chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.42
Sex: F
Vaccine: FLUX, IPV
Symptoms: Expired product administered
Clinical narrative: an expired IPOL vaccine was administered to a patient with no AE; Initial information regarding an unsolicited valid non-serious case was received from a health care professional via Agency (Reference number- 00395914) and transmitted to Sanofi on 16-Dec-2020.  This case involves a 17 months old female patient who received a 0.5ml standard dose of an expired of IPV (VERO) [IPOL] (lot number: P1F54, expiry date: 07-Dec-2020) once via intramuscular route in the right thigh on 15-Dec-2020 for prophylactic vaccination (expired product administered).  Medical history, past medical treatments, vaccinations and family history were not provided.  Concomitant medications included influenza vaccine for prophylactic vaccination.  It was an actual medication error due to the expired vaccine used (latency same day).  At the time of report, no adverse event was reported.  Reporter would like to know how to move forward in caring for the patient.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Flushing, Throat irritation, Tongue pruritus
Clinical narrative: mild anaphylaxis. Began with flushing about 5-10 minutes after vaccine. Proceeded to stomach cramping with diarrhea and itching in throat and of tongue. I took 2 diphenhydramine 25mg capsules and famotidine 20mg.  Proceeded to the ED with the administering RN, Received 1 dose epipnephrine IM, SoluMedrol and famotidine IV. Coughing, itching and cramping subsided in about 10 minutes. Discharged on 60mg prednisone QD for 5 days after ED monitoring until vitals were stable.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Nasal congestion
Clinical narrative: Headache, muscle aches, fatigue, chills, congestion, over the course of 24 hours from injection.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Nausea, Paraesthesia, Pharyngeal oedema
Clinical narrative: Tingling in all four extremities, chest tightness, throat tightness, pharyngeal Edema , Nausea, lightheadedness
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Tingling in all four extremities, chest tightness, throat tightness, pharyngeal Edema , Nausea, lightheadedness
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue
Clinical narrative: DIARRHEA, FATIGUE
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Fatigue, Nausea
Clinical narrative: Chest pain, nausea, and fatigue. Chest pain has resolved. Currently has nausea and fatigue. Has not taken any medications.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dyspnoea, Myalgia, Nausea
Clinical narrative: Moderna COVID-19 Vaccine EUA Fever, chills, rigors, shortness of breath, myalgias, arthralgias began about 1 hour after vaccine. Shortness of breath resolved after 3 hours. The rest of these symptoms persisted for 12+ hours. Also developed nausea about 2 hours after the vaccine and had two episodes of emesis 2 and 3 hours after the vaccine.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Moderna COVID-19 Vaccine EUA Fever, chills, rigors, shortness of breath, myalgias, arthralgias began about 1 hour after vaccine. Shortness of breath resolved after 3 hours. The rest of these symptoms persisted for 12+ hours. Also developed nausea about 2 hours after the vaccine and had two episodes of emesis 2 and 3 hours after the vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Blood magnesium, Brain natriuretic peptide, C-reactive protein, Chest X-ray
Clinical narrative: Patient presented to the ER on 12/26/2020 with complaints of fever, chills and SOB for about 3 days. Stated it was a gradual onset and has been intermittent.  Also reported some nausea and chronic loose stools, mild loss of smell and sinus drainage, non productive cough. Discharged to observation and then home on 12/27/2020. Patient readmitted to hospital on 12/30/2020.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Diarrhoea, Dyspnoea, Electrocardiogram normal
Clinical narrative: Patient presented to the ER on 12/26/2020 with complaints of fever, chills and SOB for about 3 days. Stated it was a gradual onset and has been intermittent.  Also reported some nausea and chronic loose stools, mild loss of smell and sinus drainage, non productive cough. Discharged to observation and then home on 12/27/2020. Patient readmitted to hospital on 12/30/2020.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Influenza virus test negative, Metabolic function test, Nausea
Clinical narrative: Patient presented to the ER on 12/26/2020 with complaints of fever, chills and SOB for about 3 days. Stated it was a gradual onset and has been intermittent.  Also reported some nausea and chronic loose stools, mild loss of smell and sinus drainage, non productive cough. Discharged to observation and then home on 12/27/2020. Patient readmitted to hospital on 12/30/2020.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Paranasal sinus hypersecretion, Pyrexia, Red blood cell sedimentation rate, SARS-CoV-2 test positive, Troponin T
Clinical narrative: Patient presented to the ER on 12/26/2020 with complaints of fever, chills and SOB for about 3 days. Stated it was a gradual onset and has been intermittent.  Also reported some nausea and chronic loose stools, mild loss of smell and sinus drainage, non productive cough. Discharged to observation and then home on 12/27/2020. Patient readmitted to hospital on 12/30/2020.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Disturbance in attention, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Immediate symptoms: Muscle aches local to injection. 24 hours later: Muscle aches across body, headache, lack of mental clarity, fatigue, 101.2 fever, all lasting approximately 6 hours until sleep. After 8 hours of rest: Muscle aches across body, fatigue, reduced fever.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Immediate symptoms: Muscle aches local to injection. 24 hours later: Muscle aches across body, headache, lack of mental clarity, fatigue, 101.2 fever, all lasting approximately 6 hours until sleep. After 8 hours of rest: Muscle aches across body, fatigue, reduced fever.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Malaise, Myalgia, Nausea, Vomiting
