chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Gait disturbance, Hypoaesthesia
Clinical narrative: 20 minutes after the vaccine my muscles started to become weak and painful. Throughout that day the pain, muscle weakness, fatigue, lethargy increased then the next morning I was not able to function. This NEVER went away. The pain in every muscle and joint has been so severe and debilitating as well as the fatigue and lethargy. It has been 7 weeks and I am still suffering severely. I have been on high doses of Ibuprofen first(by my doctor) and then high doses of Prednisone by my doctor which I have not been able to come off of. The pain is in all four extremities, shoulders, low back, and hips and is a joint pain, muscle pain, and a severe burning pain. I continue to be lethargic and fatigued unable to get through my work day and needing to lie down often. I was a very fit, active person and now cannot do any activities due to the pain and lethargy. My joints will also give out when I walk including my hips, knees, and ankles. There is numbness and tingling in my extremities, but more in the right arm and right leg. It will feel like there is a tourniquet around them cutting off all circulation.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Impaired work ability, Lethargy, Loss of personal independence in daily activities, Muscular weakness, Myalgia
Clinical narrative: 20 minutes after the vaccine my muscles started to become weak and painful. Throughout that day the pain, muscle weakness, fatigue, lethargy increased then the next morning I was not able to function. This NEVER went away. The pain in every muscle and joint has been so severe and debilitating as well as the fatigue and lethargy. It has been 7 weeks and I am still suffering severely. I have been on high doses of Ibuprofen first(by my doctor) and then high doses of Prednisone by my doctor which I have not been able to come off of. The pain is in all four extremities, shoulders, low back, and hips and is a joint pain, muscle pain, and a severe burning pain. I continue to be lethargic and fatigued unable to get through my work day and needing to lie down often. I was a very fit, active person and now cannot do any activities due to the pain and lethargy. My joints will also give out when I walk including my hips, knees, and ankles. There is numbness and tingling in my extremities, but more in the right arm and right leg. It will feel like there is a tourniquet around them cutting off all circulation.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia
Clinical narrative: 20 minutes after the vaccine my muscles started to become weak and painful. Throughout that day the pain, muscle weakness, fatigue, lethargy increased then the next morning I was not able to function. This NEVER went away. The pain in every muscle and joint has been so severe and debilitating as well as the fatigue and lethargy. It has been 7 weeks and I am still suffering severely. I have been on high doses of Ibuprofen first(by my doctor) and then high doses of Prednisone by my doctor which I have not been able to come off of. The pain is in all four extremities, shoulders, low back, and hips and is a joint pain, muscle pain, and a severe burning pain. I continue to be lethargic and fatigued unable to get through my work day and needing to lie down often. I was a very fit, active person and now cannot do any activities due to the pain and lethargy. My joints will also give out when I walk including my hips, knees, and ankles. There is numbness and tingling in my extremities, but more in the right arm and right leg. It will feel like there is a tourniquet around them cutting off all circulation.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Hypoaesthesia, Loss of personal independence in daily activities, Muscular weakness, Myalgia
Clinical narrative: 20 minutes after the vaccine my muscles started to become weak and painful. Throughout that day the pain, muscle weakness, fatigue, lethargy increased then the next morning I was not able to function. This NEVER went away. The pain in every muscle and joint has been so severe and debilitating as well as the fatigue and lethargy. It has been 7 weeks and I am still suffering severely. I have been on high doses of Ibuprofen first(by my doctor) and then high doses of Prednisone by my doctor which I have not been able to come off of. The pain is in all four extremities, shoulders, low back, and hips and is a joint pain, muscle pain, and a severe burning pain. I continue to be lethargic and fatigued unable to get through my work day and needing to lie down often. I was a very fit, active person and now cannot do any activities due to the pain and lethargy. My joints will also give out when I walk including my hips, knees, and ankles. There is numbness and tingling in my extremities, but more in the right arm and right leg. It will feel like there is a tourniquet around them cutting off all circulation.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neuralgia, Paraesthesia
Clinical narrative: 20 minutes after the vaccine my muscles started to become weak and painful. Throughout that day the pain, muscle weakness, fatigue, lethargy increased then the next morning I was not able to function. This NEVER went away. The pain in every muscle and joint has been so severe and debilitating as well as the fatigue and lethargy. It has been 7 weeks and I am still suffering severely. I have been on high doses of Ibuprofen first(by my doctor) and then high doses of Prednisone by my doctor which I have not been able to come off of. The pain is in all four extremities, shoulders, low back, and hips and is a joint pain, muscle pain, and a severe burning pain. I continue to be lethargic and fatigued unable to get through my work day and needing to lie down often. I was a very fit, active person and now cannot do any activities due to the pain and lethargy. My joints will also give out when I walk including my hips, knees, and ankles. There is numbness and tingling in my extremities, but more in the right arm and right leg. It will feel like there is a tourniquet around them cutting off all circulation.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Malaise, Pyrexia
Clinical narrative: Severe body malaise Joint pain Fever
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: Headache, nausea, low grade fever, muscle aches
Age: 33.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Headache, Pain in extremity
Clinical narrative: I was experiencing very severe fatigue and severe headache for first two days . I felt good couple days . I have leg pain over a week .
