chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Oropharyngeal discomfort, Pain, Pain in extremity
Clinical narrative: Tachycardia, warmth and flushed body esp face, mucus production (throat), scratchy throat, tingling sensations in feet, pain in R arm and radiated to neck and L arm, weakness, lethargy, dizziness, nausea, and headache.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Secretion discharge, Skin warm, Tachycardia
Clinical narrative: Tachycardia, warmth and flushed body esp face, mucus production (throat), scratchy throat, tingling sensations in feet, pain in R arm and radiated to neck and L arm, weakness, lethargy, dizziness, nausea, and headache.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Hypoaesthesia, Paraesthesia, Paraesthesia oral
Clinical narrative: About 10-15 min after vaccination patient began to experience left side facial numbness and tingling to include her tongue and cheek
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Generalized body rash started ~24 hours later; still has 4 days later.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: Extremely sore and painful injection site beginning around seven hours post injection. Painful to touch and movement. Sx lasted approx. 36hrs.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chills, Cough, Diarrhoea, Headache
Clinical narrative: Patient presents to the emergency department 12/26 complaining of dry cough associated with fever and chills and headache associated with myalgia and diarrhea for 1 week duration. She had Covid vaccine 12/20 and the symptoms started the same night, she denied any sick contacts at home however she works at the Covid unit and reports constant exposure to sick Covid patients.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Laboratory test normal, Lung opacity, Myalgia, Occupational exposure to SARS-CoV-2
Clinical narrative: Patient presents to the emergency department 12/26 complaining of dry cough associated with fever and chills and headache associated with myalgia and diarrhea for 1 week duration. She had Covid vaccine 12/20 and the symptoms started the same night, she denied any sick contacts at home however she works at the Covid unit and reports constant exposure to sick Covid patients.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Tachypnoea
Clinical narrative: Patient presents to the emergency department 12/26 complaining of dry cough associated with fever and chills and headache associated with myalgia and diarrhea for 1 week duration. She had Covid vaccine 12/20 and the symptoms started the same night, she denied any sick contacts at home however she works at the Covid unit and reports constant exposure to sick Covid patients.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Paraesthesia, SARS-CoV-2 test, Tachycardia
Clinical narrative: Tachycardia (heart rate 90s-110s), adrenaline rush in chest, tingly in chest and neck.. No treatment. Called employee covid HUB and they sent me to get covid swabbed today (12/28/20) . Called NP and she did not want to see me until covid swab back, symptoms worsen or she told me to go to ED.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Nausea
Clinical narrative: Patient began to feel nausea after several minutes and then approx. 25 minutes after vaccine patient began to cough. Patient was transported to ER department on same location as clinic to be monitored by ER.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Skin warm, Tachycardia
Clinical narrative: Became dizzy, warm, tachycardic. Lost consciousness (fainted?), quickly regained consciousness and was taken to the Emergency Department. Before transfer, Benadryl IM 25mg administered.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Oropharyngeal pain, Sneezing
Clinical narrative: tiredness began the Thursday following immunization, along with sore throat and sneezing. All symptoms were gone by Friday.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Pruritus
Clinical narrative: He got the COVID vaccine on 12/23/20 at 11. Stayed at the facility for 30 minutes and then drove to another facility. Upon arrival at 12, he started feeling flushed. No SOB, no breathing difficulties.   He started feeling itchy about 2 hours post vaccine. He took an Aleve. At home in the evening, took Benadryl with improvement of symptoms  The following day also took Benadryl.   On 12/25/20 & 12/26/20 he still had some itching, but not bothersome enough to take medications.   On 12/27/20 he was working cutting tile and wearing protective eye wear, but the dust that landed on his face caused hives. He has been taking Benadryl since.     He says this has occurred in past when his body is hypersensitive, the hives. He has seasonal allergies but no allergies to food or medications.      Case discussed with Bolaris and recommendation is to take a Claritin or anti-allergy prior to next vaccine.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Immediate post-injection reaction, Palpitations, Paraesthesia, Pruritus
Clinical narrative: After injection felt immediately tingling to bilat arms, face, swelling to face and tongue, Itchy feeling to chest, feeling of palpitations and general unease. HR was 120 BPM, scattered hives over chest. No appreciable airway swelling. Treated with Epinephrine 0.3 mg IM, Solumedrol 125 mg IV, Benadryl 25 mg IV, Pepcid 20 mg IV, Ativan  0.5 mg IV. Rx given for Benadryl 25 mg every 6 hr. PRN
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Swollen tongue, Urticaria
Clinical narrative: After injection felt immediately tingling to bilat arms, face, swelling to face and tongue, Itchy feeling to chest, feeling of palpitations and general unease. HR was 120 BPM, scattered hives over chest. No appreciable airway swelling. Treated with Epinephrine 0.3 mg IM, Solumedrol 125 mg IV, Benadryl 25 mg IV, Pepcid 20 mg IV, Ativan  0.5 mg IV. Rx given for Benadryl 25 mg every 6 hr. PRN
