chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Headache, Hypoaesthesia, Paraesthesia, Peripheral coldness
Clinical narrative: Urge to have bowel movement. Abdominal cramping. Numbness and tingling of hands. Feeling of cold hands.   Patient was observed in the observation area post receiving COVID-19 Moderna Vaccine (dose 1). After about 5 minutes, patient was noted to have headache and other reactions.  She first developed developed  episode of bowel movement (urgent) with brief abdominal cramping sensation and shortly afterwards had numbness and tingling of fingers, and persistent feeling of cold hands though not cold to touch.  Denies chest pain, SOB, abdominal pain, cough, fevers, chills, palpitations, headache, nausea or vomiting.  No other complaints.   Patient was given a bottle of water to drink. She was taken to the observation room. Was instructed to perform ROM exercises of the shoulders and wrists. The movement of the upper extremities did not bring any relief. She was instructed to put her jacket on and to place her hands between her thighs to ameliorate the sensation of cold hands. Given her symptoms were not improving with these conservative measures and observation, she was encouraged to take a dose of Benadryl tablets which she brought with her. She took 50 mg Benadryl with water. The symptoms were not improving, but also not worsening. Her hands felt less cold when they were under the thighs but felt cold again shortly after withdrawing them. Patient practiced deep breathing exercises.  She was observed from about 12:55pm until  1:33pm. Patient carries prednisone around for instances of "allergic reactions" though she really hasn't had typical allergic IgE type reactions to the medications listed in her allergy list. Historically prednisone has brought some relief. She has never had a reaction to an injected vaccine in the past.  Patient was encouraged to take prednisone in the next 1-2 hours if still not feeling better given it has helped her in the past, but patient was informed it could impact the efficacy of the vaccination. She was instructed to discuss with allergist prior to getting 2nd Moderna Vaccination dose about whether a repeat dose would be needed or if pre-treatment of any sort should happen prior to 2nd dose.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rectal tenesmus
Clinical narrative: Urge to have bowel movement. Abdominal cramping. Numbness and tingling of hands. Feeling of cold hands.   Patient was observed in the observation area post receiving COVID-19 Moderna Vaccine (dose 1). After about 5 minutes, patient was noted to have headache and other reactions.  She first developed developed  episode of bowel movement (urgent) with brief abdominal cramping sensation and shortly afterwards had numbness and tingling of fingers, and persistent feeling of cold hands though not cold to touch.  Denies chest pain, SOB, abdominal pain, cough, fevers, chills, palpitations, headache, nausea or vomiting.  No other complaints.   Patient was given a bottle of water to drink. She was taken to the observation room. Was instructed to perform ROM exercises of the shoulders and wrists. The movement of the upper extremities did not bring any relief. She was instructed to put her jacket on and to place her hands between her thighs to ameliorate the sensation of cold hands. Given her symptoms were not improving with these conservative measures and observation, she was encouraged to take a dose of Benadryl tablets which she brought with her. She took 50 mg Benadryl with water. The symptoms were not improving, but also not worsening. Her hands felt less cold when they were under the thighs but felt cold again shortly after withdrawing them. Patient practiced deep breathing exercises.  She was observed from about 12:55pm until  1:33pm. Patient carries prednisone around for instances of "allergic reactions" though she really hasn't had typical allergic IgE type reactions to the medications listed in her allergy list. Historically prednisone has brought some relief. She has never had a reaction to an injected vaccine in the past.  Patient was encouraged to take prednisone in the next 1-2 hours if still not feeling better given it has helped her in the past, but patient was informed it could impact the efficacy of the vaccination. She was instructed to discuss with allergist prior to getting 2nd Moderna Vaccination dose about whether a repeat dose would be needed or if pre-treatment of any sort should happen prior to 2nd dose.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Visual impairment
Clinical narrative: Patient was nervous and shortly after injection reported that she had vision changes and got diaphoretic.  While assisting the pt into a reclining position she briefly lost consciousness; total duration 3-5 seconds.  She regained consciousness immediately once she was flat and her feet were elevated.  I monitored her blood several times and it was normal.  Over the course of 30-40 minutes she recovered and left the pharmacy.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Injection site rash, Rash erythematous
Clinical narrative: Large rash at injection site. The rash was red, hot, and hard and grew in size for approximately 24 hours. It slowly decreased in size over the next 5 days.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Thrombosis, Ultrasound scan