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Headache
Clinical narrative: headache, flushed feeling, cleared, pt. left site
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Blood creatinine normal, Chromaturia
Clinical narrative: Sore arm, headache x 2 days. Severe myalgias and Rhabdomyolysis developed after 5-6 days.  Briefly, 30 yo gentleman h/o bipolar disorder, opioid use disrder (on methadone), nicotine use disorder (vaping), recent Janssen COVID vaccination (about 1 week ago) who was admitted with a few hours of myalgias and dark urine, notable recent moderate exercise and over-ingestion of gabapentin. For Rhabdomyolysis: 4/16/2021: CPK peak 95,694; AST peak 779, ALT peak 282, Cr 1.0, Plt 279 Treated with aggressive IV hydration with improvement.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pain in extremity, Platelet count normal, Rhabdomyolysis
Clinical narrative: Sore arm, headache x 2 days. Severe myalgias and Rhabdomyolysis developed after 5-6 days.  Briefly, 30 yo gentleman h/o bipolar disorder, opioid use disrder (on methadone), nicotine use disorder (vaping), recent Janssen COVID vaccination (about 1 week ago) who was admitted with a few hours of myalgias and dark urine, notable recent moderate exercise and over-ingestion of gabapentin. For Rhabdomyolysis: 4/16/2021: CPK peak 95,694; AST peak 779, ALT peak 282, Cr 1.0, Plt 279 Treated with aggressive IV hydration with improvement.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Mobility decreased, Neck pain, Pain
Clinical narrative: Severe body pain causing patient to be bedridden 1 day after 2nd vaccine. Since then has had severe intermittent pain to lower and middle back, neck, and shoulders.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Hyperhidrosis, Hypersomnia
Clinical narrative: About 7 hours after the injection I woke up with intense chills.  I was awake for 6 hours in the night with intense chills, sweating, and a temperature of at least 102.  I was unable to take Tylenol until having the chills for 9 hours.  Tylenol helped.  I slept about 20 hours the first day with a fever all day.  I had a fever for about 24 hours.  The following week I was completely exhausted and slept about 12 hours a day.  I am 38 years old and this was the sickest I have been in probably 20 years.  It was bad and that's why I am reporting it.  I am very thankful to have had the vaccine though.  Thank you all for what you do!
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: About 7 hours after the injection I woke up with intense chills.  I was awake for 6 hours in the night with intense chills, sweating, and a temperature of at least 102.  I was unable to take Tylenol until having the chills for 9 hours.  Tylenol helped.  I slept about 20 hours the first day with a fever all day.  I had a fever for about 24 hours.  The following week I was completely exhausted and slept about 12 hours a day.  I am 38 years old and this was the sickest I have been in probably 20 years.  It was bad and that's why I am reporting it.  I am very thankful to have had the vaccine though.  Thank you all for what you do!
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: lightheaded, dizzy, cleared, pt. left site.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Vasovagal reaction
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Mobility decreased, Pain in extremity, Thrombosis, Ultrasound Doppler
Clinical narrative: I received vaccine doses on 2/16/21 and second on 3/16/21.  Trying to complete good deeds for Lent, I donated Plasma for the first and only time on 3/7/21.  On 3/8/21 my right calf starting seizing up and I was experiencing calf pain.  I was advised to do stretches and use a heating pad. It persisted for over a week and I went for a Doppler ultrasound scan on 3/17/21.  Blood clots were found.  The Plasma donation center screening led me to believe that they were concerned with other vaccines but not the Covid19 vaccine.  Writing report because I  think there is a possible connection to the blood clots, vaccine and plasma donation.  I had to "do nothing" for three weeks and have been placed on Eliquis, a blood thinner for four months.  Follow-up with Dr. for blood work and Doppler in July.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain
Clinical narrative: nausea, chills, aching
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lethargy, Myalgia, Pyrexia
Clinical narrative: Fever, chills, severe muscle pain, severe lethargy  I took Tylenol
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 3/20/2021 began experiencing intense itching, site had been sore from initial injection and resolved.  By 3/21/2021 was swelling hurting hot and itching, by 22nd was most of upper arm , hot very red, and painful.  Started triclinolone cream, and next day husband (MD) rx'd clindamycin oral.  By 4/1/2021 finally resolved.  Filling another report for second shot also had reaction.l
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: burning sensation in throat, cleared, pt. left site.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site swelling, Myalgia, Nausea
Clinical narrative: Chills night of, arm pain. Next day nausea,  fever, fatigue, muscle aches, arm pain, swelling of injection site.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Chills night of, arm pain. Next day nausea,  fever, fatigue, muscle aches, arm pain, swelling of injection site.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Palpitations, Restlessness
Clinical narrative: I started getting heart palpitations that night that haven't stopped. I couldn't sleep and all day the next day I have having chest pain, heart palpitations, and physical feeling of panic although mentally I was fine. it felt like I kept having adrenaline rushes
