chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypotension, Paraesthesia oral, Urticaria
Clinical narrative: About 5 minutes after receiving the shot, my upper lip started tingling. Then both upper and lower lips were tingling. I could drink ok, so no problem swallowing. They took my blood pressure at the time and it was 104/55. I have low blood pressure but that was lower than normal. I stayed for 30 minutes and the tingling would come and go. They did offer to call an ambulance but I declined. I got up this morning and have 2 welts on my forehead and the left side of my lips are still tingling, and occasionally the right side. I will call my doctor tomorrow morning.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging head, Paraesthesia, Paraesthesia oral
Clinical narrative: About 5 minutes after receiving the shot, my upper lip started tingling. Then both upper and lower lips were tingling. I could drink ok, so no problem swallowing. They took my blood pressure at the time and it was 104/55. I have low blood pressure but that was lower than normal. I stayed for 30 minutes and the tingling would come and go. They did offer to call an ambulance but I declined. I got up this morning and have 2 welts on my forehead and the left side of my lips are still tingling, and occasionally the right side. I will call my doctor tomorrow morning.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Dizziness, Heart rate increased, Malaise
Clinical narrative: MY heart rate increased to 88 when my normal is 55 and my blood pressure went to 246/120 within the first five minutes. I felt totally incapacitated, nauseous,  lightheaded, "wiped out", generally drugged and ill. This lasted for about 45 minutes and then subsided. For the rest of the day I had periods off and on of feeling exhausted and tired.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: MY heart rate increased to 88 when my normal is 55 and my blood pressure went to 246/120 within the first five minutes. I felt totally incapacitated, nauseous,  lightheaded, "wiped out", generally drugged and ill. This lasted for about 45 minutes and then subsided. For the rest of the day I had periods off and on of feeling exhausted and tired.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Balance disorder, Chills, Fatigue, Headache
Clinical narrative: About 9 hours after the vaccine I started having muscle and joint pain (bad low back pain, pain in neck, arms, wrists, knees, ankles) and arm soreness. This pain lasted until about 2:00 a.m.on 2/27/21. Chills developed around 11:00 a.m. on 2/26/21, then a fever that got to 100.7 around 12:00 p.m. the same day. Both effects lasted until about 2:00 a.m. 2/27/21. A headache started about 6:00 a.m. on 2/27/21 and got worse in the evening and following morning. I have also felt fatigue and a little off balance for the duration of all these symptoms.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, Pyrexia
Clinical narrative: About 9 hours after the vaccine I started having muscle and joint pain (bad low back pain, pain in neck, arms, wrists, knees, ankles) and arm soreness. This pain lasted until about 2:00 a.m.on 2/27/21. Chills developed around 11:00 a.m. on 2/26/21, then a fever that got to 100.7 around 12:00 p.m. the same day. Both effects lasted until about 2:00 a.m. 2/27/21. A headache started about 6:00 a.m. on 2/27/21 and got worse in the evening and following morning. I have also felt fatigue and a little off balance for the duration of all these symptoms.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: 9 days after 1st dose got an itchy rash on arm 3 in by 2 in at injection site lasting 2 days.  23 days after 2nd dose got an itchy rash much smaller at injecysite
Age: 70.0
Sex: M
Vaccine: UNK
Symptoms: Fatigue, Headache, Injection site rash, Pain, Pyrexia
Clinical narrative: Headache, fever, fatigue, aches  Rash at injection site
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Myalgia, Nausea
Clinical narrative: Moderna COVID?19 Vaccine EUA  For the first vaccine, I was not expecting much of a reaction. I have all the symptoms: soreness of injection site, headache, body/muscle ache, nausea, fatigue. I had COVID-19 in March 2020, but was only confirmed through antibody test. My antibodies now measure low. Also I am talking a dietary supplement MCT ( medium chain triglycerides). I wondered if either would exacerbate the symptoms.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Moderna COVID?19 Vaccine EUA  For the first vaccine, I was not expecting much of a reaction. I have all the symptoms: soreness of injection site, headache, body/muscle ache, nausea, fatigue. I had COVID-19 in March 2020, but was only confirmed through antibody test. My antibodies now measure low. Also I am talking a dietary supplement MCT ( medium chain triglycerides). I wondered if either would exacerbate the symptoms.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Chills after 12 hours of administration. Went to bed. Woke with Fever of 100.4 20 hours post administration. Headache. Very tired, needed to sleep. Was fine by 8:00 in the evening approximately 24 hours after first symptom started.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Incontinence, Lethargy, Mental status changes, Nausea
Clinical narrative: Extreme weakness,  nausea and vomiting, altered mental status, lethargy, fever, incontinence
