chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Fibrin D dimer, Flushing, Full blood count
Clinical narrative: The episode came on very quickly.  Felt like I was going to pass out.  Became very flushed, heart was racing and very shaky.  I work at a clinic, so my blood pressure was taken and it was 160/100, pulse was 120.  Had a bad head ache and continued to have waves of this for about an hour.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nervousness, Palpitations, Pulse abnormal, Red blood cell sedimentation rate normal
Clinical narrative: The episode came on very quickly.  Felt like I was going to pass out.  Became very flushed, heart was racing and very shaky.  I work at a clinic, so my blood pressure was taken and it was 160/100, pulse was 120.  Had a bad head ache and continued to have waves of this for about an hour.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin, Urine analysis
Clinical narrative: The episode came on very quickly.  Felt like I was going to pass out.  Became very flushed, heart was racing and very shaky.  I work at a clinic, so my blood pressure was taken and it was 160/100, pulse was 120.  Had a bad head ache and continued to have waves of this for about an hour.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Nausea, Odynophagia
Clinical narrative: Patient experience nausea same day as injection as well as numbness of tongue and pain when swallowing.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth, Pruritus, Skin swelling
Clinical narrative: 12 days after the vaccination I woke To see my arm was puffy, red and warm at the injection site.  No pain at all. Later in the day it was itchy.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: ADR as described by patient: I experienced normal injection soreness for about 36 hours. There was no redness or swelling at the injection site, just soreness in the upper arm.  After that, I felt completely fine without any soreness or flu-like symptoms. My injection arm was completely back to normal without the slightest after effect from the injection.  On Sat., Jan 16 ? 8 days after the injection ? I woke up with a hard, red, swollen, warm lump at the injection site, the size of an avocado. The next day it was a larger red area, not quite as hard or warm, but still uncomfortable. It is now Jan 20 and the area is no longer red, but still a little swollen and sore.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: ADR as described by patient: I experienced normal injection soreness for about 36 hours. There was no redness or swelling at the injection site, just soreness in the upper arm.  After that, I felt completely fine without any soreness or flu-like symptoms. My injection arm was completely back to normal without the slightest after effect from the injection.  On Sat., Jan 16 ? 8 days after the injection ? I woke up with a hard, red, swollen, warm lump at the injection site, the size of an avocado. The next day it was a larger red area, not quite as hard or warm, but still uncomfortable. It is now Jan 20 and the area is no longer red, but still a little swollen and sore.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Rash erythematous, Swelling
Clinical narrative: In the middle of the night 1 week following the vaccination, my left deltoid became extremely itchy.  Over the next day a circular red rash appeared about 3-4? long and 2? wide with some mild swelling and the area remained itchy.  I only had soreness at the injection site that lasted 2-3 days before this developed.  I never developed fever, or any other side effects.  I did not take any medications for this rash because I am breastfeeding a 4 month old.  The rash is still faintly present and mildly itchy still, nearly 2 weeks after receiving the first shot and 1 week after this side effect first appeared.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles outbreak. Rash developed and increased in severity. 1/20/21 patient visited urgent care and was diagnosed with Shingles. Patient is a healthy 32 year old male with no recent history of immunosuppression or predisposition to shingles outbreak.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: First dose was given 1/5/21 and second dose given 1/21/21.  It was only 16 days apart.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia
Clinical narrative: Moderna COVID -19 Vaccine  EUA ADR: chills, fatigue, muscle aches. Tylenol taken 30 mins ago
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Full blood count
Clinical narrative: nose hemorrhage for  four days
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Vomiting
Clinical narrative: Woke up with body aches, headache, threw-up once around 9:30 AM
Age: 20.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Chest discomfort, Dyspnoea, Injection site erythema, Urticaria
Clinical narrative: Hives, shortness of breath, chest tightness within 5 minutes of receiving vaccines. Right arm had redness at the injection site the left arm site did not. He states he does not have an egg allergy that he is aware of. He received PO benadryl 50mg and pepcid 20mg and was given a shot of decadron/depomedrol 4/40mg IM once in office. EMS was called and he was transported to the ER.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain upper, Arthralgia, Burning sensation, Chills, Fatigue
Clinical narrative: Cold hands at 1700 pm same day of vaccine, chills, by 3 am  (Jan 20,2021)severe aches/pain in joints, difficulty moving arms and legs,  Neuropathic -like pain, pins. needles with burning sensations.  Aching throughout body, headache.  Extremely fatigued, slept for hours.  All came on quite suddenly. Every joint in body hurt.  Jan 21st, runny nose, stomach ache mid morning.  Mild aching, still with headache.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Mobility decreased, Neuralgia, Pain, Paraesthesia
