chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dysphagia, Headache
Clinical narrative: Client c/o difficulty swallowing, chest pain and H/A. Client remained conscious throughout the entire event. Initial vital signs noted as B/P 155/87, o2 of 100% on R/A, and HR 96. Writer notified MD and MD authorized administration of 50 mg IM Benadryl. Staff called 911. Client refused service of 911 but agreed to remain in observation an additional 15 minutes. Clients last V/S noted as 146/93, O2 100% on RA, and HR 84. Client left with a continued complaint of slight H/A .
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Hyperhidrosis
Clinical narrative: Patient became dizzy, felt faint, sweaty, and clammy. He laid down for about 10 minutes, had some water and applied a cool compress to his head. He felt better after about 10 minutes of lying down.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Musculoskeletal chest pain, Painful respiration, Pleurisy, X-ray
Clinical narrative: Pleurisy, tightening of the chest, pain when breathing, pain in my ribs
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: R Arm still hurting and worse this last week than first week. Impeding movement and it's been 15 days which just seems a little excessive for a shot. Normally shots hurt for a day or day and a half for me
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Employee was receiving her booster for Covid vaccine.  Janssen vial was opened and one dose was extracted and administered to employee.  It was then discovered that the vial expired on 12/21/21.  Date vaccine given was 12/28/21.  Pharmacy provided vial to me in error as some had been extended in expiration date but this was not.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Product administered to patient of inappropriate age
Clinical narrative: Pfizer booster dose (3rd dose)  given to patient at 15 years of age. Patient does not meet the minimun age of 16 years for  qualification of Pfizer booster.  Patient had received two previous Pfizer doses, with the second dose on 6/7/21.   No adverse reaction was observed during 25-30 min  after vaccine was administered. Spoke to mother at 6pm; no adverse reaction and not concern regarding the age. Mother wanted the patient get the booster and was aware of the age issue.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Fatigue, Gastroenteritis viral, Headache
Clinical narrative: I experienced nausea and diarrhea, along with headache, fatigue and low appetite. My symptoms started 12/16/2021 in the evening and lasted through 12/21/2021. My symptoms forced me to stay home from work on 12/17 and 12/20/2021. On 12/20 I went to urgent care. My temperature was slightly high and they tested me for Covid and the flu. Both  tests came back negative and they determined I had a stomach virus. I was prescribed with Zofran and also was told to buy Imodium. The medications helped with my symptoms.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Influenza virus test negative, Nausea, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I experienced nausea and diarrhea, along with headache, fatigue and low appetite. My symptoms started 12/16/2021 in the evening and lasted through 12/21/2021. My symptoms forced me to stay home from work on 12/17 and 12/20/2021. On 12/20 I went to urgent care. My temperature was slightly high and they tested me for Covid and the flu. Both  tests came back negative and they determined I had a stomach virus. I was prescribed with Zofran and also was told to buy Imodium. The medications helped with my symptoms.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Computerised tomogram normal, Eye pain, Impaired work ability, Lacrimation increased
Clinical narrative: Client complains of eye pain, red watery eyes, light sensitivity beginning shortly after 1st dose of COVID vaccine, mostly resolving, then recurring again after 2nd dose. States he is nearly incapacitated with eye pain and light sensitivity now, unable to work. Has seen a provider at a local hospital and also an optometrist, with no diagnosis, and reports a negative CT scan.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Ocular hyperaemia, Photophobia
Clinical narrative: Client complains of eye pain, red watery eyes, light sensitivity beginning shortly after 1st dose of COVID vaccine, mostly resolving, then recurring again after 2nd dose. States he is nearly incapacitated with eye pain and light sensitivity now, unable to work. Has seen a provider at a local hospital and also an optometrist, with no diagnosis, and reports a negative CT scan.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Echocardiogram normal, Electrocardiogram ST segment abnormal, Electrocardiogram abnormal, Pericarditis
Clinical narrative: The patient had her Moderna COVID booster on 12/18/2021.  The next day she developed persistent chest discomfort.  An ER visit shoed normal troponin levels and nonspecific ST findings on the EKG.  When I first saw her 12/28/2021, she had persistent chest discomfort consistent with pericarditis.  An echo was normal.  I am treating her with ibuprofen and colchicine.   As noted, her presumptive diagnosis is post vaccination pericarditis.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal
Clinical narrative: The patient had her Moderna COVID booster on 12/18/2021.  The next day she developed persistent chest discomfort.  An ER visit shoed normal troponin levels and nonspecific ST findings on the EKG.  When I first saw her 12/28/2021, she had persistent chest discomfort consistent with pericarditis.  An echo was normal.  I am treating her with ibuprofen and colchicine.   As noted, her presumptive diagnosis is post vaccination pericarditis.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye movement disorder, Feeling hot, Malaise, Somnolence, Syncope
