chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Blood test abnormal, C-reactive protein increased, Computerised tomogram normal, Discomfort
Clinical narrative: Shingles 3 weeks after 1st shot; Flashes in her right eye; Tingling and numbness in her right thigh.Tingling and numbness in her right thigh.; Fever; Chills; Arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 09-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Apr-2021, the patient experienced PAIN IN EXTREMITY (Arm soreness), PYREXIA (Fever) and CHILLS (Chills). On an unknown date, the patient experienced HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.). At the time of the report, PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.), HYPOAESTHESIA (Tingling and numbness in her right thigh.), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Concomitant product use was not provided by the reporter.  No treatment information was provided. Patient stated that other adverse events were Shingles 3 weeks after 1st shot,flashes in her right eye, Tingling and numbness in her right thigh.   This case was linked to MOD-2021-416085 (Patient Link).
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Gait disturbance, Herpes zoster, Hypoaesthesia, Hysteroscopy normal, Inflammation
Clinical narrative: Shingles 3 weeks after 1st shot; Flashes in her right eye; Tingling and numbness in her right thigh.Tingling and numbness in her right thigh.; Fever; Chills; Arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 09-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Apr-2021, the patient experienced PAIN IN EXTREMITY (Arm soreness), PYREXIA (Fever) and CHILLS (Chills). On an unknown date, the patient experienced HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.). At the time of the report, PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.), HYPOAESTHESIA (Tingling and numbness in her right thigh.), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Concomitant product use was not provided by the reporter.  No treatment information was provided. Patient stated that other adverse events were Shingles 3 weeks after 1st shot,flashes in her right eye, Tingling and numbness in her right thigh.   This case was linked to MOD-2021-416085 (Patient Link).
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Joint range of motion decreased, Joint swelling, Limb discomfort, Loss of personal independence in daily activities, Lymphadenopathy
Clinical narrative: Shingles 3 weeks after 1st shot; Flashes in her right eye; Tingling and numbness in her right thigh.Tingling and numbness in her right thigh.; Fever; Chills; Arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 09-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Apr-2021, the patient experienced PAIN IN EXTREMITY (Arm soreness), PYREXIA (Fever) and CHILLS (Chills). On an unknown date, the patient experienced HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.). At the time of the report, PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.), HYPOAESTHESIA (Tingling and numbness in her right thigh.), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Concomitant product use was not provided by the reporter.  No treatment information was provided. Patient stated that other adverse events were Shingles 3 weeks after 1st shot,flashes in her right eye, Tingling and numbness in her right thigh.   This case was linked to MOD-2021-416085 (Patient Link).
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Neck mass, Osteoarthritis, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Shingles 3 weeks after 1st shot; Flashes in her right eye; Tingling and numbness in her right thigh.Tingling and numbness in her right thigh.; Fever; Chills; Arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 09-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Apr-2021, the patient experienced PAIN IN EXTREMITY (Arm soreness), PYREXIA (Fever) and CHILLS (Chills). On an unknown date, the patient experienced HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.). At the time of the report, PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.), HYPOAESTHESIA (Tingling and numbness in her right thigh.), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Concomitant product use was not provided by the reporter.  No treatment information was provided. Patient stated that other adverse events were Shingles 3 weeks after 1st shot,flashes in her right eye, Tingling and numbness in her right thigh.   This case was linked to MOD-2021-416085 (Patient Link).
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Peripheral swelling, Photopsia, Polymyalgia rheumatica, Pyrexia, Rash
Clinical narrative: Shingles 3 weeks after 1st shot; Flashes in her right eye; Tingling and numbness in her right thigh.Tingling and numbness in her right thigh.; Fever; Chills; Arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 09-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Apr-2021, the patient experienced PAIN IN EXTREMITY (Arm soreness), PYREXIA (Fever) and CHILLS (Chills). On an unknown date, the patient experienced HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.). At the time of the report, PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.), HYPOAESTHESIA (Tingling and numbness in her right thigh.), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Concomitant product use was not provided by the reporter.  No treatment information was provided. Patient stated that other adverse events were Shingles 3 weeks after 1st shot,flashes in her right eye, Tingling and numbness in her right thigh.   This case was linked to MOD-2021-416085 (Patient Link).
