chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Sensory disturbance
Clinical narrative: 4 hours after the administration of her COVID-19 vaccine, she developed the onset of twitching of her left eyelid, some left-sided jaw pain, a cotton mouth sensation, and migratory left-sided facial paresthesias described as a tingling sensation that could involve the eyelid, nostril, scalp, cheek, or forehead.  These sensory symptoms feels somewhat like a Christmas tree with lights going on and off in different spots but always restricted to the left side of her face.  In addition she experience a mild headache but without associated scotoma, nausea, vomiting, or vertigo. Upon looking in the mirror she thought that perhaps there is some slight facial asymmetry on the left side.  In addition she reports feeling that her neck is weak on the left side and that she has to support her head in order to keep it from flopping further to the left.  The symptoms have been also associated with some pain in the left arm which has since improved as well as discomfort and achy sensation involving her left leg extending from the hip laterally down to the level of the knee. She was evaluated the next day by a neurologist. Her neurological examination demonstrates some subjective decrease in sensation involving the left V1 and V2 distribution but is otherwise normal.  Difficult to know to what extent the prior Botox injections could be contributing to her worsening left-sided neck weakness.  We are aware that the vaccine does induce a inflammatory cytokine response and it is conceivable that this is contributing to some of her symptoms.  MRI was obtained to exclude any underlying CNS pathology that could be conceivably exacerbated in the setting of an inflammatory micro environment induced by the vaccine.  There was no clear evidence of a new CNS lesion based upon the examination.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hypoaesthesia oral, Paraesthesia oral, Urticaria
Clinical narrative: at 16:37 making rounds to check on status of vaccination patients . Patient stated "that her mouth lower lip and tongue were tingling and numb".  Notified  EMT   (on site) patient moved to area of closer observation, Complete assessment . Patient A & O x 3. denies any c/o SOB or Dyspnea.  Color wnl,   Notified  (CN) who immediately came to site of need. Noted at 16:47 Patient appears to have pink circumoral  flushed areas around her mouth. Patient also had noted hives on her left upper bicep area.   Discussion with  (CN) and Paramedic , decision to give 50 mgs of Benedryl.  4:55 PM  50 mgs Benedry l given IM into right Deltoid.  Continual monitoring of patient. 5:19 patient stated "I feel much better".  Continual monitoring of patient until 5:25PM.   Patient discharged home (per her and her son's wish) .  Discussion to call 911 or go to ED if condition worsens or returns.  Patient recommend to make primary physician aware of incident as well as to  take benedryl  prior to second dose of vaccine as well as patient to make clinician aware of this occurrence prior to injection..
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Vertigo
Clinical narrative: Patient described that they felt like the room was "spinning," and felt "weak." Patient denied any shortness of breath, difficulty breathing, chest tightness, or itching/ flushing.  RN took vital signs at 1400, and were as follows:  155/99 mm Hg, 181 BPM, 26 BPM, and 100.5 F. RN took patient to a secluded area,  and  relaxation techniques (deep breaths, relaxation imagery, etc.) done RN. After relaxation techniques vital signs apical pulse 86 BPM.  Patient indicated she did not feel feverish at home, and no elevated temp. reported at screening station. Patient indicated that she was diabetic and had not eaten since the morning. RN instructed to eat a piece of candy.  Patient also indicated that they have high blood pressure usually, but could not identify approximate values.  Relaxation techniques continued. At 1435 vital signs were as follows:  131/68 mm Hg,  86 BPM, 20 BPM,  pulse oximetry 95%, 100.5 F. RN provided instructions to continue to monitor symptoms, and if worsen seek medical attention. RN provided information to rest, drink plenty of water, and take OTC medication as  clinically indicated.  Patient returned home.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Presyncope
Clinical narrative: after vaccine felt dizzy and lightheaded, felt worse like going to pass out, rapid response called and patient sent to emergency dept.