Clinical narrative: Pain in bilateral lower extremities that started after 1st dose of COVID vaccine. US completed on 4/16/21 showed superficial blood clot in right leg. Treatment included: warm compresses, taking ibuprofen 600 mg with food three times daily, and elevation of your right lower extremity. Outcome: unknown.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: There was not an adverse reaction.  The patient was 17 years old when they received their first Moderna vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient filled out paperwork that stated ?Pfizer-BioNTech Vaccination? consent. Patient told Moderna was no longer given at this facility. Patient handed vaccination card and told to double check correct spelling of name and birthday. Patient told she would be getting a Pfizer vaccine. Patient received the vaccine with no issues. Patient came back about 5 minutes later stating ?I had Moderna the first time and received the Pfizer shot this time.? Gave patient card back and reported to this website and job site.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: While entering dose into WIR, Health Department staff found that the patient had already completed a full series of Moderna in Feb/March despite indicating she hadn't on her vaccine administration form. This means the dose she received on 4/20/2021 was the 3rd she had received.   Staff was vaccinating at an independent apartment and when interacting with the individual had no reason to believe she wasn't lucid, trustworthy.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no adverse events. pt was given vaccine and is not quite 18 yrs old yet
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Oropharyngeal pain
Clinical narrative: Fatigue, sore throat
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test, Colitis ischaemic, Colonoscopy, Computerised tomogram
Clinical narrative: Adverse event: Ischemic Colitis most likely from a blood clot Symptoms: stomach pain -> severe diarrhea -> diarrhea of only blood, no stool for 24 hrs Symptoms began Saturday after vaccination (which was administered Thursday afternoon) Treatment: hospitalization, steroids, antibiotics
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea haemorrhagic, Thrombosis
Clinical narrative: Adverse event: Ischemic Colitis most likely from a blood clot Symptoms: stomach pain -> severe diarrhea -> diarrhea of only blood, no stool for 24 hrs Symptoms began Saturday after vaccination (which was administered Thursday afternoon) Treatment: hospitalization, steroids, antibiotics
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal
Clinical narrative: " Brain Fog" No Respiratory Distress No rash
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebellar stroke, Magnetic resonance imaging head abnormal
Clinical narrative: patient received 1st Moderna vaccine 3/12/21,  2nd Moderna  vaccine 04/09/2021,  admitted for cerebellar stroke on 04/16/2021
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Discomfort, Facial paralysis, Full blood count, Preauricular cyst
Clinical narrative: Patient developed pain in R preauricular area on the day following vaccine. Discomfort continued and on the following day patient noted mild droop of R side of face, decreased blinking of R eyelid. Diagnosed with Bell's Palsy, treated with prednisone 60mg for 5 days, then 40mg for 5 days. Patient undergoing  ongoing treatment.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Injection site became painful, hot to the touch, swollen, and itchy.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Bilevel positive airway pressure, Endotracheal intubation, Intensive care, Pulse absent, Respiratory arrest
Clinical narrative: PATIENT EXPERIENCED RESPIRATORY ARREST REQUIRING BIPAP AND ADMISSION TO ICU AT LOCAL HOSPITAL ONE DAY FOLLOWING VACCINE ADMINISTRATION. PATIENT LOST PULSE UPON ARRIVAL TO HOSPITAL AND REQUIRED ALGORITHM TO BE INITIATED WITH INTUBATION.
Age: 67.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal pain upper, Asthenia, Blood test, Computerised tomogram, Constipation
Clinical narrative: Very bad leftside  pain ,stomach pain, vomiting, diarrhea ,fever, weakness, fatigue, lack of appetite constipation. This happened 2 weeks after the shot still going experiance systems. Blood in stool
Age: 67.0
Sex: M
Vaccine: UNK
Symptoms: Decreased appetite, Diarrhoea, Fatigue, Haematochezia, Pain
Clinical narrative: Very bad leftside  pain ,stomach pain, vomiting, diarrhea ,fever, weakness, fatigue, lack of appetite constipation. This happened 2 weeks after the shot still going experiance systems. Blood in stool
Age: 67.0
Sex: M
Vaccine: UNK
Symptoms: Pyrexia, Urine analysis, Vomiting
Clinical narrative: Very bad leftside  pain ,stomach pain, vomiting, diarrhea ,fever, weakness, fatigue, lack of appetite constipation. This happened 2 weeks after the shot still going experiance systems. Blood in stool
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Lymph nodes swelling and pain around the armpit (only left side). It subsided after 3 days. Did not seek medical treatment.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure during pregnancy, Fatigue, SARS-CoV-2 antibody test positive, SARS-CoV-2 test positive
Clinical narrative: I had one day of mild fatigue after the shot. I gave birth to my baby April 12. When I was at the hospital I tested positive for COVID. I wanted to report that. I had no symptoms. My second pregnancy - 2nd live birth with this birth. Estimated due date was April 16, 2021.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Enlarged uvula, Rash, Swelling face
Clinical narrative: Rash on forehead, cheeks, chin, beneath chin, neck, chest, back, stomach, left arm.  Swelling on face, swelling of uvula.  Benadryl taken on 04/17/2021.  Emergency room visit on 04/18/21, due to the swelling.  Benadryl and steroid as treatment given at hospital and prescribed for 3 days.  Symptoms decrease with treatment.  Evidence of rash still present at treatment end.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Fibrin D dimer increased, Pulmonary embolism, Pulmonary infarction
Clinical narrative: Bilateral pulmonary Embolisms with pulmonary infarcts
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles on left hip, lower torso left side, and upper left leg
