chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Moderna COVID-19 Vaccine EUA Developed "covid arm" as of the morning of 4/23/2021 (8 days after 1st Moderna dose). Itchy, red, swollen skin the area a few inches surrounding the injection site on my non-dominant arm. I am in my first trimester, due in mid December 2021. No other symptoms have currently developed.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Basophil count increased, Contusion, Eosinophil count normal, Haematocrit normal, Haemoglobin normal
Clinical narrative: I received my shot at approx 5pm in the right arm, at about 630 as I was getting intot he bath, I noticed a large bruise covering my right thigh, which faded while in the tub. Friday 4/2 the bruise appeared again in the same location, and faded after the shower. I went to my doctor who ordered bloodwork which I got the next morning. Came back normal. Saturday  4/10 , monday 4/19 the same occured. I saw a hematologist as I was concerned, pending more bloodwork.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count, Lymphocyte count increased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: I received my shot at approx 5pm in the right arm, at about 630 as I was getting intot he bath, I noticed a large bruise covering my right thigh, which faded while in the tub. Friday 4/2 the bruise appeared again in the same location, and faded after the shower. I went to my doctor who ordered bloodwork which I got the next morning. Came back normal. Saturday  4/10 , monday 4/19 the same occured. I saw a hematologist as I was concerned, pending more bloodwork.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Mean platelet volume increased, Monocyte count, Monocyte count normal, Neutrophil count decreased, Neutrophil count normal
Clinical narrative: I received my shot at approx 5pm in the right arm, at about 630 as I was getting intot he bath, I noticed a large bruise covering my right thigh, which faded while in the tub. Friday 4/2 the bruise appeared again in the same location, and faded after the shower. I went to my doctor who ordered bloodwork which I got the next morning. Came back normal. Saturday  4/10 , monday 4/19 the same occured. I saw a hematologist as I was concerned, pending more bloodwork.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Red blood cell count normal, Red cell distribution width normal, White blood cell count normal
Clinical narrative: I received my shot at approx 5pm in the right arm, at about 630 as I was getting intot he bath, I noticed a large bruise covering my right thigh, which faded while in the tub. Friday 4/2 the bruise appeared again in the same location, and faded after the shower. I went to my doctor who ordered bloodwork which I got the next morning. Came back normal. Saturday  4/10 , monday 4/19 the same occured. I saw a hematologist as I was concerned, pending more bloodwork.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Nodule, Paraesthesia
Clinical narrative: Pt EXP Right Arm and Right Leg tingling/numbness at 1200 on 22APR2021. Pt rested then woke up with a penny size nodule superior of right clavicle. Pt went to urgent care at 930Pm on 22APR2021.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Fatigue, Lymphadenopathy, Malaise
Clinical narrative: Excruciating rotating joint pain which lasted for weeks. (elbows, Wrists, knee,.) Neck rigid very painful.  generally feeling not well, bottom number of blood pressure elevated for weeks ,  swollen glands in neck, weeks of exhaustion.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: Excruciating rotating joint pain which lasted for weeks. (elbows, Wrists, knee,.) Neck rigid very painful.  generally feeling not well, bottom number of blood pressure elevated for weeks ,  swollen glands in neck, weeks of exhaustion.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Swelling, Swelling face
Clinical narrative: Lips, left cheek and left side of neck swelled
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Ear discomfort, Tinnitus
Clinical narrative: Feeling of fullness in ears and a significant increase in tinnitus
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Feeling abnormal, Herpes zoster, Hypersensitivity, Insomnia
Clinical narrative: About 30 minutes after I received the second shot in my right arm, I started feeling different.  I thought it was normal side effects, but it wasn't like the first Covid shot.  After a couple days I was in pain around my right side of my neck, my right jaw, right ear, and right eye socket.  Also pain on the right side of my head. After a week I decided to go to Urgent Care, where I was told it was an allergy, or maybe I had a bad tooth.  I was told it was not from the Covid shot.  So I took Claridin for a couple days with no relief of pain.  Since the pain was not getting better and was keeping me awake I decided to go the the ER.  The doctor there said it was shingles since I had a couple bllisters on my right jaw.  I was told again it was not from the Covid shot.  I didn't believe any of this.  Just wanted to document this.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: About 30 minutes after I received the second shot in my right arm, I started feeling different.  I thought it was normal side effects, but it wasn't like the first Covid shot.  After a couple days I was in pain around my right side of my neck, my right jaw, right ear, and right eye socket.  Also pain on the right side of my head. After a week I decided to go to Urgent Care, where I was told it was an allergy, or maybe I had a bad tooth.  I was told it was not from the Covid shot.  So I took Claridin for a couple days with no relief of pain.  Since the pain was not getting better and was keeping me awake I decided to go the the ER.  The doctor there said it was shingles since I had a couple bllisters on my right jaw.  I was told again it was not from the Covid shot.  