Age: 58.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Abdominal pain upper, Arthralgia, Chills, Headache, Pain
Clinical narrative: On 29/Jan/2021 At 9:10 I received the 2cnd vaccine Moderna Lot No. 01162019. At 5 PM on January 29, 2021 I started to get cold chills and a fever. Of 99.3. Followed by cold chills, headache which was moderate body aches which was moderate and stomach pains which was moderate. I did not take anything for the fever or the pain. I drank a total of 368 ounces of water on January 29, 2021.At 2 AM on January 30 ,2021 my fever was 101.1 then again at 6:45 on January 30 ,2021 my fever  was 102.8. I had severe  Bodyaches, moderate joint pain severe headache cold chills,. At 8 o?clock am,  I took 250 mg tablets of acetaminophen . The fever subsided as well as the cold chills and joint pain around 9:30 AM on January 30, 2021. AE?s start date is January 29, 2021  End dates - ongoing
Age: 58.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Pyrexia
Clinical narrative: On 29/Jan/2021 At 9:10 I received the 2cnd vaccine Moderna Lot No. 01162019. At 5 PM on January 29, 2021 I started to get cold chills and a fever. Of 99.3. Followed by cold chills, headache which was moderate body aches which was moderate and stomach pains which was moderate. I did not take anything for the fever or the pain. I drank a total of 368 ounces of water on January 29, 2021.At 2 AM on January 30 ,2021 my fever was 101.1 then again at 6:45 on January 30 ,2021 my fever  was 102.8. I had severe  Bodyaches, moderate joint pain severe headache cold chills,. At 8 o?clock am,  I took 250 mg tablets of acetaminophen . The fever subsided as well as the cold chills and joint pain around 9:30 AM on January 30, 2021. AE?s start date is January 29, 2021  End dates - ongoing
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: I developed a full body rash which began on my left arm. It then progressed to my other arm, my chest and back and then down on to my legs. Benedryl helped a little bit but the rash didn?t fully go away until I went to Urgent Care and got a corticosteroid prescription. The rash wasn?t overly itchy. I have never had an allergy to any other medication, food, vaccine etc. in my life. I went to urgent care on Friday 1/22 and the rash was gone by the time I finished the dosages on 1/27. I had no other symptoms of any other kind and nothing onto my neck or face.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Diplopia
Clinical narrative: Double vision experienced in right eye upon waking up this morning. Contacted health care provider. Recommended eye drops over the next few days and to call back if symptoms persist.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperaesthesia
Clinical narrative: skull severely hyperesthetic..could not lie on my back and put head on pillow
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Blood glucose normal, Erythema, Feeling jittery, Flushing
Clinical narrative: During the 15 minute observation following the 1st Moderna vaccine dose, the patient reported her tongue 'felt thick,' flushed skin, redness on face, neck, hands, BP=98/60, HR=100.  Patient felt 'jittery' and 'heart racing.'  Was transferred to ED for evaluation given that patient reported her tongue 'getting tighter.'  In the ED, the patient was treated with diphenhydramine 25mg x 2 doses, methylprednisolone 125mg x 1 dose, famotidine 20mg x 1 dose, and NS IV fluids.  Hypoglycemia was ruled out with CBG=87.  The physician avoided treatment with epinephrine due to it being listed on her allergy list with a reaction of 'shortness of breath.'  Symptoms resolved over the next 3 hours.  The patient was discharged home with a new prescription of oral prednisone taper.  Subsequent follow-up with her primary care provider, in consultation with an ID provider, recommended that this patient NOT get a 2nd dose.  Covid-19 vaccine was added to her allergy list with a reaction of 'anaphylaxis.'
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Tongue disorder
Clinical narrative: During the 15 minute observation following the 1st Moderna vaccine dose, the patient reported her tongue 'felt thick,' flushed skin, redness on face, neck, hands, BP=98/60, HR=100.  Patient felt 'jittery' and 'heart racing.'  Was transferred to ED for evaluation given that patient reported her tongue 'getting tighter.'  In the ED, the patient was treated with diphenhydramine 25mg x 2 doses, methylprednisolone 125mg x 1 dose, famotidine 20mg x 1 dose, and NS IV fluids.  Hypoglycemia was ruled out with CBG=87.  The physician avoided treatment with epinephrine due to it being listed on her allergy list with a reaction of 'shortness of breath.'  Symptoms resolved over the next 3 hours.  The patient was discharged home with a new prescription of oral prednisone taper.  Subsequent follow-up with her primary care provider, in consultation with an ID provider, recommended that this patient NOT get a 2nd dose.  Covid-19 vaccine was added to her allergy list with a reaction of 'anaphylaxis.'
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is 17 and 7 months years old. Mother signed and consented her daughter to be given the vaccine to her daughter
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pruritus
Clinical narrative: On evening of Day 8 after Dose #1, right arm began to itch. On morning of Day 9, I noticed the area around. The vacccination became red, about 3 inches in diameter. It is now Day 11, and the redness  and itching  has not diminished.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event, other than patient is shy by approximately 2 months from 18th birthday. Emergency use authorization indicated for 18 years old and older
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Computerised tomogram, Electroencephalogram, Encephalitis, Lumbar puncture
Clinical narrative: Encephalitis - most likely recurrent autoimmune
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging brain
Clinical narrative: Encephalitis - most likely recurrent autoimmune