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Candida infection, Dry mouth, Glossodynia, Mouth ulceration, Oral pain
Clinical narrative: Patient reported a swollen tongue, sores/ulcers in her mouth and under her tongue, symptoms consistent with thrush (all improved within a few weeks), and dry mouth symptoms that had never occurred before that are still on going.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Patient reported a swollen tongue, sores/ulcers in her mouth and under her tongue, symptoms consistent with thrush (all improved within a few weeks), and dry mouth symptoms that had never occurred before that are still on going.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: No s/s of adverse reactions noted.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles from 4/11 to present
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Ageusia, Anosmia, COVID-19, Cough
Clinical narrative: Two months after second COVID-19 vaccine developed-fatigue, cough, headache, abdominal pain, and loss of smell and taste. Patient in isolation now til 4/22/2021.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, SARS-CoV-2 test positive
Clinical narrative: Two months after second COVID-19 vaccine developed-fatigue, cough, headache, abdominal pain, and loss of smell and taste. Patient in isolation now til 4/22/2021.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Pruritus, Rash, Rash erythematous
Clinical narrative: Pain underneath arm getting worse after 4 days. On day 5 after shot was given a rash formed under arm and spreading to chest. Itchy and prickly task. Raised and red in appearance.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular
Clinical narrative: Pain underneath arm getting worse after 4 days. On day 5 after shot was given a rash formed under arm and spreading to chest. Itchy and prickly task. Raised and red in appearance.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient had trouble breathing. He almost called 911 but took rescue inhalers for his asthma which has been stable since 1/25/2019. He was able to stay conscious and restore breathing and then followed up with his PCP here at  Medical Clinic.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: There was not an adverse reaction.  The patient was 17 when they received the Modena vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: None.  Vaccination of a minor.  No side effects from vaccine.  Parents advocated for his vaccine to occur.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: Patient experienced chest tightness, shortness of breath and dizziness.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache
Clinical narrative: Day after 2nd injection extremely sore right shoulder.  Extreme headache.  Very fatiqued for two days.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Headache, Venogram normal
Clinical narrative: Severe headache that persisted for  10 days following vaccine.  CT Venogram was negative for sinus thrombosis.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, Anticoagulant therapy, Arteriogram coronary normal, Chest pain, Echocardiogram abnormal
Clinical narrative: 8 hours after 2nd pfizer covid vaccination. Fever 101.3 , chest pain with diaphoresis, trended troponins to a nadir of 19.0. EKG changes with ST changes in 3 non-contiguous leads. Initially treated for an NSTEMI with heparin. Transitioned to colchicine and ibuprofen for myocarditis.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ejection fraction, Electrocardiogram, Hyperhidrosis, Myocarditis, Pyrexia
Clinical narrative: 8 hours after 2nd pfizer covid vaccination. Fever 101.3 , chest pain with diaphoresis, trended troponins to a nadir of 19.0. EKG changes with ST changes in 3 non-contiguous leads. Initially treated for an NSTEMI with heparin. Transitioned to colchicine and ibuprofen for myocarditis.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Troponin
Clinical narrative: 8 hours after 2nd pfizer covid vaccination. Fever 101.3 , chest pain with diaphoresis, trended troponins to a nadir of 19.0. EKG changes with ST changes in 3 non-contiguous leads. Initially treated for an NSTEMI with heparin. Transitioned to colchicine and ibuprofen for myocarditis.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arteriogram coronary normal, Echocardiogram abnormal, Left ventricular dysfunction, Myocarditis, Troponin increased
Clinical narrative: 8 hours after 2nd pfizer covid vaccination. Fever 101.3 , chest pain with diaphoresis, trended troponins to a nadir of 19.0. EKG changes with ST changes in 3 non-contiguous leads. Initially treated for an NSTEMI with heparin. Transitioned to colchicine and ibuprofen for myocarditis.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Electrocardiogram, Electrocardiogram ST segment elevation, Myocarditis
Clinical narrative: 8 hours after 2nd pfizer covid vaccination. Fever 101.3 , chest pain with diaphoresis, trended troponins to a nadir of 19.0. EKG changes with ST changes in 3 non-contiguous leads. Initially treated for an NSTEMI with heparin. Transitioned to colchicine and ibuprofen for myocarditis.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test, Troponin, Troponin increased
Clinical narrative: 8 hours after 2nd pfizer covid vaccination. Fever 101.3 , chest pain with diaphoresis, trended troponins to a nadir of 19.0. EKG changes with ST changes in 3 non-contiguous leads. Initially treated for an NSTEMI with heparin. Transitioned to colchicine and ibuprofen for myocarditis.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Fatigue, Feeling abnormal, Headache
Clinical narrative: 4/19/20/21- vertigo, nausea, vomiting, headache, head fog, abdominal pain, fatigue, chills, low grade fever - Meclizine and Advil 4/22/2021- headache and head fog - Meclizine and Advil
