chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Peripheral swelling, Vomiting
Clinical narrative: The above patient received a COVID-19 vaccine on 03MAR21 @ 1440.  He came to the EH&S office on the morning of 04MAR21 complaining of left arm pain, fatigue, headache, muscle pain, joint pain, chills, and nausea/vomiting.  He was evaluated by a healthcare provider who noted mild swelling and a small knot was felt in his left arm.  He is to follow-up with our onsite nurse or his medical provider if his condition worsens.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Pain
Clinical narrative: Next day chills, muscle and body ache, headache and vomiting, and fatigue.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Next day chills, muscle and body ache, headache and vomiting, and fatigue.
Sex: U
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Migraine, Pain, Pyrexia
Clinical narrative: Migraine, body aches, fever, chills, upset stomach
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered had been at room temperature for > 6 hours.
Age: 37.0
Sex: F
Vaccine: UNK
Symptoms: Application site erythema, Application site pain, Application site warmth, Migraine with aura
Clinical narrative: Pain, redness, fever peaks at the site of application, until today March 5. Pain from the left shoulder that extends to the elbow. Today I had an episode of Migraine with aura.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Within two hours of injection, I began to feel numbness in my right foot. Later that day, I experienced tingling in my fingers on both hands. This has continued for several days now and has worsened today (three days after injection), with the tingling being stronger and moving into my calves. I have had no loss of strength or coordination. I had similar peripheral neuropathy about 20 to 25 years ago; no reason was ever found, and it went away. This is the first recurrence in many years, and by far the most widespread on my body and the most acute sensations.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Condition aggravated, Dizziness, Fatigue
Clinical narrative: Patient complained of lightheadedness, dizziness, and fatigue the next morning.  That afternoon she experienced Afib.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient is 16 years old and was given Moderna.  There was no adverse reaction.  Patient's parent was given EUA and consented to vaccine.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Dizzy, nauseous,  headache, fatigue, muscle aches, site soreness no redness.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Dizzy, nauseous,  headache, fatigue, muscle aches, site soreness no redness.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given a double dose of the vaccine, NO adverse events noted.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Staring
Clinical narrative: Staring episode evening after the shot
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dysuria, Fatigue, Headache, Heart rate increased
Clinical narrative: Started with headache , fatigue  and muscular aches.later fever of 100.4   3rd day.. fever, low blood oxygen (90) increased heart rate, rigors Called 911  Taken to ER. Lab results revealed mild urinary tract infection Kidney stones ruled out.  Intravenous Levaquin. Fever subsided. Returned home after 6 hours. Next day still having difficulty urinating Dr increased dose of Levaquin. Improvement by 5th day
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Myalgia, Oxygen saturation decreased, Pyrexia, Urinary tract infection
Clinical narrative: Started with headache , fatigue  and muscular aches.later fever of 100.4   3rd day.. fever, low blood oxygen (90) increased heart rate, rigors Called 911  Taken to ER. Lab results revealed mild urinary tract infection Kidney stones ruled out.  Intravenous Levaquin. Fever subsided. Returned home after 6 hours. Next day still having difficulty urinating Dr increased dose of Levaquin. Improvement by 5th day
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Pain in extremity, Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine EUA Pain in arm 12 hours after injection. Light headedness, headache, tiredness 19 hours after injection Mild fever (99.7) 20 hours after injection
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered had been at room temperature for > 6 hours.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety
Clinical narrative: 75 year old complained of anxiety after receiving the vaccine. Onsite EMS was called BP 146/78  99% O2 HR 96. She refused further evalvation & care.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Confusional state, Feeling abnormal
Clinical narrative: ?Out of it?  Confusion, Memory loss,  Seeing ?things ?  almost like a Mini stroke
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Pruritus, Throat tightness
