chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Received his first MENACTRA vaccine at  11-12 years old. The second one was given two months prior to his 15th birthday with no AE; Initial information regarding an unsolicited valid non-serious case was received from other health professional.    This case involves a 14 years old male patient who received his first dose at 11-12 years old and the second 0.5 mL dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA] (lot U5866BC and expiration date was not reported) via intramuscular route in the left arm for prophylactic vaccination was given two months prior to his 15th birthday (extra dose administered) on 13-Apr-2018.  The patient's medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included HPV VACCINE VLP RL1 9V (YEAST) (GARDASIL 9).  It was a case of actual medication error due to extra dose administered (latency on same day).  At the time of report, no adverse event was reported.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Pain in extremity, Rash, Skin discolouration
Clinical narrative: After receiving the vaccine, my arm was in a lot of pain. Then that night and the next day, it was extreme pain, I couldnt lay on it. Then about 3-4 days later, the color is blue and black.  Then I  started having cold symptoms. Like a head cold. On my left side, my arm and my leg is sore. In addition, my face broke out too.  I did not go to the ER. I let Employee health examine my arm . No ER visit
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain of skin, Skin induration, Skin warm
Clinical narrative: Warm to touch, redness, hard area, sore to touch
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain in extremity
Clinical narrative: patient developed headache and arm pain day after vaccination. Patient stayed and worked from home on this day as a result.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Peripheral swelling, Swelling face
Clinical narrative: 1/2/21 @ 1030:  EE called to report she received the vaccine on 12/31/20 between 1030 and 1100.  And then around 2330 on 12/31/20 she experienced facial swelling, arm swelling, headache, chills, and dizziness.  EE stated she felt it was an allergic reaction to the vaccine and took Benadryl for the next 24 hours to help with the symptoms.  EE reported she hasn't had anything since the initial 24 hours, but is concerned about taking the next vaccine.  Encouraged EE to contact PCP regarding concern for taking next vaccine.  After speaking with Administration, EE encouraged to report vaccine side effects to CDC via V-Safe (https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/vsafe.html).
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: about two inches around the site was red and outlined. Felt slightly raised and was itching. Is still red today 1/4/21
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Electrocardiogram, Oropharyngeal discomfort, Visual impairment
Clinical narrative: C/O of "smokey vision", outside in parking lot. Sat in car for about 10 minutes before coming into the building. A&O, ambulatory, denies dizziness, HA or lightheadedness. States feels SOB with exertion, "heaviness in trachea" increasing with inspiration. Hand off to EMTs. EKG performed, Sinus Tach 108 initially then NSR 80s-90s with occ MF PVCs, couplets. BP 162/94, O2SAT 100% RA, BS POC 208. Patient brought to ER by EMTs
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Lip swelling, Paraesthesia, Paraesthesia oral
Clinical narrative: Within 10 mins. Tongue was tingling lips were swelling and tingling left arm fingers were tingling , headache
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lip swelling, Swollen tongue, Throat irritation
Clinical narrative: Within 10 mins. Tongue was tingling lips were swelling and tingling left arm fingers were tingling , headache
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Itching, redness and swelling on the injection site. Dr. Prescribed  antiniotic Bactrim DS 800-160  Tab
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Influenza like illness, Tremor
Clinical narrative: Chills and shaking consistent with flu-like symptoms began about 12 hours following vaccination.  The next morning, I had a headache and vomited about 5 times.  Over the next several hours, I began to feel better and by that evening, was feeling pretty much normal, except for some lingering fatigue.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Chills and shaking consistent with flu-like symptoms began about 12 hours following vaccination.  The next morning, I had a headache and vomited about 5 times.  Over the next several hours, I began to feel better and by that evening, was feeling pretty much normal, except for some lingering fatigue.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lymphadenopathy, Pain, Pyrexia, White blood cell count increased
Clinical narrative: This patient is a 56 y.o. female presenting to the emergency department with a chief complaint of a possible reaction to the COVID vaccine onset 2 days ago. The patient states that she has had a fever, chills, adenopathy, and body aches since her vaccination. Her highest recorded temperature was 101F, and she has been taking Tylenol. She states that her biggest concern is the adenopathy under her right armpit which is painful to touch. She denies any masses. She saw her PCP on 12/24 and had blood work done, which showed an elevated white count of 17.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: patient developed arm pain day after vaccination that lasted about 1 day.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain in extremity, Pyrexia
Clinical narrative: Left arm soreness, Headache 30 mins after, Fever 100.9 T 5am and 9am, monitoring until now