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Skin reaction
Clinical narrative: Red spot on arm with knot
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain, Myalgia
Clinical narrative: Injection site tender to touch and with movement. Fatigue,  muscle pain, joint pain, chills.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Injection site tender to touch and with movement. Fatigue,  muscle pain, joint pain, chills.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Scratchy throat. Bendadryl 25mg PO administered. Observed and discharged from vaccine clinic.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, Blindness, Cerebrovascular accident, Computerised tomogram head normal
Clinical narrative: Approximately 7 hours after receiving the vaccine patient who is a L&D Nurse return to work in her area. She describes that after finishing with a C-section she felt burning in both of her eyes (she thought this feels like an allergic reaction, but I am not sweating and haven't rubbed my eyes). She went to the restroom to get a cloth to wash her eyes; afterwards she reports her vision went totally black in both eyes. She reports feeling frustrated that no one came to help and some panic in trying to figure out how to get out of the restroom. She did make it out of the bathroom. Her Staff reports she postured and turned arms inward, head going to one side and passed out. They also report ~ 10 minutes of incoherent conversation and stating "I got the vaccine, maybe I was given the wrong thing and now I'm blind". Upon waking, patient vision fully restored and patient does not remember incoherent conversation. Differential diagnosis- TIA vs. CVA >  seizure disorder>>> complex migraine
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Eye irritation, Frustration tolerance decreased, Full blood count normal, Incoherent
Clinical narrative: Approximately 7 hours after receiving the vaccine patient who is a L&D Nurse return to work in her area. She describes that after finishing with a C-section she felt burning in both of her eyes (she thought this feels like an allergic reaction, but I am not sweating and haven't rubbed my eyes). She went to the restroom to get a cloth to wash her eyes; afterwards she reports her vision went totally black in both eyes. She reports feeling frustrated that no one came to help and some panic in trying to figure out how to get out of the restroom. She did make it out of the bathroom. Her Staff reports she postured and turned arms inward, head going to one side and passed out. They also report ~ 10 minutes of incoherent conversation and stating "I got the vaccine, maybe I was given the wrong thing and now I'm blind". Upon waking, patient vision fully restored and patient does not remember incoherent conversation. Differential diagnosis- TIA vs. CVA >  seizure disorder>>> complex migraine
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Metabolic function test normal, Migraine, Panic reaction, Posture abnormal
Clinical narrative: Approximately 7 hours after receiving the vaccine patient who is a L&D Nurse return to work in her area. She describes that after finishing with a C-section she felt burning in both of her eyes (she thought this feels like an allergic reaction, but I am not sweating and haven't rubbed my eyes). She went to the restroom to get a cloth to wash her eyes; afterwards she reports her vision went totally black in both eyes. She reports feeling frustrated that no one came to help and some panic in trying to figure out how to get out of the restroom. She did make it out of the bathroom. Her Staff reports she postured and turned arms inward, head going to one side and passed out. They also report ~ 10 minutes of incoherent conversation and stating "I got the vaccine, maybe I was given the wrong thing and now I'm blind". Upon waking, patient vision fully restored and patient does not remember incoherent conversation. Differential diagnosis- TIA vs. CVA >  seizure disorder>>> complex migraine
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Posturing, Seizure, Transient ischaemic attack
Clinical narrative: Approximately 7 hours after receiving the vaccine patient who is a L&D Nurse return to work in her area. She describes that after finishing with a C-section she felt burning in both of her eyes (she thought this feels like an allergic reaction, but I am not sweating and haven't rubbed my eyes). She went to the restroom to get a cloth to wash her eyes; afterwards she reports her vision went totally black in both eyes. She reports feeling frustrated that no one came to help and some panic in trying to figure out how to get out of the restroom. She did make it out of the bathroom. Her Staff reports she postured and turned arms inward, head going to one side and passed out. They also report ~ 10 minutes of incoherent conversation and stating "I got the vaccine, maybe I was given the wrong thing and now I'm blind". Upon waking, patient vision fully restored and patient does not remember incoherent conversation. Differential diagnosis- TIA vs. CVA >  seizure disorder>>> complex migraine
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: Injection site pain and headache Tylenol 1000mg taken
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Muscle contractions involuntary, Tachycardia
Clinical narrative: Tachycardia 160-170bpm, anxious, carpal pedal spasm. States she took Zyrtec and inhaler this morning (for asthma). Transferred  to outpatient clinic for assessment.
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: Patient received the covid vaccine on 12/23/2020. She reported that she had chills (temp was 98.0), sore throat, nasal congestion, sneezing, started on 12/25/2020. Chills (shivering lasted for 1 day and "broke out in sweats").  Still has sore throat., stuffy nose, sneezing as of 12/28/2020. Denies rhinorrhea, cough, or fever.  Had negative covid test on 12/28/2020.