Clinical narrative: General Malaise, chills, nausea, vomiting, muscle aches
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Headache
Clinical narrative: On 12/29 started with a headache took Ibuprofen. I slept if off took another dose drunk water. I woke up at 11pm went away started feeling better. This morning had a headache around 10:00 am took Ibuprofen again. Pt 5/19/2021 estimated date of delivery.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Started noticing random paresthesias in face, arms and legs that started on 12/21/20. After receiving vaccine on 12/17/20. Paresthesias have improved but are still present. No weakness or loss of reflexes. Had a normal work-up in the ER and following up with PCP and neurology.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Fatigue, Immediate post-injection reaction, Injection site pain
Clinical narrative: Immediate metallic taste in mouth.  Gave diphenhydramine 50mg po.  She returned to employee clinic 12/30/2020 complaining of generalized body fatigue, pain at injection site, persistence of metallic taste.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain in extremity
Clinical narrative: Moderna COVID?19 Vaccine EUA  Arm pain (unable to lift arm up over shoulder for 24h) Headache
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Musculoskeletal stiffness, Neck pain, Presyncope
Clinical narrative: Shot given around 2:00 PM Walked to waiting corral -- felt vasovagal, rapid HR in 130-140 range, rested, symptoms resolved ij 5 min Around 4:00 PM experienced headache and pain consistent with trigeminal neuralgia with pain extending up into scalp Also associated with stiff, sore neck -- was unable to turn my head when driving home to my apartment Once home, took 800mg Motrin and slept until next morning.  Headache resolved Stiff, sore neck and unable to reach down to pick up objects off floor lasted 3 more days.  Entirely resolved now. No other neuro symptoms.  Have never experienced similar reaction before (previous veteran with multiple immunizations, no reactions).
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Trigeminal neuralgia
Clinical narrative: Shot given around 2:00 PM Walked to waiting corral -- felt vasovagal, rapid HR in 130-140 range, rested, symptoms resolved ij 5 min Around 4:00 PM experienced headache and pain consistent with trigeminal neuralgia with pain extending up into scalp Also associated with stiff, sore neck -- was unable to turn my head when driving home to my apartment Once home, took 800mg Motrin and slept until next morning.  Headache resolved Stiff, sore neck and unable to reach down to pick up objects off floor lasted 3 more days.  Entirely resolved now. No other neuro symptoms.  Have never experienced similar reaction before (previous veteran with multiple immunizations, no reactions).
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Spontaneous nose bleeds
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Ocular hyperaemia, Ophthalmological examination, Photophobia, Physical examination
Clinical narrative: 46 hours post vaccine administration woke from nap to very painful right eye. Slightly red sclera, eye very tender to touch through eyelid, sensitive to light, deep pain with eye movements, no drainage or discharge, vision intact. After holiday weekend in to see optometrist on Monday 12/28, as symptoms still persisting, thorough eye exam with dilation and retinal optimap scan, given eye muscle paralytic and assumed to be ciliary muscle spasm, follow-up call the next morning 12/29 - light sensitivity improved but still intermittent pain with eye movements, treat with Ibuprofen for now and follow-up for increased pain or visual changes. 12/29 visit to primary care to rule other other causes, no ear or sinus infection suspected, PA believes this should be reported to VAERS due to time frame of onset and new and never experienced ailment.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Initially started with sore right deltoid. Began to resolve. Then around 3 pm the next day I had extreme fatigue and muscle aches (lower and upper back) nearly 24 after vaccine.  Had a bit of a scratchy throat.  Took Tylenol to finish work shift. Upon arriving home I again felt the same symptoms. Had a temperature of 99.6.  Took Ibuprofen to relieve symptoms.  Next morning I woke up with same symptoms so plus a fever of 101.7. Took Tylenol to relieve symptoms.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Muscle swelling, Myosclerosis, Nausea
Clinical narrative: Patient arrived for her COVID vaccine and informed us prior to vaccine she was immunocompromised; however, her physician recommended she get the COVID vaccine. Patient received the COVID vaccine at 0920. Patient was informed to remain in the room where we were vaccinating for 30 minutes (due to immunocompromised status). ,  approximately 10 minutes after the vaccine was given patient started complaining of nausea. Patient escorted to exam room, and placed on exam table.  Patient complains of chills,  nausea, and joint pain.  She stated she did not eat today; juice and a snack bar provided.  Vital signs stable (BP = 108/73 - HR = 69), no apparent signs/symptoms of anaphylaxis. The doctor notified and agrees with a continued monitoring. Monitored for an additional 15 minutes, patient states she is feeling better. The nurse escorted patient to her car.  She was feeling better.  Unfortunately we wrote her phone number down wrong; however, we sent an email 12/30/20 am to check in.  