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Red blood cell sedimentation rate increased, Ultrasound pelvis normal, Uterine dilation and curettage, Uterine leiomyoma, Vaginal haemorrhage
Clinical narrative: Shingles 3 weeks after 1st shot; Flashes in her right eye; Tingling and numbness in her right thigh.Tingling and numbness in her right thigh.; Fever; Chills; Arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 09-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Apr-2021, the patient experienced PAIN IN EXTREMITY (Arm soreness), PYREXIA (Fever) and CHILLS (Chills). On an unknown date, the patient experienced HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.). At the time of the report, PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.), HYPOAESTHESIA (Tingling and numbness in her right thigh.), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Concomitant product use was not provided by the reporter.  No treatment information was provided. Patient stated that other adverse events were Shingles 3 weeks after 1st shot,flashes in her right eye, Tingling and numbness in her right thigh.   This case was linked to MOD-2021-416085 (Patient Link).
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: X-ray limb abnormal
Clinical narrative: Shingles 3 weeks after 1st shot; Flashes in her right eye; Tingling and numbness in her right thigh.Tingling and numbness in her right thigh.; Fever; Chills; Arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 09-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Apr-2021, the patient experienced PAIN IN EXTREMITY (Arm soreness), PYREXIA (Fever) and CHILLS (Chills). On an unknown date, the patient experienced HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.). At the time of the report, PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.), HYPOAESTHESIA (Tingling and numbness in her right thigh.), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Concomitant product use was not provided by the reporter.  No treatment information was provided. Patient stated that other adverse events were Shingles 3 weeks after 1st shot,flashes in her right eye, Tingling and numbness in her right thigh.   This case was linked to MOD-2021-416085 (Patient Link).
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Eye disorder, Herpes zoster, Hypoaesthesia, Pain in extremity
Clinical narrative: Shingles 3 weeks after 1st shot; Flashes in her right eye; Tingling and numbness in her right thigh.Tingling and numbness in her right thigh.; Fever; Chills; Arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 09-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Apr-2021, the patient experienced PAIN IN EXTREMITY (Arm soreness), PYREXIA (Fever) and CHILLS (Chills). On an unknown date, the patient experienced HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.). At the time of the report, PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.), HYPOAESTHESIA (Tingling and numbness in her right thigh.), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Concomitant product use was not provided by the reporter.  No treatment information was provided. Patient stated that other adverse events were Shingles 3 weeks after 1st shot,flashes in her right eye, Tingling and numbness in her right thigh.   This case was linked to MOD-2021-416085 (Patient Link).
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: Shingles 3 weeks after 1st shot; Flashes in her right eye; Tingling and numbness in her right thigh.Tingling and numbness in her right thigh.; Fever; Chills; Arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 09-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Apr-2021, the patient experienced PAIN IN EXTREMITY (Arm soreness), PYREXIA (Fever) and CHILLS (Chills). On an unknown date, the patient experienced HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.) and HYPOAESTHESIA (Tingling and numbness in her right thigh.). At the time of the report, PAIN IN EXTREMITY (Arm soreness), HERPES ZOSTER (Shingles 3 weeks after 1st shot), EYE DISORDER (Flashes in her right eye), PARAESTHESIA (Tingling and numbness in her right thigh.), HYPOAESTHESIA (Tingling and numbness in her right thigh.), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Concomitant product use was not provided by the reporter.  No treatment information was provided. Patient stated that other adverse events were Shingles 3 weeks after 1st shot,flashes in her right eye, Tingling and numbness in her right thigh.   This case was linked to MOD-2021-416085 (Patient Link).