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: Patient received the covid vaccine on 12/23/2020. She reported that she had chills (temp was 98.0), sore throat, nasal congestion, sneezing, started on 12/25/2020. Chills (shivering lasted for 1 day and "broke out in sweats").  Still has sore throat., stuffy nose, sneezing as of 12/28/2020. Denies rhinorrhea, cough, or fever.  Had negative covid test on 12/28/2020.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Feeling abnormal
Clinical narrative: Pt received Moderna COVID on 12/28/2020 without event. She returned 45 minutes later complaining of chest tightness and  "feeling weird". A code A was called and she was triaged by anesthesia. No angioedema noted.  She was moved to nurse stat bay and 911 was called.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Blood test, Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: Pt received Moderna COVID on 12/28/2020 without event. She returned 45 minutes later complaining of chest tightness and  "feeling weird". A code A was called and she was triaged by anesthesia. No angioedema noted.  She was moved to nurse stat bay and 911 was called.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Feeling abnormal, Heart rate increased, Lip swelling, Oxygen therapy
Clinical narrative: Pt received Moderna COVID on 12/28/2020 without event. She returned 45 minutes later complaining of chest tightness and  "feeling weird". A code A was called and she was triaged by anesthesia. No angioedema noted.  She was moved to nurse stat bay and 911 was called.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Tongue discomfort
Clinical narrative: Pt received Moderna COVID on 12/28/2020 without event. She returned 45 minutes later complaining of chest tightness and  "feeling weird". A code A was called and she was triaged by anesthesia. No angioedema noted.  She was moved to nurse stat bay and 911 was called.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Flank pain, Loss of personal independence in daily activities
Clinical narrative: Left flank and back pain thats increasing in severity. It is now interfering with acts of daily living such as driving, bending down etc
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Hot flush, Palpitations
Clinical narrative: Symptoms include, hot flashes. palpitations and shortness of breath five minutes after vaccine administration. Patient was given oxygen and Claritin 45 minutes after.  Patient was sent to hospital for further monitoring after an hour of administration.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Feeling hot, Flushing, Skin papilloma, Tachycardia
Clinical narrative: Symptoms include, hot flashes. palpitations and shortness of breath five minutes after vaccine administration. Patient was given oxygen and Claritin 45 minutes after.  Patient was sent to hospital for further monitoring after an hour of administration.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Blood glucose increased, C-reactive protein increased, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: The evening of the injection  my upper arm became extremely swollen and sensitive.  I developed a rash and it was very hot to the touch.  I applied ice to bring down the swelling.  Within the next couple of days I began experiencing a great deal of pain in my right hand.  On November 9th, I could no longer stand the pain so I saw a doctor.  The doctor ordered and X-Ray and recommended that  I take Tylenol 650.  The pain grew worse and began to go up right right arm.  I was referred to Orthopedics and on November 19th, I received a cortisone shot in my right hand.  The pain has continued to get worse and now includes my right leg and left wrist and hand.  I have been on Prednisone for weeks with little relief.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site warmth, Neutrophil count increased, Pain in extremity, Platelet count increased, Red blood cell sedimentation rate increased
Clinical narrative: The evening of the injection  my upper arm became extremely swollen and sensitive.  I developed a rash and it was very hot to the touch.  I applied ice to bring down the swelling.  Within the next couple of days I began experiencing a great deal of pain in my right hand.  On November 9th, I could no longer stand the pain so I saw a doctor.  The doctor ordered and X-Ray and recommended that  I take Tylenol 650.  The pain grew worse and began to go up right right arm.  I was referred to Orthopedics and on November 19th, I received a cortisone shot in my right hand.  The pain has continued to get worse and now includes my right leg and left wrist and hand.  I have been on Prednisone for weeks with little relief.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Rheumatoid factor, White blood cell count increased, X-ray
Clinical narrative: The evening of the injection  my upper arm became extremely swollen and sensitive.  I developed a rash and it was very hot to the touch.  I applied ice to bring down the swelling.  Within the next couple of days I began experiencing a great deal of pain in my right hand.  On November 9th, I could no longer stand the pain so I saw a doctor.  The doctor ordered and X-Ray and recommended that  I take Tylenol 650.  The pain grew worse and began to go up right right arm.  I was referred to Orthopedics and on November 19th, I received a cortisone shot in my right hand.  The pain has continued to get worse and now includes my right leg and left wrist and hand.  I have been on Prednisone for weeks with little relief.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Fatigue, Urticaria, Wheezing