Clinical narrative: The patient received her vaccine at 0855.  She was monitored for 15 minutes for any allergic reactions. The patient left the facility after being monitored. She was no exhibiting any reactions.  She returned to her home and began experiencing, itchiness around the eyes, ears, nose and mouth along with tightness in her throat and chest.  The patients husband brought her back to the vaccination clinic. She was monitored by the EMS staff. PH nurse at site administered Benadryl 25mg P0 @ 10:20.  The patient was monitored for 20 minutes.  Symptoms resolved. The patient was offered transportation to the ER by EMS.  The patient refused transport and signed refusal document per EMS.  The patient was advised to visit her doctors office before going home. The patient refused to go to her doctors office for follow-up today.  She and her husband decided to go home and monitor symptoms and stated that they would notify their healthcare provider and follow up if necessary.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: At room temperature for >6 hours.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Headache, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Pain in arm of injection site immediately after injection and intensifying over the next day Severe back and neck pain with headache 5 hours after injection carrying over into the next day Nausea 7 hours after injection carrying over into next day Chills turning to Fever/Sweating  9 hours after injection resolved the next day
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Neck pain, Pyrexia
Clinical narrative: Pain in arm of injection site immediately after injection and intensifying over the next day Severe back and neck pain with headache 5 hours after injection carrying over into the next day Nausea 7 hours after injection carrying over into next day Chills turning to Fever/Sweating  9 hours after injection resolved the next day
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Electrocardiogram, Influenza like illness, Pain
Clinical narrative: Passed out. Low BP 83/42.Felt better after fluids. Also chills and achy flu symptoms lasting 12 hrs.  This was 2nd dose; no reaction to first other than sore arm.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Syncope
Clinical narrative: Passed out. Low BP 83/42.Felt better after fluids. Also chills and achy flu symptoms lasting 12 hrs.  This was 2nd dose; no reaction to first other than sore arm.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Neck pain, Pain in jaw, Pyrexia
Clinical narrative: Really bad and different type of headache.... affected my jaw, behind ears, forehead and back of neck, lasted 16 hours..  Chills and fever for 2 hours.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: day 8 after 1st vaccine developed extensive red itchy rash over all parts of body; not centralized to shot arm!!! saw my phyician yesterday and received steroid shot and told to take benadryl Today is worse with heavier rash and rash over most of body; have a prescription for prednisone and a prescription cream for itching
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Dizziness, Electrocardiogram, Headache
Clinical narrative: LIGHT HEADED, NAUSEA, HEADACHE, TREMORS, CHILLS STARTING 15 MINUTES AFTER INJECTION
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Tremor
Clinical narrative: LIGHT HEADED, NAUSEA, HEADACHE, TREMORS, CHILLS STARTING 15 MINUTES AFTER INJECTION
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Pain in extremity
Clinical narrative: After receiving the Moderna COVID-19 Vaccine EUA, my left arm from shoulder to wrist became very sore the next evening.  It was very sore for about one week.  The soreness gradually dissipated over the next week, but then began to get worse over several days.  Beginning the third week after this dose, the soreness is mainly in my shoulder.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Employee was vaccinated with both doses of the Pfizer vaccine on 12/17/2020 and 1/5/2021.  He tested positive for Covid-19 on 2/2/2021.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Confusional state, Dyspnoea, Lung infiltration, Pulmonary oedema
Clinical narrative: Patient presents to ER from EMS for SOB and confusion. Of note, patient's husband passed this morning. Troponins elevated. Chest xray shows edema and likely left lower infiltrate. Patient admitted and started on IV antibiotics, Lasix, aspirin, nitroglycerin, and albuterol nebulizers. Patient is currently still admitted.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Patient presents to ER from EMS for SOB and confusion. Of note, patient's husband passed this morning. Troponins elevated. Chest xray shows edema and likely left lower infiltrate. Patient admitted and started on IV antibiotics, Lasix, aspirin, nitroglycerin, and albuterol nebulizers. Patient is currently still admitted.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Oral pruritus, Pain, Throat irritation
Clinical narrative: My throat and mouth got itchy and EMT had me take a RX Benadryl that I had with me.  Otherwise, they were going to IV the Benadryl. They kept me 45 minutes and went home.  The itchiness stayed with me for the evening and intense headache came on board and petered out over the next few days.  Arm was extremely sore for 3 days and just feeling a bit punkish.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Pruritus
Clinical narrative: My arm began itching and I had a hard knot and red area where the injection took place. It began 9 days after the vaccine was administered. It lasted about 3 days. It still itches occasionally.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Asthenia, Blood bicarbonate normal, Blood chloride normal, Blood creatinine increased
Clinical narrative: Patient was vaccinated tihe Pfizer #1 2/12/21. Started feeling weak 2/13 and presented to ED on 2/14. Was admitted to Hospital. Found to be COVID +, required O2 per NC 2-3 L for approx 24 hours. Was found to have NSTEMI. Was transferred for speciality/cardiology care at  General Hospital. Was on heparin gtt. Cardiology-no intervention. Was not treated for COVID and was discharged to home on 2/16.  Was unable to care for himself at home and was readmitted with in hours. He has failed discharge twice and is being now discharged to SNF