Update 12/30/20 - The patient contacted the nurse via email, she is doing well - reports bicep area is hard with mild swelling and generalized body aches.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Patient arrived for her COVID vaccine and informed us prior to vaccine she was immunocompromised; however, her physician recommended she get the COVID vaccine. Patient received the COVID vaccine at 0920. Patient was informed to remain in the room where we were vaccinating for 30 minutes (due to immunocompromised status). ,  approximately 10 minutes after the vaccine was given patient started complaining of nausea. Patient escorted to exam room, and placed on exam table.  Patient complains of chills,  nausea, and joint pain.  She stated she did not eat today; juice and a snack bar provided.  Vital signs stable (BP = 108/73 - HR = 69), no apparent signs/symptoms of anaphylaxis. The doctor notified and agrees with a continued monitoring. Monitored for an additional 15 minutes, patient states she is feeling better. The nurse escorted patient to her car.  She was feeling better.  Unfortunately we wrote her phone number down wrong; however, we sent an email 12/30/20 am to check in.  Update 12/30/20 - The patient contacted the nurse via email, she is doing well - reports bicep area is hard with mild swelling and generalized body aches.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness. She took BC powder. Still has dizziness.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Stomatitis
Clinical narrative: Palette felt funny, voice became raspy Patient had extended monitoring (45 min) then sent home. Pt has epinephrine on hand.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Flushing, Paraesthesia oral, Vaccination site erythema
Clinical narrative: Client reported erythema from vaccine site up her neck as well as feeling of flush and tingling around mouth 20 minutes following the vaccine. She took 25 mg of Benadryl and symptoms resolved within 30 minutes.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Had aches, chills, low grade fever for 36 hours. Started Thursday night after the shot that morning and lasted till Saturday morning. Got up Saturday morning and felt fine.
Age: 34.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Headache, Nausea
Clinical narrative: Nausea, headache body
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dyspnoea, Myalgia, Rash
Clinical narrative: On 12/24/2020, around 10:30 PM, patient began experiencing shortness of breath. She also experienced rash, diarrhea, myalgias, chills and hives (hives began on 12/26/2020). The patient used an inhaler and took Claritin.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Urticaria
Clinical narrative: On 12/24/2020, around 10:30 PM, patient began experiencing shortness of breath. She also experienced rash, diarrhea, myalgias, chills and hives (hives began on 12/26/2020). The patient used an inhaler and took Claritin.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Rash
Clinical narrative: Rash body aches nausea and severe headache
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue, Urticaria
Clinical narrative: about 5-10 minutes after vaccine developed mildly swollen tongue with 4-5 hives on tongue, never any resp. issues and was given 25 mg Benadryl, declined medical treatment
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: 25 minutes after receive vaccine, developed a rash on my neck, chest, cheeks, and ear
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site paraesthesia, Throat irritation, Tongue pruritus
Clinical narrative: Tingling at injection site and moving upwards approx 5-10 min post injection. No SOB or other symptoms at time. Itching and in throat and tongue approx 30min later.  Transport to hospital ED
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Diarrhea that started at 3:30 pm after vaccination
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Facial pain
Clinical narrative: Possible adverse reaction: severe right sided facial pain. ER visit 12/29/20.  Treatment: valcycolvir  for possible shingles, intranasal fentanyl at ER visit, oxycodone and gabapentin for pain
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pruritus, Erythema, Pruritus, Throat irritation, Urticaria
Clinical narrative: Itchy throat and ear canals. Itchy red patches/hives on skin. Began approximately 24 hours after vaccine administration and continues now, approximately 48 hours after.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Swollen tongue
Clinical narrative: Swelling of the tongue reported as tongue thickness at the back of the throat lasting 2-3 days. Patient denied difficulty breathing and denied difficulty swallowing.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dry throat, Flushing, Heart rate increased, Obstructive airways disorder, Oropharyngeal pain
Clinical narrative: Within 3 minutes of vaccination patient became fully flushed head and neck, with rapid heart rate (112), and feeling like her airways were tightening.. Nurse immediately called for response, administered Epipen, when response arrived applied oxygen and transported to ED. Solumedrol 125 mg, Bendadryl 25 mg, and Famotidine 20 mg, she responded well and was released home with Rx Prednisone 40 mg x 3 days.  Only residual effect was a dry/sore throat.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Condition aggravated, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Fever of 103 F for 5 days. Negative for covid. Cellulitis of lower extremities worsened. Infection occurred prior to vaccine.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Limb discomfort, Mobility decreased, Motion sickness
Clinical narrative: On the first 24 hours I felt my arm was very heavy, couldn't lift my arm above my shoulder. 2nd day I felt very fatigue, 3rd day I started to have moderate to severe sinus headache accompanied motion sickness, I took phenylephdrine  with Advil and Tylenol.  As of today my 8th day, I still have slight sinus headache with dizziness.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus headache