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Extreme weakness,  nausea and vomiting, altered mental status, lethargy, fever, incontinence
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Oral pruritus, Vomiting
Clinical narrative: New and worsened reaction to food allergy/intolerance. After 20 years of small bites, I have  built some immunity to certain foods. Since I received my vaccine I have had strong reactions to foods I usually tolerate with mild oral itching in very small portions. The first increased reaction was around 2 weeks after my first shot.  About 2 hours after eating a very small portion of avocado, I woke up with a start with extreme tightness of my chest and gasping for air. I caught my breath after a few seconds then projectile vomited. Treated with 50mg Benadryl and returned to sleep after 45 minutes. I have never had any respiratory symptoms with a food allergy reactions. About 2 weeks after my second shot I accidentally ate a few bites of tomato which has not been a problem for over 10 years. After vomiting in my car and pulling off the road I saw my cervical lymph nodes were swollen to about 1.5 inches in diameter. I have never seen any thing like it. My airway was clear. I took 25mg of Benadryl, waited for 30 minutes, then drove home. I had a similar experience 3 weeks after my second shot with a fresh/homemade pickle that apparently was too raw. Vomiting with mildly swollen cervical lymph nodes treated with 25 mg Benadryl
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: Approximately 1 week after first Pfizer COVID vaccine, noted acute alopecia which has progressed to involve large areas on sides and back of scalp
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine EUA  Fever spiking to 104.2 at 24 hours after injection. That is WAY TOO HIGH for a man of 66 years of age. Tylenol took it down to 101,5  after a couple of hours. Additional Tylenol in the evening brought it down to 99.5.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site bruising, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pain at the injection site, bruise, redness, hot to the touch- for 72 hours after injection fatigue- 3 hours after injection
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Condition aggravated, Crohn's disease, Diarrhoea, Nausea
Clinical narrative: I was fine afterwards,  sore arm About  10 pm my Crohn's disease kicked in, stomach pain,  diarrhea,  nausea... Continued all day Saturday into Sunday
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: I was fine afterwards,  sore arm About  10 pm my Crohn's disease kicked in, stomach pain,  diarrhea,  nausea... Continued all day Saturday into Sunday
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: slight dizziness several times during the day.  I went to play tennis after the shot so roughly 10am  During the round I got dizzy.  didn't note the time.  Then again after tennis I went to the hairdresser, appt at 1pm.  At the end getting up from the chair I was dizzy but less so than earlier in the day.  That would have been approx 1:40pm.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Influenza like illness, Myalgia
Clinical narrative: flu-like symptoms - no fever, muscle and joint aches, headache, flare up of psoriasis, fatigue
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Psoriasis
Clinical narrative: flu-like symptoms - no fever, muscle and joint aches, headache, flare up of psoriasis, fatigue
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: COVID arm....swelling,redness,itchy
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Electrocardiogram, Fatigue, Headache
Clinical narrative: After injection on Friday, headache, fever, tired, achy.  Very tired through weekend.  On Monday she developed painful deep breathing , tightness in chest, more achy,  extremely low energy,  warranted emergency visit for chest x ray and EKG.  Still has debilitating exhaustion a week later.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Painful respiration, Pyrexia, X-ray
Clinical narrative: After injection on Friday, headache, fever, tired, achy.  Very tired through weekend.  On Monday she developed painful deep breathing , tightness in chest, more achy,  extremely low energy,  warranted emergency visit for chest x ray and EKG.  Still has debilitating exhaustion a week later.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Chills, Dizziness, Fatigue
Clinical narrative: Started with Chills approx 8 pm same day as vaccine given.  Developed general weakness/tiredness, fever,  headache,  muscle/joint pain,  nausea, dizziness with made it difficult to walk to the bathroom d/t the dizziness,  general unwell feeling.  I took tylenol.  I applied ice packs to my neck and core body area.   I was confined to the bed until Friday apprx 11:00 am until I could get up.  I continue to feel "funny" in the head at times.  I did not seek any Dr or hospital visit.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Headache, Malaise, Myalgia, Nausea
