chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cerebral haemorrhage, Cervical vertebral fracture, Computerised tomogram head abnormal, Concussion
Clinical narrative: On February 8th, 2021 patient came home early from work around noon due to not feeling well. She was feeling tired, slightly nauseous and very low energy. At about 4:50 PM that day, patient got up to walk to the pantry after eating some peanut butter toast. She suddenly stopped and shut her eyes and froze and then she began having a seizure (and she has never had a seizure before and seizures do not run in her family). After the shaking from the seizure ceased, her body tensed up and she fell flat backwards and she hit her head on the refrigerator. She then was going in and out of consciousness, she had a big laceration on her forehead and was bleeding rapidly. I, her daughter, witnessed this and then at 4:54 PM I called emergency services and paramedics arrived and took her to the hospital. Later that evening, the family was notified that the patient had bleeding in her brain, a concussion, a forehead laceration that received 15 stitches and a broken neck (C2 fracture). She was taken to the hospital that evening on February 8, 2021. Patuent experienced a second seizure while at the hospital during a CT scan. Patient later was able to come home February 11, 2021 in the afternoon. Patient now has to wear a neck brace for up to 12 weeks, cannot drive, cannot work for up to 12 weeks, and is still recovering cognitively from the concussion.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Consciousness fluctuating, Craniocerebral injury, Fall, Fatigue, Haemorrhage
Clinical narrative: On February 8th, 2021 patient came home early from work around noon due to not feeling well. She was feeling tired, slightly nauseous and very low energy. At about 4:50 PM that day, patient got up to walk to the pantry after eating some peanut butter toast. She suddenly stopped and shut her eyes and froze and then she began having a seizure (and she has never had a seizure before and seizures do not run in her family). After the shaking from the seizure ceased, her body tensed up and she fell flat backwards and she hit her head on the refrigerator. She then was going in and out of consciousness, she had a big laceration on her forehead and was bleeding rapidly. I, her daughter, witnessed this and then at 4:54 PM I called emergency services and paramedics arrived and took her to the hospital. Later that evening, the family was notified that the patient had bleeding in her brain, a concussion, a forehead laceration that received 15 stitches and a broken neck (C2 fracture). She was taken to the hospital that evening on February 8, 2021. Patuent experienced a second seizure while at the hospital during a CT scan. Patient later was able to come home February 11, 2021 in the afternoon. Patient now has to wear a neck brace for up to 12 weeks, cannot drive, cannot work for up to 12 weeks, and is still recovering cognitively from the concussion.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Impaired driving ability, Impaired work ability, Malaise, Nausea
Clinical narrative: On February 8th, 2021 patient came home early from work around noon due to not feeling well. She was feeling tired, slightly nauseous and very low energy. At about 4:50 PM that day, patient got up to walk to the pantry after eating some peanut butter toast. She suddenly stopped and shut her eyes and froze and then she began having a seizure (and she has never had a seizure before and seizures do not run in her family). After the shaking from the seizure ceased, her body tensed up and she fell flat backwards and she hit her head on the refrigerator. She then was going in and out of consciousness, she had a big laceration on her forehead and was bleeding rapidly. I, her daughter, witnessed this and then at 4:54 PM I called emergency services and paramedics arrived and took her to the hospital. Later that evening, the family was notified that the patient had bleeding in her brain, a concussion, a forehead laceration that received 15 stitches and a broken neck (C2 fracture). She was taken to the hospital that evening on February 8, 2021. Patuent experienced a second seizure while at the hospital during a CT scan. Patient later was able to come home February 11, 2021 in the afternoon. Patient now has to wear a neck brace for up to 12 weeks, cannot drive, cannot work for up to 12 weeks, and is still recovering cognitively from the concussion.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure, Skin laceration, Subarachnoid haemorrhage, Suture insertion, Tension
Clinical narrative: On February 8th, 2021 patient came home early from work around noon due to not feeling well. She was feeling tired, slightly nauseous and very low energy. At about 4:50 PM that day, patient got up to walk to the pantry after eating some peanut butter toast. She suddenly stopped and shut her eyes and froze and then she began having a seizure (and she has never had a seizure before and seizures do not run in her family). After the shaking from the seizure ceased, her body tensed up and she fell flat backwards and she hit her head on the refrigerator. She then was going in and out of consciousness, she had a big laceration on her forehead and was bleeding rapidly. I, her daughter, witnessed this and then at 4:54 PM I called emergency services and paramedics arrived and took her to the hospital. Later that evening, the family was notified that the patient had bleeding in her brain, a concussion, a forehead laceration that received 15 stitches and a broken neck (C2 fracture). She was taken to the hospital that evening on February 8, 2021. Patuent experienced a second seizure while at the hospital during a CT scan. Patient later was able to come home February 11, 2021 in the afternoon. Patient now has to wear a neck brace for up to 12 weeks, cannot drive, cannot work for up to 12 weeks, and is still recovering cognitively from the concussion.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Breast feeding, Culture stool negative, Diarrhoea, Gastrointestinal pathogen panel, Laboratory test