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood potassium decreased, Blood sodium normal, Blood urea increased, Brain natriuretic peptide increased
Clinical narrative: Patient was vaccinated tihe Pfizer #1 2/12/21. Started feeling weak 2/13 and presented to ED on 2/14. Was admitted to Hospital. Found to be COVID +, required O2 per NC 2-3 L for approx 24 hours. Was found to have NSTEMI. Was transferred for speciality/cardiology care at  General Hospital. Was on heparin gtt. Cardiology-no intervention. Was not treated for COVID and was discharged to home on 2/16.  Was unable to care for himself at home and was readmitted with in hours. He has failed discharge twice and is being now discharged to SNF
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Haematocrit decreased, Haemoglobin decreased, Influenza A virus test negative
Clinical narrative: Patient was vaccinated tihe Pfizer #1 2/12/21. Started feeling weak 2/13 and presented to ED on 2/14. Was admitted to Hospital. Found to be COVID +, required O2 per NC 2-3 L for approx 24 hours. Was found to have NSTEMI. Was transferred for speciality/cardiology care at  General Hospital. Was on heparin gtt. Cardiology-no intervention. Was not treated for COVID and was discharged to home on 2/16.  Was unable to care for himself at home and was readmitted with in hours. He has failed discharge twice and is being now discharged to SNF
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza B virus test, Influenza virus test negative, Loss of personal independence in daily activities, Lung opacity, Platelet count normal
Clinical narrative: Patient was vaccinated tihe Pfizer #1 2/12/21. Started feeling weak 2/13 and presented to ED on 2/14. Was admitted to Hospital. Found to be COVID +, required O2 per NC 2-3 L for approx 24 hours. Was found to have NSTEMI. Was transferred for speciality/cardiology care at  General Hospital. Was on heparin gtt. Cardiology-no intervention. Was not treated for COVID and was discharged to home on 2/16.  Was unable to care for himself at home and was readmitted with in hours. He has failed discharge twice and is being now discharged to SNF
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased, White blood cell count normal
Clinical narrative: Patient was vaccinated tihe Pfizer #1 2/12/21. Started feeling weak 2/13 and presented to ED on 2/14. Was admitted to Hospital. Found to be COVID +, required O2 per NC 2-3 L for approx 24 hours. Was found to have NSTEMI. Was transferred for speciality/cardiology care at  General Hospital. Was on heparin gtt. Cardiology-no intervention. Was not treated for COVID and was discharged to home on 2/16.  Was unable to care for himself at home and was readmitted with in hours. He has failed discharge twice and is being now discharged to SNF
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: Had redness to face,  no itching or flushing. Redness is mild. Cleared by EMS.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Flushing, Hyperhidrosis, Injection site erythema, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Medium, Error: Wrong Route (SC, IM, etc.)
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Lethargy
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Medium, Error: Wrong Route (SC, IM, etc.)
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: In the evening lots of pain in left arm. during night chills including teeth chattering, pain all over, no sleep but slept through most of the next day, ate nothing.  Was quite concerning but did not call doctor although I sure thought about it. I was wondering if I was actually infected with Covid- 19. Shot was Tuesday 2: 30 PM, felt a bit better by Thursday but arm still hurt even on Friday arm was red and swollen down to my elbow. Saturday fine. I thought someone should know about this as lost of my friends also had difficult reactions. But this was the first time I saw an opportunity to respond.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: In the evening lots of pain in left arm. during night chills including teeth chattering, pain all over, no sleep but slept through most of the next day, ate nothing.  Was quite concerning but did not call doctor although I sure thought about it. I was wondering if I was actually infected with Covid- 19. Shot was Tuesday 2: 30 PM, felt a bit better by Thursday but arm still hurt even on Friday arm was red and swollen down to my elbow. Saturday fine. I thought someone should know about this as lost of my friends also had difficult reactions. But this was the first time I saw an opportunity to respond.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: At room temperature for >6 hours.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: About 9 days after my 1st dose of Moderna vaccine, I began to have itching on my right upper arm in the area of the injection.  That continues today.  Two days after I noticed the itching, the upper arm was hot to the touch, red, and swollen.  The area is about 6" in diameter.  I did not have an elevated temperature, but I felt slightly nauseous and light-headed on March 5.    I had no reaction to the shot until a week and a half to two weeks after the injection.   I still have a red, itchy area on my right arm.  It seems to be slowly improving.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: About 9 days after my 1st dose of Moderna vaccine, I began to have itching on my right upper arm in the area of the injection.  That continues today.  Two days after I noticed the itching, the upper arm was hot to the touch, red, and swollen.  The area is about 6" in diameter.  I did not have an elevated temperature, but I felt slightly nauseous and light-headed on March 5.    I had no reaction to the shot until a week and a half to two weeks after the injection.   I still have a red, itchy area on my right arm.  It seems to be slowly improving.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Blood glucose increased, Blood test