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: After initially receiving vaccine 12/28/2020 my arm was sore and slightly red for approx 2 days and resolved on 12/30/20. When I awoke this morning my right shoulder ached and I thought massage might make it feel better - at that time I noted it was swollen and warm tender to touch at site and again appeared red. I did report this to the clinic who administered vaccine
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pain in extremity
Clinical narrative: After initially receiving vaccine 12/28/2020 my arm was sore and slightly red for approx 2 days and resolved on 12/30/20. When I awoke this morning my right shoulder ached and I thought massage might make it feel better - at that time I noted it was swollen and warm tender to touch at site and again appeared red. I did report this to the clinic who administered vaccine
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Patient developed arm soreness at injection site day after vaccination
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Eye discharge, Eye pruritus, Eye swelling, Lacrimation increased, Migraine
Clinical narrative: Migraine for 2 days controlled with medication, Severe swollen eyes with discharge from eyes, itchy, red watery eyes began the evening of the vaccine and ongoing.  using BENEDRYL and ALLEGRA to decrease symptoms.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular hyperaemia
Clinical narrative: Migraine for 2 days controlled with medication, Severe swollen eyes with discharge from eyes, itchy, red watery eyes began the evening of the vaccine and ongoing.  using BENEDRYL and ALLEGRA to decrease symptoms.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness
Clinical narrative: Weakness, almost paralysis both lower extremities worse than baseline paresis from ms.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site warmth
Clinical narrative: Arm itchy at injection site, warm feeling at injection site
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Electrocardiogram, Flushing, Paraesthesia
Clinical narrative: Patient c/o feeling tachycardia, flush and dizziness, flushness upper torso neck region and bilateral upper arms. Rash/hives not present. Placed on stretcher , monitored immediately with BP 156/100, HR 88, O2 99%, alert and oriented x3, verbalizing clearly. Placed on EKG monitor, noted in NSR 80. POC 102. Shortly after at 1001, redness subside ,briefly noted with tingling of bilateral feet and hands for only seconds. Patient was monitored for 40 minutes, returned to baseline 142/81 HR 58 O2 100%. Nutrition given . Discharged to home, ambulatory feeling well.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Patient c/o feeling tachycardia, flush and dizziness, flushness upper torso neck region and bilateral upper arms. Rash/hives not present. Placed on stretcher , monitored immediately with BP 156/100, HR 88, O2 99%, alert and oriented x3, verbalizing clearly. Placed on EKG monitor, noted in NSR 80. POC 102. Shortly after at 1001, redness subside ,briefly noted with tingling of bilateral feet and hands for only seconds. Patient was monitored for 40 minutes, returned to baseline 142/81 HR 58 O2 100%. Nutrition given . Discharged to home, ambulatory feeling well.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue
Clinical narrative: Asthma-like fatigue, cough due to fatigue, mild.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Noticed itching and slight rash on distal portion of extremities the evening of Dec. 30, rash became worse over next few days and became more inflamed/raised even with Benadryl taken as directed on box.   I went to urgent care on Jan 1, 2021 and was started on Steroid taper of 60-40-20 each dose for 3 days.   Improvement noted after 2nd steroid dose.  No respiratory involvement with vaccine or rash episode
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Modern a covid 19
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin warm
Clinical narrative: Moderna vaccine received on 12/21 from my workplace. Rash (reddened skin not raised) appeared after vaccine was given (within 24hrs) the size of a quarter and was gone 3 days later.  Now on 1/3 the rash (red bullseye not raised) came back the size of a baseball and is warm to the touch. Went to urgent care and physician called it a delayed adverse reaction to the moderna vaccine 1st dose
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Feeling hot, Hyperhidrosis, Nervousness, Pallor
Clinical narrative: I got the shot, didn?t feel it at all so it went good. I went to the bathroom and went pee and got my arm back in my long sleeve shirt under my scrub top. I wasn?t anxious about getting the vaccine. Then I went to sit down and be monitored. After about another minute I felt very weird like a warm feeling going all over my body.  I started pulling my mask away from my face to get a deep breath. Then I broke out in a sweat from head to toe. I think I became pale (I apparently didn?t look good).  I started feeling more ?weird? as I had never felt this way before and I stood up to walk because the nurse there wanted me upstairs near the ED but I was weak so I sat down and had tunnel vision. After that it?s a bit of a blur. After I stopped sweating I got very cold and shaky but vitals were ok.  It scared me because I have never had a reaction before to a vaccine.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Tunnel vision