Clinical narrative: Pt stated she was hot prior to injection.one minute after left deltoid injection she stated that she did not feel well and went into syncope, eyes rolled back and we supported the upper body from falling while audibly calling for assistance. patient responded after 30 seconds. Maneul blood pressure was 90/60 heart rate was 64 with regular tone. Lungs were clear. she was also alert and oriented but drowsy.she stated she did not want to go to the hospital but we thought to be in her best intrest to call 911. We called 911 and they arrived within 5 minutes and took over. patient was taken to the hospital and we did contact a sister to let her know.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Peripheral swelling, Pruritus, Urticaria
Clinical narrative: 10 days after booster shot I developed aggressive hives, fatigue, swollen hands and feet, and headache. I went to stat care. I was put on Prednisone and was instructed to take benedryl. The next day hives were very aggressive and uncomfortably itchy. I then visited the ER. I was given zyrtec and pepcid to use along with the Prednisone.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis
Clinical narrative: right side of face paralyzed since december 4th
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Pain in extremity, Product storage error, Pyrexia, Vaccine positive rechallenge
Clinical narrative: PATIENT RECIEVED A MODERNA BOOSTER DOSE FROM A VIAL THAT HAD BEEN STORED AT ROOM TEMP AFTER BEING PUNCTURED FOR 77 HOURS.  WHEN CONTACTED ABOUT ERROR, PATIENT REPORTED SHE EXPERIENCED THE SAME SIDE EFFECTS FROM THE BOOSTER DOSE OF A FEVER AND SORE ARM STARTING ABOUT 12 HOURS AFTER RECEIVING HER DOSE.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Menstruation irregular
Clinical narrative: I received my booster and had break though menstrual bleeding the following day. My cycle was not due for 2 weeks. This is completely not normal for me. I also experienced menstrual changes after my first two doses. All three doses were Pfizer.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Client received dose 1 of Janssen Covid 19 vaccination at 1207. Client lost consciousness at 1208. Client lowered to floor by staff nurse. Client laid on the floor with feet elevated for 12 minutes. Client sat up and completed 12 oz of water and a bag of crackers. V/S WNL client noted A x O x's 4 with no further complaints noted. Client sat outside in the monitoring area for an additional 15 minutes post sitting up inside of the building, verbalizing his person, place and his current situation.   Initial v/s 109/61, O2 100% on RA and HR 82.  Client discharged by MD.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Peripheral swelling, Pruritus
Clinical narrative: Pt reported itching and lumps on left arm and left armpit.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient age 13 years old presented for COVID 19  injection was given Pfizer COVID 19 for ages 5-11 years old, contacted grandmother (who brought patient in ) on 12/28, stated no adverse reactions to immunization
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Auscultation, Breath sounds abnormal, Chest X-ray abnormal, Chills, Cough
Clinical narrative: 12/11/21 - Developed dry cough 12/14/21 - Cough worsens, chills, fever, body aches and headache 12/20/21 - Cough, chills, body aches and headache continue - seen by Primary Care Provider. Assumed metapneumovirus as child had tested positive with similar symptoms on 12/13/21. Given Prednisone and Azithromycin for bronchitis. Tested negative for COVID and Influenza. 12/23/21 - Cough continues to worsen, now with shortness of breath, continuous headache, and  significant fatigue. Seen by Primary Care Provider again, chest Xray completed, given Rocephin by injection and Solumedrol by injection. Lung base fields are diminished bilaterally by auscultation. Also given prescription for Augmentin for cough with chest congestion and shortness of breath. Given Albuterol nebulizer treatments and incentive spirometer to attempt to prevent pneumonia. Labs also drawn - CBC, CMP. Biofire panel positive for metapneumovirus. Negative for all others.  12/25/21 - Started Augmentin as cough continues to worsen despite Albuterol treatments and use of incentive spirometer.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Full blood count, Full blood count normal, Headache
Clinical narrative: 12/11/21 - Developed dry cough 12/14/21 - Cough worsens, chills, fever, body aches and headache 12/20/21 - Cough, chills, body aches and headache continue - seen by Primary Care Provider. Assumed metapneumovirus as child had tested positive with similar symptoms on 12/13/21. Given Prednisone and Azithromycin for bronchitis. Tested negative for COVID and Influenza. 12/23/21 - Cough continues to worsen, now with shortness of breath, continuous headache, and  significant fatigue. Seen by Primary Care Provider again, chest Xray completed, given Rocephin by injection and Solumedrol by injection. Lung base fields are diminished bilaterally by auscultation. Also given prescription for Augmentin for cough with chest congestion and shortness of breath. Given Albuterol nebulizer treatments and incentive spirometer to attempt to prevent pneumonia. Labs also drawn - CBC, CMP. Biofire panel positive for metapneumovirus. Negative for all others.  12/25/21 - Started Augmentin as cough continues to worsen despite Albuterol treatments and use of incentive spirometer.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Human metapneumovirus test positive, Influenza virus test negative, Laboratory test, Metabolic function test normal, Pain