Clinical narrative: Vaccine received 2-27, developed sore arm that night, woke next morning with chills and developed temperature 102.2-103 when checked, poor appetite and weak, slept most of day. Felt better until woke in the night on  3-3-21 with chest pain, unable to get comfortable, no relief with ibuprofen, some relief with aspirin. Pain persisted next day on 3-4-21 so seen in Emergency room and diagnosed with pericarditis and 2 pulmonary emboli.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Cardiomegaly, Chest X-ray, Chest pain, Chills
Clinical narrative: Vaccine received 2-27, developed sore arm that night, woke next morning with chills and developed temperature 102.2-103 when checked, poor appetite and weak, slept most of day. Felt better until woke in the night on  3-3-21 with chest pain, unable to get comfortable, no relief with ibuprofen, some relief with aspirin. Pain persisted next day on 3-4-21 so seen in Emergency room and diagnosed with pericarditis and 2 pulmonary emboli.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Decreased appetite, Electrocardiogram normal, Fibrin D dimer increased, Pain
Clinical narrative: Vaccine received 2-27, developed sore arm that night, woke next morning with chills and developed temperature 102.2-103 when checked, poor appetite and weak, slept most of day. Felt better until woke in the night on  3-3-21 with chest pain, unable to get comfortable, no relief with ibuprofen, some relief with aspirin. Pain persisted next day on 3-4-21 so seen in Emergency room and diagnosed with pericarditis and 2 pulmonary emboli.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pericarditis, Platelet count decreased, Pulmonary embolism, Somnolence
Clinical narrative: Vaccine received 2-27, developed sore arm that night, woke next morning with chills and developed temperature 102.2-103 when checked, poor appetite and weak, slept most of day. Felt better until woke in the night on  3-3-21 with chest pain, unable to get comfortable, no relief with ibuprofen, some relief with aspirin. Pain persisted next day on 3-4-21 so seen in Emergency room and diagnosed with pericarditis and 2 pulmonary emboli.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient was found dead this morning.
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Vomiting, Vomiting projectile
Clinical narrative: About four days after my first modern injection, I started having abdominal pain, more on the left side, I have a history of diverticulitis.  My last episode was about 5 months previously.   I have never had vomiting with diverticulitis and not such a severe  symptoms as with this case,  It was difficult to ambulate and  on day 4 of this, I started having projectile vomiting, which I have never had.  I was taking cipro once a day, because for some reason I could not hold down medications in the mornings so only took it at night.  I did not have to go to the hospital but stayed in contact with my colorectal physician.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, Cerebrovascular accident, Dysphagia, Influenza virus test negative, Mental status changes
Clinical narrative: Pt had worsening altered mental status, tachypnea, and low-grade fever on 1/13/21. Pt considered terminal status previously and comfort-focus care pursued. Suspected pneumonia vs. TIA/CVA. PO meds D/C'ed as patient could no longer swallow.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test normal, Pneumonia, Pyrexia, SARS-CoV-2 test negative, Tachypnoea
Clinical narrative: Pt had worsening altered mental status, tachypnea, and low-grade fever on 1/13/21. Pt considered terminal status previously and comfort-focus care pursued. Suspected pneumonia vs. TIA/CVA. PO meds D/C'ed as patient could no longer swallow.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Transient ischaemic attack, Troponin normal, White blood cell count increased
Clinical narrative: Pt had worsening altered mental status, tachypnea, and low-grade fever on 1/13/21. Pt considered terminal status previously and comfort-focus care pursued. Suspected pneumonia vs. TIA/CVA. PO meds D/C'ed as patient could no longer swallow.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Vaccine administered had been at room temperature for > 6 hours.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Influenza like illness, Pain
Clinical narrative: Chills, sore , feel flu like,
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Haemorrhage