I didn't believe any of this.  Just wanted to document this.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: After the first dose, I experienced tinnitus about every day for a week or two afterwards. The tinnitus would be present in one or both ears and last about 5-10 minutes. Illness set in roughly 30 min after the second dose. Illness has lasted throughout the last 4 days, and even through today. This would indicate the vaccine has made me ill for about 5 days now. Caused me to go to the doctor as I assumed the reaction couldn't be from the vaccine so long after the dose.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: About 1 hour after injection, i had a small bump at the injection site. That evening it was swollen and warm to the touch and the bump was larger. I went to bed and woke up the next day and the bump was larger, red, swollen feels a little hard. This is my 3rd day and the bump grew in size again but now its itchy around the outside of the bump.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Heart rate
Clinical narrative: I had fever, chills, muscle aches, slight elevated heart rate, tiredness, headache, slight stomach ache I just rested and within 24 hours I felt better
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: I had fever, chills, muscle aches, slight elevated heart rate, tiredness, headache, slight stomach ache I just rested and within 24 hours I felt better
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysstasia, Fatigue, Injection site induration, Injection site warmth
Clinical narrative: The injection sight was hot and firm. I had a low grade temp of 99.2. I was VERY achy, I had difficulty sitting, standing, any movement, VERY tired and a little dizzy.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: The injection sight was hot and firm. I had a low grade temp of 99.2. I was VERY achy, I had difficulty sitting, standing, any movement, VERY tired and a little dizzy.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Quality of life decreased, Tinnitus
Clinical narrative: Moderate tinnitus in left ear. Increased in severity after the second shot. It is a high pitched whistle that is enough to reduce the quality of my day-to-day living.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Feeling cold, Feeling hot, Influenza like illness
Clinical narrative: Flulike symptoms (chills, muscle aches, joint aches, hot and cold spells) beginning 4/21 around 10 pm resolved by 4/23 AM Arm soreness at injection site beginning 4/21 evening and resolved 4/23 am.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: Flulike symptoms (chills, muscle aches, joint aches, hot and cold spells) beginning 4/21 around 10 pm resolved by 4/23 AM Arm soreness at injection site beginning 4/21 evening and resolved 4/23 am.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac failure congestive, Endotracheal intubation, Hypotension, Respiratory failure, Sepsis
Clinical narrative: Hospice Care  Sepsis associated hypotension  Discharge Diagnoses: acute on chronic hypoxic/hypercapnic resp failure requiring intubation, acute on chronic CHF, severe COPD with likely exacerbation, possible CAP, likely medical non compliance
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Hospice Care  Sepsis associated hypotension  Discharge Diagnoses: acute on chronic hypoxic/hypercapnic resp failure requiring intubation, acute on chronic CHF, severe COPD with likely exacerbation, possible CAP, likely medical non compliance
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dysgeusia, Fatigue, Feeling abnormal, Injection site induration
Clinical narrative: Extreme fatigue for 24 hours- Could not get out of bed.  Brain fog.  Diarrhea, metal taste in mouth.  Injection site is swollen/ hard.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Extreme fatigue for 24 hours- Could not get out of bed.  Brain fog.  Diarrhea, metal taste in mouth.  Injection site is swollen/ hard.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Fatigue, Hypoacusis, Insomnia, Palpitations
Clinical narrative: I felt mild quick disoriented feelings at the site but they never got big enough to worry about and didn't get worse.  Once I left the site and arrived home I felt mildly tired and laid down to discover my heart was beating fast and hard.  When I laid down I was very alert and awake and could not fall asleep.  I was still able to move around and concentrate on my tasks besides a very hard and fast heartbeat. I thought this was unusual because I didn't feel stressed at all though my heart was obviously working hard.  I also noticed that my mental subvocalization shifted to something quieter.  It was noticeable because it changed.  It seems to have returned to normal and comfortably slightly quieter.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dyspnoea, Headache, Myalgia
Clinical narrative: Muscle/joint pain, fever, chills, nausea, shortness of breath, headache
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vaccine positive rechallenge
Clinical narrative: Muscle/joint pain, fever, chills, nausea, shortness of breath, headache
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Injection site pain, Loss of personal independence in daily activities
Clinical narrative: Chills, body aches, headache, soreness at injection site, tired, shivering, side effects preventing me from doing regular activities.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Chills, body aches, headache, soreness at injection site, tired, shivering, side effects preventing me from doing regular activities.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Longer than normal menstrual cycle.  This period lasted longer than 10 days when I normally bleed for 5 days max. This was the first period to follow my 2nd dose of the covid 19 vaccine. I normally bleed 5 days max and have had regular periods for 20 plus years ( since the age of 10).
