chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pain
Clinical narrative: Pfizer-BioNTech. I suffered from chills, headache, joint and muscle aches, and nausea. The symptoms were severe from 7:30 pm on Monday, the day of the dose (vaccine received at 9:30AM), until 5:30 PM Tuesday (approximately 22 hours). The symptoms were relieved by taking extra strength tylenol every 4 hours. The symptoms were lessened, but still present until 9:30 AM on Wednesday.  I was still suffering from a minor headache all day Thursday. I also had soreness in the injection site, there was no swelling or redness that I noticed; the soreness was mostly gone by Thursday. I have had a left eyelid twitch in the past (randomly), it returned after the vaccine and was very bothersome. Today is Thursday and the eyelid twitch is still bothering me.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: I received my vaccine at 9:58 AM, on 2/2 and at 7 PM I started to feel feverish and chills. I had a 103 fever for the night. Fever slowly reduced for the next day and by 7PM the following night I no longer had a fever.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: On 1/2/2021 around 12 when I was showering when the water hit the vaccine site it started to get red. It lasted 5-6 days & it kept progressing it was red, warm bumpy, with a couple of blisters & swollen .
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Blood gases normal, Chest X-ray abnormal, Dyspnoea, Fibrin D dimer increased, Full blood count normal
Clinical narrative: Patient received the vaccine on 1/18/21.  He awoke early on 1/20/21 with nasal congestion.  By that afternoon, he was having difficulty breathing.  He was evaluated at Hospital outpatient clinic and sent to the Hospital Emergency Department.  On arrival he was placed on oxygen and given a rapid COVID-19 test and COVID-19 PCA test which were both negative.  He was also provided pulmonology consult.  He was admitted and remained unable to maintain adequate oxygen sats without 10L oxygen until 1/22/21 late in the evening when he abruptly no longer needed oxygen.  He was provided steroids initially.  Ceftriaxone IV was added. Respiratory therapy provided ipratropium inhalation and vest therapy.  He improved rapidly 1/23/21 and was released from the hospital on 1/24/21.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test normal, Nasal congestion, Oxygen saturation decreased, Pneumonia, SARS-CoV-2 test negative
Clinical narrative: Patient received the vaccine on 1/18/21.  He awoke early on 1/20/21 with nasal congestion.  By that afternoon, he was having difficulty breathing.  He was evaluated at Hospital outpatient clinic and sent to the Hospital Emergency Department.  On arrival he was placed on oxygen and given a rapid COVID-19 test and COVID-19 PCA test which were both negative.  He was also provided pulmonology consult.  He was admitted and remained unable to maintain adequate oxygen sats without 10L oxygen until 1/22/21 late in the evening when he abruptly no longer needed oxygen.  He was provided steroids initially.  Ceftriaxone IV was added. Respiratory therapy provided ipratropium inhalation and vest therapy.  He improved rapidly 1/23/21 and was released from the hospital on 1/24/21.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Pain, Pyrexia
Clinical narrative: Spiked a fever of 102.6, body aches, chills, and stomach issues.
Age: 65.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Herpes zoster
Clinical narrative: Developed Shingles on my forehead, scalp and eye
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Palpitations
Clinical narrative: Racing heart, lightheadedness, fatigue that lasted 48 hours
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza like illness, Pain, Pyrexia
Clinical narrative: Headache, feels like the Flu, fever 101.00.  Body aches,
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Pain in extremity, Spinal pain
Clinical narrative: arms pain, back pain, spine pain 4 hours only. pain dropped to lower back and hips and lasted for a few hours. Recurring pain since.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Sore armpit and swollen lymph nodes in armpit
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: On Sunday (2 days after the Moderna vaccine) I started having ringing in my ears (tinnitis). It continues and it is nearly a week after the vaccination.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site pain, Lymphadenopathy
Clinical narrative: I got the shot on a Friday night at 5pm. I experience the arm pain in my left arm through out the top of my arm , by the end of  that night. By Saturday evening most of the pain was gone from that site. Late Saturday night I started noticing some pain in the arm pit on the left arm, didn't think much about it. By Sunday mid morning the pain was just getting more severe. Started to pay close attention to the side effects of the vaccine to realize that I most likely had swollen lymph nodes. The pain continued through the following Wednesday, when the pain started to not be as bad. I still to this day have some pain in the lymph nodes. I have contacted my doctor and was told to just monitor the site to make sure nothing is worse. That these reactions are common. I also have some soreness in my upper arm under where the shot was given, that I'm not sure if it is from the shot or the muscle compensating from the soreness of the swollen lymph nodes.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Fever (max 101.6), chills, myalgias, joint pain, headache x 16 hours
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspepsia
Clinical narrative: DEVELOPED CHEST PAIN AND INDIGESTION.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Fluid retention, Injection site rash, Pyrexia