Clinical narrative: Started with Chills approx 8 pm same day as vaccine given.  Developed general weakness/tiredness, fever,  headache,  muscle/joint pain,  nausea, dizziness with made it difficult to walk to the bathroom d/t the dizziness,  general unwell feeling.  I took tylenol.  I applied ice packs to my neck and core body area.   I was confined to the bed until Friday apprx 11:00 am until I could get up.  I continue to feel "funny" in the head at times.  I did not seek any Dr or hospital visit.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Started with Chills approx 8 pm same day as vaccine given.  Developed general weakness/tiredness, fever,  headache,  muscle/joint pain,  nausea, dizziness with made it difficult to walk to the bathroom d/t the dizziness,  general unwell feeling.  I took tylenol.  I applied ice packs to my neck and core body area.   I was confined to the bed until Friday apprx 11:00 am until I could get up.  I continue to feel "funny" in the head at times.  I did not seek any Dr or hospital visit.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Headache
Clinical narrative: Started with Chills approx 8 pm same day as vaccine given.  Developed general weakness/tiredness, fever,  headache,  muscle/joint pain,  nausea, dizziness with made it difficult to walk to the bathroom d/t the dizziness,  general unwell feeling.  I took tylenol.  I applied ice packs to my neck and core body area.   I was confined to the bed until Friday apprx 11:00 am until I could get up.  I continue to feel "funny" in the head at times.  I did not seek any Dr or hospital visit.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Started with Chills approx 8 pm same day as vaccine given.  Developed general weakness/tiredness, fever,  headache,  muscle/joint pain,  nausea, dizziness with made it difficult to walk to the bathroom d/t the dizziness,  general unwell feeling.  I took tylenol.  I applied ice packs to my neck and core body area.   I was confined to the bed until Friday apprx 11:00 am until I could get up.  I continue to feel "funny" in the head at times.  I did not seek any Dr or hospital visit.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: 9 days after receiving the Moderna Covid19 vaccine my are got red and itchy at the injection site. The redness is about 3 inches in diameter
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Rash
Clinical narrative: Headache, Dizziness, Torso skin Rash evident 40 hrs. post injection
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash from jaw bone down front and side of neck to breast bone.   Took 2 Diphenhydramin HCI 25 mg capsules about 3pm to relieve itching. Next day rash was still present but did not need to take medication.  On Sunday there was still a light rash, no medication needed.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Somnolence
Clinical narrative: I had to sleep all day the day after the injection.   I think more should be said that people may have to plan on not being able to go to work the day after.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Covid arm....itching and rash .
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Fatigue, Headache, Pain, Pain in extremity
Clinical narrative: experienced upper abdominal pain about 5 hours after injection. Dull pain affected daily activity and could be experienced while walking, moving, and sleeping.  experienced sore arms (both arms) and tiredness the next day. Occasional headaches. Took Tylenol to help with side effects.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pain, Rash
Clinical narrative: Third day rash on arm and pain with burning sensation.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Pain
Clinical narrative: Headache and body ache - took 1 tab of Tylenol 12 hours apart to no effect Swollen lymph nodes - no treatment
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: After one and a half weeks, my right upper arm, at the injection site, has a red patch that itches and is warm. It is still red and itchy and warm.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Neuralgic amyotrophy, Pain in extremity
Clinical narrative: Parsonage Turner Syndrome R arm - C5-C6 distribtion. Pain, deltoid/biceps weakness 2/5. Weakness recovered to 4/5 in 48 hours. Pain persists.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia
Clinical narrative: tinkling in fingertips
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Cough, Feeling of body temperature change, Headache
Clinical narrative: Burning chest and throat, headache, with flu symptoms. Deep cough, chills, hot/cold. No temperature. Overall sick feeling. Really bad on the 24-26th. Called DR on the 19th (?), received Promathazine-codeine syrup. Which helped. After syrup was gone,  on the 26th,  felt better on the 27th, but all the symptoms came back (except the headache) at night, to the morning of the 28th.  It has been 11 days and still feel like having a full blast of flue/cold. Heavy chest and coughing
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza, Malaise, Throat irritation
Clinical narrative: Burning chest and throat, headache, with flu symptoms. Deep cough, chills, hot/cold. No temperature. Overall sick feeling. Really bad on the 24-26th. Called DR on the 19th (?), received Promathazine-codeine syrup. Which helped. After syrup was gone,  on the 26th,  felt better on the 27th, but all the symptoms came back (except the headache) at night, to the morning of the 28th.  It has been 11 days and still feel like having a full blast of flue/cold. Heavy chest and coughing
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: COVID arm, red, swollen, hard at and around the injection site.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Patient stated his bottoms of feet are itchy.