Clinical narrative: Cold hands at 1700 pm same day of vaccine, chills, by 3 am  (Jan 20,2021)severe aches/pain in joints, difficulty moving arms and legs,  Neuropathic -like pain, pins. needles with burning sensations.  Aching throughout body, headache.  Extremely fatigued, slept for hours.  All came on quite suddenly. Every joint in body hurt.  Jan 21st, runny nose, stomach ache mid morning.  Mild aching, still with headache.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Peripheral coldness, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Cold hands at 1700 pm same day of vaccine, chills, by 3 am  (Jan 20,2021)severe aches/pain in joints, difficulty moving arms and legs,  Neuropathic -like pain, pins. needles with burning sensations.  Aching throughout body, headache.  Extremely fatigued, slept for hours.  All came on quite suddenly. Every joint in body hurt.  Jan 21st, runny nose, stomach ache mid morning.  Mild aching, still with headache.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia
Clinical narrative: woke up next morning with no sense of smell
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, SARS-CoV-2 test negative
Clinical narrative: Persistent severe nausea for 12 days straight, starting on the fourth day post injection. Also had diarrhea that started the same day but only lasted for two days
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Tachycardia (180+/-) starting approx 7-10min post injection.  Was taken to medical monitoring area and held for approx 45min.  Severe hypertension (approx 180/110 initially) was noted.  Both improved over monitoring period, but did not resolved.  Continuing to monitor both at home.  Still experiencing random intermittent elevations to both parameters 3 days post injection.  Also experiencing inj site rxn starting 12 hrs post and still present at 3 days post.  Redness, swelling, pain (reducing), and now mild itching.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Tachycardia (180+/-) starting approx 7-10min post injection.  Was taken to medical monitoring area and held for approx 45min.  Severe hypertension (approx 180/110 initially) was noted.  Both improved over monitoring period, but did not resolved.  Continuing to monitor both at home.  Still experiencing random intermittent elevations to both parameters 3 days post injection.  Also experiencing inj site rxn starting 12 hrs post and still present at 3 days post.  Redness, swelling, pain (reducing), and now mild itching.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Injection site erythema, Injection site warmth, Pain in extremity
Clinical narrative: Got vaccine at Clinic. Called to report her issues as was told to contact PCP.  Was seen in office on 1/20/2021.  She states arm sore the first 2 days.  On 1/15 she noticed an erythematous round area at site of injection.  Over the weekend she felt extremely fatigued, and some dizziness.  She still feels tired and the erythema and warmth as increased to 3 in by 4 in over left deltoid.  Denies fever, chills, swelling in mouth or throat , no SOB.  Provider reviewed information from Moderna site with people in the original trial developed a delayed injection site similar to patients after day 8.  Area on deltoid was outlined and patient instructed to  return to clinic if site  increases in size or induration.  Informed to report to ER if any swelling, hives, throat swelling or difficult breathing occurs.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: 1/19/21 07:30 developed redness and itching to left arm and increased in size throughout the day into the next day. Rash to left arm worse on 1/20. On 1/21/21 notices improvement in redness. Pt. states that raised are is still there.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chills, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Chills body aches fevers shortness of breath fatigue dizziness elevated blood pressure
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Chills body aches fevers shortness of breath fatigue dizziness elevated blood pressure
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Red Ring 2-3 inches right next to injection site
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Fatigue, Feeling abnormal, Headache
Clinical narrative: Foggy headed, stuffy nose, chills, fever, cold sweats, body aches, severe headache,  extreme fatigue all lasting two days so far
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Pain, Pyrexia
Clinical narrative: Foggy headed, stuffy nose, chills, fever, cold sweats, body aches, severe headache,  extreme fatigue all lasting two days so far
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: Herpes zoster on right eye and bridge of nose.  Also has rash on back of head on left side radiating up
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 10 days after receiving the first Moderna COVID-19 vaccination shot, the site of injection became red, swollen, painful, and hot to the touch. This was similar to when I fitter got the shot, but then it went away. After 10 days, it returned. It seems to be a localized reaction.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site pruritus, Peripheral swelling, Pruritus, Rash
Clinical narrative: The day after I had the shot, i started to itch on my left arm , around the area I had the shot,,and then it developed into a rash like situation on both arms...the itching was so intense and then i noticed tiny bumps  and black and blue spots along my right and left arm.  It then spread to my thighs and upper chest area. I also had tightness in my throat and i took some Benadryll over the weekend hoping it would go away but it didn't. It got worse. On Monday, it was swollen on both arms and looked more like hives, red itchy with tiny bumps. On Tuesday, I went to my PCP who indicated it may have been an allergic reaction from the vaccine. She gave me Medrol and that is what I have been taking. Today the itching is a little less intense ..
