chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Speech disorder
Clinical narrative: Extremely unusual pain at injection site, (compared to any other past injections)  generally achey, headache,  occasional waves of nausea, fever 100.4, fatigue (stayed in bed most of the day).   There was one occasion where my left hand had a strange involuntary "twitch".  I only mention that because on Saturday (1/23/21) i had a few episodes of  speech difficulty (words "not coming out right")
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Rash, Rash pruritic
Clinical narrative: itching and rash to torso area.  Started 3 days after Moderna Vaccine and 6 days after Shingrix vaccine.  Patient did not disclose at clinic that she had a Shingrix vaccine in the time frame before Modernal.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: About 30 minutes after the vaccine she developed a headache, that evening she had body aches, a sore throat and a fever of 100.3 which lasted into the next day.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea
Clinical narrative: At 53 hours after injection experienced piercing headache throughout different parts of  head, face and neck accompanied by nausea though no vomiting or fever.  Tylenol did not touch it.  Slept on and off.  Lasted 24 hours and then disappeared.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Body temperature increased, Chills, Fatigue, Feeling cold
Clinical narrative: I had a "whooshing" sound in my ears when I awoke the following morning on Friday, 1/22/2021and shortly afterwards I got extremely cold, having chills which started around 10:00 following  a sm glass of oranje juice. My huband checked my temperature and it was almost 101; so he gave me some tylenol. It did not help. Between 1 and 2 pm I became nauseous and started vomiting. My husband called the Dr's office but could not reach anyone nor was he able leave a message to report that I was sick and my temp was now 102.  I suffered through the night with tylenol and sips of water, gingerale and tea. On Saturday morning still having rather mild chills and low grade temp of 99.7 and feeling really tired but by evening I could eat soup and crackers which stayed down and drinking sprite,  ale and tea. Sunday,  still feeling tired but moving more and keeping fluids down. I noticed that I was hungry but food had no taste. Fever broke early Monday morning, still feeling sluggish but much improvement.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Sluggishness, Tinnitus, Vomiting
Clinical narrative: I had a "whooshing" sound in my ears when I awoke the following morning on Friday, 1/22/2021and shortly afterwards I got extremely cold, having chills which started around 10:00 following  a sm glass of oranje juice. My huband checked my temperature and it was almost 101; so he gave me some tylenol. It did not help. Between 1 and 2 pm I became nauseous and started vomiting. My husband called the Dr's office but could not reach anyone nor was he able leave a message to report that I was sick and my temp was now 102.  I suffered through the night with tylenol and sips of water, gingerale and tea. On Saturday morning still having rather mild chills and low grade temp of 99.7 and feeling really tired but by evening I could eat soup and crackers which stayed down and drinking sprite,  ale and tea. Sunday,  still feeling tired but moving more and keeping fluids down. I noticed that I was hungry but food had no taste. Fever broke early Monday morning, still feeling sluggish but much improvement.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling hot, Headache
Clinical narrative: Severe fatigue, Headache, and intermittent "warmth" for the past 6 days.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Patient complained of nausea. Symptoms improved with a mint.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: The patient reports that approximately 11 hours after receiving the vaccine he experienced chills and felt weak. Then 2 days after receiving the vaccine, he developed a red, itchy rash to his left side approximately 4 inches dixtal to his axilla. The rash is almost completely gone, and chills and weak feeling resolved when the patient woke the next day.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site nodule, Injection site pruritus, Injection site warmth, Pain in extremity
Clinical narrative: Moderna COVID-19 Vaccine EUA Had a muscle "knot" at injection site starting on day 2. Arm was sore but not extremely painful. Knot lasted until day 9 (1/21/21). On day 9, the knot had resolved but upper warm was very red, warm to the touch and itchy. Took 1 diphenhydramine 25mg tablet at night. Redness had improved in the morning and had not spread. Still have some redness in the same pattern  on 1/25/21. Was told to report the adverse event through workplace who facilitated the vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Feeling hot, Paraesthesia
Clinical narrative: 1307 2nd dose Pfizer COVID-19 vaccine administered.  1327 responded to patient who had been sitting in her car post vaccine.  Patient reported that she had noticed anterior chest pain (4/10) as well as a weighted pressure.  I assessed the patient while she remained in her car.  She has a history of high blood pressure, taking medication and has been under control.  She also reported diagnosis of asthma.  Lisinopril 5mg daily, she had taken this morning.  Albuterol metered dose inhaler (not used today).  She denies heartburn nor taking any medication for it.  She had eaten a hamburger 30 minutes prior to vaccination.  1335 patient reported that her chest pain turned more into a warmth that spread across the chest and a tingling sensation down only the right arm.  1344 she rates the discomfort in chest as a 2/10 the tingling in right arm is gone.  She denies the following symptoms: difficulty breathing, changes to vision/hearing, dizziness/lightheadedness, facial and throat swelling, & nausea.  Patient remained very calm during this observation time and spoke in complete sentences.  She was comfortable with her mask on.  Patient denied these symptoms occurred with her first dose of COVID-19 vaccine nor any other vaccination.   Obtained automatic blood pressure device measured 142/91 (63 beats/min) at 1351.   Patient was able to teach back when she will seek Emergency care: difficulty breathing, face/throat swelling, persistent and or worsening  chest pain/pressure.   Patient and I both agreed she was safe to leave the vaccine clinic.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain