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Death, Fibrin D dimer increased, Pneumocystis jirovecii pneumonia, Pulmonary embolism
Clinical narrative: Patients First dose 01/13/2021 and second dose of Moderna Covid 19 vaccine was administered on February 11th.  Patient developed pulmonary embolism in both lungs and hospitalized February 25th.    Patient later developed PCP Pneumonia and died March 23rd.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Dehydration, Dizziness, Fatigue
Clinical narrative: Fevers, chills, vomiting, dizziness, headache, Extreme tiredness. Severe weakness
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Liver disorder, Nephropathy, Pyrexia, Vomiting
Clinical narrative: Fevers, chills, vomiting, dizziness, headache, Extreme tiredness. Severe weakness
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Influenza like illness, Pain in extremity
Clinical narrative: Flu-like symptoms which patient expected but also severe leg pain and loss of appetite.  Pt was advised to consult with physician who advised patient seek emergency help if issue persisted which it did not.  Patient's spouse reported symptom onset the morning after the vaccination
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: chest pain post baccine
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Vomiting
Clinical narrative: Fever, chills, body aches, headache, vomiting, Fluids and rest Symptoms subsided in 48 hours
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Bilevel positive airway pressure, Blood gases, Blood lactic acid, Brain natriuretic peptide normal, Chest X-ray normal
Clinical narrative: On day of second vaccination, she "felt like she got hit by truck" (typical reaction).  Over next two days she developed worsening shortness of breath with hypoxia, O2 sats down to 82-84% on room air at home.  On presentation to hospital, she is noted to have severe new bilateral diffuse ground glass opacities on CXR, leukocytosis of 15, no fever, no hypotension, negative lactate, negative BNP, no other organ failure.  No wheezes or edema on exam, no edema by CXR/CT, no PE by CT.  No cough, no phlegm.  She continues to have severe hypoxemic respiratory failure, on bipap, not yet intubated.  No vaping history, no THC history.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax normal, Dyspnoea, Feeling abnormal, Fibrin D dimer, Full blood count
Clinical narrative: On day of second vaccination, she "felt like she got hit by truck" (typical reaction).  Over next two days she developed worsening shortness of breath with hypoxia, O2 sats down to 82-84% on room air at home.  On presentation to hospital, she is noted to have severe new bilateral diffuse ground glass opacities on CXR, leukocytosis of 15, no fever, no hypotension, negative lactate, negative BNP, no other organ failure.  No wheezes or edema on exam, no edema by CXR/CT, no PE by CT.  No cough, no phlegm.  She continues to have severe hypoxemic respiratory failure, on bipap, not yet intubated.  No vaping history, no THC history.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fungal test, HIV test, Hypoxia, Laboratory test, Legionella test
Clinical narrative: On day of second vaccination, she "felt like she got hit by truck" (typical reaction).  Over next two days she developed worsening shortness of breath with hypoxia, O2 sats down to 82-84% on room air at home.  On presentation to hospital, she is noted to have severe new bilateral diffuse ground glass opacities on CXR, leukocytosis of 15, no fever, no hypotension, negative lactate, negative BNP, no other organ failure.  No wheezes or edema on exam, no edema by CXR/CT, no PE by CT.  No cough, no phlegm.  She continues to have severe hypoxemic respiratory failure, on bipap, not yet intubated.  No vaping history, no THC history.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Mycoplasma test, Procalcitonin, Respiratory failure, SARS-CoV-2 test negative
Clinical narrative: On day of second vaccination, she "felt like she got hit by truck" (typical reaction).  Over next two days she developed worsening shortness of breath with hypoxia, O2 sats down to 82-84% on room air at home.  On presentation to hospital, she is noted to have severe new bilateral diffuse ground glass opacities on CXR, leukocytosis of 15, no fever, no hypotension, negative lactate, negative BNP, no other organ failure.  No wheezes or edema on exam, no edema by CXR/CT, no PE by CT.  No cough, no phlegm.  She continues to have severe hypoxemic respiratory failure, on bipap, not yet intubated.  No vaping history, no THC history.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: On day of second vaccination, she "felt like she got hit by truck" (typical reaction).  Over next two days she developed worsening shortness of breath with hypoxia, O2 sats down to 82-84% on room air at home.  On presentation to hospital, she is noted to have severe new bilateral diffuse ground glass opacities on CXR, leukocytosis of 15, no fever, no hypotension, negative lactate, negative BNP, no other organ failure.  No wheezes or edema on exam, no edema by CXR/CT, no PE by CT.  No cough, no phlegm.  She continues to have severe hypoxemic respiratory failure, on bipap, not yet intubated.  No vaping history, no THC history.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: vasovagal reaction
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: please find attached document provided by spouse.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Anticoagulant therapy, Blood test abnormal, Chest X-ray, Chest discomfort
