chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hot flush, Myalgia, Nausea, Pain in extremity
Clinical narrative: Within 6 hours developed sore arm, fever, chills, hot flashes, nausea, stomach pain, headache, brain fog, fatigue, muscle pain. Tinnitus worsened. 8 days post shot, I have brain fog, headache, muscle pain, fatigue, nausea, stomach pain, worsened Tinnitus, sporadic Nystagmus in right eye and vertigo (sporadic & mild.   I am in between PCP?s & disabled by CPTSD. I contacted a Dr. on Monday about my symptoms & he said he would refer me to an ENT & for lab work. I haven?t received confirmation from my insurance
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tinnitus, Vertigo
Clinical narrative: Within 6 hours developed sore arm, fever, chills, hot flashes, nausea, stomach pain, headache, brain fog, fatigue, muscle pain. Tinnitus worsened. 8 days post shot, I have brain fog, headache, muscle pain, fatigue, nausea, stomach pain, worsened Tinnitus, sporadic Nystagmus in right eye and vertigo (sporadic & mild.   I am in between PCP?s & disabled by CPTSD. I contacted a Dr. on Monday about my symptoms & he said he would refer me to an ENT & for lab work. I haven?t received confirmation from my insurance
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood test abnormal, Dizziness, Fatigue, Pain in extremity
Clinical narrative: pt says she had an achy left arm w/ fatigue.  Next day she had a low-grade fever and hives on her stomach.  She started taking Benadryl per Teladoc.  She started getting very dizzy and her hives were moving towards her shoulders and her throat was closing up.  911 was called.  She was told her anxiety was very high.  She was transported to Hospital ER.  She was put on fluids and steroids, (methylprednisolone 125mg, famotidine 20mg, sodium chloride 100ml) They did blood work which showed low platelets. Her rash was bright red and spreading down her arms and her stomach while she was being monitored.  She was discharged w/ DX; Acute allergic reaction and given an EPI pen and oral steroids.  She has a FU w/PCP on 5/3/2021 to check blood platelets and will go from there.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count decreased, Pyrexia, Rash, Rash erythematous, Throat tightness
Clinical narrative: pt says she had an achy left arm w/ fatigue.  Next day she had a low-grade fever and hives on her stomach.  She started taking Benadryl per Teladoc.  She started getting very dizzy and her hives were moving towards her shoulders and her throat was closing up.  911 was called.  She was told her anxiety was very high.  She was transported to Hospital ER.  She was put on fluids and steroids, (methylprednisolone 125mg, famotidine 20mg, sodium chloride 100ml) They did blood work which showed low platelets. Her rash was bright red and spreading down her arms and her stomach while she was being monitored.  She was discharged w/ DX; Acute allergic reaction and given an EPI pen and oral steroids.  She has a FU w/PCP on 5/3/2021 to check blood platelets and will go from there.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: pt says she had an achy left arm w/ fatigue.  Next day she had a low-grade fever and hives on her stomach.  She started taking Benadryl per Teladoc.  She started getting very dizzy and her hives were moving towards her shoulders and her throat was closing up.  911 was called.  She was told her anxiety was very high.  She was transported to Hospital ER.  She was put on fluids and steroids, (methylprednisolone 125mg, famotidine 20mg, sodium chloride 100ml) They did blood work which showed low platelets. Her rash was bright red and spreading down her arms and her stomach while she was being monitored.  She was discharged w/ DX; Acute allergic reaction and given an EPI pen and oral steroids.  She has a FU w/PCP on 5/3/2021 to check blood platelets and will go from there.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Headache, Lymph node pain, Lymphadenopathy
Clinical narrative: I have had dizziness, brain fog and a feeling of "mental disconnect" for 6 days in a row. My mind just feels kind of "spongy" and I get feelings of panic in my head  which I have never had in my life. I feel very off.  My second dose was exactly a week ago. The feeling is on and off all day. It is especially strong shortly after eating anything. It almost feels like I am having a blood sugar crash, but I am not. (I don't have issues with blood sugar- that is just the best way I can describe the feeling.) The only way I can make it stop is by laying down and resting. It has interfered with my daily life and isn't improving. I also have swollen lymph nodes that are sore on the side of my right breast.  I had nothing but a sore arm for the first shot, and the day following the second shot just felt slightly achy and slight headache. I didn't start feeling this dizziness, brain fog till about 36 hours after second dose.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Panic attack
Clinical narrative: I have had dizziness, brain fog and a feeling of "mental disconnect" for 6 days in a row. My mind just feels kind of "spongy" and I get feelings of panic in my head  which I have never had in my life. I feel very off.  My second dose was exactly a week ago. The feeling is on and off all day. It is especially strong shortly after eating anything. It almost feels like I am having a blood sugar crash, but I am not. (I don't have issues with blood sugar- that is just the best way I can describe the feeling.) The only way I can make it stop is by laying down and resting. It has interfered with my daily life and isn't improving. I also have swollen lymph nodes that are sore on the side of my right breast.  I had nothing but a sore arm for the first shot, and the day following the second shot just felt slightly achy and slight headache. I didn't start feeling this dizziness, brain fog till about 36 hours after second dose.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Dyspnoea, Hypersensitivity, Pruritus, Throat tightness
Clinical narrative: 69-year-old female presents for evaluation due to allergic reaction. She received her second Covid vaccination at approximately 12:00. Approximately 15 minutes afterwards, notes that her skin was itchy. She alerted staff and EMS was called. She was given Benadryl. She was given epinephrine IM by EMS at approximately 1307 hrs. she notes at that time, felt like her throat was closing, her voice changes and was mildly short of breath.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient received 2nd dose of Pfizer COVID19 vaccine on 2/10/21.  Patient exhibited COVID like symptoms starting 4/9/21 and tested COVID positive on 4/12/21
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: Day of vaccine (evening) arm soreness at injection site, swollen lymph node in armpit of injected arm Day after vaccine (upon waking 4/9/21), arm very sore, round red patch of skin/inflammation at injection site, swollen painful lymph node in armpit of injected arm Day after vaccine (around 11:00 a.m.), started feeling very fatigued, body achy, tingly skin, cold chills so rested the remainder of the day. Felt better the next day (4/10/21).