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Choking sensation, Cough, Epistaxis, Fatigue, Feeling abnormal
Clinical narrative: 1st Event:  Blood started streaming from my nose while I was eating supper.  It drenched paper towel after paper towel in rapid succession. Went to bathroom to stand over sink while pinching the very end (soft part) of my nose.  Blood continued to come through my nose onto paper towel and back up in my nose and simultaneously stream from my mouth.  When I released my pinch to clear my nose, blood streamed out.  Early on, a large puddle the consistency of loose pudding came out and stayed in a large puddle in my sink.  It maintained it form w/o any slow seeping down the sink.  After 30 minutes approx. of blood streaming, I manage to call the 24-hour nurse who stayed on the phone with me for almost 2 1/2 hours until I could tell her the streaming might be very, very slightly slowing.  Meanwhile she was telling me I would have to go to medical facility if it didn't stop.  After 3 hours it did start to slow down though still flowing from my mouth and nose.  Finally it stopped and then I started passing very large clots from my mouth.  11:00 pm was when the last clot passed.  Total time from 5:30 pm until 11:00 pm.  2nd event was 11-19-21:  7:00 a.m. blood started drippin from my nose.  I pinched my nose and after about 4 minutes, it stopped.  3rd event was 12-1-21:  5.45 a.m.  I was lying in bed awake and all of a sudden I felt like I needed to blow my nose.  I got up and saw blood soaking my pillow, bed linens, etc.  This lasted until 9:00 a.m. when I passed the last clot through my mouth.  Bleeding streamed from before 5:45 a.m. until about 8:30 a.m.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Thrombosis
Clinical narrative: 1st Event:  Blood started streaming from my nose while I was eating supper.  It drenched paper towel after paper towel in rapid succession. Went to bathroom to stand over sink while pinching the very end (soft part) of my nose.  Blood continued to come through my nose onto paper towel and back up in my nose and simultaneously stream from my mouth.  When I released my pinch to clear my nose, blood streamed out.  Early on, a large puddle the consistency of loose pudding came out and stayed in a large puddle in my sink.  It maintained it form w/o any slow seeping down the sink.  After 30 minutes approx. of blood streaming, I manage to call the 24-hour nurse who stayed on the phone with me for almost 2 1/2 hours until I could tell her the streaming might be very, very slightly slowing.  Meanwhile she was telling me I would have to go to medical facility if it didn't stop.  After 3 hours it did start to slow down though still flowing from my mouth and nose.  Finally it stopped and then I started passing very large clots from my mouth.  11:00 pm was when the last clot passed.  Total time from 5:30 pm until 11:00 pm.  2nd event was 11-19-21:  7:00 a.m. blood started drippin from my nose.  I pinched my nose and after about 4 minutes, it stopped.  3rd event was 12-1-21:  5.45 a.m.  I was lying in bed awake and all of a sudden I felt like I needed to blow my nose.  I got up and saw blood soaking my pillow, bed linens, etc.  This lasted until 9:00 a.m. when I passed the last clot through my mouth.  Bleeding streamed from before 5:45 a.m. until about 8:30 a.m.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood test normal, Epistaxis, Mouth haemorrhage, Platelet count normal, Thrombosis
Clinical narrative: 1st Event:  Blood started streaming from my nose while I was eating supper.  It drenched paper towel after paper towel in rapid succession. Went to bathroom to stand over sink while pinching the very end (soft part) of my nose.  Blood continued to come through my nose onto paper towel and back up in my nose and simultaneously stream from my mouth.  When I released my pinch to clear my nose, blood streamed out.  Early on, a large puddle the consistency of loose pudding came out and stayed in a large puddle in my sink.  It maintained it form w/o any slow seeping down the sink.  After 30 minutes approx. of blood streaming, I manage to call the 24-hour nurse who stayed on the phone with me for almost 2 1/2 hours until I could tell her the streaming might be very, very slightly slowing.  Meanwhile she was telling me I would have to go to medical facility if it didn't stop.  After 3 hours it did start to slow down though still flowing from my mouth and nose.  Finally it stopped and then I started passing very large clots from my mouth.  11:00 pm was when the last clot passed.  Total time from 5:30 pm until 11:00 pm.  2nd event was 11-19-21:  7:00 a.m. blood started drippin from my nose.  I pinched my nose and after about 4 minutes, it stopped.  3rd event was 12-1-21:  5.45 a.m.  I was lying in bed awake and all of a sudden I felt like I needed to blow my nose.  I got up and saw blood soaking my pillow, bed linens, etc.  This lasted until 9:00 a.m. when I passed the last clot through my mouth.  Bleeding streamed from before 5:45 a.m. until about 8:30 a.m.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Pruritus
