chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Electrocardiogram normal, Eye haemorrhage, Visual impairment
Clinical narrative: Issues with vision, went to eye doctor, referred to retina specialist. Hemorrhaging in the back of left eye. Appointment with pediatrician and pediatric Cardiologist. blood work and EKG done.  Follow up with retina doctor on 5/14/21
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Ataxia, Brain oedema, Cerebral haematoma, Cerebral mass effect
Clinical narrative: 64 yo M with PMHx HTN, HLD, Diverticulitis s/p sigmoid colectomy 6/2020, and Hep C who presented as a transfer from hospital due to acute onset R sided weakness with ICH found on CT scan. History taken from patient bedside. Around 8pm last night 4/27, patient felt acute onset of numbness and weakness to his right lower extremity as he was coming out of the shower. He then tried to sleep and had a restless night. He noticed ataxia with his right leg as he tried to walk around. In the morning, his right upper extremity became numb and weak as well and he decided to go to the ED. Upon arrival, CT Head showed "Acute hematoma of L Lateral thalamus 2 x 2.6cm with surrounding edema and mass effect".
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Haemorrhage intracranial, Hemiparesis, Hypoaesthesia, Muscular weakness
Clinical narrative: 64 yo M with PMHx HTN, HLD, Diverticulitis s/p sigmoid colectomy 6/2020, and Hep C who presented as a transfer from hospital due to acute onset R sided weakness with ICH found on CT scan. History taken from patient bedside. Around 8pm last night 4/27, patient felt acute onset of numbness and weakness to his right lower extremity as he was coming out of the shower. He then tried to sleep and had a restless night. He noticed ataxia with his right leg as he tried to walk around. In the morning, his right upper extremity became numb and weak as well and he decided to go to the ED. Upon arrival, CT Head showed "Acute hematoma of L Lateral thalamus 2 x 2.6cm with surrounding edema and mass effect".
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality sleep, Vertebral artery hypoplasia
Clinical narrative: 64 yo M with PMHx HTN, HLD, Diverticulitis s/p sigmoid colectomy 6/2020, and Hep C who presented as a transfer from hospital due to acute onset R sided weakness with ICH found on CT scan. History taken from patient bedside. Around 8pm last night 4/27, patient felt acute onset of numbness and weakness to his right lower extremity as he was coming out of the shower. He then tried to sleep and had a restless night. He noticed ataxia with his right leg as he tried to walk around. In the morning, his right upper extremity became numb and weak as well and he decided to go to the ED. Upon arrival, CT Head showed "Acute hematoma of L Lateral thalamus 2 x 2.6cm with surrounding edema and mass effect".
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Adverse Reaction Notes  Patient reported lightheadedness which subsided after 10 minutes. His vital signs are stable BP 110/65,HR 75,Resp19,02sat 99%.Patient left vaccination site ambulatory in stable condition.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Dyspnoea, Feeling hot, Flushing
Clinical narrative: Covid-19 vaccine given to patient @ 4pm on 5/10/21.  Patient started to feel hot within the 15 minute observation period.  She claimed she felt well and left coming back to the pharmacy immediately explaining "something was not right."  She had trouble breathing, hives, facial swelling, throat swelling, itching, flushing, shortness of breath, chest tightness, throat tightness, anxiety and sweating as well as tachycardia.  911 was called. Epi-pen was provided as recommended by 911 dispatch and per pharmacy  Immunization protocol.  Fire team arrived and gave the patient O2 and monitored stats. Emergency team arrived and took her to the Emergency room,
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pharyngeal swelling, Pruritus, Swelling face, Tachycardia
Clinical narrative: Covid-19 vaccine given to patient @ 4pm on 5/10/21.  Patient started to feel hot within the 15 minute observation period.  She claimed she felt well and left coming back to the pharmacy immediately explaining "something was not right."  She had trouble breathing, hives, facial swelling, throat swelling, itching, flushing, shortness of breath, chest tightness, throat tightness, anxiety and sweating as well as tachycardia.  911 was called. Epi-pen was provided as recommended by 911 dispatch and per pharmacy  Immunization protocol.  Fire team arrived and gave the patient O2 and monitored stats. Emergency team arrived and took her to the Emergency room,
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness, Urticaria
Clinical narrative: Covid-19 vaccine given to patient @ 4pm on 5/10/21.  Patient started to feel hot within the 15 minute observation period.  She claimed she felt well and left coming back to the pharmacy immediately explaining "something was not right."  She had trouble breathing, hives, facial swelling, throat swelling, itching, flushing, shortness of breath, chest tightness, throat tightness, anxiety and sweating as well as tachycardia.  911 was called. Epi-pen was provided as recommended by 911 dispatch and per pharmacy  Immunization protocol.  Fire team arrived and gave the patient O2 and monitored stats. Emergency team arrived and took her to the Emergency room,
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash at site of injection site
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood osmolarity decreased, Hyponatraemia, Multiple organ dysfunction syndrome, Systemic inflammatory response syndrome