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Headache, International normalised ratio decreased, Paralysis, Thrombectomy
Clinical narrative: I had a massive stroke at work a few weeks after the 1st vaccine shot. Rushed to hospital for emergency surgery to remove blood clot in right side of brain. My paralysis was reversed after surgery but lingering headaches exist.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was administered 2nd dose covid vaccine of Moderna after receiving 1st dose Pfizer. Pfizer was administered on 3/30/21 and Moderna was given on 4/22/21.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Heart rate increased, Pyrexia, Vomiting
Clinical narrative: Severe vomiting and diarrhea approximately 13 hours after injection, lasting 8 hours through the night.  Vomiting and diarrhea approximately every 30 minutes until vomiting bile.   Fever of 99.8 and  high heart rate of 98 (my normal hear rate is 72).  Occasional vomiting on day 2 after the vaccine.  Injection on Tuesday, felt well again by Friday morning.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Injection site pain, Paraesthesia oral, Tremor
Clinical narrative: 20 minutes after the shot, my jaw and tongue felt tingly, my voice felt hoarse, An hour after shot I had the shakes.  Within  2 hours all these symptoms were gone.  Arm continued to be sore at injection site for two days.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Fist size rash occurred on the arm where the injection took place.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood urea increased, Chills, Cough, Hyperhidrosis
Clinical narrative: pt says he had fever, chills, cough, body aches and sweats.  After being sick for almost 10 days he called his PCP and was instructed to go to urgent care.  On 3/21/21 he went to an UTC. His vitals were checked, tested for Covid w/ negative results and blood test  He was prescribed antibiotics.  He says he was actively sick for over 2 weeks.  He says he is feeling some better but still very weak and has night sweats.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: pt says he had fever, chills, cough, body aches and sweats.  After being sick for almost 10 days he called his PCP and was instructed to go to urgent care.  On 3/21/21 he went to an UTC. His vitals were checked, tested for Covid w/ negative results and blood test  He was prescribed antibiotics.  He says he was actively sick for over 2 weeks.  He says he is feeling some better but still very weak and has night sweats.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, Electrocardiogram, Hyperhidrosis, Muscle spasms, Seizure
Clinical narrative: I?m writing this as a former, trained healthcare professional  (physical therapist).  30sec-after injection I raised my left (injected) arm and my deltoid/bicep had a sudden hard spasm. I told my husband (who was in the middle of getting his shot) and the administrator that  I was passing out.  I blacked out. They ran over. They said 5 minutes passed in which my eyes were wide open and dilated. I suddenly began profuse sweating  and convulsions/ severe full body shaking. They could not keep me lucid, and called 911.  Paramedics came and got a systolic BP of 36 (I?m unaware of the diastolic BP) with blood sugar at 111 ish. I could not form words and kept going in and out of consciousness. I was transported by ambulance to the ER. A few minutes into the ambulance ride I was able to form words, and vitals stared to return.  I?ve passed out a few times and this WAS NOT a normal episode of syncope.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope, Urine analysis
Clinical narrative: I?m writing this as a former, trained healthcare professional  (physical therapist).  30sec-after injection I raised my left (injected) arm and my deltoid/bicep had a sudden hard spasm. I told my husband (who was in the middle of getting his shot) and the administrator that  I was passing out.  I blacked out. They ran over. They said 5 minutes passed in which my eyes were wide open and dilated. I suddenly began profuse sweating  and convulsions/ severe full body shaking. They could not keep me lucid, and called 911.  Paramedics came and got a systolic BP of 36 (I?m unaware of the diastolic BP) with blood sugar at 111 ish. I could not form words and kept going in and out of consciousness. I was transported by ambulance to the ER. A few minutes into the ambulance ride I was able to form words, and vitals stared to return.  I?ve passed out a few times and this WAS NOT a normal episode of syncope.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Mydriasis, Tremor
Clinical narrative: I?m writing this as a former, trained healthcare professional  (physical therapist).  30sec-after injection I raised my left (injected) arm and my deltoid/bicep had a sudden hard spasm. I told my husband (who was in the middle of getting his shot) and the administrator that  I was passing out.  I blacked out. They ran over. They said 5 minutes passed in which my eyes were wide open and dilated. I suddenly began profuse sweating  and convulsions/ severe full body shaking. They could not keep me lucid, and called 911.  Paramedics came and got a systolic BP of 36 (I?m unaware of the diastolic BP) with blood sugar at 111 ish. I could not form words and kept going in and out of consciousness. I was transported by ambulance to the ER. A few minutes into the ambulance ride I was able to form words, and vitals stared to return.  I?ve passed out a few times and this WAS NOT a normal episode of syncope.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Injection site pain, Tinnitus
Clinical narrative: Tinitis, severe pain at injection site, weakness, tired