Clinical narrative: Four days afterwards, started feeling a pulling pain in my left armpit and over the next 24 hours it got worse and bigger and more painful. I took 800 mg of Ibuprofen and I needed to take it every four hours and when I treated with this it was bearable. I did it for about 4 days or so and it began to get better. Took medicine (Ibuprofen) a week though until it was better and not painful. Slowly went away. Dr was consulted for the treatment with the ibuprofen and heating pad.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Flushing
Clinical narrative: Patient waited at clinic for 20 minutes after vaccine and left the clinic. Approximately 10 minutes after leaving the clinic, patient returned with reports of feeling flushed, light headed, and her face feeling hot. Patient placed in a clinic room in an upright position, with a cold rag on the back of her back. Injection site was noted to be without inflammation and irritation. Vital signs were B/P: 170/102, HR 88, R 18, Pulse Ox 99% ORA. Patient observed in the clinic for an additional 30 minutes. After that time patient reported that she was feeling better and no longer feeling flushed or light headed. Vitals signs at discharge were: B/P 140/82, P 82, R18, and Pulse Ox 99% ORA.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Within 18 hours of vaccine, I developed a terrible headache, cold chills, fever, muscle aches, stuffy nose, stiff joints.  My arm was sore with a rash and warm to touch.  Symptoms lasted into 3rd day.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Joint stiffness, Myalgia, Nasal congestion, Pyrexia
Clinical narrative: Within 18 hours of vaccine, I developed a terrible headache, cold chills, fever, muscle aches, stuffy nose, stiff joints.  My arm was sore with a rash and warm to touch.  Symptoms lasted into 3rd day.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Feeling cold, Headache, Pain, Pyrexia
Clinical narrative: I had chills, severe body aches, head ache, weakness, fever of 100.5. Symptoms lasted around 36 hours.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: I had chills, severe body aches, head ache, weakness, fever of 100.5. Symptoms lasted around 36 hours.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Nausea, Pain, Pain in extremity
Clinical narrative: Started about 10 hrs after-high fever, terrible chills, aches, headache, arm pain, nausea
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Started about 10 hrs after-high fever, terrible chills, aches, headache, arm pain, nausea
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Blood glucose increased, Confusional state, Flushing, Headache
Clinical narrative: Pt. nervous and anxious upon arrival for vaccine. pt. reported in 250's for blood sugar upon arrival and past 2 wks few uk blood sugar had been spiking. After vaccine approx 5 min. pt. c/o flushed face, HA on (R) side, and BS of 343. pt c/o confusion and was extremely anxious.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nervousness
Clinical narrative: Pt. nervous and anxious upon arrival for vaccine. pt. reported in 250's for blood sugar upon arrival and past 2 wks few uk blood sugar had been spiking. After vaccine approx 5 min. pt. c/o flushed face, HA on (R) side, and BS of 343. pt c/o confusion and was extremely anxious.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in jaw, Sleep disorder
Clinical narrative: Jolted out of sleep at 02:00, extremely severe lower jaw pain. Fell back  to sleep in about one hour. Awoke at 09:00 with no pain.  No residual or recurrent pain since event.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: BRUISING, IT STARTED ON LEFT THIGH AND WENT TO LOWER LFT ABDOMEN WITH FIRST INJECTION.  AFTER 2ND INJECTION IT WENT TO THE RIGHT THIGH AND HAD SMALL BRUISES.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Peripheral swelling
Clinical narrative: PATIENT RECEIVED VACCINE 1/12/2021. STATES SHE WOKE AT 0500 ON 1/21/2021 WITH SEVERE BURNING AND ITCHING AT INJECTION SITE, STATES ARM SWOLLEN TO GRAPEFRUIT SIZE. WENT TO PCP WHERE SHE WAS ADMINISTERED A STERIOD INJECTION AND PUT ON BENADRYL PO. RESOLVED ON 1/25/2021.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Headache
Clinical narrative: the evening after the vaccine, I had difficulty breathing and headache.  Took me 5 minutes of trying to breath to get enough air and did not lay back in bed, I sat up and didn't have any other issues.  the headache is out of the ordinary for me as well
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling, Injection site urticaria
Clinical narrative: Itchy rash and raised hives around injection site 9 days after injection was givien. Tender and warm to touch. Very itchy and red still on day 11.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: Itchy rash and raised hives around injection site 9 days after injection was givien. Tender and warm to touch. Very itchy and red still on day 11.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Pain, Pain in extremity
Clinical narrative: About 13 hours after the vaccine she began having body aches and chills, headache and arm pain, extreme thirst, temperature of 100.1. The next morning she had a temperature of 101.2 with improvement of the chills but ongoing headache and body aches.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Thirst
Clinical narrative: About 13 hours after the vaccine she began having body aches and chills, headache and arm pain, extreme thirst, temperature of 100.1. The next morning she had a temperature of 101.2 with improvement of the chills but ongoing headache and body aches.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Pain