Age: 82.0
Sex: F
Vaccine: FLU4
Symptoms: Blood sodium decreased
Clinical narrative: My mother received the quad 4 flu shot in October.  In November she was put into the hospital with low sodium.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pyrexia
Clinical narrative: 2/23:  1st night:  Chills, slight fever, vomiting, diarrhea, headache.   2/24:  Next day:  nausea, chills, headache.  Did phone call visit with doctor.  Used Zofran and rested. 2/25 and 2/26:  Slight headache.  just rested
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 2/23:  1st night:  Chills, slight fever, vomiting, diarrhea, headache.   2/24:  Next day:  nausea, chills, headache.  Did phone call visit with doctor.  Used Zofran and rested. 2/25 and 2/26:  Slight headache.  just rested
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: On  3rd night after receiving my 2nd dose of the Moderna Covid vaccine, I noticed a red rash on and surrounding the injection site on my upper left arm.  As of today  (5th day), the rash hasn?t changed and remains on my arm.  It is moderately itchy, and feels warm (in comparison to right upper arm).  I have not treated it and have showered regularly,.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Angioedema, Erythema, Nausea
Clinical narrative: erythema-face, angioedema-hands, lips, nausea
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Lip swelling, Peripheral swelling, Product administered at inappropriate site, Rash
Clinical narrative: erythema-face, angioedema-hands, lips, nausea
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Audiogram, Deafness, Tinnitus
Clinical narrative: erythema-face, angioedema-hands, lips, nausea
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cellulitis, Chills, Hyperhidrosis, Injection site erythema
Clinical narrative: evening of 2/25 started to have some chills but no chills when I woke up the next day.  on 2/26 in the evening there was an increase in joint pain.  I took 400mg ibuprofen at bed time.  During the night I woke up due to the pain and noticed that I had been sweating.   I took 400mg around 3am and went back to sleep.  Woke at 6AM on the2/27and still had joint pain but not as painful as the night before.  Couple hours later while taking a shower I noticed that my left arm at the site of the vaccine had a large red blotch.  It  did not itch or was painful but it was somewhat warm.  At that point I called my primary drs office and was advised to go to urgent care.  At Urgent care my arm was examined by a doctor and he ordered a Covid test and prescribed doxycycline as he felt I had cellulitis.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site warmth, Rash macular, Sleep disorder
Clinical narrative: evening of 2/25 started to have some chills but no chills when I woke up the next day.  on 2/26 in the evening there was an increase in joint pain.  I took 400mg ibuprofen at bed time.  During the night I woke up due to the pain and noticed that I had been sweating.   I took 400mg around 3am and went back to sleep.  Woke at 6AM on the2/27and still had joint pain but not as painful as the night before.  Couple hours later while taking a shower I noticed that my left arm at the site of the vaccine had a large red blotch.  It  did not itch or was painful but it was somewhat warm.  At that point I called my primary drs office and was advised to go to urgent care.  At Urgent care my arm was examined by a doctor and he ordered a Covid test and prescribed doxycycline as he felt I had cellulitis.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Angiocardiogram, Chest X-ray, Chest pain, Electrocardiogram, Hypoaesthesia
Clinical narrative: Heart attack. Chest pain and numbness in both arms and back. The pain lasted from 3:00AM until 5:00AM at which time I as in the ER. Troponin levels were at 6.0 and I had a small abnormal finding on my EKG. The Cardiovascular physician on call said it could be something and they would do a cardiac cath to determine where a blockage may be. The angiogram cam back with no blockages. troponin levels reached a 10 by the end of the first day. The Echo the next day showed no issues in structure. The Cardiac MRI showed fluid and 4% of my heart had myocarditis from the issue. Troponin levels reduced to 7, then 6 by the end of the second day. On the third day I went home with new meds, an order for a follow up and cardiac rehab.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging heart, Myocardial infarction, Myocarditis, Troponin increased
Clinical narrative: Heart attack. Chest pain and numbness in both arms and back. The pain lasted from 3:00AM until 5:00AM at which time I as in the ER. Troponin levels were at 6.0 and I had a small abnormal finding on my EKG. The Cardiovascular physician on call said it could be something and they would do a cardiac cath to determine where a blockage may be. The angiogram cam back with no blockages. troponin levels reached a 10 by the end of the first day. The Echo the next day showed no issues in structure. The Cardiac MRI showed fluid and 4% of my heart had myocarditis from the issue. Troponin levels reduced to 7, then 6 by the end of the second day. On the third day I went home with new meds, an order for a follow up and cardiac rehab.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site paraesthesia, Injection site pruritus, Vaccination site discolouration
Clinical narrative: Nothing too serious but I felt I should report it.  At approximately 2am this morning  (Feb 28, 2021) I woke up and my left arm where I received the vaccine was tingling. I did not sleep on my arm and I feel this had no connection to my position in my bed. I went back to sleep and the feeling has not returned. At approximately 11 am this morning (Feb 28, 2021) the site where the vaccine was given is very pink and VERY itchy.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash 7 inches from injection site