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Day of vaccine (evening) arm soreness at injection site, swollen lymph node in armpit of injected arm Day after vaccine (upon waking 4/9/21), arm very sore, round red patch of skin/inflammation at injection site, swollen painful lymph node in armpit of injected arm Day after vaccine (around 11:00 a.m.), started feeling very fatigued, body achy, tingly skin, cold chills so rested the remainder of the day. Felt better the next day (4/10/21).
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Dizziness, Headache, Pyrexia
Clinical narrative: high fever for two days, vomiting only once, diarrhea, dizziness, a lot of abdominal pain, headache
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: high fever for two days, vomiting only once, diarrhea, dizziness, a lot of abdominal pain, headache
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Adverse event started on 3/20/2021 (2nd Moderna shot given in p.m. on 3/18/2021 in right arm. First Moderna injection  had been in left arm with only mild muscle tenderness reaction) On 3/20/2021 in a.m. swollen lymph nodes appeared in armpit of right arm. (arm of injection).  Next day moved to rt. side breast tissue.  Third day moved to collar bone and lower neck. 4th day moved up neck to behind ear. Lasted approx 3 days in ear area before totally dissipating.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Body aches, chills, low grade fever, tiredness
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Tinnitus, Vertigo
Clinical narrative: Dizziness,   Vertigo and tinnitus in right ear  Nausea
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Deep vein thrombosis, Dyspnoea, Fibrin D dimer, Hypoxia
Clinical narrative: 4/1/21 Patient developed breathlessness, it progressed until she presented to local ER 4/13 with hypoxemia, tachycardia due to Submassive pulmonary emboli, also found to have R pulmonary infarct and asymptomatic DVTs in R femoral and popliteal, L popliteal veins.  Patient was admitted to hospital, treated with IV UFH, doing well.  Anticipate discharge in 1-2 days. Note hospitalization data below is tentative as pt is still in hospital
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Pulmonary infarction, Tachycardia, Ultrasound scan abnormal
Clinical narrative: 4/1/21 Patient developed breathlessness, it progressed until she presented to local ER 4/13 with hypoxemia, tachycardia due to Submassive pulmonary emboli, also found to have R pulmonary infarct and asymptomatic DVTs in R femoral and popliteal, L popliteal veins.  Patient was admitted to hospital, treated with IV UFH, doing well.  Anticipate discharge in 1-2 days. Note hospitalization data below is tentative as pt is still in hospital
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: 10 MINUTES AFTER RECEIVING THE VACCINE, SHE FELT LIGHTHEADED AND VOMITED. ON SITE EMS RESPONDED. VITALS BELOW. NO HEADACHE. AFTER BEING MONITORED, SHE WAS RELEASED HOME. SHE CALLED SOMEONE WHO CAME AND PICKED HER UP.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Oedema peripheral, Peripheral swelling, Ultrasound Doppler
Clinical narrative: pt came into the office with symptoms of  left lower extremity swelling/edema.  Ultrasound was done that determined patient  is Positive for acute deep vein thrombosis of the left femoral and left popliteal veins.  Pt placed on Eliquis right away.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Injection site pain, Pyrexia, Sleep disorder
Clinical narrative: Severe chills, fever (99.6+ F), lasted about 60 min., treated with 500ml APAP.. Accelerated heart rate (~105), ache at injection site persisted overnight. Difficulty sleeping. Mild cough from onset of symptoms until present.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pulmonary embolism, Thrombectomy
Clinical narrative: DVT in calf that turned in to substantial pulmonary embolisms in both lungs with no prior blood clot history. Treatment included a TPA to dissolve clots as well as vascular surgery to remove clots not dissolved in the left lung.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Feeling abnormal, Headache, Pain