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pharyngeal swelling
Clinical narrative: In one minute dizziness and couldn't clear throat little swollen. They checked heart beat and blood pressure and injection site and kept me extra waiting time
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Cellulitis, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: On 1/15/21 I had pain in my right armpit upon raising my arm and a red swollen, itchy area about three inches wide at the injection site.  My primary care doctor prescribed Cephalexin 500 mg po tid which I began taking at 3 PM on 1/15/21. On 1/16/21 the redness and swelling continue to grow larger on my whole upper left arm. On 1/17/21 the redness and swelling was across a greater area and included the bottom of my arm.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Ultrasound scan
Clinical narrative: On 1/15/21 I had pain in my right armpit upon raising my arm and a red swollen, itchy area about three inches wide at the injection site.  My primary care doctor prescribed Cephalexin 500 mg po tid which I began taking at 3 PM on 1/15/21. On 1/16/21 the redness and swelling continue to grow larger on my whole upper left arm. On 1/17/21 the redness and swelling was across a greater area and included the bottom of my arm.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Injection site pain, dismissing Free seal days, but still sore to touch on 1/30 ( nearly 2 weeks later) and a large rash present with some itchiness. Not sure how long that has been present, but noticed this morning 1/30.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Polymenorrhoea, Pyrexia
Clinical narrative: Fever, body aches, fatigue, stopped menstrual cycle while on it
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Eye haemorrhage
Clinical narrative: Ruptured blood vessel in left eye
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: exhausted and a temp of 99.  My normal is 97.4.  I laid down and slept until morning and felt fine.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram normal, Hyperhidrosis
Clinical narrative: Dizzy & diaphoretic after vaccine, bp checked 190/110, taken to ED.   Ed workup with ECG - normal, patient was monitored, symptoms resolved.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Skin warm, Tenderness
Clinical narrative: Large red  circle appeared on my left arm a week after the shot was given.  It is warm to the touch.  It is not painful.  At first it looked like a bullseye.  No other symptoms at this time.    When I received the injection, there was some pain to the touch, redness, and heat, but that subsided in a couple of days.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Induration, Pain, Peripheral swelling
Clinical narrative: This is patient (self) report: ?Covid arm? noticed on day 10 post vaccine.  Itchy, achy. Classic size as determined by newspaper article/ about 4 inches long/2inches wide. Red, firm swollen area very gradually fading in color. Size, sensations and swelling remain the same. Last two day have had mild yet annoying headache starting mid day. No temp.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: This is patient (self) report: ?Covid arm? noticed on day 10 post vaccine.  Itchy, achy. Classic size as determined by newspaper article/ about 4 inches long/2inches wide. Red, firm swollen area very gradually fading in color. Size, sensations and swelling remain the same. Last two day have had mild yet annoying headache starting mid day. No temp.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash on forearms developed 24hrs after shot. On the third day developed intense itching in various area around my body. Comes and goes through the day. Stronger at night. Rash has subsided  but itching continues.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dysphagia, Electrocardiogram, Feeling hot, Headache
Clinical narrative: 4 hours post vaccination - increased heart rate 19 hours post vaccination - warm sensation from chest to throat 20 hours post vaccination - tongue and throat feeling numb with difficulty swallowing.  Blood pressure increased, severe headache and nausea
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypoaesthesia oral, Nausea, Pharyngeal hypoaesthesia, X-ray therapy to lung
Clinical narrative: 4 hours post vaccination - increased heart rate 19 hours post vaccination - warm sensation from chest to throat 20 hours post vaccination - tongue and throat feeling numb with difficulty swallowing.  Blood pressure increased, severe headache and nausea
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Throat irritation
Clinical narrative: Patient complaint of itching  throat 15 minutes post getting vaccine.  Redness noted right forehead  Treatment 50 mg benadryl given right deltoid 5:48pm. Symptoms resolved in 10 minutes.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Dyspnoea, Hyperhidrosis, Myalgia
Clinical narrative: 12 hours later woke up Sweating  101.5- 103, muscle ache back, joint pain finger pain, SOB fatigue.  Lasted about 17hours.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal
Clinical narrative: Coming home.  I did not recognize a street  I was on. It was on a street that I always drive on. My husband, was driving. He had the shot 15 minutes before me. Same lot.  He was really more out of it. We had brain fog for about 4 hours. We rested.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria, Injection site warmth
Clinical narrative: Right upper arm about 2" above where vaccine was administered. Day 1 Friday 1/29/21: 3 round dots (hives) that if connected would form a triangle. The area was somewhat itchy and was very warm. Red marks on shoulder above hives but not itchy. Day 2 Saturday 1/30/21:  One red circle is around the 3 hives (itchy) and the area is warm.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Tenderness
Clinical narrative: 15-36 hours after:  headache, chills,  injection site pain 9 days after:  Hair follicle and or skin  tenderness  concentrated to the  back left  lower quadrant of head.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site reaction, Rash erythematous