Clinical narrative: Rash on arm site. Reddish spot that itched and spread.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Rash on arm site. Reddish spot that itched and spread.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocardial infarction
Clinical narrative: I suffered a life threatening heart attack; This is a spontaneous report received from a contactable reporter (Consumer). The reporter is the patient.  A 43 year-old male patient received bnt162b2 (BNT162B2), administered in arm right, administration date 16Nov2021 10:00 (Lot number: FF8027) at the age of 43 years as dose 2, single for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: Bnt162b2 (DOSE: 1, Lot: FF2593, Anatomical location: Left arm, Time: 1 PM, took Tylenol), administration date: 26Oct2021, when the patient was 43 years old, for COVID-19 immunization, reaction: "Carpal tunnel", and "had pain down my arm". The following information was reported: MYOCARDIAL INFARCTION (medically significant, life threatening) with onset 2021, outcome "unknown", described as "I suffered a life threatening heart attack".  No follow-up attempts are possible. No further information is expected.
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immunisation, Pain
Clinical narrative: radiating pain along her arm; This is a spontaneous report received from a contactable reporter(s) (Pharmacist).  A 66 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in deltoid left (Batch/Lot number: unknown) as dose 1, single, (Batch/Lot number: unknown) as dose 2, single, intramuscular, administration date 22Oct2021 (Lot number: EW0185) as dose 3, single and (Batch/Lot number: unknown) for covid-19 immunisation. Relevant medical history included: "High cholesterol" (unspecified if ongoing); "cardiovascular disease" (unspecified if ongoing). Concomitant medication(s) included: ISOSORBIDE MONONITRATE. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 23Oct2021, outcome "not recovered", described as "radiating pain along her arm". The event "radiating pain along her arm" was evaluated at the physician office visit. Therapeutic measures were not taken as a result of pain in extremity. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity
Clinical narrative: radiating pain along her arm; This is a spontaneous report received from a contactable reporter(s) (Pharmacist).  A 66 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in deltoid left (Batch/Lot number: unknown) as dose 1, single, (Batch/Lot number: unknown) as dose 2, single, intramuscular, administration date 22Oct2021 (Lot number: EW0185) as dose 3, single and (Batch/Lot number: unknown) for covid-19 immunisation. Relevant medical history included: "High cholesterol" (unspecified if ongoing); "cardiovascular disease" (unspecified if ongoing). Concomitant medication(s) included: ISOSORBIDE MONONITRATE. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 23Oct2021, outcome "not recovered", described as "radiating pain along her arm". The event "radiating pain along her arm" was evaluated at the physician office visit. Therapeutic measures were not taken as a result of pain in extremity. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: BODY ACHES AND BODY PAINS; HEADACHE; RINGING IN THE EARS; This spontaneous report received from a patient concerned a 59 year old white not Hispanic or Latino male. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. On an unspecified date, the patient was previously received covid-19 vaccine ad26. cov2. s (suspension for injection, route of admin and batch number were not reported) dose was not reported (dose number in series 1), 1 total, administered for prophylactic vaccination.  No adverse events were reported following vaccination with Covid-19 vaccine ad26.cov2.s. (dose number in series 1). The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 213D21A expiry: 11-APR-2022) dose was not reported (dose number in series 2), administered on 12-DEC-2021 16:30 to Left Arm for prophylactic vaccination. No concomitant medications were reported.  On 12-DEC-2021, in the evening, the patient experienced headache, ringing in the ears, body aches and body pains  (dose number in series 2). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches and body pains, and headache on 14-DEC-2021, and had not recovered from ringing in the ears. This report was non-serious.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Pain, Tinnitus
