chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Headache and body aches on the next day, March 3rd, after receiving 2nd Moderna vaccine, on March 2nd.   Symptoms went away on March 4th.  No problem with the 1st Moderna vaccine on Feb. 2nd. However on the 18th of March a headache started that was like the one I had after the 2nd Moderna vaccine.  It has continued until today, March 30th.  I have taken Extra Strength Tylenol 4-6 per day which controls the headache but it comes back before I have to take another 2 tablets.  I emailed my doctor on March 29th and he said it probably is a result of the Moderna vaccine.  He advised me to switch to Aleve, 2 tablets each day.     I really do hate feeling these headaches and I want to know if it will ever end and what you recommend. Thank you.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Cough, Influenza, Nausea, Pain
Clinical narrative: Cough, stomach ache, body ache, nausea, 2 days of flu symptoms.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Feeling of heat on left side neck and left ear and left trapezoid
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Retinal vein occlusion, Vision blurred, Visual tracking test abnormal, Vitreous floaters
Clinical narrative: Noted haziness in left eye and floater 11 days after shot I wear prescription glasses and  I noticed a difference in terms of my vision both near and far. I ignored at first but it got worse. I was due for my annual Ophthalmologist eye exam in mid January and they did the  visual exam That looks behind the eyes. it was noted that o had CEBTEAL RETINAL VEIN OCCLUSION . I was emergnetly referred to. a retinal Specialist that same day and he injected my eye with AVASTIN. after one month, another visual exam was  done and marked improvement was noted but I still had hazy vision despite corrective lenses and Ithat annoying floater seems to be permanent. I will see retinal Specialist again in 2 weeks.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Mobility decreased, Pain
Clinical narrative: Severe fever, severe chills to the point I couldn't get out of bed cause I would start shaking so bad, head aches, body aches, fatigue
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: Severe fever, severe chills to the point I couldn't get out of bed cause I would start shaking so bad, head aches, body aches, fatigue
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Injection site pain, Platelet function test normal
Clinical narrative: Patient seen in clinic the day after 2nd Moderna COVID-19 vaccination for routine follow up.  No side effects except for injection site pain. Routine labs showed low platelet count of 106,000. Prior platelet count 159,000 in 12/2019 Platelets rechecked 3/24 and recovered to 151,000.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Deafness unilateral, Tinnitus
Clinical narrative: Right ear hearing loss - 2 days since vaccination until present (4 days since vaccination) Right ear ringing - 2 days since vaccination until present (4 days since vaccination) Right wrist joint ache - 1 day since vaccination until 2 days since vaccination
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Malaise, Pyrexia, Vomiting
Clinical narrative: Patient came to pharmacy today 3/30/21 with his wife so she could get shot. He complained of over the past several days high fevers, chills, vomiting, stomach ache and general malaise. While here with wife, patient started having extreme chills and shivering and 911 was called. Paramedics came and advised patient it could be after effects of vaccine or Gastro-intestinal bug but patient did not go to the hospital.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Insomnia, Tremor
Clinical narrative: Shakeing, tiredness, sleepiness
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fear, Feeling cold, Influenza like illness, Pain, Pyrexia
Clinical narrative: On-set of symptoms began 10-12 hours after administration of vaccine: "flu like" full body aches for exactly 24 hours. On a scale of 1-10 (where 10 is worse), body aches were consistently a "level 6" for the full 24 hour period. In a cycle of every 4 hours, pain would increase to level 8 (i.e. for a few hours I would have all over "level 6" body aches, then for a few hours I would have almost unbearable "level 8" body aches, then for a few hours it body aches would decrease to "level 6". This cycle continued for the full 24 hours. At one point I was in tears and called my doctor for pain or sleep meds - since I was unable to sleep at all the night before due to pain and was in fear this would happen again).  Body chills would "come and go" during the 24 hours period. Fever (>100.3 and <101.3) began in the last 8-10 hours of the 24 hour period. All symptoms ended 24 hours after symptom onset (9-10pm on 3/2 to 9-10pm on 3/3).
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: On-set of symptoms began 10-12 hours after administration of vaccine: "flu like" full body aches for exactly 24 hours. On a scale of 1-10 (where 10 is worse), body aches were consistently a "level 6" for the full 24 hour period. In a cycle of every 4 hours, pain would increase to level 8 (i.e. for a few hours I would have all over "level 6" body aches, then for a few hours I would have almost unbearable "level 8" body aches, then for a few hours it body aches would decrease to "level 6". This cycle continued for the full 24 hours. At one point I was in tears and called my doctor for pain or sleep meds - since I was unable to sleep at all the night before due to pain and was in fear this would happen again).  Body chills would "come and go" during the 24 hours period. Fever (>100.3 and <101.3) began in the last 8-10 hours of the 24 hour period. All symptoms ended 24 hours after symptom onset (9-10pm on 3/2 to 9-10pm on 3/3).