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Palpitations
Clinical narrative: I had all the flu like symptoms like most people have, but I also had heart palpitations on and off for about 24 hours consisting of a palpitation ever 4th heart beat. Would last maybe 10-20 minutes then go away for a few hours. Didn?t affect me very much but I wanted to report in case it would affect someone with a heart condition or something.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: I showed up to this clinic to receive my second dose of Moderna and I was accidentally given Pfizer instead. So I've had one dose of each. I haven't had an adverse reaction yet but I was told to report this to you.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Extreme fatigue; achy muscles; chills; 102 degree fever; inflammation under left arm pit; sore joints; headache; injection site pain; general sick feeling.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Malaise, Myalgia, Pyrexia
Clinical narrative: Extreme fatigue; achy muscles; chills; 102 degree fever; inflammation under left arm pit; sore joints; headache; injection site pain; general sick feeling.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Amnesia, Patient restraint, Suicide attempt
Clinical narrative: Agitation suicide attempts lost all time for four days. Had to be restrained. Doesn?t even remember shot. Walked out of house and doesn?t remember
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Facial discomfort, Fatigue, Herpes zoster, Malaise, Ocular discomfort
Clinical narrative: Fatigue, febrile, malaise times one week following vaccine. Developed shingles in right eye, and forehead one week post vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fatigue, febrile, malaise times one week following vaccine. Developed shingles in right eye, and forehead one week post vaccine.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Limb discomfort, Musculoskeletal discomfort, Pain, Rash pruritic
Clinical narrative: Pruritic round lesions along left leg, left side of torso, and back. First happened the night of vaccination on 21 APR with a few round lesions on the left leg. The following morning the patient noticed more lesions on the left side of his back and torso.  Patient seen here in clinic on 23 APR for concerns of these lesions.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash papular, Rash pruritic, Skin lesion
Clinical narrative: Pruritic round lesions along left leg, left side of torso, and back. First happened the night of vaccination on 21 APR with a few round lesions on the left leg. The following morning the patient noticed more lesions on the left side of his back and torso.  Patient seen here in clinic on 23 APR for concerns of these lesions.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Lip swelling, Paraesthesia oral
Clinical narrative: Moderna COVID-10 Vaccine EUA Upper right lips started to tingle and swell, spread to the center upper lips. Took a Benadryl 30 minutes after the symptoms. Woke up the next morning upper lips still slightly swollen and numb. No more tingling sensation. Took another Benadryl. Swelling and numbness is still there
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Palpitation felt after getting vaccine.  122/72, HR 90, O2Sat 98%. 9:45am: Stated that patient is feeling better per husband.  Transportation was refused, voiced that if patient is still having palpitation will take patient to hospital himself as he lives close by
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Pyrexia
Clinical narrative: Patient reported a low grade fever and face/tongue numbness beginning 1 hour post-vaccination. She reported no difficulty breathing, but noted that eating and drinking was bothersome. No swelling/redness. Referred to the local urgent care for follow up.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient is a new arrival.  Patient requested a first dose COVID vaccine upon arrival to facility. All documentation completed with patient. Patient denied ever receiving any COVID vaccine prior to this date. Medical staff administered 1st dose Moderna vaccine to patient on 4/22/2021. Upon entering vaccine into. Patient record shows she received the Pfizer vaccine on 2/15/2021. Patient reports she "forgot she received the vaccine." Patient denies any adverse reaction to Moderna Vaccine on 4/22/2021.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Impaired driving ability, Loss of consciousness, Pain in extremity, Visual impairment
Clinical narrative: I received my second vaccination around 10:00 AM.  I waited 15 minutes in the pharmacy to make sure I didn't have any negative reactions before leaving.  I felt fine at 15 minute mark.  As I was driving home, I did feel a little off and my arm was a little sore on injection side.  All of a sudden, out of nowhere, my vision started to turn black starting from outside and tunneling in while I was driving 35 mph.  I didn't have much warning that I was going to black out but I did.  Before blacking out I tried to put my car in park out of reflex while going 35 then everything went dark.  When I awoke I thought I was going to wake up in bed.  I had a whole dream but realized quickly I was in my car then everything came back to me. Instead of the car being in park it was in reverse and I reversed the car into two other cars on the road.  Luckily no one was hurt.  I am very shaken up.  I am a healthy 36 year old and tolerated first does just fine.  People need to have others drive them after receiving vaccination.  If I was on the highway or had my kids in the car things could have been much different.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Axillary pain, Contusion, Injection site pain, Peripheral swelling