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vertigo, Vomiting
Clinical narrative: 4/19/20/21- vertigo, nausea, vomiting, headache, head fog, abdominal pain, fatigue, chills, low grade fever - Meclizine and Advil 4/22/2021- headache and head fog - Meclizine and Advil
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site hypoaesthesia, Injection site pain, Injection site paraesthesia, Pain in extremity
Clinical narrative: After waking from a nap I felt tingling/numbness going down from injection site to fingers. I was lying down on right side due to extreme pain in left arm. I started to massage my left arm and fingers and I regained feeling to my fingers, but the numbness feeling continues down my arm from injection site to about my wrist.  The pain is around the injection site but reaches as far down as mid bicep.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Limb mass, Magnetic resonance imaging, Oedema peripheral, Thrombophlebitis, Ultrasound scan
Clinical narrative: A day after my 2nd dose of Pfizer covid vaccine, I noticed a lump on my leg with a dent next to it.  I went to my dr.  They did an ultrasound and mri and discovered it was a thrombosed subcutaneous varix at the lateral aspect of the proximal leg with peripheral enhancement and mild surrounding subcutaneous edema consistent with thrombophlebitis.  Dr decided on no treatment since it didn?t pose a risk.  I didn?t think to report this event until a friend had the same thing happen after his 2nd dose of Pfizer vaccine.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Covid arm and sore swollen lymph node in left armpit. Started last night into this morning. Taking tylenol for pain from lymph node, benadryl for the covid arm. No insurance, so haven't seen a doctor.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 2 weeks after second injection I developed a severe case of hives.  Never had hives before and they lasted 6 days.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Heart rate increased, Pain
Clinical narrative: Evening vaccination was given she experienced chills, body aches, temp-102 and heart rate greater than 150 bpm. Symptoms pretty much resolved next day.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Deep vein thrombosis, Ultrasound scan
Clinical narrative: Extensive blood clot left leg
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Report of pain in arm radiating down to the wrist
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Post vaccination patient reports feeling light headed. Patient was transferred for observation. AT 1145am vitals BP 99/69 Pulse 65 R18 SPO2 99%. Patient is alert and verbally responsive vitals at 1150am P 70 BP 103/78 R 18. Responsive to verbal stimuli speech is clear. Fluids were given and tolerated. Vitals are stable and patient sits up independently and voiced improvement. Patient refused to be transfer to ERB for further evaluation. No other symptoms reported, patient was released from facility by self
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Migraine, Panic attack, Pyrexia
Clinical narrative: I felt like I just had the worst flu of my life. Migranes, fever, chills, and massive fatigue. I also had a panic attack.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Palpitations, Throat irritation, Throat tightness
Clinical narrative: Within 5-7 minutes after injection, throat started to close up and heart started to race (elevated from upper 60?s to about 135-140 - checked on Apple Watch).  Having reaction Reported to pharmacist who offered ambulance and inquired if I was anxious (wasn?t until my throat started to close). It didn?t close further but stayed very scratchy and uncomfortable, HR remained elevated 90?s ish). Finally one hour after shot, I purchased and took a dose of Benadryl which helped; at 530 PM took another dose of Benadryl as throat became increasingly scratchy /uncomfortable which again helped. Woke at 230 am finally feeling that reaction had passed. Pharmacist encouraged returning for next shot despite reaction. I participated in V-safe and reported reaction same day as vaccine. Researched on own to try and figure out 2nd dose or no as did not feel pharmacy was equipped for anaphylaxis. Finally called and spoke with Moderna on 4/5/21 and they indicated this was definitely an acute allergic reaction and should be reported to VAERS and 2nd dose was contraindicated     Spoke with pharmacist on 4/6 (date scheduled for 2nd dose - my husband was getting his 2nd dose) and she did not discourage 2nd dose but I elected to follow up with my allergy testing as recommended by CDC which is now pending
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Pain
Clinical narrative: experienced severe body aches, very painful and also stomach ache
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding
Clinical narrative: Received my 2nd dose of the Pfizer vaccination on April 20, 2021. About two hour after receiving my vaccine, my period began,  was gushing and clots.  I also had cramping.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: started off with itching- then redness and swelling at injection site. NOw more intense itching- will go and get benedryl OTC and cream and reck in 2 wks
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: No s/s of adverse reaction noted
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: 12:50pm- Patient with complaints of red blotchy areas that suddenly appeared on neck and bilateral upper arm region.  Denies itching to areas, and denies nausea, vomiting, or dizziness. B/P 137/101, HR 90, R 20 O2 sat 99%.  Offered rest break and water, and patient stated felt better after those measures. 1:10pm Patient states feels better, and advised Benadryl, and patient stated will self-administer at the house on return home since she is driving.  1:15pm- Patient released.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness
Clinical narrative: Minor stiffness.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Feeling hot, Loss of consciousness
Clinical narrative: Pt received dose on or at 1035 am.  At 10:40 he stated he felt hot and dizzy.  He proceeded to pass out and slide out of chair to floor for a couple of minutes. He was easily aroused. He was AAOx4. Voiced no pain or difficulty breathing. VS within normal limits. EMS contacted as precautionary measures. He was assessed and released by EMS to go home at 1110 am.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer, Blood test normal, Chills, Nasopharyngitis, Oral herpes
Clinical narrative: 3/19/21  2:30 am   Fever lasting aprox 3 days 3/30/21  8:00 pm  100.5 Fever & aches lasting 4 hours 3/31/21  7:30 pm  101.1  Fever & aches lasting 4 hours 4/1/21     2:00 am    Fever & Aches with EXTREME chills lasting 1 hr. 4/1/21  Cold sores and cankars lasting 1 week 4/10/21 very mild cold
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Urine analysis normal
Clinical narrative: 3/19/21  2:30 am   Fever lasting aprox 3 days 3/30/21  8:00 pm  100.5 Fever & aches lasting 4 hours 3/31/21  7:30 pm  101.1  Fever & aches lasting 4 hours 4/1/21     2:00 am    Fever & Aches with EXTREME chills lasting 1 hr. 4/1/21  Cold sores and cankars lasting 1 week 4/10/21 very mild cold
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea and vomiting
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Burning sensation, Herpes zoster, Rash
Clinical narrative: Shingles - I received the Pfizer vaccine on a Wednesday afternoon and by Monday I developed a rash and throughout nthe week it was a burning sensation and turned into blisters and went to the Doctor and she diagnosed me with shingles / herpes zoster
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Herpes zoster
Clinical narrative: I developed a mild case of shingles on the right side of my abdomen. It sometimes burns. It started around April 17th and is ongoing.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient experienced a syncopal episode post vaccination, recovered and released
Sex: M
Vaccine: UNK
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Swelling at injection site and heat at swelling
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Paraesthesia oral, Pruritus
Clinical narrative: at 10:57 pt. c/o mild tingling of the lips and tongue, itching of the left upper and lower extremities. Noted flushing on the face and neck. pt. denies any respiratory distress. 25mg Benadryl given via IM on the right deltoid. Rechecked pt. after 5 mins; stated feeling better. pt. stayed for additional 30 mins. after Benadryl was given. pt. symptoms were relieved; left under own power; driven home by partner.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: About 10 days after the shot in my left arm Developed a red itchy rash that was very hot to the touch it was probably 6 inches across and 4 inches wide.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cardio-respiratory arrest, Death, Posture abnormal
Clinical narrative: Resident was found kneeling over walker with face down in the bathtub right before 1700.  Code called and initiated.  Resident pronounced dead at 1721 by EMS.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Dyspnoea, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Pt admitted on 04/05/20 with SOB and altered mental status. Was given steroids and supportive care throughout admission and transitioned to comfort care on 04/09/2021 and passed away the next day.   Patient had received both doses of COVID vaccine and tested positive for COVID 41 days later
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Pt admitted on 04/05/20 with SOB and altered mental status. Was given steroids and supportive care throughout admission and transitioned to comfort care on 04/09/2021 and passed away the next day.   Patient had received both doses of COVID vaccine and tested positive for COVID 41 days later
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Fatigue, Pyrexia
Clinical narrative: Tiredness (sleep), loss of appetite (ate Jello), fever of 101 (Tylenol),  = day after injection and next day Diarrhea/very loose bowels (Immodium) = second day after injection
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Loss of personal independence in daily activities, Tic, Tourette's disorder
Clinical narrative: New onset verbal and motor tics 24 hrs after vaccine.  Query Tourettes - does meet diagnostic criteria - but had very very subtle symptoms prior to vaccine (noticble to patient but not to mother or provider). Post-vaccine with significant vocalizations, involuntary motor tics both very disruptive to daily life. Seeing specialists (neurology, psychiatry) now for treatment.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site inflammation, Injection site pruritus, Injection site rash
Clinical narrative: Injection site became itchy, inflamed, rash, about 2" in diameter. Resolved on it's own after 48 hours.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Chills, Diarrhoea, Fatigue, Feeling abnormal
Clinical narrative: Severe vomiting & diarrhea, body aches, chills, headache, fatigue, beginning 12 hours after dosage.  Vomiting and diarrhea lasted approximately 6 hours.  Body aches, headache and extreme fatigue lasted throughout day 2 after shot was administered.  Felt some relief by the evening of the second day, but still had some body achiness, considerable fatigue and brain fog.  By day 3 felt much improved, but depleted from the ordeal.  By day four was pretty much back to normal but still felt slightly foggy and weakened.  Improvement continued.  I have had some recent intestinal issues in the past two weeks, in the form of bloating and gas, and will follow-up with my physician if they do not improve.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Flatulence, Headache, Pain, Vomiting