Clinical narrative: 2nd day: red rash circling the injection site (about 2 inches from site, so 4 inch circle; pain and itching at site, lasted a couple of days. 8th day: red rash again circling the injection site (about 2 inches from site, so 4 inch circle; pain and itching at site, lasting on 9th, 10th day.  10th day I went to Emergency Dept , which is today, 01/30/2021.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Headache, Injection site pain, Nausea, Pain
Clinical narrative: Nausea, vomiting, dizziness, body aches, fever, headache, soreness at injection site.  These all began around 2:00 am on 1/28/2021 and finally subsided about 2:00 a.m. on 1/29/2021.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Nausea, vomiting, dizziness, body aches, fever, headache, soreness at injection site.  These all began around 2:00 am on 1/28/2021 and finally subsided about 2:00 a.m. on 1/29/2021.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Dizziness, Headache, Nausea, Pain
Clinical narrative: Nausea, vomiting, dizziness, body aches, fever, headache, soreness at injection site.  These all began around 2:00 am on 1/28/2021 and finally subsided about 2:00 a.m. on 1/29/2021.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Rash, redness and swelling, also itching around injection site. Saw primary physician who prescribed Keflex, but I learned that  symptoms would be short lived so I talked with MD and cancelled the RX.  Symptoms are gradually disappearing.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: fever, tiredness, body aches, headache
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Soreness near sight of injection starting about an hour later, for about 3 days. Took a Tylenol the first night, and an aspirin the next day. Stretched the muscle & did regular p.m. and a.m. exercises, which helped.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Headache and fatigue
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Cheilitis, Fatigue, Rash
Clinical narrative: Fatigue, lip sores 06/5/2020, Rash left side of face 06/06/2020 & 06/07/2020  Appointment with clinic Doctor 6/0702020, Treatment of antiviral and prednisone for5 days
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Chills/fever 14 hours after injection Lasted about 7hours
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling drunk, Headache, Oropharyngeal pain, Paraesthesia oral
Clinical narrative: Shortly after leaving my lips started tingling , my throat was sore and a headache started.  A few minutes after that I got really dizzy and felt I was "driving drunk" and had to pull over
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood pressure decreased, Blood test, Computerised tomogram head, Electrocardiogram abnormal
Clinical narrative: Acute fainting episode during the night following the day of the vaccine.  Hit my head on the stone floor and was unconscious.  Taken to ER in ambulance.   All diagnostics were normal and after blood pressure returned to normal and getting 4 staples in my scalp I was released.  Since coming home I have been very ill with weakness, vertigo, nausea, and headache.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Head injury, Headache, Heart rate decreased, Loss of consciousness, Malaise
Clinical narrative: Acute fainting episode during the night following the day of the vaccine.  Hit my head on the stone floor and was unconscious.  Taken to ER in ambulance.   All diagnostics were normal and after blood pressure returned to normal and getting 4 staples in my scalp I was released.  Since coming home I have been very ill with weakness, vertigo, nausea, and headache.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Skin laceration, Spinal X-ray, Suture insertion, Syncope
Clinical narrative: Acute fainting episode during the night following the day of the vaccine.  Hit my head on the stone floor and was unconscious.  Taken to ER in ambulance.   All diagnostics were normal and after blood pressure returned to normal and getting 4 staples in my scalp I was released.  Since coming home I have been very ill with weakness, vertigo, nausea, and headache.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urine analysis, Vertigo
Clinical narrative: Acute fainting episode during the night following the day of the vaccine.  Hit my head on the stone floor and was unconscious.  Taken to ER in ambulance.   All diagnostics were normal and after blood pressure returned to normal and getting 4 staples in my scalp I was released.  Since coming home I have been very ill with weakness, vertigo, nausea, and headache.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope
Clinical narrative: Acute fainting episode during the night following the day of the vaccine.  Hit my head on the stone floor and was unconscious.  Taken to ER in ambulance.   All diagnostics were normal and after blood pressure returned to normal and getting 4 staples in my scalp I was released.  Since coming home I have been very ill with weakness, vertigo, nausea, and headache.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Chest pain, Chills, Electrocardiogram normal, Laboratory test
Clinical narrative: chills, body ache, chest pain, abdominal pain, after two days post vaccine patient decided to go to the ed due to concern for the chest pain.  Worked up in ED but nothing of significance found.  Will follow with PMD
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Troponin normal
Clinical narrative: chills, body ache, chest pain, abdominal pain, after two days post vaccine patient decided to go to the ed due to concern for the chest pain.  Worked up in ED but nothing of significance found.  Will follow with PMD
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Musculoskeletal stiffness, Myalgia
Clinical narrative: 102 fever, dizziness, vertigo, chills, neausea, muscle pain, horrible headache, head stiffness