Clinical narrative: R65.10 - Systemic inflammatory response syndrome (sirs) of non-infectious origin without acute organ dysfunction E87.1 - Hypo-osmolality and hyponatremia
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Blood test, Computerised tomogram, Renal artery thrombosis
Clinical narrative: Two weeks of abdominal discomfort, followed by onset of extreme abdominal pain  Followed by diagnosis of blood clot at kidney artery
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal discomfort, Anticoagulant therapy, Chest X-ray normal, Colonoscopy normal, Computerised tomogram head normal
Clinical narrative: Two weeks of abdominal discomfort, followed by onset of extreme abdominal pain  Followed by diagnosis of blood clot at kidney artery
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram normal, Endoscopy normal, Renal vascular thrombosis, Ultrasound abdomen abnormal
Clinical narrative: Two weeks of abdominal discomfort, followed by onset of extreme abdominal pain  Followed by diagnosis of blood clot at kidney artery
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Computerised tomogram, Renal artery thrombosis, SARS-CoV-2 test, Weight
Clinical narrative: Two weeks of abdominal discomfort, followed by onset of extreme abdominal pain  Followed by diagnosis of blood clot at kidney artery
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram abdomen, Computerised tomogram head, Dizziness, Headache
Clinical narrative: Sporadic nystagmus within days after 1st shot. 12 hours after second dose, dizziness started. Had  nystagmus and vertigo episodes for a week, then full vertigo at 2am for 9 hours, , vomiting could not keep in solid or liquid.  In ED for CT scans and medications.   After that, dizziness and severe headache for 1 week. Treated one week of meclazine. Sent to DPT for nystagmus. . After ~ 4 weeks, dizziness, headache,  and nystagmus still occur. Daily ibuprofen. occasional Dimenhydrinate. Can not work, on short term disability. Unknown if there will be permanent damage
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Nystagmus, Vertigo, Vomiting
Clinical narrative: Sporadic nystagmus within days after 1st shot. 12 hours after second dose, dizziness started. Had  nystagmus and vertigo episodes for a week, then full vertigo at 2am for 9 hours, , vomiting could not keep in solid or liquid.  In ED for CT scans and medications.   After that, dizziness and severe headache for 1 week. Treated one week of meclazine. Sent to DPT for nystagmus. . After ~ 4 weeks, dizziness, headache,  and nystagmus still occur. Daily ibuprofen. occasional Dimenhydrinate. Can not work, on short term disability. Unknown if there will be permanent damage
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest pain, Dizziness, Feeling hot
Clinical narrative: Patient received the shot. Within a few minutes he became light headed, chest pain, and was hot. We gave him a cold pack and water to drink. We checked his BP which was elevated. We contacted EMS, they advised us to give him four 81mg ASA.  The EMS came and evaluated him and he was feeling much better.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Erythema multiforme
Clinical narrative: Erythema Multiforme after both shots
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Pulmonary embolism
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Patient called and stated that she noticed a rash on her arm a couple of hours after her immunization.  It has started to spread and has become itchy.  We reccommended going to a Doctor to check out the reaction and to see if needs further treatment.  I did mention that she could take either Benadryl or Claritin to help on the way to the doctor
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Peripheral swelling
Clinical narrative: Let hand became stiff several hours after vaccination and knuckles on her left hand swelled to the point that she had difficulty bending fingers.  Swelling resolved in a few days.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal X-ray, Blood test, Cardiac stress test, Computerised tomogram head, Constipation
Clinical narrative: Headaches- Intense and consistently reoccurring-  most prominent at both temples on head and sometimes start on top of head, both sides all the way down the neck-  have had now for 3 months- started day after 2nd vaccine on 2/17/21  Constipation- started the week after 2nd vaccine (2/17/21) and had not resolved- have had to use stool softners, laxatives and now prescription (Linzess) to regulate  Orthostatic Hypotension-  Diagnosed on 4/25/21 after he fainted, lacerated his head and ended up in ER.  Fell one more time (4/27/21) and went to ER again.  Is now unable to stand more than 2-3 minutes before fainting.  Cardiologist ran heart stress test on 5/4/21 and we are awaiting results.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Headache, Orthostatic hypotension, Skin laceration
Clinical narrative: Headaches- Intense and consistently reoccurring-  most prominent at both temples on head and sometimes start on top of head, both sides all the way down the neck-  have had now for 3 months- started day after 2nd vaccine on 2/17/21  Constipation- started the week after 2nd vaccine (2/17/21) and had not resolved- have had to use stool softners, laxatives and now prescription (Linzess) to regulate  Orthostatic Hypotension-  Diagnosed on 4/25/21 after he fainted, lacerated his head and ended up in ER.  Fell one more time (4/27/21) and went to ER again.  Is now unable to stand more than 2-3 minutes before fainting.  Cardiologist ran heart stress test on 5/4/21 and we are awaiting results.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Urine analysis