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration, Throat tightness
Clinical narrative: The day after I had the shot, i started to itch on my left arm , around the area I had the shot,,and then it developed into a rash like situation on both arms...the itching was so intense and then i noticed tiny bumps  and black and blue spots along my right and left arm.  It then spread to my thighs and upper chest area. I also had tightness in my throat and i took some Benadryll over the weekend hoping it would go away but it didn't. It got worse. On Monday, it was swollen on both arms and looked more like hives, red itchy with tiny bumps. On Tuesday, I went to my PCP who indicated it may have been an allergic reaction from the vaccine. She gave me Medrol and that is what I have been taking. Today the itching is a little less intense ..
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Myalgia
Clinical narrative: 100.4-100.5 , muscle pain and join pain.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Syncope
Clinical narrative: stated she sometimes faints, and then proceeded to faint. Contacted EMTs from observation who lowered her to the ground safely where she regained consciousness. Observed in room for 15 minutes. Was able to get up and move without assistance. Went with EMT to observation area without any assistance.  Pt HR 72. Lying on floor up to 1 minute. No falls. Lying on floor up to 1 minute. Vasovagal response consistent with previous reactions post-vaccination. Currently seen sitting upright in chair A/Ox4, denies any discomfort, denied offer for fluids or food. Smiling.   Treated by paramedic and RN.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Fatigue, Headache, Myalgia
Clinical narrative: Muscle aches, temp 100.2, fatigue, joint aches, headache, nausea- started around hour 8, slight improvement around hour 24, then worsened again, resolved mostly by hour 36, very residual symptoms after that, though arm itching started around hour 50
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pruritus, SARS-CoV-2 test negative
Clinical narrative: Muscle aches, temp 100.2, fatigue, joint aches, headache, nausea- started around hour 8, slight improvement around hour 24, then worsened again, resolved mostly by hour 36, very residual symptoms after that, though arm itching started around hour 50
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Urticaria
Clinical narrative: Pressure on  the chest, labored breathing, hives  on neck, upper arms, back
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Hyperaesthesia, Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: PT WAS ADMINISTERED FIRST DOSE OF SHINGRIX ON 1/4/2021. FOLLOWING MORNING REPORTS REACTION (REDNESS AND SWELLING) BETWEEN INJECTION SITE AND ELBOW. ONE WEEK FOLLING INJECTION, PT REPORTS SEVERE SENSITIVITY AND PAIN ON FOREARM OF ARM THAT INJECTION WAS ADMINISTERED. PT WAS TOLD BY ANOTHER HEALTHCARE PROFESSIONAL THAT SHE HAD DEVELOPED A MINOR CASE OF SHINGLES. SYMPTOMS RESOLVED WITHOUT TREATMENT AFTER 2 DAYS.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus
Clinical narrative: Itchy, red, large bump at the site of the injection 9 days after receiving vaccination
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Coordination abnormal, Dizziness, Headache, Malaise, Nausea
Clinical narrative: Headache with burning lips burning and stinging in right side of face with slight swelling.  Pulsating area below lip on right side of face. Pulsation visable when looking at face. On the first day, Jan 19, 21. Nausea,dizzyness and off balance,headache. Second day 1/22/21 just general unwell feeling all day with headache.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Oral discomfort, Pain, Swelling face
Clinical narrative: Headache with burning lips burning and stinging in right side of face with slight swelling.  Pulsating area below lip on right side of face. Pulsation visable when looking at face. On the first day, Jan 19, 21. Nausea,dizzyness and off balance,headache. Second day 1/22/21 just general unwell feeling all day with headache.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Eye pruritus, Fatigue, Injection site reaction, Ocular hyperaemia
Clinical narrative: 13 days post vaccination, I have an raised, red rash over the injection site and symptoms of fever (approx 100.2), asthma increase, red and itchy eyes, and fatigue.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash erythematous, Rash papular, SARS-CoV-2 test negative
Clinical narrative: 13 days post vaccination, I have an raised, red rash over the injection site and symptoms of fever (approx 100.2), asthma increase, red and itchy eyes, and fatigue.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Hyperhidrosis, Mental impairment, Tremor
Clinical narrative: Started becoming very warm while resting in bed getting ready for sleep. Fell asleep and woke up a little while later sweating from head to toe and trembling. Thinking was hard, but not actually confused. I thought maybe I needed to eat something because occasionally I have low blood sugars (not diagnosed) and get sweaty and nauseated. I wasn't nauseated but thought I'd try to eat something anyway but couldn't. The mental fog was very disconcerting. I don't know how long the sweat lasted but probably not more than 5 minutes. When it started abating, I laid down again and fell asleep. I didn't have any after effects when I woke up again. This may have nothing to do with the vaccination of course.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: My head been pounding for almost 3 days all day
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Chills, Headache, Pain, Pyrexia
