chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Headache, Hypertension, Hypoaesthesia, Musculoskeletal stiffness
Clinical narrative: I received Pfizer-BioNTech, lot # ER8737 covid-19 flu shot Monday, April 5th in the afternoon.   I did have a severe case of Covid-19 flu in January 2021. It took 1 month and + few days to recover sufficiently from its many flu like debilitating symptoms!   I did not have any anaphylactic symptoms from the covid-19 flu shot within the first 15 minutes of observation.  BUT-  As I was driving home, my upper left arm, at the injection site and beyond-  up and down my right arm, began to hurt something fierce with pains and numbness and tingling sensations.  By around 7:00pm that same day, I began having severe headaches, left sided neck and shoulder stiffness, acute weakness and tiredness, severe chills throughout my whole body, with generalized severe body aches!  I was driven to bed after taking Tylenols po and OTC cold/flu medications.  I have had these symptoms,  on and off for 4 days now and counting!  I am going to report these awful prolonged side effects to CDC, and Pfizer, and anyone else who will listen.  I will NOT be taking the second Pfizer Covid-19 injection.   I reported this information to Pfizer on 4-8-2021 am via  their web site   THANK YOU YOUR REPORT HAS BEEN SUBMITTED
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pain in extremity, Palpitations, Paraesthesia
Clinical narrative: I received Pfizer-BioNTech, lot # ER8737 covid-19 flu shot Monday, April 5th in the afternoon.   I did have a severe case of Covid-19 flu in January 2021. It took 1 month and + few days to recover sufficiently from its many flu like debilitating symptoms!   I did not have any anaphylactic symptoms from the covid-19 flu shot within the first 15 minutes of observation.  BUT-  As I was driving home, my upper left arm, at the injection site and beyond-  up and down my right arm, began to hurt something fierce with pains and numbness and tingling sensations.  By around 7:00pm that same day, I began having severe headaches, left sided neck and shoulder stiffness, acute weakness and tiredness, severe chills throughout my whole body, with generalized severe body aches!  I was driven to bed after taking Tylenols po and OTC cold/flu medications.  I have had these symptoms,  on and off for 4 days now and counting!  I am going to report these awful prolonged side effects to CDC, and Pfizer, and anyone else who will listen.  I will NOT be taking the second Pfizer Covid-19 injection.   I reported this information to Pfizer on 4-8-2021 am via  their web site   THANK YOU YOUR REPORT HAS BEEN SUBMITTED
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site pain
Clinical narrative: I received Pfizer-BioNTech, lot # ER8737 covid-19 flu shot Monday, April 5th in the afternoon.    I did have a severe case of Covid-19 flu in January 2021. It took 1 month and + few days to recover sufficiently from its many flu like debilitating symptoms!   I did not have any anaphylactic symptoms from the covid-19 flu shot within the first 15 minutes of observation.  BUT-  As I was driving home, my upper left arm, at the injection site and beyond-  up and down my right arm, began to hurt something fierce with pains and numbness and tingling sensations.  By around 7:00pm that same day, I began having severe headaches, left sided neck and shoulder stiffness, acute weakness and tiredness, severe chills throughout my whole body, with generalized severe body aches!  I was driven to bed after taking Tylenols po and OTC cold/flu medications.  I have had these symptoms,  on and off for 4 days now and counting!  I am going to report these awful prolonged side effects to CDC, and Pfizer, and anyone else who will listen.  I will NOT be taking the second Pfizer Covid-19 injection.     I reported this information to Pfizer on 4-8-2021 am via  their web site   THANK YOU YOUR REPORT HAS BEEN SUBMITTED Your Reference Number  and to NP   And CDC
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Hypoaesthesia
Clinical narrative: I received Pfizer-BioNTech, lot # ER8737 covid-19 flu shot Monday, April 5th in the afternoon.    I did have a severe case of Covid-19 flu in January 2021. It took 1 month and + few days to recover sufficiently from its many flu like debilitating symptoms!   I did not have any anaphylactic symptoms from the covid-19 flu shot within the first 15 minutes of observation.  BUT-  As I was driving home, my upper left arm, at the injection site and beyond-  up and down my right arm, began to hurt something fierce with pains and numbness and tingling sensations.  By around 7:00pm that same day, I began having severe headaches, left sided neck and shoulder stiffness, acute weakness and tiredness, severe chills throughout my whole body, with generalized severe body aches!  I was driven to bed after taking Tylenols po and OTC cold/flu medications.  I have had these symptoms,  on and off for 4 days now and counting!  I am going to report these awful prolonged side effects to CDC, and Pfizer, and anyone else who will listen.  I will NOT be taking the second Pfizer Covid-19 injection.     I reported this information to Pfizer on 4-8-2021 am via  their web site   THANK YOU YOUR REPORT HAS BEEN SUBMITTED Your Reference Number  and to NP   And CDC
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site hypoaesthesia, Injection site pain, Injection site paraesthesia, Muscular weakness, Musculoskeletal stiffness