Clinical narrative: Pt received the covid-19 vaccine from Pfizer and started to experience symptoms 6 days later. Symptoms includes hives, low appetite, wheezing, coughing, and fatigue.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Nausea, Neck pain, Retching
Clinical narrative: B/L LEG JOINT PAIN, AND MUSCLE PAIN  NAUSEA - DRY HEAVING NECK/SHOULDER PAIN ONSET  12.25.20 DURATION/END 12/.27.2020
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Flushing
Clinical narrative: Chest tightness and flushing. Transferred to outpatient clinic for physician assessment
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Myalgia
Clinical narrative: Fatigue, chills, muscle aches, joint pains
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: A few days after receiving immunization, the patient reported continued pain at the in the area around the injection site and stated that her arm was hard to move at times.  I checked on her a couple of days later and she stated the she felt like she was improving.  I found out today (12/28) that she has continued to have issues and reported to her doctor.  She is now receiving medications for symptomatic relief as well as physical therapy.  The doctor told her the pain should resolve after several weeks.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Throat irritation
Clinical narrative: PATIENT BEGAN WITH AN ITCHY THROAT AT 15 MINUTES AFTER VACCINE ADMINISTRATION AND LATER DEVELOPED AN "UNUSUAL SENSATION" TO THE BACK OF THE THROAT. EPINEPHRINE  0.3MG ADMINISTERED. IV NORMAL SALINE STARTED. DIPHENHYDRAMINE 25MG IV GIVEN. PATIENT'S SYMPTOMS RESOLVED. TRANSFERRED TO ER FOR FURTHER EVALUATION. CONTACTED ER AND WAS INFOMRED PATEINT DISCHARGED WITH NO COMPLICATIONS.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Catatonia, Dyspnoea
Clinical narrative: SHORTNESS OF BREATH,  TROUBLE BREATHING, CATATONIC STATE, POTENTIAL SEIZURE
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: patient noted headache which started within 15 minutes post vaccination, patient was observed for 30 minutes post vaccination and headache remained but did not worsen. Stated she did not have any dizziness of lightheadedness was going back to work. Advised she could treat with OTC pain relievers
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Hypoaesthesia oral, Immediate post-injection reaction, Paraesthesia oral, Sensation of foreign body
Clinical narrative: Tingling and numb feeling at back of tongue immediately after injection Weird sensation of lump in throat without anaphylaxis that got better with time
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: patient reported feeling nauseous and dizzy about 15 minutes post vaccination. Was brought to exam room to lay down, was given some apple juice to drink. Vital signs were checked, patient remained onsite for about 1 hour being monitored. Stated she felt better but was still nauseous when she was released to her husband to drive her home. No history of vaccine reaction in the past
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Feeling hot, Flushing, Nausea
Clinical narrative: She received vaccine and was sitting waiting for 15 minutes.  After 10 minutes she came over and expressed that she felt dizzy and was about to pass out.  We took her over to bed where she was extremely nauseous and dry heaving repeatedly. She was also extremely flushed and hot but no temperature and no problems breathing.  Blood pressure was elevated when ems came.  We called 911 and had a Dr. who was at clinic check on her.  Ems came after about 10 minutes and took her to hospital.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Retching
Clinical narrative: She received vaccine and was sitting waiting for 15 minutes.  After 10 minutes she came over and expressed that she felt dizzy and was about to pass out.  We took her over to bed where she was extremely nauseous and dry heaving repeatedly. She was also extremely flushed and hot but no temperature and no problems breathing.  Blood pressure was elevated when ems came.  We called 911 and had a Dr. who was at clinic check on her.  Ems came after about 10 minutes and took her to hospital.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Itching and mild hives started within 10 mins of the vaccine injection. Patient was treated with antihistamine and responded well. symptoms improved after 2 hours of monitoring.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine  fever, chills, myalgia
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain
Clinical narrative: Sore throat and body aches began the Saturday following immunization and ended within an hour of starting
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Malaise, Nausea, Pain
Clinical narrative: severe intractable headache from 12nn 12/23/2020 to 1500 12/24/2020 associated with photo sensitivity, nausea, generalized body malaise, pain & tenderness on injection site. Treated with Tylenol & neurofen tablets, rest in the night & whole morning.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Photosensitivity reaction
Clinical narrative: severe intractable headache from 12nn 12/23/2020 to 1500 12/24/2020 associated with photo sensitivity, nausea, generalized body malaise, pain & tenderness on injection site. Treated with Tylenol & neurofen tablets, rest in the night & whole morning.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Chills, Fever, body aches, fatigue. Took Tylenol. Resolved in 24-36 hours.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Eye swelling, Throat irritation
Clinical narrative: Patient stated had some minor tickle in throat and slight heaviness in chest. Eyes than began swell bilaterally after 25 minutes after vaccine was given.