Clinical narrative: Severe body aches muscle and joint.  Severe HA, Fever, Chills, hair loss
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Tachycardia, White blood cell count increased
Clinical narrative: worked up in ED at Medical Center (location where vaccine was administered) for fatigue, dizziness, tachycardia. Received IVF. Elevated WBC, possibly sepsis & UTI rather than vaccine reaction. Patient transferred to another Hospital for admission.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient developed Hives shortly after dose.  Reporting on same day of event.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Feeling cold, Headache
Clinical narrative: Starting the day after the vaccination she started feeling cold and having a headache. She then developed a temperature of 101.1.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Fatigue through the late morning afternoon. Around 9pm - the injection site started to swell. There was pain and some itching, redness. Pain was soreness. I took diphenhydramine 25 mg  prior to going to bed and iced the site of the injection for about 10 minutes around 11pm. This morning the injection site remains sore, red, and swollen, a little itching, but it is improved.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 8 days after injection, patient presented at location with redness and warmth around injection site.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, Hypoaesthesia oral, No adverse event
Clinical narrative: onset of left sided mouth numbness & weakness associated with change    in taste but no change in sense of smell over the past 2 days- woke    up 2 days ago with subtle changes to the left mouth - no associated    other symptoms of headache, sore throat ear pain or drainage & no    skin lesions to the nose, ear or left cheek; no stiff neck , sore    throat, fever, chills, rigors * no recenbt URI symptoms or trauma to    the left ear ie using Qtips; denies prior similar symptoms & no    associated visual changes , double vision or partial visual field    changes ie amuarosis fugax, teichopsia or pallisading;
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Slight elevation in heart rate, resolved after 30 minutes
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Burning sensation, Disturbance in attention, Fatigue, Feeling hot
Clinical narrative: The first day I was fatigued and achey for a few hours and wanted to go to sleep very early.  The following two days my arm was sore at the injection site but that went away in a couple days.  3 days post vaccination, my right axilla and median and ulnar nerves were extremely sensitive for 3 days but that subsided.  6 days post vaccine I started to get extreme fatigued, low energy and feel like my nerves were hot.  I got a covid test which was negative because I was not feeling well.  Then 9 days post vaccine I started to feel very fatigued, achey, and I couldn?t sleep well and like my nerves were burning up all over my body.  I had to call out of work due to brain fog, fatigue, nerve heat, difficulty concentrating.  I took my temperature during all this and it was 97.7.  My hands felt very hot and I could wash them under warm water because the water felt way too hot.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Injection site pain, Insomnia, Malaise, Mental impairment
Clinical narrative: The first day I was fatigued and achey for a few hours and wanted to go to sleep very early.  The following two days my arm was sore at the injection site but that went away in a couple days.  3 days post vaccination, my right axilla and median and ulnar nerves were extremely sensitive for 3 days but that subsided.  6 days post vaccine I started to get extreme fatigued, low energy and feel like my nerves were hot.  I got a covid test which was negative because I was not feeling well.  Then 9 days post vaccine I started to feel very fatigued, achey, and I couldn?t sleep well and like my nerves were burning up all over my body.  I had to call out of work due to brain fog, fatigue, nerve heat, difficulty concentrating.  I took my temperature during all this and it was 97.7.  My hands felt very hot and I could wash them under warm water because the water felt way too hot.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Neuralgia, Pain, SARS-CoV-2 test negative, Sensitive skin
Clinical narrative: The first day I was fatigued and achey for a few hours and wanted to go to sleep very early.  The following two days my arm was sore at the injection site but that went away in a couple days.  3 days post vaccination, my right axilla and median and ulnar nerves were extremely sensitive for 3 days but that subsided.  6 days post vaccine I started to get extreme fatigued, low energy and feel like my nerves were hot.  I got a covid test which was negative because I was not feeling well.  Then 9 days post vaccine I started to feel very fatigued, achey, and I couldn?t sleep well and like my nerves were burning up all over my body.  I had to call out of work due to brain fog, fatigue, nerve heat, difficulty concentrating.  I took my temperature during all this and it was 97.7.  My hands felt very hot and I could wash them under warm water because the water felt way too hot.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: tender to site of injection, redness, swelling (3 red rings, one being larger than the other two-larger one on lower deltoid) and warm to touch
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: Heavy menstruation bleeding  few days after the vaccine. I had my period a week prior to vaccine. Never had such a bad bleeding
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Ophthalmological examination abnormal, Scleritis