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eye swelling, Headache, Lip swelling, Pain
Clinical narrative: The day after I received my second dose of Pfizer, I woke up with a swollen face that lasted for 2 days. My eyes, nose, cheek and lips were swollen. I also had, body aches, chill and a headache. I took Motrin, slept most of the day. The following day/day 2 most of the swelling was gone and my flu symptoms were gone. By day three all of the swelling was gone.   I did not go to the doctor.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Swelling face
Clinical narrative: The day after I received my second dose of Pfizer, I woke up with a swollen face that lasted for 2 days. My eyes, nose, cheek and lips were swollen. I also had, body aches, chill and a headache. I took Motrin, slept most of the day. The following day/day 2 most of the swelling was gone and my flu symptoms were gone. By day three all of the swelling was gone.   I did not go to the doctor.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Headache, Influenza
Clinical narrative: Flu symptoms: nausea, headache, joint pain, chills, neck pain.  Second day I had diarrhea.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain
Clinical narrative: Flu symptoms: nausea, headache, joint pain, chills, neck pain.  Second day I had diarrhea.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site irritation, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: I experienced the expected injection-site soreness later in the evening following the vaccination (Monday, 3/22/21), with soreness in my shoulder area worsening the next day (Tues, 3/23) such that my arm's mobility was limited. The soreness subsided considerably the next day, and my ability to move my arm without pain gradually returned. By Wednesday or Thursday, the soreness was nearly negligible. However, last night (Monday, 3/29), I noticed some irritation at the injection site, which developed into swelling and soreness around 11pm. A warm bath helped a little, but I was still rather uncomfortable lying on my left side. The swelling and soreness has not improved today, and although the intensity of the discomfort has varied throughout the day, it has been mild to moderate. I have noticed varying amounts of blotchy redness and radiating heat.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular, Skin warm
Clinical narrative: I experienced the expected injection-site soreness later in the evening following the vaccination (Monday, 3/22/21), with soreness in my shoulder area worsening the next day (Tues, 3/23) such that my arm's mobility was limited. The soreness subsided considerably the next day, and my ability to move my arm without pain gradually returned. By Wednesday or Thursday, the soreness was nearly negligible. However, last night (Monday, 3/29), I noticed some irritation at the injection site, which developed into swelling and soreness around 11pm. A warm bath helped a little, but I was still rather uncomfortable lying on my left side. The swelling and soreness has not improved today, and although the intensity of the discomfort has varied throughout the day, it has been mild to moderate. I have noticed varying amounts of blotchy redness and radiating heat.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Menstruation irregular, Neck pain
Clinical narrative: At 5 hours: headache and fatigue. At 20 hours: chills, fever, body ache. At 44 hours. Headache, neck pain fatigue. At 68 hours vertigo At 60 hours Early Menstruation (day 13 of cycle)!
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Vertigo
Clinical narrative: At 5 hours: headache and fatigue. At 20 hours: chills, fever, body ache. At 44 hours. Headache, neck pain fatigue. At 68 hours vertigo At 60 hours Early Menstruation (day 13 of cycle)!
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: swelling in my face on two occasions, used cold compresses and they went down in 12 hours
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Oral discomfort
Clinical narrative: Dose given on 3/22/21. Patient called into pharmacy on 3/29 stating that on 3/28 she began feeling mouth discomfort (gums and teeth). She noticed upon waking up on 3/29 that her lips were swollen and she took a Benadryl. Unknown if symptoms have continued post telephone conversation.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia
Clinical narrative: Feeling tired the day of and the day after vaccination. Fever (100.4 F) 24 h post vaccinations and went away overnight.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Pain in extremity, Tremor
Clinical narrative: Within 30 minutes after the shot, my daughter had a headache and sore arm.  Other than that she was fine until midnight on Monday  morning  when her tremors increased and spread up from her legs to her torso and arms.  The tremors persisted all day Monday even through her cranio-sacral therapy at Medical Center.  Her therapist tried to calm down the tremors through frequency specific micro current with no success.  Her therapist could tell that her whole system was in "overdrive" which was vastly different than her previous session a week ago.  The tremors were so bad that my daughter wanted her wheel chair again.    I took a video of her tremors after her therapy session. Her therapist told us to contact her DO, Dr. about it.  I did.  She was able to crash around 10pm on Monday.  On Tuesday, when she woke up around 2:30pm, she still had the tremors but they weren't as severe.  We had a telehealth appt with her sleep neurologist, Dr. at 3pm and showed her the video but she doesn't recall ever seeing her tremors in the past.    When I spoke to Dr., I shared the video and she was going to discuss it with  the  therapist as they know each other.   My daughter's tremors have never been this bad.  She had one  major tremor episode in her legs  only over 2 years ago which we attributed to her meds at the time; but again, not this bad ever.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Mucosal inflammation, Stomatitis
Clinical narrative: Mucous membranes inflammatory reaction. Mouth became raw within several hours. Continued to get worse over the next 48 hours. followed by 2-3 days of diarrhea with stringy mucous.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Herpes zoster, Pain, Rash
