chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Immunisation, No adverse event, Wrong product administered
Clinical narrative: This patient received last year's (2019-20) influenza Vaccine on 9/26/20 due to oversight in the supply management process. The patient was notified and had not experienced any adverse effects from that vaccine. The patient did return to the office and received the appropriate Fluad Quadrivalent (2020-21) Influenza Vaccine.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Palpitations
Clinical narrative: Employee complained of feeling hot, heart racing, stating "I feel like I am going to pass out." Vital signs taken, BP and HR WNL. Employee states she has not eaten since 0200, water and snack provided. Vitals retaken in 15 minutes WNL and employee states she is back to baseline following 30 minutes of monitoring. Dr. present at this time and assessed employee, occupational health to follow-up.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood test, Feeling hot, Oral pruritus, Rash
Clinical narrative: Started with Rash/Hives on Neck and upper chest and shoulder.  Inside of nose rash and mouth itchiness.  Progressed to arms and palms of hands.  Started to get stomach upset.   mouth got warm and throat warm.  Breathing was OK but started to get tougher.  Went to the ED Given Benadryl Pepcid and solumedrol  Gave you prednisone 50mg  for home 3 tablets once a day and OTC pepcid
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Started with Rash/Hives on Neck and upper chest and shoulder.  Inside of nose rash and mouth itchiness.  Progressed to arms and palms of hands.  Started to get stomach upset.   mouth got warm and throat warm.  Breathing was OK but started to get tougher.  Went to the ED Given Benadryl Pepcid and solumedrol  Gave you prednisone 50mg  for home 3 tablets once a day and OTC pepcid
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Unevaluable event
Clinical narrative: Employee received COVID-19 vaccine on 1:45pm
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Pyrexia
Clinical narrative: Fever started at 8pm around 99.5F and then around 1:30am fever went to 101.5F, took 2 advils and fever went down in the 99s. Fever didnt break until after 4 pm next day after 2 advils were taken.  Feeling tired/weak since had the shot.
Age: 0.75
Sex: F
Vaccine: PNC13
Symptoms: Abnormal behaviour, Dermatitis contact, Irritability, Physical examination, Rash
Clinical narrative: Patient has had rash and increased fussiness. Patient had rash that progressed to hives. Hives have lasted for 3 weeks. Patient continues to have poor naps.  Overall sleep is improving but parents state that patient continues to be acting abnormally.
Age: 0.75
Sex: F
Vaccine: PNC13
Symptoms: Sleep disorder, Urticaria
Clinical narrative: Patient has had rash and increased fussiness. Patient had rash that progressed to hives. Hives have lasted for 3 weeks. Patient continues to have poor naps.  Overall sleep is improving but parents state that patient continues to be acting abnormally.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: This patient received last year's (2019-20) influenza Vaccine on 9/26/20 due to oversight in the supply management process. The patient was notified and had not experienced any adverse effects from that vaccine. The patient did return to the office and received the appropriate Fluad Quadrivalent (2020-21) Influenza Vaccine.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Pt reported being dizzy and a headache
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: I was unsure whether to report this, and I will preface this by stating that as a child I got nosebleeds frequently. However, I had not gotten a nosebleed in 15+ years and on the day I received the first dose of the COVID-19 vaccine I got a nosebleed that lasted about 10-15 minutes.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on neck, back, and chest
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: Metallic taste started several hours after injection and lasted several minutes
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eye swelling, Headache, Oropharyngeal pain, Pain
Clinical narrative: 2 hours after vaccine started with itching face and body, eye swollen like my allergy symptoms  12 hours after vaccine got light headache, body aches, chill , throat hurt
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: 2 hours after vaccine started with itching face and body, eye swollen like my allergy symptoms  12 hours after vaccine got light headache, body aches, chill , throat hurt
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Syncope
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: Systemic: Anaphylaxis, Fainting
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Loss of personal independence in daily activities, Mobility decreased, Pain in extremity
Clinical narrative: On the first day shortly mild pain in left arm around 08:00pm exp brief pain in chest  that occurred twice and went to bed. I woke up on 12/16 after resting on right side and tried to rollover upon waking up was in excruciating pain. arm around 5am  woke up for work couldn't move my arm, barely could dress to put my shirt on on a scale 1-10 rate 7. As a result it was hard to due my daily activities or hygiene. The following day 12/17 pain felt mild and on 12/18 felt no more pain.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Immunisation, No adverse event, Wrong product administered
Clinical narrative: This patient received last year's (2019-20) influenza Vaccine on 9/26/20 due to oversight in the supply management process. The patient was notified and had not experienced any adverse effects from that vaccine. The patient did return to the office and received the appropriate Fluad Quadrivalent (2020-21) Influenza Vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Muscle tightness, Paraesthesia, Somnolence, Swollen tongue