Clinical narrative: L red eye Diagnosed as scleritis by optometrits  Personal history of iritis/scleritis 3-4 times in the past
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Palpitations
Clinical narrative: After a couple of minutes presented palpitations and hotness. Lasted some minutes.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site swelling
Clinical narrative: Patient experience chills; shivering and injection site swelling.  This lasted 3 hours.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Pyrexia
Clinical narrative: symptoms include severe back pain, fever and headache after vaccine 01/19/2021. Patient had COVID-less than three months ago. Advised to see Family doctor
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash macular
Clinical narrative: Vaccine received Thursday.  Early Monday morning I started itching, in all my joints.  This then spread over my whole body, which turned blotchy and red.  I applied hydrocortisone cream and took took benadryl on Monday afternoon.  The problem resolved itself by the following morning.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Swelling
Clinical narrative: Next morning, minor pain and swelling after daily exercise, approximately 10:30 AM.  Swelling subsided slightly 3 hours later, but minor swelling and minor pain remain.  No treatment.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Hyperhidrosis, Injection site pain
Clinical narrative: Body aches, chills, fever, headache, sweats, dizzy, arm soreness, tender at injection site
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Body aches, chills, fever, headache, sweats, dizzy, arm soreness, tender at injection site
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Feeling cold, Lethargy, Oropharyngeal pain, Pyrexia
Clinical narrative: 12 hours later:  2 am -fever, chills, lethargy, bone pain persistent for 48 hours, Took one Tylenol For one week after the  shot: rhinorrhea, sore throat, no fever.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: 12 hours later:  2 am -fever, chills, lethargy, bone pain persistent for 48 hours, Took one Tylenol For one week after the  shot: rhinorrhea, sore throat, no fever.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Oropharyngeal pain, Pain, Paraesthesia
Clinical narrative: Body aches, tingling in lip/tongue, tongue swelling, fever, tingling in left arm above the elbow, diarrhea, rash, sore throat, headache
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Pyrexia, Rash
Clinical narrative: Body aches, tingling in lip/tongue, tongue swelling, fever, tingling in left arm above the elbow, diarrhea, rash, sore throat, headache
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Redness and itchy rash at injection site  2-3" wide
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt. received Covid 19- Moderna vaccine on Left Deltoid at 10:13 AM. Pt was out in the recovery area for fifteen minutes. At 10:30 AM patient c/o dizziness. Pt was brought inside for further monitoring.  Vital signs were taken  at 10:40 HR 88, O2 98 % ,  BP 130/70.  Pt stated that she is feeling much better. Vital signs were retaken at 11:00 Am HR 89, O2 % 97 %, BP 135/ 70. Pt was sent home. Husband will be driving patient home. Pt.  to seek medical attention if she has any difficulty breathing.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Full blood count, Metabolic function test, SARS-CoV-2 test positive
Clinical narrative: Resident tested positive for COVID 01/06/2021. Resident received outpatient IV fluid bolus of D5NS 1 liter on 01/13/2021.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling
Clinical narrative: bruising at injection site, redness and swelling below injection site
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Hypoaesthesia oral, Oropharyngeal pain, Paraesthesia oral, Tongue discomfort
Clinical narrative: Around 2pm the day of the vaccine, my tongue started to feel like it was burned, rough , and  someone spilled novacaine on the surface of it. My throat also started to hurt, which lasted until about 6pm. The day after the vaccine, (today) my tongue still feels the same, and  i have a metallic taste in my mouth when I eat.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Lymphadenopathy
Clinical narrative: Supraclavicular/axillary lymphadenopathy, injection site rash
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Back pain, Chest pain, Injection site pruritus
Clinical narrative: Started Sunday 1/17 or Monday 1/18 itchy arm at and around injection site Monday 1/18 started getting soreness in armpit Monday 1/18 onwards - this soreness spread to shoulder and upper part of back, upper chest/collarbone area, neck (all on left side; neck up to the voice box area) Wednesday 1/20 I noticed my left deltoid muscle got stiff and tight feeling, and it was quite swollen. It was NOT red; still somewhat itchy, but not horribly so. Swelling seemed to extend to my shoulder. Has had no negative impact on breathing; sore and tight feeling.  Taking ibuprofen since 1/20. Helps a little, but still sore/swollen. I called my doctor, but no doctor visit at time of submission (tt nurse, waiting for Dr to call.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle swelling, Muscle tightness, Musculoskeletal stiffness
Clinical narrative: Started Sunday 1/17 or Monday 1/18 itchy arm at and around injection site Monday 1/18 started getting soreness in armpit Monday 1/18 onwards - this soreness spread to shoulder and upper part of back, upper chest/collarbone area, neck (all on left side; neck up to the voice box area) Wednesday 1/20 I noticed my left deltoid muscle got stiff and tight feeling, and it was quite swollen. It was NOT red; still somewhat itchy, but not horribly so. Swelling seemed to extend to my shoulder. Has had no negative impact on breathing; sore and tight feeling.  Taking ibuprofen since 1/20. Helps a little, but still sore/swollen. I called my doctor, but no doctor visit at time of submission (tt nurse, waiting for Dr to call.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis
Clinical narrative: diaphoretic
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Feeling hot, Oropharyngeal discomfort, Throat tightness
Clinical narrative: Roughly between 1400 and 1410 the patient received the Moderna vaccine in the right deltoid. Patient stated 5 minutes after injection the she felt "a warm feeling from my head to my chest area. Like a burning feeling". Since this symptom was not cardiac or respiratory in nature and the patient did not appear in distress, Benadryl 25 mg PO was administered roughly at 1415. Patient was closely observed afterward. Patient alerted staff 3 minutes after the Benadryl administration that she felt tightening in the throat and itchiness. Epinephrine was administer to left thigh. Patient stated immediate relief. Emergency medical services were offered, but the patient declined. The first set of vitals retrieved were 136/78 BP, 81 pulse, patient lung sounds clear, no wheezing present. Patient is awake and alert.  Onsite physician assessed the patient. Patient monitored for additional 30 minutes after epinephrine injection. Last set of vitals 120/81 BP, pulse 88, lunch sounds clear no wheezing. Patient is calm, awake, and alert. ODR clinical representative and patient educated on anaphylaxis signs and symptoms and advised to seek medical attention if symptoms occur. Patient released from observation at 1455.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Nausea, Palpitations
Clinical narrative: After first shot had palpitations and nausea for 24 hours. ( I did report prior to taking second dose) After second shot developed shortness of breath and nausea.  Particularly bad with having to don mask. Did not go to ER or doctor. Has resolved somewhat' but still not able to tolerate mask.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Nausea
Clinical narrative: After first shot had palpitations and nausea for 24 hours. ( I did report prior to taking second dose) After second shot developed shortness of breath and nausea.  Particularly bad with having to don mask. Did not go to ER or doctor. Has resolved somewhat' but still not able to tolerate mask.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Ear pain, Facial pain, Heart rate increased, Hypoaesthesia
Clinical narrative: After injection immediately had odd taste on my tongue. Had elevated heart rate few minutes after vaccination and intermittently x 5 days after the vaccine. Following day had tingling to the right side of my upper lip and right side of face felt somewhat numb. Had pain to right side of face up to right ear.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
Clinical narrative: After injection immediately had odd taste on my tongue. Had elevated heart rate few minutes after vaccination and intermittently x 5 days after the vaccine. Following day had tingling to the right side of my upper lip and right side of face felt somewhat numb. Had pain to right side of face up to right ear.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Cholecystectomy, Cholecystitis acute, Cholecystitis infective, Cholelithiasis, Culture negative
Clinical narrative: Developed hydrops of gallbaldder and acute cholecystitis 12 hours after vaccination with no history of gallbladder disease prior to this. I was 26 weeks 5 days pregnant with EDD 04/15/2021
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Hydrocholecystis, Liver function test normal, Pancreatic enzymes normal, Ultrasound biliary tract abnormal
Clinical narrative: Developed hydrops of gallbaldder and acute cholecystitis 12 hours after vaccination with no history of gallbladder disease prior to this. I was 26 weeks 5 days pregnant with EDD 04/15/2021
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus
Clinical narrative: Soreness at injection site for 3 days, itchy at the injection site for 1 day
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal, Flushing, Pain
Clinical narrative: I started feeling flush and got a pain in the center of my chest. At first it felt like congestion, but then started radiating into my shoulders, then into my arms and up into my neck. They called an ambulance. They gave me Benadryl and aspirin, which made me feel better.  They missed twice trying to blood, but said I refused, so they couldn't get blood results.  I don't know if it was an allergic reaction.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio increased, Anion gap normal, Aspartate aminotransferase normal, Basophil percentage
Clinical narrative: Vaccinated 12/29/2020 @ ~0845.  At ~7 pm same day, experienced extreme chest tightness and squeezing accompanied by SOB, mostly subsided by 10 pm.  Next day, intermittent chest squeezing and SOB.  Contacted RN by phone and advised to go to ER.  Symptoms minimal to none at time of ER visit on 12/30/2020 @ ~1200.  EKG, labs and CXR all negative.  Sent home, all symptoms subsided by 12/31/2020.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal
Clinical narrative: Vaccinated 12/29/2020 @ ~0845.  At ~7 pm same day, experienced extreme chest tightness and squeezing accompanied by SOB, mostly subsided by 10 pm.  Next day, intermittent chest squeezing and SOB.  Contacted RN by phone and advised to go to ER.  Symptoms minimal to none at time of ER visit on 12/30/2020 @ ~1200.  EKG, labs and CXR all negative.  Sent home, all symptoms subsided by 12/31/2020.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose increased, Blood potassium normal, Blood sodium normal, Blood urea normal