Clinical narrative: Began to feel poorly about 7 hours post injection.  Basically like I was getting the flu but the onset was very fast.  Within an hour I had severe chills, body aches, headache and shivering.  This lasted for about 6 - 8 hours and then began to subside.  I never registered a fever.  The following day I just felt kinda blah, without a lot of energy but all symptoms were gone.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea, Presyncope
Clinical narrative: Post vaccine pt became dizzy, sweaty and experienced nausea. Pt transferred to med obs. Accompanied by parents. Pt reports immediately feeling better after lying down on stretcher. Vitals obtained and monitored. Per on site physician - pt experienced classic non syncopal vasovagal reaction - resolved.  Pt released at 0857 with parents. Vitals as follows:  0845 LYING BP 120/83 HR 65 RR 18 SpO2 97% 0840 SITTING BP 113/67 HR 78 RR 18 SpO2 100% 0850 STANDING BP 130/75 HR 93 RR 18 SpO2 96%
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: Severe chills from 6:30pm-3am
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Rash, Rash erythematous
Clinical narrative: DIARRHEA THE FIRS SIX DAYS AFTER THE VACCINE RED RASH IN BOTH LEGS WITHIN THE LAST FEW DAYS
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Haematology test, Laboratory test, Palpitations, Pregnancy test
Clinical narrative: SYMPTOMS PRESENTED: SEIZURES, PALPITATIONS, FEVER, PULSE IN 125-130 FOR SEVERAL HOURS EVEN WHEN I WAS RESTING, BLOOD PRESSURE 86/66
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Seizure, Urine analysis
Clinical narrative: SYMPTOMS PRESENTED: SEIZURES, PALPITATIONS, FEVER, PULSE IN 125-130 FOR SEVERAL HOURS EVEN WHEN I WAS RESTING, BLOOD PRESSURE 86/66
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain
Clinical narrative: About 24 hours after injection, joint and body aches that lasted about 36 hours.  Experienced similar with first injection, but second was much elevated.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Lymphadenopathy
Clinical narrative: 4/9   ( day 1)      fatigue, malaise,  sore arm at injection site 4/10 ( day 2)     sore arm at injection site , mild headache   (intermittent) 4/11  ( day 3)    mild headache   (intermittent),  4/12   ( day 4)   felt great  in AM , progressively worse  as day progressed:  strong  headache, fatigue, nausea, chills 4/13   (day 5)    felt great  4/14   (day 6)     PUSTULES on RT wrist (along same vein)   and RT thigh , swollen lymph node  RT armpit  ( injection arm) ,  very fatigued, chills , nauseous 4/15   (day 7)      Feel better overall, Pustules remain but smaller, no new ones
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Pustule
Clinical narrative: 4/9   ( day 1)      fatigue, malaise,  sore arm at injection site 4/10 ( day 2)     sore arm at injection site , mild headache   (intermittent) 4/11  ( day 3)    mild headache   (intermittent),  4/12   ( day 4)   felt great  in AM , progressively worse  as day progressed:  strong  headache, fatigue, nausea, chills 4/13   (day 5)    felt great  4/14   (day 6)     PUSTULES on RT wrist (along same vein)   and RT thigh , swollen lymph node  RT armpit  ( injection arm) ,  very fatigued, chills , nauseous 4/15   (day 7)      Feel better overall, Pustules remain but smaller, no new ones
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain in extremity, Pyrexia
Clinical narrative: Fever and Chills. Pain on Arm. Headache.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Feeling cold, Headache, Pain
Clinical narrative: Severe body pain Headaches, Freezing Chills, no Appetite, .
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Neck pain, Urticaria
Clinical narrative: Employee took Moderna Covid Vaccine at 1:40 pm and at 2:00 pm, the employee was nauseated, lightheaded, hives that covered her body and had neck pain. she was sent to the ER and was given meds. Hospital staff spoke with the employee this morning and she stated that she feels ok neck pain is still there and some bumps from the hives are still present. she did say that the redness is gone and she was still taking benedryl.