Clinical narrative: I received Pfizer-BioNTech, lot # ER8737 covid-19 flu shot Monday, April 5th in the afternoon.    I did have a severe case of Covid-19 flu in January 2021. It took 1 month and + few days to recover sufficiently from its many flu like debilitating symptoms!   I did not have any anaphylactic symptoms from the covid-19 flu shot within the first 15 minutes of observation.  BUT-  As I was driving home, my upper left arm, at the injection site and beyond-  up and down my right arm, began to hurt something fierce with pains and numbness and tingling sensations.  By around 7:00pm that same day, I began having severe headaches, left sided neck and shoulder stiffness, acute weakness and tiredness, severe chills throughout my whole body, with generalized severe body aches!  I was driven to bed after taking Tylenols po and OTC cold/flu medications.  I have had these symptoms,  on and off for 4 days now and counting!  I am going to report these awful prolonged side effects to CDC, and Pfizer, and anyone else who will listen.  I will NOT be taking the second Pfizer Covid-19 injection.     I reported this information to Pfizer on 4-8-2021 am via  their web site   THANK YOU YOUR REPORT HAS BEEN SUBMITTED Your Reference Number  and to NP   And CDC
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia
Clinical narrative: I received Pfizer-BioNTech, lot # ER8737 covid-19 flu shot Monday, April 5th in the afternoon.    I did have a severe case of Covid-19 flu in January 2021. It took 1 month and + few days to recover sufficiently from its many flu like debilitating symptoms!   I did not have any anaphylactic symptoms from the covid-19 flu shot within the first 15 minutes of observation.  BUT-  As I was driving home, my upper left arm, at the injection site and beyond-  up and down my right arm, began to hurt something fierce with pains and numbness and tingling sensations.  By around 7:00pm that same day, I began having severe headaches, left sided neck and shoulder stiffness, acute weakness and tiredness, severe chills throughout my whole body, with generalized severe body aches!  I was driven to bed after taking Tylenols po and OTC cold/flu medications.  I have had these symptoms,  on and off for 4 days now and counting!  I am going to report these awful prolonged side effects to CDC, and Pfizer, and anyone else who will listen.  I will NOT be taking the second Pfizer Covid-19 injection.     I reported this information to Pfizer on 4-8-2021 am via  their web site   THANK YOU YOUR REPORT HAS BEEN SUBMITTED Your Reference Number  and to NP   And CDC
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Blood pressure measurement, Chills, Delirium
Clinical narrative: I received Pfizer-BioNTech, lot # ER8737 covid-19 flu shot Monday, April 5th in the afternoon.    I did have a severe case of Covid-19 flu in January 2021. It took 1 month and + few days to recover sufficiently from its many flu like debilitating symptoms!   I did not have any anaphylactic symptoms from the covid-19 flu shot within the first 15 minutes of observation.  BUT-  As I was driving home, my upper left arm, at the injection site and beyond-  up and down my right arm, began to hurt something fierce with pains and numbness and tingling sensations.  By around 7:00pm that same day, I began having severe headaches, left sided neck and shoulder stiffness, acute weakness and tiredness, severe chills throughout my whole body, with generalized severe body aches!  I was driven to bed after taking Tylenols po and OTC cold/flu medications.  I have had these symptoms,  on and off for 4 days now and counting!  I am going to report these awful prolonged side effects to CDC, and Pfizer, and anyone else who will listen.  I will NOT be taking the second Pfizer Covid-19 injection.     I reported this information to Pfizer on 4-8-2021 am via  their web site   THANK YOU YOUR REPORT HAS BEEN SUBMITTED Your Reference Number  and to NP   And CDC
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Headache, Hypertension, Hypoaesthesia, Musculoskeletal stiffness
Clinical narrative: I received Pfizer-BioNTech, lot # ER8737 covid-19 flu shot Monday, April 5th in the afternoon.    I did have a severe case of Covid-19 flu in January 2021. It took 1 month and + few days to recover sufficiently from its many flu like debilitating symptoms!   I did not have any anaphylactic symptoms from the covid-19 flu shot within the first 15 minutes of observation.  BUT-  As I was driving home, my upper left arm, at the injection site and beyond-  up and down my right arm, began to hurt something fierce with pains and numbness and tingling sensations.  By around 7:00pm that same day, I began having severe headaches, left sided neck and shoulder stiffness, acute weakness and tiredness, severe chills throughout my whole body, with generalized severe body aches!  I was driven to bed after taking Tylenols po and OTC cold/flu medications.  I have had these symptoms,  on and off for 4 days now and counting!  I am going to report these awful prolonged side effects to CDC, and Pfizer, and anyone else who will listen.  I will NOT be taking the second Pfizer Covid-19 injection.     I reported this information to Pfizer on 4-8-2021 am via  their web site   THANK YOU YOUR REPORT HAS BEEN SUBMITTED Your Reference Number  and to NP   And CDC
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pain in extremity, Palpitations, Paraesthesia
Clinical narrative: I received Pfizer-BioNTech, lot # ER8737 covid-19 flu shot Monday, April 5th in the afternoon.    I did have a severe case of Covid-19 flu in January 2021. It took 1 month and + few days to recover sufficiently from its many flu like debilitating symptoms!   I did not have any anaphylactic symptoms from the covid-19 flu shot within the first 15 minutes of observation.  BUT-  As I was driving home, my upper left arm, at the injection site and beyond-  up and down my right arm, began to hurt something fierce with pains and numbness and tingling sensations.  By around 7:00pm that same day, I began having severe headaches, left sided neck and shoulder stiffness, acute weakness and tiredness, severe chills throughout my whole body, with generalized severe body aches!  I was driven to bed after taking Tylenols po and OTC cold/flu medications.  I have had these symptoms,  on and off for 4 days now and counting!  I am going to report these awful prolonged side effects to CDC, and Pfizer, and anyone else who will listen.  I will NOT be taking the second Pfizer Covid-19 injection.     I reported this information to Pfizer on 4-8-2021 am via  their web site   THANK YOU YOUR REPORT HAS BEEN SUBMITTED Your Reference Number  and to NP   And CDC