Clinical narrative: I was exclusively breastfeeding at the time of receiving both doses. My 4 month old son developed diarrhea on February 1st and it lasted 2 weeks. Lab work/stool studies were negative for any bacterial or viral infections.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Viral test negative
Clinical narrative: I was exclusively breastfeeding at the time of receiving both doses. My 4 month old son developed diarrhea on February 1st and it lasted 2 weeks. Lab work/stool studies were negative for any bacterial or viral infections.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Glossodynia, Headache, Oral pain, Oropharyngeal pain
Clinical narrative: Sore throat, light sensitivity with  my eyes, always tired (sleeping 10 hr nights and several naps a day), Headache, tongue and mouth sore
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Sore throat, light sensitivity with  my eyes, always tired (sleeping 10 hr nights and several naps a day), Headache, tongue and mouth sore
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Pruritus, Rash erythematous
Clinical narrative: Pt c/o redness to face and chest and lightheadedness.  Rash noted on checks, neck, and upper chest noted.  Pt denied SOB, difficulty breathing, or chest heaviness.  C/O mild itching.  Pt declined referral to ER.  Given 50 mg of oral Benadryl per protocol.  Husband to drive home.  Encouraged pt to call PMD and alert to reaction.  Instructed to go to ER or call 911 if difficulty breathing develops or s/s worsen.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Malaise, Nausea, Pain in extremity
Clinical narrative: About 5 am, I had symptoms and they were nausea, vomiting, extreme fatigue, chills, fever and about 3:00 pm was the peak of it. About 6:00 - 8:00 pm I started feeling better. I slept most of the day. But I did have all those symptoms all day  - I had extreme malaise. I didn't do anything. I tried to rally but couldn't do anything. My arm hurt for about 5 - 6 weeks afterwards. I woke up at about 8:00 am the following day, the 23rd it was a lot better and about noon it was done.  About 36 hours later for the majority of it.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: About 5 am, I had symptoms and they were nausea, vomiting, extreme fatigue, chills, fever and about 3:00 pm was the peak of it. About 6:00 - 8:00 pm I started feeling better. I slept most of the day. But I did have all those symptoms all day  - I had extreme malaise. I didn't do anything. I tried to rally but couldn't do anything. My arm hurt for about 5 - 6 weeks afterwards. I woke up at about 8:00 am the following day, the 23rd it was a lot better and about noon it was done.  About 36 hours later for the majority of it.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood magnesium decreased, Dyspnoea, Electrocardiogram normal, Fibrin D dimer normal
Clinical narrative: The patient received the vaccine on 2/23/21. The next day she experienced dyspnea and wheeezing which was relieved using her inhaler and nebulizer. On 2/27/21, 4 days after receiving the vaccine she developed hives of both arms, her back,  and buttocks. She went to the emergency room and was treated with prednisone which relieved the hives. Today 3/3/21 she has just a small hive at the injection site and no further difficulty breathing.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Injection site urticaria, Metabolic function test normal, Urticaria, Wheezing
Clinical narrative: The patient received the vaccine on 2/23/21. The next day she experienced dyspnea and wheeezing which was relieved using her inhaler and nebulizer. On 2/27/21, 4 days after receiving the vaccine she developed hives of both arms, her back,  and buttocks. She went to the emergency room and was treated with prednisone which relieved the hives. Today 3/3/21 she has just a small hive at the injection site and no further difficulty breathing.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen arm pit gland
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: ? PALPITATIONS     pt getting vaccine this afternoon. +palp post-injection, denies CP/SOB/dyspahagia, AOx4, fsbs=119   Patient was released after observation
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Chills, Hyperhidrosis, Injected limb mobility decreased
Clinical narrative: A few hours after the second dose of Moderna vaccine I began to feel achy. This was the beginning of a 24 hour period of systems. Fever, chills, sweats, body aches, could barely move my left arm, pain in my bones and joints, pain in my pelvis, couldn't sleep because my body hurt so badly.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Pain, Pelvic pain, Pyrexia
Clinical narrative: A few hours after the second dose of Moderna vaccine I began to feel achy. This was the beginning of a 24 hour period of systems. Fever, chills, sweats, body aches, could barely move my left arm, pain in my bones and joints, pain in my pelvis, couldn't sleep because my body hurt so badly.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was given a Pfizer vaccine as the 2nd dose and then it was realized that he had received Moderna as a 1st dose.   This patient arrived with his screening form that he had filled out checking Pfizer as first dose given on 1/28/2021 and the vaccinator gave him his 2nd vaccination and then asked for his card--and then realized that the card with first dose had a Moderna vaccine given.  Our vaccination site only gives Pfizer currently.  This error was realized and I, the physician was notified. I explained the situation and error to the patient and gave him my contact information for reference.