Clinical narrative: Bilateral pulmonary embolism (2). DVT in lower right leg.  Blood work upon entering the hospital (3/26/21 ~ 10 pm) indicated low platelet count  (177).  Heparin drip for 2 days then Xerelto until further notice.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Echocardiogram, Electrocardiogram, Feeling abnormal, Full blood count
Clinical narrative: Bilateral pulmonary embolism (2). DVT in lower right leg.  Blood work upon entering the hospital (3/26/21 ~ 10 pm) indicated low platelet count  (177).  Heparin drip for 2 days then Xerelto until further notice.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count decreased, Pulmonary embolism, Sleep disorder
Clinical narrative: Bilateral pulmonary embolism (2). DVT in lower right leg.  Blood work upon entering the hospital (3/26/21 ~ 10 pm) indicated low platelet count  (177).  Heparin drip for 2 days then Xerelto until further notice.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: 48 Hours after shot, hives and rash broke out on legs from mid thigh down. Itchy, raises bumps prevalent behind knees calves and ankles
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Headache, Hyperhidrosis, Nausea
Clinical narrative: 4/14/21-1am starts Fever, sweating, body ache, weakness,  intense head ache, nausea begin.  (Vomiting - once 3:30am) 4/15/21 1 am Symptoms Shift Still sweating, but headache is gone. Intense abdominal pain/throbbing  begins- no positions of comfort, etc. Nausea continues  6pm  Abdominal pain resolves, still nauseous, headache continues,  aggravated by movement of body or head, lights, etc.  4/16/21 Recent symptoms continue  4/17/21  11am, headache lessens , some mobility without aggravating  1:30 file report. No solid food consumed since 8:00 pm 4/13/21 due to nausea
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: 4/14/21-1am starts Fever, sweating, body ache, weakness,  intense head ache, nausea begin.  (Vomiting - once 3:30am) 4/15/21 1 am Symptoms Shift Still sweating, but headache is gone. Intense abdominal pain/throbbing  begins- no positions of comfort, etc. Nausea continues  6pm  Abdominal pain resolves, still nauseous, headache continues,  aggravated by movement of body or head, lights, etc.  4/16/21 Recent symptoms continue  4/17/21  11am, headache lessens , some mobility without aggravating  1:30 file report. No solid food consumed since 8:00 pm 4/13/21 due to nausea
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Chills, Headache, Herpes zoster, Myalgia
Clinical narrative: Shingles. And fever, chills, headache, back pain, muscle pain.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Shingles. And fever, chills, headache, back pain, muscle pain.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles. And fever, chills, headache, back pain, muscle pain.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Immediate post-injection reaction, Nausea, Tinnitus
Clinical narrative: MOMENTS AFTER VACCINE, REPORTED DIZZY, HEADACHE WITH TINNITUS, HAS HISTORY OF, AND NAUSEA. ARRIVED TO OBS, PLACED ON STRETCHER, STATES RELIEF, OFFERED WATER. VSS, NAUSEA WORSENED SO PATIENT SAT UP ON SIDE OF STRETCHER, DID NOT VOMIT, BREATHING EXERCISES REINFORCED, AND PATIENT TOOK OWN TYLENOL FOR HEADACHE. FELT MUCH BETTER AFTER SITTING ON SIDE OF BED FOR A FEW MINUTES. ESCORTED TO EXIT PER PATIENT REQUEST AS S/S RESOLVED, NO ISSUES, AT 1215; 1145 INITIAL BP 143/86 HR 67 RR 22 SATS 99% ON RA; 12P SITTING BP 156/93 HR 67 RR 18 SATS 99% ON RA; 1210 BP 149/84 HR 65 RR 18 SATS 99% ON RA
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysstasia, Gait disturbance
Clinical narrative: Dizziness beginning approximately 7 days after shot.  Dizziness resulted in difficulty standing up and moving around during normal activities for 24 hours so far.  Condition improved after 24 hours, but not fully returned to normal so far.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Device connection issue
Clinical narrative: The needle was not fully connected to the syringe, so when the syringe plunger was depressed, the dose spilled onto the patient's arm. Another 0.5 ml dose from the same vial was drawn up using a different syringe, as it did not appear that any of the initial dose was actually injected.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Pain
Clinical narrative: Fever, body aches, headache, swelling, fatigue, dizziness, weakness
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Swelling
Clinical narrative: Fever, body aches, headache, swelling, fatigue, dizziness, weakness
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Intermenstrual bleeding, Menstruation irregular
Clinical narrative: My period came 2 days early and quite heavy, next period came 3 days early and heavy.  One week after the last period described I have started spotting quite heavily but not a period.  Spotting now for 4 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema nodosum
Clinical narrative: Patient presented with multiple red tender nodules in all extremities consistent with erythema nodosum
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Injection site pain
Clinical narrative: Patient presented to the clinic c/o right arm soreness,  pain,  and weakness after Janssen vaccine, decreased RUE ROM, headaches, fatigue, weakness, nausea, vomiting x 1 episode, dizziness. Pt was recommended to have a COVID test on 04/15/2021 and resulted negative