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Electrocardiogram normal, Feeling hot, Full blood count normal, Headache
Clinical narrative: Within 5 minutes of the shot, I experienced abdominal discomfort and felt nauseous and then felt a warmth over my entire body. I also developed a very rapid heartbeat and palpitations. The pharmacist was notified of my condition. I waited 25 minutes before leaving. Over the next hour, I developed a headache and at about 5 PM another rapid heartbeat occurred. I took my BP. It was 171/94. 15 minutes later, my BP was 169/87. My normal BP is 120/72 and I do not have heart disease. I then decided to seek medical care at the ER.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Metabolic function test, Nausea, Palpitations
Clinical narrative: Within 5 minutes of the shot, I experienced abdominal discomfort and felt nauseous and then felt a warmth over my entire body. I also developed a very rapid heartbeat and palpitations. The pharmacist was notified of my condition. I waited 25 minutes before leaving. Over the next hour, I developed a headache and at about 5 PM another rapid heartbeat occurred. I took my BP. It was 171/94. 15 minutes later, my BP was 169/87. My normal BP is 120/72 and I do not have heart disease. I then decided to seek medical care at the ER.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Influenza like illness, Injection site bruising, Injection site lymphadenopathy
Clinical narrative: Fever of 100 for 2 days, muscle pain, chills 1.5 days after shot.  swelling and painful arm from shoulder to elbow, bruise a quarter large at injection site for 5 days. Lymph nodes swollen along left clavicle and under arm. Felt fluish. Severe fatigue beginning in evening first day thru morning of 2nd day after shot.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Lymphadenopathy, Myalgia, Pyrexia
Clinical narrative: Fever of 100 for 2 days, muscle pain, chills 1.5 days after shot.  swelling and painful arm from shoulder to elbow, bruise a quarter large at injection site for 5 days. Lymph nodes swollen along left clavicle and under arm. Felt fluish. Severe fatigue beginning in evening first day thru morning of 2nd day after shot.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Facial paralysis, Muscle spasms
Clinical narrative: Loss of taste on left side of the tongue started on Sunday 04/04. This was followed by slight muscle spasms on the left side of the face (cheek and eyelid) on 04/05. On 04/06, loss of control of left side of the face started. I cannot blink fully with the left eye, and I cannot contract my left cheek fully. My smile is asymmetric and I cannot fully lift my left eyebrow. The loss of taste on left side of the tongue persists as of today 04/08. I was prescribed prednisone 20mg twice daily by my primary physician, which I started yesterday, 04/07. No alleviation of symptoms so far.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Pain, Pyrexia
Clinical narrative: Fever 101, body aches, chills, horrible pain at injection site
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Age 17 years 6 months at time of vaccination.  Under age 18 identified when mother brought patient for 2nd dose appointment.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Extreme dizziness that lasted for about 15-20 seconds and then subsided. I did not mention to person who administered vaccine because the dizziness went away. I decided to report this after reading about the adverse effects felt by quite a few people at a vaccination site
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Pyrexia
Clinical narrative: Headache, nausea, feverish feeling but no fever, dizziness
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dental examination, Facial pain, Headache, Hypoaesthesia oral, Pain
Clinical narrative: Headaches off and on for about two weeks. Unbelievable face pain to the point of not eating, drinking or even moving my mouth. Went to the Dentist March 2nd, and he sent me to a specialist that day because of pain. She couldn't figure out why pain was on right side and sometimes upper teeth and sometimes lower jaw. she said nerve pain. Upper mouth was numb for about a week, and slowly got better after I took antibiotic. F/U appt 3/30 pain is mild, but one tooth is now dead need root canal on 4/16/21.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tooth disorder, X-ray dental
Clinical narrative: Headaches off and on for about two weeks. Unbelievable face pain to the point of not eating, drinking or even moving my mouth. Went to the Dentist March 2nd, and he sent me to a specialist that day because of pain. She couldn't figure out why pain was on right side and sometimes upper teeth and sometimes lower jaw. she said nerve pain. Upper mouth was numb for about a week, and slowly got better after I took antibiotic. F/U appt 3/30 pain is mild, but one tooth is now dead need root canal on 4/16/21.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph nodes around my collar bone on the left side and the left side in my neck
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Nausea, Pain