Age: 1.25
Sex: M
Vaccine: VARCEL
Symptoms: Herpes zoster
Clinical narrative: developed shingles on right zygomatic arch near his right eye 7/20/20 and has had 2 recurrences. Has seen opthomologist, does not have keratitis
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Febrile convulsion
Clinical narrative: Simple febrile seizure occurred ~7 hours following vaccination
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysstasia, Headache
Clinical narrative: patient started having dizziness when she got up to leave from the waiting room 15 minutes post vaccination, she also mentioned headache behind her right eye. She was taken to an exam room in a wheel chair as she was unsteady on her feet. She was laid down on an exam table and vitals checked. She states no previous vaccine reactions, has history of seizures and has had them with increased frequency recently. Patient was released to her friend to be driven back to work 1 hour and 27 minutes post vaccination
Sex: U
Vaccine: COVID19
Symptoms: Fatigue, Lymph node pain, Lymphadenopathy
Clinical narrative: Tiredness at the second day of vaccination (12/23/2020) and swollen tender left axillary lymph node started (12/26/2020) and still ongoing till the date of filing the adverse event (12/28/2020).
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood pressure increased, Dizziness, Dysgeusia, Feeling cold
Clinical narrative: 10 minutes post-inoculation, I developed an ice cold sensation in my chest that spread throughout body and extremities. I developed a metallic taste in my mouth, nausea, tingling in my hands and feet and lightheadedness.  This lasted 15 minutes, then repeated approximately 20 minutes later reccured as I was set to leave vaccinations site.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia
Clinical narrative: 10 minutes post-inoculation, I developed an ice cold sensation in my chest that spread throughout body and extremities. I developed a metallic taste in my mouth, nausea, tingling in my hands and feet and lightheadedness.  This lasted 15 minutes, then repeated approximately 20 minutes later reccured as I was set to leave vaccinations site.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pain
Clinical narrative: Headache and body aches that kept me in bed for 24 hours.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Severe itchiness with associated hives
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache
Clinical narrative: chills at about 2:00am, headache, tiredness most of the day
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Syncope
Clinical narrative: Fainted within a couple minutes of recieving injection. Rapid response team activated and I was lifted onto a bed. Very low blood pressure. And ultimately felt better after 30 to 45 minutes of monitoring by medical team.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Low grade fever and site arm sore
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Pain, Pyrexia
Clinical narrative: Fever 100 degrees Chills severe Body aches mostly legs Mild soreness in injection area (nothing more than a typical shot)
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Flushing, Headache
Clinical narrative: 12/24 ! 13:15 - 15 min after vaccine was administered p t c/o dizziness and shaking. was monitoring for further 15 minutes by vaccine staff. Then apx 06:00 pm that night started c/o chills, N/V, tremors, Fatigue, headache, and feeling flushed. continued thru 12/26. then 12/27 woke up with headache, n/v, chills, tremors and body swelling. 12/28- c/o nausea and headache.  Treated with Tylenol OTC 12/24 and 12/26 only. 12/28 Completed rapid COVID 19 test- results negative.  EDD 07/30/2021.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test negative, Swelling, Tremor, Vomiting
Clinical narrative: 12/24 ! 13:15 - 15 min after vaccine was administered p t c/o dizziness and shaking. was monitoring for further 15 minutes by vaccine staff. Then apx 06:00 pm that night started c/o chills, N/V, tremors, Fatigue, headache, and feeling flushed. continued thru 12/26. then 12/27 woke up with headache, n/v, chills, tremors and body swelling. 12/28- c/o nausea and headache.  Treated with Tylenol OTC 12/24 and 12/26 only. 12/28 Completed rapid COVID 19 test- results negative.  EDD 07/30/2021.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Sinus congestion
Clinical narrative: Moderate muscle ache,fatigue,sinus congestion
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Malaise, Throat tightness, Vomiting
Clinical narrative: APPROXIMATELY 20 MINUTES AFTER VACCINATION, SHE BECAME ILL, VOMITING THEN COMPLAINING OF CLOSING THROAT, FELT WEAK.  EMT AND FACILITY DOCTOR ON SITE WAS CALLED, THEY DETERMINED SHE DID NOT NEED TO BE TRANSPORTED TO THE ER.  CONTINUED TO MONITOR PATIENT .