Clinical narrative: Severe vomiting & diarrhea, body aches, chills, headache, fatigue, beginning 12 hours after dosage.  Vomiting and diarrhea lasted approximately 6 hours.  Body aches, headache and extreme fatigue lasted throughout day 2 after shot was administered.  Felt some relief by the evening of the second day, but still had some body achiness, considerable fatigue and brain fog.  By day 3 felt much improved, but depleted from the ordeal.  By day four was pretty much back to normal but still felt slightly foggy and weakened.  Improvement continued.  I have had some recent intestinal issues in the past two weeks, in the form of bloating and gas, and will follow-up with my physician if they do not improve.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Swelling, Swelling face
Clinical narrative: Numbeness in left hand, and fulness in neck, with 15 minutes later adding facial sensation in her left side of face. Waited in waiting area for about an hour, didnt get better hut dodnt get worse. Staff told her to go to urgent care to seek further treatment
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Ankle fracture, Fall, Magnetic resonance imaging normal, X-ray limb abnormal
Clinical narrative: Fall occurred 2/24/2021 (while getting out of the booth at restaurant, no prodrome). Received Moderna COVID shot #2 (day of fall preceeding the episode).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Nose bleed.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Asthenia, Back pain, Bone pain
Clinical narrative: Saturday beginning at 11:00 AM - Severe headache over entire head and neck, extreme joint and bone pain especially through my back, hips, pubic bone, and knees. The pain reminded me of pre-labor. By the time I reached the urgent care facility around 1:30PM, I was experiencing weakness, dizziness, and fainting, and fever around 102. I was also having trouble breathing but that was due to my anxiety and fear from pain. Urgent care sent me directly to the ER. I arrived at the ER around 2:30 PM. I feel like I waited in the waiting room forever crying out for help because "help me" was all that I could utter. I was finally treated with IV fluids, a few rounds of toradol, Phenergan, benedryl, steroid, morphine. I was also given a spinal tap and kept over night for pain management and observation.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram head, Crying, Dizziness, Dyspnoea
Clinical narrative: Saturday beginning at 11:00 AM - Severe headache over entire head and neck, extreme joint and bone pain especially through my back, hips, pubic bone, and knees. The pain reminded me of pre-labor. By the time I reached the urgent care facility around 1:30PM, I was experiencing weakness, dizziness, and fainting, and fever around 102. I was also having trouble breathing but that was due to my anxiety and fear from pain. Urgent care sent me directly to the ER. I arrived at the ER around 2:30 PM. I feel like I waited in the waiting room forever crying out for help because "help me" was all that I could utter. I was finally treated with IV fluids, a few rounds of toradol, Phenergan, benedryl, steroid, morphine. I was also given a spinal tap and kept over night for pain management and observation.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lumbar puncture, Pelvic pain, Pyrexia, Syncope
Clinical narrative: Saturday beginning at 11:00 AM - Severe headache over entire head and neck, extreme joint and bone pain especially through my back, hips, pubic bone, and knees. The pain reminded me of pre-labor. By the time I reached the urgent care facility around 1:30PM, I was experiencing weakness, dizziness, and fainting, and fever around 102. I was also having trouble breathing but that was due to my anxiety and fear from pain. Urgent care sent me directly to the ER. I arrived at the ER around 2:30 PM. I feel like I waited in the waiting room forever crying out for help because "help me" was all that I could utter. I was finally treated with IV fluids, a few rounds of toradol, Phenergan, benedryl, steroid, morphine. I was also given a spinal tap and kept over night for pain management and observation.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Fall, Feeling abnormal, Gait disturbance, Hypoaesthesia
Clinical narrative: Loss of balance, weakness in legs, difficulty walking up and down stairs (have actually fallen down stairs 2x?s) constant  numbness in hands, fingers, left thigh and left leg. Feel like I?m in a fog, body hurts all over more than ever, when rubbing leg it feels like a prickly sensation.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pain, Paraesthesia
Clinical narrative: Loss of balance, weakness in legs, difficulty walking up and down stairs (have actually fallen down stairs 2x?s) constant  numbness in hands, fingers, left thigh and left leg. Feel like I?m in a fog, body hurts all over more than ever, when rubbing leg it feels like a prickly sensation.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Respiratory arrest
Clinical narrative: A patient who is deaf passed out almost immediately after receiving 1st dose of Moderna while sitting in the vaccination chair. The vaccinating nurse called for help and a nearby vaccinating nurse came to the patient's side. The patient was not breathing and the charge nurse was called over. The charge nurse asked other nurses to call 911. The vaccinating nurse was performing sternal rub on the patient and he was coming in and out of consciousness. The emergency cot was moved to the patient and the patient was laid on it with his legs up and he regained consciousness. Vitals were taken at 1:53 PM B/P 149/79 HR 57 Temp 98.2 Resp 0 O2 96% and again at 2:03 pm B/P 128/76 HR 69 Resp 16 O2 98%. EMS arrived at 2:05 PM and the patient refused transport to the hospital with his husband serving as interpreter for EMS. Patient left with husband. His gait was steady and no further interventions were needed.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Substantial itch behind both ears. Still here today (4/21) but improved.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse reaction, Cold sweat, Fatigue, Hyperhidrosis, Hypoaesthesia