Clinical narrative: I got the shot, didn?t feel it at all so it went good. I went to the bathroom and went pee and got my arm back in my long sleeve shirt under my scrub top. I wasn?t anxious about getting the vaccine. Then I went to sit down and be monitored. After about another minute I felt very weird like a warm feeling going all over my body.  I started pulling my mask away from my face to get a deep breath. Then I broke out in a sweat from head to toe. I think I became pale (I apparently didn?t look good).  I started feeling more ?weird? as I had never felt this way before and I stood up to walk because the nurse there wanted me upstairs near the ED but I was weak so I sat down and had tunnel vision. After that it?s a bit of a blur. After I stopped sweating I got very cold and shaky but vitals were ok.  It scared me because I have never had a reaction before to a vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Headache, Hyperhidrosis
Clinical narrative: fever 100.6- 100.5, chills, headache, general weakness, sweating, and loss of appetite.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fever 100.6- 100.5, chills, headache, general weakness, sweating, and loss of appetite.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Feeling hot, Paraesthesia, Skin reaction
Clinical narrative: felt hot, prickly, right arm red. Later felt chest tightness
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Injection site pruritus, Injection site streaking, Muscle tightness
Clinical narrative: Starting on Thursday, Dec. 31, patient began having shoulder and neck tightness.  That night patient began having chills, and noticed redness at the vaccine sight and then the redness started streaking.  Also complaints of itching at the vaccine sight.  Started taking Tylenol for the two days following the vaccine, states feels like it is improving.  Referred to PCP for evaluation. Has appt. Monday, January 4th
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Malaise
Clinical narrative: Extreme fatigue, weakness, lightheaded, malaise
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash papular
Clinical narrative: Began noticing itching and redness on left had on 1/3 PM. When I woke up on 1/4 the itching in the had was persistent and the redness was about the same. I also noticed a raised, red patch of skin on my right anterior ribs. The rash on the ribs is less itchy than the hand.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Erythema, Fatigue, Headache
Clinical narrative: receive vaccine on 12/24/2020 arm was red and sore few days.  then on 1/1/2021 at injection site  a rash developed and had HA, tired , weakness, chills. I continue to feel this way on 1/4/2021
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Pain in extremity
Clinical narrative: receive vaccine on 12/24/2020 arm was red and sore few days.  then on 1/1/2021 at injection site  a rash developed and had HA, tired , weakness, chills. I continue to feel this way on 1/4/2021
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain, Loss of personal independence in daily activities, Muscular weakness, Nerve injury
Clinical narrative: About 1  hour after receiving my first dose of the Moderna vaccine for COVID-19, I started feeling extreme pain in my left shoulder and arm, where the shot was administered. The pain continued to intensify throughout the day and night and was 10/10 on a pain scale. In addition, I began to lose my ability to lift my left arm or use it. It became so weak that I had to use my right hand/arm to pick up my left arm to move it. My left arm was 'hanging and drooping' and my left shoulder was very  noticeably lower then my right shoulder. I called my primary care and employee health. My primary care doctor advised me to take advil and go to urgent care if the pain persisted and worsened. I could not sleep at all that evening of 12/29/20 because the pain was so intense and I had to keep picking my left arm up with my right arm to keep re-adjusting to try and get comfortable. The next morning I went to an orthopedic urgent care where I was diagnosed with nerve damage from the shot and prescribed Methylprednisolone 4mg dosepack. The doctor who saw me explained that he could not assess the extent of the damage at this time because my nerves were so agitated and inflamed. He scheduled a follow up visit with me for Thursday, January 7th and stated he will then proceed with an MRI and further investigation to assess the extent of the nerve damage.  During the days that followed my immunization, I was unable to do anything with my left arm and was dependent on my husband to help me get dressed, showered, household chores, etc. It is unknown at this time whether this will be temporary or permanent damage and disability.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: About 1  hour after receiving my first dose of the Moderna vaccine for COVID-19, I started feeling extreme pain in my left shoulder and arm, where the shot was administered. The pain continued to intensify throughout the day and night and was 10/10 on a pain scale. In addition, I began to lose my ability to lift my left arm or use it. It became so weak that I had to use my right hand/arm to pick up my left arm to move it. My left arm was 'hanging and drooping' and my left shoulder was very  noticeably lower then my right shoulder. I called my primary care and employee health. My primary care doctor advised me to take advil and go to urgent care if the pain persisted and worsened. I could not sleep at all that evening of 12/29/20 because the pain was so intense and I had to keep picking my left arm up with my right arm to keep re-adjusting to try and get comfortable. The next morning I went to an orthopedic urgent care where I was diagnosed with nerve damage from the shot and prescribed Methylprednisolone 4mg dosepack. The doctor who saw me explained that he could not assess the extent of the damage at this time because my nerves were so agitated and inflamed. He scheduled a follow up visit with me for Thursday, January 7th and stated he will then proceed with an MRI and further investigation to assess the extent of the nerve damage.  During the days that followed my immunization, I was unable to do anything with my left arm and was dependent on my husband to help me get dressed, showered, household chores, etc. It is unknown at this time whether this will be temporary or permanent damage and disability.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swelling