Clinical narrative: On the first 24 hours I felt my arm was very heavy, couldn't lift my arm above my shoulder. 2nd day I felt very fatigue, 3rd day I started to have moderate to severe sinus headache accompanied motion sickness, I took phenylephdrine  with Advil and Tylenol.  As of today my 8th day, I still have slight sinus headache with dizziness.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Facial paresis
Clinical narrative: Bells Palsy with right sided facial weakness
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Cellulitis of right upper arm(around injection site. Was delayed reaction as got vaccine 12/18/20(Friday) at workplace during vaccination clinic. First noticed cellulitis 12/26/20...completed video visit with a Health provider 12/27/20. Prescribed oral antibiotic Bactrim. Followed up with office visit to PCP office at Wellness 12/28/20. Showing improvement after a couple doses of antibiotic. Area was red and hot to touch around injection site- around the size of a 50 cent piece.  Some swelling felt under skin in infected area initially. On the day after injection did experience body aches and some arm soreness/minor swelling. Antibiotic prescribed for seven days at twice per day.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Skin reaction
Clinical narrative: Cellulitis of right upper arm(around injection site. Was delayed reaction as got vaccine 12/18/20(Friday) at workplace during vaccination clinic. First noticed cellulitis 12/26/20...completed video visit with a Health provider 12/27/20. Prescribed oral antibiotic Bactrim. Followed up with office visit to PCP office at Wellness 12/28/20. Showing improvement after a couple doses of antibiotic. Area was red and hot to touch around injection site- around the size of a 50 cent piece.  Some swelling felt under skin in infected area initially. On the day after injection did experience body aches and some arm soreness/minor swelling. Antibiotic prescribed for seven days at twice per day.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Dizziness, Flushing, Paraesthesia oral
Clinical narrative: subjective tongue tingling, "heaviness". Flushed and mildly dizzy upon standing.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Vision blurred
Clinical narrative: Sweaty, light headed, blurred vision.  Felt like she was going to pass out. Stayed longer for observation.  BP after vaccine 77/49.  BP 15 minutes later 150/81. BP after 30 minutes 148-/94 HR 66
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Contusion, Fatigue, Headache
Clinical narrative: Given injection 12/28 at 2:36. Extreme arm soreness immediately. That night I noticed random bruising all over my body. Next day I had a major headache all day. Today, woke up with a major headache, full body aches, joint aches, chest pain, heart palpitations, and extreme fatigue.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Pain, Pain in extremity, Palpitations
Clinical narrative: Given injection 12/28 at 2:36. Extreme arm soreness immediately. That night I noticed random bruising all over my body. Next day I had a major headache all day. Today, woke up with a major headache, full body aches, joint aches, chest pain, heart palpitations, and extreme fatigue.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Palpitations
Clinical narrative: Patient reported he started feeling funny.  Wasn't able to describe it, but that he felt funny.  His heart started racing at approx. 120 beats a minute.  It lasted about 2 minutes and then he felt ok.  He reported this to me (I was the one who gave him his shot) after the incident.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness
Clinical narrative: Progress Notes (Physician Assistant) ? ? General Surgery/Trauma Cosigned by: MD at 12/29/2020 12:36 PM Expand All Collapse All      COVID VACCINE CLINIC 12/22/2020    Date:  12/22/2020                                                                                             Subjective Patient is a 55 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination.    She denied any history of previous adverse reactions to vaccines.   She was given the Pfizer vaccination in the left deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience dizziness, anxiety.  She denied rash, hives, difficulty breathing, difficulty swallowing, throat tightness, hoarseness, itching, facial swelling and tongue swelling.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including rapid progression of symptoms, respiratory distress with stridor, wheezing, dyspnea and increased work of breathing, vomiting and abdominal pain.   Problem list, past medical/surgical hx, medication list reviewed and discussed with pt.  She has no hx of previous hypersensitivity reactions to immunizations.       Review of Systems Negative, except for above.    Objective    Vitals Vitals:   12/22/20 1123 12/22/20 1130 BP: 131/65 114/56 BP Location: Right arm   Pulse: 78 70 SpO2: 99% 99%       Physical Exam Constitutional:      Appearance: Normal appearance.  HENT:     Head: Normocephalic.     Nose: Nose normal.     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear.  Neck:     Musculoskeletal: Normal range of motion.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Heart sounds: Murmur present.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Abdominal:     Palpations: Abdomen is soft.  Skin:    General: Skin is warm and dry.     Capillary Refill: Capillary refill takes less than 2 seconds.  Neurological:     General: No focal deficit present.     Mental Status: She is alert and oriented to person, place, and time.  Psychiatric:        Mood and Affect: Mood normal.         Assessment/Plan    Assessment:  Transient anxiety associated with covid vaccine administration   Plan: Treatment included observation, serial examination, monitoring of vital signs. Follow up response to treatment: no side effects. Patient discharge:  Stable to go home and follow up with PCP.   Patient was monitored for approximately 45 minutes post injection with multiple physical exams and serial vitals signs with no observance of local or systemic hypersensitivity response.  At the time of discharge she had no complaints and was able to ambulate easily without assistance.     Signs and symptoms of anaphylaxis were reviewed and discussed, and she was instructed to call 911 or report to the ED immediately if those signs/symptoms develop.  She verbalized understanding.     PA-C Electronically Signed 12/22/2020 11:53 AM