Clinical narrative: Headaches- Intense and consistently reoccurring-  most prominent at both temples on head and sometimes start on top of head, both sides all the way down the neck-  have had now for 3 months- started day after 2nd vaccine on 2/17/21  Constipation- started the week after 2nd vaccine (2/17/21) and had not resolved- have had to use stool softners, laxatives and now prescription (Linzess) to regulate  Orthostatic Hypotension-  Diagnosed on 4/25/21 after he fainted, lacerated his head and ended up in ER.  Fell one more time (4/27/21) and went to ER again.  Is now unable to stand more than 2-3 minutes before fainting.  Cardiologist ran heart stress test on 5/4/21 and we are awaiting results.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The second dose was given 1 week early.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Hypotension, Loss of consciousness, Oxygen saturation decreased, Unresponsive to stimuli
Clinical narrative: VS Prior to vaccine- BP 112/74, Pulse 86, Resp 16, 99% RS.  12:05-Patient received her covid-19 vaccine and went back to waiting room.  Her son brought her back and said "Something isn't right". LVN, was in the room with patient.  Patient was unresponsive at this time.  One sternal rub was attempted without response.  Code blue was called.  2L NC placed, pulse ox 93% after placement. IV placed R AC with NS running to gravity per RN.  Patient slightly responded to 2nd sternal rub.  2nd IV was placed L AC by RN.  Dr. S and Dr. T was present in the room along with the code team.  Patient started to come to semiconsciously when EMS arrived.  At this time vitals were starting to stabilize.  Patient left in route to hospital.   BP 96/50, Pulse 68, 93% o2 sat, 141 blood sugar  when patient left per ambulance.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Pulmonary embolism
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Bradycardia, Hyperhidrosis, Hypotension, Syncope
Clinical narrative: Syncope, diaphoresis, hypotension, bradycardia.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt was inadvertently  given the first dose of the Moderna vaccine today. The Pt and father was informed.  Pt was monitored after administration with no reaction noted. Pt denies being in any distress, questions, concerns or needs. The Pt's father was present and notified. The father denies being upset, questions, concerns or needs. Pt and father verbalized understanding.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pain in extremity
Clinical narrative: pain in rt leg 5 days after vaccine
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: At the time of the vaccination both patient and patient guardian consented to patient being 16 and being eligible for the vaccination. However, patient ineligible because she is 15. Patient and patient guardian believed it would be ok to have vaccine administered since the patient was close to turning 16 years of age. Patient guardian signed consent.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Eye swelling, Pruritus, Swelling of eyelid
Clinical narrative: Woke up in middle of night with swollen eyes /bumps on eyelids and itchy redness on chest
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Injection site swelling, Musculoskeletal discomfort, Pain in extremity, Pyrexia
Clinical narrative: Client stated he felt he had a fever over the weekend but did not take his temperature. Swelling present in R upper arm down elbow and complaints of pain in right arm. Stated he can feels discomfort in his neck on the right side. Complaint that he has difficulty swallowing. Client sent to ER by APRN.  Client went to hospital.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate decreased, Heart rate increased, Lip swelling, Pruritus, Throat irritation
Clinical narrative: During 15 minutes post-monitoring period: Patient complained of facial itching, lip swelling, throat itching/tightness   Gave 50 mg Benadryl PO 945 am  Pulse ox at this time as 98% Still c/o worsening swelling of throat Patient administered her own EPI pen 950am Called 911 OMD advised and came to assist Pulse ox dropped 88% Administered 2L NC went up to 98% Heart rate 130 after EPI pen EMS arrived and took over
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness
Clinical narrative: During 15 minutes post-monitoring period: Patient complained of facial itching, lip swelling, throat itching/tightness   Gave 50 mg Benadryl PO 945 am  Pulse ox at this time as 98% Still c/o worsening swelling of throat Patient administered her own EPI pen 950am Called 911 OMD advised and came to assist Pulse ox dropped 88% Administered 2L NC went up to 98% Heart rate 130 after EPI pen EMS arrived and took over
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Chest discomfort, Intensive care, Lip swelling, Nausea
Clinical narrative: During 15 minutes post-monitoring period: Patient complained of facial itching, lip swelling, throat itching/tightness   Gave 50 mg Benadryl PO 945 am  Pulse ox at this time as 98% Still c/o worsening swelling of throat Patient administered her own EPI pen 950am Called 911 OMD advised and came to assist Pulse ox dropped 88% Administered 2L NC went up to 98% Heart rate 130 after EPI pen EMS arrived and took over
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oral mucosal eruption, Pharyngeal swelling, Pruritus, Rales, Rash
Clinical narrative: During 15 minutes post-monitoring period: Patient complained of facial itching, lip swelling, throat itching/tightness   Gave 50 mg Benadryl PO 945 am  Pulse ox at this time as 98% Still c/o worsening swelling of throat Patient administered her own EPI pen 950am Called 911 OMD advised and came to assist Pulse ox dropped 88% Administered 2L NC went up to 98% Heart rate 130 after EPI pen EMS arrived and took over