Clinical narrative: 0835 the patient was given the vaccine in the right deltoid IM, at approximately 0838 the patient started feeling tingling and tightness in her upper chest and neck. She stated her throat was feeling funny and the back of her tongue felt like it was getting bigger and swelling. The patient did not have any difficulty breathing. At 0845 Benedryl 25mg IM was administered. Patient vital signs BP 156/88, HR 86, R 22, O2 Sat 98%. Respirations were even and unlabored. Patient was observed and within a few minutes stated that she felt better and was no longer feeling the tingling, tightness or tongue swelling. We continued to observe the patient for 45 minutes after her initial reaction. 0855 Dr. assessed the patient and determined her to be stable. 0945 At time of dismissal, VS BP 125/82, 74, 18, 99%. Patient had no complaints other than drowsiness and respirations were even and unlabored. Patient left by ambulation in stable condition.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: 0835 the patient was given the vaccine in the right deltoid IM, at approximately 0838 the patient started feeling tingling and tightness in her upper chest and neck. She stated her throat was feeling funny and the back of her tongue felt like it was getting bigger and swelling. The patient did not have any difficulty breathing. At 0845 Benedryl 25mg IM was administered. Patient vital signs BP 156/88, HR 86, R 22, O2 Sat 98%. Respirations were even and unlabored. Patient was observed and within a few minutes stated that she felt better and was no longer feeling the tingling, tightness or tongue swelling. We continued to observe the patient for 45 minutes after her initial reaction. 0855 Dr. assessed the patient and determined her to be stable. 0945 At time of dismissal, VS BP 125/82, 74, 18, 99%. Patient had no complaints other than drowsiness and respirations were even and unlabored. Patient left by ambulation in stable condition.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain
Clinical narrative: Body aches, fatigue and chills day after vaccine and following day, symptoms then resolved
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injected limb mobility decreased, Pain, Pyrexia, Tenderness
Clinical narrative: Pain local site, tenderness at local site, restriction of moving left arm, body ached, headache ,   Feeling feverish
Age: 17.0
Sex: M
Vaccine: HEPA, HPV9, MENB
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Patient was administered the HPV, Bexero and Hepatits A vaccine. He became pale, diaphoretic and passed out. The episode lasted approximately 1 minute. Cold compresses and Sprite were supplied to the patient. Patient was moved to the floor. He completely recovered in approximately 15 minutes.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Abdominal pain lower, Abdominal pain upper, Nausea, Vomiting
Clinical narrative: Parent reported at most recent appt on 12/14/2020 that patient c/o "severe stomach pain and vomiting" the evening of 11/17/2020 after receiving the flu vaccine. Patient was taken to ER by father. ER notes state pt c/o LLQ abd pain, nausea, 3 episodes of vomiting X 3 hrs. Patient left ER after ~ 2 hrs without being seen. Mom reports sx improved by the following day but requested the event be reported.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Electrocardiogram normal, Hypoaesthesia, Hypoaesthesia oral, Nausea
Clinical narrative: Joint pain this morning- than itching in different places... some numbness all over my arm.. than at 1pm  sudden onset of tachycardia, lip numbness and tongue numbness with nausea.  I immediately took 10mg Benadryl.  - but bc my tongue was feeling different I had to call 911.  Upon arriving in the ER - they checked vitals and found tachycardia.  They administered Benadryl 25mg.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Tachycardia
Clinical narrative: Joint pain this morning- than itching in different places... some numbness all over my arm.. than at 1pm  sudden onset of tachycardia, lip numbness and tongue numbness with nausea.  I immediately took 10mg Benadryl.  - but bc my tongue was feeling different I had to call 911.  Upon arriving in the ER - they checked vitals and found tachycardia.  They administered Benadryl 25mg.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sensory disturbance
Clinical narrative: Joint pain this morning- than itching in different places... some numbness all over my arm.. than at 1pm  sudden onset of tachycardia, lip numbness and tongue numbness with nausea.  I immediately took 10mg Benadryl.  - but bc my tongue was feeling different I had to call 911.  Upon arriving in the ER - they checked vitals and found tachycardia.  They administered Benadryl 25mg.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Nausea and headache started approximately 21:00. Body aches and chills continued through until 12/22/2020 . On 12/22 I vomited at 7:00 and have continued to have low fever of 99.5-100.0 , chills, fatigue, body aches and headache all over.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Nausea and headache started approximately 21:00. Body aches and chills continued through until 12/22/2020 . On 12/22 I vomited at 7:00 and have continued to have low fever of 99.5-100.0 , chills, fatigue, body aches and headache all over.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Nausea, Pain, Vomiting
Clinical narrative: Pt received vaccine on 12/17/20 and started experiencing side effects such a dizziness, body aches, nausea and vomiting, and body weakness shortly after. The symptoms got progressively worse as the days went by and pt came to the ED on Tuesday, 12/22/20, since symptoms were not improving and acetaminophen and ibuprofen did not help.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Malaise, Tunnel vision