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Feeling cold, Headache
Clinical narrative: About 30 mins after my vaccine I felt dizzyness, with chills and I felt very very cold I went to the ER and they gave me antibiotics for my UTI,  The next day I had body aches joint aches headaches, I also broke out in hives all over my body
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Urine analysis abnormal, Urticaria
Clinical narrative: About 30 mins after my vaccine I felt dizzyness, with chills and I felt very very cold I went to the ER and they gave me antibiotics for my UTI,  The next day I had body aches joint aches headaches, I also broke out in hives all over my body
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Decreased appetite, Fatigue, Headache
Clinical narrative: fatigue, sore arm, headache, nausea, loss of appetite, chest tightness, weakness.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Nausea
Clinical narrative: fatigue, sore arm, headache, nausea, loss of appetite, chest tightness, weakness.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Headache, Pruritus, Rash, Swelling face
Clinical narrative: Facial swelling, Rash to lower body, itching, headache, chest pain. All side effects have resolved at this time. Took Benadryl and extra Lasix.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Oedema peripheral
Clinical narrative: Axillary pain/swelling a week after vaccination
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dizziness postural
Clinical narrative: reported feeling  a little dizzy when going from a sitting to a standing position.  10:30 a.m. vital signs 10:35 B/P 158/96, pulse 60, respirations16, temperature 97.8 denied any pain.  10:55 c/o lightheadedness, denies vertigo, denies throat tightness, SOB, hives. on exam alert and oriented x3, no facial  swelling, lungs clear, CV RRR, strong radial pulse no hives. Resting on cot, water, candy and cheese sticks given. resting, 11:25 patient denies dizziness from sitting to standing, ambulating well, to notify MD is symptoms reoccur.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: The patient was accidently given an "undiluted" dose of COVID vaccine. She was contacted on the day following the error and states that "I feel great"
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Redness itchy below site
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Small and localize  Right Axillary adenopathy ,with a little of pain in the area
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Body temperature increased, Headache, Immediate post-injection reaction
Clinical narrative: Arm soreness immediately, 12 hours later low grade temp 99.9F, severe headache, neck/back/shoulder aches
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity
Clinical narrative: Arm soreness immediately, 12 hours later low grade temp 99.9F, severe headache, neck/back/shoulder aches
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea
Clinical narrative: sudden nausea and diarrhea
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Bone pain, Chills, Fatigue, Malaise, Pyrexia
Clinical narrative: within 24 hours developed fever ( highest was 99.8 ) , chills, bone ache, fatigue, malaise . Fever started coming down and bone pain within 48 hours . Feeling better now with temperatire dropping down to 97.4.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea
Clinical narrative: NAUSEA BEGAN WITHIN 5 HRS & LASTED THROUGHOUT FOLLOWING DAY; MINIMAL PAIN AT SITE OF INJECTION THE NEXT MORNING
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Pain, Pyrexia
Clinical narrative: Temp 99.9F, sore arm, generally achy
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Heart rate increased
Clinical narrative: HR went up, felt pounding in stomach.  BP elevated 157/91.  After resting BP returned to normal 128/64
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Oral discomfort, Throat irritation
Clinical narrative: Increased HR with burning around mouth and throat BP 144/86, HR 114, Resp 22, O2 sat 100%
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: It has been just about 7 days since injection and still having itching at the injection site. Day 1 had sever chill's  & pain in arm which subsided at about 28 hours later.  Day 2 headache,  swelling & redness in left arm where injection was. By day 5 redness & swelling in arm started to subside. Today which is almost 1 week from vaccine still have a dime size redness & puffiness at the injection site along with itching still.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: It has been just about 7 days since injection and still having itching at the injection site. Day 1 had sever chill's  & pain in arm which subsided at about 28 hours later.  Day 2 headache,  swelling & redness in left arm where injection was. By day 5 redness & swelling in arm started to subside. Today which is almost 1 week from vaccine still have a dime size redness & puffiness at the injection site along with itching still.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: 1200 received vaccine; 1206 had itching and rash Benadryl 50mg iv push given  Blood pressure 140/75-79- O2 sat 100% 1219 139/73 -77 O2 sat 98%