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Muscular weakness, Nausea, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Patient presented to the clinic c/o right arm soreness,  pain,  and weakness after Janssen vaccine, decreased RUE ROM, headaches, fatigue, weakness, nausea, vomiting x 1 episode, dizziness. Pt was recommended to have a COVID test on 04/15/2021 and resulted negative
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Concussion, Fall, Fatigue, Injury, Loss of consciousness
Clinical narrative: Suddenly blacked out and fell; mild concussion and soft issue injuries to right side of body; extreme fatigue and nausea.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Suddenly blacked out and fell; mild concussion and soft issue injuries to right side of body; extreme fatigue and nausea.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Loss of consciousness, Pain, Pyrexia
Clinical narrative: By the first evening (Thursday), I had developed a low fever. Overnight, it rose to over 102, with shakes and body aches.  When I got up during the night to use the bathroom, I passed out twice (I have only fainted twice before in my life). The following day (Friday), I took Tylenol about 7:30 am, and my fever remained over 101 (101.4, 101.2, 101.1) all day. That evening it dropped to 100.4, and remained there overnight. Over the course of the next day (Saturday), it remained over 100 (100.4, 100.2, 100.1) until about 5:00 pm, when it dropped to 99, and then went away overnight.  On Sunday, I was exhausted, but felt okay by evening. I am still thrilled I got the vaccine.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Redness around the injection site, slightly warm to the touch. Noticed day 2 after the shot was taken but could have become red earlier, I just didn't notice it until then. Area is still red 3 days after shot.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Headache, Pain, Pyrexia
Clinical narrative: fevers, body aches headaches  first 24 hours  sob and chest pain - two weeks later.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: soreness around the injection site
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy
Clinical narrative: The lymph node in my left armpit swelled up and hurt quite a bit for about 24 hours. Other than that mild fatigue.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Symptoms were arm soreness at vaccination location, tiredness, headache, chills. Took tylenol which improved headache. Slept several hours which improved chills and tiredness.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Injection site pain, Nausea, Retching
Clinical narrative: Extreme (water-like) diahrrea, chills, nausea, dry-heeves, extremely sore right arm where shot was given. My shot was given on 4/16/2021 and these symptoms occured on the same day from 1p to 830p. I took a anti-diarrhea medicine. From 9p to about 4am (4/17/2021) I had nausea and extreme abdominal pain.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Fatigue, Headache, Oropharyngeal pain, Pain
Clinical narrative: Vomiting for hours, sore throat, stabbing pain near heart when breathing, severe headache, body aches, fever, fatigue
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Painful respiration, Pyrexia, Vomiting
Clinical narrative: Vomiting for hours, sore throat, stabbing pain near heart when breathing, severe headache, body aches, fever, fatigue
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Pyrexia
Clinical narrative: Flu like symptoms.  Fever 101.7
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Pt reported feeling dizzy immediately after administration of first dose. Pt lost consciousness while still seated. Supported in chair by administering nurse, then transported to w/c with assistance of on-site EMTs. Pt was unconscious for less than 15 sec. Pt was diaphoretic, "clammy." VS checked by EMTs and were WNL (BP 118/70, HR 73, SpO2 97% on room air). Pt had some water and rested while seated. Pt stated she did not tell administering nurse she has a hx of vasovagal response to injections. After 20 min of monitoring in observation, VS remained WNL. Pt was alert and responsive, verbalized that she was feeling fine. Pt was told to seek further treatment if symptoms return or if new symptoms develop. Pt verbalized understanding before leaving facility.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Wheelchair user
Clinical narrative: Pt reported feeling dizzy immediately after administration of first dose. Pt lost consciousness while still seated. Supported in chair by administering nurse, then transported to w/c with assistance of on-site EMTs. Pt was unconscious for less than 15 sec. Pt was diaphoretic, "clammy." VS checked by EMTs and were WNL (BP 118/70, HR 73, SpO2 97% on room air). Pt had some water and rested while seated. Pt stated she did not tell administering nurse she has a hx of vasovagal response to injections. After 20 min of monitoring in observation, VS remained WNL. Pt was alert and responsive, verbalized that she was feeling fine. Pt was told to seek further treatment if symptoms return or if new symptoms develop. Pt verbalized understanding before leaving facility.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity, Pyrexia
Clinical narrative: Extreme pain in arm that was injected.  Fever of 101 degrees. Joint pain. Symptoms lasted approximately 12 hours.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Depressed mood, Fatigue, Feeling abnormal, Hyporeflexia