Clinical narrative: After vaccine patient reports that she did not feel well she advised later that is was as if she was having tunnel vision.  Patients BP checked at 10:10 and elevated 151/94 patient reports that her BP is never elevated, HR stayed WNL, 10:25 checked patients BP again 166/90. 10:35 BP 148/75 patient reports that she is starting to feel better HR remained WNL, 10:45 patients BP 130/78 Patient reports that she feels better and would like to go back to work.  I have advised her to make sure she has another health care provider check on her in a few minutes and check her blood pressure again. Patient acknowledged understand.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: Chest pain, shortness of breath, tongue numbness and tingling
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hypersomnia, Pain, Pyrexia
Clinical narrative: 28 HOURS AFTER INJECTION, DEVELOPED BODY ACHES AND PAINS, 99.5 FEVER, CHILLS, SIGNIFICANT FATIGUE REQUIRING ME TO GO TO BED - SLEPT 12 HOURS
Age: 89.0
Sex: F
Vaccine: FLU4
Symptoms: Immunisation, No adverse event, Wrong product administered
Clinical narrative: This patient received last year's (2019-20) influenza Vaccine on 9/26/20 due to oversight in the supply management process. The patient was notified and had not experienced any adverse effects from that vaccine. The patient did return to the office and received the appropriate Fluad Quadrivalent (2020-21) Influenza Vaccine.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Woke up next morning around 6:30 AM the 18th with a few drops of blood on pillow. Nose was dripping blood. Was able to plug nose and stop bleeding within 15 minutes. No further issues that day, however did wake up with dried blood in nose on the 19th. No further issues after that.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Paraesthesia oral
Clinical narrative: Patient received COVID-19 vaccine at 330pm. Approximately 15-20 minutes later the patient felt well, was released. At around 4:00pm patient then developed "tongue fullness" and felt flushed. She returned to vaccine clinic. No reported rash, voice changes, wheezing, shortness of breath at the time she presented back to the vaccine clinic. 153-173 sbp, HR 60; Doctor on call advised to give Benadryl 50mg IM and send to the ER for evaluation and monitoring for 4 hours. Benadryl was given to patient at around 4:15pm. Patient was taken to ED around 4:30pm.  Patient requested early discharge from ED as  she stated she " Feels normal now. Requesting DC as she is a nurse and feels better and wants to be with her family."  Per ED note: patient discharged with antihistamines and epipen.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: Employee complained of runny nose following receiving vaccination. Dr aware. Follow-up with employee done in the afternoon and employee advised symptom has resolved with no other issues.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Headache, Induration, Mass
Clinical narrative: significant headaches, nausea, fatigue and local redness/swelling/hard lump/itching.Outcome: Resolved and fine
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pruritus, Swelling
Clinical narrative: significant headaches, nausea, fatigue and local redness/swelling/hard lump/itching.Outcome: Resolved and fine
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Laboratory test normal, Polymerase chain reaction
Clinical narrative: Few hours post-vax developed headache. Took  Tylenol. Went to bed, no symptoms. Woke up with cough and experienced headache and fatigue throughout the day. Seen by NP at Employee Health, below tests performed. Symptoms persisted through 12/18. By 12/19 symptoms resolved.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory viral panel
Clinical narrative: Few hours post-vax developed headache. Took  Tylenol. Went to bed, no symptoms. Woke up with cough and experienced headache and fatigue throughout the day. Seen by NP at Employee Health, below tests performed. Symptoms persisted through 12/18. By 12/19 symptoms resolved.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood bilirubin increased, Blood osmolarity increased, Blood urea increased, Contusion, Haemorrhage
Clinical narrative: HPI: 56 y.o. male with no pmhx c/o generalized bruising for 2 days, noticed small blood tinged spots generalized. Gradual onset, severe on severity, no alleviating or aggravating factors. Patient denies fevers, chills, N/V/D, abdominal pain. In ER: Platelet <1. Platelet transfusion in ER. Admitted for Thrombocytopenia/ITP
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immune thrombocytopenia, Monocyte percentage increased, Platelet count decreased, Platelet transfusion, Thrombocytopenia
Clinical narrative: HPI: 56 y.o. male with no pmhx c/o generalized bruising for 2 days, noticed small blood tinged spots generalized. Gradual onset, severe on severity, no alleviating or aggravating factors. Patient denies fevers, chills, N/V/D, abdominal pain. In ER: Platelet <1. Platelet transfusion in ER. Admitted for Thrombocytopenia/ITP
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Full blood count abnormal, Platelet count decreased
Clinical narrative: HPI: 56 y.o. male with no pmhx c/o generalized bruising for 2 days, noticed small blood tinged spots generalized. Gradual onset, severe on severity, no alleviating or aggravating factors. Patient denies fevers, chills, N/V/D, abdominal pain. In ER: Platelet <1. Platelet transfusion in ER. Admitted for Thrombocytopenia/ITP
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Erythema, Pain, Peripheral swelling, Pyrexia
Clinical narrative: Fever (102.5), Elevated Blood Pressure, Pulse resting 130 bpm, Red/swollen left arm, General body aches all lasting about 24 hours then all side effect subsided.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiovascular evaluation, Diarrhoea, Electrocardiogram change, Fatigue, Heart rate increased
Clinical narrative: About 5 min after I got the vaccine I was on observation and I started getting a rapid, pounding, heartbeat, they waited about 5 min and it started getting faster and stronger, so they called paramedics to take me to the ER. It seemed it could be a severe reaction, I had fast rate for several hours and also broke up in hives while I was at the ER. They did  a cardiac workup and noticed I had change on my heartrate according to the EKG they had previously done.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Urticaria