Clinical narrative: BODY ACHES AND BODY PAINS; HEADACHE; RINGING IN THE EARS; This spontaneous report received from a patient concerned a 59 year old white not Hispanic or Latino male. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. On an unspecified date, the patient was previously received covid-19 vaccine ad26. cov2. s (suspension for injection, route of admin and batch number were not reported) dose was not reported (dose number in series 1), 1 total, administered for prophylactic vaccination.  No adverse events were reported following vaccination with Covid-19 vaccine ad26.cov2.s. (dose number in series 1). The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 213D21A expiry: 11-APR-2022) dose was not reported (dose number in series 2), administered on 12-DEC-2021 16:30 to Left Arm for prophylactic vaccination. No concomitant medications were reported.  On 12-DEC-2021, in the evening, the patient experienced headache, ringing in the ears, body aches and body pains  (dose number in series 2). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches and body pains, and headache on 14-DEC-2021, and had not recovered from ringing in the ears. This report was non-serious.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angioedema, Complement factor C4, Dysphagia, Glossodynia, Increased upper airway secretion
Clinical narrative: Allergic Reaction (Angioedema of the airway) My tongue got big I had trouble speaking, tongue hurt, Hoarse voice, clearing my throat.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sinus tachycardia, Speech disorder, Swollen tongue, Tongue discomfort, Tryptase
Clinical narrative: Allergic Reaction (Angioedema of the airway) My tongue got big I had trouble speaking, tongue hurt, Hoarse voice, clearing my throat.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute cardiac event, Angioedema, Blood test, Dysphonia, Electrocardiogram
Clinical narrative: Allergic Reaction (Angioedema of the airway) My tongue got big I had trouble speaking, tongue hurt, Hoarse voice, clearing my throat.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Glossodynia, Hypersensitivity, Speech disorder, Swollen tongue, Throat clearing
Clinical narrative: Allergic Reaction (Angioedema of the airway) My tongue got big I had trouble speaking, tongue hurt, Hoarse voice, clearing my throat.
Age: 17.0
Sex: M
Vaccine: COVID19, MNQ, COVID19
Symptoms: Blood creatine phosphokinase, C-reactive protein, Chest X-ray abnormal, Chest pain, Chills
Clinical narrative: myocarditis, abnormal ekg, abnormal troponin
Age: 17.0
Sex: M
Vaccine: COVID19, MNQ, COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram abnormal, Full blood count, Laboratory test, Myocarditis
Clinical narrative: myocarditis, abnormal ekg, abnormal troponin
Age: 17.0
Sex: M
Vaccine: COVID19, MNQ, COVID19
Symptoms: Pain, Red blood cell sedimentation rate, SARS-CoV-2 test, Troponin
Clinical narrative: myocarditis, abnormal ekg, abnormal troponin
Age: 17.0
Sex: M
Vaccine: COVID19, MNQ, COVID19
Symptoms: Electrocardiogram abnormal, Myocarditis, Troponin abnormal
Clinical narrative: myocarditis, abnormal ekg, abnormal troponin
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test, Expired product administered
Clinical narrative: expired doses administered; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (expired doses administered) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037C21A) for COVID-19 vaccination.     No Medical History information was reported.    On 20-Aug-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (expired doses administered). On 20-Aug-2021, EXPIRED PRODUCT ADMINISTERED (expired doses administered) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Antibody test: 800-900 (Inconclusive) antibody test was done on patient and antibody numbers were in the 800-900 range..     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Patient did not report any adverse events or symptoms. No concomitant medication and treatment information was reported.   This case was linked to MOD-2021-415889 (Patient Link).