Clinical narrative: Woke up with chills and aches with nausea.  A few hours later I got an excruciating headache with fever and continued aches. Persisted until about 5 am on April 8th.  Slight headache and weakness continues. Fever is now gone and aches are mostly gone.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Woke up with chills and aches with nausea.  A few hours later I got an excruciating headache with fever and continued aches. Persisted until about 5 am on April 8th.  Slight headache and weakness continues. Fever is now gone and aches are mostly gone.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Hyperhidrosis, Skin discolouration, Tachycardia, Throat tightness
Clinical narrative: C/O throat tightness, upper chest tightness, tachycardia, sweating, discoloration upper neck, jaw, vomiting
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: C/O throat tightness, upper chest tightness, tachycardia, sweating, discoloration upper neck, jaw, vomiting
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: Fever, headache, exhaustion
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Nausea
Clinical narrative: Severe headache 2 days, tinnitus continuing, nausea 3 days. diarrhea 3rd day, chills 2 days, fever 2 days, Weak, fatigue 3 days.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Tinnitus
Clinical narrative: Severe headache 2 days, tinnitus continuing, nausea 3 days. diarrhea 3rd day, chills 2 days, fever 2 days, Weak, fatigue 3 days.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Chest X-ray, Computerised tomogram, Echocardiogram, Electrocardiogram
Clinical narrative: Experienced Stroke...ambulanced to Trauma center within 1/2 hour, primary residual symptoms were right hand motor skills and right foot motor skills not 100%.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Fine motor skill dysfunction, Magnetic resonance imaging
Clinical narrative: Experienced Stroke...ambulanced to Trauma center within 1/2 hour, primary residual symptoms were right hand motor skills and right foot motor skills not 100%.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Cold sweat, Dizziness, Hyperhidrosis, Malaise
Clinical narrative: Patient was sitting in the observation area after receiving his 1st vaccine. Patient stated he wasn't feeling well. Skin pale, cold and clammy. Patient Diaphoretic. Patient c/o chest pain B/P 130/78 SPO2 85%.  911 called. Patient felt like he was going to vomit and pass out. Non rebreather mask applied at 15 LPM.  SPO2 99% HR 77. 10:29AM  Patient feeling much better, 911 arrived and transported patient to the hospital
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pallor
Clinical narrative: Patient was sitting in the observation area after receiving his 1st vaccine. Patient stated he wasn't feeling well. Skin pale, cold and clammy. Patient Diaphoretic. Patient c/o chest pain B/P 130/78 SPO2 85%.  911 called. Patient felt like he was going to vomit and pass out. Non rebreather mask applied at 15 LPM.  SPO2 99% HR 77. 10:29AM  Patient feeling much better, 911 arrived and transported patient to the hospital
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: pt was vaccinated 6 days early
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Migraine, Pyrexia
Clinical narrative: Began running a fever and experiencing cold chills after about 6 hours of receiving injection. Fever lasted about 12 hours. Once fever and chills subsided a migraine came on. Migraine lasted about 4 hours.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: patient felt faint and nauseous.  Patient felt better after ice packs and lying down. Patient did not vomit or pass out.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Feeling cold, Feeling hot, Pyrexia
Clinical narrative: about 12 hours after receiving vaccine, I experienced EXTREME cold. My body could not get warm. I shook violently all over my body. I took tylenol. Then, I experienced extreme heat and could not get cold. I felt like I had a fever and took some tylenol. I did not take my temperature. I started experiencing chest tightness. It feels funny in my chest like I cannot breathe fully. Everything has gone away except for the chest tightness.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: about 12 hours after receiving vaccine, I experienced EXTREME cold. My body could not get warm. I shook violently all over my body. I took tylenol. Then, I experienced extreme heat and could not get cold. I felt like I had a fever and took some tylenol. I did not take my temperature. I started experiencing chest tightness. It feels funny in my chest like I cannot breathe fully. Everything has gone away except for the chest tightness.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Breast pain, Breast tenderness
Clinical narrative: Embarrassing event to say the least. Both of my male breasts around nipple are very sensitive to the touch. Pain incurrs if say for instance I roll over in bed, pick up a pet, or wash the affected area in the shower.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus started within hours of vaccine
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache
Clinical narrative: Chills, headache, and tempature got as high as 101.7, which i usually run 98.7.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event reported. This was an administration error.  Administered Moderna vaccine to a 17 year old when it is approved for 18 years and older.    Pharmacist thought all Covid vaccinations were approved for 16 years and up.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Fatigue, Headache, Muscle spasms
Clinical narrative: Dizziness  04/07/2021 & 04/08/2021 Tired 04/08/2021 Muscle Weakness  04/07/2021 & 04/08/2021 Muscle Cramps 04/07/2021 Lower Back  Pain and Sides 04/07/2021 & 4/08/2021 Headache by Right eye 04/07/2021 Burning in left shoulder to the side of my neck 04/06/2021
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness
Clinical narrative: Dizziness  04/07/2021 & 04/08/2021 Tired 04/08/2021 Muscle Weakness  04/07/2021 & 04/08/2021 Muscle Cramps 04/07/2021 Lower Back  Pain and Sides 04/07/2021 & 4/08/2021 Headache by Right eye 04/07/2021 Burning in left shoulder to the side of my neck 04/06/2021
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Nausea, Pyrexia
Clinical narrative: Low grade fever, body chills, nauseated, no energy,
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Feeling hot, Immediate post-injection reaction
Clinical narrative: Patient felt light-headed and dizzy immediately following vaccine. She also started to feel warm and clammy. The symptoms progressed over the next several minutes and were not improving. Store management was called to the pharmacy as a precaution. After about 10 minutes, the patient stated her symptoms were improving. At that time, she agreed to walk to a waiting chair outside the pharmacy and was watched by pharmacy staff for the next 25-30 minutes. She said she felt fully back to normal by the time she left with the person she came with (her mom).
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Pain of skin, Pruritus, Rash macular
Clinical narrative: On the evening of the vaccine, I noticed that my body was red and splotchy.  The next day, I was very itchy and scratching was painful.  Yesterday - 2 days post injection - my head and entire torso was hot to the touch, extremely itchy and painful to scratch. I also noticed that where my bra was rubbing, it was extremely painful. Last evening, I took a Benadryl to help with itchiness.  This morning, I have small blister-like patches all over my torso.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Rash vesicular
Clinical narrative: On the evening of the vaccine, I noticed that my body was red and splotchy.  The next day, I was very itchy and scratching was painful.  Yesterday - 2 days post injection - my head and entire torso was hot to the touch, extremely itchy and painful to scratch. I also noticed that where my bra was rubbing, it was extremely painful. Last evening, I took a Benadryl to help with itchiness.  This morning, I have small blister-like patches all over my torso.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Oropharyngeal pain, Pain
Clinical narrative: bodyaches,  sore throat, fatigue  started evening 4/7/21.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site urticaria, Oropharyngeal discomfort, Vaccination complication
Clinical narrative: The patient developed an allergic reaction to her first Moderna injection she received from the clinic on 03/27/21.   She developed small bumps to the left arm where she was injected about 18 hours after injection, which then progressed to full body hives 24-48 hours later. She was seen in UC and given steroids and is now reporting near full resolution of the rash. She has mild discomfort to her throat but no respiratory distress
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pyrexia
Clinical narrative: Headache Fever 99.7, back to normal by 2pm next day Nausea Chills All symptoms gone by 7pm next day
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: At day 13th after my 1st moderna shot I developed ?Covid arm?/?vaccine arm?. I had a 3 inch swollen pink circle around the injection site of my upper left arm. There was NO itching or tenderness. The pink circle went away on day 15.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dissociation, Dizziness, Injection site pain, Migraine, Muscular weakness
Clinical narrative: Strong dissociation right afterwards Migraine, fever, extreme injection site pain, and weak limbs/lightheadedness the morning after
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Strong dissociation right afterwards Migraine, fever, extreme injection site pain, and weak limbs/lightheadedness the morning after
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Condition aggravated, Dizziness, Flushing
Clinical narrative: Otherwise healthy 26 yo female presented to observation area after her first vaccine dose. Within first 5 mins she experienced some flushing and was lightheaded. She elected to walk to first aid bay, but then had a syncopal episode with +LOC for about 10 seconds. She was diaphoretic. She was not post ictal. She recovered and was alert and oriented x 3.  BP 114/80, HR 58 with repeat 10 mins later 120/80, 71. She denies chest pain, shortness of breath, chest tightness, feelings of throat closure, or itching. She had no rashes.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Presyncope, Syncope
Clinical narrative: Otherwise healthy 26 yo female presented to observation area after her first vaccine dose. Within first 5 mins she experienced some flushing and was lightheaded. She elected to walk to first aid bay, but then had a syncopal episode with +LOC for about 10 seconds. She was diaphoretic. She was not post ictal. She recovered and was alert and oriented x 3.  BP 114/80, HR 58 with repeat 10 mins later 120/80, 71. She denies chest pain, shortness of breath, chest tightness, feelings of throat closure, or itching. She had no rashes.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Woke to a sore left arm on 04/08 at the injection site 9 days after my first Moderna COVID vaccine injection. Site of the injection is itchy and swollen with a red patch about 1.5 x 3 inches. Administered 1 x Telfast tablet (60g fexodenadine hydrochloride) and applied some Hydrocortisone 1% anti-itch cream. Pain/itch has subsided in the afternoon, red patch persists but is maneagable.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: The following individual had positive COVID results after completing their vaccine series. Date/Lot of 1st  dose: 12/22/2020 Pfizer EL0140 Date/Lot of 2nd dose: 1/12/2021 Pfizer EL1284  Date of COVID test: 4/6/2021 Date of exposure if known: 4/4/2021 Exposure (Workplace vs. community): Community Symptomatic: Yes