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Muscle spasms
Clinical narrative: overall body weakness for 3 days and 1 day of severe right leg muscle cramping.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Basophil count decreased, Basophil percentage decreased
Clinical narrative: tachycardia, hypertension <15 min post administration
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bicarbonate normal, Blood bilirubin normal, Blood calcium normal
Clinical narrative: tachycardia, hypertension <15 min post administration
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal
Clinical narrative: tachycardia, hypertension <15 min post administration
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood urea normal, Eosinophil count normal, Eosinophil percentage, Glomerular filtration rate decreased, Haematocrit normal
Clinical narrative: tachycardia, hypertension <15 min post administration
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin normal, Human chorionic gonadotropin negative, Hypertension, Lymphocyte count normal, Lymphocyte percentage decreased
Clinical narrative: tachycardia, hypertension <15 min post administration
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Monocyte count normal
Clinical narrative: tachycardia, hypertension <15 min post administration
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Monocyte percentage, Neutrophil count normal, Neutrophil percentage increased, Platelet count normal, Protein total normal
Clinical narrative: tachycardia, hypertension <15 min post administration
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red blood cell count normal, Red cell distribution width normal, Tachycardia, White blood cell count normal
Clinical narrative: tachycardia, hypertension <15 min post administration
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Blood pressure increased, Diarrhoea, Dizziness, Dyspnoea
Clinical narrative: tachycardia, hypertension <15 min post administration
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Heart rate increased, Pain in extremity, Palpitations, Paraesthesia oral
Clinical narrative: tachycardia, hypertension <15 min post administration
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Muscle twitching, Nausea
Clinical narrative: Reported headache and twitching of right cheek. Took Tylenol and headache resolved day of vaccination; twitching resolved day of vaccination (unknown duration).  12/23/20 (day after vaccination) he reported a slight headache upon awakening that worsened as the day passed. He took 2 extra strength Tylenol at 10:00 AM (12/23/20).  Tylenol partially effective - headache lessened but still present.  12/28/20 update - chills, nausea, and fatigue from 12/23 - 12/28. Improvement in symptoms but symptoms are not completely resolved as of 12/28/20 per patient.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Gaze palsy, Hyperhidrosis, Nausea
Clinical narrative: Anxiety, headache, nausea, sweating approximately 15 minutes after injection. Observed 1 hour  emergency room then discharged.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Petechiae
Clinical narrative: 1600 reported petechiae to both upper arms and abdomen  1611  took 25 mg bendryl  waiting for 15 min. didn't get any worse  went home
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Soreness in upper left side of arm where vaccine was injected. Similar feeling to getting soreness in arm after a flu shot.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Fatigue
Clinical narrative: This was my second dose, and the side effects were the same as the first time. Joint pain, extreme fatigue for about 16 hours.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site swelling, Paraesthesia
Clinical narrative: numbness tingling started in hand moved up the left arm  slight numbess r hand site slightly swollen beandyl 25mg given symptoms got better
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lip swelling, Paraesthesia oral, Pruritus, Wheezing
Clinical narrative: Vaccination was given at 8:25 and she began itching at 8:32. Itching that progressed from bilateral arms to trunk, bilateral legs and back. She felt wheezes starting. Given 50 mg. Benadryl po at 8:35. Symptoms were getting worse and RN gave Methprednisolone 125 mg. IM at 8:45.Alburteral Inhaler 2 puffs was given at 8:50. At 9:00 patient C/O upper lip tingling. Visual swelling observed. She was transported to ED by WC.  ED administered  Pepsid po and observed her for an hour. She was then discharged.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Injection site pain, Periarthritis, Sleep disorder
Clinical narrative: Within minutes of administration of vaccine in left arm, patient had deep aching pain in Left shoulder. Within hours patient developed frozen shoulder and was unable to move shoulder for 3 days. Also unable to sleep due to pain. Patient then started gentle range of motion exercises and had improved mobility but still significant pain and weakness. Patient started PT 12 days after vaccine and is still undergoing twice weekly PT. Patient is now 5+ weeks after vaccine, still with pain and weakness in shoulder, is having some improvements after PT but is not back to baseline.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Facial paralysis, HIV test, Hypoaesthesia oral, Laboratory test normal
Clinical narrative: Onset of tongue numbness a few hours after vaccination, which was gone the next day. Vaccinated on 12/16 - 10 days later on 12/26/20  tongue numbness recurred & he developed (R) facial droop - seen in ER on 12/17 had normal head CT, negative work up for stroke. Seen in clinic on 12/28 - diagnosed with Bells palsy, started on Valacyclovir. Patient will hold PrEP x7 days (precautionary), no sexual activity during that time.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Treponema test
Clinical narrative: Onset of tongue numbness a few hours after vaccination, which was gone the next day. Vaccinated on 12/16 - 10 days later on 12/26/20  tongue numbness recurred & he developed (R) facial droop - seen in ER on 12/17 had normal head CT, negative work up for stroke. Seen in clinic on 12/28 - diagnosed with Bells palsy, started on Valacyclovir. Patient will hold PrEP x7 days (precautionary), no sexual activity during that time.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site pruritus
Clinical narrative: Onset day 10 post injection of erythema, edema over an area of 5x7cm over the injection site.  Associated with mild tenderness, and moderate pruritis.  Slight increase in size over first 24 hours (to present).