Clinical narrative: developed shingles on 3/18/21
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Pain, Pyrexia
Clinical narrative: 100.5° F fever, body aches, joint pain, tenderness at injection site.. Took two Tylenol Cold+Flu Severe OTC the next morning Monday. Recovered Tuesday morning. no further symptoms except for injection site tenderness,
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: 100 degree + fever following injection. Fever continuing until the current time (100.4) at 8:45. Headaches, Body Aches, Chills, & Nausea are still occurring.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: One day after the shot I noticed a hissing in my right ear.  I've had tinnitus before but not this loud.  Ringing and has effected my hearing. I think I've lost hearing now
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Feeling abnormal, Flushing, Paraesthesia
Clinical narrative: PATIENT REPORTED  FEELING TINGLY AND "FUNNY". PATIENT WAS FLUSHED ON HER FACE AS WELL AT THE END OF THE 15 MINUTE OBSERVATION TIME. ADVISED PATIENT TO CONTINUE TO WAIT. PATIENT CONTINUED TO FEEL "STRANGE" AND PHARMACY STAFF PROVIDED HER WITH SOME COLD WATER.  PHARMACIST ASKED IF SHE WAS HAVING ANY TROUBLE BREATHING AND PATIENT RESPONDED NEGATIVE. PHARMACY STAFF ALSO CHECKED HER BP AND IT WAS AT 166/88. EMSA WAS NOTIFIED WHEN PATIENT'S SYMPTOMS HAD NOT CHANGED AND ARRIVED AT 10:50. PATIENT WAS TAKEN BY EMSA TO ED.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Blood pressure measurement, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: PATIENT REPORTED  FEELING TINGLY AND "FUNNY". PATIENT WAS FLUSHED ON HER FACE AS WELL AT THE END OF THE 15 MINUTE OBSERVATION TIME. ADVISED PATIENT TO CONTINUE TO WAIT. PATIENT CONTINUED TO FEEL "STRANGE" AND PHARMACY STAFF PROVIDED HER WITH SOME COLD WATER.  PHARMACIST ASKED IF SHE WAS HAVING ANY TROUBLE BREATHING AND PATIENT RESPONDED NEGATIVE. PHARMACY STAFF ALSO CHECKED HER BP AND IT WAS AT 166/88. EMSA WAS NOTIFIED WHEN PATIENT'S SYMPTOMS HAD NOT CHANGED AND ARRIVED AT 10:50. PATIENT WAS TAKEN BY EMSA TO ED.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Urticaria
Clinical narrative: PATIENT REPORTED  FEELING TINGLY AND "FUNNY". PATIENT WAS FLUSHED ON HER FACE AS WELL AT THE END OF THE 15 MINUTE OBSERVATION TIME. ADVISED PATIENT TO CONTINUE TO WAIT. PATIENT CONTINUED TO FEEL "STRANGE" AND PHARMACY STAFF PROVIDED HER WITH SOME COLD WATER.  PHARMACIST ASKED IF SHE WAS HAVING ANY TROUBLE BREATHING AND PATIENT RESPONDED NEGATIVE. PHARMACY STAFF ALSO CHECKED HER BP AND IT WAS AT 166/88. EMSA WAS NOTIFIED WHEN PATIENT'S SYMPTOMS HAD NOT CHANGED AND ARRIVED AT 10:50. PATIENT WAS TAKEN BY EMSA TO ED.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Herpes virus infection, Lethargy, Myalgia
Clinical narrative: Day1, vaccine time 9:30am, 4:30 pm , Herpies flare up around gums, feeling very tired. Day2-3 soarness  left shoulder and neck, mild soarness on past hernia surgery sight and past skin cancer surgery site, Day 4 to present muscles and joints achey, feeling lethargic. No fever, but achy ness is similar to how I would feel with the flu.. 7 days feeling crummy
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Procedural pain
Clinical narrative: Day1, vaccine time 9:30am, 4:30 pm , Herpies flare up around gums, feeling very tired. Day2-3 soarness  left shoulder and neck, mild soarness on past hernia surgery sight and past skin cancer surgery site, Day 4 to present muscles and joints achey, feeling lethargic. No fever, but achy ness is similar to how I would feel with the flu.. 7 days feeling crummy
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash around injection site 8 days later
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed shingles
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Nosebleed in right nostril. I VERY rarely get a nosebleed. From what I could feel, my nose was not sore, dry, or cracked to have made me bleed. The nosebleed occurred randomly and lasted approximately 10 minutes.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Woke morning after first (and only) Pfizer covid vacc. with prominent left ear ringing. 3x more volume  than normal level. Still ringing loudly two days before  appointment to get second dose of Pfizer with some occasional right ear ringing also (which I never had before at any volume). So felt I had to cancel the second dose. Now going on 26 days of constant life changing tinnitus. Obviously hoping it subsides.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Skin warm
Clinical narrative: "Covid Arm". One week after getting the shot, my arm became red, itchy and hot at the vaccine site. It is still like that 48 hours later. My arm was sore for a couple of days after getting the shot, but then was fine for 4-5 days before these symptoms appeared.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Loss of personal independence in daily activities, Movement disorder, Neck pain
Clinical narrative: Strong pain during injection (much more than 2nd dose). Severe pain in left shoulder for first two days following injection, could not lift arm. After 48 hours pain in shoulder had lessened slightly, but pain had spread to trapezius muscle and left side of neck. Since injection (1 month ago), daily shoulder, trapezius, and neck pain that has not improved. Cannot lay down flat without severe pain in shoulder. Daily tasks have been interrupted due to pain and discomfort. Waking up throughout the night due to pain.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site reaction, Rash, Rash pruritic, Skin mass
Clinical narrative: Large rash on right arm, itchy, painful(3), warm to touch, solid mass
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Large rash on right arm, itchy, painful(3), warm to touch, solid mass
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia
Clinical narrative: Head ache  Muscle pain Chills Tiredness
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Rash
Clinical narrative: About 2 weeks after recieving my first dose I developed rashes all of my body. The second day in addition to the rash, my lips were very swollen.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Nausea, Pain