Clinical narrative: At about the same time the standard soreness at the shot site from the shot began to form (in the left arm), soreness also began to form in the left armpit.  Both signs of soreness began around 7pm the evening of the shot. The day after the shot was administered the soreness in the shot site began to lessen but the pain in the armpit persisted. The armpit pain, the day after the shot was administered, felt sore, almost as if I have been holding a golf ball tightly between my arm and torso for hours and a bruise had formed.  That night I checked my armpit to see if there was any swelling or bruising. There was some swelling and a small lump within the tissue of the armpit the night of the day after the shot. The morning of the 23rd , two days after the shot was administered, the armpit pain persisted and the lump was bigger than the night before and the swelling remained.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient is 17 years old and Moderna is only approved for over 18 yrs. Nothing happened. Patient is fine.  She was notified and still wants to get her second shot. During check in we missed that she was under age.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Swelling, Tenderness
Clinical narrative: Swelling and pain at the base of left side of the neck.  Very tender to the touch.  Swelling diminishing on day 3 but still very sore.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Back pain, Chills, Computerised tomogram, Fatigue
Clinical narrative: Sore arm, sore thigh, back ache, fever, chills, fatigue - all  started within 8-15 hours. All ended within 24-36 hours with the exception of the fever. Stomach discomfort was noticed the morning after the shot (7:30??). The fever and stomach issues continued resulting in a visit to the doctor on Tuesday, April 4/20/21 for a CT scan. This revealed minor Acute Diverticulitis for which I am now taking antibiotics to resolve.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Sore arm, sore thigh, back ache, fever, chills, fatigue - all  started within 8-15 hours. All ended within 24-36 hours with the exception of the fever. Stomach discomfort was noticed the morning after the shot (7:30??). The fever and stomach issues continued resulting in a visit to the doctor on Tuesday, April 4/20/21 for a CT scan. This revealed minor Acute Diverticulitis for which I am now taking antibiotics to resolve.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine spasm
Clinical narrative: Severe uterine cramps
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Pain around injection site: ongoing Full-body joint pain: until 4/22 9pm
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: have salty taste in my mouth
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Discomfort, Gait disturbance, Impaired work ability, Pain in extremity
Clinical narrative: Approx 1 wee after vaccination, I had a full body massage.  Light non deep tissue.  That evening my legs started to ache.  The discomfort persisted and settled in my right knee.  I could not bend it and barely walk.  I had to miss work one day snd borrow a wheel chair got my remaining work days.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Tendonitis, X-ray limb
Clinical narrative: Approx 1 wee after vaccination, I had a full body massage.  Light non deep tissue.  That evening my legs started to ache.  The discomfort persisted and settled in my right knee.  I could not bend it and barely walk.  I had to miss work one day snd borrow a wheel chair got my remaining work days.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Influenza like illness, Pyrexia
Clinical narrative: Fever of 100 F and lasted about 36 hours.  Sore joints along with flu like symptoms.  No treatment taken.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Body aches
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling of body temperature change, Myalgia, Pain in extremity
Clinical narrative: She got the vaccine, had a little arm pain for that day,  and about 2 weeks later had muscle pain from the elbow up.  It then progressively got worse and goes up to the shoulder, and then down the back area (wing).   She has been to the doctor on Wednesday 4/21/21, who told her to use the cream that she has been using (Diclofenac), and did not give her anything else, hot/cold.  She does have fibromyalgia and diabetes.   The pain has not diminished at all since the onset of the pain, and seems to be getting worse and last night was actually the worst of it, which is worse than her normal fibromyalgia pain.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Dizziness, Feeling abnormal, Vision blurred
Clinical narrative: Blurred vision started within 30 minutes after vaccine, lasted for 30 to 60 minutes, then vision normal again. pt reported dizziness and "didn't feel right" within 15 minutes after vaccine to staff was told this was a listed side effect and is why persons are asked to stay 15 minutes after vaccine injection. She reported 04/10/2021 adverse reaction on 04/23/2021.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Urticaria
Clinical narrative: ?Covid arm? large painful welt around the injection site
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Cough, Headache
Clinical narrative: Shoulder swelled and became sore. Eventually whole body became sore, weak, hot and sleepy. Developed fever/chills 99.5. Headache all day. Cough for about two hours. Symptoms faded overnight. No treatment.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Skin warm, Somnolence, Swelling