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vertigo
Clinical narrative: 102 fever, dizziness, vertigo, chills, neausea, muscle pain, horrible headache, head stiffness
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Impaired work ability
Clinical narrative: very dizzy  felt like I was going to faint, could not shake it, was at work went home. went to bed and slept 10 hours  outcome= was fine when I woke up
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Influenza like illness, Lymph node pain, Mass
Clinical narrative: Patient claims  axillary and supraclavicular pain, after 48h of 2nd dose vaccination with Pfizer vaccine. That has recovered in 75% since onset of symptoms. Pt claims tenderness in the right neck area, with a non visible but palpable lump the size of  a quarter. Patient took a dose of tylenol 1g which subdued most of the symptoms, and  reports today 1/30/2021 only local tenderness, with no other side effects to report.  Pt also claims feeling of chills, and flu like symptoms 24 hours after the vaccination which subdued with a dose of Tylenol 1g.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Patient claims  axillary and supraclavicular pain, after 48h of 2nd dose vaccination with Pfizer vaccine. That has recovered in 75% since onset of symptoms. Pt claims tenderness in the right neck area, with a non visible but palpable lump the size of  a quarter. Patient took a dose of tylenol 1g which subdued most of the symptoms, and  reports today 1/30/2021 only local tenderness, with no other side effects to report.  Pt also claims feeling of chills, and flu like symptoms 24 hours after the vaccination which subdued with a dose of Tylenol 1g.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cerebrovascular accident, Confusional state, Unresponsive to stimuli, Walking aid user
Clinical narrative: Resident per her usual health when dietary staff were into apartment at 0730 with her breakfast. Resident conversing, appropriate, with no focal deficits with ADL. Resident baseline with mild confusion, generalized weakness, using a 4 wheeled walker when ambulating. Med care manager into room at 0830 with am medications. Resident was lying partially on her bed, non responsive.  EMS was called immediately and resident was transported to Hospital ER. Wellness nurse was notified later that resident was admitted for rule out CVA.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Lymphadenopathy
Clinical narrative: Headache fatigue chill fever nausea diarrhea lymph node swelling.  Pain itchiness
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pruritus, Pyrexia
Clinical narrative: Headache fatigue chill fever nausea diarrhea lymph node swelling.  Pain itchiness
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Fatigue, Headache
Clinical narrative: pounding headache, fevers, chills, night sweats, fatigue, myalgia, arthralgia, anorexia
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Night sweats, Pyrexia
Clinical narrative: pounding headache, fevers, chills, night sweats, fatigue, myalgia, arthralgia, anorexia
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Balance disorder, Dizziness, Fatigue
Clinical narrative: Extreme fatigue, unable to stand or walk, dizziness, physical weakness, upset stomach,
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling abnormal, Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Patient rec'd vaccine on 1-25-2021. Patient woke up on 1-26-2021 feeling so bad with joint stiffness and trouble breathing, he called 911. He was taken to Hospital where he was admitted. He says by 1-27-2021 he was feeling much better with each passing hour. He was discharged on 1-27-2021. Then on 1-28-2021 he noticed a red and very itching rash at the injection site and all across his back.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Joint stiffness, Rash, Rash erythematous
Clinical narrative: Patient rec'd vaccine on 1-25-2021. Patient woke up on 1-26-2021 feeling so bad with joint stiffness and trouble breathing, he called 911. He was taken to Hospital where he was admitted. He says by 1-27-2021 he was feeling much better with each passing hour. He was discharged on 1-27-2021. Then on 1-28-2021 he noticed a red and very itching rash at the injection site and all across his back.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Depression, Diarrhoea, Feeling abnormal, Irritability
Clinical narrative: Day 1 & 2 irritability and depression  Day  3 nausea, fever, chills & diarrhea - really felt bad, but no vomiting. Was able to eat. Day 4 (today) fever, chills and diarrhea - feel a little better than yesterday. Still able to eat ok. I have not contacted my healthcare provider about these symptoms because it is the weekend. If I still have symptoms on Monday, I will call him. In the meantime I?m taking Tylenol for the fever and drinking water to stay hydrated.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Day 1 & 2 irritability and depression  Day  3 nausea, fever, chills & diarrhea - really felt bad, but no vomiting. Was able to eat. Day 4 (today) fever, chills and diarrhea - feel a little better than yesterday. Still able to eat ok. I have not contacted my healthcare provider about these symptoms because it is the weekend. If I still have symptoms on Monday, I will call him. In the meantime I?m taking Tylenol for the fever and drinking water to stay hydrated.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases, Blood test, Computerised tomogram, Dyspnoea, Heart rate increased
Clinical narrative: Shortness of breath, rapid heart, nervous,  oxygen dropped I had to rush her to Emergency Room at hospital.  She was placed on oxygen, giving multiple breathing treatments, rocephine, and steriods.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness, Oxygen saturation decreased
Clinical narrative: Shortness of breath, rapid heart, nervous,  oxygen dropped I had to rush her to Emergency Room at hospital.  She was placed on oxygen, giving multiple breathing treatments, rocephine, and steriods.