Clinical narrative: extreme pain 1-10 = 15, hours of tears.  Entire body experienced shaking, felt like my body was injected with poison.  I was nauseous for over 36 hours, along with above pain and shaking. Headache, blurring vision also present.   HOME TREATMENT: Alka Seltzer PM at 2 am calmed me until 5 am.  At 8 am another Alka Seltzer pm - this only help with the need to vomit and I could nap for 15 mins or so before the pain just became too much. 2 pm 2 Bayer Asprin...I could only sip water, tea and 4 teaspoons of soup. 8 pm 2 more Bayer Asprin and 2 more at 2 am.  Around 6 am the feeling of being full of posion, aches and headache subsided and I was able to sleep.  I slept until 5:30 pm that night solid. Today is Monday and I'm a bit tired but feel much better.  The churning in my stomach still comes but not often - only once today.  Eating normal, just small amount once a day no appetite.   I live 45 minutes out of town with 3 feet of snow...had the weather and my location not been an issue I would have gone to the ER...had I received no relief from the OTC I would have gone to hospital.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vision blurred
Clinical narrative: extreme pain 1-10 = 15, hours of tears.  Entire body experienced shaking, felt like my body was injected with poison.  I was nauseous for over 36 hours, along with above pain and shaking. Headache, blurring vision also present.   HOME TREATMENT: Alka Seltzer PM at 2 am calmed me until 5 am.  At 8 am another Alka Seltzer pm - this only help with the need to vomit and I could nap for 15 mins or so before the pain just became too much. 2 pm 2 Bayer Asprin...I could only sip water, tea and 4 teaspoons of soup. 8 pm 2 more Bayer Asprin and 2 more at 2 am.  Around 6 am the feeling of being full of posion, aches and headache subsided and I was able to sleep.  I slept until 5:30 pm that night solid. Today is Monday and I'm a bit tired but feel much better.  The churning in my stomach still comes but not often - only once today.  Eating normal, just small amount once a day no appetite.   I live 45 minutes out of town with 3 feet of snow...had the weather and my location not been an issue I would have gone to the ER...had I received no relief from the OTC I would have gone to hospital.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash erythematous, Rash pruritic, Urticaria
Clinical narrative: 51 yo  M p/w virtually for rash to all extremities within 48 hours of receiving second COVID 19 vaccination on 24 MAR. He reports noting itching and small 'hives' and bumps that were red in color as well as itchy. When scratched they would burst and have fluid in them. He reports only other change is he starting using OTC medication for athlete's foot. He self treated with 50 mg of Benadryl q12h and has noted improvement in symptoms since Sunday. He reports no F/C/myalgia/arthralgias.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Chest pain, Chills, Fatigue, Hyperhidrosis
Clinical narrative: Day 2 fever, muscle pain, chills Day 3 woke up dripping in sweat, pajamas soaking wet, fatigue, aches +4 fever Day 4 all the above and intense chest pain and nausea.  Called paramedics as concerned about heart attack. Heart OK, blood sugar OK, BP was 211.   Day 5  fatigue, cold, aches, covid are, Day 6 started feeling batter Today, arm still itchy with rash.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nasopharyngitis, Nausea, Pain, Pyrexia
Clinical narrative: Day 2 fever, muscle pain, chills Day 3 woke up dripping in sweat, pajamas soaking wet, fatigue, aches +4 fever Day 4 all the above and intense chest pain and nausea.  Called paramedics as concerned about heart attack. Heart OK, blood sugar OK, BP was 211.   Day 5  fatigue, cold, aches, covid are, Day 6 started feeling batter Today, arm still itchy with rash.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Day 2 fever, muscle pain, chills Day 3 woke up dripping in sweat, pajamas soaking wet, fatigue, aches +4 fever Day 4 all the above and intense chest pain and nausea.  Called paramedics as concerned about heart attack. Heart OK, blood sugar OK, BP was 211.   Day 5  fatigue, cold, aches, covid are, Day 6 started feeling batter Today, arm still itchy with rash.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Covid arm, red rash spread over arm, was itchy, but now it only heards and has spread a bit more.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Mobility decreased
Clinical narrative: PATIENT EXPERIENCED PAIN AND IMMOBILITY IN THE ARM ABOUT ONE HOUR AFTER RECEIVING VACCINATION. HER PHYSICIAN PRESCRIBED PHYSICAL THERAPY DUE TO VACCINATION BE GIVEN TOO HIGH ON THE ARM INTO SHOULDER TENDON.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood pressure increased, Electrocardiogram abnormal, Heart rate increased, Hypertension
Clinical narrative: Rapid heart rate triggered an A Fib needed to be hospitalized and put on medic to lower blood pressure and fix heart rythm . I currently still have elevated blood pressure.  Never had a fib before never was on meds  for heart.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Pruritus, Skin warm, Urticaria
Clinical narrative: About 3 days after the vaccine, I started itching and getting welts under my skin.   One very small one on my right earlobe, one on my right pinky finger, two on the back of my neck, two on my abdomen, a very large one on my right inner elbow and another very large one just below the injection site.  The large ones are warm to the touch.  They have come and gone, and come back again, seemingly randomly and in different locations.  I have taken a total of 3 Benadryl over 2 days, with no noticeable relief.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase, Alanine aminotransferase increased, Blood urea, Blood urea increased
Clinical narrative: Routine Blood Test 8 days after 2nd vaccination/dose detected spike in Kidney BUN and Liver ALT.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Nodule, Pain in extremity, Skin warm