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Heat and swelling at injection site
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Anxiety, Cough, Dizziness, Dysphagia
Clinical narrative: anaphylaxis - throat tightness, hoarseness, coughing, trouble swallowing, nausea, dizziness, pallor, watery eyes, urinary incontinence, sense of impending doom
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Lacrimation increased, Nausea, Pallor, Throat tightness
Clinical narrative: anaphylaxis - throat tightness, hoarseness, coughing, trouble swallowing, nausea, dizziness, pallor, watery eyes, urinary incontinence, sense of impending doom
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary incontinence
Clinical narrative: anaphylaxis - throat tightness, hoarseness, coughing, trouble swallowing, nausea, dizziness, pallor, watery eyes, urinary incontinence, sense of impending doom
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Ear pain, Injection site erythema, Injection site rash, Nasal discomfort
Clinical narrative: Sore injection site Red rash (approx 4 inches) Ear pain Nasal irritation
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Moderna Covid-19 Vaccine EUA: SWOLLEN, PAINFUL LYMPH NODE near collarbone. This has been present for two-weeks. There has not been enough publicity or information provided about this side effect, which can be worrisome, especially to women. I had to do my own research to learn that this might continue for another two weeks and that I shouldn't get a mammogram until a few weeks after my second dose. This swollen lymph node might even be present when I get my second dose March 13, so I'm left wondering how that second dose might further impact lymph nodes that are already swollen. Please, please, add more information about this side effects to all your brochures, patient information, etc. Thank you.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain
Clinical narrative: Headaches, with some chills, nausea, and body aches, recurring nightly, lasting through the morning, then clearing up during the day. Did not appear to have a fever or any other outward signs. This pattern lasted four nights and mornings. After the fourth morning no further symptoms appeared.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Inflammation, Peripheral swelling, Pruritus
Clinical narrative: Moderna COVID- 19 Vaccine EUA: Patient received vaccine and had no immediate reaction. Patient feeling well without fevers, chills, shortness of breath, redness, or pain. Patient states eight days after vaccination felt a lump in left deltoid. It felt somewhat itchy and inflamed. Nine days after vaccination patient woke and arm was red and itchy: provider advised over the counter antihistamines and to closely monitor symptoms.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy
Clinical narrative: Wanted to report that I was 2 weeks pregnant at time of first shot.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash over body within five minutes of injection. Given Benadryl and observed foe two hours
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Body temperature increased, Chest X-ray, Injection site inflammation, Injection site nodule
Clinical narrative: PAIN, SWOLLEN, RING OF INFLAMMATION,  PURPLE KNOT AT INJECTION SITE.  WENT TO ER 2/27 WITH TEMP OF 101.54.   CHEST XRAY, BLOOD WORK, UNINALYSIS,.  IV FLUIDS, IV ANTIBIOTIC, ZOFRAN FOR VOMITING.  MD CONCLUDED REACTIN TO VACCINE.  FILL RX FOR ZOFRAN LATER THAT EVENING
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Urine analysis, Vomiting
Clinical narrative: PAIN, SWOLLEN, RING OF INFLAMMATION,  PURPLE KNOT AT INJECTION SITE.  WENT TO ER 2/27 WITH TEMP OF 101.54.   CHEST XRAY, BLOOD WORK, UNINALYSIS,.  IV FLUIDS, IV ANTIBIOTIC, ZOFRAN FOR VOMITING.  MD CONCLUDED REACTIN TO VACCINE.  FILL RX FOR ZOFRAN LATER THAT EVENING
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: heart racing shortly after vaccination
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pain in extremity, Pyrexia, Sleep disorder
Clinical narrative: Pain all over body, fever, chills, sore arm, couldn't sleep because body hurt so badly. Only relieved by NSAIDs taken around the clock for 24 hours
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Incomplete course of vaccination
Clinical narrative: When presenting to COVID vaccine clinic, patient reported a significant allergic reaction to dose 1 of the COVID vaccine. She reported SOB, itching, throat tightness. Was placed on steroids to remedy the reaction. Advised to not receive dose 2. She was in agreement to this plan.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: about 2pm today, which is about 24 hours from when I received my vaccination, I started seeing shadows and particles in my vision in my left eye. All the shadows and particles are showing up on the left side and top of my peripheral vision....  I'm not sure if it has anything to do with my covid vaccination, but this has never happened before. So I thought I should report it.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Hypersomnia, Injection site erythema, Nausea
Clinical narrative: Never run fevers -but ran 102.5 for 24 hrs. Then 99.5 second day. Nausea, diarrhea , headache. Red area at vaccine site.Slept for 16 hrs. Had no reaction to first dose
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Never run fevers -but ran 102.5 for 24 hrs. Then 99.5 second day. Nausea, diarrhea , headache. Red area at vaccine site.Slept for 16 hrs. Had no reaction to first dose
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Rash macular
Clinical narrative: Spots that look like bruises have come out on his right hand, between his knuckles and wrist, his left arm - inside forearm and upper abdomen, just below his sternum. He says on his arm it is a cluster of 4-5 splotches that sort of group together and there are some "satellite spots" in the same area. On his sternum it looks like a big circle, yellow and bluish like a bruise. He has not been in any accidents or had any falls. none of the spots are near the injection site itself.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Computerised tomogram normal, Cough, Dizziness, Electrocardiogram normal