Clinical narrative: Shoulder swelled and became sore. Eventually whole body became sore, weak, hot and sleepy. Developed fever/chills 99.5. Headache all day. Cough for about two hours. Symptoms faded overnight. No treatment.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Computerised tomogram thorax abnormal, Dyspnoea exertional, Laboratory test, Pain in extremity
Clinical narrative: Sore arm badly aches for a few days then a week after began having shortness of breath on exertion was diagnosed with Pulmonary embolism on Aril 7 2021
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Scan with contrast abnormal
Clinical narrative: Sore arm badly aches for a few days then a week after began having shortness of breath on exertion was diagnosed with Pulmonary embolism on Aril 7 2021
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Body temperature increased, Chills, Diarrhoea, Headache
Clinical narrative: Patient had first dose 3/25 and developed severe headache, neck pain and fever/chills starting 5-6 days after first dose.  She continued to have neck and back pain despite care of chiropracter.  Received 2nd dose 4/22.  That night worsened headache, fever to 102.7, increased neck/back pain, bodyaches.  Also nausea, vomiting and diarrhea.  Normal neurologic exam in Emergency Department early morning 4/23.  Treated with supportive care (Toradol) with improvement.  Do not suspect any intracranial pathology at this time.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Patient had first dose 3/25 and developed severe headache, neck pain and fever/chills starting 5-6 days after first dose.  She continued to have neck and back pain despite care of chiropracter.  Received 2nd dose 4/22.  That night worsened headache, fever to 102.7, increased neck/back pain, bodyaches.  Also nausea, vomiting and diarrhea.  Normal neurologic exam in Emergency Department early morning 4/23.  Treated with supportive care (Toradol) with improvement.  Do not suspect any intracranial pathology at this time.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient had first dose 3/25 and developed severe headache, neck pain and fever/chills starting 5-6 days after first dose.  She continued to have neck and back pain despite care of chiropracter.  Received 2nd dose 4/22.  That night worsened headache, fever to 102.7, increased neck/back pain, bodyaches.  Also nausea, vomiting and diarrhea.  Normal neurologic exam in Emergency Department early morning 4/23.  Treated with supportive care (Toradol) with improvement.  Do not suspect any intracranial pathology at this time.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: 3 inch red, swollen, firm welt at injection site. It's itchy and hurts to touch. I thought it was a sunburn last night but this morning it felt very firm.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: 3 inch red, swollen, firm welt at injection site. It's itchy and hurts to touch. I thought it was a sunburn last night but this morning it felt very firm.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Pain in extremity, Tenderness
Clinical narrative: 3 inch red, swollen, firm welt at injection site. It's itchy and hurts to touch. I thought it was a sunburn last night but this morning it felt very firm.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: PATIENT HAS ARM SORENESS AND REDNESS, ARM IS TENDER TO THE TOUCH
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: PATIENT HAS ARM SORENESS AND REDNESS, ARM IS TENDER TO THE TOUCH
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Pain in extremity, Tenderness
Clinical narrative: PATIENT HAS ARM SORENESS AND REDNESS, ARM IS TENDER TO THE TOUCH
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Discomfort, Dizziness, Dyspnoea
Clinical narrative: Moderna COVID-19 Vaccine EUA swelling in left hand 45 minutes after injection. Fever of 101, chills, body aches, fatigue and vomiting 4/15 & 4/16 labored breathing and discomfort in lungs when inhaling, fatigue, chills and headache on 4/17 extreme fatigue and diarrhea 4/18 & 4/19 extreme headache, nausea, dizziness and fatigue 4/20 dull droning headache and fatigue 4/21 - 4/23 *pain in lymph nodes (both sides) 4/22
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lymph node pain, Pain, Peripheral swelling
Clinical narrative: Moderna COVID-19 Vaccine EUA swelling in left hand 45 minutes after injection. Fever of 101, chills, body aches, fatigue and vomiting 4/15 & 4/16 labored breathing and discomfort in lungs when inhaling, fatigue, chills and headache on 4/17 extreme fatigue and diarrhea 4/18 & 4/19 extreme headache, nausea, dizziness and fatigue 4/20 dull droning headache and fatigue 4/21 - 4/23 *pain in lymph nodes (both sides) 4/22
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Moderna COVID-19 Vaccine EUA swelling in left hand 45 minutes after injection. Fever of 101, chills, body aches, fatigue and vomiting 4/15 & 4/16 labored breathing and discomfort in lungs when inhaling, fatigue, chills and headache on 4/17 extreme fatigue and diarrhea 4/18 & 4/19 extreme headache, nausea, dizziness and fatigue 4/20 dull droning headache and fatigue 4/21 - 4/23 *pain in lymph nodes (both sides) 4/22
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Ultrasound thyroid abnormal