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Pruritus, Vision blurred
Clinical narrative: trouble breathing, blurred vision for about 40 seconds.  arm still itching a week later.  arm itch might be caused by band-aid
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever 1 day after vaccine.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Bone pain, Insomnia, Muscle spasms
Clinical narrative: bone pain muscle cramps joint pain pleuritic pain stomach pain sleeplessness
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pleuritic pain
Clinical narrative: bone pain muscle cramps joint pain pleuritic pain stomach pain sleeplessness
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Nausea
Clinical narrative: Fever- 102.5, severe headache, severe arm pain(right arm), nausea, diarrhea, severe fatigue, chills, body aches- all symptoms lasted at least 36 hours. Nausea for 3-4 days
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever- 102.5, severe headache, severe arm pain(right arm), nausea, diarrhea, severe fatigue, chills, body aches- all symptoms lasted at least 36 hours. Nausea for 3-4 days
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Hypersomnia, Loss of personal independence in daily activities, Muscle spasms
Clinical narrative: Spasms in leg and arm muscles, unable to stand and hard to eat. Symptoms were much diminished at 10:30 pm and he slept from about 12:30 pm to 10:30 pm and then through the night.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure abnormal, Dizziness
Clinical narrative: 1115 patient complains of dizziness bp 165/110 hr 85. patient states she did not take her blood pressure medicine prior to shot. states she took Benadryl in the parking lot due to seasonal allergies 02 sat 97%. 1155 patient states she feels better. patient refused for her blood pressure to be rechecked, states  " I'm going home to take may blood pressure meds, I  think i am ok now". patient advised to visit emergency department or call 911 if blood pressure or dizziness persist. patient verbalized understanding
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Swollen lymph node in armpit.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Injection site pain, Insomnia
Clinical narrative: 10:00 AM, soreness at shot location. 12:00 PM Thurs. - 12:00 PM Fri. muscle aches and fatigue. 11:00 PM Thurs - 9:00AM Fri fever and chills, inability to sleep or rest. 6:00PM Thurs - 6:00PM Fri, loss of appetite. Appetite returned around 9:00PM Fri. 11:00PM Fri -6:00AM Sat, severe spinal pain from base of skull to tailbone, ingested 6 painkillers over 2 hour span before ability to lay down and have restless sleep
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Poor quality sleep, Pyrexia, Spinal pain
Clinical narrative: 10:00 AM, soreness at shot location. 12:00 PM Thurs. - 12:00 PM Fri. muscle aches and fatigue. 11:00 PM Thurs - 9:00AM Fri fever and chills, inability to sleep or rest. 6:00PM Thurs - 6:00PM Fri, loss of appetite. Appetite returned around 9:00PM Fri. 11:00PM Fri -6:00AM Sat, severe spinal pain from base of skull to tailbone, ingested 6 painkillers over 2 hour span before ability to lay down and have restless sleep
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Initially, red itchy task on back between shoulder blades. Spread overnight to more of the upper back, as well as nose, face, thighs, and toes.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Pain, Pyrexia
Clinical narrative: Headache, chills, body aches, loss of energy, fever
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: Injection site hard, warm and itching.  About 3 inches in diameter.  Not going away.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Computerised tomogram, Fall, X-ray
Clinical narrative: RECEIVED 1ST DOSE OF PFIZER COVID VACCINE ON 02/21/21. ON 02/27/21 WENT TO ICC F OR RT HIP PAIN AND KNEE PAIN AFTER FALL ON 02/27/21 AND HAD XRAYS.  ON 02/27/21 WENT TO ER AND HAD CT OF RT HIP WO CONTRAST DONE . DIAGNOSED WITH HIP PAIN (ACUTE,RIGHT) AND FALL (INITIAL ENCOUNTER). INSTRUCTED TO FOLLOW UP WITH PCP.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: The first Vaccine on January 30th- February 4th was covid arm Second Vaccine on Feb 27th,  Very sore body and very sore arm the next day
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Paraesthesia
Clinical narrative: Pins and needles all over my body-- arms, neck, face, back legs, butt, chest, head, etc.  Started on 2/9/21 -- the pins and needles have not stopped (today's date- 2/28/21)
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Small bruise at injection site after 1 day. Itching and minor swelling of site at day 8. Red oval about the size of an egg at day 9.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Mobility decreased, Myalgia, Nausea
Clinical narrative: chills, cold sweat, nausea, muscle pain throughout body, difficulty moving, lasted from day of vaccine through next 36 hours, then recovery; treated with rest, heat pad & fluids.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site haemorrhage
Clinical narrative: The patient noted that blood and a "clear liquid" was running down his arm.  He stated that it was 1/16th to 3/32nds inch wide and ran to the level of the elbow. (This occurred while the vaccinator was looking away and disposing of the syringe in the sharps container.)  It was wiped up and pressure was applied to the site without further problem.  Upon reaching home he thought about this and then wondered if he had received a complete dose. He then contacted the health department and I contacted him in follow up. In discussing this with the vaccinee and the vaccinator, NP, her immediate impression was that this was blood only but admits that perhaps a portion of vaccine could have been mixed in as well.  This was discussed with the vaccinee and I feel that greater than half of the vaccine was s\administered so no repeat dose will be given. He will return for his 2nd dose in 21-42 days.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Body Rash