Age: 75.0
Sex: M
Vaccine: UNK
Symptoms: Tremor
Clinical narrative: LASTED FOR SEVERAL HOURS THEN SUBSIDEDCONTROLLED SHAKING OF HANDS AN ARMS
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea
Clinical narrative: at 1250 noted dizziness, SOB, Sats were 93% on room air.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pharyngeal paraesthesia, Throat irritation
Clinical narrative: Pt with mild tingling and itching in her throat approximately 10 minutes after receiving 2nd dose of COVID vaccine. Administered 25 mg PO benadryl with improvement in sx.    Pt again started to develop itching and tingling in her throat. Administered 25 mg PO benadryl. Sx remain the same and then started to worsen after about 10 minutes. Started to feel slightly SOB.  BP 146/92, HR 80.    Rapid response called. Rapid response team at bedside; pt transported to ED for further observation. Pt given 40 mg PO prednisone in the ED. No further ED notes available at this time.    Pt endorses hx of anaphylaxis with her last flu shot. Also had allergic reaction with her first COVID shot including throat tingling and itching that resolved with PO benadryl.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray normal, Muscular weakness, Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: Vaccine administer on 12/18/2020.  On 12/30 sudden onset of severe sharp scapular pain, radiating down back of right arm into hand with paresthesia's, burning pain, weakness in hand, onset at 0300, awoke me from sleep. Seen by Internal Medicine MD on 1/4/2021, started on prescribed medication outlined below and referred for chest xray.  Continued with intermittent sharp burning scapular pain, paresthesia's, and weakness in hand was prescribed Prednisone 60mg daily x 5 days and Gabapentin 100mg TID on 1/8/2021. continued no improvement referred for MRI cspine/tspine. followed back up with internist on 1/29/2021 and urgent referral to Neurology and for EMG same day.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Sleep disorder
Clinical narrative: Vaccine administer on 12/18/2020.  On 12/30 sudden onset of severe sharp scapular pain, radiating down back of right arm into hand with paresthesia's, burning pain, weakness in hand, onset at 0300, awoke me from sleep. Seen by Internal Medicine MD on 1/4/2021, started on prescribed medication outlined below and referred for chest xray.  Continued with intermittent sharp burning scapular pain, paresthesia's, and weakness in hand was prescribed Prednisone 60mg daily x 5 days and Gabapentin 100mg TID on 1/8/2021. continued no improvement referred for MRI cspine/tspine. followed back up with internist on 1/29/2021 and urgent referral to Neurology and for EMG same day.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Muscular weakness, Neuralgic amyotrophy, Pain in extremity, Paraesthesia
Clinical narrative: Vaccine administer on 12/18/2020.  On 12/30 sudden onset of severe sharp scapular pain, radiating down back of right arm into hand with paresthesia's, burning pain, weakness in hand, onset at 0300, awoke me from sleep. Seen by Internal Medicine MD on 1/4/2021, started on prescribed medication outlined below and referred for chest xray.  Continued with intermittent sharp burning scapular pain, paresthesia's, and weakness in hand was prescribed Prednisone 60mg daily x 5 days and Gabapentin 100mg TID on 1/8/2021. continued no improvement referred for MRI cspine/tspine. followed back up with internist on 1/29/2021 and urgent referral to Neurology and for EMG same day.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Vaccine administer on 12/18/2020.  On 12/30 sudden onset of severe sharp scapular pain, radiating down back of right arm into hand with paresthesia's, burning pain, weakness in hand, onset at 0300, awoke me from sleep. Seen by Internal Medicine MD on 1/4/2021, started on prescribed medication outlined below and referred for chest xray.  Continued with intermittent sharp burning scapular pain, paresthesia's, and weakness in hand was prescribed Prednisone 60mg daily x 5 days and Gabapentin 100mg TID on 1/8/2021. continued no improvement referred for MRI cspine/tspine. followed back up with internist on 1/29/2021 and urgent referral to Neurology and for EMG same day.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Swollen, warm and hard 3in  around injection site
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine
Clinical narrative: Migraine for 1-2 days then subsided. Had to take OTC migraine medication on day 2
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Musculoskeletal stiffness, Pain, Pyrexia
Clinical narrative: I woke up in the morning with body aches and stiff neck. As the day progressed I stayed hydrated but had a fever that reached as high as 102.1 even with taking Tylenol and ibuprofen and had no appetite at dinner time and continued body aches and stiff neck.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Patient received the vaccine on 1-25-2021. She noticed a red and itchy rash on 1-29-2021 at the injection site and all across her back.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Flushing, Throat irritation
Clinical narrative: Patient reported experiencing itchiness in her throat 6 mins after receivng the vaccine. No redness or swelling at the injection site. Pt verbalized that she experienced this same reaction 4 yrs ago after recieving the Flu vaccine. Pt administered Benadryl 50mg IM to the L Deltoid area at 1710HR. Pt resting and being monitered. Pt is now reporting dizziness at 1730HR, face is flush, B/P 188/88, HR- 122. Pt reported that she has POTTS. Pt consumed sips of water and is continuing to rest. Pt moved to the sitting position @ 1755HR and HR is 98. At 1600HR pt is able to get up and walk without difficulty and reported feeling better. Pt encouraged to report to the hospital if symptoms worsen and to report incident to her PCP. Pt assisted out by her husband.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Throat irritation, Vomiting
Clinical narrative: Patient reported experiencing itchiness in her throat 6 mins after receivng the vaccine. No redness or swelling at the injection site. Pt verbalized that she experienced this same reaction 4 yrs ago after recieving the Flu vaccine. Pt administered Benadryl 50mg IM to the L Deltoid area at 1710HR. Pt resting and being monitered. Pt is now reporting dizziness at 1730HR, face is flush, B/P 188/88, HR- 122. Pt reported that she has POTTS. Pt consumed sips of water and is continuing to rest. Pt moved to the sitting position @ 1755HR and HR is 98. At 1600HR pt is able to get up and walk without difficulty and reported feeling better. Pt encouraged to report to the hospital if symptoms worsen and to report incident to her PCP. Pt assisted out by her husband.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Appendicitis
Clinical narrative: Developed appendicitis within  2 days of vaccination
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Fever, muscles aches, headache, multiple episodes of vomiting, arm pain, fatigue
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Fever, muscles aches, headache, multiple episodes of vomiting, arm pain, fatigue
Age: 46.0
Sex: F
Vaccine: UNK
Symptoms: Chest pain, Electrocardiogram normal, Laboratory test, Odynophagia, Rash
Clinical narrative: Pt did not receive the vaccine in our health system so I don't know the version but it was the first shot.  Rash spread to torso and upper extremity, chest pain & swallowing pain - went to ED.  Workup didn't show any acute issues, patient will follow up with PMD.