Clinical narrative: Vaccinated 12/29/2020 @ ~0845.  At ~7 pm same day, experienced extreme chest tightness and squeezing accompanied by SOB, mostly subsided by 10 pm.  Next day, intermittent chest squeezing and SOB.  Contacted RN by phone and advised to go to ER.  Symptoms minimal to none at time of ER visit on 12/30/2020 @ ~1200.  EKG, labs and CXR all negative.  Sent home, all symptoms subsided by 12/31/2020.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide, Carbon dioxide normal, Chest X-ray normal, Chest discomfort, Dyspnoea
Clinical narrative: Vaccinated 12/29/2020 @ ~0845.  At ~7 pm same day, experienced extreme chest tightness and squeezing accompanied by SOB, mostly subsided by 10 pm.  Next day, intermittent chest squeezing and SOB.  Contacted RN by phone and advised to go to ER.  Symptoms minimal to none at time of ER visit on 12/30/2020 @ ~1200.  EKG, labs and CXR all negative.  Sent home, all symptoms subsided by 12/31/2020.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Eosinophil percentage, Fibrin D dimer, Globulin, Glomerular filtration rate
Clinical narrative: Vaccinated 12/29/2020 @ ~0845.  At ~7 pm same day, experienced extreme chest tightness and squeezing accompanied by SOB, mostly subsided by 10 pm.  Next day, intermittent chest squeezing and SOB.  Contacted RN by phone and advised to go to ER.  Symptoms minimal to none at time of ER visit on 12/30/2020 @ ~1200.  EKG, labs and CXR all negative.  Sent home, all symptoms subsided by 12/31/2020.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: Vaccinated 12/29/2020 @ ~0845.  At ~7 pm same day, experienced extreme chest tightness and squeezing accompanied by SOB, mostly subsided by 10 pm.  Next day, intermittent chest squeezing and SOB.  Contacted RN by phone and advised to go to ER.  Symptoms minimal to none at time of ER visit on 12/30/2020 @ ~1200.  EKG, labs and CXR all negative.  Sent home, all symptoms subsided by 12/31/2020.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell volume normal, Monocyte percentage increased, Neutrophil percentage, Platelet count normal, Protein total decreased
Clinical narrative: Vaccinated 12/29/2020 @ ~0845.  At ~7 pm same day, experienced extreme chest tightness and squeezing accompanied by SOB, mostly subsided by 10 pm.  Next day, intermittent chest squeezing and SOB.  Contacted RN by phone and advised to go to ER.  Symptoms minimal to none at time of ER visit on 12/30/2020 @ ~1200.  EKG, labs and CXR all negative.  Sent home, all symptoms subsided by 12/31/2020.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell count normal, Red cell distribution width normal, SARS-CoV-2 test negative, Troponin T, White blood cell count normal
Clinical narrative: Vaccinated 12/29/2020 @ ~0845.  At ~7 pm same day, experienced extreme chest tightness and squeezing accompanied by SOB, mostly subsided by 10 pm.  Next day, intermittent chest squeezing and SOB.  Contacted RN by phone and advised to go to ER.  Symptoms minimal to none at time of ER visit on 12/30/2020 @ ~1200.  EKG, labs and CXR all negative.  Sent home, all symptoms subsided by 12/31/2020.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness, Oropharyngeal discomfort, Pruritus, Rash erythematous, Throat clearing
Clinical narrative: Felt itchy and shaky after vaccine.  Left after 30 min.  She later developed hives and was seen at ED. Per ED notes, approx 1 hour after vaccine, she developed mild erythematous rash over upper chest/ collarbone region. Slightly itchy. She took benadryl PO x 1 with resolution of itching and rash within 1-2 hours. Patient has noted she is needing to clear her throat more often, feeling like it is "a little mucousy".  She does not have a frank cough. She denies SOB, chest pain, difficulty breathing, stridor, wheezing or nasal congestion. She does not feel her mouth, lips, face or tongue are swollen. She has no difficulty swallowing. She denies abdominal pain, vomiting, and diarrhea. Denies myalgias, headaches, chills or fevers at this time.   Discussed can use additional antihistamine as needed for further rash. Does not need epi IM at this time.  Reviewed common side effects for 2nd vaccine to expect in next 24 hours. Reviewed elevated BP and asked to recheck at PCP or next medical visit to monitor for possible hypertension
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Felt itchy and shaky after vaccine.  Left after 30 min.  She later developed hives and was seen at ED. Per ED notes, approx 1 hour after vaccine, she developed mild erythematous rash over upper chest/ collarbone region. Slightly itchy. She took benadryl PO x 1 with resolution of itching and rash within 1-2 hours. Patient has noted she is needing to clear her throat more often, feeling like it is "a little mucousy".  She does not have a frank cough. She denies SOB, chest pain, difficulty breathing, stridor, wheezing or nasal congestion. She does not feel her mouth, lips, face or tongue are swollen. She has no difficulty swallowing. She denies abdominal pain, vomiting, and diarrhea. Denies myalgias, headaches, chills or fevers at this time.   Discussed can use additional antihistamine as needed for further rash. Does not need epi IM at this time.  Reviewed common side effects for 2nd vaccine to expect in next 24 hours. Reviewed elevated BP and asked to recheck at PCP or next medical visit to monitor for possible hypertension
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: 8 days after injection left arm turned red around the site of injection and began to grow and get worse, 9 days after it became hot, itchy, and the arm got firm in the spot where it was red. Took Benadryl thinking it was an allergic reaction and it did not do anything, continued to grow.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pain in extremity, Vomiting