Clinical narrative: As a result of a routine thyroid ultrasound two weeks after my March 3, 2021 dose of the Moderna vaccine, it was discovered that my cervical lymph nodes were enlarged. One month later, I was seen my Dr. an ENT,  who had me go to Hospital for a sonogram guided fine need aspiration to determine if I had lymphoma. At this appointment, the technician discovered that my lymph nodes had shrunk to a normal size. The radiologist then came in to do the imaging himself and he concluded that there was no longer any suspicious lymph nodes to biopsy as they were not suspicious any longer. This doctor stated he suspected I was having a reaction to the COVID-19 vaccine.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Light ringing in ears starting about 10 hours after vaccine and slightly intensifying since then,   Sore arm starting about 2 hours after vaccine Body aches and light headache started around 9 hours after vaccine Low grade fever started at around 12 hours after vaccine and rose to 101 over night. Extreme fatigue upon waking up the following morning.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Light ringing in ears starting about 10 hours after vaccine and slightly intensifying since then,   Sore arm starting about 2 hours after vaccine Body aches and light headache started around 9 hours after vaccine Low grade fever started at around 12 hours after vaccine and rose to 101 over night. Extreme fatigue upon waking up the following morning.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Rash
Clinical narrative: Rash all over body and bruising that looks like clotting. I have pictures, went to see my doctor and he was dismissive and mean. I just want to know what?s wrong and how to make it go away.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Hypersensitivity, Injection site haematoma, Injection site rash, Rash
Clinical narrative: Patient  reported to recovery area for about 4 minutes before EMS was notified that the patient needed an ice pack for a "hematoma" at her injection site. Upon visual inspection patient was noted to have a rash on her arm surrounding the injection site. Patient was brought back to EMS treatment area where upon physical assessment patient was noted to have systemic rash across abdomen, chest, bilateral arms (upper and lower). Vital signs were obtained. Patient was treated for allergic reaction without airway compromise. 50mg of Benadryl given in right deltoid. 20g IV access placed in the left AC without infiltration noted. Site secured with tegaderm and tape. EKG obtained. Patient remained alert and oriented w/o respiratory distress or oropharyngeal swelling. Withheld epinephrine and Decadron. Outside EMS requested for transport to local hospital. No further care noted
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: I was administered 1st shot of Pfizer covid vaccine on March  25, 2021, 6:30 PM at Walgreens Pharmacy. However on April 22, April 2021 6:30 PM, I was mistakenly administered the Moderna vaccine as 2nd dose (instead of Pfizer 2nd dose) by Pharmacist at Publix Pharmacy.    Should I go ahead and take 2nd shot of Pfizer manufacturer or Moderna? How can I be assured that I am 100% protected from Covid and have covid anti-bodies generated my body?  Should I worry about contracting Covid in the future because of mismatch and I didn't get vaccinated properly?  What should I do now?  Should I go for a serology report to make sure that I have enough protection in my body to fight against the corona virus?
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Severe headache continuing several days after vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site reaction, Injection site warmth, Urticaria
Clinical narrative: A large (4"long x 3"wide x 1.5 depth) welt on my left arm at injection site.  The site is warm to touch, itchy, and painful.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Mixed series - COVID 19 vaccine 1st dose Pfizer and 2nd dose Moderna No treatment required, vaccine series considered complete
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Facial paralysis, Headache, Hemiplegia, Hypoaesthesia
Clinical narrative: Right arm numbness, 04/15, 5:00pm Facial dropping, 04/18, 12:00pm Right side face paralysis, 04/19, 11:00am Headaches, 04/16, 3:00pm TIA/ stroke, 04/19 11:00am
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: Right arm numbness, 04/15, 5:00pm Facial dropping, 04/18, 12:00pm Right side face paralysis, 04/19, 11:00am Headaches, 04/16, 3:00pm TIA/ stroke, 04/19 11:00am
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus on-going.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Loss of personal independence in daily activities, Muscle spasms
Clinical narrative: I had severe leg cramps 1.5 days after vaccination. Then, the morning of the 2nd day after vaccination, I was so tired I couldn't get out of bed all day (didn't get up until 6:30 pm). That evening though, I felt totally fine & have been fine ever since.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain, Magnetic resonance imaging, Pain in extremity
Clinical narrative: The patient reported significant pain in the left arm at the time of injection. Her pain continued for several days following the injection despite use of Extra Strength Tylenol. Additionally, she noted decrease in mobility of the left arm. She was seen by her primary care provider and referred to orthopedics. She reported having and MRI along with medical management.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: tested positive for COVID 4/21/21. Completed COVID vaccine series 2/2/21. Symptom onset 4/18/21.  Of note, she also tested positive for COVID 10/20/20.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Diarrhoea, Headache, Injection site erythema
Clinical narrative: Shooting pain in hips, body aches, fever, diarrhea, headache, chills, large red circle around vaccination site and warm and hard to the touch
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia, Vaccination site induration, Vaccination site warmth