Clinical narrative: About 5 min after I got the vaccine I was on observation and I started getting a rapid, pounding, heartbeat, they waited about 5 min and it started getting faster and stronger, so they called paramedics to take me to the ER. It seemed it could be a severe reaction, I had fast rate for several hours and also broke up in hives while I was at the ER. They did  a cardiac workup and noticed I had change on my heartrate according to the EKG they had previously done.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Discomfort, Dizziness, Injection site pain, Limb discomfort
Clinical narrative: Local pain, heaviness in the arm, soreness for about an hour. Took 500 mg Tylenol. It kind of helped.  Took Benadryl before she went to bed. Early this morning, everything felt heavy, felt nausea, mild palpitations, and dizziness. Took Famotidine this morning.  Took Motrin and Benadryl this morning also. Having chills. Afterwards a couple hours was able to sleep a little bit. Pain in lymph nodes on the left side under arm by left breast area.  Advil helped with the local pain. Having pain at the injection site.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Nausea, Pain, Palpitations
Clinical narrative: Local pain, heaviness in the arm, soreness for about an hour. Took 500 mg Tylenol. It kind of helped.  Took Benadryl before she went to bed. Early this morning, everything felt heavy, felt nausea, mild palpitations, and dizziness. Took Famotidine this morning.  Took Motrin and Benadryl this morning also. Having chills. Afterwards a couple hours was able to sleep a little bit. Pain in lymph nodes on the left side under arm by left breast area.  Advil helped with the local pain. Having pain at the injection site.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Immunisation, No adverse event, Wrong product administered
Clinical narrative: This patient received last year's (2019-20) influenza Vaccine on 9/26/20 due to oversight in the supply management process. The patient was notified and had not experienced any adverse effects from that vaccine. The patient did return to the office and received the appropriate Fluad Quadrivalent (2020-21) Influenza Vaccine.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Rash, Vomiting
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: Systemic: Rash (other than injection site), Nausea, Vomiting. Rash developed on the rash, per dr doctor, gave one dose of EPIPEN on the left upper leg. rash subsided.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Erythema, Feeling abnormal, Immediate post-injection reaction, Muscle tightness
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: Systemic: Rash (other than injection site), Nausea, Vomiting. Rash developed on the rash, per dr doctor, gave one dose of EPIPEN on the left upper leg. rash subsided.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pruritus, Rash, Vomiting
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: Systemic: Rash (other than injection site), Nausea, Vomiting. Rash developed on the rash, per dr doctor, gave one dose of EPIPEN on the left upper leg. rash subsided.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness
Clinical narrative: Pt. (employee)  reported prior to receiving vaccine that she had an allergic reaction to a measles vaccine as a child - classified as severe.  Reaction thought to be related to egg.  Vaccine ingredients reviewed with pt. & pt. indicated she  did not recognize any ingredient with known intolerance & requested to proceed with vaccination.  20 minutes after vaccination pt. reported feeling like her throat was swelling,  Vitals checked, WNL - no difficulty breathing.  Continued monitoring for 15 minutes, continued feeling of swelling.  50 mg Benadryl PO given.  Monitored for 20 minutes more with resolution of symptoms.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Sensation of foreign body
Clinical narrative: Pt. (employee)  reported prior to receiving vaccine that she had an allergic reaction to a measles vaccine as a child - classified as severe.  Reaction thought to be related to egg.  Vaccine ingredients reviewed with pt. & pt. indicated she  did not recognize any ingredient with known intolerance & requested to proceed with vaccination.  20 minutes after vaccination pt. reported feeling like her throat was swelling,  Vitals checked, WNL - no difficulty breathing.  Continued monitoring for 15 minutes, continued feeling of swelling.  50 mg Benadryl PO given.  Monitored for 20 minutes more with resolution of symptoms.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Injection site pain, Pain in extremity
Clinical narrative: The donor presents with C/O pain at the site as well as elbow and hand. She rates this pain as a 6 on the pain scale.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Headache
Clinical narrative: Employee complained of a "very mild headache," that she attributed to being a little dehydrated. Water given to employee. Symptoms resolved with no other issues.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Paraesthesia oral
Clinical narrative: 1. Lip tingling started 20 minutes after injection, lasted about 30 minutes. 2. Mild chest tightness started 14 hours after injection and lasted about 30 mintues.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injected limb mobility decreased, Pain in extremity, Sleep disorder
Clinical narrative: Vaccinated 12/21 at 6:00 am. symptoms began roughly midnight. "horrible headache". notes that her left hurt badly and difficult to move.  Reports she has taken advil and Tylenol and notes that these have been effective.  reports still feeling fatigued, but isn't sure if that's related to lack of sleep from the headache or part of a reaction.  Arm is still sore, but is not really painful the way it was last night.  Still has a slight headache.