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory distress, Rhonchi, Stridor, Swelling face, Swollen tongue
Clinical narrative: During 15 minutes post-monitoring period: Patient complained of facial itching, lip swelling, throat itching/tightness   Gave 50 mg Benadryl PO 945 am  Pulse ox at this time as 98% Still c/o worsening swelling of throat Patient administered her own EPI pen 950am Called 911 OMD advised and came to assist Pulse ox dropped 88% Administered 2L NC went up to 98% Heart rate 130 after EPI pen EMS arrived and took over
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tachycardia, Throat irritation, Throat tightness, Urticaria, Wheezing
Clinical narrative: During 15 minutes post-monitoring period: Patient complained of facial itching, lip swelling, throat itching/tightness   Gave 50 mg Benadryl PO 945 am  Pulse ox at this time as 98% Still c/o worsening swelling of throat Patient administered her own EPI pen 950am Called 911 OMD advised and came to assist Pulse ox dropped 88% Administered 2L NC went up to 98% Heart rate 130 after EPI pen EMS arrived and took over
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Cerebral infarction
Clinical narrative: I63.9 - Cerebral infarction, unspecified N17.9 - Acute kidney failure, unspecified
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Dizziness, Feeling abnormal, Memory impairment, Mental impairment
Clinical narrative: Foggy head, memory lapses, difficulty recalling words, inability to focus, difficulty in concentrating, difficulty in remembering what I was doing, lightheaded, not thinking clearly (and causing small injuries as a result)
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Trigeminal neuralgia
Clinical narrative: This was the worsening of a chronic condition - my amount of Carbamazepine I was taking was increased. That failed to resolve the issue so another medication of Baclofen was added.  It has helped with my symptoms. I have surgery planned now for this. May 28th will be the date for that.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Diplopia, Dizziness, Hyperhidrosis, Pallor, Tinnitus
Clinical narrative: Client complained of dizziness, seeing double, and had ringing in his ears. He alerted the EMT at 1752. EMT supported the client in chair while other EMT grabbed zero gravity chair. RN came over to assess client. Client appeared pale and diaphoretic.  He was alert and oriented x3. When he felt comfortable enough to stand, he was transitioned into the zero gravity chair.  Vital signs were taken at 1802 (HR 70, O2 97%, Blood Pressure 106/66, RR 16). Client stated that he ate and drank water that day. He also stated "I fainted when my wife got her epidural." Vital signs taken at 1817 (HR 68, O2 98% blood pressure 110/58). Client was warm pink and dry.  Client advised to seek medical care if symptoms worsen. At 1825 client stated "I feel better." He left at 1825 unassisted with a steady gait.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: While in the recovery area, Patient was found on the floor by recovery RN. EMS immediately activated. Patient was turned onto her left side. BP 90/50, P98 and SpO2 98% room air. Fan held to face and cool compresses applied to face. Patient regained consciousness after approx 2 mins. BP 80/58, P105, SpO2 100% room air. Care transferred to EMS.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The second dose was given 2 weeks early from when he was suppose to get second dose.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Pneumonia, Thrombocytopenia
Clinical narrative: J18.9 - Pneumonia, unspecified organism N17.9 - Acute kidney failure, unspecified D69.6 - Thrombocytopenia, unspecified
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Wrong product administered
Clinical narrative: The patient arrived at the pharmacy the day we were administering the Moderna vaccine. Previously he had administered the first dose against covid 19 from Pfizer on April 1, 2021. The patient entered the pharmacy on April 21, 2021 requiring his second dose since 21 days had passed. After the event, we watched the patient for a long period to confirm that he did not present any side effects. It was confirmed with the CDC and they reported that there were no contraindications. The next day we call the patient and he told us that he felt very well.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Injection site reaction, No reaction on previous exposure to drug, Pruritus
Clinical narrative: large local reaction. Erythema warmth located 2-3 inch diameter surrounding where shot was given left deltoid. Started several hours after the vaccination and has continued now almost 2 months. Still pruritic.  She has some dyspnea and tachycardia associated.  Some response to topical steroids.  This was after the first injection, she tolerated second injection no problem.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: large local reaction. Erythema warmth located 2-3 inch diameter surrounding where shot was given left deltoid. Started several hours after the vaccination and has continued now almost 2 months. Still pruritic.  She has some dyspnea and tachycardia associated.  Some response to topical steroids.  This was after the first injection, she tolerated second injection no problem.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Nausea
Clinical narrative: Nausea
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain
Clinical narrative: Dose #1 - Injection was on Left Upper Arm - 1 day after injection, a raised red lump at the Injection site was visible, with pain and heat at the site. The following morning, a bruise was visible moving from the injection site toward my left armpit, approximately 1 inch high and 3 inches long, stretching from the injection site. This bruise was visible for over 3 weeks, although the pain from the injection site was significantly reduced within 3 days.   Dose #2 - No bruising was noted, nor was there significant pain at the injection site other than normal intramuscular injection-type soreness.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Injection site pain, Musculoskeletal stiffness
Clinical narrative: Patient received her first dose of the COVID Vaccine on 5/7/2021 She reports that she developed tenderness at the injection site 5/8/2021 5/10/21 she developed stiffness in her shoulder and neck that has continued, She has FROM. She reported that today she her nose and cheek felt "funny" Pt was unable to elaborate more on the feeling due to language barriers. She did not have any facial drooping and no numbness in extremities. Pt was referred to local urgent care to be evaluated today.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes virus test, Vaginal ulceration
Clinical narrative: awakening of dormant viruses in body, vaginal ulcers potentially Herpes virus after never having symptoms, never testing positive
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chest pain, Condition aggravated
Clinical narrative: Sore throat and COVID exposure Pneumonia due to COVID-19 virus Chest pain
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: Sore throat and COVID exposure Pneumonia due to COVID-19 virus Chest pain
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: Took the vaccine on a Tuesday. Since Saturday morning, have been having constant vertigo. Every few minutes, I feel dizzy (sometimes triggered by head movement) accompanied by a general sense of imbalance. I don't have any history this kind of dizziness before.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lymphadenopathy
Clinical narrative: -Severe Headache (lasted from 4/29-5/11) -Swollen Lymphnodes (lasted from 4/30-5/4) -Fatigue (ongoing)
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Syncope, Unresponsive to stimuli, Vomiting
Clinical narrative: Pt sat down after vaccine. Became dizzy with in 10 minutes. She briefly fainted where she was unresponsive. When she started responding she was very nauseous and vomitted. She stayed sitting and we provided gatorade. She was feeling better 30 minutes later and left the vaccine location
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: NSTEMI (non-ST elevated myocardial infarction)
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: Ulnar nerve neuropathy of LUE
Age: 29.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache
Clinical narrative: One week after initial vaccine injection, patient has had continuing headaches that do not stop.  Patients sts he has not taken any medication to alleviate px and has not seen his PCP.  Patient believes headaches are a normal part of his day now and is otherwise not impeded by the constant px.  Just wants documentation.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Sneezing, Wheezing
Clinical narrative: Extreme fatigue, coughing, sneezing, wheezing
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Altered sensation in throat.  No other sx.  Given Benadryl 25 mg with improvement.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Loss of personal independence in daily activities
Clinical narrative: Severe fatigue from date of shot until present time.  Unable to perform normal daily routines.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: Pt requested vaccine in right gluteus. Vaccine was administered in gluteus before information was given that it was not to be administered in the gluteus.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Headache, Malaise, Nausea
Clinical narrative: Was mildly sick approximately 36 hours after injection.  Experienced nausea, mild headache, backache, and fatigue for one entire day.  The following day I had a rash below the injection site (which was the right buttocks), and the rash was about 4" X 3", and lasted for three days.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Was mildly sick approximately 36 hours after injection.  Experienced nausea, mild headache, backache, and fatigue for one entire day.  The following day I had a rash below the injection site (which was the right buttocks), and the rash was about 4" X 3", and lasted for three days.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cold sweat, Rash
Clinical narrative: By the time she got to monitoring area in our drive through vaccine clinic she was complaining of chest tightness, rash, dizziness, and clammy. BP 140/80, HR 143, SPO2 100%. She was given Epi pen injection to right thigh and Benadryl 50mg IM at 15:55. At 16:01 she was given Albuterol MDI along with another Epi pen. 1610 BP 120/74 HR 109. EMS arrived shortly after this.  She has a past history of anyphalaxis to nuts and peanuts. She was transported via EMS to hospital in stable condition for ongoing monitoring and treatment.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Fear, Hallucination, Sensory disturbance
Clinical narrative: Individual reports about 14 hours after receiving vaccine at 2 a.m. she started to get a severe zinging followed by a pop in her head. She also reports hallucinations at this time of a cat running around her legs with a dogs head. She reports these things lasted for a couple of days. Denies any dizziness or being light headed. She reports she was so frightened she did not want to leave her home to seek medical attention. She reports after a couple of days the symptoms went away. Her friend recently told her she should have reported the symptoms so she made a call into us today.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Urticaria