Clinical narrative: 4/21/2021 was observed post Covid-19 immunization for 30 minutes based on pre-vaccination screening .  During the observation period, he experienced an adverse reaction with the following symptoms:  nausea and tingling and numbness to cheeks and tongue/ c/o of tiredness.   Assessment : Time of assessment *1634. Alert and oriented, Tachycardia, Pallor, Diaphoretic, Clammy and Nausea.   Actions taken:  Vitals sign taken  VAERS form obtained and completed by RN. Water x 2 and 1 juice, VS taken at 1634- BP- 141/89, P- 110, O2- 98%, 1642, BP- 139/88, P- 102, O2- 100 %, 455pm, BP- 123/78, P- 97, O2- 100%, 514pm, BP- 123/81, P- 100, O2- 100%       Medications administered: Loratadine (Claritin) 10 mg  by mouth. Time: 1645. Administered by RN. Famotidine (Pepcid) 10 mg by mouth. Time: 1645. Administered by RN. Diphenhydramine (Benadryl) 12.5 ml (25 mg) by mouth. Time: x 2 doses at 1634 and 1645. Administered by RN.   Disposition: Reports no further symptoms of adverse reaction after observation for 60 minutes. Discharged home. The Patient was provided with Vaccine Information Sheet and instruction to access the V-Safe system.  Wife with patient.      Immunizations Administered    Name Date Dose VIS Date Route   Pfizer COVID-19 Vaccine 4/21/2021  4:16 PM 0.3 mL 2/25/2020 Intramuscular   Manufacturer: Pfizer, Inc   Lot: ER8735   NDC: 59267-1000-2          Electronically signed at 4/21/2021  5:33 PM  Immunization on 4/21/2021   Detailed Report  Note shared with patient
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Nausea, Pallor, Paraesthesia, Tachycardia
Clinical narrative: 4/21/2021 was observed post Covid-19 immunization for 30 minutes based on pre-vaccination screening .  During the observation period, he experienced an adverse reaction with the following symptoms:  nausea and tingling and numbness to cheeks and tongue/ c/o of tiredness.   Assessment : Time of assessment *1634. Alert and oriented, Tachycardia, Pallor, Diaphoretic, Clammy and Nausea.   Actions taken:  Vitals sign taken  VAERS form obtained and completed by RN. Water x 2 and 1 juice, VS taken at 1634- BP- 141/89, P- 110, O2- 98%, 1642, BP- 139/88, P- 102, O2- 100 %, 455pm, BP- 123/78, P- 97, O2- 100%, 514pm, BP- 123/81, P- 100, O2- 100%       Medications administered: Loratadine (Claritin) 10 mg  by mouth. Time: 1645. Administered by RN. Famotidine (Pepcid) 10 mg by mouth. Time: 1645. Administered by RN. Diphenhydramine (Benadryl) 12.5 ml (25 mg) by mouth. Time: x 2 doses at 1634 and 1645. Administered by RN.   Disposition: Reports no further symptoms of adverse reaction after observation for 60 minutes. Discharged home. The Patient was provided with Vaccine Information Sheet and instruction to access the V-Safe system.  Wife with patient.      Immunizations Administered    Name Date Dose VIS Date Route   Pfizer COVID-19 Vaccine 4/21/2021  4:16 PM 0.3 mL 2/25/2020 Intramuscular   Manufacturer: Pfizer, Inc   Lot: ER8735   NDC: 59267-1000-2          Electronically signed at 4/21/2021  5:33 PM  Immunization on 4/21/2021   Detailed Report  Note shared with patient
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Feeling abnormal, Headache, Pain
Clinical narrative: First 2 days after vaccine I had the expected slight sore arm, some minor headache, some muscle aches. Nothing major that kept me from working or sleeping. Some time after, maybe 3rd or 4th day, I noticed a shortness of breath. This I did not expect since it's not a listed side effect for the vaccine but it is one for Covid. I notice it everyday while sitting/working. It does not keep me from being active (running/yard work) but I notice I'm not 100% healthy feeling. It feels like  the shortness of breath is closer to the top of the chest/throat area if that makes any sense. If I breathe deeply it feels like I may want to cough although I don't usually cough from doing so. It's mostly just a constant feeling of a very slight shortness of breath.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: First 2 days after vaccine I had the expected slight sore arm, some minor headache, some muscle aches. Nothing major that kept me from working or sleeping. Some time after, maybe 3rd or 4th day, I noticed a shortness of breath. This I did not expect since it's not a listed side effect for the vaccine but it is one for Covid. I notice it everyday while sitting/working. It does not keep me from being active (running/yard work) but I notice I'm not 100% healthy feeling. It feels like  the shortness of breath is closer to the top of the chest/throat area if that makes any sense. If I breathe deeply it feels like I may want to cough although I don't usually cough from doing so. It's mostly just a constant feeling of a very slight shortness of breath.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Everything imaginable
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Mobility decreased, Muscular weakness
Clinical narrative: The patient's husband stated she woke up after receiving her second dose of the Moderna shot &  she couldn't move her fingers on left hand.  Also, she says her arm was very weak,  She called her doctor which preceded to tell her to go to the hospital. The patient arrived at  hospital & was admitted for 2 days.  Upon her discharge the doctors told her they believe she had a minor stroke. She starts rehab next week. I tried to reach out to patient several times about retrieving her current medication list but there was no answer.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash macular