Clinical narrative: 2/20/2021 Within 10 minutes of receiving the vaccine,  sinus congestion and thickening of the throat, coughing, lightheaded, tachycardia.  Administered epinephrine from auto injector by nurse at clinic.  Administered Benadryl by EMS & EKG was completed  At ED administered IV steroid and Pepcid. Observed for four hours and sent home  2/22/2021 - @ 6:55 am Secondary reaction occurred with sinus congestion and thickening of the throat, coughing, lightheaded, tachycardia.  Administered epinephrine from auto injector by nurse, EMS was called  Administered Benadryl by EMS & EKG was completed  At ED administered IV steroid and Pepcid. Observed for four hours and sent home
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Sinus congestion, Tachycardia
Clinical narrative: 2/20/2021 Within 10 minutes of receiving the vaccine,  sinus congestion and thickening of the throat, coughing, lightheaded, tachycardia.  Administered epinephrine from auto injector by nurse at clinic.  Administered Benadryl by EMS & EKG was completed  At ED administered IV steroid and Pepcid. Observed for four hours and sent home  2/22/2021 - @ 6:55 am Secondary reaction occurred with sinus congestion and thickening of the throat, coughing, lightheaded, tachycardia.  Administered epinephrine from auto injector by nurse, EMS was called  Administered Benadryl by EMS & EKG was completed  At ED administered IV steroid and Pepcid. Observed for four hours and sent home
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Pruritus
Clinical narrative: pruritis, transient HTN 173/94 Given Benadryl 25mg IM x 1 Send to ED for further observation
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Moderna COVID-19 Vaccine EUA Headache about 13 hours after the shot; nausea, body aches, chills, tiredness, sore arm about 16 hours after the injection.  After taking a Tylenol, most symptoms were gone after a few hours, except the tiredness, which lasted about 10 days.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Moderna COVID-19 Vaccine EUA Headache about 13 hours after the shot; nausea, body aches, chills, tiredness, sore arm about 16 hours after the injection.  After taking a Tylenol, most symptoms were gone after a few hours, except the tiredness, which lasted about 10 days.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient received Pfizer COVID 19 Vaccine on 2/8/2021 Patient received 2nd COVID 19 vaccine on 3/1/2021, he received Moderna instead of Pfizer. Pt is well, no adverse reaction from event.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Dizziness, Fatigue, Headache
Clinical narrative: Reports symptoms  began 6pm , 1 hour after receiving vaccination, headache and feeling bumps on her tongue and roof of mouth, taste was off.  on 3/3/21 midnight was awakened from sleep from pain in all of her joints, back and neck.  Experienced dizziness and fatique  in the morning.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Palatal disorder, Sleep disorder, Tongue disorder
Clinical narrative: Reports symptoms  began 6pm , 1 hour after receiving vaccination, headache and feeling bumps on her tongue and roof of mouth, taste was off.  on 3/3/21 midnight was awakened from sleep from pain in all of her joints, back and neck.  Experienced dizziness and fatique  in the morning.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: 7 days after receiving the vaccine -  round red, swollen, itchy, hard  at injection site
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: About 2 1/2 weeks after my first COVID vaccine I developed a case of shingles, Herpes zoster.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test normal, Cardiac monitoring, Electrocardiogram abnormal, Heart rate increased
Clinical narrative: 8 days after 2nd dose, ended up in ER with atrial fibrillation
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pollakiuria, Urine analysis
Clinical narrative: 8 days after 2nd dose, ended up in ER with atrial fibrillation
Age: 69.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pruritus, Pruritus
Clinical narrative: Itching on both hands and around injection site.Moderna COVID- Vaccine EUA
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Week after vaccine, injection site became swollen, sore, red and itchy, stayed that way from Feb 9th  through Feb 28th.  Today March 3rd, still a little sore, second Covid vaccine scheduled for March 5th.   Correction, first  vaccine was on Feb 3, 2021
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis, Hypoaesthesia, Swelling face
Clinical narrative: Numbness to left side of the face, drooping ness of left eye and eyebrow, not able to smile with left side, swelling of right side of the face.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chromatopsia, Confusional state, Dysgeusia, Fatigue
Clinical narrative: Bad, strong chemical taste in mouth from approximately 10 minutes after vaccination for about 6 days after. Slight confusion from about 15 minutes after vaccination, lasting about 15 minutes. Second morning after vaccination woke up seeing a greenish tint to my vision. That cleared in about 5 minutes after drinking a cup of water. Besides these more unusual reactions, my vaccinated arm was sore for several days and I had a runny nose for about 30 -60 minutes on the 4th day afterward and some queasiness and upset stomach also for a day on the 4th day with some fatigue.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Rhinorrhoea
Clinical narrative: Bad, strong chemical taste in mouth from approximately 10 minutes after vaccination for about 6 days after. Slight confusion from about 15 minutes after vaccination, lasting about 15 minutes. Second morning after vaccination woke up seeing a greenish tint to my vision. That cleared in about 5 minutes after drinking a cup of water. Besides these more unusual reactions, my vaccinated arm was sore for several days and I had a runny nose for about 30 -60 minutes on the 4th day afterward and some queasiness and upset stomach also for a day on the 4th day with some fatigue.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Cardiac flutter, Electrocardiogram, Erythema, Gallbladder disorder