Clinical narrative: A fluid sack developed under the left arm in the arm pit and up into a portion of the bicep . Arm pit is tender. Slight fever and rash on left arm under the injection site.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Pharyngeal swelling, Sensation of foreign body, Sinusitis
Clinical narrative: 0925 AMThroat light swelling, feels something back of throat, dysphagia, dyspnea. Recent sinus infection, 0928 Benadryl po  Last meal 1200am,Vital signs stable 0939am Feels better, still feels a lump in throat. 0955 Vital signs stable D/C
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: 0925 AMThroat light swelling, feels something back of throat, dysphagia, dyspnea. Recent sinus infection, 0928 Benadryl po  Last meal 1200am,Vital signs stable 0939am Feels better, still feels a lump in throat. 0955 Vital signs stable D/C
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Full blood count, Lymphadenopathy, Metabolic function test
Clinical narrative: Fatigue, fevers, nausea, body aches, chills, sore throat, swollen lymph nodes. Symptoms started on 1/28/21 and are ongoing.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Monocyte count, Mononucleosis heterophile test, Nausea, Oropharyngeal pain, Pain
Clinical narrative: Fatigue, fevers, nausea, body aches, chills, sore throat, swollen lymph nodes. Symptoms started on 1/28/21 and are ongoing.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Protein total, Pyrexia, Red blood cell sedimentation rate, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Fatigue, fevers, nausea, body aches, chills, sore throat, swollen lymph nodes. Symptoms started on 1/28/21 and are ongoing.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient death
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: Fever 100, pain at injection site, body aches, chills, headache
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Rash on chest  given OTC told to take OTC Tylenol and or Motrin along with Benadryl.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Vomiting
Clinical narrative: nausea, vomiting, diarrhea, vitals: 155/94, 97, 112, pulse oximeter- 98%. Repeat B/P- 142/93. Client seen by EMS,  refused hospital transfer as recommended by EMS
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Pharyngeal swelling, Swollen tongue
Clinical narrative: 30 mins after injection, felt tongue and throat swell.  Had diffiuclty swollowing.  These symptoms lasted for a couple of hours.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Lip swelling, Paraesthesia oral
Clinical narrative: 11:02 Patient reported tingling  and swelling of lips. Denies any other symptoms such as swelling of her throat. She declined an epi pen and accepted Liquid Benadryl. She was monitored one on one with a nurse until 11:59, when she stated that she was back to normal and denied any further treatment. During her observation, her BP, P, and 02 was monitored and was WNL for her.  Respirations normal and pulse steady. She stated that her P runs high (over 100) and her BP has been running high as well. She was just her doctors office, 2/3/2021. She said her 02 was in the high 80s during her visit. During observation, her 02 ranged primarily in the mid to high 90s on RA. She was talking a lot and her 02 did drop into the 80s, when she stopped talking to rest and take in deep breaths, it increased back into the 90s. Patient's initial BP was 128/92 and it got down to 118/80 during observation. She denied ever feeling short of breath during the observation period. She was flushed and she suggested it was due to wearing her mask. She was in cooler room for observation, where she was able to remove her mask for a better assessment and for comfort. Thee flushness diminished. She was encourage to get a ride home versus driving. Her pcp will be made aware.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Taste disorder
Clinical narrative: I have had a horrible taste in my mouth since 10:15 AM MT. There is no loss of taste, as I can taste all of the foods/snacks I have eaten since the onset of symptoms.  The horrible tastes comes back as soon as I swallow my food and has lingered since its onset
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Decreased appetite, Dizziness, Fatigue
Clinical narrative: chills, body ache, soreness in body, light headache that went away w/ibuprofin, a few short dizzy spells, tired and loss of appetite.   no fever but face was hot, body was cold.   symptoms started about 9hrs after the shot, which was my second dose(1st shot no symptoms) and went away for the most part the next day.  I was still a little sore in lower back the day after the shot and was tired by the end of my work day.  3rd day back to normal.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Flushing, Headache, Pain
Clinical narrative: chills, body ache, soreness in body, light headache that went away w/ibuprofin, a few short dizzy spells, tired and loss of appetite.   no fever but face was hot, body was cold.   symptoms started about 9hrs after the shot, which was my second dose(1st shot no symptoms) and went away for the most part the next day.  I was still a little sore in lower back the day after the shot and was tired by the end of my work day.  3rd day back to normal.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Diarrhoea, Fatigue, Pain
Clinical narrative: BODY ACHES, FATIGUE, DIARRHEA, AND ALTERED BALANCE
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Feeling abnormal, Headache
Clinical narrative: Pt received 2nd dose of Covid vaccine on 1/31/21.  presented to clinic with worsening back pain, chills, fatigue, headache and body aches. and overall complaint of "I feel awful"   tested negative for covid
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Pt received 2nd dose of Covid vaccine on 1/31/21.  presented to clinic with worsening back pain, chills, fatigue, headache and body aches. and overall complaint of "I feel awful"   tested negative for covid