Clinical narrative: Pain at the site of the vaccination, chills and generalized pain.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient describes feeling "very dizzy" a few hours after receiving their first Pfizer COVID-19 vaccine. No other symptoms noted by the patient at this time.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Beginning four hours after injection and continuing, on and off in waves, for 3 more days (until 01/22/2021):  chills (with no fever), significant body aches, fatigue, mild nausea, mild headache
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: I noticed a dime sized red  circle warm to the touch at  administration site on day 8.  No fever or pain.  On day 9, the red circle grew  and remained warm to touch. I called my PCP who advised Benadryl.  I took 1 dose of Benadryl and the redness and warmth seems to have gone away.   On  1/15 after first receiving the injection, (day 1) I had only normal localized pain at injection site for about 48 hours. No other symptoms.  So was very surprised to see this redness on day 8 Lastly, I had some initial  concern on 1/15 that the dose was administered lower than my deltoid.  I did have my local pharmacist look at arm to make sure it was in a correct area. He felt it was. I was concerned that it could have been subcutaneous instead of the intramuscular route advised. Pharmacist felt it seemed  ok.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Myalgia, Pyrexia
Clinical narrative: Muscle aches, fever, headache. Over 24 hours later still dizzy.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Hot flush, Nasal congestion
Clinical narrative: Extreme nausea, hot flashes, dizziness, strange head, fatigue, nasal congestion, sore throat, runny nose, sneezing, sore arm,
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Pain in extremity, Rhinorrhoea, Sneezing
Clinical narrative: Extreme nausea, hot flashes, dizziness, strange head, fatigue, nasal congestion, sore throat, runny nose, sneezing, sore arm,
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Pruritus
Clinical narrative: Pt stated she felt really bad all day after vaccination.  Pt stated the next day she had severe itching on back that moved to the front torso and shoulders.  Pt said she has been taking Benadryl  for the itching .  Stated she called her PCP and they advised her to take Benadryl and to come to the office tomorrow  for an appt.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: 0952 patient feels lightheaded and would like her BP checked. States she can ambulate, husband assisted to move from general observation area to private obs. Gait steady. BP 114/79; HR 89; O2 98% on room air. States she has multiple health issues in the last year and is carrying her EPI pen for bee sting allergies. EMT on site in attendance 1006 Patient drank 8 oz water total. States she feels better. Is talking a lot. BP 125/88; HR 86; O2 99% on r/a 1008 BP 117/81. States lightheadedness improved.  1010 Stood and assessed. Denies dizziness, offered w/c to personal vehicle. Patient declined. Ambulated with husband to personal vehicle, gait steady. Husband driving. Instructed patient to seek medical attention if symptoms return.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation, Urticaria
Clinical narrative: Pt present for 2nd dose of Moderna, reports that approximately 4 hours after 1st dose he developed hives primarily on his back and a "tickle" in his throat. Pt reports that he contacted his pcp, who prescribed a steroid dose pack and instructed him to take an antihistamine. Pt reports that symptoms resolved over a "couple of days" and didn't need further intervention.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pain in extremity
Clinical narrative: Arm pain aches washed out tired. I feel worse than I did when I had Covid last month
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paresis, Paraesthesia
Clinical narrative: Patient states she woke up @ 7:am on 1/22/2021 with right sided facial weakness and paresthesia.  she went to the Emergency Room and was evaluated and discharged with a diagnosis of Bell's Palsy.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Erythema, warmth and tendenress near injection site, steadily worsening since vaccine administration 4 days ago.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site streaking
Clinical narrative: Redness around shot and down the arm.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: swelling and soreness and itching surrounding the area of injection
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Anal incontinence, Anaphylactic reaction, Arthralgia, Diarrhoea, Dizziness
Clinical narrative: Immediate anaphylaxis to "test dose".  On August 25, 1993 my nurse manager came to me and told me she had received a message from employee health and that my 2nd series of the HepB vaccine was way overdue and to go there immediately for my injection.  I could not believe it.  (And I was still having diarrhea and bowel incontinence and just all around sick from June vaccine).    I went to employee health and reminded the nurse that I was not taking further vaccines.  She told me,  again,  HepB vaccines do not have serious adverse effects.   I refused, and was sitting in a chair and she pulled my scrub sleeve up and proceded to clean my arm with an alcohol swab.  I stood up and said "I am not  taking it!"    She told me she would give me a  "very small" sub q  test dose on my shoulder to prove to me it was not the vaccines causing the problems.   Immediately there was a throbbing pain in my shoulder and I told her and she said  "You are having a reaction, there is a large wheal."  I then got dizzy,  I was wheezing and my airway was closing off. Hypertension 200/120, tachycardiac, trembling, diaphoretic. I was given IM Epinephrine and taken to ER.    In the ER I was given IM Benadryl and IM Decadron.  My health never returned to normal following these vaccines.  A long haul, a snowball of chronic health issues.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Hyperhidrosis, Hypertension, Immediate post-injection reaction, Intentional product use issue, Malaise