Clinical narrative: 12/11/21 - Developed dry cough 12/14/21 - Cough worsens, chills, fever, body aches and headache 12/20/21 - Cough, chills, body aches and headache continue - seen by Primary Care Provider. Assumed metapneumovirus as child had tested positive with similar symptoms on 12/13/21. Given Prednisone and Azithromycin for bronchitis. Tested negative for COVID and Influenza. 12/23/21 - Cough continues to worsen, now with shortness of breath, continuous headache, and  significant fatigue. Seen by Primary Care Provider again, chest Xray completed, given Rocephin by injection and Solumedrol by injection. Lung base fields are diminished bilaterally by auscultation. Also given prescription for Augmentin for cough with chest congestion and shortness of breath. Given Albuterol nebulizer treatments and incentive spirometer to attempt to prevent pneumonia. Labs also drawn - CBC, CMP. Biofire panel positive for metapneumovirus. Negative for all others.  12/25/21 - Started Augmentin as cough continues to worsen despite Albuterol treatments and use of incentive spirometer.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary congestion, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: 12/11/21 - Developed dry cough 12/14/21 - Cough worsens, chills, fever, body aches and headache 12/20/21 - Cough, chills, body aches and headache continue - seen by Primary Care Provider. Assumed metapneumovirus as child had tested positive with similar symptoms on 12/13/21. Given Prednisone and Azithromycin for bronchitis. Tested negative for COVID and Influenza. 12/23/21 - Cough continues to worsen, now with shortness of breath, continuous headache, and  significant fatigue. Seen by Primary Care Provider again, chest Xray completed, given Rocephin by injection and Solumedrol by injection. Lung base fields are diminished bilaterally by auscultation. Also given prescription for Augmentin for cough with chest congestion and shortness of breath. Given Albuterol nebulizer treatments and incentive spirometer to attempt to prevent pneumonia. Labs also drawn - CBC, CMP. Biofire panel positive for metapneumovirus. Negative for all others.  12/25/21 - Started Augmentin as cough continues to worsen despite Albuterol treatments and use of incentive spirometer.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: NO ADVERSE EVENTS REPORTED, BUT PATIENT RECEIVED A DOSE FROM A VIAL THAT HAD BEEN PUNCTURED AND SAT AT ROOM TEMPURATURE FOR 77 HOURS.  PATIENT IS AWARE AND PHARMACIST IS AWAITING GUIDANCE FROM MODERNA ON WHETHER OR NOT ANOTHER DOSE IS NEEDED.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Pain in extremity
Clinical narrative: Client received her first dose of COVID vaccine (Pfizer Pediatric COVID vaccine on 12/07/21 lot: FK5618). Interpreter assisted RN with translation to Spanish during entire conversation. Client's mother reported that client has mild seasonal allergies, no chronic conditions and is currently not taking any medications. Client reported, "2 hours after her COVID vaccine that she experienced dizziness. The first time was at 7PM, the second time was at 7:15 PM and the third time was at 7:20 PM and they all lasted for 5 minutes." No other reaction reported aside from fatigue and arm pain. Client's mother did not report the reaction to her daughter's Pediatrician due to she was not aware of the dizziness. Client's mother is requesting for her daughter to receive the Pfizer Pediatric COVID vaccine 2nd dose. RN, submitted a medical consult via text to Vaccine Operations Lead and approval via text from Dr.  was obtained for client to receive Pfizer Pediatric COVID vaccine second dose. RN educated client's mother to have client stay 30 minutes after her Pfizer Pediatric COVID vaccine and educated on ER precautions and when to follow up with daughter's Pediatrician, if her daughter experiences the same symptoms. Client's mother verbalized understanding. Client received Pfizer Pediatric COVID vaccine second dose lot: FL0007 exp: 03/01/22.  Client completed 30 minutes observation with no adverse reactions and left facility at 4:39PM.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Non stop Headache Sore swollen arm Fever 100.4
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Computerised tomogram, Discomfort, Hypoaesthesia, Muscle spasms
Clinical narrative: 11/6 - left thigh becomes slightly numb - increases over next week 11/14 - 11/20 - lower back pain and cramping in left thigh - increasing discomfort through week 11/21 - pain in back escalates, along with severe cramps in left thigh 11/22 - Dr.  - prescribed Naproxin and Methylprednisone 11/22 - 11/27 - pain continues  11/28 - pain increases  11/29 - Dr. refers me to Hospital.  Admitted 9 pm. 12/2 - released from Hospital, prescribed oxycodone and prednizone, lidocane patches 12/3 - 12/28 pain and cramping continues, gradual attentuation of back pain, pain in thigh remains
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, X-ray
Clinical narrative: 11/6 - left thigh becomes slightly numb - increases over next week 11/14 - 11/20 - lower back pain and cramping in left thigh - increasing discomfort through week 11/21 - pain in back escalates, along with severe cramps in left thigh 11/22 - Dr.  - prescribed Naproxin and Methylprednisone 11/22 - 11/27 - pain continues  11/28 - pain increases  11/29 - Dr. refers me to Hospital.  Admitted 9 pm. 12/2 - released from Hospital, prescribed oxycodone and prednizone, lidocane patches 12/3 - 12/28 pain and cramping continues, gradual attentuation of back pain, pain in thigh remains
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Urticaria
Clinical narrative: Urticaria with dermatographia.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure abnormal, Dizziness, Dyspnoea, Heart rate increased
Clinical narrative: dizzling, high pulse rate, short in breathing, blood pressure not stable
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: NO ADVERSE EVENTS REPORTED, BUT VIAL USED TO GIVE VACCINE TO PATIENT SAT AT ROOM TEMPURATURE FOR 77 HOUR AFTER BEING PUNCTURED BEFORE BEING GIVEN TO PATIENT.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pruritus, Rash erythematous, Urticaria