Age: 46.0
Sex: F
Vaccine: UNK
Symptoms: X-ray normal
Clinical narrative: Pt did not receive the vaccine in our health system so I don't know the version but it was the first shot.  Rash spread to torso and upper extremity, chest pain & swallowing pain - went to ED.  Workup didn't show any acute issues, patient will follow up with PMD.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous
Clinical narrative: 4 inch diameter huge red rash with mild itchiness
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pruritus
Clinical narrative: itching on the left upper portion of her mouth and then on the roof of her mouth Benadryl 25mg given
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Headache, Pyrexia
Clinical narrative: Abd pain, severe joint pain, headache, fever
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: On 8th day after vaccine given, I woke up with itching at vaccination site.  Throughout the day, redness and swelling appeared and  got progressively worse.  The redness ultimately spread over a 4 inch square area.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Eye irritation, Eye pain, Fatigue
Clinical narrative: Felt quesy about 15 minutes after shot. 45 minutes after shot got really tired, eyes started hurting/getting irritated, itchy throat. 1hr - 2 hrs after shot sever stomach cramping, and chills Next morning - still had slight chills, left arm sore, and still extremely tired.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Throat irritation
Clinical narrative: Felt quesy about 15 minutes after shot. 45 minutes after shot got really tired, eyes started hurting/getting irritated, itchy throat. 1hr - 2 hrs after shot sever stomach cramping, and chills Next morning - still had slight chills, left arm sore, and still extremely tired.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthralgia, Arthritis, Back pain, Bone pain
Clinical narrative: By 11:30 pm (3 hours after shot), throbbing in shoulder, arm and across back. Took Tylenol., which allowed sleep eventually. By next morning: sore wrists, hands, and shoulders. By afternoon: same soreness, but from elbow to elbow, across shoulders, felt like a bad sunburn of skin. Ankles and knee swollen. 2nd night: intermittant, surprising shooting pain in shin bones, general myalgia, plus upset stomach. 3rd day: more of same, relieved somewhat by Tylenol, but not at all by 1 Aleve (my ususal anti-inflamatory pain med of choice). Thursday, day 4: lessening of inflamed joints, but still soreness across shoulders, neck and back. Day 5: improved.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Myalgia, Neck pain, Pain, Pain in extremity
Clinical narrative: By 11:30 pm (3 hours after shot), throbbing in shoulder, arm and across back. Took Tylenol., which allowed sleep eventually. By next morning: sore wrists, hands, and shoulders. By afternoon: same soreness, but from elbow to elbow, across shoulders, felt like a bad sunburn of skin. Ankles and knee swollen. 2nd night: intermittant, surprising shooting pain in shin bones, general myalgia, plus upset stomach. 3rd day: more of same, relieved somewhat by Tylenol, but not at all by 1 Aleve (my ususal anti-inflamatory pain med of choice). Thursday, day 4: lessening of inflamed joints, but still soreness across shoulders, neck and back. Day 5: improved.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Disturbance in attention, Dyspnoea, Fatigue, Musculoskeletal discomfort
Clinical narrative: Woke up approximately 14 hours after receiving dose #2 with body fatigue. My large joints (e.g., hips, knees, elbows, shoulders) started to develops aches/discomfort. A hot shower helped relieve the initial discomfort, and I took 1g of APAP ~45 minutes after waking up. I then reported to work, which is an ambulatory care clinic that is working a drive-up clinic. As such, I had to work outside in ~20F weather. I had 4 layers on my upper body and 2 layers on lower body with wool socks. The cold did not bother me for the first two hours as I was able to return to a warm area between patients; however, as work became busy, I spent more time outside. The aches/discomfort in my joints progressively worsened as well as the general bodily fatigue. I took another 500mg of APAP, but it did not help much more. Eventually, the cold and body fatigue made breathing uncomfortable, and my breathing became slightly labored. Returning to the warm environment helped the symptoms not get worse, but focusing on tasks became slightly difficult. I returned home at approximately 1630, took another 1g of APAP, and proceeded to sleep from ~1730 until 0530 the next morning. I woke up feeling much better.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Chills, Fatigue, Headache
Clinical narrative: 1st dose was fine. No symptoms except sore arm x1day.  2nd dose symptoms: 1-27-21:   10:00pm - runny nose and sore left arm and Lt Palm of hand 1-28-21 2:00am- woke up with extreme chills/ body shaking. Body aches. Sore joints (knees, hips, pelvis, low back, shoulers). Fatugue.  4:00am- woke up with sweats. Took oral temp 101.3°F. Took 500mg tylenol.  5:00am- chills shaking. Sweats soreness. Oral Temp 100.3.   Chills, shaking, body aches and sweats came and went throughout day in waves.  At 730am temp was 98.9.    Took tylenol again at 2:00pm  4:00pm headache  By 7:00pm- symptoms lessened.   1-29-21:  12:00am- no symptoms except woke up drenched in sweat.   2:00am- no symptoms  except woke up drenched in sweat   6:30am-  slight headache but everything else was 100% gone