Age: 32.0
Sex: F
Vaccine: UNK
Symptoms: Headache
Clinical narrative: I am getting severe headaches every day evening starting from 4PM till next day morning and again it triggers in the evening
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Contusion, Pain in extremity, Platelet count normal, Thrombosis
Clinical narrative: Blood Clot and bruising on lower backside of leg, I noticed leg Pain (just uncomfortable) in the right leg at the location of clot. A time frame in relationship to the time of shot is unkown. Estimated within 24 hours. Bruising appeared morning of 04/14/21, PCP recommended in person visit. I went to urgent care, they had me drive to emergency Room at local hospital. Evaluation, blood testing and imaging concluded a blood clot in the lower right leg. Blod thinners was prescribed Eliquia 5 mg, discharged same day. It may be possible the hospital had submitted this form on my behalf.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Pain, Pyrexia
Clinical narrative: Temperature above 101 for 24 hours - took Excedrin to reduce fever and aches - Followed by dizziness and nausea the following day
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: THE PATIENT WAS DIZZY AND LIGHTHEADED AFTER SECODN DOSE OF MODERNA COVID VACCINE ADMINISTRATION
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID 19 CASE AFTER COMPLETED VACCINE SERIES  2 DOSES OF PFIZER VACCINE GIVEN-  1/5/2021 EL0140 AND 1/26/2021 EL3302 ASYMPTOMATIC POSITIVE PCR TEST ON 4/12/2021;   REMAINS ASYMPTOMATIC
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Eczema, Pruritus, Rash
Clinical narrative: Itching and rash that would develop and last for a few hours then disappear, it would be in different places on my body but mostly my chest, back , neck and arms, also at times even my genitalia. The itching would be intense enough for me to take antihistamines and put steroid creams on it. At first I thought it may be other bug bites, or skin allergies but the way it kept moving and disappearing made me suspicious. The dr thought it was eczema after seeing pictures of it, but a few days after seeing her the incidences suddenly stopped , that was also about 3 weeks or soafter my second covid shot.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Skin warm
Clinical narrative: Pt reports right leg pain, slight warmth, no redness
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Diarrhoea, Dizziness
Clinical narrative: Gastrointestinal distress/diarrhea , dizzy spells
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Eye movement disorder
Clinical narrative: Dizzy after 5 min vaccine.  Eyes rolled back few sec.   Father shook him.  Took 5 sec. to respond.  Drinking water said it helps.  Didn't eat breakfast father said.  Paramedics took him to Hospital.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: In the middle of the night, I AWAKENED to the MOST SEVERE PAIN in my left arm. Thought perhaps a clot or a heart attack. ALTHO IVE NEVER HAD EITHER SO I DIDNT KNOW WHAT WHAT HAPPENING.  I just lay there in place. I was awake and alert so I figured neither of the above. However, when I tried to use my arm, in a number of directions,  It was extremely painful. I could not put this arm behind my back as tho to scratch my back. I am not sure if it was an attack on a MUSCLE or TENDON. I do know that in December 2019 I was given a 3-day dose of CIPRO anti-Biotics WHEN in the middle of the THIRD night I awakened with exactly the same reaction to the COvid vaccine BUT IN MY RIGHT LEG. In both instances it has taken me months to heal. I did go for therapy for my right leg event. Not for the left arm.  I can only conclude that there is a connection between the medications.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Abdominal pain within approximately two weeks after receiving shot.  Lasted for approximately 6-8 hours.  Eventually went away. Headache for approximately 18 hours five weeks after getting shot.  Reporting headache since I only will have infrequently and dull.  This was acute and lasted 18 hours.   Eventually went away.  Did not return.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: On 4/14/21 patient noted redness and swelling in his right arm, lower bicep area, closer to the elbow.  Redness is ~ 5x3 inches.  Area of induration is the size of a quarter.  C/O itching.  Denies any obvious bug bite.  Called his physician, who reported to him that it could be "Moderna arm" or bug bite.  Unsure about "Moderna arm" due to 2 months since last shot.  Starting on steroids.  If worsens, will treat with antibiotics.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Burning sensation, C-reactive protein normal, Double stranded DNA antibody, Full blood count
Clinical narrative: 42 y/o F with a history of uterine prolapse, GERD who is presenting with low back pain x4-5 days, about 2 weeks after receiving the Moderna vaccine on 3/28; she also developed a raised patchy erythematous rash on her L deltoid (site of vaccine injection) a few days prior to onset of the pain.  Symptoms began Saturday, 4/10; pt was helping her mother around her house; was not straining excessively; however, later that day had a sudden burning sensation in her lower-mid back, which has since been recurring in paroxysms.  At times it spreads into the posterior thighs but not into the feet; sometimes also spreads upward into the upper back and just below the chin.  In between attacks, there is no pain or numbness.  There has never been weakness. No urinary/bowel incontinence or saddle anesthesia; sphincter tone was normal.  NIF/FVC normal -60, 2.3L.  Paroxysmal pain controlled w/ 600mg gabapentin q8h since being hospitalized.  There has been no development or progression or symptoms, still only pain and normal neurologic and physical exam.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Injection site rash, Laboratory test normal, Magnetic resonance imaging spinal normal, Metabolic function test