Clinical narrative: At first, hives all over the body. There were welts which were very itchy. The hives would appear in one place, then after several hours disappear and then reappear someplace else. At the same time, red rashes would also appear and disappear, only to reappear elsewhere on the body. His entire body was effected including scalp, arms, faces, legs, and buttocks. The hives were very itchy and it was hard to control them and antihistamines didnt really work much. it has been 20 days since the hives started and at this point it has now become  the red rash that appears and disappears, there does not seem to be the hives anymore. Also, the entire time this was happening there was dermagraphia and there is still dermagraphia. Anything that rubbed the body leaves  red raised marks which linger for hours and finally disappear, only to reappear when the skin is rubbed one scraped in the least way.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Dyspnoea, Pneumonitis, Wheezing
Clinical narrative: I can't breath, My lungs swell up and then I would start wheezing and couldn't get any oxygen, I went to the hospital last week because I am not handling this asthma very well, I was prescribed Albuterol 90MCG as needed, Alvesco 160MCG 2 a day.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure orthostatic decreased, Blood test, Chills, Dizziness
Clinical narrative: First day after:  chills, fever, body aches, severe headaches and body pains (same as when I received second dose back in the spring).  But the next morning, and for 18 days since: fatigue, body weakness and brain fog 24 hours a day; intermittent mild headache, lightheadedness, rapid heartbeat, pressure in forehead, nausea; occasional bitter taste in mouth and muscle cramps.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Fatigue, Feeling abnormal, Head discomfort, Headache
Clinical narrative: First day after:  chills, fever, body aches, severe headaches and body pains (same as when I received second dose back in the spring).  But the next morning, and for 18 days since: fatigue, body weakness and brain fog 24 hours a day; intermittent mild headache, lightheadedness, rapid heartbeat, pressure in forehead, nausea; occasional bitter taste in mouth and muscle cramps.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Muscle spasms, Nausea, Pain, Pyrexia
Clinical narrative: First day after:  chills, fever, body aches, severe headaches and body pains (same as when I received second dose back in the spring).  But the next morning, and for 18 days since: fatigue, body weakness and brain fog 24 hours a day; intermittent mild headache, lightheadedness, rapid heartbeat, pressure in forehead, nausea; occasional bitter taste in mouth and muscle cramps.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Pain in extremity, Palpitations, Pyrexia
Clinical narrative: High palpitations and strong chest and neck  bones pain, fever, arm pain
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: A week after I have really bad hives and bad itching all over my body. I have a dr appointment tomorrow to check me out
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Rash, Urticaria
Clinical narrative: About 2 weeks after started having daily outbreaks of hives/rashes on various parts of the body with skin writing
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Rash
Clinical narrative: Patient felt weak and developed rash on chest.  Given benadryl and epinephrine where vaccine administered.  Sent to ER.  Observed.  No further reaction.  Discharged from ED
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: 01:55 PM: client feel light headed, has history of fainting with needle stick, client lay down on the floor. Legs elevated.   01:57 PM: Dr, EMS, site director present, pls at 54/min, sat at 99%, BP at 96/52.   02:02PM: client feel better, .   02:05PM:  106/46, pls at 52/min, SAT at 98%.  02:07 PM: client seat upwright, eat snack, feel better.  02:10PM:  113/60, pls at 63/min, SAT at 97%. client seating in chair.   02:12 PM:  client stand up but feel dizzy, lay down again.   02: 15 PM: 133/62, pls at 50/min, SAT at98%. 02:18 PM : seat upwright and eat snack.   02:20PM:  114/58,pls at 58/min and SAT at100%.  02: 22 PM: stand up < 127/87,pls at 70/min and SAT at 100%. client feel good and discharge by Dr.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Decreased appetite, Dyspnoea, Laboratory test, Sleep disorder
Clinical narrative: Body covered in hives, shortness of breathe, none of which is reactive to steroid injections or Benadryl. Legit thought I was going to die. Vomiting every time I tried to eat. Symptoms have lasted for days and there is no sign of relief. Cannot sleep.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria, Vaccination complication, Vomiting
Clinical narrative: Body covered in hives, shortness of breathe, none of which is reactive to steroid injections or Benadryl. Legit thought I was going to die. Vomiting every time I tried to eat. Symptoms have lasted for days and there is no sign of relief. Cannot sleep.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Decreased appetite, Fatigue, Gait disturbance
Clinical narrative: I woke up at 3 AM, about 12 hours after the vaccination, with shivers and leg pain.  My legs were shaking.   I had great difficulty walking to the bathroom - my legs were very weak, I had to lean on walls and furniture to get to bathroom. I never experienced something like this before in my entire life.  I got out of bed a few hours later and walked to the kitchen with difficulty and collapsed on the floor, where I stayed the entire next day.  I checked my temperature - first it was 100.6 and later it was 101.0 degrees. My legs were weak the entire day and  I could not eat much.  I slept on the kitchen floor for most of the day.  I slept OK the following night.  The next day I did not have a fever, but was very tired. I could not function in normal activity until late in the afternoon of the next day.  The vaccination prevented me from normal functioning for one and one half days.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Loss of personal independence in daily activities, Muscular weakness, Pain in extremity, Syncope, Tremor