Clinical narrative: Immediate anaphylaxis to "test dose".  On August 25, 1993 my nurse manager came to me and told me she had received a message from employee health and that my 2nd series of the HepB vaccine was way overdue and to go there immediately for my injection.  I could not believe it.  (And I was still having diarrhea and bowel incontinence and just all around sick from June vaccine).    I went to employee health and reminded the nurse that I was not taking further vaccines.  She told me,  again,  HepB vaccines do not have serious adverse effects.   I refused, and was sitting in a chair and she pulled my scrub sleeve up and proceded to clean my arm with an alcohol swab.  I stood up and said "I am not  taking it!"    She told me she would give me a  "very small" sub q  test dose on my shoulder to prove to me it was not the vaccines causing the problems.   Immediately there was a throbbing pain in my shoulder and I told her and she said  "You are having a reaction, there is a large wheal."  I then got dizzy,  I was wheezing and my airway was closing off. Hypertension 200/120, tachycardiac, trembling, diaphoretic. I was given IM Epinephrine and taken to ER.    In the ER I was given IM Benadryl and IM Decadron.  My health never returned to normal following these vaccines.  A long haul, a snowball of chronic health issues.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Pain, Tachycardia, Throat tightness, Tremor, Urticaria
Clinical narrative: Immediate anaphylaxis to "test dose".  On August 25, 1993 my nurse manager came to me and told me she had received a message from employee health and that my 2nd series of the HepB vaccine was way overdue and to go there immediately for my injection.  I could not believe it.  (And I was still having diarrhea and bowel incontinence and just all around sick from June vaccine).    I went to employee health and reminded the nurse that I was not taking further vaccines.  She told me,  again,  HepB vaccines do not have serious adverse effects.   I refused, and was sitting in a chair and she pulled my scrub sleeve up and proceded to clean my arm with an alcohol swab.  I stood up and said "I am not  taking it!"    She told me she would give me a  "very small" sub q  test dose on my shoulder to prove to me it was not the vaccines causing the problems.   Immediately there was a throbbing pain in my shoulder and I told her and she said  "You are having a reaction, there is a large wheal."  I then got dizzy,  I was wheezing and my airway was closing off. Hypertension 200/120, tachycardiac, trembling, diaphoretic. I was given IM Epinephrine and taken to ER.    In the ER I was given IM Benadryl and IM Decadron.  My health never returned to normal following these vaccines.  A long haul, a snowball of chronic health issues.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Wheezing
Clinical narrative: Immediate anaphylaxis to "test dose".  On August 25, 1993 my nurse manager came to me and told me she had received a message from employee health and that my 2nd series of the HepB vaccine was way overdue and to go there immediately for my injection.  I could not believe it.  (And I was still having diarrhea and bowel incontinence and just all around sick from June vaccine).    I went to employee health and reminded the nurse that I was not taking further vaccines.  She told me,  again,  HepB vaccines do not have serious adverse effects.   I refused, and was sitting in a chair and she pulled my scrub sleeve up and proceded to clean my arm with an alcohol swab.  I stood up and said "I am not  taking it!"    She told me she would give me a  "very small" sub q  test dose on my shoulder to prove to me it was not the vaccines causing the problems.   Immediately there was a throbbing pain in my shoulder and I told her and she said  "You are having a reaction, there is a large wheal."  I then got dizzy,  I was wheezing and my airway was closing off. Hypertension 200/120, tachycardiac, trembling, diaphoretic. I was given IM Epinephrine and taken to ER.    In the ER I was given IM Benadryl and IM Decadron.  My health never returned to normal following these vaccines.  A long haul, a snowball of chronic health issues.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever, chills, severe body aches and joint pain and severe headache.  Symptoms lasted on and off for 36 hours.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Slow speech
Clinical narrative: About 5 min after vaccine administration, Light headed, feeling of heaviness and weakness throughout body.  notably slow speech.  patient monitored additional 30 min per her request.  Symptoms did not improve.  Patient was escorted by colleague via wheelchair to gather her belongings at her office, to be p/u by her SO.  Patient declined going to ED
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Inflammation, Injection site pain, Neuropathy peripheral
Clinical narrative: Initially felt mild soreness to injection site, lasting <48 hr.  After 2 days, felt increased whole arm soreness with numbness to fingers by day 5 with pain to finger by day 8.  He saw a specialist by telehealth on January 21, suggesting neuropathy from inflammation around the ulnar nerve, anticipating recovery in 4 weeks.  He was prescribed Meloxicam and Gabapentin and recommended to receive the 2nd COVID dose in opposite arm.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Electrocardiogram, Facial paralysis
Clinical narrative: Around 1am on 1/21 patient started c/o drooping mouth, lips. She didn't feel bad and didn't think she was having a stroke. Her daughter had had Bell's Palsy in her 20's so she recognized the symptoms. She went to The ER and was seen and had test run. They did diagnose her with Bell's Palsy.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itching
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Presyncope