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: 1 shot. 20 minutes after shot. Chest tightness and difficulty breathing for 30 minutes.   2nd shot 20 minutes after shot. For 1 1/2 hors chest very tight and difficulty breathing again
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 1st vaccination dose 12/31/20 - Lot EK9231 2nd vaccination dose 01/21/21 - Lot EL8982 Tested positive for Covid 04/05/21
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Pyrexia
Clinical narrative: Arm sore, chills, severe headache, fever
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Delirium, Dizziness, Fatigue, Migraine, Nausea
Clinical narrative: I experienced light headedness, mild delirium, nausea & tiredness. The following morning I felt very sore and achy through the day. The second morning after, I woke with a migraine headache. I feel normal again today.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: I experienced light headedness, mild delirium, nausea & tiredness. The following morning I felt very sore and achy through the day. The second morning after, I woke with a migraine headache. I feel normal again today.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pain, Mobility decreased, Pain, Pigmentation disorder
Clinical narrative: Left arm has a hard painful lump at injection site, with different pigmentation at lump site: Mild. Pain with decreased range of motion. Pain shoots like lightening from injection site up into shoulder, neck and scapular area. Since injection time, progressively worsening.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Mobility decreased, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Experienced  severe chills approximately 10 hours following vaccine,  was shaking uncontrollably and could not properly function/move for about 10-15 minutes.   Also experienced regular side effects such as stiff muscles, sore arm, and fever.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Experienced  severe chills approximately 10 hours following vaccine,  was shaking uncontrollably and could not properly function/move for about 10-15 minutes.   Also experienced regular side effects such as stiff muscles, sore arm, and fever.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Guest was here to receive his second dose of the Moderna vaccine.  This was day 28 from first dose. Guest  received the Pfizer vaccine instead.  Guest did not notice it until he had left the building.  He returned to report the mistake. He did not report any ill effects. Stated he felt good.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Chills, Headache, Pain, Pyrexia
Clinical narrative: night chills, fever, headache, body aches, loss of taste, swollen discolored (whiteish) tongue with bumps along the perimeter
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue, Tongue discolouration
Clinical narrative: night chills, fever, headache, body aches, loss of taste, swollen discolored (whiteish) tongue with bumps along the perimeter
Age: 0.42
Sex: F
Vaccine: HIBV
Symptoms: Expired product administered
Clinical narrative: After administering vaccines, I was updating electronic system and noticed that Hib vaccine was not in inventory. I checked expirations again and realized that the Hib vaccine expiration date was misread and actually expired March 22, 2021. I immediately contact the NP and reported the error, discussed the process and next steps. I then contacted mom,  and reported to her the Hib error. I explained the vaccine was expired and that it was discussed with NP, reported that receiving the expired vacc is not harmful to baby and that the dose may need to be repeated. Mom stated she understood and had further questions about Haemophilus influenza type B and baby's risk because because they are planning to travel soon. I recommended to mom that she speak with NP for more information. Mom agreed and I contacted NP to ask that she reach out to mom, NP agreed.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Carpal tunnel syndrome, Neuralgia
Clinical narrative: Nerve pain, carpal tunnel and ulnar tunnel symptoms, without a prior history of either conditions.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Sleep disorder
Clinical narrative: Lack of sleep, sweating while turning, headache in temple area
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Chills, Decreased appetite, Dizziness
Clinical narrative: Total fatigue and lack of energy; pretty motionless, could take a shower & read  but that was about it; sleeplessness; headache; recurring chills;  allover muscle & joint pains, nausea, appetite loss -- lost 6 lbs. in 6 days; blurred vision, dizziness.  On the 5th day was able to eat cheese sandwich; only chicken noodle soup & crackers & tea & toast prior to that.  Finally on the 8th day began to feel normal.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Insomnia, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Total fatigue and lack of energy; pretty motionless, could take a shower & read  but that was about it; sleeplessness; headache; recurring chills;  allover muscle & joint pains, nausea, appetite loss -- lost 6 lbs. in 6 days; blurred vision, dizziness.  On the 5th day was able to eat cheese sandwich; only chicken noodle soup & crackers & tea & toast prior to that.  Finally on the 8th day began to feel normal.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Nausea, Vision blurred