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Starting about 40 minutes after vaccine administration she began having numbness and tingling in her right pinky finger and tip of ring finger.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Pyrexia, Swelling
Clinical narrative: Swelling, redness, soreness, fevers (low grade)  Took 650mg Tylenol once
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pruritus, Oral pruritus, Pruritus
Clinical narrative: Approximately 5 minutes after receiving vaccine, patient reported itchiness on her upper extremities.  The itchiness moved quickly to the right side of her neck and ear.  The itchiness then traveled to her upper chest area and then to the inside of her mouth.  A rapid response was called and the patient taken to the ED for further evaluation.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Feeling abnormal, Myalgia
Clinical narrative: Muscle pain, Shivering, loss of appetite, felt unstable upon standing
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dry mouth, Feeling hot, Flushing, Injection site pain
Clinical narrative: I felt warm, flushed, and dizzy. I had tingling in my fingers, arms, and elbows. I had dry mouth and nasal stuffiness.  The injection site was sore and the soreness extended from the injection site down my right arm.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Pain in extremity, Paraesthesia
Clinical narrative: I felt warm, flushed, and dizzy. I had tingling in my fingers, arms, and elbows. I had dry mouth and nasal stuffiness.  The injection site was sore and the soreness extended from the injection site down my right arm.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Pyrexia, SARS-CoV-2 test negative, Vertigo
Clinical narrative: I had general malaise, fever of 101.8, muscle aches, vertigo once during the morning getting up to use the restroom.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Developed severe joint pain
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Headache, Injection site pain
Clinical narrative: Fever, Childs, Muscle and joint paint, diarrhea, headache, severe pain at the injection site
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Fever, Childs, Muscle and joint paint, diarrhea, headache, severe pain at the injection site
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Flushing, Hyperhidrosis
Clinical narrative: Reported feeling hot/flushed and "sweaty", no treatment needed, turned up AC
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Headache
Clinical narrative: Dizziness, headache with anxiety
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram normal, Discomfort, Dry mouth, Electrocardiogram normal
Clinical narrative: I got the vaccine on Monday for first responders. Everything was fine besides the routine ape was in my left arm. About 1030 last night, I was standing at my fireplace and started to rub my arm where I got the vaccine. That?s the last thing I remember. My wife said as I was walking towards the bed and went completely stiff and fell backwards on our floor. She said my eyes were wide open and I wasn?t breathing. I started to come too while she was on the phone with 911. My body felt very heavy and I couldn?t really feel anything. Cotton mouth and shaking very badly. I was taken to the hospital and spent the night there. All test came back good. Today I feel really lethargic and foggy.  I find it very suspicious that immediately after I rubbed my arm that I passed out. My wife thought I was dead, I didn?t know what happened.  I?m in shape and workout 4-5 days a week and am very active. I feel it is important to report this adverse reaction. This has never happened before to any other vaccines.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Feeling abnormal, Laboratory test normal, Lethargy, Loss of consciousness
Clinical narrative: I got the vaccine on Monday for first responders. Everything was fine besides the routine ape was in my left arm. About 1030 last night, I was standing at my fireplace and started to rub my arm where I got the vaccine. That?s the last thing I remember. My wife said as I was walking towards the bed and went completely stiff and fell backwards on our floor. She said my eyes were wide open and I wasn?t breathing. I started to come too while she was on the phone with 911. My body felt very heavy and I couldn?t really feel anything. Cotton mouth and shaking very badly. I was taken to the hospital and spent the night there. All test came back good. Today I feel really lethargic and foggy.  I find it very suspicious that immediately after I rubbed my arm that I passed out. My wife thought I was dead, I didn?t know what happened.  I?m in shape and workout 4-5 days a week and am very active. I feel it is important to report this adverse reaction. This has never happened before to any other vaccines.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain in extremity, Respiratory arrest, Tremor, Urine analysis normal
Clinical narrative: I got the vaccine on Monday for first responders. Everything was fine besides the routine ape was in my left arm. About 1030 last night, I was standing at my fireplace and started to rub my arm where I got the vaccine. That?s the last thing I remember. My wife said as I was walking towards the bed and went completely stiff and fell backwards on our floor. She said my eyes were wide open and I wasn?t breathing. I started to come too while she was on the phone with 911. My body felt very heavy and I couldn?t really feel anything. Cotton mouth and shaking very badly. I was taken to the hospital and spent the night there. All test came back good. Today I feel really lethargic and foggy.  I find it very suspicious that immediately after I rubbed my arm that I passed out. My wife thought I was dead, I didn?t know what happened.  I?m in shape and workout 4-5 days a week and am very active. I feel it is important to report this adverse reaction. This has never happened before to any other vaccines.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Headache, Rash