Clinical narrative: swelling, redness that started 1 wk after injection
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Constipation, Flatulence, Injection site pain, Metrorrhagia
Clinical narrative: Moderna COVID-19 Vaccine   Vaccine on day 0 GI symptoms on days 1, 2, 3, and 4 including abdominal cramps, constipation, gas Uterine cramps (not related to menstruation) and light spotting on day 2 Soreness at injection site days 0, 1, 2, and 3
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine spasm
Clinical narrative: Moderna COVID-19 Vaccine   Vaccine on day 0 GI symptoms on days 1, 2, 3, and 4 including abdominal cramps, constipation, gas Uterine cramps (not related to menstruation) and light spotting on day 2 Soreness at injection site days 0, 1, 2, and 3
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: arm pain
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Diarrhoea, Flushing, Hyperhidrosis, Injection site erythema
Clinical narrative: Injection received at 0815. At 0900 I started getting diaphoretic, clammy, nauseas and my face was flushed. At 0930, I developed hives on my neck, chest and arms. I immediately went back to the vaccination site (I was still in the hospital at work) and was administered 25mg oral Benadryl and monitored for 30 minutes. The hives resolved, but I still felt unwell. At 1600 I noticed a swelling in my right upper thigh about the size of my hand. It was about 2 inches inferior to my inguinal crease and was the width of my thigh. It was mildly painful to the touch. My injection site was red, inflamed and itchy. I continued taking 25-50mg Benadryl Q4  and took 100 mg at night due to itchiness on my eyes, face, neck, chest and arms. This is still present, although less each day, as of Monday 1/4/21 morning. I have felt feverish but have not had a recorded fever. I took some Ibuprofen for the pain in my arm at the injection site. The redness, swelling and itchiness has decreased each day at the injection site, but is also still present as of Monday 1/4/21 morning. I still feel unwell and have continued diarrhea throughout the weekend.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site inflammation, Injection site pain, Injection site pruritus, Malaise, Nausea
Clinical narrative: Injection received at 0815. At 0900 I started getting diaphoretic, clammy, nauseas and my face was flushed. At 0930, I developed hives on my neck, chest and arms. I immediately went back to the vaccination site (I was still in the hospital at work) and was administered 25mg oral Benadryl and monitored for 30 minutes. The hives resolved, but I still felt unwell. At 1600 I noticed a swelling in my right upper thigh about the size of my hand. It was about 2 inches inferior to my inguinal crease and was the width of my thigh. It was mildly painful to the touch. My injection site was red, inflamed and itchy. I continued taking 25-50mg Benadryl Q4  and took 100 mg at night due to itchiness on my eyes, face, neck, chest and arms. This is still present, although less each day, as of Monday 1/4/21 morning. I have felt feverish but have not had a recorded fever. I took some Ibuprofen for the pain in my arm at the injection site. The redness, swelling and itchiness has decreased each day at the injection site, but is also still present as of Monday 1/4/21 morning. I still feel unwell and have continued diarrhea throughout the weekend.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pruritus, Pyrexia, Urticaria
Clinical narrative: Injection received at 0815. At 0900 I started getting diaphoretic, clammy, nauseas and my face was flushed. At 0930, I developed hives on my neck, chest and arms. I immediately went back to the vaccination site (I was still in the hospital at work) and was administered 25mg oral Benadryl and monitored for 30 minutes. The hives resolved, but I still felt unwell. At 1600 I noticed a swelling in my right upper thigh about the size of my hand. It was about 2 inches inferior to my inguinal crease and was the width of my thigh. It was mildly painful to the touch. My injection site was red, inflamed and itchy. I continued taking 25-50mg Benadryl Q4  and took 100 mg at night due to itchiness on my eyes, face, neck, chest and arms. This is still present, although less each day, as of Monday 1/4/21 morning. I have felt feverish but have not had a recorded fever. I took some Ibuprofen for the pain in my arm at the injection site. The redness, swelling and itchiness has decreased each day at the injection site, but is also still present as of Monday 1/4/21 morning. I still feel unwell and have continued diarrhea throughout the weekend.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Injection site pain
Clinical narrative: The day of the vaccine I had a initial diarrhea and headache, minimum pain on the site of the injection but at 2AM on the 22nd I woke up from my sleep with chills, and shaking even my teeth were clacking. Took Tylenol and it got better around 30 min later. Felt very fatigued and still nauseated almost threw up. By the end pf the day it resolved itself.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test negative, Tremor