Clinical narrative: Within 5 minutes after the injection I felt drugged, foggy headed, down in mood, a hum, buzz, tingling type feeling through out my body,  slowed down reactions and reflex?s, glad to know my husband was with me to drive me home. I didn?t feel confident after the injection to trust my reactions with driving. Which was totally unexpected to happen so soon. Later that evening had the usual chills and achiness. It?s now 2 days later and I?m still foggy headed and tired. None of this is life threatening but it could have been if I tried to drive. Which is my point in filling this out. No one mentioned this could happen so quickly.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological examination abnormal, Pain, Paraesthesia
Clinical narrative: Within 5 minutes after the injection I felt drugged, foggy headed, down in mood, a hum, buzz, tingling type feeling through out my body,  slowed down reactions and reflex?s, glad to know my husband was with me to drive me home. I didn?t feel confident after the injection to trust my reactions with driving. Which was totally unexpected to happen so soon. Later that evening had the usual chills and achiness. It?s now 2 days later and I?m still foggy headed and tired. None of this is life threatening but it could have been if I tried to drive. Which is my point in filling this out. No one mentioned this could happen so quickly.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: BROKE OUT WITH SHINGLES 11 DAYS AFTER VACCINATION (SHINGLES RASH STARTED 3/29/21)
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea
Clinical narrative: CC: DIZZY, INTERMITTENT SOB AND BURNING IN CHEST; BURNING IN CHEST RESOLVED AFTER 10 MIN; DIZZY AND SOB RESOLVED AFTER 30 MIN; EMT ON SCENE VSS; REFUSED HOSPITAL SENT HOME
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: 11 hr after vaccine I fainted
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: patient has swollen shoulder at injection site, hard, very warm to touch.  has been expanding since first vaccination
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Influenza like illness
Clinical narrative: Sudden onset extreme dizziness/vertigo. So severe and sudden I called 911 because I felt I might lose consciousness. Followed by nausea and violent vomiting. (EMT Vitals were all normal and they didn't think it was an allergic reaction this long after vaccine so I declined hospital ER visit.)  After several hours of severe dizziness I developed violent chills with heavy breathing that lasted 20 minutes then stopped.  Much improved after 24 hours but two days later I still have considerable dizziness. Headaches occurred Earlier in the week but none with onset of dizziness. Otherwise I experienced the typical fatique and flulike vaccine side effects with no pain at injection site about 2 days after vaccination that lasted several days.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo, Vomiting
Clinical narrative: Sudden onset extreme dizziness/vertigo. So severe and sudden I called 911 because I felt I might lose consciousness. Followed by nausea and violent vomiting. (EMT Vitals were all normal and they didn't think it was an allergic reaction this long after vaccine so I declined hospital ER visit.)  After several hours of severe dizziness I developed violent chills with heavy breathing that lasted 20 minutes then stopped.  Much improved after 24 hours but two days later I still have considerable dizziness. Headaches occurred Earlier in the week but none with onset of dizziness. Otherwise I experienced the typical fatique and flulike vaccine side effects with no pain at injection site about 2 days after vaccination that lasted several days.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Lumbar puncture, Paralysis
Clinical narrative: Patient experienced paralysis from the lower chest to toes 12 hours after vaccination.  She was taken by ambulance to the Hospital, then transferred to another Hospital.  She will now be transferred to the a Clinic.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac disorder, Chest pain, Disability, Dyspnoea, Electrocardiogram
Clinical narrative: Patient experienced paralysis from the lower chest to toes 12 hours after vaccination.  She was taken by ambulance to the Hospital, then transferred to another Hospital.  She will now be transferred to the a Clinic.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling cold, Hypoaesthesia, Muscular weakness, Paralysis
Clinical narrative: Patient experienced paralysis from the lower chest to toes 12 hours after vaccination.  She was taken by ambulance to the Hospital, then transferred to another Hospital.  She will now be transferred to the a Clinic.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: For 5 weeks , have had frequent and long lasting numbness and tingling across my nose and cheeks, and sometimes around my left eye. and forehead. This sensation can last for hours.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Pt became light headed and dizzy prior to a syncopal episode
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: PATIENT SAID AFTER FIRST SHOT, GOT ITCHY RASH AT INJECTION SITE THAT WENT AWAY IN A DAY OR SO.  WITHIN 10 MINUTES OF 2ND SHOT ARM STARTED TO "ITCH REALLY BAD" AT INJECTION SITE.  ADVISED PATIENT TO FILL OUT AGENCY REPORT AND USE HYDROCORTISONE CREAM AND CONTACT DOCTOR IF DID NOT GO AWAY OR HAD OTHER SYMPTOMS. PATIENT WAS STILL IN WAITING AREA AND DID NOT HAVE ANY OTHER SYMPTOMS.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chest pain, Computerised tomogram normal, Echocardiogram