Clinical narrative: I woke up at 3 AM, about 12 hours after the vaccination, with shivers and leg pain.  My legs were shaking.   I had great difficulty walking to the bathroom - my legs were very weak, I had to lean on walls and furniture to get to bathroom. I never experienced something like this before in my entire life.  I got out of bed a few hours later and walked to the kitchen with difficulty and collapsed on the floor, where I stayed the entire next day.  I checked my temperature - first it was 100.6 and later it was 101.0 degrees. My legs were weak the entire day and  I could not eat much.  I slept on the kitchen floor for most of the day.  I slept OK the following night.  The next day I did not have a fever, but was very tired. I could not function in normal activity until late in the afternoon of the next day.  The vaccination prevented me from normal functioning for one and one half days.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site warmth, Urticaria
Clinical narrative: Pt received 1st dose pediatric Pfizer COVID vaccine right deltoid @ 1653.   @ 1706 parent noted pt having new onset facial hives and injection site is red and warm-to-touch post vaccination. V/S 112/70 - HR 118 - 98.9 F - 20 - 99% SPO2 RA. Denies shortness of breath, chest pain, lip/tongue/throat swelling, dizziness, lightheadedness.   RRT notified @ 1714. MD and RN arrived @ 1716.  RN-to-RN/MD report given. MD administered PO Benadryl @ 1717.   @ 1717 HR 120 and SPO2 99%.   Per Dr. okay to discharge home from vaccine clinic. ED/911 precautions provided, mother verbally understanding.    @ 1726 V/S 108/55 - HR 112 - 99.2 F - 20 -100%.   Due to allergic reaction or adverse side effect, advised parent to consult PCP regarding 2nd dose vaccination. Parent verbally agreed with intent to comply.    Pt ambulated out of clinic with steady gait/balance @ 1729.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient was exposed to her boyfriend last on 12/19/21. Symptomatic with multiple symptoms since 12/22/21. Positive Covid test on 123/23/21. Isolated  x 10 days until 1/2/21. Patient to callback with f/u. Company aware.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: At 4:35 p.m. while in observation area, patient c/o feeling, dizzy. VS obtained: B/P 157/99 P 95 100%RA, feet elevated. Patient stated she hadn't eaten since noon, patient given water and crackers. VS obtained again at 4:40 p.m. B/P 158/107 P 93 100%RA. Daughter with patient and states b/p runs high at times. Patient stated she is feeling better. At 4:45 p.m., VS retaken B/P 145/97 P 79 100%RA. Patient stated she is feeling dizzy again. RRT called at 4:45 p.m. RRT arrived at 4:50 p.m. MD given verbal report and patient and daughter agreeable to go to ER for evaluation. Patient remained alert and verbal
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Patient was administered a second booster dose of Pfizer COVID-19 vaccine today, 12/28/21, after having already received his booster dose on 12/07/21. Patient was monitored for 15 minutes without any signs of adverse reactions.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Seizure
Clinical narrative: Pt reported to have 2 small seizures at approximately 6:20 P.M. Pt reported to be recovered per conversation 12/28/2021 at 4:30 p.m.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was administered 3 days outside of the BUD (while under refrigeration).  Error was discovered after administration.  Patient was notified and given further guidance. No adverse events reported at this time.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 15 year old patient inadvertently given pfizer COVID vaccine booster. Booster currently approved for age 16+
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest discomfort, Chest pain, Dyspnoea exertional, Fatigue
Clinical narrative: Received shot 11:45 am at 7:45 pm felt a tightness start from my left arm and felt like it reach across my chest. It felt like a blanket wrapped to tight around my chest and my throat. The symptoms persisted. I proceeded to the emergency room and was determined not to have a PE and was told to contact my PCP but if it got worse I could come back. Symptoms continued and contacted a cardiologist who got me into his clinic on the 21. At this point my symptoms were chest burning constantly right in the center, neck tightness, fatigue and taking deep breath even when walking in a pool. I am having a cardiology work up at this point.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Laboratory test normal, Muscle tightness, Musculoskeletal stiffness, Throat tightness
Clinical narrative: Received shot 11:45 am at 7:45 pm felt a tightness start from my left arm and felt like it reach across my chest. It felt like a blanket wrapped to tight around my chest and my throat. The symptoms persisted. I proceeded to the emergency room and was determined not to have a PE and was told to contact my PCP but if it got worse I could come back. Symptoms continued and contacted a cardiologist who got me into his clinic on the 21. At this point my symptoms were chest burning constantly right in the center, neck tightness, fatigue and taking deep breath even when walking in a pool. I am having a cardiology work up at this point.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Product administered to patient of inappropriate age