Clinical narrative: The day of the vaccine I had a initial diarrhea and headache, minimum pain on the site of the injection but at 2AM on the 22nd I woke up from my sleep with chills, and shaking even my teeth were clacking. Took Tylenol and it got better around 30 min later. Felt very fatigued and still nauseated almost threw up. By the end pf the day it resolved itself.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Headache, Nausea
Clinical narrative: patient developed headache, nausea and abdominal pain day of vaccination that continued for two days post vaccination.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Nausea
Clinical narrative: patient developed headache, nausea and abdominal pain day of vaccination that continued for two days post vaccination.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site paraesthesia, Paraesthesia
Clinical narrative: left arm tingling starting from above left elbow radiating to left face-started at 10:38 on 12/30/20 and resolved at 18:30-19:30 pm on 12/30/2020
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Immediate post-injection reaction, Influenza like illness, Nausea, Pain in extremity
Clinical narrative: Flu-like symptoms - nausea, sweat.  Arm sore immediately after injection - sore for 2 days.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Catheterisation cardiac, Dyspnoea, Electrocardiogram, Fatigue
Clinical narrative: 12/17/2020 VACCINE 12/18/2020 SWOLLEN LYMPHNODES IN GROIN, FATIGUE  12/21/2020  EXPERIENCED A STEMI; RUSHED TO ER; FELT LIKE COULDN'T BREATHE, INCREASED HR CARDIAC CATH
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Lymphadenopathy
Clinical narrative: 12/17/2020 VACCINE 12/18/2020 SWOLLEN LYMPHNODES IN GROIN, FATIGUE  12/21/2020  EXPERIENCED A STEMI; RUSHED TO ER; FELT LIKE COULDN'T BREATHE, INCREASED HR CARDIAC CATH
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Immediate post-injection reaction, Inappropriate affect, Tic
Clinical narrative: Employee states reaction to every vaccine she receives. Employee states ticks, perseveration, uncontrolled laughing and crying which resolve on own. This happened today immediately after vaccine administered. Employee given water, cold pack. Symptoms resolving on own as stated. Will keep longer for observation.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Flank pain, Haemorrhage, Pain in extremity, Skin lesion
Clinical narrative: EE received Covid-19 Moderna vaccine on 12/29/20 at 5:10 p.m. at Covid vaccination site. 12/30/20 at 3:00 a.m.EE had pain in left side, hip and leg waking EE up from sleep . Lesions times two, one on hip and one on posterior upper leg. MD insructed EE to double Vitamin C orally and to place Bacitracin on the two lesions, which at first appeared to contain bloody drainage. Lesions are now dry. VAERS document completed.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: EE received Covid-19 Moderna vaccine on 12/29/20 at 5:10 p.m. at Covid vaccination site. 12/30/20 at 3:00 a.m.EE had pain in left side, hip and leg waking EE up from sleep . Lesions times two, one on hip and one on posterior upper leg. MD insructed EE to double Vitamin C orally and to place Bacitracin on the two lesions, which at first appeared to contain bloody drainage. Lesions are now dry. VAERS document completed.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia, SARS-CoV-2 test, Viral test
Clinical narrative: fever 100.6, chills, headache
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Influenza like illness, Pain, Pain in extremity, Pyrexia
Clinical narrative: patient developed flu like symptoms such as body aches, chills, fever,  as well as arm pain day after vaccination.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Headache, Injection site erythema, Injection site warmth, Insomnia
Clinical narrative: Extreme left arm pain.  Site is redden and warm to touch.  Low grade fever.  Head ache. Loss of appetite   I had a hard time sleeping. I just took Tylenol.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Extreme left arm pain.  Site is redden and warm to touch.  Low grade fever.  Head ache. Loss of appetite   I had a hard time sleeping. I just took Tylenol.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Influenza virus test negative, Nausea
Clinical narrative: 12/30/2020 - Pt c/o  low-grade fever about 20 hrs after vaccine dose given.  3 hrs later, c/o temp. 101.6 F.   12/31/2020 - Pt c/o fever, dry cough, fatigue, nausea, light H/A.  Referred her to PMD.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: 12/30/2020 - Pt c/o  low-grade fever about 20 hrs after vaccine dose given.  3 hrs later, c/o temp. 101.6 F.   12/31/2020 - Pt c/o fever, dry cough, fatigue, nausea, light H/A.  Referred her to PMD.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pruritus, Urticaria, Vomiting, Wheezing
Clinical narrative: Hives, itching, nausea, vomiting, very mild respiratory wheezing.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Injection site pain, Pain, Pain in extremity
Clinical narrative: After receiving the vaccine, no problems until I woke up in the middle of the night, and I was sore and my arm was hurting and I was sweating. I started having chills. I have a fever, still with aches and pains. The soreness at the injection site is about gone. Yesterday, 01.03.21, I was running a fever between 99-101 all night long. Last night I took one Tylenol to help slow it down a little. It's been pretty severe up until now. Right now my temp is 98.1.  I did not go to the ER and my wife has the lot number in her purse with her right now.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: After receiving the vaccine, no problems until I woke up in the middle of the night, and I was sore and my arm was hurting and I was sweating. I started having chills. I have a fever, still with aches and pains. The soreness at the injection site is about gone. Yesterday, 01.03.21, I was running a fever between 99-101 all night long. Last night I took one Tylenol to help slow it down a little. It's been pretty severe up until now. Right now my temp is 98.1.  I did not go to the ER and my wife has the lot number in her purse with her right now.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Brief dizziness lasting 2 seconds.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Cough, Fatigue, Injection site mass