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Anion gap, Blood calcium decreased, Blood chloride normal, Blood cholesterol normal, Blood creatinine increased
Clinical narrative: 1st dose of vaccine was 1/12/21, Lot number EK9231 2nd dose 2/2/21, Lot number EL8982   Patient was feeling well the day of vaccine and reports no recent illness, no adverse events to first injection in COVID vaccine series. 20 minutes later developed dizziness and nausea. Within hours noticed LUE weakness. Weakness has progressed over last two days to severe left upper extremity and left lower extremity weakness with inability to walk. No sensory deficits. Some urinary retention. Hyperreflexia on examination with upgoing toe on left. Presentation consistent with transverse myelitis.  Patient remains hospitalized at this time, starting treatment with IV solumedrol for clinical transverse myelitis. Workup remains in process
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood immunoglobulin G normal, Blood magnesium normal, Blood phosphorus normal, Blood potassium normal
Clinical narrative: 1st dose of vaccine was 1/12/21, Lot number EK9231 2nd dose 2/2/21, Lot number EL8982   Patient was feeling well the day of vaccine and reports no recent illness, no adverse events to first injection in COVID vaccine series. 20 minutes later developed dizziness and nausea. Within hours noticed LUE weakness. Weakness has progressed over last two days to severe left upper extremity and left lower extremity weakness with inability to walk. No sensory deficits. Some urinary retention. Hyperreflexia on examination with upgoing toe on left. Presentation consistent with transverse myelitis.  Patient remains hospitalized at this time, starting treatment with IV solumedrol for clinical transverse myelitis. Workup remains in process
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood triglycerides normal, Blood urea increased, C-reactive protein increased, CSF cell count normal
Clinical narrative: 1st dose of vaccine was 1/12/21, Lot number EK9231 2nd dose 2/2/21, Lot number EL8982   Patient was feeling well the day of vaccine and reports no recent illness, no adverse events to first injection in COVID vaccine series. 20 minutes later developed dizziness and nausea. Within hours noticed LUE weakness. Weakness has progressed over last two days to severe left upper extremity and left lower extremity weakness with inability to walk. No sensory deficits. Some urinary retention. Hyperreflexia on examination with upgoing toe on left. Presentation consistent with transverse myelitis.  Patient remains hospitalized at this time, starting treatment with IV solumedrol for clinical transverse myelitis. Workup remains in process
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: CSF glucose normal, CSF immunoglobulin G index, CSF oligoclonal band, CSF protein normal, CSF red blood cell count positive
Clinical narrative: 1st dose of vaccine was 1/12/21, Lot number EK9231 2nd dose 2/2/21, Lot number EL8982   Patient was feeling well the day of vaccine and reports no recent illness, no adverse events to first injection in COVID vaccine series. 20 minutes later developed dizziness and nausea. Within hours noticed LUE weakness. Weakness has progressed over last two days to severe left upper extremity and left lower extremity weakness with inability to walk. No sensory deficits. Some urinary retention. Hyperreflexia on examination with upgoing toe on left. Presentation consistent with transverse myelitis.  Patient remains hospitalized at this time, starting treatment with IV solumedrol for clinical transverse myelitis. Workup remains in process
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Cervical spinal stenosis, Dizziness, Gait inability, Glomerular filtration rate decreased
Clinical narrative: 1st dose of vaccine was 1/12/21, Lot number EK9231 2nd dose 2/2/21, Lot number EL8982   Patient was feeling well the day of vaccine and reports no recent illness, no adverse events to first injection in COVID vaccine series. 20 minutes later developed dizziness and nausea. Within hours noticed LUE weakness. Weakness has progressed over last two days to severe left upper extremity and left lower extremity weakness with inability to walk. No sensory deficits. Some urinary retention. Hyperreflexia on examination with upgoing toe on left. Presentation consistent with transverse myelitis.  Patient remains hospitalized at this time, starting treatment with IV solumedrol for clinical transverse myelitis. Workup remains in process
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin normal, Haematocrit normal, Haemoglobin normal, High density lipoprotein decreased, Hyperreflexia
Clinical narrative: 1st dose of vaccine was 1/12/21, Lot number EK9231 2nd dose 2/2/21, Lot number EL8982   Patient was feeling well the day of vaccine and reports no recent illness, no adverse events to first injection in COVID vaccine series. 20 minutes later developed dizziness and nausea. Within hours noticed LUE weakness. Weakness has progressed over last two days to severe left upper extremity and left lower extremity weakness with inability to walk. No sensory deficits. Some urinary retention. Hyperreflexia on examination with upgoing toe on left. Presentation consistent with transverse myelitis.  Patient remains hospitalized at this time, starting treatment with IV solumedrol for clinical transverse myelitis. Workup remains in process
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Intervertebral disc degeneration, Low density lipoprotein normal, Magnetic resonance imaging brain abnormal, Magnetic resonance imaging spinal abnormal, Mean cell volume normal