Clinical narrative: Site soreness,body ache,headache,chilling12/28/21 Tylenol  around-the-clock, ice for site soreness 12/30/20 vomitted
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Dizziness, Fatigue, Myalgia
Clinical narrative: Severe muscle pain x20-22 hours, fever, chills, nausea, dizziness, fatigue After the severe pain faded, I was just tired, sore, dizzy, occasional chills 84 hours after getting the shot, I had severe upper abdominal pain off and on for 6 hours  I have schedule a visit with my dr to follow up the first of next week (soonest I can get seen without emergency room visit)
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Severe muscle pain x20-22 hours, fever, chills, nausea, dizziness, fatigue After the severe pain faded, I was just tired, sore, dizzy, occasional chills 84 hours after getting the shot, I had severe upper abdominal pain off and on for 6 hours  I have schedule a visit with my dr to follow up the first of next week (soonest I can get seen without emergency room visit)
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Neck pain, Pain, Pyrexia
Clinical narrative: Day after receiving vaccine started having R arm pain below injection site, very sore to move arm up and traveled to R side of neck.  Today 1/21/21 woke with fever of 100.3 fluctuated to 100.9, headache, still with R arm & neck pain.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Fatigue, Feeling of body temperature change, Headache
Clinical narrative: Outcome: Missed work Symptoms: Hot & cold Chills Headache Nausea Exhaustion Swollen & red arm Pain at injection sight
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Injection site pain, Nausea, Peripheral swelling
Clinical narrative: Outcome: Missed work Symptoms: Hot & cold Chills Headache Nausea Exhaustion Swollen & red arm Pain at injection sight
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Influenza like illness, Myalgia
Clinical narrative: flu like symptoms, chills, muscle pain
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood pressure increased, Cardiac monitoring, Chest discomfort, Electrocardiogram
Clinical narrative: Right at the 15 min mark there were squeezing in the abdomen, chest and neck area My heart rate was over 150 Heart  rate slowed down  then I started having Palpitations  I  started to feel shaky,  My hands and feet felt like Pins and needles   Doctors checked my Blood pressure  and it was elevated  everything last 3 hours
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Muscle tightness, Palpitations, Paraesthesia, Tremor
Clinical narrative: Right at the 15 min mark there were squeezing in the abdomen, chest and neck area My heart rate was over 150 Heart  rate slowed down  then I started having Palpitations  I  started to feel shaky,  My hands and feet felt like Pins and needles   Doctors checked my Blood pressure  and it was elevated  everything last 3 hours
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Erythema, Headache, Hyperhidrosis
Clinical narrative: Moderna covid-19 vaccine eua  Next day had muscle aches,  the sweats, chills,  headache and stomach ache lasted until the next day afternoon.  Redness,  swollen, hot, can't move arm still persisting.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Myalgia, Skin warm, Swelling
Clinical narrative: Moderna covid-19 vaccine eua  Next day had muscle aches,  the sweats, chills,  headache and stomach ache lasted until the next day afternoon.  Redness,  swollen, hot, can't move arm still persisting.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Resident tested positive for COVID on 01/06/2021.  Resident received monoclonal antibody treatment on 01/19/2021.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Malaise
Clinical narrative: Patient reports general malaise, chills and joint pain
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Mental impairment
Clinical narrative: Patient developed brain fogginess that persisted for a week plus beyond 2nd vaccine dose.  Unable to think clearly per patient's report.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Drooling, Fall, Pallor
Clinical narrative: She was feeling dizzy and feeling lightheaded so we gave her a glass of water.  In 20 minutes she started getting her color back.  However, because at one point she had her head over her knees and drooling, we called 911 and the ambulance took her to the hospital.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain
Clinical narrative: nausea, headache, achiness through the night, dissipating by noon the following day
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia
Clinical narrative: Had a hoarse voice, only could speak at a high pitch. I went the paramedics and waited it out while they checked my vitals. Voice came back after 15 minutes. At first I could only talk with a deep voice and then it all went back to normal.  Benadryl was taken once I got home.
Age: 37.0
Sex: F
Vaccine: PPV
Symptoms: Blood creatine phosphokinase, Body temperature increased, C-reactive protein, Fatigue, Full blood count
Clinical narrative: Developed severe pain at injections site. Fever with Tmax 102 x 3 days.  Body aches, headache, fatigue.  Flu and COVID tests negative. Did not improve with supportive care including heat, rest, NSAIDs, tylenol.  Due to persistent symptoms and severity of pain, labs completed on 11/29/20 including CBC (normal), CPK (26) and CRP (3.7).  Muscle pain persisted.  On 11/30/20 patient given Dexamethasone 6mg IM x1.  Symptoms gradually improved over the course of 2 weeks.