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Decreased appetite, Fatigue, Headache
Clinical narrative: was in bed most of the day,used to be lot faster; Brutal side effects,side effects put him down; did not have an appetite but did eat a little bit; Nausea; Fatigue; Headache; Muscle pain; Joint pain; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (was in bed most of the day,used to be lot faster), VACCINATION COMPLICATION (Brutal side effects,side effects put him down), DECREASED APPETITE (did not have an appetite but did eat a little bit), NAUSEA (Nausea) and FATIGUE (Fatigue) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 012M20A, 006A21A and 067F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Surgery (Had 8 surgeries due to broken left leg even before he received the 1st dose of moderna vaccine.). Concurrent medical conditions included Diabetic.   On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced ASTHENIA (was in bed most of the day,used to be lot faster), VACCINATION COMPLICATION (Brutal side effects,side effects put him down), DECREASED APPETITE (did not have an appetite but did eat a little bit), NAUSEA (Nausea), FATIGUE (Fatigue), HEADACHE (Headache), MYALGIA (Muscle pain) and ARTHRALGIA (Joint pain). The patient was treated with PARACETAMOL (TYLENOL [PARACETAMOL]) at an unspecified dose and frequency. At the time of the report, ASTHENIA (was in bed most of the day,used to be lot faster), VACCINATION COMPLICATION (Brutal side effects,side effects put him down), DECREASED APPETITE (did not have an appetite but did eat a little bit), NAUSEA (Nausea), FATIGUE (Fatigue), HEADACHE (Headache), MYALGIA (Muscle pain) and ARTHRALGIA (Joint pain) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   No Concomitant medication was reported.   This case was linked to MOD-2021-416078 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 16-Dec-2021: Follow up document received included Event Added.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Vaccination complication
Clinical narrative: was in bed most of the day,used to be lot faster; Brutal side effects,side effects put him down; did not have an appetite but did eat a little bit; Nausea; Fatigue; Headache; Muscle pain; Joint pain; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (was in bed most of the day,used to be lot faster), VACCINATION COMPLICATION (Brutal side effects,side effects put him down), DECREASED APPETITE (did not have an appetite but did eat a little bit), NAUSEA (Nausea) and FATIGUE (Fatigue) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 012M20A, 006A21A and 067F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Surgery (Had 8 surgeries due to broken left leg even before he received the 1st dose of moderna vaccine.). Concurrent medical conditions included Diabetic.   On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced ASTHENIA (was in bed most of the day,used to be lot faster), VACCINATION COMPLICATION (Brutal side effects,side effects put him down), DECREASED APPETITE (did not have an appetite but did eat a little bit), NAUSEA (Nausea), FATIGUE (Fatigue), HEADACHE (Headache), MYALGIA (Muscle pain) and ARTHRALGIA (Joint pain). The patient was treated with PARACETAMOL (TYLENOL [PARACETAMOL]) at an unspecified dose and frequency. At the time of the report, ASTHENIA (was in bed most of the day,used to be lot faster), VACCINATION COMPLICATION (Brutal side effects,side effects put him down), DECREASED APPETITE (did not have an appetite but did eat a little bit), NAUSEA (Nausea), FATIGUE (Fatigue), HEADACHE (Headache), MYALGIA (Muscle pain) and ARTHRALGIA (Joint pain) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   No Concomitant medication was reported.   This case was linked to MOD-2021-416078 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 16-Dec-2021: Follow up document received included Event Added.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient began vomiting at 0630 and continued to do so every 5-15 minutes until approximately 1200. She presented no fever or other symptoms. After that time she recovered fully and was back to normal the following day.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Electrocardiogram normal
Clinical narrative: chest pain about 2 weeks after second dose. pain around both sternum and outer chest (near arms).