Clinical narrative: 1350 - Vagal reaction to injection.  Vitals taken 160/80 P63.  1400- Vitals 125/80 P57 O2 98%  1411 - Repeat vagal reaction. -  EMS called to site.  Pt was bradycardic - alert and never lost consciousness.  History of syncope in past.  Pt has been sating at 97%.  O2 applied at 6L and pt is now sating at 100%.  1415-  EMS arrived on scene, is present and evaluating patient.  Pt continues to sat at 100%.  1420  Pt is refusing transport and signed AMA.  Pt given instructions.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: large, red itchy rash developed seven days after injection.  injection received on Friday, January 15th--rash appeared on the evening of Thursday, Januaruy 21.  Rash approximately 5" x 2".  Pictures available.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Hypoaesthesia oral
Clinical narrative: Numbness in the mouth, sudden increase in blood pressure, and possible swelling of the tongue
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Loss of consciousness
Clinical narrative: During night after receiving the shot  I woke up  at about 2)) AM to go to the bathroom.  When I got into the bathroom I suddenly had very strong chills and immediately passed out.  While passed out I uninated .  I woke up and have not had any problems since.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Fatigue, Oropharyngeal pain, Pain
Clinical narrative: fatigued, body aches, chills, upset stomach, sore throat, fever went from 99.6-101.7 for 48 hours
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fatigued, body aches, chills, upset stomach, sore throat, fever went from 99.6-101.7 for 48 hours
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Injection site bruising, Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: On 1/24/2021 I noticed that the site of the injection looked bruised and had some red rash around it.  The site was warm.  By the morning of 1/25/2021, the rash around the site has increased considerably and the site remains warm to touch.  I feel slightly clammy but have no fever.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Pain
Clinical narrative: Starting around 8 am the day after vaccination. Headache, body aches. Feeling of "medicine fog". Symptoms began fading around 11 pm. Lasted for 24 hours total.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Arm just under injection site is inflammed. Red, hot, itchy and sore. I have also had pins and needles in my fingers on that arm, which I do not have. No treatment, just allergy medication for the itching. Outcome - still red and sore, no change of yet.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Arm just under injection site is inflammed. Red, hot, itchy and sore. I have also had pins and needles in my fingers on that arm, which I do not have. No treatment, just allergy medication for the itching. Outcome - still red and sore, no change of yet.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia
Clinical narrative: Approximately 15 mins after injection patient began to experience dizziness, giddiness and light headedness. Around 12pm during observation she reported numbness feeling to her legs, in which resolved as soon as she reported. Pt assessed by MD. Patient with hx DM, Anxiety and Migraines. All symptoms resolved at discharge @ approximately 1215.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Throat tightness
Clinical narrative: PT RECEIVED COVID VACCINE AT 15:38 PT C/O AFTER 1 MIN OF CHEST PAIN AND SHORTNESS OF BREATH.  PT REPORTS H/O ANAPHYLAXIS REACTION TO FISH AND NO OTHER ALLERGIES WERE REPORTED,PT STATES  FEELINMG SAME SYMPTOMS AT THIS TIME. VITALS WERE TAKEN 169/89 p. 104 PULSE OX% 95. PT WAS SPEAKING  IN FULL SENTANCES AND DID NOT APPEAR IN RESPIRATORY DISTRESS ,PT REPORTED CONTINUED TO FEEL CHEST PRESSURE AND TIGHTNESS IN THROAT, AT THIS POINT EPINEPHRINE 0.3 ML WAS ADMINISTERED BY RN ON LEFT THIGH AND 911 WAS CALLED.  ON ARRIVAL OD PARAMEDICS AND EVALUATION OF PT REPORTED FEELING BETTER AFTER EPINEPHRINE AND DECLINED TO GO TO ER. PT LEFT THE CLINICON HER OWN IN STABLE CONDITION.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Injection site erythema, Injection site induration
Clinical narrative: Patient states that on 01/15/2021 she begin to experience itching, redness and hard knot on arm she received vaccine in. Patient states that redness seems to be more prominent today than what she notice before.  She also reports feeling fatigue which she is still experiencing.  She reports having chills which started on 01/15/2021 and ended yesterday. Patient also states that she did experience one bout of nausea and one bout of diarrhea on 01/15/2021. Patient is under the care of a physician. Advised patient to call her physician to seek medical advise. Patient states that she will present to clinic for evaluation.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Nausea
Clinical narrative: Patient states that on 01/15/2021 she begin to experience itching, redness and hard knot on arm she received vaccine in. Patient states that redness seems to be more prominent today than what she notice before.  She also reports feeling fatigue which she is still experiencing.  She reports having chills which started on 01/15/2021 and ended yesterday. Patient also states that she did experience one bout of nausea and one bout of diarrhea on 01/15/2021. Patient is under the care of a physician. Advised patient to call her physician to seek medical advise. Patient states that she will present to clinic for evaluation.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Day 8 post vaccination patient reported 4-5 inch red, raised, itchy rash above injection site on left arm. Day 11 post vaccination rash remains without improvement. Patient also reports brief numbness to left hand on day 11 which did resolve same day.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: RN contacted pt DOB verified. PT reports delayed reaction. Pt reports 4x2 inch  red, warm "lump" on 01/23. Pt received vaccine on 01/15. Pt believes this is a  delayed reaction. Pt denies any difficulty breathing, swelling of face or throat  or systemic rash. Pt reports icing area and applying anti itch cream with relief.  Pt reports swelling has improved. Pt intends on finishing series. RN will reports  rxn to VAERS.