Clinical narrative: 1st dose of vaccine was 1/12/21, Lot number EK9231 2nd dose 2/2/21, Lot number EL8982   Patient was feeling well the day of vaccine and reports no recent illness, no adverse events to first injection in COVID vaccine series. 20 minutes later developed dizziness and nausea. Within hours noticed LUE weakness. Weakness has progressed over last two days to severe left upper extremity and left lower extremity weakness with inability to walk. No sensory deficits. Some urinary retention. Hyperreflexia on examination with upgoing toe on left. Presentation consistent with transverse myelitis.  Patient remains hospitalized at this time, starting treatment with IV solumedrol for clinical transverse myelitis. Workup remains in process
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Myelitis transverse, Nausea, Non-high-density lipoprotein cholesterol increased, Platelet count normal
Clinical narrative: 1st dose of vaccine was 1/12/21, Lot number EK9231 2nd dose 2/2/21, Lot number EL8982   Patient was feeling well the day of vaccine and reports no recent illness, no adverse events to first injection in COVID vaccine series. 20 minutes later developed dizziness and nausea. Within hours noticed LUE weakness. Weakness has progressed over last two days to severe left upper extremity and left lower extremity weakness with inability to walk. No sensory deficits. Some urinary retention. Hyperreflexia on examination with upgoing toe on left. Presentation consistent with transverse myelitis.  Patient remains hospitalized at this time, starting treatment with IV solumedrol for clinical transverse myelitis. Workup remains in process
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal, Spinal osteoarthritis, Spinal stenosis, Urinary retention, Vertebral foraminal stenosis
Clinical narrative: 1st dose of vaccine was 1/12/21, Lot number EK9231 2nd dose 2/2/21, Lot number EL8982   Patient was feeling well the day of vaccine and reports no recent illness, no adverse events to first injection in COVID vaccine series. 20 minutes later developed dizziness and nausea. Within hours noticed LUE weakness. Weakness has progressed over last two days to severe left upper extremity and left lower extremity weakness with inability to walk. No sensory deficits. Some urinary retention. Hyperreflexia on examination with upgoing toe on left. Presentation consistent with transverse myelitis.  Patient remains hospitalized at this time, starting treatment with IV solumedrol for clinical transverse myelitis. Workup remains in process
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal, White matter lesion
Clinical narrative: 1st dose of vaccine was 1/12/21, Lot number EK9231 2nd dose 2/2/21, Lot number EL8982   Patient was feeling well the day of vaccine and reports no recent illness, no adverse events to first injection in COVID vaccine series. 20 minutes later developed dizziness and nausea. Within hours noticed LUE weakness. Weakness has progressed over last two days to severe left upper extremity and left lower extremity weakness with inability to walk. No sensory deficits. Some urinary retention. Hyperreflexia on examination with upgoing toe on left. Presentation consistent with transverse myelitis.  Patient remains hospitalized at this time, starting treatment with IV solumedrol for clinical transverse myelitis. Workup remains in process
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Fever, chills, fatigue (36 hours)
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Peripheral swelling
Clinical narrative: Moderna COVID-19 Vaccine EUA  slight nausea within a couple hours of getting shot yesterday. Gone by this morning.  Around 9:00 this morning, I noticed I was having trouble typing.  Looked down at my hands and both hands were severally swollen, to the point that  I could not even make a fist.  This swelling lasted about three hours.  Swelling started to subside around noon and is completely gone now, at 2:30 in the afternoon
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Lymphadenopathy
Clinical narrative: SWOLLEN AXILLARY LYMPH NODE IN RIGHT ARM WHERE INJECTION WAS GIVEN
Age: 45.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Ageusia, Diarrhoea, Epistaxis, Fatigue
Clinical narrative: 1/30/21 pt started experiencing lower abdominal discomfort, blood in sinuses, diarrhea, fatigue, taste off. 1/31/21 fatigue continued, headache come and go, pain in lower esophagus cont. Sunday night, end of Monday fatigue pain midway in esophagus, swollen lymph nodes,  2/2/21 fatigue cont., pt went to PCP and diagnosed with oral thrash, PCP did flu and rapid Strep test both negative, also sent culture off for strep, COVID test negative, 2/3/21 pt went to ER with severe throat/esophageal pain/mouth pain, fatigue cont., 2/4/21 help of magic mouth was and suspension pt is still experiencing fatigue, throat/mouth beginning to heal, pt still has white color on tongue, results came back from strep culture and it is negative.
Age: 45.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Oesophageal pain, Oral candidiasis, Oral pain, SARS-CoV-2 test negative
Clinical narrative: 1/30/21 pt started experiencing lower abdominal discomfort, blood in sinuses, diarrhea, fatigue, taste off. 1/31/21 fatigue continued, headache come and go, pain in lower esophagus cont. Sunday night, end of Monday fatigue pain midway in esophagus, swollen lymph nodes,  2/2/21 fatigue cont., pt went to PCP and diagnosed with oral thrash, PCP did flu and rapid Strep test both negative, also sent culture off for strep, COVID test negative, 2/3/21 pt went to ER with severe throat/esophageal pain/mouth pain, fatigue cont., 2/4/21 help of magic mouth was and suspension pt is still experiencing fatigue, throat/mouth beginning to heal, pt still has white color on tongue, results came back from strep culture and it is negative.