Clinical narrative: 42 y/o F with a history of uterine prolapse, GERD who is presenting with low back pain x4-5 days, about 2 weeks after receiving the Moderna vaccine on 3/28; she also developed a raised patchy erythematous rash on her L deltoid (site of vaccine injection) a few days prior to onset of the pain.  Symptoms began Saturday, 4/10; pt was helping her mother around her house; was not straining excessively; however, later that day had a sudden burning sensation in her lower-mid back, which has since been recurring in paroxysms.  At times it spreads into the posterior thighs but not into the feet; sometimes also spreads upward into the upper back and just below the chin.  In between attacks, there is no pain or numbness.  There has never been weakness. No urinary/bowel incontinence or saddle anesthesia; sphincter tone was normal.  NIF/FVC normal -60, 2.3L.  Paroxysmal pain controlled w/ 600mg gabapentin q8h since being hospitalized.  There has been no development or progression or symptoms, still only pain and normal neurologic and physical exam.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Pregnancy test urine negative, Rash, Rash erythematous, Rash papular
Clinical narrative: 42 y/o F with a history of uterine prolapse, GERD who is presenting with low back pain x4-5 days, about 2 weeks after receiving the Moderna vaccine on 3/28; she also developed a raised patchy erythematous rash on her L deltoid (site of vaccine injection) a few days prior to onset of the pain.  Symptoms began Saturday, 4/10; pt was helping her mother around her house; was not straining excessively; however, later that day had a sudden burning sensation in her lower-mid back, which has since been recurring in paroxysms.  At times it spreads into the posterior thighs but not into the feet; sometimes also spreads upward into the upper back and just below the chin.  In between attacks, there is no pain or numbness.  There has never been weakness. No urinary/bowel incontinence or saddle anesthesia; sphincter tone was normal.  NIF/FVC normal -60, 2.3L.  Paroxysmal pain controlled w/ 600mg gabapentin q8h since being hospitalized.  There has been no development or progression or symptoms, still only pain and normal neurologic and physical exam.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, Rheumatoid factor negative, SARS-CoV-2 test negative, White blood cell count normal
Clinical narrative: 42 y/o F with a history of uterine prolapse, GERD who is presenting with low back pain x4-5 days, about 2 weeks after receiving the Moderna vaccine on 3/28; she also developed a raised patchy erythematous rash on her L deltoid (site of vaccine injection) a few days prior to onset of the pain.  Symptoms began Saturday, 4/10; pt was helping her mother around her house; was not straining excessively; however, later that day had a sudden burning sensation in her lower-mid back, which has since been recurring in paroxysms.  At times it spreads into the posterior thighs but not into the feet; sometimes also spreads upward into the upper back and just below the chin.  In between attacks, there is no pain or numbness.  There has never been weakness. No urinary/bowel incontinence or saddle anesthesia; sphincter tone was normal.  NIF/FVC normal -60, 2.3L.  Paroxysmal pain controlled w/ 600mg gabapentin q8h since being hospitalized.  There has been no development or progression or symptoms, still only pain and normal neurologic and physical exam.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous, Rash pruritic
Clinical narrative: Red, itchy rash at site of injection.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: constant ringing in ears since April 10th
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Headache, Injection site pain, Lymph node pain
Clinical narrative: Day2 - 3 had a sore arm at site of innoculation.  Painful, but seemed in-line with expectations.  On Day 4  I (patient) was cold  and unable to get warm.  Day 5 at ~7pm I suddenly felt my lymph glands in my throat get very painful.  A few hours later noticed that lymph glands under my arms were very sore.  Very, very tired.  Slight headache.  Slightly nauseous.  Day 6.  Still exhausted.  Still swollen lymph glands.  Still slight headache
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Day2 - 3 had a sore arm at site of innoculation.  Painful, but seemed in-line with expectations.  On Day 4  I (patient) was cold  and unable to get warm.  Day 5 at ~7pm I suddenly felt my lymph glands in my throat get very painful.  A few hours later noticed that lymph glands under my arms were very sore.  Very, very tired.  Slight headache.  Slightly nauseous.  Day 6.  Still exhausted.  Still swollen lymph glands.  Still slight headache
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: Injection site pain and slight headache  Took Tylenol and Ibuprofen
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Migraine
Clinical narrative: Developed a migraine headache and extreme exhaustion on April 13 and 14, 2021. Took Tylenol and bed rest.  Felt better on April 15, 2021.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: I have not had adverse effects. My OBGYN recommended to start a case though so that the CDC and or FDA can get additional info from me in case of future questions.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Injury, Malaise, Nausea, Pallor
Clinical narrative: Shortly after receiving vaccination patient had a witnessed syncopal event while in a seated position. Pt fell forward from the chair sustaining a nasal injury resulting in epistaxis. EMS was called to the scene. Initial VS prior to EMS arrival was: BP138/80, HR 74, RR 16. When EMS arrived patient was moved into a seated position on the floor. Within 1 minute patient stated that they didn't feel well like they were going to pass out again, became nauseous and pale. Patient placed in supine position and repeat VS of BP: 95/53, HR 72 and RR 16. Patient was placed on EMS stretcher and transported to  Hospital Emergency Department for further evaluation/treatment. *Of note, patient stated afterwards that he has passed out with prior lab draws/immunizations.*
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Shortly after receiving vaccination patient had a witnessed syncopal event while in a seated position. Pt fell forward from the chair sustaining a nasal injury resulting in epistaxis. EMS was called to the scene. Initial VS prior to EMS arrival was: BP138/80, HR 74, RR 16. When EMS arrived patient was moved into a seated position on the floor. Within 1 minute patient stated that they didn't feel well like they were going to pass out again, became nauseous and pale. Patient placed in supine position and repeat VS of BP: 95/53, HR 72 and RR 16. Patient was placed on EMS stretcher and transported to  Hospital Emergency Department for further evaluation/treatment. *Of note, patient stated afterwards that he has passed out with prior lab draws/immunizations.*