Age: 73.0
Sex: U
Vaccine: COVID19
Symptoms: Oral pruritus, Paraesthesia oral, Throat irritation
Clinical narrative: Patient complains of tingling and itchy of mouth and throat. Initial blood pressure was 148/80. 50mg of Benadryl given.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chills, Headache, Heart rate increased, Pyrexia
Clinical narrative: I am post COVID (July 22,2020) I had uncontrollable shivering/fever of 102/ Elevated BP/ Elevated Heart rate of 150/ o2 states was 89/the worse headache I've had (since I had covid in July)Extreme fatigue (these symptoms lasted about 12 hours.  The following 24 hours I am still having slight headache/extreme fatigue.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient reports having shortness of breath when he woke the morning of Jan 15th. He contacted his physician and had an office visit. He was reportedly advised by the doctor to purchase a pulse ox and if O2 is lower than 90, he is to go to the ER.  Patient experienced SOB for a few days, and has since recovered without further symptoms
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Cough, Dizziness, Dyspnoea
Clinical narrative: Injection administered at 7:39 am. Immediate sense of relaxation during post injection. 2-3 hours later experienced some lightheadedness and tiredness, by 3pm experienced chest tightness and burning, difficulty breathing, coughing, fatigue. Used my nebulizer  every 4 hrs. Used rescue inhaler as needed Ventolin symptoms improved. 1/24/21 symptoms improved. Experienced some coughing and shortness of breath not as significant as day of vaccine. Recovery continues.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Injection administered at 7:39 am. Immediate sense of relaxation during post injection. 2-3 hours later experienced some lightheadedness and tiredness, by 3pm experienced chest tightness and burning, difficulty breathing, coughing, fatigue. Used my nebulizer  every 4 hrs. Used rescue inhaler as needed Ventolin symptoms improved. 1/24/21 symptoms improved. Experienced some coughing and shortness of breath not as significant as day of vaccine. Recovery continues.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Chills, body aches, fatigue , headache
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Face oedema
Clinical narrative: Presents left side of face with edema.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Itchy circular reddened area at injection site 8 days after injection.  My private doctor is aware and monitoring at this time for any spreading of the affected area.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pain, Pyrexia, Retching
Clinical narrative: "Hi Provider,  Here are dates and symptoms.  1/17/2021 ? awakened by feeling nauseated, dry heaves/vomited small amount. Fever 100.3F. Had body aches all over. 30 minutes later felt a shift in stomach and vomited several times in a few minutes. Fever of 101.3F. Went back to sleep, slept for 4 more hours, woke up for 45 minutes had severe body aches. Went back to sleep and had severe body aches, couldn?t get comfortable due to pain. Slept for 5 more hours. Went to the ER in afternoon 1-17-2021. Got a liter of LR, Ketorolac 30mg IV, Zofran 4mg IV. Discharged. Still had aches and pain but lessened from the morning. Ate supper, Hadn?t ate anything for 24 hours. Took Tylenol 1,000mg. Went to sleep at 8pm to 6am. 1-18-2021 ? Woke up and had body aches but less severe than day before. Fever of 100.5F in mid-morning. Nauseated for short time, resolved with Zofran 4mg ODT. Took Tylenol 1,000mg. Felt exhausted, slept 4 hours during the day. Ate two meals, breakfast and supper. Took Tylenol 1,000mg and Ibuprofen 600mg at bedtime. 1-19-2021 ? Tuesday felt much better. No nausea, minor body aches. 1-19-2021 ? Wednesday, back to 100% resolved."