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Lichen sclerosus
Clinical narrative: Giant flare up of lichen sclerosus and at 6 incision sites of elective surgery done 5 months previously (sept 2020).  Today it is reduced but still present.  photos available.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint swelling, Pain, Skin warm, Tenderness
Clinical narrative: I felt a pain in my left wrist gradually get worse. The top of the wrist was slightly swollen and warm to the touch. It was very tender to the touch and hurt to bend or grasp objects. Today is the 28th, 6 days after injection and it seems to be getting better.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Infection, Pain in extremity, Pruritus, Skin warm
Clinical narrative: 4x4" area increasing to 3x6" red with circle changing to mostly red.  Warm.  Swollen.  From slightly painful first 2 days to just a little itchy by 5 day- today.  Painful arm a few hours after injection, which mostly ebbed, with the redness starting about 7-8 days after injection, becoming somewhat tender, with that ebbing by 5 day.  On third day ( 8 days after vaccine) Urgent care diagnosed it as a seondary infection and prescribed doxycycline.   Dr. said had never seen anything like it.  Took the antibiotic for 2 days and stopped.  Med seemed to make no difference.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Tenderness
Clinical narrative: 4x4" area increasing to 3x6" red with circle changing to mostly red.  Warm.  Swollen.  From slightly painful first 2 days to just a little itchy by 5 day- today.  Painful arm a few hours after injection, which mostly ebbed, with the redness starting about 7-8 days after injection, becoming somewhat tender, with that ebbing by 5 day.  On third day ( 8 days after vaccine) Urgent care diagnosed it as a seondary infection and prescribed doxycycline.   Dr. said had never seen anything like it.  Took the antibiotic for 2 days and stopped.  Med seemed to make no difference.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction, Pyrexia
Clinical narrative: A week later right arm starting itching at injection site- large red blotch- sore to touch & arm/welt area feels feverish No treatment - continue to take Zyrtec- reported to my physician
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular, Urticaria
Clinical narrative: A week later right arm starting itching at injection site- large red blotch- sore to touch & arm/welt area feels feverish No treatment - continue to take Zyrtec- reported to my physician
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Intense upper arm and shoulder pain, gradually diminished over a three week period. Numbness and tingling in right forearm , hand, and fingers, impinging on use of right hand, has gradually abated over athethree-week period since the injection but is still present.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes
Clinical narrative: unknown if Moderna or Pfizer.  Altered mental status that increased and led to hospitalization.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Foetal death, Human chorionic gonadotropin positive, Ultrasound antenatal screen abnormal
Clinical narrative: At 5 weeks, 5 days pregnant I received the 1st Covid-19 dose. I started bleeding the evening of Feb. 7, 2021. The bleeding continued to increase. I visited the Emergency Department on Feb. 10, 2021 and learned my baby had died around 7 weeks into the pregnancy.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Rhinorrhoea
Clinical narrative: Fatigue, snotty nose, chills.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Influenza like illness
Clinical narrative: severe headache, vomiting, diarrhea, chills, fever, sore left are (expected this), fatigue, skin hurt, muscle aches and extreme pain down my legs into my toes....everything hurts...it's like I have a severe case of the flu
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pain in extremity, Pain of skin, Pyrexia
Clinical narrative: severe headache, vomiting, diarrhea, chills, fever, sore left are (expected this), fatigue, skin hurt, muscle aches and extreme pain down my legs into my toes....everything hurts...it's like I have a severe case of the flu
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: severe headache, vomiting, diarrhea, chills, fever, sore left are (expected this), fatigue, skin hurt, muscle aches and extreme pain down my legs into my toes....everything hurts...it's like I have a severe case of the flu
Age: 73.0
Sex: F
Vaccine: UNK
Symptoms: Blood pressure increased, Injection site swelling, Pruritus, Skin mass
Clinical narrative: Large nodules came up under my skin. Itching was horrible. Injection shot swell to the size of a softball. Did not secure for three or four days. Blood pressure was very elevated
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site rash, Pyrexia
Clinical narrative: Besides the normal fever, chills ,headache I developed a rash at and under injection site
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Syncope
Clinical narrative: fever, syncope after vaccine
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: It started my cycle early. I did not report this sooner because I thought maybe I started my period early. But two weeks later I started as per my usual starting date.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Mental status changes
Clinical narrative: Onsite EMS evaluated patient ad determined that she was light-headed, responsive, but not lucid. Patient was transported to medical center.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Tremor