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: Unevaluable event
Clinical narrative: There was an IOP created  by staff(to the best of our knowledge). The IOP dealt with ADA  accessibility(lack of)  to the marketing website. Not sure what the description/name of IOP is. As you know we only have a few IOP so I?m guessing it should not be difficult to identify. Could you please find the IOP and provide the IOP number, expiration date for implementation of action plan and provide it?
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Erythema, Fatigue, Herpes zoster, Pain
Clinical narrative: Dec 15, 2020, Day 0 = inoculation.  Day 3, soreness.  Day 4, bulges.  Day 5, redness.  Day 6, blisters, fatigue, pain, diagnosed with Shingles.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: Dec 15, 2020, Day 0 = inoculation.  Day 3, soreness.  Day 4, bulges.  Day 5, redness.  Day 6, blisters, fatigue, pain, diagnosed with Shingles.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Myalgia, Prostatomegaly, Testicular swelling
Clinical narrative: After the vaccine, patient said he felt hot.  Later that day,he was starting to have muscle aches and then he noticed testicular and prostate swelling.   He followed with his PCP and the PCP prescibed an antibiotic; however, patient did not recall the name of it.  He is still being treated.  He noticed an improvement.  He started the antibiotic on 12/21/2020.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Neck pain
Clinical narrative: facial numbness to the left side with neck and shoulder pain. symptoms only started after 24 hrs
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Unevaluable event
Clinical narrative: There was an IOP created  by staff(to the best of our knowledge). The IOP dealt with ADA  accessibility(lack of)  to the marketing website. Not sure what the description/name of IOP is. As you know we only have a few IOP so I?m guessing it should not be difficult to identify. Could you please find the IOP and provide the IOP number, expiration date for implementation of action plan and provide it?
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Impaired work ability, Influenza virus test negative, Pain
Clinical narrative: After 24 hours felt tired, achy, arm hurt my head hurt for 48 hrs little longer. Upon waking up on Sat felt same symptoms. Due to patient exposure I contacted Covid hotline for that hospital employees. Then I was informed to go get tested ER for Covid results negative. I had to miss work on 12/21 due to taking Acetaminophen being a hospital criteria couldn't work while taking that medication.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, SARS-CoV-2 test negative
Clinical narrative: After 24 hours felt tired, achy, arm hurt my head hurt for 48 hrs little longer. Upon waking up on Sat felt same symptoms. Due to patient exposure I contacted Covid hotline for that hospital employees. Then I was informed to go get tested ER for Covid results negative. I had to miss work on 12/21 due to taking Acetaminophen being a hospital criteria couldn't work while taking that medication.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea
Clinical narrative: Patient with a reported history of anaphylaxis to several things and carries her own EpiPen. She was brought to monitoring room at 1835 With complaints of cough and at that time had taken two puffs of albuterol inhaler. Patient also reports some medicating with 50 mg of Benadryl two hours prior to vaccine. O2 sats were 99% heart rate 69 and lungs CTA. At 1845 patient self dosed another 2puffs ofalbuterol. At 1845 HR 130 and sats 98%. At 1850, BP 173/139 HR 127. Patient continued to develop a progressive cough and SOB. Consulted Dr. by phone. We dosed with Zyrtec 10 mg po and assisted pt with administration of her own epi-pen.  Followed up with ED next day. Pt had been escorted there from vaccine clinic after epi-pen administration and progressive SOB. ED reported pt remained hemodynamically stable and A&O x 4. Treatment consisted of Benadryl 50 mg IV, Pepcid 20mg,IV, solumedrol 125 mg IV, fluids 1L, and racemic epi. Discharged home after 3 hours.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Pharyngeal swelling
Clinical narrative: Patient with a reported history of anaphylaxis to several things and carries her own EpiPen. She was brought to monitoring room at 1835 With complaints of cough and at that time had taken two puffs of albuterol inhaler. Patient also reports some medicating with 50 mg of Benadryl two hours prior to vaccine. O2 sats were 99% heart rate 69 and lungs CTA. At 1845 patient self dosed another 2puffs ofalbuterol. At 1845 HR 130 and sats 98%. At 1850, BP 173/139 HR 127. Patient continued to develop a progressive cough and SOB. Consulted Dr. by phone. We dosed with Zyrtec 10 mg po and assisted pt with administration of her own epi-pen.  Followed up with ED next day. Pt had been escorted there from vaccine clinic after epi-pen administration and progressive SOB. ED reported pt remained hemodynamically stable and A&O x 4. Treatment consisted of Benadryl 50 mg IV, Pepcid 20mg,IV, solumedrol 125 mg IV, fluids 1L, and racemic epi. Discharged home after 3 hours.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Pharyngeal paraesthesia
Clinical narrative: funny taste in mouth, then 5 minutes later throat tingly. was given Benadryl x2 @ 14:35, at 15:04 patient reports no change. At 15:25 top of throat taste only, fullness in throat gone, at 15:35 patient normal and returned to work
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Headache
Clinical narrative: Pt experienced headache and dizziness immediately after injection. Approximately 30 mins later the patient began experiencing chest tightness. The patient received 50mg Benadryl and was transferred to the emergency department within about 20 mins.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Oropharyngeal pain, Vomiting
Clinical narrative: Within minutes of receiving the vaccine, the individual began vomiting, stated her throat was sore and she complained of having a hard time catching her breath. There was no temperature. Patient reclined for several minutes. Blood pressure machine errored. Pulse was good. When EMT's arrived they verified patient's blood pressure, pulse, oxygen, and blood glucose were normal and did not recommend transport to emergency room.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Palpitations, Pyrexia, Ventricular extrasystoles
Clinical narrative: Fever of 100.2-101.1 (axillary), heart rate > 100 all day, palpitations, PVCs, ventricular bigeminy for 20-25 min (verified with ECG app on apple watch). Symptoms started at 4am (almost 12 hours after receiving vaccine) and lasted until I went to bed at 9pm. I took advil throughout the day and when I woke up at 5am Tuesday (36 hours later) I felt completely normal.