Clinical narrative: Had dull ache and knot in arm since getting vaccine.  On day 8 he developed chills, body aches, hot and swollen arm, itchy, as well as fatigue, weakness, sneezing, coughing, congestion.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Pain, Peripheral swelling, Pruritus, Sneezing
Clinical narrative: Had dull ache and knot in arm since getting vaccine.  On day 8 he developed chills, body aches, hot and swollen arm, itchy, as well as fatigue, weakness, sneezing, coughing, congestion.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea
Clinical narrative: patient developed nausea and arm soreness at injection site day after administration. Symptoms lasted about 1 day. No other complaints.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site pruritus, Pruritus
Clinical narrative: Dec 31 Itching began on lower legs/ankle, then on Jan 4 swelling, redness, itchiness at injection site; headache began 3rd and 4th.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: had slight soreness and redness at site of injection after vaccine was administered, but one week later it flared up with discomfort, redness, swelling,  larger than diameter of softball. the site was hot to touch.  it has improved but upper L arm is still red with slight ache.  informed Employee health of problem.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Chills, Fatigue, Injection site pain
Clinical narrative: Pain at injection site R shoulder pain and very limited range of motion  Fatigue Chills Temp 100.5
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased
Clinical narrative: Pain at injection site R shoulder pain and very limited range of motion  Fatigue Chills Temp 100.5
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: patient developed arm soreness at injection site day after vaccination.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hot flush, Injection site pain
Clinical narrative: Elevated heart rate within the first five minutes after injection. Went away in about one minute. Came back for about one minute in five minute intervals for a duration of about 40 minutes after injection.  Feeling flushed with the first 15 minutes after injection.   Soreness at injection site 24-48 hours after injection.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Large asymmetrical rash on enter outer side of bicep.  Very red on edges, less red in the middle.  Initially smaller and more red, gradually becoming very itchy and spreading while the center is less red than before.   Unsure if headaches and fatigue are related.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Lip pruritus
Clinical narrative: Fifteen minutes post Moderna COVID vaccine patient felt her lower lip get heavy, and itchy, similar to when she had an allergic reaction to other medications. It resolved spontaneously after 23 minutes.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash
Clinical narrative: Received first dose of Pfizer vaccine on December 28th in left upper arm. On the afternoon of December 30th a rash was identified on my torso. It was not very itchy, took few doses of  Benadryl  and was resolved next day.  May I receive the second dose scheduled in few weeks?
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Rash
Clinical narrative: Received first dose of Pfizer vaccine on December 28th in left upper arm. On the afternoon of December 30th a rash was identified on my torso. It was not very itchy, took few doses of  Benadryl  and was resolved next day.  May I receive the second dose scheduled in few weeks?
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: arm pain
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Rash
Clinical narrative: Moderna COVID-19 Vaccine  Approximately 24 hours following the vaccination I began to feel light headed and extremely fatigued. I began to have a small rash around my hair-line that spread to my chest and arms. I self-medicated with diphenhydramine and recovered by the end of the day.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: Bruising throughout body. Between toes, legs, and arms
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Headache, Nausea
Clinical narrative: Felt woozy/dizzy, the head ache started , then nausea without vomiting.  BP  180/84, BP 170/82 Supervisor was called and let her know that patient would not be able to work today.  Patient stayed for 2 hours and symptoms subsided. EMS checked her out. She then drove home.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Disorientation, Hyperhidrosis, Injected limb mobility decreased
Clinical narrative: Severe left arm pain, stiffness.  Left shoulder pain.  Neck pain.  Stated she couldn't lift her left arm for three days after the vaccine.  Low grade fever. Reported feeling disoriented, sweating, no appetite for a couple days.  Fever has resolved, but other symptoms still remain.  Advised employee to call doctor to report symptoms and get advise regarding next vaccine.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Neck pain, Pain in extremity, Pyrexia