Clinical narrative: Vaccine administered on 01/20/2021 followed by erythema followed by cracking of the skin with bleeding of the palm to the hands and fingers occurring during the next few days following administration of the 2nd dose.  These were improved significantly with prednisone taper of 60-40-20 with 5 day dosing.  Patient was also placed on betamethasone cream. During prednisone treatment patient had resolution of symptoms, but following discontinuation patient's symptoms have returned to a lesser extent.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased, Palpitations, Pharyngeal hypoaesthesia, Throat tightness
Clinical narrative: She felt numbness in the throat, the impression was that her throat was closing up. she was also dizzy/lightheaded. her heart beat was up. she felt her heart racing as she described.  Patient took self adminstered benadryl liquid, 20 minutes after the shot, 25 mg, then after 5 minutes she took another 12.5 mg.  EPIPEN administered after 40 minutes of vaccine administration. 911 was called.  She was shaky for 10-15 minutes after the epipen then the shakiness stopped.  paramedics checked blood pressure, was normal: 120/80 as I recall. paramedica checked her oxygen saturation and it was fine. Patient didn't want to go to the hospitals , I stayed for an extra 45 minutes after using the epipen, she was normal.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Feeling cold, Feeling jittery, Headache
Clinical narrative: Jittery a few minutes after the injection that went away Tiredness that lasted about 3 days Cold for about 4 days but no fever Headaches that were nagging for about 4 days Diarrhea the first that did not last long  Nausea that lasted for about 2 eqyw
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Jittery a few minutes after the injection that went away Tiredness that lasted about 3 days Cold for about 4 days but no fever Headaches that were nagging for about 4 days Diarrhea the first that did not last long  Nausea that lasted for about 2 eqyw
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Limb discomfort, Pruritus, Urticaria
Clinical narrative: Left leg began to itch. Hives on back of left leg. No treatment. Appears to be subsiding next day 3/5/21
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Fatigue, Headache
Clinical narrative: Significant COVID symptoms short of hospitalization including aches severe headaches congestion lingering cough fatigue diarrhea
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Significant COVID symptoms short of hospitalization including aches severe headaches congestion lingering cough fatigue diarrhea
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Diarrhea for 2 days after vaccine on 3/3/2021.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chapped lips, Lip erythema, Lip swelling
Clinical narrative: Irritation of the outer lips  Redness, cracking, scaling minor swelling.  Some eight days after the first vaccine. Saw nurse practitioner prescribed Zyrtec and Prednisone.  Also recommended a moisturizer.  Using Vaseline with Aloe Vera.  After two days of Pred. no results and received 2nd vaccine.  Moisturizer giving relief of minor cracking and scaling.   Swelling has gone down some.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered had been at room temperature for > 6 hours.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Rash
Clinical narrative: Briefly got chills hours after but went away quickly  2/27-2/28 left arm REALLY sore 2/27-2/28 rash on chest (chest was red) - disappeared by Monday, 3/1 (two days later); took Benadryl
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Cardiac flutter, Dizziness, Troponin increased
Clinical narrative: Patient presented to ED with chief complaint of sudden onset dizziness, epigastric pain and generalized weakness, symptoms happened the day before yesterday, resolved, she noticed when she is trying to do any activities she gets heart fluttering. Epigastric pain noted in ED.  Troponin Elevated, heparin IV started for possible NSTEMI. Patient is currently admitted.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: Headache, Injection Site Pain
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Inappropriate schedule of product administration, Off label use, SARS-CoV-2 test
Clinical narrative: miscarried at 12 weeks; received first dose of bnt162b2 on 18Dec2020, second dose on 11Feb2021; received first dose of bnt162b2 on 18Dec2020, second dose on 11Feb2021; This is a spontaneous report from a contactable nurse (Patient). A 38-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number el3248) intramuscular in right arm on 11Feb2021 17:00 at single dose for covid-19 immunisation. No medical history. No COVID prior to vaccination. Other medications in two weeks include prenatal vitamins. Patient received first dose of bnt162b2 (lot number ek5730) on 18Dec2020 12:00 PM intramuscular in right arm. No other vaccine in four weeks. Patient's last menstrual date was 01Nov2020. Patient miscarried at 12 weeks after receiving the second dose of vaccine. Dilation and curettage performed. Outcome was recovered with sequel. Nasal Swab COVID tested negative post vaccination on 18Feb2021.; Sender's Comments: The limited information provided precludes a full clinical assessment of the case. Considering the product-event temporal relationship, a causal association between the reported 'miscarried' and the administration of bnt162b2 cannot be completely excluded. Case will be reassessed once with additional information.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Pain, Pyrexia
Clinical narrative: I experienced fever, body aches,  chills and pain at the injection site.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis at injection sight that occurred 8 days after vaccine.  Was prescribed antibiotic this AM