Clinical narrative: 15 year old patient inadvertently given pfizer COVID vaccine booster. Booster currently approved for age 16.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was administered 3 days outside of the BUD (while under refrigeration).  Error was discovered after administration.  Patient was notified and given further guidance. No adverse events reported at this time.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness transient, Confusional state, Erythema, Fall, Hyperhidrosis
Clinical narrative: Patient received his vaccine with no problems; he was extremely nervous and gripping his pants while getting the vaccine. He took two steps after getting his vaccine and passed out/ fell into his parents arms. His hands were very red and he was sweating profusely; he was confused about where he was and couldn't see anything. I fanned the patient and waited for paramedics to arrive;  they checked his blood pressure/ pulse rate and pulse oxi. No treatment was needed.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient received his vaccine with no problems; he was extremely nervous and gripping his pants while getting the vaccine. He took two steps after getting his vaccine and passed out/ fell into his parents arms. His hands were very red and he was sweating profusely; he was confused about where he was and couldn't see anything. I fanned the patient and waited for paramedics to arrive;  they checked his blood pressure/ pulse rate and pulse oxi. No treatment was needed.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia oral, Pruritus, Rash, Rash erythematous
Clinical narrative: began itching after shot and tingling in lips and mouth,  patient used benedryl, over period of week developed rash on both arms and back.   rash remains with redness, patient using benedryl, and topcial creams to address issue   Using Zyrtec, and Montelukast, provides relief for 12 hours or so, yet itching in groins also.  Cortaid cream, and soothing aloe gel.    Not Eczema, or psoriasis, not a food related issue either.   Seems consistent with other similar complaints online regarding booster shoot, where individuals are complaining about getting a rash, even up to two weeks after shot.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time normal, Contusion, Full blood count, International normalised ratio normal, Laboratory test
Clinical narrative: Received COVID-19 vaccine on 12/23/2021. Presented to my clinic on 12/28 after 2 day history of petechial rash and bruising on face trunk, arms and legs bilaterally.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Petechiae, Platelet count decreased, Prothrombin time normal
Clinical narrative: Received COVID-19 vaccine on 12/23/2021. Presented to my clinic on 12/28 after 2 day history of petechial rash and bruising on face trunk, arms and legs bilaterally.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotonia, Mobility decreased, Pain, Rotator cuff syndrome
Clinical narrative: My arm went limp for multiple days and then once I could move it again, I was in excruciating pain. I could not lift my arm over my head. I was diagnosed with a rotator cuff injury at the facility not long after.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Rash macular, Swelling
Clinical narrative: Full body rash, redness, spotty swelling, itchy.  After 2 weeks saw my doctor who prescribed prednizone.  Rash subsided and was mostly gone within a week.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Given a third vaccine or booster to a patient under 16 years old
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Dry eye, Eye pain, Fatigue, Feeling abnormal
Clinical narrative: Pfizer Covid vaccine lot EH9899 on 12/21/2020, 1430hrs   12/31/2020 1400-2200hrs: Ocular watering, itching, discomfort. No treatment. (no alcohol, no celebration, ill feeling) 01/01/2021, 0900 - 2230hrs: Fatigue, photophobia, headache 8/10 pain, clear nasal discharge. Profound feeling of something entering at cribriform plate. Frightening & disturbing. 01/02/2021 0030hrs: headache 4/10 pain, eyes feel dry / sore.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lacrimation increased, Malaise, Pain, Photophobia
Clinical narrative: Pfizer Covid vaccine lot EH9899 on 12/21/2020, 1430hrs   12/31/2020 1400-2200hrs: Ocular watering, itching, discomfort. No treatment. (no alcohol, no celebration, ill feeling) 01/01/2021, 0900 - 2230hrs: Fatigue, photophobia, headache 8/10 pain, clear nasal discharge. Profound feeling of something entering at cribriform plate. Frightening & disturbing. 01/02/2021 0030hrs: headache 4/10 pain, eyes feel dry / sore.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rhinorrhoea
Clinical narrative: Pfizer Covid vaccine lot EH9899 on 12/21/2020, 1430hrs   12/31/2020 1400-2200hrs: Ocular watering, itching, discomfort. No treatment. (no alcohol, no celebration, ill feeling) 01/01/2021, 0900 - 2230hrs: Fatigue, photophobia, headache 8/10 pain, clear nasal discharge. Profound feeling of something entering at cribriform plate. Frightening & disturbing. 01/02/2021 0030hrs: headache 4/10 pain, eyes feel dry / sore.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue
Clinical narrative: Extreme fatigue and soreness in joints on left side only, worst for the ankle, knee and hip. Ankle pain persisting the longest.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Heavy menstrual bleeding, Interchange of vaccine products, Intermenstrual bleeding
Clinical narrative: ABNORMALLY HEAVY MENSTRUAL BLEEDING: Spotting day after booster followed by very heavy menstrual bleeding and uterine pain/cramping. I am menopausal and have not bled since June 2021 (six months), which was light flow. I do not get regular periods anymore.  At present I am using a super tampon every two hours - crime scene levels of blood, mild backache, fatigue.  My previous vaccines were Moderna. Had significant side effects - upper arms swelling and redness, brain fog, muscle aches, fatigue for at least five days. I travel frequently and had lots of Covid tests, all negative. Switched to Pfizer for booster for hopefully less downtime. Overall I feel better than after Moderna, but the bleeding is rather alarming but probably not dangerous.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Uterine pain, Uterine spasm