Clinical narrative: Total fatigue and lack of energy; pretty motionless, could take a shower & read  but that was about it; sleeplessness; headache; recurring chills;  allover muscle & joint pains, nausea, appetite loss -- lost 6 lbs. in 6 days; blurred vision, dizziness.  On the 5th day was able to eat cheese sandwich; only chicken noodle soup & crackers & tea & toast prior to that.  Finally on the 8th day began to feel normal.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Insomnia, Loss of personal independence in daily activities, Myalgia
Clinical narrative: Total fatigue and lack of energy; pretty motionless, could take a shower & read  but that was about it; sleeplessness; headache; recurring chills;  allover muscle & joint pains, nausea, appetite loss -- lost 6 lbs. in 6 days; blurred vision, dizziness.  On the 5th day was able to eat cheese sandwich; only chicken noodle soup & crackers & tea & toast prior to that.  Finally on the 8th day began to feel normal.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Vision blurred, Weight decreased
Clinical narrative: Total fatigue and lack of energy; pretty motionless, could take a shower & read  but that was about it; sleeplessness; headache; recurring chills;  allover muscle & joint pains, nausea, appetite loss -- lost 6 lbs. in 6 days; blurred vision, dizziness.  On the 5th day was able to eat cheese sandwich; only chicken noodle soup & crackers & tea & toast prior to that.  Finally on the 8th day began to feel normal.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Migraine, Nausea, Pain, Pyrexia
Clinical narrative: 102 degree fever (for 10+ hours), migraine, body aches, chills, nausea  Treated with rotating Tylenol and ibuprofen for 24 hours
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Erythema, Injection site erythema, Injection site pain
Clinical narrative: Raised red area (palm-sized) on upper arm, at injection site; tender to touch, hot to touch, and itchy. Mild chills and general unwell feeling as the day went on. Increased pain in shoulder as day went on. Improved after 24 hours, but raised red area still visible, warm and tender.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Malaise
Clinical narrative: Raised red area (palm-sized) on upper arm, at injection site; tender to touch, hot to touch, and itchy. Mild chills and general unwell feeling as the day went on. Increased pain in shoulder as day went on. Improved after 24 hours, but raised red area still visible, warm and tender.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Mobility decreased, Pain
Clinical narrative: Unable to lift arm due to pain, massive headache above a 10, body aches
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Cellulitis, Periorbital swelling, Swelling face
Clinical narrative: Patient had swelling of face/puffy eyes, came to ER and admitted, and was treated as facial cellulitis -- but there could be an element of angioedema
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Gait disturbance, Rash, Throat tightness
Clinical narrative: He got his vaccine and within 7-10 minutes he felt a little nauseous.   About 15 minutes after the vaccine his throat started getting a little tight.  He swallowed a few times but was difficult to do so.  It then eased up and then 30 minutes later when he was getting up to leave he was light headed.  He walked out and got to the car, came home and still felt a little light headed, sat around for a couple of hours and was doing better.  He went outside to do a few things and was stumbling around and went back into the house.  He went to take a shower and still had the bandaide on his arm, took the bandaide off and while driving off he saw that he had a rash the size of a 50 cent piece around 7:30.  He got up the next morning and the rash was gone, the dizziness was gone and everything was fine.  He did not take anything for his reaction.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Dyspnoea, Feeling abnormal, Malaise
Clinical narrative: intermittent dizziness poor balance, , loss of stamina , shortness of breath, foggy brain.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain, Pyrexia
Clinical narrative: Fever 102, chills, body ache, dizziness, nausea for 24h
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chest pain, Chills, Dizziness
Clinical narrative: chills, extreme headache, dizziness, nausea, chest pain, racing heart beats, racing thoughts, can't sleep, left inner ear pain, blurred vision, pain in left elbow, numbness in left hand for 12 hours, shortness of breath, general weakness - adverse events have lasted over 48 hours - Advil taken with minimal reduction in symptoms
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Ear pain, Headache, Heart rate increased, Hypoaesthesia
Clinical narrative: chills, extreme headache, dizziness, nausea, chest pain, racing heart beats, racing thoughts, can't sleep, left inner ear pain, blurred vision, pain in left elbow, numbness in left hand for 12 hours, shortness of breath, general weakness - adverse events have lasted over 48 hours - Advil taken with minimal reduction in symptoms
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Sleep disorder, Tachyphrenia, Vision blurred
Clinical narrative: chills, extreme headache, dizziness, nausea, chest pain, racing heart beats, racing thoughts, can't sleep, left inner ear pain, blurred vision, pain in left elbow, numbness in left hand for 12 hours, shortness of breath, general weakness - adverse events have lasted over 48 hours - Advil taken with minimal reduction in symptoms
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Fatigue
Clinical narrative: Patient tested positive for COVID-19 after completing the full Pfizer vaccine series, 86 days after 2nd dose.   Patient received 2nd dose of COVID vaccine on 01/05/21 .   Tested positive on 04/01/21.   NOT hospitalized.  "Symptoms reported: Chills, fatigue, loss of taste, loss of smell;  Symptom onset date: 3/31/2021" No known exposure outside of work.  I have not traveled or eaten at restaurants or gone anywhere unmasked. Cared for a COVID + patient on 3/25, 3/26, 3/30 - wore my PAPR as fit tested to. "First COVID positive test;  Did care for COVID + patient on 3/25/2021"