Clinical narrative: A rash and hives that has spread day after day from legs to arms and feet and hands. The rash and hives are extremely uncomfortable and itchy.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Culture stool negative, Full blood count normal, Haematochezia, Red blood cell sedimentation rate increased
Clinical narrative: one episode of blood tinged stool after 1st vaccine then 3 days of bloody stool following second dose
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan, Unevaluable event
Clinical narrative: Venous Duplex LE Lefts
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebral haemorrhage
Clinical narrative: I61.9 - ICH (intracerebral hemorrhage)
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: The vaccine given to the patient experienced a temperature excursion at 48.4 degrees Fahrenheit on 5/10/21 at 7:05am. Due to this excursion the vaccine was expired at the time of administration. Patient reported no adverse effects as of the time this form was being filled out
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy
Clinical narrative: G51.0 - Bell's palsy
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia, Swollen tongue
Clinical narrative: Patient had vaccine, waited for 30 minutes for history of allergic reactions to insect bites. Patient left the site in an Uber and in transit took 50mg of Benadryl, after which started to develop mild swelling of the tongue and tingling in throat. She had the Uber driver bring her back to our location and informed us of the symptoms listed above, EMS was activated after which we administered 0.3mg of epinephrine and started an IV, and administered 20mg of famotidine. EMS arrived and transported the patient to the Emergency department.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pelvic venous thrombosis, Peripheral swelling, Vena cava thrombosis
Clinical narrative: legs started to swell soon after vaccine administration and steadily got worse
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Essential hypertension, Peripheral swelling
Clinical narrative: legs started to swell soon after vaccine administration and steadily got worse
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Cerebral infarction, Ischaemic stroke
Clinical narrative: I63.9 - Ischemic stroke  I63.9 - Cerebral infarction, unspecified I61.9 - Nontraumatic intracerebral hemorrhage, unspecified
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Biopsy, Erythema, Rash macular
Clinical narrative: I have small rush/spots (red, purple)all over my body since 4-13-21. I have no fever, pain or itchiness. Steroid for 5days from 4-23-21. Steroid cream since 5-7-21.  It still the same.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthralgia, Chills, Injection site erythema, Injection site swelling
Clinical narrative: Woke up to chills on early morning on 5/9, low grade fever, ache in joints, upset stomach.  This lasted until approximately 10:00 PM on 5/9.  Arm was very sore all day on the day of the vaccine and into the day of 5/9. On 5/11, I woke up to a large red swollen area where the shot had been given.  Arm is sore again.  Swelling around injection site
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Woke up to chills on early morning on 5/9, low grade fever, ache in joints, upset stomach.  This lasted until approximately 10:00 PM on 5/9.  Arm was very sore all day on the day of the vaccine and into the day of 5/9. On 5/11, I woke up to a large red swollen area where the shot had been given.  Arm is sore again.  Swelling around injection site
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: patient received vaccine 5/3/21. patient states she had no symptoms or issues until about Saturday 5/8/21. She states that she had started developing redness and swelling in the injection area on saturday. She said that it has not gotten worse since then, it is just still there. Patient was offered OTC remedies and directed to her doctor for further evaluation if symptoms continue or progress to make sure that the area is not infected
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Monoclonal antibody unconjugated therapy
Clinical narrative: Loss of taste; COVID 19 Monoclonal Antibody (MAB)
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Ear, nose and throat examination, Influenza, Nasal congestion, Oropharyngeal pain
Clinical narrative: Had 4 days of flu symptoms, followed by 3 days of sore throat/congestion and cough. Followed by severe tinnitus which is unresolved.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Had 4 days of flu symptoms, followed by 3 days of sore throat/congestion and cough. Followed by severe tinnitus which is unresolved.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: heavy period flow
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Subdural haemorrhage
Clinical narrative: I62.00 - Subdural hemorrhage (CMS/HCC)
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Blurry vision
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash macular, Urticaria
Clinical narrative: red dots, whelps and severe itching.  no relief for 6 weeks
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, Paraesthesia
Clinical narrative: About  three hours after  receiving vaccine, starting having twitching and tingling all over, went away  after two hours, then it returned a week later and it has lasted up until today    5/11/2021.