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen and painful lymph nodes around right side  colar bone. I have not seen a doctor about this but I read that it should go away within 3 weeks.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: lymphadenopathy, left armpit. Treated with alternating warm and cold compresses every 30 min, and 400mg Ibuprofen, every 6 hours as needed for pain.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Brain stem infarction
Clinical narrative: Patient admitted to hospital pontine stroke following day.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red swollen hot arm at site of injection
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Maternal exposure before pregnancy, Urine analysis normal
Clinical narrative: I ended up on Sunday night (48 hours later) having a lot of contractions. More than 8 in an hour. I called the DR and they told me to go to LABOR/DELIVERY to be monitor contractions. They determined I was not going into pre-term labor. They gave me an injection to try to stop the contractions. It worked. They monitored for me a bit longer and I went home.  March 29, 2021 - estimated date of delivery; This is my third pregnancy. I have one other living child and one pregnancy ended in miscarriage.  I had developed gestational hypertension - after the vaccines.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered had been at room temperature for > 6 hours.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome, Paraesthesia, Vaccination site pain
Clinical narrative: Guillain-Barre syndrome; achy arm; tingling sensation from head to toe/whole body was tingling/weird and scary on and off sensation; This is a spontaneous report from two contactable consumers (patient's cousin and patient herself). A 68-year-old female patient received her second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EN6201), via an unspecified route of administration in right arm on 10Feb2021 10:30 AM at a single dose for COVID-19 immunisation. Medical history included anxiety. It was reported that the patient was "physically fit. She was thin and was about 5 feet." Ongoing concomitant medications included escitalopram (reported as "generic Lexapro") for anxiety, calcium, and multivitamins. The patient previously received flu vaccine in Oct2020. She also had her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL9262) via an unspecified route of administration in left arm on 20Jan2021 10:30 AM for COVID-19 immunization and felt a little soreness in arm and light headache the same day. Two nights later, her scalp felt on fire and had tingling sensation in her face for three weeks. A week after the first dose, her blood pressure went up to 210/101. She went to the hospital, they controlled her pressure and put her on a pressure pill 1 a day (amlodipine). She mentioned she had felt a weird sensation and noticed some spikes in her blood pressure. Her physician told her to take another 2.5 mg amlodipine if needed. After her second dose, she went to sleep with achy arm. she woke up that night with a tingling sensation from head to toe. Her whole body was tingling. It was a weird and scary on and off sensation. She stated it had improved during the past two days. The patient confirmed that she had no heart rate problems. She actually experienced high blood pressure instead. She never had numbness, instead she had a tingling sensation still present. She mentioned her 97-year-old mother and husband both got the two doses with no complication or reactions. The patient's cousin was "pretty sure that it's Guillain-Barre." The patient stated the Guillain-Barre syndrome has not yet been confirmed. She had an appointment with a neurologist. The outcome of 'tingling sensation from head to toe/whole body was tingling/weird and scary on and off sensation' was recovering, of remaining events was unknown.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Very sore arm
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Lightheadedness and nausea
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Mobility decreased, Myalgia, Pain in extremity, Sleep disorder
Clinical narrative: Intense muscular pain in arm. Inability to move arm at all due to pain. Inability to sleep due to pain. Lethargy.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Odynophagia, Oropharyngeal pain
Clinical narrative: Sore throat, and chest feels heavy. Hurts to swallow.  No treatment. I am currently monitoring my issue. If symptoms worsen I will go to ER
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Pyrexia
Clinical narrative: Chills, fatigue, diarrhea, fever
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Laboratory test, Magnetic resonance imaging, Retinal artery occlusion, Visual impairment
Clinical narrative: I had a retinal artery occlusion that resulted in blindness in the lower half of my right eye within 5.5 hours of receiving the vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Mouth swelling