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID-19 after completing the full Pfizer vaccine series, 86 days after 2nd dose.   Patient received 2nd dose of COVID vaccine on 01/05/21 .   Tested positive on 04/01/21.   NOT hospitalized.  "Symptoms reported: Chills, fatigue, loss of taste, loss of smell;  Symptom onset date: 3/31/2021" No known exposure outside of work.  I have not traveled or eaten at restaurants or gone anywhere unmasked. Cared for a COVID + patient on 3/25, 3/26, 3/30 - wore my PAPR as fit tested to. "First COVID positive test;  Did care for COVID + patient on 3/25/2021"
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: 6 days later the injection site started to itch and by day 8 the redness is the size of a baseball and is itchy
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Febrile neutropenia, Pyrexia
Clinical narrative: Fever post vaccination, admitted for neutropenic fever
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain, Poor quality sleep, Vision blurred
Clinical narrative: headache and body aches night of shot. Took one acetaminophen before bed at 10:00pm.  Bad night of sleep.  Woke up next day with headache, body ache and blurry peripheral vision issue with right eye. Took another acetaminophen and slept more.  By the 8pm on Thursday the headache and body aches were gone.  Eye issue continued. Applied saline drops to the eyes over the weekend.  No change. Monday morning placed a call to Ophthalmology.  Dr. saw me that day.  He said the eyes looked healthy.  Thought it could be inflammation in the eye muscles.  Suggest taking Aleve for 2 days and come back on Wednesday (4/7/21). No change in blurred vision. Suggested I get in touch with my primary doctors office.  Saw the NP today.  He is prescribing a steroid.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: At 4:32 pm patient was found on the floor of the exam room I was able to arouse patient. Pt blood pressure was 95/60 Heart rate 66 02 98% . Pt was moved to a seated position. At 4:48 pm patient stated her symptoms have resolved. Pt blood pressure was 100/60 heart rate 77 and 02 98%. Pt left clinic at that time.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: chills, fever, bad bad headache, nauseaus, aches
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain in extremity
Clinical narrative: Headache and sore arm for 24 hours.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Muscle aches (full body), chills, fever, severe headache.  Lasted for 9 hours.  Treated with ibuprofen and Maxalt. Next day, just fatigue and muscle aches.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chest pain, Fatigue, Headache, Lymphoedema
Clinical narrative: I had severe pain under my arms and in my chest area.  I have severe swelling under both arms, especially my left arm.  (Lymphedema).  I had severe fatigue, nausea, headache, fever, and aches.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: I had severe pain under my arms and in my chest area.  I have severe swelling under both arms, especially my left arm.  (Lymphedema).  I had severe fatigue, nausea, headache, fever, and aches.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Pruritus
Clinical narrative: Approx. 8 hours later vaccine site started to itch, almost like getting a mosquito bite. Itch spread to other parts of the arm, (both) neck and some leg areas
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Injection site rash, Lymph node pain
Clinical narrative: Reacted to vaccine after 8 hours with fever, muscle aches, fatigue, headache, injection site pain, swollen lymph nodes.  Felt better in 24 hours but arm pain and swelling persisted, light red rash appeared over injection site.  Arm is still swollen and painful, lymph nodes still swollen and sensitive, rash still present as of 72 hours later.  Still having some headache as well.  The symptoms are decreasing but I felt it was important to report the reaction.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Myalgia, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Reacted to vaccine after 8 hours with fever, muscle aches, fatigue, headache, injection site pain, swollen lymph nodes.  Felt better in 24 hours but arm pain and swelling persisted, light red rash appeared over injection site.  Arm is still swollen and painful, lymph nodes still swollen and sensitive, rash still present as of 72 hours later.  Still having some headache as well.  The symptoms are decreasing but I felt it was important to report the reaction.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: Reacted to vaccine after 8 hours with fever, muscle aches, fatigue, headache, injection site pain, swollen lymph nodes.  Felt better in 24 hours but arm pain and swelling persisted, light red rash appeared over injection site.  Arm is still swollen and painful, lymph nodes still swollen and sensitive, rash still present as of 72 hours later.  Still having some headache as well.  The symptoms are decreasing but I felt it was important to report the reaction.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Lethargy, Nightmare, Pyrexia
Clinical narrative: Dizzy immediately following injection. Bad headache, Fever 101.5° and lethargic around 6 hours later.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Fatigue, Rash, Somnolence, Throat tightness
Clinical narrative: There was a rash like on my arms and thighs roughly after 30 minutes. When I got home, I took Benadryl and Tylenol. After 30 minutes, I noticed that my rash started to go down. While at the same time, I started feeling abdominal pain and my throat closing. I started to feel fatigue and very sleepy.