Clinical narrative: Severe left arm pain, stiffness.  Left shoulder pain.  Neck pain.  Stated she couldn't lift her left arm for three days after the vaccine.  Low grade fever. Reported feeling disoriented, sweating, no appetite for a couple days.  Fever has resolved, but other symptoms still remain.  Advised employee to call doctor to report symptoms and get advise regarding next vaccine.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: 5 minutes post injection employee experienced  warmth, redness, itching to injection site
Age: 54.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Fatigue, Headache, Pain
Clinical narrative: Tired, headache, body aches
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: arm numbness
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: "extreme vomiting", patient left prior to being seen by physician
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Back pain, Cough, Dyspnoea
Clinical narrative: After about 24 hours: muscle and joint pain;  After about 48 hours: intense muscle and joint pain back pain, fever of 101.7, shortness of breath Following day: weakness, extreme fatigue, tachypnea, shortness of breath on exertion Shortness of breath and cough persisted for several days, finally resolved day 6 post vaccine
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Fatigue, Myalgia, Pyrexia, Tachypnoea
Clinical narrative: After about 24 hours: muscle and joint pain;  After about 48 hours: intense muscle and joint pain back pain, fever of 101.7, shortness of breath Following day: weakness, extreme fatigue, tachypnea, shortness of breath on exertion Shortness of breath and cough persisted for several days, finally resolved day 6 post vaccine
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: 3-in circumferral rash around injection site.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Diarrhoea, Discomfort, Flushing, Gastrointestinal pain
Clinical narrative: 01/02/21 discomfort, flushing  sweat, waves of gastro pain, bloating, explosive bowel movements; 01/03/21 loose, mucous bowel movement, not feeling well; 01/04/21 feeling better, urges for loose bowel movements continue and slight stomach pains.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Hyperhidrosis, Malaise
Clinical narrative: 01/02/21 discomfort, flushing  sweat, waves of gastro pain, bloating, explosive bowel movements; 01/03/21 loose, mucous bowel movement, not feeling well; 01/04/21 feeling better, urges for loose bowel movements continue and slight stomach pains.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Mass, Swelling
Clinical narrative: Mild redness, swelling for 3 days after injection noted by patient. One week after the injection, patient reported developing a "golf ball sized lump" and redness that lasted an additional three days.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Loss of consciousness, Vomiting
Clinical narrative: about 4 hours after vaccine, patient passed out and when came to, vomited profusely.  Transferred to hospital ED.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pharyngeal swelling, Swollen tongue, Throat irritation
Clinical narrative: itchy throat then gave benadryl 50mg and famotidine 20mg at 10:09 ,  Itchy throat persisted and sent patient to ER.  On arrival to ER throat and tongue started to swell.  ER administered EPIpen and steroids and monitored 2 hours post treatment.  Patient had to additional benadryl and pepcid the next evening due to coughing.  Patient started oral steroids on 01/02/2020 in the morning.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: 8 days after the injection I acutely developed itching, redness, and induration of the injection site. Lasted 24 hours, spread slightly and then started to resolve.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Developed rash on left side of neck one day following vaccination.  Vaccine given in Rt deltoid
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Decreased appetite, Fatigue, Gait disturbance
Clinical narrative: Woke up to a burning sensation all over my face that quickly spread to my upper torso. I stumbled into the bathroom and removed my pajama shirt to relieve the heat I was experiencing. I ran my hands under luke warm water and the sensation suddenly disappeared as quickly as it came. Later that same day I experienced fatigue and loss of appetite that lasted about 24 hours.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Pyrexia
Clinical narrative: Employee relates at 1:30 AM on Sat., 1-2-21, symptom onset began...fever of 102.8 oral, "raging" HA, cough, chilling/shaking that lasted for 3 hours. Note: employee did test COVID positive on Nov. 9, 2020.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Headache, Nausea, Oropharyngeal pain
Clinical narrative: Headache and nausea with in hour of vaccine. Vomiting 6 hours after vaccine with extreme dizziness like on a boat.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test, Sinus operation, Vomiting
Clinical narrative: Headache and nausea with in hour of vaccine. Vomiting 6 hours after vaccine with extreme dizziness like on a boat.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: December 28 developed large red edematous area around injection site. Hot to touch. The area continues at this time despite taking Benadryl and Pepcid every 12 hours as advised by PCP
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Diarrhoea, Dizziness, Headache, Injection site pain, Nausea
Clinical narrative: Moderate dizziness/headache post-flu vacc: got vacc. @ approx. 9:45am on 10/23/20: dizzy/headache started abruptly @ approx. 12:20-7:00pm,  then on an off for rest of night with mild nausea; mild diarrhea @ 7:00pm (howevercould have been from recent fatty meals). Next day (10/24/20): arm very slightly sore at site the next morning and still some slight nausea. Mild dizziness as going to bed that night (for about 1 hour - felt like vertigo as falling asleep). Fully recovered by morning of 10/25/20.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: On and off phenomenon, Vertigo