Clinical narrative: stated itching last night(4/20/21), noticed red blotches the next morning and worsened throughout the day, worst of it was on the back and sides
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Hyperhidrosis, Pruritus, Urticaria
Clinical narrative: I received the vaccine and while I was still sitting talking with the person who administered the dose. no more than five mins later there was a rush of heat up my neck, over my face and then over my scalp. I immediately broke out into a sweat and said whoa.  A watcher commented that I went very red. The person administering the shot and another person put ice on the back of my neck. That was the only treatment needed at that time.  I did not have any difficulty breathing.  Starting 45/50mins after the injection I had mild hives on my face and back.  They were very mild but itchy.  I've had significant hives in the past.  these did not connect and were scattered; mild.  I took a benadryl and had my husband keep an eye on the situation.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Throat tightness
Clinical narrative: Patient c/o throat tightening and feeling itchy after COVID vaccine dose. Has had anaphylaxis before and the symptoms were similar.  Vitals stable. Administered diphenhydramine 50 mg IM right deltoid and extended monitoring for 30 min post- Rx
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Temperature excurssion of vaccine while trying to vaccinate homebound individuals VAccine deemed not properly stored but given to patients CDC notified, recommend repeat vaccination
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Fatigue, Nausea, Pain
Clinical narrative: Patient stating day after vaccine was administered began experiencing nausea and vomiting and body aches. 4/4/2021 patient states began to experience loss of appetite, fatigue and weakness. Described all food and beverage having an acidic taste. As of today, 4/21/2021 patient states symptoms are still persistent but seem to be subsiding.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder, Vomiting
Clinical narrative: Patient stating day after vaccine was administered began experiencing nausea and vomiting and body aches. 4/4/2021 patient states began to experience loss of appetite, fatigue and weakness. Described all food and beverage having an acidic taste. As of today, 4/21/2021 patient states symptoms are still persistent but seem to be subsiding.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: RIGHT SIDE OF FACE A LITTLE BIT SWOLLEN
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Axillary pain, Body temperature increased, Pain in extremity, Petechiae, Pruritus
Clinical narrative: She was vaccinated on 3/25 here at clinic with moderna (right arm) and had a fever that night, then the next day had hives on her neck with itching, then another elevated temp the third day, then on the 4th day she had pain in both arms and right axilla followed by petechiae that has spread down the right arm and some on the left; she says the petechiae is just now resolving.
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia, Urticaria
Clinical narrative: She was vaccinated on 3/25 here at clinic with moderna (right arm) and had a fever that night, then the next day had hives on her neck with itching, then another elevated temp the third day, then on the 4th day she had pain in both arms and right axilla followed by petechiae that has spread down the right arm and some on the left; she says the petechiae is just now resolving.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: The Pt reports central, dull and achey CP that began 5 minutes post 1st Pfizer vaccination to right deltoid. She rates the pain a 4/10 when it came on but a 2/10 upon evaluation. She denies radiation of the pain, nausea, SOB, lightheadedness, dizziness, or vision changes. Pt also denies swelling of the face, throat tightness, difficulty swallowing, or itching of the skin. The Pt has a Hx of CP in 2019 with resulting hypokalemia treated in the ER. She states that she was on a short course of K+ with frequent K+ monitoring but stopped being followed for this issue when her insurance changed. The Pt states that she has not had bloodwork or taken K+ supplements since late 2019. She does note a Hx of mild anxiety but denies taking any medications currently and states that her anxiety usually does not bring on CP. Pt reports food allergy to aspartame but no medication allergies.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: I developed shingles 2 weeks after the second dose of Pfizer vaccine
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Headache, Malaise
Clinical narrative: Woke up at 2am on 4/21 feeling ill. Almost threw up, stomach hurt, and felt like I was going to pass out. This is something that happens sometimes with my health issues. I think the second dose triggered my medical conditions and made me symptomatic. I haven?t had that happen in close to a year. Woke up around 11am on 4/21 with a bad headache, body pain, a sore arm, and feeling fatigued. Had to lay in bed until about 3pm when I finally started to feel a bit better.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity
Clinical narrative: Woke up at 2am on 4/21 feeling ill. Almost threw up, stomach hurt, and felt like I was going to pass out. This is something that happens sometimes with my health issues. I think the second dose triggered my medical conditions and made me symptomatic. I haven?t had that happen in close to a year. Woke up around 11am on 4/21 with a bad headache, body pain, a sore arm, and feeling fatigued. Had to lay in bed until about 3pm when I finally started to feel a bit better.