Age: 45.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Streptococcus test negative, Tongue discolouration
Clinical narrative: 1/30/21 pt started experiencing lower abdominal discomfort, blood in sinuses, diarrhea, fatigue, taste off. 1/31/21 fatigue continued, headache come and go, pain in lower esophagus cont. Sunday night, end of Monday fatigue pain midway in esophagus, swollen lymph nodes,  2/2/21 fatigue cont., pt went to PCP and diagnosed with oral thrash, PCP did flu and rapid Strep test both negative, also sent culture off for strep, COVID test negative, 2/3/21 pt went to ER with severe throat/esophageal pain/mouth pain, fatigue cont., 2/4/21 help of magic mouth was and suspension pt is still experiencing fatigue, throat/mouth beginning to heal, pt still has white color on tongue, results came back from strep culture and it is negative.
Age: 45.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Hypersensitivity, Lymphadenopathy, Oesophageal pain, Oral candidiasis
Clinical narrative: 1/30/21 pt started experiencing lower abdominal discomfort, blood in sinuses, diarrhea, fatigue, taste off. 1/31/21 fatigue continued, headache come and go, pain in lower esophagus cont. Sunday night, end of Monday fatigue pain midway in esophagus, swollen lymph nodes,  2/2/21 fatigue cont., pt went to PCP and diagnosed with oral thrash, PCP did flu and rapid Strep test both negative, also sent culture off for strep, COVID test negative, 2/3/21 pt went to ER with severe throat/esophageal pain/mouth pain, fatigue cont., 2/4/21 help of magic mouth was and suspension pt is still experiencing fatigue, throat/mouth beginning to heal, pt still has white color on tongue, results came back from strep culture and it is negative.
Age: 45.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Oral pain, Oropharyngeal pain, Suspected COVID-19, Throat tightness, Weight
Clinical narrative: 1/30/21 pt started experiencing lower abdominal discomfort, blood in sinuses, diarrhea, fatigue, taste off. 1/31/21 fatigue continued, headache come and go, pain in lower esophagus cont. Sunday night, end of Monday fatigue pain midway in esophagus, swollen lymph nodes,  2/2/21 fatigue cont., pt went to PCP and diagnosed with oral thrash, PCP did flu and rapid Strep test both negative, also sent culture off for strep, COVID test negative, 2/3/21 pt went to ER with severe throat/esophageal pain/mouth pain, fatigue cont., 2/4/21 help of magic mouth was and suspension pt is still experiencing fatigue, throat/mouth beginning to heal, pt still has white color on tongue, results came back from strep culture and it is negative.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received Moderna dose on 2/4/21, 18 days after Pfizer dose 1 on 1/17/21. Denies any issues with Pfizer vaccine. Feeling well after Moderna dose with no reported side effects.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Hot flush, Nausea, Pain
Clinical narrative: 1/25: I began to develop sudden intense arthralgia in bilateral hands. No history of carpal tunnel in past. Pain more prominent in Right hand. Pain extends from wrist to metacarpals of bilateral hands; pain does not extend to joints in phalanges. Arthralgia is still present today, right has subsided slightly and L hand has increased slightly. Pain over the last two weeks has been significant enough that I cannot type or hold a phone with my R hand. Treated with ibuprofen with no relief.   2/1: Working in COVID ICU for first time since vaccine. At 1700, intense headache developed and hot flashes. That evening, I felt body aches, fever (unable to take temp at home, probably low grade), swollen tonsils, slight nausea, headache, joint pain, and continued arthralgia. Symptoms present on 2/2 but less intense. 2/3 persistent headache, body aches at times, joint aches at times, continued arthralgia. Today 2/4 slight body aches at times, continued arthralgia, though it is starting to subside in R hand.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Tonsillar hypertrophy
Clinical narrative: 1/25: I began to develop sudden intense arthralgia in bilateral hands. No history of carpal tunnel in past. Pain more prominent in Right hand. Pain extends from wrist to metacarpals of bilateral hands; pain does not extend to joints in phalanges. Arthralgia is still present today, right has subsided slightly and L hand has increased slightly. Pain over the last two weeks has been significant enough that I cannot type or hold a phone with my R hand. Treated with ibuprofen with no relief.   2/1: Working in COVID ICU for first time since vaccine. At 1700, intense headache developed and hot flashes. That evening, I felt body aches, fever (unable to take temp at home, probably low grade), swollen tonsils, slight nausea, headache, joint pain, and continued arthralgia. Symptoms present on 2/2 but less intense. 2/3 persistent headache, body aches at times, joint aches at times, continued arthralgia. Today 2/4 slight body aches at times, continued arthralgia, though it is starting to subside in R hand.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue, Tongue blistering
Clinical narrative: Tongue had blisters on edges and tip and swollen. Reports of it feeling scalded.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Moderna COVID-19 Vaccine EUA Red itchy patch at vaccination site
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ears started ringing loud on the 4th day still ringing today when hot second dose.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Nausea, Pain, Pyrexia
Clinical narrative: High fever, severe body aches and headache, severe nausea, extreme pain at the injection site - began about 7 hours after injection and lasted for about eight hours; symptoms remained longer but not as severe
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Flushing, Physical examination, Vital signs measurement