Clinical narrative: Adverse:  Severe Chest, back & should pains. Chest pains come and going all day long on a scale of 3-8 in pain. Back pains correlate to the chest pains.   Should has always in pain around a 3-4  Been seen by the doctor on April 7th. and they performed two EKGs, two CT Scan and two Ultrasound scans and found nothing wrong with my heart.   Since April 4th until today April 17th the chest pains continue.  They get much worse when I lay down, so I have to sleep in a chair to lower the pain. Even while sleeping in a chair the pain comes and goes all night long.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Sleep disorder
Clinical narrative: Adverse:  Severe Chest, back & should pains. Chest pains come and going all day long on a scale of 3-8 in pain. Back pains correlate to the chest pains.   Should has always in pain around a 3-4  Been seen by the doctor on April 7th. and they performed two EKGs, two CT Scan and two Ultrasound scans and found nothing wrong with my heart.   Since April 4th until today April 17th the chest pains continue.  They get much worse when I lay down, so I have to sleep in a chair to lower the pain. Even while sleeping in a chair the pain comes and goes all night long.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Pruritus, Urticaria
Clinical narrative: About 48 hours after first vaccine dose I started feeling really itchy. Followed by large patches of hives showing up all over my body. Individual patches last about 10 minutes but the hives are continuous throughout the day. Also possibly related, experienced stabbing chest pain a couple times throughout the week.  Over 5 days after onset of hives, the severity and consistency has not decreased at all.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Loss of consciousness
Clinical narrative: Dizzy, lost consciousness for approximately 5seconds and fell to floor. Aroused alert x 4. Perrla. Refused transport to hospital.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue
Clinical narrative: Became weak and fatigued 18 hours after receiving 2nd Moderna vaccine. Around 24 hours later got dizzy. The dizziness has not subsided. I feel it thoughout the day on and off.  Nothing is helping
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Oedema peripheral, Pain in extremity, Swelling, Swelling face
Clinical narrative: Pain in arm swollen arm pit, neck , face,
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased
Clinical narrative: Patient reports he feels like he cannot get out of bed.  The symptoms started the evening of the vaccine and have continued through the reporting date (4/17/2021)
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Muscle rupture, Myalgia
Clinical narrative: 6 hours after :  chills, fever, fatigue Chronic:  mild ongoing headache,  back muscle pain, torn muscle in right calf.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 6 hours after :  chills, fever, fatigue Chronic:  mild ongoing headache,  back muscle pain, torn muscle in right calf.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discolouration, Injection site nodule, Oedema peripheral
Clinical narrative: knot under skin at injection site with discoloration to skin, this started happing three days after the shot. left leg and foot swollen,  tightness April 12,2021
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 15 year old  male vaccinated. Minor will not be 16 until 4-21-2021. He reports no side effects or adverse reactions to vaccine at this time.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis
Clinical narrative: DVT and PE
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Blood fibrinogen, Blood immunoglobulin A, Blood immunoglobulin M
Clinical narrative: The patient has acute vasculitis with biopsy + purpuric  leg rash, microcytic anemia, acute renal insufficiency with hematuria,  He has been responding to oral prednisone, tapering dose.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, Complement factor C3, Full blood count, Haematuria, Haemoglobin decreased
Clinical narrative: The patient has acute vasculitis with biopsy + purpuric  leg rash, microcytic anemia, acute renal insufficiency with hematuria,  He has been responding to oral prednisone, tapering dose.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell volume decreased, Metabolic function test, Microcytic anaemia, Platelet count normal, Purpura
Clinical narrative: The patient has acute vasculitis with biopsy + purpuric  leg rash, microcytic anemia, acute renal insufficiency with hematuria,  He has been responding to oral prednisone, tapering dose.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Red blood cells urine, Urinary casts, Urine analysis, Vasculitis
Clinical narrative: The patient has acute vasculitis with biopsy + purpuric  leg rash, microcytic anemia, acute renal insufficiency with hematuria,  He has been responding to oral prednisone, tapering dose.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal, White blood cells urine
Clinical narrative: The patient has acute vasculitis with biopsy + purpuric  leg rash, microcytic anemia, acute renal insufficiency with hematuria,  He has been responding to oral prednisone, tapering dose.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Migraine, Nausea, Pain
Clinical narrative: Fatigue starting at 6pm day of injection, followed shortly by chills and aches. 11pm chills and aches continued with a fever of 100 even after taking Tylenol. Nausea and vomiting continued through the night. Tylenol has been dosed every 6 hours, chills and aches have continued. Fever has been steady around 99 even with Tylenol. Migraine began day after vaccine around 6am and has continued through the day.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fatigue starting at 6pm day of injection, followed shortly by chills and aches. 11pm chills and aches continued with a fever of 100 even after taking Tylenol. Nausea and vomiting continued through the night. Tylenol has been dosed every 6 hours, chills and aches have continued. Fever has been steady around 99 even with Tylenol. Migraine began day after vaccine around 6am and has continued through the day.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Intense itching, red, slightly swollen , about 1/3 upper arm as of this day 4/17/2021 still not resolved still same