Clinical narrative: ABNORMALLY HEAVY MENSTRUAL BLEEDING: Spotting day after booster followed by very heavy menstrual bleeding and uterine pain/cramping. I am menopausal and have not bled since June 2021 (six months), which was light flow. I do not get regular periods anymore.  At present I am using a super tampon every two hours - crime scene levels of blood, mild backache, fatigue.  My previous vaccines were Moderna. Had significant side effects - upper arms swelling and redness, brain fog, muscle aches, fatigue for at least five days. I travel frequently and had lots of Covid tests, all negative. Switched to Pfizer for booster for hopefully less downtime. Overall I feel better than after Moderna, but the bleeding is rather alarming but probably not dangerous.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: Pt was given vaccine and asked to wait 15 min. After patient was seated in waiting area around 5 minutes after receiving vaccine she began to vomit and felt lightheaded. Her father did confirm during this that she has had a history of anxiety after vaccines and this has occurred previously with other vaccines. Patient was given a coke to drink and an icepack while being monitored by our staff. We will follow-up with family tomorrow to make sure patient is doing okay.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No Adverse event. Error in giving vaccine.  Vaccine was given after 6 hours of puncture of vial and had expired for over 30 minutes.  Spoke with Janssen manufacturer and also CDC guidelines no data available for vaccine stability and will revaccinate patient asap.  Patient was contacted and explained situation, appt. was made for patient to return for revaccination.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Cholelithiasis, Ultrasound abdomen abnormal
Clinical narrative: I had severe right upper quadrant abdominal pain on the evening of the vaccination 2/11/21.    Ultrasound the next day showed gallstones.  Previously asymptomatic and undiagnosed.  I continued to have pain for several days and made an initial appointment with a gastroenterologist at the recomendation of my internist.  I could not be seen until June of 2021.  My pain continued sporadically until May when it stopped.  By the time I saw the gastroenterologist in June I was asymptomatic.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Amylase increased, Lipase increased, Pancreatitis acute
Clinical narrative: Abdominal pain beginning the night of Sunday December 19. Didn?t go away with any type of OTC painkiller. Was diagnosed with acute pancreatitis.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation, Limb discomfort, Loss of personal independence in daily activities, Magnetic resonance imaging abnormal, Pain
Clinical narrative: Woke up December 11th unable to bare weight or touch left foot. Purple spots. Inflammation. Hospitalizations. Still discolored in foot and up leg now. Wheelchair bound,unable to attend school or daily functions. Tremendous amounts of pain and had IV antibiotics and pain management involved at local hospital. Is covid toes possible?
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Skin discolouration, Weight bearing difficulty, Wheelchair user
Clinical narrative: Woke up December 11th unable to bare weight or touch left foot. Purple spots. Inflammation. Hospitalizations. Still discolored in foot and up leg now. Wheelchair bound,unable to attend school or daily functions. Tremendous amounts of pain and had IV antibiotics and pain management involved at local hospital. Is covid toes possible?
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: GAVE BOOSTER DOSE TO PATIENT OF 15 YEARS. BOOSTER NOT APPROVED FOR PATIENTS <16 YO AT THE MOMENT. patient observed for 15 minutes without adverse reactions. went home with mother and has not reported problems since. patient told to call pharmacy if observe adverse reactions
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Blood lactic acid, Blood magnesium, C-reactive protein, COVID-19
Clinical narrative: Contracted COVID after being fully vaccinated and boosted. Fever, Shortness of Breath, Cough, anorexia, fevers.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Cough, Decreased appetite, Dyspnoea, Fibrin D dimer
Clinical narrative: Contracted COVID after being fully vaccinated and boosted. Fever, Shortness of Breath, Cough, anorexia, fevers.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Haemoglobin, Inflammatory marker test, Lipase, Metabolic function test
Clinical narrative: Contracted COVID after being fully vaccinated and boosted. Fever, Shortness of Breath, Cough, anorexia, fevers.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Troponin, Urine analysis
Clinical narrative: Contracted COVID after being fully vaccinated and boosted. Fever, Shortness of Breath, Cough, anorexia, fevers.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Positive airway pressure therapy
Clinical narrative: Patient hospitalized on 10/23/21 with COVID infection, and previously received Pfizer COVID vaccine ( doses reported on 2/24/2021 and 2/3/2021, but no lot number or other information available). Patient came to the emergency department complaining of shortness of breath.  He had previously been diagnosed with Covid-19.  He was treated with remdesivir, dexamethasone.  He was admitted to the progressive care unit.  He was started on BiPAP.  He has not shown significant improvement.  He had worsening oxygen requirement.  Critical care was consulted.  Patient was made DNR.  Patient decided on comfort care.  BiPAP was discontinued.  Patient expired at 1622 on 11/17/2021.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Fatigue, Pain