Clinical narrative: 2/4/2021-Extreme rapid heart race  11:30pm  until 4:00am  .  Skipping beats.  Extreme heat sensation last all day.  Shaking (not a chill feeling, body shaking so bad.  Felt like Gallbadder  inflamed and an Ovary had pain.   No fever 2/5/2021_ Heart skipping.  Extreme Heat/ Body Shaky (no chills)  No Fever 2-6-2021- Heart racing.  Extreme heat inside of body.  Red blood dots on arms, chest and back. (not like rashes)  Flat to feel.  Extreme heat then shaking insides felt like it was being sucked out of body.  Heart flutter.  Muscle jumps.   No Fever 2-7-2021- Body on fire again and shaking real bad all night.  Feeling like insides were being sucked out.  Heat fluttering.   No fever. 2-8-2021- Heart Fluttering . Heat sensation.  Went to doctor.  EKG was performed.  Doctor advised not to get the second dose. 2-9-2021 - Brain fog .  Heart Flutter. I did not feel like myself until 3 weeks later.  Kinda felt like my body was off or shutting down.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle discomfort, Nervousness, Pain, Palpitations, Pelvic pain
Clinical narrative: 2/4/2021-Extreme rapid heart race  11:30pm  until 4:00am  .  Skipping beats.  Extreme heat sensation last all day.  Shaking (not a chill feeling, body shaking so bad.  Felt like Gallbadder  inflamed and an Ovary had pain.   No fever 2/5/2021_ Heart skipping.  Extreme Heat/ Body Shaky (no chills)  No Fever 2-6-2021- Heart racing.  Extreme heat inside of body.  Red blood dots on arms, chest and back. (not like rashes)  Flat to feel.  Extreme heat then shaking insides felt like it was being sucked out of body.  Heart flutter.  Muscle jumps.   No Fever 2-7-2021- Body on fire again and shaking real bad all night.  Feeling like insides were being sucked out.  Heat fluttering.   No fever. 2-8-2021- Heart Fluttering . Heat sensation.  Went to doctor.  EKG was performed.  Doctor advised not to get the second dose. 2-9-2021 - Brain fog .  Heart Flutter. I did not feel like myself until 3 weeks later.  Kinda felt like my body was off or shutting down.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Tremor
Clinical narrative: 2/4/2021-Extreme rapid heart race  11:30pm  until 4:00am  .  Skipping beats.  Extreme heat sensation last all day.  Shaking (not a chill feeling, body shaking so bad.  Felt like Gallbadder  inflamed and an Ovary had pain.   No fever 2/5/2021_ Heart skipping.  Extreme Heat/ Body Shaky (no chills)  No Fever 2-6-2021- Heart racing.  Extreme heat inside of body.  Red blood dots on arms, chest and back. (not like rashes)  Flat to feel.  Extreme heat then shaking insides felt like it was being sucked out of body.  Heart flutter.  Muscle jumps.   No Fever 2-7-2021- Body on fire again and shaking real bad all night.  Feeling like insides were being sucked out.  Heat fluttering.   No fever. 2-8-2021- Heart Fluttering . Heat sensation.  Went to doctor.  EKG was performed.  Doctor advised not to get the second dose. 2-9-2021 - Brain fog .  Heart Flutter. I did not feel like myself until 3 weeks later.  Kinda felt like my body was off or shutting down.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: burning pain on underside of left arm from elbow to 4 inches up arm.  no redness some swelling.  started day after vaccine and is still on going 8 days later.  my husband also had the same side effect but his only lasted 4 days
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Increased upper airway secretion, Throat tightness
Clinical narrative: Slight anaphylactic reaction, not severe. Phlegmy throat, tight throat
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Approximately 10 days after receiving her first dose of Covid19 vaccine, patient began to experience swelling, redness, itching in the vaccination arm.  She treated with ice.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Throat tightness, Tremor
Clinical narrative: Pt received second Moderna COVID-19 immunization in L deltoid at 1020. Pt had reported hx of anaphylaxis to sesame, wait time was increased to 30 minutes. At 1026 pt alerted nurse in observation area of tightness in her throat, an itchy throat, and shakiness. Denied any change in breathing or tongue swelling/tingling. Pt was moved to a more private area with FNP and 2 RNs. At 1035 administered 50  mg IM diphenhydramine in L deltoid. Symptoms started to improve within 5 minutes. Between 1030-1100, BP 138-140/80-84, P 72-88, RR 18-22, O2 sats 98-99% throughout. Symptoms had improved by 1115 and pt was sent home with colleagues. Advised if symptoms worsened or if she had any difficulty breathing to call 911 or get to the closest ER immediately. Pt verbalized understanding and agreed with the plan of care.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Headache, Myalgia
Clinical narrative: Symptoms: extreme muscle pain, tenderness, visible swelling of muscles, headache, fatigue, lower back pain, joint pain, scrotal swelling
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Scrotal swelling
Clinical narrative: Symptoms: extreme muscle pain, tenderness, visible swelling of muscles, headache, fatigue, lower back pain, joint pain, scrotal swelling
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Feeling jittery, Mobility decreased, Tension
Clinical narrative: Chronic fatigue and feeling cold like I can't get warmed up, but no fever, tense, jittery feeling with the coldness and fatigue gets worse as day goes by.  Hard to rest and relax because of the cold and tense feeling  This lasted the entire 3 weeks between dose 1 and dose 2.  I got dose 2 on Feb. 19 and have had same fatigue that isn't going away.  Fatigue and coldness is not worse with 2nd dose, but I heard that side effects were only supposed to last a few days.  To get warmed up I feel like I have to take a hot bath which also helps the tension.  Also later in the day I feel like I can't move properly, I just have to stay still, moving is too much of an effort.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Eight days after the first vaccine was administered, a red circle developed around the injection site on my left arm. The injection site also itched. The red circle is still present on my arm as of March 3rd and itches occasionally.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Generalized itching; BP 103/66 (pulse 67).