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Anal incontinence, Autoimmune disorder, Blood test, Chest X-ray, Computerised tomogram
Clinical narrative: On the day of the this 2nd dose, I did feel a slight tingle on the left side of my face.  However, on Sunday September 19, 2021 at around 5 pm, my right head was in excruciating pain, and I fell to the floor because the left side of my body wouldn't function.  My left arm hurt from the top, all the way through my forearm, and up my middle finger. I went to the the ER the following day and they diagnosed me with  hemiplegic migraines. (I am 32 and have NEVER had migraines) The Friday of that same week I began vomitting, and was still in excruciating pain in my arm and my head.  I went to the ER again and was told it was a migraine.  My right vision has lowered from 20/20, and today is still blurry.  My IPO in my eyes was a 19 on the right side and 18 on the left.  I have treied numerous medicine for the headaches, nausea and vomitting, and arm pain.  I had bowel incontinence 3 times, and was told that my body is now full of inflammation and an autoimmune disorder was triggered.  I have gained 40 lbs since my second vaccine, am swollen, constantly battling headaches, and having multiple doctors appointments to resolve the issues.  I also did not have a period until November 27th,  since my second vaccine.  My life has been completely altered since this second vaccine in a negative way.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fall, Headache, Hemiplegic migraine, Inflammation
Clinical narrative: On the day of the this 2nd dose, I did feel a slight tingle on the left side of my face.  However, on Sunday September 19, 2021 at around 5 pm, my right head was in excruciating pain, and I fell to the floor because the left side of my body wouldn't function.  My left arm hurt from the top, all the way through my forearm, and up my middle finger. I went to the the ER the following day and they diagnosed me with  hemiplegic migraines. (I am 32 and have NEVER had migraines) The Friday of that same week I began vomitting, and was still in excruciating pain in my arm and my head.  I went to the ER again and was told it was a migraine.  My right vision has lowered from 20/20, and today is still blurry.  My IPO in my eyes was a 19 on the right side and 18 on the left.  I have treied numerous medicine for the headaches, nausea and vomitting, and arm pain.  I had bowel incontinence 3 times, and was told that my body is now full of inflammation and an autoimmune disorder was triggered.  I have gained 40 lbs since my second vaccine, am swollen, constantly battling headaches, and having multiple doctors appointments to resolve the issues.  I also did not have a period until November 27th,  since my second vaccine.  My life has been completely altered since this second vaccine in a negative way.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Magnetic resonance imaging, Menstruation delayed, Movement disorder, Nausea
Clinical narrative: On the day of the this 2nd dose, I did feel a slight tingle on the left side of my face.  However, on Sunday September 19, 2021 at around 5 pm, my right head was in excruciating pain, and I fell to the floor because the left side of my body wouldn't function.  My left arm hurt from the top, all the way through my forearm, and up my middle finger. I went to the the ER the following day and they diagnosed me with  hemiplegic migraines. (I am 32 and have NEVER had migraines) The Friday of that same week I began vomitting, and was still in excruciating pain in my arm and my head.  I went to the ER again and was told it was a migraine.  My right vision has lowered from 20/20, and today is still blurry.  My IPO in my eyes was a 19 on the right side and 18 on the left.  I have treied numerous medicine for the headaches, nausea and vomitting, and arm pain.  I had bowel incontinence 3 times, and was told that my body is now full of inflammation and an autoimmune disorder was triggered.  I have gained 40 lbs since my second vaccine, am swollen, constantly battling headaches, and having multiple doctors appointments to resolve the issues.  I also did not have a period until November 27th,  since my second vaccine.  My life has been completely altered since this second vaccine in a negative way.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Nerve conduction studies, Pain in extremity, Paraesthesia, Swelling, Vision blurred