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: "Hi Provider,  Here are dates and symptoms.  1/17/2021 ? awakened by feeling nauseated, dry heaves/vomited small amount. Fever 100.3F. Had body aches all over. 30 minutes later felt a shift in stomach and vomited several times in a few minutes. Fever of 101.3F. Went back to sleep, slept for 4 more hours, woke up for 45 minutes had severe body aches. Went back to sleep and had severe body aches, couldn?t get comfortable due to pain. Slept for 5 more hours. Went to the ER in afternoon 1-17-2021. Got a liter of LR, Ketorolac 30mg IV, Zofran 4mg IV. Discharged. Still had aches and pain but lessened from the morning. Ate supper, Hadn?t ate anything for 24 hours. Took Tylenol 1,000mg. Went to sleep at 8pm to 6am. 1-18-2021 ? Woke up and had body aches but less severe than day before. Fever of 100.5F in mid-morning. Nauseated for short time, resolved with Zofran 4mg ODT. Took Tylenol 1,000mg. Felt exhausted, slept 4 hours during the day. Ate two meals, breakfast and supper. Took Tylenol 1,000mg and Ibuprofen 600mg at bedtime. 1-19-2021 ? Tuesday felt much better. No nausea, minor body aches. 1-19-2021 ? Wednesday, back to 100% resolved."
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site warmth, Skin tightness
Clinical narrative: Today is day #9 after receiving the 1st dose of Moderna vaccine and I have a red 2 inch patch on my left arm at the site of the injection. It?s hot and feels like a sunburn - my skin feels tight in the area.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia oral, Tinnitus
Clinical narrative: Patient left clinic approximately 15 minutes after receiving the vaccine without having any reactions. About 1200pm we received a phone call from patient reporting that approximately an hour after receiving the vaccine (10am) she started to experience tingling around her mouth, roaring in her ears, swelling in her lips and nasal passages. Patients reports that she had a bottle of Benadryl with her took 2 "big swigs" of the Benadryl. Patient reports swelling went away an hour after taking the Benadryl. Patient called to make us aware of the issue. Patient was not seen in clinic as a follow up, but was directed to notify her PCP. Patient verbalizes understanding.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Quarter sized red circle at injection site, slightly itchy - 1/24 at 8:00 pm Circle became larger (two inch diameter) morning of 1/25; itches a little bit more.  Slightly warm to touch.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema
Clinical narrative: Arm redness on second shot.  Chills
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Skin tightness, Swelling face
Clinical narrative: WINDBURN TYPE OF RASH ON FACE THAT WAS MOVING DOWN TO UPPER NECK, FACE SWELLING WITH SKIN FEELING REAL TIGHT THAT STARTED ON 01/22/2021.  ITCHING THAT STARTED ON.NEXT DAY WITH REDNESS INCREASING ON 01/23/2021.  WENT TO URGENT CARE ON 01/24/2021 THINKING i HAD POISEN OAK/IVY/SUMAC UNTIL I READ SIDE EFFECTS ON INFO PROVIDED AFTER COVID-19 SHOT ON 01/21/2021. PA PROVIDED PERSCRIPTIONS METHYLPREDNISOLONE 4MG DOSEPK AND TRIAMCINOLONE 0.5% OINTMENT.  OINTMENT DID NOT HELP ITCHING SO CHANGED TO CORTISONE 1% 2X A DAY.  01/25/2012 STATUS - RASH AND ITCHING GETTING BETTER BUT NOT GONE.  SWELLING SEEMS TO BE GONE.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Body temperature increased, Chest X-ray abnormal, Computerised tomogram abnormal, Inguinal hernia
Clinical narrative: Patient presented to the ED with altered mental status and extreme agitation. Patient was given lorazepam 1 mg IV,  haloperidol 5 mg IM, and Olanzapine 5 mg IM. Patient's quetiapine was also increased. Infectious workup was negative besides elevated temperature. Patient's agitation had resolved by the next morning 01/21 but was still experiencing AMS. By 01/23 patient had seen marked improved mental status and fever free for > 24 hours.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Mental status changes, Procalcitonin increased
Clinical narrative: Patient presented to the ED with altered mental status and extreme agitation. Patient was given lorazepam 1 mg IV,  haloperidol 5 mg IM, and Olanzapine 5 mg IM. Patient's quetiapine was also increased. Infectious workup was negative besides elevated temperature. Patient's agitation had resolved by the next morning 01/21 but was still experiencing AMS. By 01/23 patient had seen marked improved mental status and fever free for > 24 hours.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pain, Pyrexia
Clinical narrative: Fatigue, Nausea, Body Ache, Low grade fever ,
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: A few hours after the first dose (1/15), a welt grew around the injection site about the size of a silver dollar.  This went away after three days. Arm was sore for the first two days.  One week later (1/22), injection site became itchy, red and was very warm to the touch.  A welt formed as well. It started out the size of a silver dollar, and over the course of  48 hours the welt, itchiness, and redness grew to  the size of a large russet potato (Friday 1/22- Saturday1/23).  It was the most red around the injection site, with the most red being about the size of a silver dollar.  After 48 hours, it remained itchy, red, and had a welt  for the next 24 hours  (Sunday 1/24). The next morning (Monday 1/25) redness and swelling were gone but site was still a little itchy.  Site was only slightly tender throughout these three days but not painful. No other side effects were noticed i.e. fever, chills, chest pain.  Slight dizziness was felt if I hadn't eaten anything.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Urticaria