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pain, Pain in extremity, Rhinorrhoea, Sleep disorder
Clinical narrative: 1st dose was fine. No symptoms except sore arm x1day.  2nd dose symptoms: 1-27-21:   10:00pm - runny nose and sore left arm and Lt Palm of hand 1-28-21 2:00am- woke up with extreme chills/ body shaking. Body aches. Sore joints (knees, hips, pelvis, low back, shoulers). Fatugue.  4:00am- woke up with sweats. Took oral temp 101.3°F. Took 500mg tylenol.  5:00am- chills shaking. Sweats soreness. Oral Temp 100.3.   Chills, shaking, body aches and sweats came and went throughout day in waves.  At 730am temp was 98.9.    Took tylenol again at 2:00pm  4:00pm headache  By 7:00pm- symptoms lessened.   1-29-21:  12:00am- no symptoms except woke up drenched in sweat.   2:00am- no symptoms  except woke up drenched in sweat   6:30am-  slight headache but everything else was 100% gone
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: 1st dose was fine. No symptoms except sore arm x1day.  2nd dose symptoms: 1-27-21:   10:00pm - runny nose and sore left arm and Lt Palm of hand 1-28-21 2:00am- woke up with extreme chills/ body shaking. Body aches. Sore joints (knees, hips, pelvis, low back, shoulers). Fatugue.  4:00am- woke up with sweats. Took oral temp 101.3°F. Took 500mg tylenol.  5:00am- chills shaking. Sweats soreness. Oral Temp 100.3.   Chills, shaking, body aches and sweats came and went throughout day in waves.  At 730am temp was 98.9.    Took tylenol again at 2:00pm  4:00pm headache  By 7:00pm- symptoms lessened.   1-29-21:  12:00am- no symptoms except woke up drenched in sweat.   2:00am- no symptoms  except woke up drenched in sweat   6:30am-  slight headache but everything else was 100% gone
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vertigo positional, Vestibular neuronitis
Clinical narrative: Progressive dizziness and vestibular neuritis
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Chest discomfort, Chills, Dysgeusia, Fatigue
Clinical narrative: Patient received the 1st dose of Moderna vaccine on 12/28/20.  The next day, on 12/29/20, she developed a fever >100, fatigue, chills, sore throat, new anosmia/dysgeusia, chest tightness, headache, GI symptoms, and nasal congestion.  When the symptoms did not resolve, she contacted her doctor on 1/2/21.  They referred her to get a COVID test and that test from 1/2/21 returned positive.  Follow-up on 1/4 showed symptoms stable.  No hospitalization required.  Treated with albuterol inhaler and pseudoephedrine.  Not believed to be related to vaccine, however reporting since my understanding is that VAERs is interested in reports of positive COVID cases following vaccination.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nasal congestion, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient received the 1st dose of Moderna vaccine on 12/28/20.  The next day, on 12/29/20, she developed a fever >100, fatigue, chills, sore throat, new anosmia/dysgeusia, chest tightness, headache, GI symptoms, and nasal congestion.  When the symptoms did not resolve, she contacted her doctor on 1/2/21.  They referred her to get a COVID test and that test from 1/2/21 returned positive.  Follow-up on 1/4 showed symptoms stable.  No hospitalization required.  Treated with albuterol inhaler and pseudoephedrine.  Not believed to be related to vaccine, however reporting since my understanding is that VAERs is interested in reports of positive COVID cases following vaccination.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Injection site swelling, Myalgia, Pain in extremity
Clinical narrative: Fever 102.7 Tylenol and ibuprofen  Chills Tylenol and ibuprofen  Muscle aches Tylenol and ibuprofen  Red arm  Bump at injection site  Sore arm
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever 102.7 Tylenol and ibuprofen  Chills Tylenol and ibuprofen  Muscle aches Tylenol and ibuprofen  Red arm  Bump at injection site  Sore arm
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity
Clinical narrative: Extremely sore arm, fatigue
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Cold urticaria, Mechanical urticaria, Paraesthesia, Pruritus
Clinical narrative: Two incidences of cold induced uticaria with symptoms of sever pruritis and sensation of skin prickling for 30minutes after being outside.  First incident on 1/22/2021 after an hour long hike over bilateral thighs.  Lasted 20minutes.  Associated with dermatographia.  Second incident on 1/29/21 with walking to mailbox without socks.  Cold induced hives appeared over b/l ankles.  same symptoms, but resolved after 15min.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: red circle around injection site, raised and hot to the touch. sore arm and shoulder.