Clinical narrative: Baby came back after about 15 min with face flushed, no rash/lip swelling/diff breath/swallow. no wheeze. alert and comfortable child. physical exam- unremarkable other than face looked congested. observed in clinic for 30 min, and vitals and exam done again, no issues. sent home with ER precautions and call /Return to clinic precautions. not heard back for any immediate Follow up for any reaction to clinic/ER.  later the child was seen at 6 mt wcc by other provider, and parent mentioned about the earlier event, and provider referred the child to Allergy and immunology and who seen the child.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Oropharyngeal pain, Pain
Clinical narrative: FEVER, BODY ACHES, MILD SORE THROAT, NAGGING HEADACHE, NAUSEA, AND CHILLS
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: FEVER, BODY ACHES, MILD SORE THROAT, NAGGING HEADACHE, NAUSEA, AND CHILLS
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Cerebral artery embolism, Cerebrovascular accident, Computerised tomogram head abnormal
Clinical narrative: On morniing of 1/30/11 patient presented with confusion, unilateral weakness  - diagnosed and admitted with CVA - embolism of R middle cerebral artery per CT scan.  Noted to be in atrial fibrillation during admission.  Discharged to rehab center on 2/3/21.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Confusional state, Hemiparesis
Clinical narrative: On morniing of 1/30/11 patient presented with confusion, unilateral weakness  - diagnosed and admitted with CVA - embolism of R middle cerebral artery per CT scan.  Noted to be in atrial fibrillation during admission.  Discharged to rehab center on 2/3/21.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Two days after vaccine I experienced a chronic headache for over two weeks which I have been treating with Tylenol (six per day) Today is the first day where symptoms seemed to have eased
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Itching, swelling, large oval of redness at injection site Lasted one week
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Bleeding time prolonged, Bloody discharge, Gastrointestinal pathogen panel, SARS-CoV-2 test negative
Clinical narrative: a few days after the 1st I had intestinal discomfort, two days later I was passing only mucus, two days later blood was mixed with the mucus.  two days later it was mostly blood.  After the 2nd dose, the bleeding increased and went to 100% blood.  The bleeding lasted a total of 18 days.  My GI appointment was a few days later.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Secretion discharge
Clinical narrative: a few days after the 1st I had intestinal discomfort, two days later I was passing only mucus, two days later blood was mixed with the mucus.  two days later it was mostly blood.  After the 2nd dose, the bleeding increased and went to 100% blood.  The bleeding lasted a total of 18 days.  My GI appointment was a few days later.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Needle issue, Syringe issue, Vaccination error
Clinical narrative: Vaccine administration error. It is suspected that a 1/2? needle syringe was used instead of a 1? needle syringe IM.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Muscle spasms
Clinical narrative: Leg Cramps and slightly elevated blood pressure
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: STARTED ITCHING, RED, SWOLLEN, HARD 3 IN X 2 IN AREA. SYMPTOMS HAVE DISIPATED BUT STILL HAS SOME REDDNESS ON THIS DATE. REPORTED TO HEALTH DEPARTMENT 2/4/2021 DURING VACCINE VISIT TODAY.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site pruritus
Clinical narrative: Moderna COVID-19 Vaccine EUA: Vaccine recipient reported on 1/19/2021 that she developed severe itchiness at the injection site with redness and pain. A lump developed that was warm to touch and increasing induration. On 1/21/2021 she was seen by a family physician and prescribed Bactrim. On 1/23/2021 she went to urgent care and was prescribed clindamycin and amoxicillin. Symptoms lasted 5-6 days after vaccination.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: FEVER, BODY ACHES, CHILLS, HEADACHE, NAUSEA
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Nervousness, Palpitations, Swollen tongue
Clinical narrative: Patient reports feeling flushed up to 3 minutes, felt her heart was racing and felt her tongue was swollen and was nervous when she received the vaccine. Patient was observed for 15 more minutes and was cleared by EMS.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Cough, Fatigue, Feeling abnormal
Clinical narrative: Brain fog, chills, temperature bouncing from 95.3 to 100.4; ache, fatigue, very stuffy nose intermittent with runny nose, Great compulsion to sleep. Began Tuesday evening. Continues today.  Sometimes a light cough, nothing like the real COVID cough.  I had had COVID-19 in August 2020. These symptoms today are like "the real thing"-lite.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Pain, Rhinorrhoea, Somnolence
Clinical narrative: Brain fog, chills, temperature bouncing from 95.3 to 100.4; ache, fatigue, very stuffy nose intermittent with runny nose, Great compulsion to sleep. Began Tuesday evening. Continues today.  Sometimes a light cough, nothing like the real COVID cough.  I had had COVID-19 in August 2020. These symptoms today are like "the real thing"-lite.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 11 days after  vaccine, swelling, redness and pain in arm around injection site
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: No reaction at time of vaccination.  Reported by family that pt. died on 1/29/2021. Coroner does not believe this was related to vaccine, but requested to report to VAERs
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Lip swelling