Clinical narrative: PATIENT DESCRIBED MOUTH AREA FEELS NUMB AND WAS SWOLLEN.  PATIENT WAS INJECTED BENADRYL 50MG INTRAMUSCULARLY. SHE WAS REVISITED AND AFTER 30 MINUTES, MOUTH HAD DECREASED SWELLING.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: I experienced itchy hands as a side effect 3 hours after I received the 2nd administration of the Pfizer Covid19 vaccine.  The side effect ended approximately 48 hours after I received the injection.    Also, please be advised that I previously notified you that I experienced the following side effects 45 minutes to 1 hour after I received the 1st administration of the Pfizer Covid19 vaccine on Feb. 5, 2021.  The side effects ended 24 hours after I received the injection. 1- Sneezing 2- Excessive Running Nose 3- Watery Eyes
Age: 19.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Student had gotten a flu vaccine on 10/30/20 from pharmacy. She came to the campus flu clinic on 1/26/21 and received another flu vaccine, her first dose being unbeknownst to the flu clinic staff.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Neck pain, Pain in extremity
Clinical narrative: 1. Pain from neck to elbow 2. large red oval shaped  about 5" in diameter around insertion sight.  pain went away in 2nd day after shot.  I am in day 16 and the oval has just started going away
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hypoaesthesia, Mobility decreased, Paraesthesia
Clinical narrative: About 1 hour after vaccine I experienced a severe headache, low grade fever and chills.  Two hour after injection I experienced a sudden onset of sever tingling and numbness in my left foot, leg, arm and hand which rapidly got worse.  I had trouble stepping on the foot and walking.  I decided to rest for the remainder of the day and called my primary care physician the following day.  I never received a call back from her as promised and called again by end of day around 5pm CT to be told by the front desk to go to the ER.  I held off from doing so for financial reasons and decided to make an appointment with an neurologist instead.  Today (day 3 after the vaccination my symptoms are still present but have not worsened).  I am still very concerned to potentially develop paralysis or GBS and therefore wanted to report the issue.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: About 1 hour after vaccine I experienced a severe headache, low grade fever and chills.  Two hour after injection I experienced a sudden onset of sever tingling and numbness in my left foot, leg, arm and hand which rapidly got worse.  I had trouble stepping on the foot and walking.  I decided to rest for the remainder of the day and called my primary care physician the following day.  I never received a call back from her as promised and called again by end of day around 5pm CT to be told by the front desk to go to the ER.  I held off from doing so for financial reasons and decided to make an appointment with an neurologist instead.  Today (day 3 after the vaccination my symptoms are still present but have not worsened).  I am still very concerned to potentially develop paralysis or GBS and therefore wanted to report the issue.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Heart rate decreased, Hypotension, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Felt dizzy immediately after vaccine and passed out. EMS stated low heart rate and blood pressure after waking up.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Loss of consciousness
Clinical narrative: Felt dizzy immediately after vaccine and passed out. EMS stated low heart rate and blood pressure after waking up.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dehydration, Dizziness, Hypotension, Loss of consciousness
Clinical narrative: Felt dizzy immediately after vaccine and passed out. EMS stated low heart rate and blood pressure after waking up.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Heart rate decreased, Hypotension, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: PT RECEIVED COVID(MODERNA) VACCINE AND DURING 15 MINUTES WAIT AFTER VACCINATION THEY STOOD UP TO WALK TOWARDS PHARMACY AND EXPERIENCED A SYNCOPE EVENT. PT UNCONSCIOUS FOR 10-15 SECONDS. PHARMACIST ATTENDED TO PATIENT AND CONTACTED EMS. PT GIVEN WATER/PEDIALYTE. EMS CLEARED PT WITH SUSPECTED DEHYDRATION AND RELEASED TO SPOUSE.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Loss of consciousness
Clinical narrative: PT RECEIVED COVID(MODERNA) VACCINE AND DURING 15 MINUTES WAIT AFTER VACCINATION THEY STOOD UP TO WALK TOWARDS PHARMACY AND EXPERIENCED A SYNCOPE EVENT. PT UNCONSCIOUS FOR 10-15 SECONDS. PHARMACIST ATTENDED TO PATIENT AND CONTACTED EMS. PT GIVEN WATER/PEDIALYTE. EMS CLEARED PT WITH SUSPECTED DEHYDRATION AND RELEASED TO SPOUSE.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dehydration, Dizziness, Hypotension, Loss of consciousness
Clinical narrative: PT RECEIVED COVID(MODERNA) VACCINE AND DURING 15 MINUTES WAIT AFTER VACCINATION THEY STOOD UP TO WALK TOWARDS PHARMACY AND EXPERIENCED A SYNCOPE EVENT. PT UNCONSCIOUS FOR 10-15 SECONDS. PHARMACIST ATTENDED TO PATIENT AND CONTACTED EMS. PT GIVEN WATER/PEDIALYTE. EMS CLEARED PT WITH SUSPECTED DEHYDRATION AND RELEASED TO SPOUSE.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Arm tender, swelling near injection, red and itchy.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Ultrasound scan
Clinical narrative: Left side of neck has developed swelling along lymph nodes. Went to Primary care Doctor. Saw her Nurse Practitioner on 3/3/21. Her nurse practitioner ordered Ultrasound Carotid Doppler Bilateral tests.  Radiology said Covid 19 vaccine research is showing some patients getting side effects of swelling of lymph nodes. Asked which arm I received vaccine in (left) same side as neck swelling and when I received first dose (2/08/2021).