Age: 87.0
Sex: F
Vaccine: FLU4
Symptoms: Unevaluable event
Clinical narrative: There was an IOP created  by staff(to the best of our knowledge). The IOP dealt with ADA  accessibility(lack of)  to the marketing website. Not sure what the description/name of IOP is. As you know we only have a few IOP so I?m guessing it should not be difficult to identify. Could you please find the IOP and provide the IOP number, expiration date for implementation of action plan and provide it?
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Feeling abnormal, Urticaria
Clinical narrative: Patient presented for SARS-CoV2 Vaccination, about 15-20 minutes after vaccination patient complained of feeling a little altered but there was no swelling, rash, or any other indication of a reaction, about 5 minutes later the patient had a weird taste in her mouth and was observed to have a wheal forming on her R forehead. She was phonating ok with questionable swelling to her tongue, but airway intact with non-labored or constricted breathing. She was administered 50mg of Benadryl per pharmacist recommendation. She was monitored for an additional 15 minutes (total of 45-50 minutes after vaccination) with resolution of the wheal and no further symptoms. Patient was advised return/ED precautions and she checked in with vaccine clinic staff an hour later (via text) with no further symptoms.
Age: 64.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site bruising, Injection site pain
Clinical narrative: Patient reported bruising at and below the injection site. Today (12/22), she reported slight soreness above the injection site.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Rash
Clinical narrative: 12-18 vACCINATIJON 12-20 0100 LEFT EYE BEGAN TO SWELL,  ALSO NOTICE 2 SMALL RAISED BUMPS, NOT FLUID FILLED. RINSED EYE WITH COOL WATER, THEN APPLIED WARM COMPRESS. 12-20 IN MORNING WHEN SHE GOT OUT OF BED BOTH EYES WERE SWOLLEN W/ DARK CIRCLE BELOW. 12-20 LATE MORNING, EDEMA SUBSIDED, EYES NORMAL. 12-20 LATER IN DAY, TOOK BENEDRYL FOR SEASONAL ALLERGIES. 12-21 NO ISSUES 12-22 1300 BOTH EYES BEGINNING TO SWELL AGAIN, L MORE THAN RIGHT.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Disorientation, Dizziness, Feeling abnormal, Flushing, Hyperhidrosis
Clinical narrative: staff member/ pt.  had vaccine at 1500, no  prior allergies.  after 15 min observation, staff felt "weird" but returned to work in building.  approximately 5 minutes later felt lightheaded, dizzy & became flushed & diaphoretic.  returned to vaccine clinic for observation. was found to have BP of 143/103 on a normally normotensive person.HR 70.  Provided recliner, rest & monitoring.  BP decreased to 128/85 after 1 hr. of monitoring.  pt continued to monitor BP and self medicated at home with Benadryl & Ativan (unknown dose).  Continued to feel disoriented and unwell X 48 hrs.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: staff member/ pt.  had vaccine at 1500, no  prior allergies.  after 15 min observation, staff felt "weird" but returned to work in building.  approximately 5 minutes later felt lightheaded, dizzy & became flushed & diaphoretic.  returned to vaccine clinic for observation. was found to have BP of 143/103 on a normally normotensive person.HR 70.  Provided recliner, rest & monitoring.  BP decreased to 128/85 after 1 hr. of monitoring.  pt continued to monitor BP and self medicated at home with Benadryl & Ativan (unknown dose).  Continued to feel disoriented and unwell X 48 hrs.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Blood pressure increased, Disturbance in attention, Dizziness, Flushing
Clinical narrative: staff member/ pt.  had vaccine at 1500, no  prior allergies.  after 15 min observation, staff felt "weird" but returned to work in building.  approximately 5 minutes later felt lightheaded, dizzy & became flushed & diaphoretic.  returned to vaccine clinic for observation. was found to have BP of 143/103 on a normally normotensive person.HR 70.  Provided recliner, rest & monitoring.  BP decreased to 128/85 after 1 hr. of monitoring.  pt continued to monitor BP and self medicated at home with Benadryl & Ativan (unknown dose).  Continued to feel disoriented and unwell X 48 hrs.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Heart rate increased, Nausea, Pain in extremity
Clinical narrative: staff member/ pt.  had vaccine at 1500, no  prior allergies.  after 15 min observation, staff felt "weird" but returned to work in building.  approximately 5 minutes later felt lightheaded, dizzy & became flushed & diaphoretic.  returned to vaccine clinic for observation. was found to have BP of 143/103 on a normally normotensive person.HR 70.  Provided recliner, rest & monitoring.  BP decreased to 128/85 after 1 hr. of monitoring.  pt continued to monitor BP and self medicated at home with Benadryl & Ativan (unknown dose).  Continued to feel disoriented and unwell X 48 hrs.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Disorientation, Dizziness, Feeling abnormal, Flushing, Hyperhidrosis
Clinical narrative: 30 mins later I became completely dizzy, flush and had hard time focusing. I was placed on a gurney and blood pressure was taken. 158/103. Usually runs 110/60. Was told to go to ER but I declined. They monitored BP for about 45minutes. I then went home and did same thing. BP stayed high for two days. With headache. I stayed on the couch for those days. Monday I went to work because blood pressure was down. But now my HR is up. Highest in 130?s I felt a little dizzy. I had stomach upset and nauseous with mild headache. Left arm pain  Today Tuesday as soon as I exert myself my heart rate goes up. I have mild headache