Clinical narrative: Patient was waiting in the lobby for observation for any adverse reactions. Patient walked up to the front office receptionist and disclosed that her upper was swelling  for approximately 10 minutes.  Patient was brought back into a room at 12:14 pm and was given Benadryl at 12:18pm. We assured she had a driver to take her home. Patient tolerated Benadryl well after 15 minutes of observation patients upper lip swelling has gone down.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Started feeling lightheaded and dizzy.  Vital signs stable.  Symptoms resolved.  Pt states she hasn't had lunch yet.  States she feels better now at time of discharge.   HR 84, BP 120/82, RR 16
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination error, Wrong technique in product usage process
Clinical narrative: Vaccine administration error. It is suspected that a 1/2? needle syringe was used instead of a 1? needle syringe IM.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Day 1 no symptoms. Day 2 redness extending from injection site out 2.5 inches, warmth, swelling, hardened area, painful to the touch. Radiating pain/aching from injection site to elbow. This lasted approx 7 days. Then area was no longer swollen or hard but still reddened and itchy. The redness and itching lasted until day 14. After day 14 no further symptoms.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Feeding disorder, Gingival blister, Lip blister, Oral pain, Tongue blistering
Clinical narrative: the day after my second vaccine, my mouth started hurting really bad. I have little blisters all around the circumference of my tongue and on top of it. blisters on my gums and inside of my upper and lower lip. two days after the vaccine the blisters are worse than the day before and I am unable to eat or drink normally. i have probably ate less than one whole meal in 24 hours and drank maybe one glass of water.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Pt reported tingling sensation in tongue/ lower mouth area initially and stated that she is having to exert a little more energy talking than she should due to her tongue. observation and pt refused treatment or transport AMA
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain
Clinical narrative: HA, CHILLS, NAUSEA, BODY ACHES
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Fatigue, Gastrointestinal pain, Muscle spasms
Clinical narrative: 10 minutes after vaccine--throat became tight, some scattered itching, O2 sat to 93%, lungs mild-moderate decreased air movement. Took Proair inhaler, 10 mg Prednisone, 25 mg Benadryl. 1 hour after injection symptoms resolved and sat up to 98+% and lung clear moving better air per the RN monitoring for reactions. 1 day post injection-- exhausted, spordaic and severe muscle cramps, chills 2 day post injection, chills better, muscle cramps stronger, abdominal muscles and intestines cramping
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Respiratory failure, Throat tightness
Clinical narrative: 10 minutes after vaccine--throat became tight, some scattered itching, O2 sat to 93%, lungs mild-moderate decreased air movement. Took Proair inhaler, 10 mg Prednisone, 25 mg Benadryl. 1 hour after injection symptoms resolved and sat up to 98+% and lung clear moving better air per the RN monitoring for reactions. 1 day post injection-- exhausted, spordaic and severe muscle cramps, chills 2 day post injection, chills better, muscle cramps stronger, abdominal muscles and intestines cramping
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Epigastric discomfort, Headache, Injection site pruritus, Injection site rash
Clinical narrative: On February 29 in the evening, about 8 days after the shot, the site was very itchy and had a rash.  I used an antihistamine and ice and it improved but in the early morning hours of February 2, I was up with abdominal and gastric discomfort and could not sleep.  I was in bed all the next day with terrible unrelenting headache and fever over 102 degrees.  It began to improve by the evening and upon waking on February 3, I felt better and completely fine by mid-morning.  I went to get a COVID test on Feb. 2 and it came back on Feb. 3 NEGATIVE.  It was a very intense and unpleasant experience and I thought you should know about it and the fact it happened about 10 days after the first Moderna shot.  thank you.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: On February 29 in the evening, about 8 days after the shot, the site was very itchy and had a rash.  I used an antihistamine and ice and it improved but in the early morning hours of February 2, I was up with abdominal and gastric discomfort and could not sleep.  I was in bed all the next day with terrible unrelenting headache and fever over 102 degrees.  It began to improve by the evening and upon waking on February 3, I felt better and completely fine by mid-morning.  I went to get a COVID test on Feb. 2 and it came back on Feb. 3 NEGATIVE.  It was a very intense and unpleasant experience and I thought you should know about it and the fact it happened about 10 days after the first Moderna shot.  thank you.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Chest Pain started about 5-7 minutes after getting injection.  Rated 8/10. Has a cardiac history and wanted to be seen in ED.  911 called for patient.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Pyrexia
Clinical narrative: Fever  chills headache sweats for 36 hours
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Flushing, Rash, Swelling face