Clinical narrative: Rash on forearm of arm that received injection family doctor told me to take Benadryl. Also have a headache and mild chest pain.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: Fever, muscle aches, nausea, severe headache
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Estimated delivery date 047/01/2021  About 15 min after the vax, injection site was hot to the touch, very sore and red. Next day it was worse, larger area. Called PCP next day and was checked and they were not too concerned since I had no other symptoms. I could not even sleep on my left side due to the pain and soreness. It slowly started getting better after 4 days but it still has  big red bump on my shoulder until now.  Does not hurt now but it is itchy.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Sleep disorder
Clinical narrative: Estimated delivery date 047/01/2021  About 15 min after the vax, injection site was hot to the touch, very sore and red. Next day it was worse, larger area. Called PCP next day and was checked and they were not too concerned since I had no other symptoms. I could not even sleep on my left side due to the pain and soreness. It slowly started getting better after 4 days but it still has  big red bump on my shoulder until now.  Does not hurt now but it is itchy.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness postural, Eye pruritus, Feeling hot, Lip pruritus, Lip swelling
Clinical narrative: 5 minutes after injection patient started to feel warm and stated that her eyes were itching. When she stood up she then started to feel dizzy. Took her to urgent care room and V/S were  134/69, 74, 98.0, 18. O2 SAT WAS 95%. Patient then stated that her lips were itchy and felt swollen. She also stated she was not having any trouble breathing. Provider ordered 50mg of Benedryl given PO to be administered. Patient stated 10 minutes later that her eyes no longer felt itchy and she wasn't warm or dizzy anymore. Continued to watch patient for 40 more minutes and when no signs or symptoms were present, provider cleared patient to leave facility
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash macular
Clinical narrative: Itching and red spot on forehead Given diphenhydramine
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives, initially over all of body, resolved after 4 hrs with benadryl, then migratory for about 1 day
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Cyanosis, Hypoaesthesia, Injection site warmth, Nausea, Peripheral coldness
Clinical narrative: Clients left third finger became white within one minute of injection and client shared finger was numb.  Left arm from forearm  to distal fingers cold to touch.  Left upper arm at vaccination site warm to touch.  Hand grasps equal.  BP - 120/80 and pulse 80.  Client began shaking uncontrollably.  Chest and back contained blotchy non-raised rash.  Epinephrine given at 4:56 PM  and ambulance summoned.  Left finger went from white to ruby red with cyanotic fingernail post epinephrine.  Shaking continued.  O2 saturation level not registering per oximeter.  Client anxious, apprehensive.  Second dose of Epinephrine give at 5:01 PM .    Client complaining of severe itching and rash continued.  Benadyl given at 5:10 PM. Complained of chest tightness at 5:12 PM.  Third dose of Epinephrine given at 5:14 PM.   Nausea ensued.  Ambulance arrived at 5:30 PM and transported to ER.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash macular, Skin discolouration, Tremor
Clinical narrative: Clients left third finger became white within one minute of injection and client shared finger was numb.  Left arm from forearm  to distal fingers cold to touch.  Left upper arm at vaccination site warm to touch.  Hand grasps equal.  BP - 120/80 and pulse 80.  Client began shaking uncontrollably.  Chest and back contained blotchy non-raised rash.  Epinephrine given at 4:56 PM  and ambulance summoned.  Left finger went from white to ruby red with cyanotic fingernail post epinephrine.  Shaking continued.  O2 saturation level not registering per oximeter.  Client anxious, apprehensive.  Second dose of Epinephrine give at 5:01 PM .    Client complaining of severe itching and rash continued.  Benadyl given at 5:10 PM. Complained of chest tightness at 5:12 PM.  Third dose of Epinephrine given at 5:14 PM.   Nausea ensued.  Ambulance arrived at 5:30 PM and transported to ER.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Nausea, Throat irritation, Urticaria
Clinical narrative: Scratchy throat, flushed, urticaria, dizziness, nausea for 3 days
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nervousness
Clinical narrative: Felt light headed and Nervous.  Remained in observation and relaxed for 30 minutes.   After 3 minutes felt fine.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Induration, Pain in extremity
Clinical narrative: Headache, tiredness, left arm is sore and firm to touch
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Mobility decreased, Rash
Clinical narrative: Severe headache, chills, vomiting, exhaustion,  body rash, couldn't move left arm x 2 days
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Severe headache, chills, vomiting, exhaustion,  body rash, couldn't move left arm x 2 days
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: After I received my vaccine went to 30 min waiting area. I felt light headed they gave me juice and crackers. It is common procedure for nurse/paramedic to check your vitals. I was informed if I felt I needed to go to ER I refused. (Pt currently breast feeding the morning of the vaccine).