Clinical narrative: A few hours after the first dose (1/15), a welt grew around the injection site about the size of a silver dollar.  This went away after three days. Arm was sore for the first two days.  One week later (1/22), injection site became itchy, red and was very warm to the touch.  A welt formed as well. It started out the size of a silver dollar, and over the course of  48 hours the welt, itchiness, and redness grew to  the size of a large russet potato (Friday 1/22- Saturday1/23).  It was the most red around the injection site, with the most red being about the size of a silver dollar.  After 48 hours, it remained itchy, red, and had a welt  for the next 24 hours  (Sunday 1/24). The next morning (Monday 1/25) redness and swelling were gone but site was still a little itchy.  Site was only slightly tender throughout these three days but not painful. No other side effects were noticed i.e. fever, chills, chest pain.  Slight dizziness was felt if I hadn't eaten anything.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Dizziness, Electrocardiogram, Hyperhidrosis
Clinical narrative: tachycardia, dizziness, diaphoresis, weakness, Temp 100.8 F,  911 called,    above symptoms  resolved by the time ambulance arrived.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: tachycardia, dizziness, diaphoresis, weakness, Temp 100.8 F,  911 called,    above symptoms  resolved by the time ambulance arrived.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cold sweat, Dizziness, Fatigue, Headache
Clinical narrative: ER for restricted airway after 3 hours. Muscle pain, joint pain, extreme dizziness, sore throat, headache, cold hot sweats, fatigue, for 5 days. dizziness, sore throat, still after 6 days
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Oropharyngeal pain
Clinical narrative: ER for restricted airway after 3 hours. Muscle pain, joint pain, extreme dizziness, sore throat, headache, cold hot sweats, fatigue, for 5 days. dizziness, sore throat, still after 6 days
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Feeling hot, Flushing
Clinical narrative: Was sitting for observation, around 5 minutes later starting coughing and getting flushed in the face and saying it was getting hot.  Then, continued to cough and was using her prescribed inhaler ( unknown what type of inhaler it was ).  Administered epi-pen immediately, and called 9-1-1.  Had to administer second epi-pen 5 minutes later, and patient also took two 25 mg benadryls.  A nurse at the facility was the one to administer her epi-pens.  They were the patient's prescribed epi-pens
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea
Clinical narrative: Headache, Nausea, Tiredness
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: High grade fever, chills, body aches
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site urticaria
Clinical narrative: Arm sore armpit was sore red raised hive below the injection site
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Tremor
Clinical narrative: Headache, body aches, shivering, shaking, shooting pain in top part of head lasting 24 hours
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Cough, Diarrhoea, Dizziness, Fatigue
Clinical narrative: 30 minutes after injection I experienced dizziness/light headedness, mild facial numbness, numbness in lips and roof mouth. I returned to the vaccination distribution site - EMT's checked my O2, pulse and blood pressure which were all normal.  They check my blood sugar which was at 40.  I had eaten about 90 minutes before (egg, toast, coffee).  They administered glucose and rechecked 10 minutes later.  I was at 41.  I was oriented and by then the numbness and dizziness had subsided and has completely resolved. I experienced flu-like symptoms beginning in the evening of 1/22 and continuing consisting of tiredness, body aches, runny nose, sneezing, cough, stomach rumblings and diarrhea (mainly on 1/24).
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Influenza like illness, Pain, Rhinorrhoea
Clinical narrative: 30 minutes after injection I experienced dizziness/light headedness, mild facial numbness, numbness in lips and roof mouth. I returned to the vaccination distribution site - EMT's checked my O2, pulse and blood pressure which were all normal.  They check my blood sugar which was at 40.  I had eaten about 90 minutes before (egg, toast, coffee).  They administered glucose and rechecked 10 minutes later.  I was at 41.  I was oriented and by then the numbness and dizziness had subsided and has completely resolved. I experienced flu-like symptoms beginning in the evening of 1/22 and continuing consisting of tiredness, body aches, runny nose, sneezing, cough, stomach rumblings and diarrhea (mainly on 1/24).
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: 30 minutes after injection I experienced dizziness/light headedness, mild facial numbness, numbness in lips and roof mouth. I returned to the vaccination distribution site - EMT's checked my O2, pulse and blood pressure which were all normal.  They check my blood sugar which was at 40.  I had eaten about 90 minutes before (egg, toast, coffee).  They administered glucose and rechecked 10 minutes later.  I was at 41.  I was oriented and by then the numbness and dizziness had subsided and has completely resolved. I experienced flu-like symptoms beginning in the evening of 1/22 and continuing consisting of tiredness, body aches, runny nose, sneezing, cough, stomach rumblings and diarrhea (mainly on 1/24).
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 8 days after receiving the vaccine (Saturday), next to the injection site, I noticed a circular slightly elevated redness on upper left arm (deltoid) and warm approx 730pm. On Sunday, upon wakening, the area took on an irregular circular pattern, larger in size and still warm to touch. On Monday morning, the area takes on a defined rectangular shape, red, and warm. No discomfort or other symptoms associated.