Clinical narrative: I had a large lump develop just above the injection site.  It was hot to the touch, and there was arm pain.  It's been almost a week since receiving the vaccine and it's not hot, but the lump is still quite sizeable, hard, but doesn't feel hot.  Every so often I have pain, and I cannot put pressure on the upper arm.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Pruritus
Clinical narrative: Itching face, scalp, cough, headache
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Injection site swelling, Neck pain
Clinical narrative: Swollen and sore right upper arm, with pain running up neck and into head for 3 days after injection
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Discomfort, Rash, Rash erythematous, Swelling
Clinical narrative: Shingles type rash on chin and scalp very uncomfortable Three spots size varies between a dime size and quarter size.  Red swollen and painful - comes in waves of intensity.  Cold pack and  Advill seems to help.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Breast feeding
Clinical narrative: The patient who received the vaccine was a breastfeeding mother. Her 15-month-old developed an ear infection, requiring antibiotics for the first time ever, within 72 hours of the vaccine administration. Her 15-month-old developed a fever of 102.6 approximately 6 days after the vaccine was administered. He then was prescribed antibiotics 7 full days after the vaccine was administered to the mother.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bone pain, Chills, Dehydration, Ear pain, Fatigue
Clinical narrative: Fatigue, fever, ear ache, arm ache, migraines. Second shot caused rigors, vomiting, dry heaves, dehydration, fever, intense all over body pain including bone aches, teeth, ears, neck, spine, everything on me hurt.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Migraine, Neck pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fatigue, fever, ear ache, arm ache, migraines. Second shot caused rigors, vomiting, dry heaves, dehydration, fever, intense all over body pain including bone aches, teeth, ears, neck, spine, everything on me hurt.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Retching, Spinal pain, Toothache, Vomiting
Clinical narrative: Fatigue, fever, ear ache, arm ache, migraines. Second shot caused rigors, vomiting, dry heaves, dehydration, fever, intense all over body pain including bone aches, teeth, ears, neck, spine, everything on me hurt.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Hypersensitivity, Paraesthesia, Rash erythematous
Clinical narrative: Allergic Reaction - red rash on arm, tingly face and jaw, headache, racing heart rate
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Wrong vaccine, patient is 16 years old
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Dry throat
Clinical narrative: Patient experienced dry throat, felt anxious and dizzy. EMS was called and a banana and benadryl were administered by the clinical team.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Loss of personal independence in daily activities
Clinical narrative: Pt developed headache the day following the vaccine.  It was severe the first week, limiting daily activities but then became more mild but lasted 4 weeks.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, swelling and itching at injection site 7 days after vaccine was originally given.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Vaccination complication
Clinical narrative: SYMPTOMS SELF-RESOLVED AFTER HOLDING ASPIRIN AND OTC NSAIDS.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Impaired work ability, Injection site pain, Peripheral swelling
Clinical narrative: Arm started to swell around 3 PM. I had to quit work and go home. I was experiencing some moderate to severe pain in my left arm where the injection occurred.  It is almost 9 PM and the arm still hurts, but not like before. On a scale of 1 to 10 the pain factor was about 5 to 7. I was experiencing some mild shock symptoms (flush face). I couldn't use my left arm for anything, the pain was too great.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Movement disorder
Clinical narrative: Temp of 101.3, chills,  discomfort in  left arm so couldn't not raise it ....in evening Next morning temp was 99.7 (usual am temp is 97.7)  and felt much better.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Balanoposthitis, Condition aggravated, Eczema, Pruritus, Rash
Clinical narrative: Eczema, balanitis. Eczema not resolved, got worse after second shot, itchy red blotches on forearms, inside of thighs, lower neck , stomach a little on calves. Sometimes wake up at night with severe itching. Balanitis, took 150 mg. Fluconazole, applied  antifungal medications and improved. I took second shot March 03.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Rash macular, Similar reaction on previous exposure to drug
Clinical narrative: Eczema, balanitis. Eczema not resolved, got worse after second shot, itchy red blotches on forearms, inside of thighs, lower neck , stomach a little on calves. Sometimes wake up at night with severe itching. Balanitis, took 150 mg. Fluconazole, applied  antifungal medications and improved. I took second shot March 03.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Chills began at 9 pm the day of vaccination, fever of 100.1 followed by midnight and continued to worsen even after taking Extra Strength Tylenol. Body aches, slight nausea, low grade headache followed. I felt better by 7 am but then chills and fever came on again around 11 am (up to 101.2) and lasted through the present time, about 9 pm. I'd exhausted the standard dose of acetaminophen so followed up with a telemedicine visit and the doctor suggested I alternate ibuprofen with acetaminophen. Fever seems to have broken now.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Product administered to patient of inappropriate age, Pyrexia, Tremor
Clinical narrative: nausea, headache, shakes, high fever 103+, 104+ for Thursday - Saturday,   Health Department dispatched the nurse to inject the vaccine at the facility.  My daughter?s COVID-19 vaccine card clearly states her birthday / age.  Why did the nurse administer the unapproved COVID-19 vaccine, Janssen, to a minor?  According to CDC, only Phfizer vaccine is approved to be administered to someone of age of 17?