Clinical narrative: Headache 24 hours after injections Overall tired and weak 48 hours after injection  Tremor in left thumb at 48 hours and continues currently at about 72 hours post
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: About 3 days after I received the vaccine, I experienced a large area of redness surrounding the injection site which was slightly painful and warm to touch.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Hyperhidrosis, Injection site pain, Insomnia
Clinical narrative: Chills, Sweats, Low Grade Fever, Dizziness, Shakes, very bad injection site pain.  Blurry vision, trouble sleeping.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Tremor, Vision blurred
Clinical narrative: Chills, Sweats, Low Grade Fever, Dizziness, Shakes, very bad injection site pain.  Blurry vision, trouble sleeping.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Covid arm - itching soreness swelling and fevered to the touch
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Paralysis, Pyrexia
Clinical narrative: Severe joint and muscle paralysis.  Fever for 24 hours.  Remained in bed for 2 days.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Feeling hot, Flushing, Lethargy
Clinical narrative: Patient received the 1st vaccine of Moderna  around 11:10am. Within a couple of minutes of receiving her injection she signed she felt dizzy, and lethargic. Pt was taken to the observation area where she continued to feel the same after taking sips of water. Pt then stated she felt hot as well. Pts checks were visibly flushed. Pt was given an ice pack to put on her back over her clothes. Pt then started to sign their lips felt tingly and throat felt thick and weird. It was around 11:30am patient given 50 MG of Diphenhydramine  and was administered oxygen at 2L. Oxygen increased to 3L patient unresponsive to 2L. O2 Sat 100% and Pulse 104. Second set of vital signs were 110/78, O2 100%, pulse 85 at 11:45 a.m. Patient was transfer to floor as she was unresponsive.  Pt wouldn't respond to painful stimuli for 2-3 mins. EMS was then called. During this time pts O2 continued to stay at 100% with pulse at 85-87.Oxygen increased to 6L. After 2-3 mins of trying to have pt gain consciousness, pt  started to react to sternum rubs. By this time EMS services arrived around 11:50-11:55am.Once paramedics arrived pt was assed and deemed pt was stable but wanted to take her in for a full workup to be on the safe side. Pt was then transferred to Community Regional Medical Center.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Paraesthesia oral, Throat irritation, Unresponsive to stimuli
Clinical narrative: Patient received the 1st vaccine of Moderna  around 11:10am. Within a couple of minutes of receiving her injection she signed she felt dizzy, and lethargic. Pt was taken to the observation area where she continued to feel the same after taking sips of water. Pt then stated she felt hot as well. Pts checks were visibly flushed. Pt was given an ice pack to put on her back over her clothes. Pt then started to sign their lips felt tingly and throat felt thick and weird. It was around 11:30am patient given 50 MG of Diphenhydramine  and was administered oxygen at 2L. Oxygen increased to 3L patient unresponsive to 2L. O2 Sat 100% and Pulse 104. Second set of vital signs were 110/78, O2 100%, pulse 85 at 11:45 a.m. Patient was transfer to floor as she was unresponsive.  Pt wouldn't respond to painful stimuli for 2-3 mins. EMS was then called. During this time pts O2 continued to stay at 100% with pulse at 85-87.Oxygen increased to 6L. After 2-3 mins of trying to have pt gain consciousness, pt  started to react to sternum rubs. By this time EMS services arrived around 11:50-11:55am.Once paramedics arrived pt was assed and deemed pt was stable but wanted to take her in for a full workup to be on the safe side. Pt was then transferred to Community Regional Medical Center.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Fever and redness below injection site.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Site pain transferred to neck and down arm 2/25 6:00 pm lethargy; 7:00pm 2/25 8:30 low grade fever; exhaustion 2/26 extreme fatigue;  2/27 extreme fatigue; nausea; diarrhea; headache
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity, Pyrexia
Clinical narrative: Site pain transferred to neck and down arm 2/25 6:00 pm lethargy; 7:00pm 2/25 8:30 low grade fever; exhaustion 2/26 extreme fatigue;  2/27 extreme fatigue; nausea; diarrhea; headache
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling abnormal, Induration, Nausea, Pain
Clinical narrative: About 18 hours after arm swollen and hard and red and heat from arm area, aches, pain, nausea,  thirsty.   After 12 hours of really feeling like i was hit by a car.....all of the sudden like magic all was gone except my arm is still oval 8 ? red spot and hard still
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Skin warm, Thirst
Clinical narrative: About 18 hours after arm swollen and hard and red and heat from arm area, aches, pain, nausea,  thirsty.   After 12 hours of really feeling like i was hit by a car.....all of the sudden like magic all was gone except my arm is still oval 8 ? red spot and hard still
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Fatigue, Feeling abnormal