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: Chills
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Pain at site with Fever (temp. 101 degrees F). Patient was sent to the local hospital ER and returned to the facility with a diagnosis of Fever post vaccination. Tylenol was given and patient received IV HEP saline at the ER.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Pt developed hives on bilateral arms, wrist and hands. Vital signs stable, no other complaints of tongue or throat swelling. No other s/s of anaphylaxis. Pt given Benadryl 50 mg po and observed for 60 minutes. Hives resolved and patient sent home.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Local reaction
Clinical narrative: Developed localized reaction on day 8 after 1st injection - had no location reaction prior. No intervention needed.  28 weeks gestation at time of vaccine and due date 3/10/21.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Lymphadenopathy, Pain
Clinical narrative: Fever, chills, body aches, headache, exhaustion, swollen lymph nodes 12 hours past vaccination to present.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, chills, body aches, headache, exhaustion, swollen lymph nodes 12 hours past vaccination to present.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: I have had continued ongoing dizziness/vertigo after receiving the vaccine. It has now been a week since my vaccination and I am still feeling this. It it tolerable, but continues and is annoying.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Hypersensitivity, Injection site pain, Nasal congestion
Clinical narrative: MD Notes in ED Patient is a 35yo female who presents with complaint of allergic reaction. This AM around 0945 received COVID vaccine. Some pain to injection site throughout the day. Today around 1700 started to note dizziness and hives throughout her body. Hives are itchy. Associated with nasal congestion and sore throat. Patient felt difficulty swallowing zyrtec/pepcid. No drooling. Patient without fevers/chills, no recent illness. Denies prior allergies to immunizations. Denies food allergies. No new medications. Another part of the record states she had hives 30 minutes after the vaccine and self-medicated with Zyrtec and Pepcid without relief.  Treated in the ED with Epi 0.3 IM Solumedrol 125 mg IV Pepcid 20 mg IV Benadryl 50 mg IV IV fluids  Arrived in ED 1836 / Discharged home at 2015
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pruritus, Urticaria
Clinical narrative: MD Notes in ED Patient is a 35yo female who presents with complaint of allergic reaction. This AM around 0945 received COVID vaccine. Some pain to injection site throughout the day. Today around 1700 started to note dizziness and hives throughout her body. Hives are itchy. Associated with nasal congestion and sore throat. Patient felt difficulty swallowing zyrtec/pepcid. No drooling. Patient without fevers/chills, no recent illness. Denies prior allergies to immunizations. Denies food allergies. No new medications. Another part of the record states she had hives 30 minutes after the vaccine and self-medicated with Zyrtec and Pepcid without relief.  Treated in the ED with Epi 0.3 IM Solumedrol 125 mg IV Pepcid 20 mg IV Benadryl 50 mg IV IV fluids  Arrived in ED 1836 / Discharged home at 2015
Age: 23.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain upper, Dizziness, Injection site pain, Nausea
Clinical narrative: WITH BURNING AT SITE OF INJECTION. WITH NAUSEA AND LIGHT HEADEDNESS, STOMACH ACHE.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Joint stiffness, Muscle spasms, Myalgia, Paraesthesia
Clinical narrative: Muscle aches, cramps, paresthesia in extremities  and feeling of joint stiffness starting at 3 days after vaccination and continuing intermittently even after 1 week from vaccination.  Aches/cramps in the muscles of neck, back of thigh, butt, calves, lower back.   Treated with heat pack and hot showers with some temporary relief.  No response to acetaminophen.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Migraine, Pyrexia
Clinical narrative: fever , chills, migrane started around 3 am 12 24 20. Migraine  lasted all day. Woke up 12 25 20 with slight headache all day. Physically tired.  Woke up 12 26 20 feeling fine.
Age: 78.0
Sex: M
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site swelling
Clinical narrative: Upon administering the injection, there was an immediate swelling on the site of injection. Patient waited by the pharmacy for 15 minutes after. He said he didnt have stiffness of the arm or pain at the site of the injection. He said this is the first time he had gotten the high dose flu vaccine and that he has always gotten the regular flu vaccine in the past. He has not had similar reactions to other vaccinations in the past. There is a picture of the swollen part of right deltoid on his cell phone. He will ice the area (ice wrapped in a towel). He will take ibuprofen as needed.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pyrexia, Vomiting
Clinical narrative: Intractable nausea, vomiting, fever (101.8), chills
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain
Clinical narrative: Complaints of gradual joint and bone pain
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Anxiety, Dyspnoea, Flushing, Pharyngeal swelling
Clinical narrative: Angioedema, throat swelling, itching, lungs tight-unable to take a full breath,  tachycardia, anxiety, face flushed.  I took 75 mg of Benadryl an hour before the injection. Had some caffeine after I became symptomatic. Was monitored for 1.5 hours.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Tachycardia
Clinical narrative: Angioedema, throat swelling, itching, lungs tight-unable to take a full breath,  tachycardia, anxiety, face flushed.  I took 75 mg of Benadryl an hour before the injection. Had some caffeine after I became symptomatic. Was monitored for 1.5 hours.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Ear congestion, Feeling abnormal, Injection site pruritus, Pharyngeal swelling