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Palpitations
Clinical narrative: dizzy, flushed, heart racing (HR to 150s)
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear pain, Eye pain, Headache, Impaired driving ability
Clinical narrative: Severe headache on only left side of head (behind left eye, affecting left ear and back of left side head) within hours of vaccine. Did respond to Tylenol.   Within first 18 hours of vaccine, intermittent dizziness where need to lay down required 2 times so far. Scared to drive at this time.    Currently nasal pressure.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort
Clinical narrative: Severe headache on only left side of head (behind left eye, affecting left ear and back of left side head) within hours of vaccine. Did respond to Tylenol.   Within first 18 hours of vaccine, intermittent dizziness where need to lay down required 2 times so far. Scared to drive at this time.    Currently nasal pressure.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dysgeusia, Feeling abnormal
Clinical narrative: "metal taste in mouth, foggy brain, burning in chest" Has a fear of needles...
Age: 30.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Dizziness, Injection site swelling, Myalgia, Syncope
Clinical narrative: Self reporting general delayed reactions to tetanus booster vaccine received. States he experienced swelling to the Left shoulder injection site, chills, muscle pain, dizziness and 4 episodes of syncope. Donor is non-compliant to seek medical followup. Outcome is pending.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Pain, Poor quality sleep
Clinical narrative: 1. Muscular pain at site of injection (trouble lifting arm) - 12/30/20 at 14:30 continuing 2. Mild Chills (Causing Reynaud's to worsen and having trouble returning blood flow back to fingers and toes)- 12/30/20 at 14:30 continuing 3. Body Aches (specifically back and hips) - 12/30/20 at 14:30 continuing 4. Headache - 12/30/20 at 14:30 starting to improve 5. Trouble sleeping  - night of 12/29/20, woke up numerous times during the night  and couldn't fall back asleep after 04:30 on 12/30/20
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Urticaria
Clinical narrative: Hives, hot, flushed
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Pyrexia
Clinical narrative: Fever of 102, soreness at the site, headache
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis
Clinical narrative: EE flushed, diaphoretic, rapid response team called, sent to emergency department for evaluation.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Feeling abnormal, Feeling cold, Paraesthesia
Clinical narrative: Cold tingling sensation in chest.  Felt "off", possibly on way to passing out.  BP was elevated.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash maculo-papular, Rash papular, Rash pruritic
Clinical narrative: Approximately three days after getting the vaccination I developed a rash. It started on the neck, as well as bilateral antecubital, popliteal, and ankle areas. It has continued to slowly progress over the course of a week. It is a pruritic rash, raised, maculopapular rash.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Swollen tongue, Throat tightness
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA  Tongue swelling, throat tightness to the point patient did not feel comfortable to swallow oral Benadryl. At 11:30 am patient given IM Benadryl 50mg.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Device connection issue, Syringe issue, Underdose
Clinical narrative: The connection of the syringe and safety needle was not tightened prior to vaccination. There was vaccine leakage from the connection when administered.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Tinnitus
Clinical narrative: My ears began ringing and it has not stopped. It wakes me up at night. It has been constant ringing. Today is 12/30/20.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Associate complained of dizziness; BloodPressure was 189/94; HR 111; Associate denied chest pain or SOB; Blood Pressure was rechecked at 195/90; HeartRate was 87; ambulated and denied any symptoms; observed for 35 minutes; was evaluated by Dr. approved to leave facility and went home
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Itchiness all over her body that lasted 18-24 hours, patient still wanted to receive the second series of Shingrix, so the second shot was administered on 12/30/2020 with 1 tab of Claritin 5 minutes before injection.