Clinical narrative: On the day of the this 2nd dose, I did feel a slight tingle on the left side of my face.  However, on Sunday September 19, 2021 at around 5 pm, my right head was in excruciating pain, and I fell to the floor because the left side of my body wouldn't function.  My left arm hurt from the top, all the way through my forearm, and up my middle finger. I went to the the ER the following day and they diagnosed me with  hemiplegic migraines. (I am 32 and have NEVER had migraines) The Friday of that same week I began vomitting, and was still in excruciating pain in my arm and my head.  I went to the ER again and was told it was a migraine.  My right vision has lowered from 20/20, and today is still blurry.  My IPO in my eyes was a 19 on the right side and 18 on the left.  I have treied numerous medicine for the headaches, nausea and vomitting, and arm pain.  I had bowel incontinence 3 times, and was told that my body is now full of inflammation and an autoimmune disorder was triggered.  I have gained 40 lbs since my second vaccine, am swollen, constantly battling headaches, and having multiple doctors appointments to resolve the issues.  I also did not have a period until November 27th,  since my second vaccine.  My life has been completely altered since this second vaccine in a negative way.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment, Vomiting, Weight increased
Clinical narrative: On the day of the this 2nd dose, I did feel a slight tingle on the left side of my face.  However, on Sunday September 19, 2021 at around 5 pm, my right head was in excruciating pain, and I fell to the floor because the left side of my body wouldn't function.  My left arm hurt from the top, all the way through my forearm, and up my middle finger. I went to the the ER the following day and they diagnosed me with  hemiplegic migraines. (I am 32 and have NEVER had migraines) The Friday of that same week I began vomitting, and was still in excruciating pain in my arm and my head.  I went to the ER again and was told it was a migraine.  My right vision has lowered from 20/20, and today is still blurry.  My IPO in my eyes was a 19 on the right side and 18 on the left.  I have treied numerous medicine for the headaches, nausea and vomitting, and arm pain.  I had bowel incontinence 3 times, and was told that my body is now full of inflammation and an autoimmune disorder was triggered.  I have gained 40 lbs since my second vaccine, am swollen, constantly battling headaches, and having multiple doctors appointments to resolve the issues.  I also did not have a period until November 27th,  since my second vaccine.  My life has been completely altered since this second vaccine in a negative way.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Swelling face, Temporomandibular joint syndrome, Viral infection
Clinical narrative: Swelling at right jaw joint. Tightening of jaw and popping.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pain, Stomatitis
Clinical narrative: I think this might be a waste of time. Since getting the 3rd vaccine I have has pretty severe reactions of all of the suspected side effects. I also have developed painful sores in my mouth and the roof of my mouth is severely sensitive making it hard for me to eat. I have nothing gone to the doctor to get it checked out. I?m sorry for wasting your time. I wish there were easier routes to report these things.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Culture urine, Dehydration, Heart rate increased
Clinical narrative: Fever 99.5- 100.3 for about 12 hours.  Chills, muscle aches and pain throughout the body- lasting 5 days Sensitivity to touch.  Extreme lethargy- 5 days. Nausea  Dehydration, craving more water 5 days. Accelerated heart rate day 5, 130-152 bpm
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Myalgia, Nausea, Pyrexia, Tenderness
Clinical narrative: Fever 99.5- 100.3 for about 12 hours.  Chills, muscle aches and pain throughout the body- lasting 5 days Sensitivity to touch.  Extreme lethargy- 5 days. Nausea  Dehydration, craving more water 5 days. Accelerated heart rate day 5, 130-152 bpm
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Thirst
Clinical narrative: Fever 99.5- 100.3 for about 12 hours.  Chills, muscle aches and pain throughout the body- lasting 5 days Sensitivity to touch.  Extreme lethargy- 5 days. Nausea  Dehydration, craving more water 5 days. Accelerated heart rate day 5, 130-152 bpm
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Nausea, Pain
Clinical narrative: Headache, high fever, body aches and weakness, nausea, chills