Clinical narrative: I got the vaccine at 3:30 pm. My right arm where the shot was started to itch extremely bad around 4:30. Then around  4:50 my throat was swelling up and my ear felt congested. A few minutes later it was hard to breathe. I let my staff know ( i work at urgent care) that i was not feeling so good from the vaccine. i was checked into the urgent care and i had hives and i was itching all over.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: I got the vaccine at 3:30 pm. My right arm where the shot was started to itch extremely bad around 4:30. Then around  4:50 my throat was swelling up and my ear felt congested. A few minutes later it was hard to breathe. I let my staff know ( i work at urgent care) that i was not feeling so good from the vaccine. i was checked into the urgent care and i had hives and i was itching all over.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Flushing, Hyperhidrosis, Palpitations
Clinical narrative: Tingling in throat, heart pounding and racing, dizziness, flushed skin, sweating, feeling hot
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia
Clinical narrative: Tingling in throat, heart pounding and racing, dizziness, flushed skin, sweating, feeling hot
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Insomnia, Myalgia
Clinical narrative: 96 hours post injection muscle and joint pain.  Injection site pain for 96 hours post injection.  4 days of insomnia.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Nausea, Paraesthesia
Clinical narrative: received COVID vaccine, dose 1, Pfizer, approximately 1600.  During observation, became light headed, hot, tingling in hands and feet, with onset of nausea shortly after.   given ice packs and encouraged to remain in observation another 15 minutes.  denied SOB, itching, no apparent hives or swelling.    At approx 1700, symptoms had not resolved,  was taken to ED for evaluation.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain, Pruritus
Clinical narrative: Patient reported redness and pain on 12/26/20. Redness and pain the size of a half dollar 12/27/20. Redness and itching the size of a lemon 12/28/20.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Dizziness, Headache, Palpitations, Paraesthesia
Clinical narrative: patient initially complained of headache at 1502, then at 1507 stated tingling in fingertips and toes.  Shortly after, complained of dizziness and began crying.  Moved patient to cart and vitals taken - BP 160/80, P 104, R 38, SpO2 99% - patient feelings like heart is racing.  Patient's hands cold but vitals improved at 1520 - BP 140/78, P 74, R 28, Sp02 99%.   At 1527, patient feeling better, headache gone, and tingling improved. BP 120/78, P 73, patient sipping water.    Attempted elevating HOB at 1530 and dizziness returned but vitals stable.   Continued to improve with slight dizziness with progressive ambulation.  By 1548, no dizziness with sitting on edge of cart and ambulated to bathroom,   After continued walking with no further symptoms and continued stability of vitals, patient discharged from care at 1558.  Final BP 128/78, HR 78.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral coldness
Clinical narrative: patient initially complained of headache at 1502, then at 1507 stated tingling in fingertips and toes.  Shortly after, complained of dizziness and began crying.  Moved patient to cart and vitals taken - BP 160/80, P 104, R 38, SpO2 99% - patient feelings like heart is racing.  Patient's hands cold but vitals improved at 1520 - BP 140/78, P 74, R 28, Sp02 99%.   At 1527, patient feeling better, headache gone, and tingling improved. BP 120/78, P 73, patient sipping water.    Attempted elevating HOB at 1530 and dizziness returned but vitals stable.   Continued to improve with slight dizziness with progressive ambulation.  By 1548, no dizziness with sitting on edge of cart and ambulated to bathroom,   After continued walking with no further symptoms and continued stability of vitals, patient discharged from care at 1558.  Final BP 128/78, HR 78.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer, Stomatitis
Clinical narrative: multiple oral aphthous ulcers and tongue sores without a clear alternative trigger
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Back pain, Blood pressure increased, Chills
Clinical narrative: Headache, nausea, abdominal cramping,  elevated blood pressure, 5 mins after vaccination.   At home the above symptoms continue plus joint pain, lower back pain, chills for 3 days.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea
Clinical narrative: Headache, nausea, abdominal cramping,  elevated blood pressure, 5 mins after vaccination.   At home the above symptoms continue plus joint pain, lower back pain, chills for 3 days.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Back pain, Chills, Diarrhoea
Clinical narrative: Developed extremely sore arm at site of injection within first hour after vaccination; red rash developed (3 inch diameter) with localized swelling. Mild fatigue for first two days following vaccination. Beginning on Day 3 after vaccination, developed severe fatigue, muscle pain, back pain, joint pain, hot/cold chills, abdominal pain, nausea and diarrhea. Symptoms were severe for three days (Day 3-6 after vaccination) requiring bed rest and supportive care with OTC ibuprofen, benadryl and promethazine. Rash, swelling and muscle pain at injection site persisted through Day 5 following vaccination. Fatigue, muscle and joint pain persisted at moderate intensity through Day 8 following vaccination. Moderate nausea and abdominal pain persisted through Day 8 following vaccination. Still experiencing mild to moderate fatigue on Day 12 following vaccination.