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Lip swelling, Paraesthesia oral, Peripheral swelling, Pruritus
Clinical narrative: Swollen and red left Arm, itchy left arm, tingling and swelling of lips. Applied ice pack to arm and took 2 benedryl tablets. Initial symptom of itchiness and arm swelling presented approximately 5-10 minutes post injection.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pruritus, Paraesthesia oral
Clinical narrative: Swollen and red left Arm, itchy left arm, tingling and swelling of lips. Applied ice pack to arm and took 2 benedryl tablets. Initial symptom of itchiness and arm swelling presented approximately 5-10 minutes post injection.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Muscle tightness, Throat tightness
Clinical narrative: Patient reported feeling cold and experiencing intermittent tightening of her neck/throat muscles after receiving the Moderna vaccine.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pruritus, Throat tightness
Clinical narrative: Patient felt her throat was closing. She experienced nausea and itchiness. EMS responded and administered diphenhydramine 25mg injection. Patient was taken to hospital via ambulance.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Nausea, Pain
Clinical narrative: 3/29/21 2pm: Headache with progressing level of nausea.    4 pm:  Muscle at injection site beginning to ache,  Extreme migraine-like headache (1-10 pain scale, 8), with nausea and beginning of chills.  5 pm: Took to bed with shivering chills and headache and full body muscle aches.  9 pm-4 am: raking chills, headache and muscle aches (even the tips of my fingers hurt).    3/30/21  8 am: Headache, nausea, and muscle aches ( difficulty moving).  12 pm: Minor reduction in pain levels (1-10 pain scale, reduction from 8 to 7).  6 pm: Major muscle aches and headache and nausea reducing (1-10 pain scale, 7-5).  10 pm: Headache, nausea, and headache reduction (1-10 pain scale, 5-3)
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Injection site reaction, Pruritus, Urticaria
Clinical narrative: Left arm. Looks like a hive around shot area. Itchy and feels very firm. Not worried but wanted to provide info in case others had same reaction.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus - Significant ear ringing in both ears
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Throat irritation
Clinical narrative: Patient said her face was itchy and she was red.   At 2:31pm gave patient 25mg Benadryl IM ( she did not want 50mg because she was determined to get back to work and did not want to be drowsy Pt stayed until 3pm and said she was better and was going to work- pharmacy sent her with oral benadryl and instructed to follow up with pcp or er if things got worse Pt said she is not allowed to use her phone at work so we called and notified PCP - Dr. and they said they would let us know if doctor wanted anything different than benadryl  Called pt after work at 5:44pm to check on her and she said she was itching again and worried cause her throat kind of itched so she was headed to urgent care.  At this time 9:14pm have not heard anything further.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Chest X-ray, Chest pain, Dizziness, Dyspnoea
Clinical narrative: Patient had flu-like symptoms while deployed at start of pandemic (approx. Jan/Feb 2020), but testing was unavailable. His symptoms (URI-like) completely resolved. He received Moderna dose 1 on 02 Feb 2021 without incident, and Moderna dose 2 on 02 Mar 2021. Approximately one week later, he developed mild, dull, diffuse chest pain and shortness of breath which has persisted since.   He was seen in clinic for chest pain and dyspnea on 15 Mar 2021. Patient noted his chest hurt ?all over? especially with deep or with normal inspiration. Reclining, laying down, and sleeping on his right side increased his pain (he did not trial sleeping on his left). Leaning forward decreased pain. He endorsed feeling short of breath, and stated he felt light headed twice while going up stairs, without passing out. He denied recent illnesses and other symptoms. He is a very physically fit Active Duty Marine, who has continued running despite his symptoms. During this encounter and later f/u encounter, he expressed he did not believe running made his symptoms significantly worse.  Vital signs were within normal range and he did not appear in distress. Cardiac and lung exam were normal, and no friction rub or murmur was appreciated. EKG showed sinus bradycardia, with HR consistent with his known, athletic-type normal variant heart rate. No other abnormalities were detected. Due to limited ancillary services within clinic, he was sent to USNHO ED for evaluation. There, he had basic labs (including Trop I) drawn, which were normal. EKG and portable chest xray were also unremarkable, and he was discharged with Motrin 800mg PO TID.  He was seen in clinic again 29 Mar 2021 for continued, unchanged symptoms, and reported he had been taking his Motrin only in the mornings and afternoons. Vital signs were unchanged (normal limits). Exam, including heart and lung, were normal. EKG again demonstrated sinus bradycardia, consistent with his normal resting heart rate. He was started on empiric therapy for pericarditis. He was released from clinic and will follow up in several weeks.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Influenza like illness, Loss of personal independence in daily activities, Troponin I