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: vision changes  Sent to Emergency dept for further observation
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Pt received dose #1 of the Moderna COVID19 vaccine. Within minutes of sitting down in observation the pt began to feel light headed and very sweaty. Pt was laid down on a cot, BP was 110/80, HR 77, O2sat 98%. EMS on site and performed evaluation. Pt recovered within 10 minutes. Pt did not lose consciousness. Pt stated this happened to him before when he had lidocaine at the dentist. Pt signed refusal for transport to the hospital. Pt was advised to contact his PCP to discuss what happened and to arrange to have his second dose in a medical facility. Pt verbalized understanding.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Pain in extremity
Clinical narrative: Arm hurt after shot.  I felt  okay until 1:30 pm the following day. It felt like I was coming down with the flu!  Took Tylenol. Felt slightly better.   That night severe chills, sweat out and had to change clothes twice!  Felt better by Friday Morning. Good from there
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Fever 101.9, chills, mild body aches, nausea for 6 hours, then low grade fever, slight headache, tired.  Still have symptoms.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever 101.9, chills, mild body aches, nausea for 6 hours, then low grade fever, slight headache, tired.  Still have symptoms.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Chills, mild fever, fatigue, body aches.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lethargy, Nausea, Vomiting
Clinical narrative: Nausea, vomiting, fatigue, lethargy
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood immunoglobulin G normal, Blood immunoglobulin M, SARS-CoV-2 antibody test negative
Clinical narrative: Patient had Pfeizer Vaccine lot EK 9231 on 1/6/21, and 2nd  dose Pfeizer lot no EL 3246 on 1/27/2021. We have checked her 4 times along with other patients and she has not produced any antibody response. All our other patients had a strong antibody response. We are concerned to see if she needs a third dose of pfeizer or a dose from a different vaccine. Please advice. No one is offering any help.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Aspiration pleural cavity, Chest X-ray, Computerised tomogram, Dyspnoea, Fatigue
Clinical narrative: coughing white mucus 3 days after vaccine, fatigue day 1, shortness of breath on 2/24, 2/26 severe shortness of breath, admitted to er on 2/26
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Productive cough, SARS-CoV-2 test
Clinical narrative: coughing white mucus 3 days after vaccine, fatigue day 1, shortness of breath on 2/24, 2/26 severe shortness of breath, admitted to er on 2/26
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Mobility decreased, Muscle spasms, Pain, Pain in extremity
Clinical narrative: Immediate pain (muscle cramping)  at injection.  Pain continued all day. Took Tylenol 1 hour after injection: no relief. Relaxed all day. Continued throbbing at site. Placed arm in a sling because I was unable to  lift my arm and it gave me some relief. At supper I took t tramadol.  Still in throbbing pain when I went to bed. Slept well. Pain somewhat subsided but arm still unable to lift  in morning. Treated with chiropractic adjustment. More relief. Still  some soreness, but now able to life arm.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Tinnitus
Clinical narrative: For 1 day I had a severe headache , but it resolved . Then I had nausea for 5 days ....still continuing but getting less . Now I have all of sudden tinnitus which I have had only once before when I had a bad reaction to hair dye . The Tinnitus began at 2 PM today , March 3rd ,,,,,and is continuing at this moment . I hope this will resolve .  I called all my MD's and they said to call an ENT MD tomorrow if it continues .