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: 30 mins later I became completely dizzy, flush and had hard time focusing. I was placed on a gurney and blood pressure was taken. 158/103. Usually runs 110/60. Was told to go to ER but I declined. They monitored BP for about 45minutes. I then went home and did same thing. BP stayed high for two days. With headache. I stayed on the couch for those days. Monday I went to work because blood pressure was down. But now my HR is up. Highest in 130?s I felt a little dizzy. I had stomach upset and nauseous with mild headache. Left arm pain  Today Tuesday as soon as I exert myself my heart rate goes up. I have mild headache
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Blood pressure increased, Disturbance in attention, Dizziness, Flushing
Clinical narrative: 30 mins later I became completely dizzy, flush and had hard time focusing. I was placed on a gurney and blood pressure was taken. 158/103. Usually runs 110/60. Was told to go to ER but I declined. They monitored BP for about 45minutes. I then went home and did same thing. BP stayed high for two days. With headache. I stayed on the couch for those days. Monday I went to work because blood pressure was down. But now my HR is up. Highest in 130?s I felt a little dizzy. I had stomach upset and nauseous with mild headache. Left arm pain  Today Tuesday as soon as I exert myself my heart rate goes up. I have mild headache
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Heart rate increased, Nausea, Pain in extremity
Clinical narrative: 30 mins later I became completely dizzy, flush and had hard time focusing. I was placed on a gurney and blood pressure was taken. 158/103. Usually runs 110/60. Was told to go to ER but I declined. They monitored BP for about 45minutes. I then went home and did same thing. BP stayed high for two days. With headache. I stayed on the couch for those days. Monday I went to work because blood pressure was down. But now my HR is up. Highest in 130?s I felt a little dizzy. I had stomach upset and nauseous with mild headache. Left arm pain  Today Tuesday as soon as I exert myself my heart rate goes up. I have mild headache
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head normal, Hypoaesthesia, Laboratory test normal, Paraesthesia, Speech disorder
Clinical narrative: Speech difficulty and bilateral lower extremity tingling and numbness after COVID-19 vaccine administration. Symptoms improved at ED with IV Hydration
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysarthria, Hypoaesthesia, Paraesthesia
Clinical narrative: Speech difficulty and bilateral lower extremity tingling and numbness after COVID-19 vaccine administration. Symptoms improved at ED with IV Hydration
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Exposure to SARS-CoV-2, Fatigue, Feeling abnormal, Headache
Clinical narrative: 12/20/2020 Fatigued, brain fog, 12/21/2020 extreme fatigue and was sleeping more than normal, diarrhea, low grade fever 99.2, 12/22/2020 around 3am woke from sleep with a really bad headache, patient stated taking Tylenol to help with symptoms, never tested for Covid however she lives with her brother who had Covid in May, no travel history
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Pyrexia, Sleep disorder
Clinical narrative: 12/20/2020 Fatigued, brain fog, 12/21/2020 extreme fatigue and was sleeping more than normal, diarrhea, low grade fever 99.2, 12/22/2020 around 3am woke from sleep with a really bad headache, patient stated taking Tylenol to help with symptoms, never tested for Covid however she lives with her brother who had Covid in May, no travel history
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dry throat, Oropharyngeal discomfort, Throat clearing
Clinical narrative: 7min after vaccination ee developed "dryness , heaviness and need to clear her throat"-- Just on the right side of throat" 25 mg ofBenedryl given-- symptoms resolved.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Malaise, Nausea
Clinical narrative: Started feeling chills night of receiving vaccine, then dizzy 4 days later, with severe nausea. Still not feeling well, queasy, dizzy.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Rotator cuff syndrome
Clinical narrative: Patient received a flu shot on 10/15/20 and just came in yesterday 12/21/20 to report the adverse event she experienced with the flu shot. She explained that approximately 90 minutes after getting the flu shot she experienced extreme left shoulder pain that did not go away. She said that she didn't seek medical attention because of  the fear of COVID and didn't want to get out. She contacted her primary care doctor on 10/22/20 because she still had the extreme pain. On 10/26 she had an office visit with her primary care doctor. They referred her to an orthopedic physician. Based on the conversation with the patient, she is still dealing with some pain and will follow up with her doctors. It was concluded from her physicians that she had a rotator cuff injury due to a misplacement of the flu shot.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Facial discomfort, Headache, Throat tightness