Clinical narrative: Patient had flu-like symptoms while deployed at start of pandemic (approx. Jan/Feb 2020), but testing was unavailable. His symptoms (URI-like) completely resolved. He received Moderna dose 1 on 02 Feb 2021 without incident, and Moderna dose 2 on 02 Mar 2021. Approximately one week later, he developed mild, dull, diffuse chest pain and shortness of breath which has persisted since.   He was seen in clinic for chest pain and dyspnea on 15 Mar 2021. Patient noted his chest hurt ?all over? especially with deep or with normal inspiration. Reclining, laying down, and sleeping on his right side increased his pain (he did not trial sleeping on his left). Leaning forward decreased pain. He endorsed feeling short of breath, and stated he felt light headed twice while going up stairs, without passing out. He denied recent illnesses and other symptoms. He is a very physically fit Active Duty Marine, who has continued running despite his symptoms. During this encounter and later f/u encounter, he expressed he did not believe running made his symptoms significantly worse.  Vital signs were within normal range and he did not appear in distress. Cardiac and lung exam were normal, and no friction rub or murmur was appreciated. EKG showed sinus bradycardia, with HR consistent with his known, athletic-type normal variant heart rate. No other abnormalities were detected. Due to limited ancillary services within clinic, he was sent to USNHO ED for evaluation. There, he had basic labs (including Trop I) drawn, which were normal. EKG and portable chest xray were also unremarkable, and he was discharged with Motrin 800mg PO TID.  He was seen in clinic again 29 Mar 2021 for continued, unchanged symptoms, and reported he had been taking his Motrin only in the mornings and afternoons. Vital signs were unchanged (normal limits). Exam, including heart and lung, were normal. EKG again demonstrated sinus bradycardia, consistent with his normal resting heart rate. He was started on empiric therapy for pericarditis. He was released from clinic and will follow up in several weeks.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pain, Injection site reaction, Injection site swelling, Rash macular
Clinical narrative: Initial normal injection site swelling subsided after day 3  On day 8 a large swollen hard lump returned surrounded by 3 red blotches and actively painful and swollen Day 9 blotches had combined to form one large red patch and swelling and stiffness remain
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pruritus
Clinical narrative: Itchy,  hard, red area on arm ...about the size of half dollar .
Age: 67.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Ageusia, Anosmia, Computerised tomogram thorax abnormal, Condition aggravated, Cough
Clinical narrative: Post vaccine 2/9/21, I experienced drop in O2 Sat over a period of several weeks as I log my daily vitals (blood sugar, BP, Temp, Pulse rate and O2 Sat in percent).  I have O2 concentrator that I use as needed via nasal cannula.  I do have SOB with exertion due to Sarcoidosis of the Lung.  I notified my PCP on 2/19 of a morning sat of 89 which came up with O2 and breathing exercises, I also took a 20mg. Lasix and Mucinex chewable which usually helps with congestion.  With O2 and rest, my O2 Sat improved and extra O2 was stopped.  Then again my O2 steadily dropped over a period of a week, I coughed more (always have come cough), SOB. On March 7th, getting ready for bed, I became severely SOB, O2 Sat now 82, I called 911.  Was alert, oriented when Paramedics arrived, but needed 100% O2 and transported to Hospital, SOB was severe, gasping/drowning, loss of awareness, apparently resp. arrested, was intubated.  STAT CT with Contrast, and Echocardiogram, R/O PE, Lung collapse, etc.  (No PE/or collapse). MY supposition is that I had a slow moving allergic response to Moderna Vaccine (I am a former healthcare worker of 20 years) and currently work in healthcare medical devices in Ultrasound.  I closely watch vaccine development and read research articles on Sarcoidosis, vaccines and COVID. I participated and continue with a Sarcoidosis Study). I think I experienced cytokine storm with my ultrasensitive immune system. I use oral steroid (QVAR 40mics inhaled daily) which I doubled after taking the vaccine for a few weeks. I have had a MMR vaccine last June 2020 and Quadvalent Flu vaccine last August 2020.
Age: 67.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Dyspnoea, Dyspnoea exertional, Echocardiogram normal, Endotracheal intubation, Loss of consciousness
Clinical narrative: Post vaccine 2/9/21, I experienced drop in O2 Sat over a period of several weeks as I log my daily vitals (blood sugar, BP, Temp, Pulse rate and O2 Sat in percent).  I have O2 concentrator that I use as needed via nasal cannula.  I do have SOB with exertion due to Sarcoidosis of the Lung.  I notified my PCP on 2/19 of a morning sat of 89 which came up with O2 and breathing exercises, I also took a 20mg. Lasix and Mucinex chewable which usually helps with congestion.  With O2 and rest, my O2 Sat improved and extra O2 was stopped.  Then again my O2 steadily dropped over a period of a week, I coughed more (always have come cough), SOB. On March 7th, getting ready for bed, I became severely SOB, O2 Sat now 82, I called 911.  Was alert, oriented when Paramedics arrived, but needed 100% O2 and transported to Hospital, SOB was severe, gasping/drowning, loss of awareness, apparently resp. arrested, was intubated.  STAT CT with Contrast, and Echocardiogram, R/O PE, Lung collapse, etc.  (No PE/or collapse). MY supposition is that I had a slow moving allergic response to Moderna Vaccine (I am a former healthcare worker of 20 years) and currently work in healthcare medical devices in Ultrasound.  I closely watch vaccine development and read research articles on Sarcoidosis, vaccines and COVID. I participated and continue with a Sarcoidosis Study). I think I experienced cytokine storm with my ultrasensitive immune system. I use oral steroid (QVAR 40mics inhaled daily) which I doubled after taking the vaccine for a few weeks. I have had a MMR vaccine last June 2020 and Quadvalent Flu vaccine last August 2020.