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Pyrexia
Clinical narrative: Fever began around 11:55am the day after initial vaccination. Chills and fever were reduced by 1:00pm after taking 1000mg Tylenol at 12:10pm. No appetite all day.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Influenza like illness, Pain, Pyrexia
Clinical narrative: Fine on wake up day after vaccine.  Approx 8:30 AM noticed fever.  99.1, slowly and steadily increased to 100.9 over the day.  Flu like symptoms with body aches and headache all day.  Symptoms controlled by Acetaminophen.  Feeling fine on wake up 2 days after vaccine.  Also note that lot #'s of vaccine were difficult to read as they were handwritten, so I'm not confident in those codes.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Red Rash on chest, arms, and back.  No pain, no itching, nothing.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Area around injection sites was swollen, red, warm, and itchy
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Increase heart rate indicated by Apple Watch.  Highest recorded was 148 BPM and it slowly decreased over a period of 3 hours back to normal.  No other issues noticed at the time such as shortness of breath, chest pains, dizziness, etc.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: The client actually should have received the 2nd dose Moderna vaccine and was inadvertently given the 2nd dose as a Pfizer instead.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Blood pressure measurement, Erythema, Heart rate, Heart rate increased
Clinical narrative: The client actually should have received the 2nd dose Moderna vaccine and was inadvertently given the 2nd dose as a Pfizer instead.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Wrong product administered
Clinical narrative: The client actually should have received the 2nd dose Moderna vaccine and was inadvertently given the 2nd dose as a Pfizer instead.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Mydriasis
Clinical narrative: History of HTN, left-arm numbness, and ipsilateral dilated (blown) pupil about 2 minutes post vaccine.  Transported to ED.  Patient left the ED without treatment.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Erythema, Fatigue, Headache
Clinical narrative: Reaction began 02/22/2021 at 1:00a.  General to moderately severe sharp muscle pain (everywhere) as well as general muscle (flu - like) aches.  Also, experienced hot sensations and fever followed by chills with headache.  The fullness of effects occurred 4:00a.   Symptoms began to decrease over the next several hours, however, they remained low-grade for the next 48 hours.  Then I experienced exhaustion and congestion with minor intermittent cough as if I went from the flu to having a cold.  By the end of workday Thursday, 02/25/2021, I was considerably better.  Then the rash began (02/25/2021 evening) at first it appeared upper left arm and left side of chest spreading to the right chest and arm with a lesser degree.  Rash is described as minor itching, redness, and bumps appearing as a contact dermatitis.  As of 03/05/2021, it seems on its way to resolving.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Myalgia, Nasal congestion, Nasopharyngitis, Pruritus
Clinical narrative: Reaction began 02/22/2021 at 1:00a.  General to moderately severe sharp muscle pain (everywhere) as well as general muscle (flu - like) aches.  Also, experienced hot sensations and fever followed by chills with headache.  The fullness of effects occurred 4:00a.   Symptoms began to decrease over the next several hours, however, they remained low-grade for the next 48 hours.  Then I experienced exhaustion and congestion with minor intermittent cough as if I went from the flu to having a cold.  By the end of workday Thursday, 02/25/2021, I was considerably better.  Then the rash began (02/25/2021 evening) at first it appeared upper left arm and left side of chest spreading to the right chest and arm with a lesser degree.  Rash is described as minor itching, redness, and bumps appearing as a contact dermatitis.  As of 03/05/2021, it seems on its way to resolving.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Skin warm
Clinical narrative: Reaction began 02/22/2021 at 1:00a.  General to moderately severe sharp muscle pain (everywhere) as well as general muscle (flu - like) aches.  Also, experienced hot sensations and fever followed by chills with headache.  The fullness of effects occurred 4:00a.   Symptoms began to decrease over the next several hours, however, they remained low-grade for the next 48 hours.  Then I experienced exhaustion and congestion with minor intermittent cough as if I went from the flu to having a cold.  By the end of workday Thursday, 02/25/2021, I was considerably better.  Then the rash began (02/25/2021 evening) at first it appeared upper left arm and left side of chest spreading to the right chest and arm with a lesser degree.  Rash is described as minor itching, redness, and bumps appearing as a contact dermatitis.  As of 03/05/2021, it seems on its way to resolving.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Decreased appetite, Dyspnoea, Ear pain, Fatigue
Clinical narrative: Chest pain, sore throat, uncomfortable breathing, neck glands extremely sore, painful teeth, pain in right ear, extreme tiredness (3 days not enough energy to get out of bed, not wanting to eat but no upset stomach.   No personal doctor so did not seek medical attention.  Took tylenol and did breathing exercises.  After beginning to feel better took Mucinex and Sudafed.  Day 4 started getting strength back.  Day 5 walking inside of home.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Oropharyngeal pain, Toothache
Clinical narrative: Chest pain, sore throat, uncomfortable breathing, neck glands extremely sore, painful teeth, pain in right ear, extreme tiredness (3 days not enough energy to get out of bed, not wanting to eat but no upset stomach.   No personal doctor so did not seek medical attention.  Took tylenol and did breathing exercises.  After beginning to feel better took Mucinex and Sudafed.  Day 4 started getting strength back.  Day 5 walking inside of home.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Muscular weakness, Sleep disorder, Tremor
Clinical narrative: Moderna COVID-19 Vaccine EUA   Interrupted sleep the first night with shakes.  The next day I had chills, shakes, and muscle weakness.  I had no appetite, slept most of the day, and had a full night's sleep.  I felt better about 9:00 PM and am fine today Friday, the 5th