Clinical narrative: Fever, chills, stomach upset, cramping, diarrhea, fatigue, body aches
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Vaccine positive rechallenge
Clinical narrative: Fever, chills, stomach upset, cramping, diarrhea, fatigue, body aches
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: Tested Postive for Covid-19, has bad cough.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Headache, Nausea, Pain, Respiratory tract congestion
Clinical narrative: headache, body aches, cough, congestion, nausea. starting 12/27/21
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site paraesthesia, Pain in extremity, Rash macular
Clinical narrative: Patient complained of tingling and a sore left arm at the vaccination area extending down to his finger tips. He had red blotching on his chest and right arm. Vitals taken: HR: 90; SpO2: 98% RA; BP: 120/80; non-labored breathing; chest sounded clear (bilateral). 911 was called. Emergency team responded. Signs and symptoms started to diminish. The mother refused additional treatment or transport to the hospital. She signed a patient refusal of treatment & transport form. He left with his mother without further incident.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Muscular weakness
Clinical narrative: 37 Y.O. W/M HAD DIZZINESS AND WEAKNESS IN THE LOWER EXTREMITIES. PATIENT HAS A HISTORY OF SYNCOPE AFTER RECEIVING INJECTIONS. 911/AMR WAS CALLED. VITALS WERE TAKEN BP: 140/70; HR: 59; SPO2: 98% RA; COAX4; CHEST SOUNDS: CLEAR BI-LATERAL. UPON AMBULANCE ARRIVAL, PATIENT WAS CHECKED BY AMR PERSONELL. PATIENT REFUSED FURTHER TREATMENT.  PATIENT SIGNED A PATIENT TREATMENT & TRANSPORT REFUSAL FORM.  PATIENT WAS ADVISED TO CALL 911 SHOULD THE REACTION RETURN. PATIENT LEFT ON HIS OWN ACCORD.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Drooling, Facial pain
Clinical narrative: No pain at injection site or anything until day 3, then after day 3 starting having issues. Burning pain, ringing, numbness in my right ear. Pain, numbness, tightness in my face. head, neck. Drooling on right side of my mouth, numbness at the back of my throat. Large lymphatic reaction around my collar bone (right side). Extreme exhaustion, body aches, hot/cold feeling running down my spine. After over 2 plus months my face/jaw are still very numb, ear is still sensitive and I can't sleep on my right side.  I then caught COVID, three weeks after the vaccine and got very sick with COVID.  Body aches, awful chills, cough, fever and was in bed for about a week.  My insurance will not pay for any treatment as there is no FDA approved treatment for this issue. All treatment has been 100% out of pocket and is expensive.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling of body temperature change, Hypoaesthesia, Pain, Pharyngeal hypoaesthesia
Clinical narrative: No pain at injection site or anything until day 3, then after day 3 starting having issues. Burning pain, ringing, numbness in my right ear. Pain, numbness, tightness in my face. head, neck. Drooling on right side of my mouth, numbness at the back of my throat. Large lymphatic reaction around my collar bone (right side). Extreme exhaustion, body aches, hot/cold feeling running down my spine. After over 2 plus months my face/jaw are still very numb, ear is still sensitive and I can't sleep on my right side.  I then caught COVID, three weeks after the vaccine and got very sick with COVID.  Body aches, awful chills, cough, fever and was in bed for about a week.  My insurance will not pay for any treatment as there is no FDA approved treatment for this issue. All treatment has been 100% out of pocket and is expensive.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder, Tinnitus
Clinical narrative: No pain at injection site or anything until day 3, then after day 3 starting having issues. Burning pain, ringing, numbness in my right ear. Pain, numbness, tightness in my face. head, neck. Drooling on right side of my mouth, numbness at the back of my throat. Large lymphatic reaction around my collar bone (right side). Extreme exhaustion, body aches, hot/cold feeling running down my spine. After over 2 plus months my face/jaw are still very numb, ear is still sensitive and I can't sleep on my right side.  I then caught COVID, three weeks after the vaccine and got very sick with COVID.  Body aches, awful chills, cough, fever and was in bed for about a week.  My insurance will not pay for any treatment as there is no FDA approved treatment for this issue. All treatment has been 100% out of pocket and is expensive.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Headache, Nausea, Neck pain, Pain in extremity
Clinical narrative: Got the vaccine around 2:00 PM. Woke up about 13 hrs. later at 3AM with severe shaking, headache, nausea, weakness, sore arm, no fever. At 6AM I began to have intermittent pain on the right side of my neck just above the shoulder. Also had fever of 102°. I then took two extra strength tylenol. Symptoms resolved a few hours later.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia, Tremor
Clinical narrative: Got the vaccine around 2:00 PM. Woke up about 13 hrs. later at 3AM with severe shaking, headache, nausea, weakness, sore arm, no fever. At 6AM I began to have intermittent pain on the right side of my neck just above the shoulder. Also had fever of 102°. I then took two extra strength tylenol. Symptoms resolved a few hours later.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: 2 hours after Pfizer covid19 vaccine given my ears started ringing. It is constant non stop 24 hours a day everyday.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: cold symptoms- cough, congestion