrative: I had covid Sept 26th 2020.The day after the second shot I had covid symptoms. Seven days later I still have chills,fever,muscle aches and fatigue. I am going for a covid test today.I have missed days of work due to this vaccine.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Paraesthesia
Clinical narrative: Systemic: Other- clamminess, feeling faint, tingling all over body
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Body temperature increased, Fatigue, Feeling cold, Headache
Clinical narrative: Severe headache not responding to well to either Tylenol or ibuprofen, severe uncontrollable shaking chills, oral temperature up to 102 F.  Severe body aches, especially lower back, severe fatigue
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test negative, Tremor
Clinical narrative: Severe headache not responding to well to either Tylenol or ibuprofen, severe uncontrollable shaking chills, oral temperature up to 102 F.  Severe body aches, especially lower back, severe fatigue
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Day of shot, slightly sore arm. Next day, very sore arm so much so that I was unable to sleep on that side, plus  mild headache, feverish, chills, and body aches. The headache, feverish, chills and body ache lasted all day until I took 400 mg of ibuprofen.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Day of shot, slightly sore arm. Next day, very sore arm so much so that I was unable to sleep on that side, plus  mild headache, feverish, chills, and body aches. The headache, feverish, chills and body ache lasted all day until I took 400 mg of ibuprofen.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Demyelinating polyneuropathy, Electromyogram abnormal, Sensory loss, Ulnar neuritis
Clinical narrative: Ulnar nerve swelling causing entrapment at left elbow and wrist. Loss of sensation left ulnar nerve distribution 2 days after first vaccine. EMG demonstrated demyelinated neve with conduction velocity of 17 m/s. Loss of sensation. Motor weakness.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site rash
Clinical narrative: flat red rash at injection site. Occurred 8 days after injection. Site very slightly sore to touch
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Somnolence
Clinical narrative: Within 15-minutes of vaccination, the patient reported fatigue and feeling "sleepy". EMS monitored patient's condition on-site.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Chills, Erythema, Headache, Pain in extremity
Clinical narrative: Extreme Fever, 102.2 Severe chills Severe Headache Arm sweilling & pain- Severe redness and spreadedto elbow- Took temp of arme 102
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: Extreme Fever, 102.2 Severe chills Severe Headache Arm sweilling & pain- Severe redness and spreadedto elbow- Took temp of arme 102
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, General physical health deterioration, Influenza virus test, Laboratory test, Muscle twitching
Clinical narrative: Approximately 10 minutes after receiving the COVID- 19 vaccine resident displayed seizure activity, staring straight ahead and strong allover muscle jerking of both the up and lower extremities, color became gray, activity lasted approximately 3 minutes, resident then became relaxed, color returned to normal, BP-140/80, 97.8, 60, 16, sleeping the remainder of the shift,. Resident continued to decline until resident CTB on 1/19/21
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, SARS-CoV-2 test negative, Seizure, Skin discolouration, Staring
Clinical narrative: Approximately 10 minutes after receiving the COVID- 19 vaccine resident displayed seizure activity, staring straight ahead and strong allover muscle jerking of both the up and lower extremities, color became gray, activity lasted approximately 3 minutes, resident then became relaxed, color returned to normal, BP-140/80, 97.8, 60, 16, sleeping the remainder of the shift,. Resident continued to decline until resident CTB on 1/19/21
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial infection, Bacterial test positive, Body temperature increased, Ear pain, Fungal test negative
Clinical narrative: RECEIVED VACCINE ON WEDNESDAY JAN,20.  JANUARY 21,2021 I HAD MUSCLE ACHES AND TEMPERATURE OF 101. SYMPTONS GOT WORSE NEXT DAY WITH INCREASED BODY ACHES,FEVER,SNEEZING, EAR PAIN,GLANDS SWOLLEN. TESTED FOR COVID 19 ON 01/26/2021. RESULTS WERE NEGATIVE AND WAS TOLD TO FOLLOW UP WITH PCP AND COULD NOT RETURN TO WORK TILL SYMPTONS IMPROVING.  WENT TO PRIMARY DOCTOR AND WAS SWABBED FOR FLU,BACTERIAL.FUNGAL INFECTION. RESULTS CAME BACK AS BACTERIAL INFECTION AND AM NOW ON BACTRIM DS. STILL HAVING HEADACHE AND TIREDNESS.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Lymphadenopathy, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: RECEIVED VACCINE ON WEDNESDAY JAN,20.  JANUARY 21,2021 I HAD MUSCLE ACHES AND TEMPERATURE OF 101. SYMPTONS GOT WORSE NEXT DAY WITH INCREASED BODY ACHES,FEVER,SNEEZING, EAR PAIN,GLANDS SWOLLEN. TESTED FOR COVID 19 ON 01/26/2021. RESULTS WERE NEGATIVE AND WAS TOLD TO FOLLOW UP WITH PCP AND COULD NOT RETURN TO WORK TILL SYMPTONS IMPROVING.  WENT TO PRIMARY DOCTOR AND WAS SWABBED FOR FLU,BACTERIAL.FUNGAL INFECTION. RESULTS CAME BACK AS BACTERIAL INFECTION AND AM NOW ON BACTRIM DS. STILL HAVING HEADACHE AND TIREDNESS.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: RECEIVED VACCINE ON WEDNESDAY JAN,20.  JANUARY 21,2021 I HAD MUSCLE ACHES AND TEMPERATURE OF 101. SYMPTONS GOT WORSE NEXT DAY WITH INCREASED BODY ACHES,FEVER,SNEEZING, EAR PAIN,GLANDS SWOLLEN. TESTED FOR COVID 19 ON 01/26/2021. RESULTS WERE NEGATIVE AND WAS TOLD TO FOLLOW UP WITH PCP AND COULD NOT RETURN TO WORK TILL SYMPTONS IMPROVING.  WENT TO PRIMARY DOCTOR AND WAS SWABBED FOR FLU,BACTERIAL.FUNGAL INFECTION. RESULTS CAME BACK AS BACTERIAL INFECTION AND AM NOW ON BACTRIM DS. STILL HAVING HEADACHE AND TIREDNESS.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia
Clinical narrative: Fatigue, chills, rigors, muscle aches
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Numbing on face
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: FIRST DOSE 12-31-2020: SORE ARM FOR 3 DAYS  2ND DOSE 1-29-2021:  (NEXT DAY 1-30-2021): HEADACHE, CHILLS, FEVER 102, BODY ACHES, SORE ARM, NAUSEA, VOMITING, FATIGUE
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: FIRST DOSE 12-31-2020: SORE ARM FOR 3 DAYS  2ND DOSE 1-29-2021:  (NEXT DAY 1-30-2021): HEADACHE, CHILLS, FEVER 102, BODY ACHES, SORE ARM, NAUSEA, VOMITING, FATIGUE
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Feeling jittery, Hypoaesthesia, Movement disorder
Clinical narrative: First Moderna Covid 19 vaccine, on second day had muscle spasm and achy. Lasted a day and resolved quickly.   I took 2nd dose Moderna vaccine 2/2/21.  On 2/3/21,  I had severe muscle pain, fever/chills. Became very jittery, had numbness and tingling in my arms and upper legs.    I had severe spasm in my diaphragm/abdomen (seemed to last forever) and all of my muscles ached. I felt weak and had difficulty moving my legs.   I thought about going to the ER but what could they do?  I just took a lot of aspirin, tylenol and some old expired  muscle relaxer that I found in the cabinet. I have a high pain tolerance and gave birth naturally (8 lbs 11oz)  without any medication/epidural etc.  This pain/spasm was like labor
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle spasms, Myalgia, Paraesthesia, Pyrexia
Clinical narrative: First Moderna Covid 19 vaccine, on second day had muscle spasm and achy. Lasted a day and resolved quickly.   I took 2nd dose Moderna vaccine 2/2/21.  On 2/3/21,  I had severe muscle pain, fever/chills. Became very jittery, had numbness and tingling in my arms and upper legs.    I had severe spasm in my diaphragm/abdomen (seemed to last forever) and all of my muscles ached. I felt weak and had difficulty moving my legs.   I thought about going to the ER but what could they do?  I just took a lot of aspirin, tylenol and some old expired  muscle relaxer that I found in the cabinet. I have a high pain tolerance and gave birth naturally (8 lbs 11oz)  without any medication/epidural etc.  This pain/spasm was like labor
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Palpitations
Clinical narrative: Within 15-minutes of vaccination, the patient reported nausea and felt that their heart was racing. EMS managed patient's condition on-site.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Nausea
Clinical narrative: Systemic: Chills-Severe, Systemic: Exhaustion-Severe, Systemic: Headache-Severe, Systemic: Nausea-Severe, Systemic: Other- Dizziness, Feeling Faint-Severe; symptoms lasted 1 day
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: pt states she always has tremors, but tremors seemed to be worse since vaccination
Sex: U
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pruritus, Pyrexia
Clinical narrative: Fever, headache, body aches, fatigue and itching.  Started night of vaccine and still continues as of today Feb 4th.  Treating with Tylenol.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Dizziness
Clinical narrative: Severe dizziness along with a temperature (100-101)
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Feeling abnormal, Nasopharyngitis, Unresponsive to stimuli
Clinical narrative: Pt son, reports patient passed away on 2/1/21 in the early hours. Pt wife, told Pt's son that patient started feeling "bad" with common cold like symptoms on 1/31/21, had a temp of 99.0. Pt's wife went to take a shower, when she got out patient was unresponsive. She called EMS, they pronounced patient deceased upon arrival.    Pt's son also reports patient and Pt's wife both had their 1st COVID-19 vaccine 13 days prior. He was told by EMT on sight to notify the facility where they received their vaccines. He did contact them and was told to notify PCP.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Injection site pain, Pain
Clinical narrative: Lightheaded, fatigue, headache, body aches, injection site pain. Beginning at approximately 6 hours after injection. By 24 hours, easing of symptoms noted but not completely gone. Treated with Tylenol. Did not experience any fever.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Dizziness, Feeling cold, Headache
Clinical narrative: Chills (extreme) vertigo, nausea - started at 1030pm. Passed out- when I came to began vomitting - bile lasted approximately 4 hours. 1030 pm - began intense shaking - cold - I went to get Tylenol but found myself extremely dizzy and nauseous.  I took 4mg Zofran and 1000mg Tylenol & tried to make it back to bed. I passed out - my husband witnessed and said my legs simply collapsed, He was yelling my name and he said I moaned. He is 1 wk post op TKR so he was going to call 911. I came to and began vomiting thick yellow bile. By 2:30 I felt somewhat better. Today I am achq - my back & head hurt but I am still nauseous. Fever 99.0