Age: 67.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Lung opacity, Oxygen saturation decreased, Pulmonary fibrosis, Pulmonary sarcoidosis, Respiratory arrest
Clinical narrative: Post vaccine 2/9/21, I experienced drop in O2 Sat over a period of several weeks as I log my daily vitals (blood sugar, BP, Temp, Pulse rate and O2 Sat in percent).  I have O2 concentrator that I use as needed via nasal cannula.  I do have SOB with exertion due to Sarcoidosis of the Lung.  I notified my PCP on 2/19 of a morning sat of 89 which came up with O2 and breathing exercises, I also took a 20mg. Lasix and Mucinex chewable which usually helps with congestion.  With O2 and rest, my O2 Sat improved and extra O2 was stopped.  Then again my O2 steadily dropped over a period of a week, I coughed more (always have come cough), SOB. On March 7th, getting ready for bed, I became severely SOB, O2 Sat now 82, I called 911.  Was alert, oriented when Paramedics arrived, but needed 100% O2 and transported to Hospital, SOB was severe, gasping/drowning, loss of awareness, apparently resp. arrested, was intubated.  STAT CT with Contrast, and Echocardiogram, R/O PE, Lung collapse, etc.  (No PE/or collapse). MY supposition is that I had a slow moving allergic response to Moderna Vaccine (I am a former healthcare worker of 20 years) and currently work in healthcare medical devices in Ultrasound.  I closely watch vaccine development and read research articles on Sarcoidosis, vaccines and COVID. I participated and continue with a Sarcoidosis Study). I think I experienced cytokine storm with my ultrasensitive immune system. I use oral steroid (QVAR 40mics inhaled daily) which I doubled after taking the vaccine for a few weeks. I have had a MMR vaccine last June 2020 and Quadvalent Flu vaccine last August 2020.
Age: 67.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Respiratory tract congestion, SARS-CoV-2 test negative, Scan with contrast, Suffocation feeling
Clinical narrative: Post vaccine 2/9/21, I experienced drop in O2 Sat over a period of several weeks as I log my daily vitals (blood sugar, BP, Temp, Pulse rate and O2 Sat in percent).  I have O2 concentrator that I use as needed via nasal cannula.  I do have SOB with exertion due to Sarcoidosis of the Lung.  I notified my PCP on 2/19 of a morning sat of 89 which came up with O2 and breathing exercises, I also took a 20mg. Lasix and Mucinex chewable which usually helps with congestion.  With O2 and rest, my O2 Sat improved and extra O2 was stopped.  Then again my O2 steadily dropped over a period of a week, I coughed more (always have come cough), SOB. On March 7th, getting ready for bed, I became severely SOB, O2 Sat now 82, I called 911.  Was alert, oriented when Paramedics arrived, but needed 100% O2 and transported to Hospital, SOB was severe, gasping/drowning, loss of awareness, apparently resp. arrested, was intubated.  STAT CT with Contrast, and Echocardiogram, R/O PE, Lung collapse, etc.  (No PE/or collapse). MY supposition is that I had a slow moving allergic response to Moderna Vaccine (I am a former healthcare worker of 20 years) and currently work in healthcare medical devices in Ultrasound.  I closely watch vaccine development and read research articles on Sarcoidosis, vaccines and COVID. I participated and continue with a Sarcoidosis Study). I think I experienced cytokine storm with my ultrasensitive immune system. I use oral steroid (QVAR 40mics inhaled daily) which I doubled after taking the vaccine for a few weeks. I have had a MMR vaccine last June 2020 and Quadvalent Flu vaccine last August 2020.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Incomplete course of vaccination, Pain in extremity, Pruritus, Urticaria
Clinical narrative: Spoke with patient on 03/29/2021 when she canceled her second dose of the Moderna COVID-19 vaccine. The patient reported that she received the Moderna COVID-19 in her left arm on 03/01/2021. By the night of 03/01/2021, she had arm soreness and began to feel itchy.  On 03/02/2021, the patient woke up covered in full-bodied hives. She called her PCP and was told to take Benadryl. The patient took Benadryl 25 mg po as needed throughout the day and 50 mg po at bedtime.  No epinephrine used. The hives continued x 1 week and the patient continued to take the Benadryl as needed. Patient denied any swelling, shortness of breath, gastrointestinal symptoms, dizziness or lightheadedness, chest pain, body aches, joint pain, fever, or any other symptoms. The patient has since fully recovered with no sequelae. Patient stated that her PCP felt she could receive the second dose of Moderna COVID-19, but another consulting provider told her not to take the second dose. The patient canceled her second dose appointment at our facility.