Age: 11.0
Sex: F
Vaccine: DTAP, HPV9, MNQ
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Sore arm and swollen
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Full body hives going from face to legs. Itchiness and redness at site of bumps. Lasted off and on for at least 24 hours beginning at 8 PM
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discolouration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Arm around the area of the shot about the size of a baseball a week a 2 days later swelled, turned hot, a was painful.  This lasted for about five days.  I did go back to Walgreens and asked them what to do; they told me to take Benadryl, put ice on it and go to the CDC website.  As of today, there is still discoloration of that area where the shot was so you know something happened.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hypersomnia, Hypokinesia, Muscle spasms
Clinical narrative: Fever of 101 degrees for 10+ hours, chills. Strong muscle cramps across lower back began 5 hours after injection + muscle cramps in neck & across both shoulders 6 hours after. Lasted about 4 hours. Cramping was so bad that movement wasn't easily possible. Severe fatigue caused me to sleep for 17 hours. Day 2 (5/6/2020) fatigue came back 4 hours after being awake but no fever (31 hours after injection). Day 3 mild fatigue but otherwise normal
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever of 101 degrees for 10+ hours, chills. Strong muscle cramps across lower back began 5 hours after injection + muscle cramps in neck & across both shoulders 6 hours after. Lasted about 4 hours. Cramping was so bad that movement wasn't easily possible. Severe fatigue caused me to sleep for 17 hours. Day 2 (5/6/2020) fatigue came back 4 hours after being awake but no fever (31 hours after injection). Day 3 mild fatigue but otherwise normal
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Hyperhidrosis, Injection site pain, Pain, Pruritus
Clinical narrative: within about 2 hours developed a large wheal on Right Deltoid.  About 2.5 inches in diameter, raised, hot, itchy, painful.   Next evening 5/8/21,  woke up in middle of night drenched  in sweat., fever, chills, pain at injection site. This lasted for a few hours and resolved with ibuprofen. As of 5/11/21, today, wheal on deltoid is no longer raised.  It has become more diffuse.  Remains itchy, but less painful. It appears to be resolving.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Skin warm, Urticaria
Clinical narrative: within about 2 hours developed a large wheal on Right Deltoid.  About 2.5 inches in diameter, raised, hot, itchy, painful.   Next evening 5/8/21,  woke up in middle of night drenched  in sweat., fever, chills, pain at injection site. This lasted for a few hours and resolved with ibuprofen. As of 5/11/21, today, wheal on deltoid is no longer raised.  It has become more diffuse.  Remains itchy, but less painful. It appears to be resolving.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: ACHING LEG PAIN. TAKING MOTRIN FOR PAIN.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Vaccination complication, Vaccine positive rechallenge
Clinical narrative: is a 56 year old female who has completed a 15-minute observation period with the following signs and symptoms of an adverse reaction: other - heart is racing like adrenaline rush episode post 1 minute vaccination. endorsed started on left hand then to the right hand. Denies weakness/numbness of hands, no dizziness, blurry vision, headache. No chest pain, SOB, tightness of throat. Had the same symptoms on first dose that went away after few minutes but didn't seek medical attention at that time. Denies anxiety. Patient is rushing to go home because she has another appointment at 10:30am. Physical exam unremarkable. Vital signs stable. Palpitations resolved after 3 minutes.  Sent home stable and in no distress. ED precautions given.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose decreased, Dizziness, Dyspnoea, Emotional distress, Feeling hot
Clinical narrative: Client had a J&J vaccine at 1327. He reported that he was having trouble breathing around 1333. He reported that he felt hot and sweaty and lightheaded. He appeared distressed. We called 911, then we provided a client with a cold pack. His pulse was 47 bpm and his spO2 was 97%. He continued to state that he was lightheaded so we had him lay down on the ground and take deep breaths. EMS arrived they collected his vitals which were WNL. His blood glucose was 71. He was warm and moist to the touch. EMS stayed with the client until 1350 at which point he had sat up and sat in the chair. He said he was definitely not having trouble breathing anymore and was feeling better. Provided client with a juice box and water. Client stayed onsite until 1410 at which point he said he felt comfortable leaving.  Client walked unassisted out of the clinic.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Skin warm
Clinical narrative: Client had a J&J vaccine at 1327. He reported that he was having trouble breathing around 1333. He reported that he felt hot and sweaty and lightheaded. He appeared distressed. We called 911, then we provided a client with a cold pack. His pulse was 47 bpm and his spO2 was 97%. He continued to state that he was lightheaded so we had him lay down on the ground and take deep breaths. EMS arrived they collected his vitals which were WNL. His blood glucose was 71. He was warm and moist to the touch. EMS stayed with the client until 1350 at which point he had sat up and sat in the chair. He said he was definitely not having trouble breathing anymore and was feeling better. Provided client with a juice box and water. Client stayed onsite until 1410 at which point he said he felt comfortable leaving.  Client walked unassisted out of the clinic.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Pt. c/o itchy palms and red areas on extremities.  Cetirizine 10 mg po given and pt. observed for additional 40 mins.  Partial resolution of symptoms.  Pt. refused to stay longer.  DC'd with instructions to call 911 if needed.  Verbalized understanding.  Temp 37.3, HR 66, BP159/95, O2 sat 97%