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Thirty hours of constant severe body aches. No fever or chills.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Condition aggravated, Impaired work ability, Mobility decreased
Clinical narrative: Severe low back & knee pain on my left side started 03/02/2021 approx 1:45 p.m. I took my usually prescribed pain meds at prescribed time 6:30 p.m., Oxycodone-Acetaminophen 10-325 & Tizanidine 2 mg, wrapped my left knee in ice & laid on a heating pad for 20 minutes, waited 20 minutes then iced my back. Pain not relieved & worse upon awakening on 03/03/2021 making it difficult to sit up & rise from bed. I took my prescribed meds & had difficulty performing morning ritual activities. I picked up a back brace on the way to work at 9:30 a.m. My ability to get into & out of my car was impaired. Pain not relieved & I was unable to lift usual items at work. Came home approximately 2:24 p.m., called my primary care physician's office to report pain situation & was told to call back 24 hrs if pain had not subsided.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Pt received dose #1 of the Moderna COVID19 vaccine today. Immediately following the injection while still sitting in the vaccination station he began to feel very dizzy and started to sweat profusely. Pt did not lose consciousness. Pt was laid down on a cot and recovered within 10-15 minutes. ER care was on site and evaluated the pt. BP 88/56 HR 67. Repeat BP 143/87 HR 100. Pt signed refusal for transport to the hospital. Pt stated this has not happened to him before. Pt was advised to call his PCP and have his 2nd dose scheduled in a medical facility. Pt verbalized understanding.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Cold sweat, Dizziness, Hyperhidrosis, Loss of consciousness
Clinical narrative: after injection pt complained of dizziness and not feeling well. initial vital BP 66/52 HR 68 RR 15 spO2 97% RA. pt was in sitting position. became clammy, diaphoretic, blurred vision, and feeling worse and passed out. pt assisted to floor. MD called to bedside, 0.3 epi pen given to left thigh. no respirstory distress noted. fire and EMS on scene to transfer to ED. pt now a&ox4. VSS now.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Vision blurred
Clinical narrative: after injection pt complained of dizziness and not feeling well. initial vital BP 66/52 HR 68 RR 15 spO2 97% RA. pt was in sitting position. became clammy, diaphoretic, blurred vision, and feeling worse and passed out. pt assisted to floor. MD called to bedside, 0.3 epi pen given to left thigh. no respirstory distress noted. fire and EMS on scene to transfer to ED. pt now a&ox4. VSS now.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Wheezing
Clinical narrative: S/P Covid vaccine #1, no prior allergy history.  15 min after vaccine patient developed chest tightness/wheezing.  given Zyrtec 10mg and sent to ER for evaluation.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: This way day 7 after my first dose.  I worked out every day after getting the vaccine.  During my morning workout, my left arm was more tired than usual and became very blotchy, all the way from shoulder to wrist.  There was a large lump and red spot, 3 inches in diameter.  The lump was hot and itchy.  Today on day 8 swelling has gone down slightly but it is still achy, itchy, and very red.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle fatigue, Rash macular
Clinical narrative: This way day 7 after my first dose.  I worked out every day after getting the vaccine.  During my morning workout, my left arm was more tired than usual and became very blotchy, all the way from shoulder to wrist.  There was a large lump and red spot, 3 inches in diameter.  The lump was hot and itchy.  Today on day 8 swelling has gone down slightly but it is still achy, itchy, and very red.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Rash, hives, moderate itching. Continued until antihistamine taken 5 hours later. Continued to a mild degree even after taking antihistamine more than 24 hours later.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: vaccine @1539 within 5 minutes of vaccine  left forearm numbness started. Then progressed to wrist, hand, and fingers. b/p 102/62, hr-58, 02 sat 98% ra. 1601 numbness only on palm of hand. 1642 numbness resolved . b/p 104/60. hr-56, r-18, 02 sat 98%ra. Pt discharged to home with husband.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: One week from  the date of receiving  my first Moderna Covid-19 vaccine shot I developed a minor reaction.  I had no signs or symptoms of a reaction prior to this day.  My arm turned red at the sight of injection and it was slightly itchy.  It lasted 2 days.  It was odd that it took a week to develop and thought I should report it in case it was an important piece of information.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Chills, Confusional state, Cough
Clinical narrative: Details of pt. symptoms following her MODERNA Vaccine  Note: She has been and was perfectly healthy no health issues or symptoms of this nature until after receiving the Moderna COVID vaccination (1st dose).  26 Feb 2021 (Friday) 3:00 PM First dose Moderna vaccine given - no issues at time of vaccination. At approximately 7 hours post-dose ? severe whole body shaking, weakness, racing accelerated heart rate, difficulty walking- lasted throughout the night.  27 FEB 2021 (Saturday) Morning ? brain fog- very confused  ? NO FEVER or shaking- however weak, unbalanced on her feet and confused in the afternoon we went about normal activities  during the day so we thought she made it thru some acute reaction.  Evening ? At approximately 9 PM ? whole body shaking, chills, weak, unbalanced. Her heart rate was not as accelerated (serious) as Friday night  28 FEB 2021 (Sunday) -seemed better but still brain fog (confusion), - by afternoon did normal things did a walk to get fresh air but she seemed to have labored breathing ? ?Huffing? and slow-she seemed better after the walk.   5 PM ? sudden and unexpectedly- she started whole body shaking, chills, difficulty walking, unsteady ? lasted about 1 hour ? unsteady on her feet needed assistance to walk. I put her to bed at 7:30 pm to rest and I was afraid she would fall because unsteady and shaking legs ? she had intermittent whole body shaking, chills, weakness 1March 2021 (Monday) ? around 10 am another episode - intermittent whole body shaking & chills, generalized weakness? developed respiratory symptoms, wheezing, deep croup- like coughing, weakness 2 March 2021 (Tuesday) ? respiratory symptoms seemed to be progressing. 3 March 2021 ( Wednesday) 3 PM Doctor evaluation ? fluid in lungs ? tested for Covid & prescribed antibiotics for lungs- 250 mg AZ ( 5 day treatment)