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Computerised tomogram, Full blood count, Headache, Metabolic function test
Clinical narrative: Tachycardia, elevated BP, nausea, headache
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Tachycardia, Troponin, Urine analysis, X-ray
Clinical narrative: Tachycardia, elevated BP, nausea, headache
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Chills, Headache, Influenza like illness, Myalgia
Clinical narrative: flue like symptoms the day after shot.  Then weekly for four or five hours each week after shot.  Usually six to eight days apart.  Chills and muscle pain.  low fever when checked.  Treated with pain medication, ibuprofen, etc.    First week was Wednesday March 3.  other weeks were on Wednesday, Thursday, or Friday.  Only once a week.  Last night episode occurred, Wednesday April 14.  I do not think any weeks were skipped.  The last two episodes were milder.    I also have mild headaches and mild balance issues.  I had covid the last of December.  It is possible that the headaches and balance issues are from that.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: flue like symptoms the day after shot.  Then weekly for four or five hours each week after shot.  Usually six to eight days apart.  Chills and muscle pain.  low fever when checked.  Treated with pain medication, ibuprofen, etc.    First week was Wednesday March 3.  other weeks were on Wednesday, Thursday, or Friday.  Only once a week.  Last night episode occurred, Wednesday April 14.  I do not think any weeks were skipped.  The last two episodes were milder.    I also have mild headaches and mild balance issues.  I had covid the last of December.  It is possible that the headaches and balance issues are from that.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Ear pain, Headache, Pain, Pyrexia
Clinical narrative: Low grade fever, headache and body aches approximately 16hrs after injection which resolved approximately 12-18hrs after onset. This report concerns sudden and progressive right ear pain in mastoid region beginning 8 days after immunization. Causing aching, tenderness, pain and pressure behind bottom of right ear and just below ear canal area which causes waking at night and pain throughout the day. Initial appointment with primary care MD for workup and treatment on 15April21.  Outcome pending at time of this report.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Tenderness
Clinical narrative: Low grade fever, headache and body aches approximately 16hrs after injection which resolved approximately 12-18hrs after onset. This report concerns sudden and progressive right ear pain in mastoid region beginning 8 days after immunization. Causing aching, tenderness, pain and pressure behind bottom of right ear and just below ear canal area which causes waking at night and pain throughout the day. Initial appointment with primary care MD for workup and treatment on 15April21.  Outcome pending at time of this report.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Pt vaccinated and immediately felt, hot, sweaty, faint. Hx of having similar reaction to vaccines in the past. No medical problems. No medications. Ate a "snack" this AM. Drank fluids this AM. Pt wheeled without incident to triage area. Feeling a little better after drinking 16 oz water. Appears A & O X 3, no distress, diaphoretic, skin warm and moist to touch Mood and affect normal  Initial vitals 10:30 am - P78 PO2 95% RA BP 113/62  Repeat vitals  1040 am P71 PO2  97% BP 104/56 Repeat vitals 1046 am P76 PO2 97% BP 100/57 Repeat vitals 1048 am P76 BP 102/61 Reports feeling better after water and Gatorade.   Pt advised hydration. Advised immediate medical attention should symptoms persist or worsen Hypotension , Hypotension
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Injection site discolouration, Laboratory test, Peripheral swelling, Thoracic outlet syndrome
Clinical narrative: Diagnosed with right upper arm DVT.  Extensive DVT from right clavicle to elbow via ultrasound, diagnosed with potential venous thoracic outlet syndrome, but MRI has not been completed. Started on Xarelto 20 mg daily.  Right arm swelling, discoloration.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Diagnosed with right upper arm DVT.  Extensive DVT from right clavicle to elbow via ultrasound, diagnosed with potential venous thoracic outlet syndrome, but MRI has not been completed. Started on Xarelto 20 mg daily.  Right arm swelling, discoloration.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Pain in the arm
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Dysphagia, Flushing
Clinical narrative: Approximately 10-15 minutes after receiving vaccine the patient experienced flushing, metallic taste, and difficulty swallowing. He was immediately taken to a separate room for vitals to be assessed and he took oral Benadryl. Patient was observed for a total of 45 minutes and he felt fine after that and reports he was back to normal. He did not have any issues or experience any side effects the rest of the day.  Patient also reports that after he received his second dose of the vaccine on 3/12/21 he did not experience any adverse effects, however, he did take a Benadryl before receiving the 2nd vaccine to minimize any adverse effects.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in left ear
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Individual is a foreign exchange student and  presented with his guardian. This nurse questioned the patient's age. Age at date of vaccine is 17. The guardian stated that she had spoke to the Health Department and they told her it was okay for the individual to receive the vaccine at 17 years old.  Patient was able to self register and book appointment through the system for this clinic that had Moderna only vaccine. This nurse administered vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Feeding disorder, Muscle tightness, Pain in jaw, Trismus