Clinical narrative: Moderate dizziness/headache post-flu vacc: got vacc. @ approx. 9:45am on 10/23/20: dizzy/headache started abruptly @ approx. 12:20-7:00pm,  then on an off for rest of night with mild nausea; mild diarrhea @ 7:00pm (howevercould have been from recent fatty meals). Next day (10/24/20): arm very slightly sore at site the next morning and still some slight nausea. Mild dizziness as going to bed that night (for about 1 hour - felt like vertigo as falling asleep). Fully recovered by morning of 10/25/20.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lethargy, Pain, Pyrexia
Clinical narrative: FEVER ACHE, CHILLS,  Lethargy
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Feeling cold, Headache, Injection site pain
Clinical narrative: * Had sore arm at the vaccine site * Headache began at 7 pm on 3-Jan * Had chills during the night, cold and unable to get warm even with multiple blankets * Severe dizziness and vomiting * Headache not relieved by Ibuprofen; took 25 mg Benadryl at midnight
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: * Had sore arm at the vaccine site * Headache began at 7 pm on 3-Jan * Had chills during the night, cold and unable to get warm even with multiple blankets * Severe dizziness and vomiting * Headache not relieved by Ibuprofen; took 25 mg Benadryl at midnight
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, Dizziness, Hyperhidrosis
Clinical narrative: Patient felt lightheaded, dizzy, diaphoretic and c/o feeling faint at time of injection.  She has a history of anxiety and feels it may that. Repeat BP 149/85  HR 98  POC glucose 98.  Patient monitored for 50 minutes after episode began.  Patient stated she felt much better and felt comfortable and wanted to leave.  Patient escorted out by RN to car.  Patient walked out of building with assistance and reported she felt good with the cold air.  EMS offered patient to go to ED but patient declined
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Feeling hot, Flushing, Immediate post-injection reaction, Injection site pain
Clinical narrative: Patient felt lightheaded, dizzy, diaphoretic and c/o feeling faint at time of injection.  She has a history of anxiety and feels it may that. Repeat BP 149/85  HR 98  POC glucose 98.  Patient monitored for 50 minutes after episode began.  Patient stated she felt much better and felt comfortable and wanted to leave.  Patient escorted out by RN to car.  Patient walked out of building with assistance and reported she felt good with the cold air.  EMS offered patient to go to ED but patient declined
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Skin warm, Tunnel vision
Clinical narrative: Patient felt lightheaded, dizzy, diaphoretic and c/o feeling faint at time of injection.  She has a history of anxiety and feels it may that. Repeat BP 149/85  HR 98  POC glucose 98.  Patient monitored for 50 minutes after episode began.  Patient stated she felt much better and felt comfortable and wanted to leave.  Patient escorted out by RN to car.  Patient walked out of building with assistance and reported she felt good with the cold air.  EMS offered patient to go to ED but patient declined
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Heart rate increased, Nausea
Clinical narrative: nausea, elevated pulse, anxious; declined Emergency department evaluation.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Pain in extremity, Renal function test, Swelling face, Swelling of eyelid
Clinical narrative: 12/19/2020-12/20/2020 only experiences soreness of left arm where vaccine received. Woke up early morning 12/21/2020 with moderate swelling of eyelids, face, lips that progressed over several hours before seeking  care at Hospital ED. Received IV Benadryl and IV solumedrol. Prescribed oral prednisone dose pack to start next day. Symptoms mostly resolved by that evening.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache for about 3 hours.  Tylenol then fine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hyperaesthesia teeth, Injection site mass, Injection site pruritus
Clinical narrative: Sensation in teeth. Jaw then dizzyness. Headache. Took tylenol at work..then went home and took benadryl.  Sensitivity to spoons, metal. Today 1/04 itching and lump at injection site.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Jaw disorder
Clinical narrative: Sensation in teeth. Jaw then dizzyness. Headache. Took tylenol at work..then went home and took benadryl.  Sensitivity to spoons, metal. Today 1/04 itching and lump at injection site.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site induration, Injection site pain, Lymph node pain
Clinical narrative: Initially had arm pain in the left deltoid area with mild induration, chills and some bodyaches. Generalized fatigue. Two days ago(1/2/21) a large left supraclavicular lymph node came up, it is a little sore. No redness. Moveable. No coughing or SOB. No difficulty swallowing. No rash to that area. No sore throat or other known cause at this time for the adenopathy
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain
Clinical narrative: Initially had arm pain in the left deltoid area with mild induration, chills and some bodyaches. Generalized fatigue. Two days ago(1/2/21) a large left supraclavicular lymph node came up, it is a little sore. No redness. Moveable. No coughing or SOB. No difficulty swallowing. No rash to that area. No sore throat or other known cause at this time for the adenopathy