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Gait disturbance, Heart rate increased, Palpitations, Respiratory symptom
Clinical narrative: Details of pt. symptoms following her MODERNA Vaccine  Note: She has been and was perfectly healthy no health issues or symptoms of this nature until after receiving the Moderna COVID vaccination (1st dose).  26 Feb 2021 (Friday) 3:00 PM First dose Moderna vaccine given - no issues at time of vaccination. At approximately 7 hours post-dose ? severe whole body shaking, weakness, racing accelerated heart rate, difficulty walking- lasted throughout the night.  27 FEB 2021 (Saturday) Morning ? brain fog- very confused  ? NO FEVER or shaking- however weak, unbalanced on her feet and confused in the afternoon we went about normal activities  during the day so we thought she made it thru some acute reaction.  Evening ? At approximately 9 PM ? whole body shaking, chills, weak, unbalanced. Her heart rate was not as accelerated (serious) as Friday night  28 FEB 2021 (Sunday) -seemed better but still brain fog (confusion), - by afternoon did normal things did a walk to get fresh air but she seemed to have labored breathing ? ?Huffing? and slow-she seemed better after the walk.   5 PM ? sudden and unexpectedly- she started whole body shaking, chills, difficulty walking, unsteady ? lasted about 1 hour ? unsteady on her feet needed assistance to walk. I put her to bed at 7:30 pm to rest and I was afraid she would fall because unsteady and shaking legs ? she had intermittent whole body shaking, chills, weakness 1March 2021 (Monday) ? around 10 am another episode - intermittent whole body shaking & chills, generalized weakness? developed respiratory symptoms, wheezing, deep croup- like coughing, weakness 2 March 2021 (Tuesday) ? respiratory symptoms seemed to be progressing. 3 March 2021 ( Wednesday) 3 PM Doctor evaluation ? fluid in lungs ? tested for Covid & prescribed antibiotics for lungs- 250 mg AZ ( 5 day treatment)
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Tremor, Wheezing
Clinical narrative: Details of pt. symptoms following her MODERNA Vaccine  Note: She has been and was perfectly healthy no health issues or symptoms of this nature until after receiving the Moderna COVID vaccination (1st dose).  26 Feb 2021 (Friday) 3:00 PM First dose Moderna vaccine given - no issues at time of vaccination. At approximately 7 hours post-dose ? severe whole body shaking, weakness, racing accelerated heart rate, difficulty walking- lasted throughout the night.  27 FEB 2021 (Saturday) Morning ? brain fog- very confused  ? NO FEVER or shaking- however weak, unbalanced on her feet and confused in the afternoon we went about normal activities  during the day so we thought she made it thru some acute reaction.  Evening ? At approximately 9 PM ? whole body shaking, chills, weak, unbalanced. Her heart rate was not as accelerated (serious) as Friday night  28 FEB 2021 (Sunday) -seemed better but still brain fog (confusion), - by afternoon did normal things did a walk to get fresh air but she seemed to have labored breathing ? ?Huffing? and slow-she seemed better after the walk.   5 PM ? sudden and unexpectedly- she started whole body shaking, chills, difficulty walking, unsteady ? lasted about 1 hour ? unsteady on her feet needed assistance to walk. I put her to bed at 7:30 pm to rest and I was afraid she would fall because unsteady and shaking legs ? she had intermittent whole body shaking, chills, weakness 1March 2021 (Monday) ? around 10 am another episode - intermittent whole body shaking & chills, generalized weakness? developed respiratory symptoms, wheezing, deep croup- like coughing, weakness 2 March 2021 (Tuesday) ? respiratory symptoms seemed to be progressing. 3 March 2021 ( Wednesday) 3 PM Doctor evaluation ? fluid in lungs ? tested for Covid & prescribed antibiotics for lungs- 250 mg AZ ( 5 day treatment)
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Peripheral swelling, Sinus congestion, Urticaria
Clinical narrative: Swelling in both hands, more in the left hand as it was vaccination arm. Tingling through body. Multiple Hives (about 5)  formed on my arms and upper body. Took 50mg benadryl to manage. Was already on Zyrtec at the time in case of reaction.   Slight congestion and sinus irritation but no feeling of anaphylaxis or much in the throat.   Symtoms stopped worsening and were gone by the next day.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Moderna Covid-19 Vaccine EUA Chills, Headache, Slight fever, nausea, fatigue
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Asthenia, Dizziness, Dysphagia, Dyspnoea
Clinical narrative: Moderate anaphylactic reaction - according to doctor I consulted afterward.   Throat swelled  - difficulty breathing and swallowing, weak, dizzy, rapid heart beat - started about 16-17 minutes after the vaccination.  Lasted a little over 3 hours.  Profound fatigue the next day.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Pharyngeal swelling
Clinical narrative: Moderate anaphylactic reaction - according to doctor I consulted afterward.   Throat swelled  - difficulty breathing and swallowing, weak, dizzy, rapid heart beat - started about 16-17 minutes after the vaccination.  Lasted a little over 3 hours.  Profound fatigue the next day.