Clinical narrative: Patient received Pfizer vaccine #2 today.    After the vaccine, the employee reported the following symptoms:  flush feeling.  She was already in her car.  She looked in the mirror and noted redness on her neck.  She then came back to the clinic.   redness on her neck and chest   Lot: EL3247  Time of Administration: 01/29/2021 1106am  Time Symptoms Began: 15-20+ minutes   _____   When arriving back in the clinic, she was taken to the medical observation area.    Initial Assessment @ _1141am_: Patient is AAO.  The employee sat on the sofa.  The employee is pink and does not appear to be in distress.  They are talking and making conversation. She has some redness on her neck.   Vitals @:1142  HR: 107  BP:  O2: 98   Given a water to drink.  NO itching, tingling, scratchy feeling.    Vitals @: 1145  HR: 94  BP:  O2:99    Allergies: Percocet.  Started as a rash on her chest.  Then she had facial swelling.  Was treated with prednisone.   No anaphylaxis ever.    Employee was discharged without treatment.  Advised to take a benadryl when she gets home.  She lives about 15 minutes from the clinic.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Within 15-minutes of vaccination, the patient reported feeling dizzy and nauseous. EMS manages the patient's care on-site.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Eye pain, Influenza like illness, Lymphadenopathy, Nausea
Clinical narrative: Two days after receiving the vaccine patient experienced flu-like symptoms, body aches, nausea, and swollen lymph nodes in the armpit.  The next day she had eye and jaw pain, and burning up and down her arm which she believes is the start of shingles
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in jaw
Clinical narrative: Two days after receiving the vaccine patient experienced flu-like symptoms, body aches, nausea, and swollen lymph nodes in the armpit.  The next day she had eye and jaw pain, and burning up and down her arm which she believes is the start of shingles
Age: 53.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Feeling hot, Pallor
Clinical narrative: stated patient is very pale, feels like she is going to pass out and that she felt hot. I asked if they had a thermometer to take her temp, this was 97.7. She had something to eat when she got home after her vaccines around 5 and has been drinking fluids, no strenuous activities.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient received first dose of Pfizer Covid vaccine.  Approximately 20 minutes after the injection, she started feeling odd and having difficulty breathing.  Her O2 saturation dropped to 60%.  She was injected with epinephrine and benadryl and was put on 2L oxygen.  O2 increased to 97%.  911 was called and patient was transported to local ER.  She was still experiencing some difficulty breathing but vitals were wnl.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: FEVER, BODY ACHES, HEADACHE.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling, Injection site warmth
Clinical narrative: On the eight day after receiving the vaccine, my Left arm had a knot the size of a fifty cent piece.   It was red swollen, hot to touch. The knot went down on the 9th day and was gone by the 10th day.  On the 14th day after the vaccine, my arm has mild swelling, red, warm to touch. I have used ice, hydrocortisone cream, Benadryl.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Malaise, Pain
Clinical narrative: Chills, aches, just downright yucky feeling
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Needle issue, Syringe issue, Vaccination error
Clinical narrative: Vaccine administration error. It is suspected that a 1/2? needle syringe was used instead of a 1? needle syringe IM.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Mobility decreased, Muscle spasms, Pain in extremity
Clinical narrative: pt states his left arm was sore for 2 days and then he started having lower back pain that comes and goes.  On1/31/2021 pt woke up and could not hardly get out of bed  due to extreme lower back and hip pain.  Pt went to Urgent Care on 2/2/2021 and he was given a shot for spasms.  Pt is better but still in a lot of pain and will FU w/ PCP if he doesn't get better.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Myalgia, Nausea, Pain
Clinical narrative: NAUSEA, BACK ACHE, BODY ACHES, PAIN AND SORENESS
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain lower, Abdominal pain upper
Clinical narrative: Lump with chronic mild pain at base of lower rt lobe/ upper rt quad abd.  Just below ribs
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Tongue pruritus
Clinical narrative: Lump with chronic mild pain at base of lower rt lobe/ upper rt quad abd.  Just below ribs
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nervousness
Clinical narrative: Within 15-minutes of vaccination, the patient reported a headache and feeling nauseous. EMS managed the patient's condition on-site.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Redness in dime-sized area and itching at injection site began on 1/19, This slowly spread over the next week to approx. dollar coin size. No swelling.  On 1/26 I took one Benedryl prior to going to bed. The next morning the redness had dissipated and the itching  stopped.  Redness has not returned but the area still itches a very little bit on occasion but as the days go on it has been less frequent.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram, Headache, Hypoaesthesia, Pain
Clinical narrative: Approximately an hour after vaccination patient began to experience numbness on left side of her face.  She contacted a provider and went to ER.  She received IV fluids and had multiple tests to rule out a stroke.  That night she had chills, fever, body aches, painful arm and severe h/a.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Approximately an hour after vaccination patient began to experience numbness on left side of her face.  She contacted a provider and went to ER.  She received IV fluids and had multiple tests to rule out a stroke.  That night she had chills, fever, body aches, painful arm and severe h/a.