Clinical narrative: Reports within 15 min of covid vaccine she had facial pressure, throat tightening, headache, light headed, increase in BP-179/123
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram normal, Flushing, Headache
Clinical narrative: 15 minutes after injection:  headache, 10.minutes after injection: flushed skin, rapid heart rate - taken to the ER  where she developed SOB, Chest heaviness, nausea, tingling in the hand- Treated with Benadryl, Pepcid, Solumedrol, Zofran, Elevated heartrate, BP stable, no O2,normal EKG  1445 client released from ER
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Nausea, Paraesthesia
Clinical narrative: 15 minutes after injection:  headache, 10.minutes after injection: flushed skin, rapid heart rate - taken to the ER  where she developed SOB, Chest heaviness, nausea, tingling in the hand- Treated with Benadryl, Pepcid, Solumedrol, Zofran, Elevated heartrate, BP stable, no O2,normal EKG  1445 client released from ER
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Pain in extremity, Paraesthesia oral
Clinical narrative: tongue was tingly, woozy and nauseous 10 minutes after receiving injection.    Drank Apple Juice and symptoms subsided about 10 minutes later.  I also took Benadryl when I got home 20 minutes later.  Also, left arm is sore.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Paraesthesia
Clinical narrative: flushed, tingling in face
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Nausea, Pyrexia
Clinical narrative: fatigue, light headedness, low grade fever of 99.0, nausea, "foggy" headed, dizzy
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling hot, Myalgia, Nausea
Clinical narrative: Employee reports nausea, fatigue,  muscle pain and feeling hot  denies fever
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Nausea, Pain
Clinical narrative: Severe headache chills, body aches, arm pain, Nausea, fainted on standing, dizziness
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Syncope
Clinical narrative: Severe headache chills, body aches, arm pain, Nausea, fainted on standing, dizziness
Age: 45.0
Sex: M
Vaccine: UNK
Symptoms: Chills, Injection site pain, Pain, Pyrexia
Clinical narrative: Fever approx 101/102, body chills, body aches, injection site pain
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Injection site swelling, Malaise, Mobility decreased, Muscular weakness
Clinical narrative: Pain and swelling at injection site, overall not feeling well within a few hours after the vaccine.  These symptoms lasted for approximately 36 hours.  Continued pain in left arm as well as weakness after the initial 36 hours had passed.  It has been over one month since the vaccine and I still have pain and weakness in my left arm when raising my arm above shoulder height.  For example when I hang up a towel or try to take off my shirt I have extreme difficulty.
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: Pain and swelling at injection site, overall not feeling well within a few hours after the vaccine.  These symptoms lasted for approximately 36 hours.  Continued pain in left arm as well as weakness after the initial 36 hours had passed.  It has been over one month since the vaccine and I still have pain and weakness in my left arm when raising my arm above shoulder height.  For example when I hang up a towel or try to take off my shirt I have extreme difficulty.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, Chest pain, Ear discomfort, Electrocardiogram normal, Erythema
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Within 5-10 minutes of vaccine, burning and tingling sensation started in chest, moving into throat, tongue, mouth, nose, and ears. Flushing sensation and red ears. Increased heart rate, resolved after a few minutes. Was treated in the ER and released from hospital. EKG and vitals were checked, no labs drawn. Occasional burning and tingling sensation but resolves within a few minutes, mainly in chest and tongue. Occasional symptoms ceased in about 3 hours.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Flushing, Heart rate increased, Nasal discomfort, Oral discomfort, Paraesthesia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Within 5-10 minutes of vaccine, burning and tingling sensation started in chest, moving into throat, tongue, mouth, nose, and ears. Flushing sensation and red ears. Increased heart rate, resolved after a few minutes. Was treated in the ER and released from hospital. EKG and vitals were checked, no labs drawn. Occasional burning and tingling sensation but resolves within a few minutes, mainly in chest and tongue. Occasional symptoms ceased in about 3 hours.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia oral, Pharyngeal paraesthesia, Pregnancy test urine, Tachycardia, Throat irritation
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Within 5-10 minutes of vaccine, burning and tingling sensation started in chest, moving into throat, tongue, mouth, nose, and ears. Flushing sensation and red ears. Increased heart rate, resolved after a few minutes. Was treated in the ER and released from hospital. EKG and vitals were checked, no labs drawn. Occasional burning and tingling sensation but resolves within a few minutes, mainly in chest and tongue. Occasional symptoms ceased in about 3 hours.