Clinical narrative: Although I felt nothing during the first dose, I DID feel a prick for my second dose. It was followed by a little itch, but nothing unusual. I made sure to rub my arm and keep it moving until I went to bed a couple of hours later.  The next day, I woke up with no issues, just a slight tenderness at the injection site that only really hurt if I touched it. At about 9:30 am, almost 12 hours after the second dose, I became a bit tired, had a little chill, and was a tiny bit achy. I took two Tylenol, and continued to hydrate. I could feel myself getting more uncomfortable as the day went on. By 3:00 pm, I was freezing, could not get warm, and running a fever of 100. I took more Tylenol, and got bundled up and took a nap. At 4:00 pm, I woke up and was even colder, and had a fever of 102.4. At this point, I got into bed and had continued to hydrate and take ibuprofen (I had run out of Tylenol) every four hours. The fever broke at some point in the night, as I woke up and was soaking wet, but by the time I woke up the fever had returned and was 101. I took more Ibuprofen and the fever dropped back to normal around noon on February 18. By far, the worst feeling, aside from the fever, was the extremely severe joint pain I had in my ankles, knees, hips, arms, and hands. It was painful to stand and to walk. By Friday, I felt better, but was weak. I felt back to 100% on Saturday morning.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Hyperhidrosis, Injection site pain, Nasopharyngitis, Pruritus
Clinical narrative: Although I felt nothing during the first dose, I DID feel a prick for my second dose. It was followed by a little itch, but nothing unusual. I made sure to rub my arm and keep it moving until I went to bed a couple of hours later.  The next day, I woke up with no issues, just a slight tenderness at the injection site that only really hurt if I touched it. At about 9:30 am, almost 12 hours after the second dose, I became a bit tired, had a little chill, and was a tiny bit achy. I took two Tylenol, and continued to hydrate. I could feel myself getting more uncomfortable as the day went on. By 3:00 pm, I was freezing, could not get warm, and running a fever of 100. I took more Tylenol, and got bundled up and took a nap. At 4:00 pm, I woke up and was even colder, and had a fever of 102.4. At this point, I got into bed and had continued to hydrate and take ibuprofen (I had run out of Tylenol) every four hours. The fever broke at some point in the night, as I woke up and was soaking wet, but by the time I woke up the fever had returned and was 101. I took more Ibuprofen and the fever dropped back to normal around noon on February 18. By far, the worst feeling, aside from the fever, was the extremely severe joint pain I had in my ankles, knees, hips, arms, and hands. It was painful to stand and to walk. By Friday, I felt better, but was weak. I felt back to 100% on Saturday morning.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Although I felt nothing during the first dose, I DID feel a prick for my second dose. It was followed by a little itch, but nothing unusual. I made sure to rub my arm and keep it moving until I went to bed a couple of hours later.  The next day, I woke up with no issues, just a slight tenderness at the injection site that only really hurt if I touched it. At about 9:30 am, almost 12 hours after the second dose, I became a bit tired, had a little chill, and was a tiny bit achy. I took two Tylenol, and continued to hydrate. I could feel myself getting more uncomfortable as the day went on. By 3:00 pm, I was freezing, could not get warm, and running a fever of 100. I took more Tylenol, and got bundled up and took a nap. At 4:00 pm, I woke up and was even colder, and had a fever of 102.4. At this point, I got into bed and had continued to hydrate and take ibuprofen (I had run out of Tylenol) every four hours. The fever broke at some point in the night, as I woke up and was soaking wet, but by the time I woke up the fever had returned and was 101. I took more Ibuprofen and the fever dropped back to normal around noon on February 18. By far, the worst feeling, aside from the fever, was the extremely severe joint pain I had in my ankles, knees, hips, arms, and hands. It was painful to stand and to walk. By Friday, I felt better, but was weak. I felt back to 100% on Saturday morning.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Skin warm
Clinical narrative: Reddish rash on the top of my chest . Warm to the touch.  Reddish bumps
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Pain in extremity, Vertigo
Clinical narrative: Sore arm the first couple of days.   After about 7 to 10 days I started feeling sort of dizzy.  Equilibrium is a little off. Sometimes vertigo.  (maybe 3 episodes of vertigo)
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Bed rest, Decreased appetite, Fatigue
Clinical narrative: For 2-3 days after the 2nd dose (given on 2/10/21), I had a sore arm, aching and weakness all over my body, tired, nauseous and no appetite. I remaining in bed off and on for about 36 hours and then worked my way back to eliminate most of the symptoms.  However, after that and continuing at this time, i continue to be achy, particularly in my joints and my hands, fingers and neck, and I find that my lower jaw seems to be moved forward when I awake in the morning.  The achiness is particularly acute when waking in the morning, particularly in my fingers..  The pain is by no means debilitating, but it is noticeable.  I would rate the pain 3 or 4 when waking and 2-3 throughout the rest of the day.     I have not sought any treatment.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Jaw disorder, Nausea, Pain, Pain in extremity
Clinical narrative: For 2-3 days after the 2nd dose (given on 2/10/21), I had a sore arm, aching and weakness all over my body, tired, nauseous and no appetite. I remaining in bed off and on for about 36 hours and then worked my way back to eliminate most of the symptoms.  However, after that and continuing at this time, i continue to be achy, particularly in my joints and my hands, fingers and neck, and I find that my lower jaw seems to be moved forward when I awake in the morning.  The achiness is particularly acute when waking in the morning, particularly in my fingers..  The pain is by no means debilitating, but it is noticeable.  I would rate the pain 3 or 4 when waking and 2-3 throughout the rest of the day.     I have not sought any treatment.