Clinical narrative: Shooting pain in hips, body aches, fever, diarrhea, headache, chills, large red circle around vaccination site and warm and hard to the touch
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Headache, Pain
Clinical narrative: I had body aches and a headache starting the morning after the shot body aches lasted around 20 hours and headache lasted longer than 48 hours from the time of the shot. Headache was at the forehead and the base of my skull on the back right. Lots of pressure and pain.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: shingles one month after last dose
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: No adverse raection
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Mixed series - COVID 19 vaccine 1st dose Pfizer and 2nd dose Moderna No treatment required, vaccine series considered complete
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Injury, Nausea, Pain, Syncope
Clinical narrative: Soreness, nausea, fainted leading to fall and minor injury (brusing of tailbone)
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine haemorrhage
Clinical narrative: Had abnormal uterine bleeding after first and second dose of Pfizer -Biotech Covid 19 vaccine
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Fever (100 - 101 degrees F), Body aches, Fatigue, Chills, Headache, Nausea. Started at 9 am the day after my shot Thurs April 22 and continued through @ 2-3 am Fri Apr 23rd.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever (100 - 101 degrees F), Body aches, Fatigue, Chills, Headache, Nausea. Started at 9 am the day after my shot Thurs April 22 and continued through @ 2-3 am Fri Apr 23rd.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Fatigue, Lymphadenopathy, Myalgia, Pyrexia
Clinical narrative: Extreme fatigue  Muscle/bone aches Swollen lymph nodes  Mild fever
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Depression, Fatigue, Headache, Impaired work ability, Joint swelling
Clinical narrative: Injection in left arm on Sunday, 3/28 - 4PM. By Tuesday, 3/30 - I stared feeling  unusually / more than normal tired. By Thursday, April 1, 2021, symptoms of headache, body aches, extreme tiredness where all I wanted to do is sleep, depression, a bit of nausea continued and by 4/1 I had to go home from work. My lower calves (both legs) and ankles and feet were swollen, throbbing and felt like there were pin pricks / tingly sensation in my legs. I stayed home from work on that Friday, April 2, slept and slept. I tried to do minimal tasks that exhausted me - like wash dishes. I took aspirin - drank a ton of water and had lay with both legs elevated. By Sunday I was fine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Nausea, Pain, Paraesthesia, Peripheral swelling
Clinical narrative: Injection in left arm on Sunday, 3/28 - 4PM. By Tuesday, 3/30 - I stared feeling  unusually / more than normal tired. By Thursday, April 1, 2021, symptoms of headache, body aches, extreme tiredness where all I wanted to do is sleep, depression, a bit of nausea continued and by 4/1 I had to go home from work. My lower calves (both legs) and ankles and feet were swollen, throbbing and felt like there were pin pricks / tingly sensation in my legs. I stayed home from work on that Friday, April 2, slept and slept. I tried to do minimal tasks that exhausted me - like wash dishes. I took aspirin - drank a ton of water and had lay with both legs elevated. By Sunday I was fine.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was scheduled and administered COVID-19 Moderna on 4/19/2021. At the time we were not aware that she had previously been vaccinated at another facility for both vaccines in the series. She received moderna vaccinations on 2/24/2021 and 3/24/2021 administered by CVS pharmacy at the assisted living facility that she resides. Patient has dementia and didn't recall having the vaccine prior to 4/19/2021 appointment.  Does not have any side effects or symptoms at this time.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue, Injection site erythema, Injection site warmth, Lymphadenopathy
Clinical narrative: Events:  12:00 PM Fatigue and fever of 100.2  10:00 PM Covid Rash (red splotch on injection arm) that is 10 degrees warmer than the rest of my arm - symptom continues 10:00 PM Observed enlarged underarm lymph node under injection arm - symptom continues  Treatments:   Fatigue & fever = Sleep Rash & lymph node = nothing at recommendation of physician  Outcomes: Fatigue & fever = gone in 4 hours after sleep Rash & lymph node = wait 2 weeks after injection to determine next steps if they are still an issue
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash macular
Clinical narrative: Events:  12:00 PM Fatigue and fever of 100.2  10:00 PM Covid Rash (red splotch on injection arm) that is 10 degrees warmer than the rest of my arm - symptom continues 10:00 PM Observed enlarged underarm lymph node under injection arm - symptom continues  Treatments:   Fatigue & fever = Sleep Rash & lymph node = nothing at recommendation of physician  Outcomes: Fatigue & fever = gone in 4 hours after sleep Rash & lymph node = wait 2 weeks after injection to determine next steps if they are still an issue
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Fever. Chills. Splitting headache.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Feeling abnormal, Headache, Lethargy, Musculoskeletal discomfort
Clinical narrative: pain and pulling sensation under my arm. uncomfortable sensation in chest, back. moderate pain and swelling in arm, chest and back that lasted 4 days. severe headache lethargy, fogging /hangover sensation