Clinical narrative: I experienced extreme jaw pain on the morning of March 1, Day 5 after receiving Dose 2.  I could barely eat, the pain was so intense and my ability to open my jaw so limited.  Six weeks later, I am finally having less pain but it has not gone away completely.  I am not sure it is associated with the vaccine but wanted to report it.  This is extremely unusual for me.  And the duration of the tightness/pain was exceptionally unusual.  I saw my dentist to redo a filling on March 29 and I could not open my jaw enough for him to do the work.  He said that I was unable to open my mouth more than an inch less than my baseline.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Vomiting
Clinical narrative: Extreme Migraine for 48 hours, vomitting for 48 hours.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Painful respiration, Sleep disorder
Clinical narrative: On March 18th I work up with injection site very sore #8 out out of 10. It lasted 5 days which made sleeping difficult. When the arm pain left I got #* out of 10 pain in my right back shoulder blade. The pain was not surface pain it felt  deeper. It would even hurt to breath in deep. It lasted 6 days and than started to come and go  for hours at a time. Because I still had intermittent  pain I canceled the second dose. It  presently is  all but gone with just the feeling that I know where the pain was so maybe just a 1.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis, Gingival bleeding, Nasal cavity packing
Clinical narrative: Day after had severe gum bleeding at dentist cleaning, on February 24th had a blood nose hemmorage, needed to go to emergency department. They had to insert a nasal balloon because I wouldn't clot for about 4 hrs.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal sensation in eye, Blepharospasm, Facial paralysis
Clinical narrative: In 15 min I felt my tongue was numb  I left and my face on the right side was drupping  My eye was cold because the bottom lid was dripping so I held it closed 3 hour later it went back to normal.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lymph node pain, Lymphadenopathy, Pain
Clinical narrative: headache, fever, chills, aches (18 hours) painful swollen lymph nodes under right arm (7 hours at time of report and continuing)
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: headache, fever, chills, aches (18 hours) painful swollen lymph nodes under right arm (7 hours at time of report and continuing)
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Rash pruritic
Clinical narrative: Janssen COVID-19 Vaccine EUA On 4/13/2021, I work up and noticed a rash on both of my hands and wrists consisting of little small red docs about the size of a pencil eraser.  That night, my knees where very itchy and I noticed the rash was on my knees, thighs and hips.  On 4/14/2021, I woke up and the rash was all over my body from the neck down.  My left arm was very red with my right arm not having as much redness.  My knees very extremely red with little normal skin color showing.  The rash was slightly itchy.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injected limb mobility decreased, Pain
Clinical narrative: Sharp shooting pain in injection shoulder when I try to move my arm beginning a few hours after injection.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Conjunctival haemorrhage
Clinical narrative: right medial subconjunctival hemorrhage ~12 hours after both Moderna vaccines without any other possible illiciting event. pt reports the hemorrhage continued to come and go for two weeks after the first Moderna dose.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Migraine
Clinical narrative: Ocular migrane, tingling in left arm, chills, nausea, exhaustion, headache for two days, diarrhea.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia
Clinical narrative: Ocular migrane, tingling in left arm, chills, nausea, exhaustion, headache for two days, diarrhea.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vertigo
Clinical narrative: Continued Vertigo since second shot.  Not requiring medical attention but bothersome  and effects daily tasks
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Thrombosis, Ultrasound scan abnormal
Clinical narrative: Developed pain in right calf and hamstring.  No improvement over the next few days.  Went to Vein specialist and they performed an ultrasound.  A blood clot was found in my right calf.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Pain in extremity, Ultrasound scan
Clinical narrative: Developed pain in right calf and hamstring.  No improvement over the next few days.  Went to Vein specialist and they performed an ultrasound.  A blood clot was found in my right calf.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Thrombosis, Ultrasound scan abnormal
Clinical narrative: Patient presenting with right calf pain that began on 4/10/2021. Diagnosed on 04/15/2021 with right lower extremity DVT.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Pain in extremity, Ultrasound scan
Clinical narrative: Patient presenting with right calf pain that began on 4/10/2021. Diagnosed on 04/15/2021 with right lower extremity DVT.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Blood thyroid stimulating hormone normal, CSF glucose normal, CSF protein normal, CSF white blood cell count
Clinical narrative: Admitted to hospital on 4/10 with 2 day history of mydriasis, diplopia with blurry vision, dizziness and balance difficulty. Found to have enhancement of 6th and 3rd CNs on MRI. Patient continued to have blurry and double vision during her stay and mild gait instability. She developed mild frontal headache managed with Tylenol. Her exam was remarkable for mydriasis, mild lateral gaze limitation R>L, mild dysmetria, dizziness and unsteady gait without notable ataxia. No papilledema. Her reflexes were 2+ in her BL UE and LEs.  Pediatric Neurology and ophthalmology consulted and followed patient. Eye exam remarkable for bilateral cranial nerve 6 palsy but no other element of CN3 palsy and bilateral dilated but unreactive pupils. Patient treated with IVIG 1mg/kg/day x2 days for likely miller fisher syndrome variant of Guillain-Barre.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Dizziness, Drug screen negative, Dysmetria, Gait disturbance