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pain in extremity
Clinical narrative: -pain in left arm  -dizziness starting on 4/10/21 to current date
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Dizziness, Feeling hot, Heart rate, Loss of consciousness
Clinical narrative: Feels hot, dizzy, passed out . transported by medics to observation area. BP low, Pulse  stable. In observation for 30 minutes recuperate and went home on her own.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Feeling hot, Nervousness, Paraesthesia
Clinical narrative: The patient expressed nervousness before getting the vaccine, but very much wanted to get it done.  She took some deep breaths and we administered the vaccine in her left arm, after which she was ok.  I stayed to talk to her for 5 minutes while she was still seated.  After 5 minutes of talking, she told me she felt like she was going to pass out and that her arm was tingling.  She kept sitting and a minute later told me she was having cold sweating all over while feeling hot and also seeing spots.  I helped her lay on the ground and we called 911.  While waiting for paramedics, she recovered while laying down and spoke to her mother on the phone.  Once paramedics arrived they checked vitals several times with normal results.  She was then transported to the hospital at her request, although feeling better.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: The patient expressed nervousness before getting the vaccine, but very much wanted to get it done.  She took some deep breaths and we administered the vaccine in her left arm, after which she was ok.  I stayed to talk to her for 5 minutes while she was still seated.  After 5 minutes of talking, she told me she felt like she was going to pass out and that her arm was tingling.  She kept sitting and a minute later told me she was having cold sweating all over while feeling hot and also seeing spots.  I helped her lay on the ground and we called 911.  While waiting for paramedics, she recovered while laying down and spoke to her mother on the phone.  Once paramedics arrived they checked vitals several times with normal results.  She was then transported to the hospital at her request, although feeling better.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Throat tightness
Clinical narrative: Patient received COVID-19 vaccination (Moderna) at 11:54 A.M.; she arrived in the observation unit and began having difficulty breathing and swallowing at 11:58 A.M.. Epi Pen (0.3 mL) was administered at 12:00 P.M. in the left lateral thigh.  Patient received Benadryl IM (1 mL) at 12:05 P.M.  in the left upper arm. At 12:10 patient said that throat tightening was beginning to subside. 911 was called and EMS was dispatched to the Brighton Health Center. Patient is being taken to the University hospital emergency department.     Vitals: 12:05--O2 96%; HR 102 bpm   12:10--O2 98%; HR 107 bpm; BP 160/93 mm Hg (sitting)
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Lethargy, Nausea
Clinical narrative: Body chills/aches, followed by an elevated temperature (102), naesua/vomiting, headaches, and lethargy. Fever broke approximately 12 hours after I began to experience body chills with my body temperature returning to normal 28 hours after receiving the 2nd dose.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Vomiting
Clinical narrative: Body chills/aches, followed by an elevated temperature (102), naesua/vomiting, headaches, and lethargy. Fever broke approximately 12 hours after I began to experience body chills with my body temperature returning to normal 28 hours after receiving the 2nd dose.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Patient felt like her throat was tight, no hives or difficulty breathing. Pt received Benadryl 50mg po. Within 30 minutes, patient's symptoms had resolved.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Electrocardiogram, Flushing, Palpitations
Clinical narrative: PALPATATIONS, FELT FLUSH WITHIN 13 MINS OF RECIEVING.  BLOOD PRESSURE ELEVATED FOR THIS PATIENT, CAME BACK DOWN TO NORMAL FOR HER WITHIN 15 MINS
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Gout, Headache, Pain
Clinical narrative: I got gout. Also headache, chills, aches
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy
Clinical narrative: Patient reports she feels like she can't get out of bed.  The lethargy started the evening of the vaccine and has continued through the day of report (4/17/2021)
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: vasovagal reaction
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Nervousness
Clinical narrative: ANXIETY, NERVOUSNESS, FEELING FAINT.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest discomfort, Electrocardiogram normal, Laboratory test abnormal, Periorbital swelling
Clinical narrative: Swelling under both eyes, first noticed when I woke up the morning after vaccine, gradually decreased over the next few days; swelling left cheek, gradually decreased over the next week; chest tightness, started the day after vaccine, intermittent throughout day, decreased in frequency & severity 8 days post vaccine. Currently 14 days post vaccine and still have mild chest tightness, intermittent throughout day.