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Vertigo
Clinical narrative: My injection site in left muscle became very hard. Since the injection I experience vertigo every morning and often when I stand up.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blood prolactin increased, Electroencephalogram normal, Magnetic resonance imaging head normal, Pain in extremity, Seizure like phenomena
Clinical narrative: He got first Pfizer COVID shot March 3 with no problem.   He got second COVID shot March 24, sore arm at the time, but then early AM March 25 and also early AM March 26 he had what was suspected to be seizure (both times).  EEG, MRI are negative, but prolactin level is up, and the episodes were consistent with seizure.  He is now on Keppra, not having any more episodes.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Appendicitis
Clinical narrative: K35.80 - Acute appendicitis
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: Atrial Fibulation- that is still not resolved
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Urticaria
Clinical narrative: angioedema and urticaria
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypopnoea
Clinical narrative: Within 1 hour of injection: Light headedness (transient ~2 hours), shallow breathing (transient ~1-2 hours)
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Generalised tonic-clonic seizure, Heart rate increased, Hypotension, Seizure, Unresponsive to stimuli
Clinical narrative: Patient appeared to have 45-60 second seizure following first dose of Pfizer COVID-19 vaccine. Appeared to experience a tonic/clonic seizure. He was sitting in a chair, scheduling an appointment to receive his second COVID-19 vaccine and became unresponsive and stiff. Staff responded, patient was lowered to the floor for safety. Patient was turned on his side to maintain airway. O2 was take 97-99% on RA. Once rigidity had resolved, O2 was applies at 3L NC as a precaution once stiffness resolved. BP was taken, 83/59 and pulse 105 side laying. 5 min later, BP 109/73, pulse 106 supine. EMS was called, patient transferred to ambulance.  Patient was alert and oriented.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pfizer covid-19 vaccine was given 32 days after Moderna covid-19 vaccine was given
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiocardiogram, Blood test, Echocardiogram, Electrocardiogram ST segment elevation, Intensive care
Clinical narrative: Diagnosed myocarditis, ICU x 2 days
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Troponin
Clinical narrative: Diagnosed myocarditis, ICU x 2 days
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute left ventricular failure, C-reactive protein increased, Catheterisation cardiac normal, Chest pain, Echocardiogram abnormal
Clinical narrative: Diagnosed myocarditis, ICU x 2 days
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ejection fraction decreased, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Myocarditis, N-terminal prohormone brain natriuretic peptide increased
Clinical narrative: Diagnosed myocarditis, ICU x 2 days
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin I increased, Ventricular hypokinesia
Clinical narrative: Diagnosed myocarditis, ICU x 2 days
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ear pain, Herpes zoster, Lymphadenopathy, Rash
Clinical narrative: Patient reported left ear pain, swelling of lymph nodes anterior cervical area one week post second dose. Then developed painful rash on face- diagnosed with shingles of face and eyelid. Patient is being referred to ophthalmology for evaluation and treatment.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Pt arrived at COVID vaccination site for a second dose of Pfizer.  English was not the first language of the patient.  Per pt, Pt's first dose of Pfizer was given in another country.  Pt was administered 0.5ml of Moderna COVID-19 vaccine instead of 0.3ml of Pfizer COVID-19 vaccine for their second dose.  Pt had no adverse reaction to the vaccine.  Pt was informed of the error and informed of the CDC guidelines regarding Incorrect mRNA COVID-19 vaccine product administered for second dose in 2-dose series and that the dose does not need to be repeated.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Swelling face, Syncope, Visual impairment
Clinical narrative: pt found by ems crew incomapny of mother in vaccine booth after having recieved vaccine. pt appeared to have suffered a syncapo episode due to a vaso vagal response. pt mother had consented to all ems evaluation and treatment. pt was assessed on scene and pt wa then transfered to hall way for further evaluation. original vitals at vaccine booth was bp63/42 hr 46 rr 18 spo2 99 ra. pt had perspiration on forehead and pale skin and mild visual disturbances. pt improved once in hallw ay. vitals bp 87/59 hr 52 rr 18 spo2 99 RA. pt began to "feel better" PTs mother denied any allergies or pmhx. pt care was released and pt was escorted out of center by staff with mother
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Pneumonia
Clinical narrative: N17.9 - AKI (acute kidney injury) J18.9 - Pneumonia
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Syncope
Clinical narrative: Less than 5 minutes after vaccination, patient experienced syncope and fell from the chair she was waiting in.  She was feeling light-headed and dizzy and remained laying down until the paramedics took her to the hospital.  She did not lose consciousness.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient received 2 doses of Janssen product. No adverse events have been reported to the health department and contact information provided by patient is not working for re-connecting with the patient.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Fatigue, Feeling hot, Injection site pain
Clinical narrative: Fatigue, dehydration, pain at injection site  and muscle pain for 7 days after injection. Feeling of heat during injection at in arm.