Clinical narrative: Admitted to hospital on 4/10 with 2 day history of mydriasis, diplopia with blurry vision, dizziness and balance difficulty. Found to have enhancement of 6th and 3rd CNs on MRI. Patient continued to have blurry and double vision during her stay and mild gait instability. She developed mild frontal headache managed with Tylenol. Her exam was remarkable for mydriasis, mild lateral gaze limitation R>L, mild dysmetria, dizziness and unsteady gait without notable ataxia. No papilledema. Her reflexes were 2+ in her BL UE and LEs.  Pediatric Neurology and ophthalmology consulted and followed patient. Eye exam remarkable for bilateral cranial nerve 6 palsy but no other element of CN3 palsy and bilateral dilated but unreactive pupils. Patient treated with IVIG 1mg/kg/day x2 days for likely miller fisher syndrome variant of Guillain-Barre.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome, Headache, Immunoglobulin therapy, Magnetic resonance imaging head abnormal, Miller Fisher syndrome
Clinical narrative: Admitted to hospital on 4/10 with 2 day history of mydriasis, diplopia with blurry vision, dizziness and balance difficulty. Found to have enhancement of 6th and 3rd CNs on MRI. Patient continued to have blurry and double vision during her stay and mild gait instability. She developed mild frontal headache managed with Tylenol. Her exam was remarkable for mydriasis, mild lateral gaze limitation R>L, mild dysmetria, dizziness and unsteady gait without notable ataxia. No papilledema. Her reflexes were 2+ in her BL UE and LEs.  Pediatric Neurology and ophthalmology consulted and followed patient. Eye exam remarkable for bilateral cranial nerve 6 palsy but no other element of CN3 palsy and bilateral dilated but unreactive pupils. Patient treated with IVIG 1mg/kg/day x2 days for likely miller fisher syndrome variant of Guillain-Barre.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Mydriasis, SARS-CoV-2 test negative, Scan with contrast abnormal, Treponema test negative, Vision blurred
Clinical narrative: Admitted to hospital on 4/10 with 2 day history of mydriasis, diplopia with blurry vision, dizziness and balance difficulty. Found to have enhancement of 6th and 3rd CNs on MRI. Patient continued to have blurry and double vision during her stay and mild gait instability. She developed mild frontal headache managed with Tylenol. Her exam was remarkable for mydriasis, mild lateral gaze limitation R>L, mild dysmetria, dizziness and unsteady gait without notable ataxia. No papilledema. Her reflexes were 2+ in her BL UE and LEs.  Pediatric Neurology and ophthalmology consulted and followed patient. Eye exam remarkable for bilateral cranial nerve 6 palsy but no other element of CN3 palsy and bilateral dilated but unreactive pupils. Patient treated with IVIG 1mg/kg/day x2 days for likely miller fisher syndrome variant of Guillain-Barre.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Vitamin D decreased
Clinical narrative: Admitted to hospital on 4/10 with 2 day history of mydriasis, diplopia with blurry vision, dizziness and balance difficulty. Found to have enhancement of 6th and 3rd CNs on MRI. Patient continued to have blurry and double vision during her stay and mild gait instability. She developed mild frontal headache managed with Tylenol. Her exam was remarkable for mydriasis, mild lateral gaze limitation R>L, mild dysmetria, dizziness and unsteady gait without notable ataxia. No papilledema. Her reflexes were 2+ in her BL UE and LEs.  Pediatric Neurology and ophthalmology consulted and followed patient. Eye exam remarkable for bilateral cranial nerve 6 palsy but no other element of CN3 palsy and bilateral dilated but unreactive pupils. Patient treated with IVIG 1mg/kg/day x2 days for likely miller fisher syndrome variant of Guillain-Barre.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Dyspnoea, Emphysema, Lymphadenopathy, Pain of skin
Clinical narrative: Patient reports that she received the Johnson & Johnson vaccine on Sunday 4/11/21. She reports feeling no symptoms until Tuesday 4/13/21. She is experiencing tenderness under her left armpit and feels that her breathing is tighter than normal (COPD, emphysema, smoker).
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Physical examination abnormal, Tenderness, Tobacco user
Clinical narrative: Patient reports that she received the Johnson & Johnson vaccine on Sunday 4/11/21. She reports feeling no symptoms until Tuesday 4/13/21. She is experiencing tenderness under her left armpit and feels that her breathing is tighter than normal (COPD, emphysema, smoker).
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash of small bumps has appeared on both shoulders this morning (2 days after vax).
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Headache, Myalgia, Nausea
Clinical narrative: 36 hours after injection I started having headaches. Then nausea, regurgitation extreme chills with muscle pain. 6 days later 4/15/21 I still have nausea with lower stomach pain.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Regurgitation
Clinical narrative: 36 hours after injection I started having headaches. Then nausea, regurgitation extreme chills with muscle pain. 6 days later 4/15/21 I still have nausea with lower stomach pain.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: 12 hours after shot, I had chills & aches & fever but starting 24 hours after I've just had continued fever & headaches.  I've continued to hold a fever of at least 99.5 and a continual headache for 6 days now. The only relief is taking ibuprofen and tylenol together. I contacted my Dr who is out of office and the Dr on call suggested rest, increased fluids & continued OTC meds. After contacting pharmacy today because of continued fever, she suggested I contact VAERS. I thought maybe this would tell me if I need to go have lab work done or if there is anything else that will bring relief.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus
Clinical narrative: Injection site has become large, red, hard, itchy bump. Roughly the size of a quarter