chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hypertension, Laboratory test, Nasal congestion
Clinical narrative: I had the vaccine and I woke up the next morning with nasal congestion and fatigue. That lasted for over a week. On 06/16/2021 my hypertension went crazy. It was at around 230/120. My family called 911 and the ambulance came. They did some tests and they said they needed to take me to the hospital. I got to the hospital and they did EKGs and some tests to dismiss cerebral, heart, and renal damage, and everything came back fine. I noticed I lost my right hearing completely. This has affected my balance. Now I have to be really careful when I walk because I might fall. I was at the hospital for 4 days. After I was released, I saw an ENT and he did some hearing tests and confirmed I lost my hearing in my right ear. Now I am taking meclizine, atorvastatin, and losartan.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: Patient came in for booster dose of COVID-19 Vaccine Shot 09/29/2021. Patient was notified that Pfizer was the only vaccine approved at this time for a booster unless they had certain underlying conditions. Patient reported that 1st and 2nd doses were in fact Pfizer. Doses were >6months prior. No brand name was on card, only lot numbers. Patient fit eligibility for booster dose. Booster dose given 09/29/2021. When putting vaccine into the system it was found that she had had Moderna for the 1st 2 doses. No adverse reactions noted. Patient notified and will let us know if any adverse reactions. State notified of error.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID positive test 9/27/2021
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature fluctuation, Fatigue, Headache, Injection site pain, Musculoskeletal stiffness
Clinical narrative: 12:30 pm received injection. 7pm muscles in arm very sore applied cold pak. 9:15pm took two Alleve. 10:15 pm much better but still pronounced stiffness in neck and left arm and site tenderness.  Sept. 28, 2021, 4:15 am temperature 98.6. 6:23 am temperature 101.3. Took two Tylenol. 7am temperature 97.7, runny nose, slight headache. 7:50am temperature 98.4. 11:45 am temperature 98.9. 12:26pm temperature 100.1. Took two Tylenol. 3:56 pm temperature 98.4. 7pm temperature 99.1. Took two Tylenol. 8:01 pm temperature 99.5. 11:47 pm temperature 97.3. Sept. 29, 2021 temperature within normal range but very and very tired. 1:52 pm took two Alleve and felt nearly normal about an hour later.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: 12:30 pm received injection. 7pm muscles in arm very sore applied cold pak. 9:15pm took two Alleve. 10:15 pm much better but still pronounced stiffness in neck and left arm and site tenderness.  Sept. 28, 2021, 4:15 am temperature 98.6. 6:23 am temperature 101.3. Took two Tylenol. 7am temperature 97.7, runny nose, slight headache. 7:50am temperature 98.4. 11:45 am temperature 98.9. 12:26pm temperature 100.1. Took two Tylenol. 3:56 pm temperature 98.4. 7pm temperature 99.1. Took two Tylenol. 8:01 pm temperature 99.5. 11:47 pm temperature 97.3. Sept. 29, 2021 temperature within normal range but very and very tired. 1:52 pm took two Alleve and felt nearly normal about an hour later.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Intermenstrual bleeding, Menstruation irregular, Ovarian cyst, Ultrasound scan
Clinical narrative: Patient came in complaining of new onset of menstrual irregularities, break through bleeding and chronic, non-productive cough, which she states began within days of receiving the vaccine. Referral to OBGYN was initiated after a pelvic ultrasound was significant for bilateral ovaries with multiple follicular cysts. At the time of presentation, and on follow up, the patient denies history of PCOS or other menstrual irregularities and clinical presentation at that time was incongruent with PCOS diagnosis. Patient was treated for reported cough. At follow up, the patient reported that cough was still persistent and additional  imaging was ordered at that time. Patient has not yet pursued the imaging as of this time.
Age: 11.0
Sex: U
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Administered Pfizer vaccine to an 11 year old patient.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody negative, Biopsy skin abnormal, Blood iron normal, Condition aggravated, Dowling-Degos disease
Clinical narrative: Very itchy rash which started out in left axilla then spread to right axilla, then right upper anterior chest, then lower chest bilaterally, then to right forearm, then to left forearm.  Rash is ongoing for almost 7 months and continues to spread and be very red, itchy and painful.  Keeps me up at night and I many of my clothes are uncomfortable to wear.  I?ve never had a rash like this.  For 40 years my Dowling Degos disease has never been bothersome nor has it flared up like this.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eczema, Erythema, Metabolic function test, Metabolic function test normal, Rash
Clinical narrative: Very itchy rash which started out in left axilla then spread to right axilla, then right upper anterior chest, then lower chest bilaterally, then to right forearm, then to left forearm.  Rash is ongoing for almost 7 months and continues to spread and be very red, itchy and painful.  Keeps me up at night and I many of my clothes are uncomfortable to wear.  I?ve never had a rash like this.  For 40 years my Dowling Degos disease has never been bothersome nor has it flared up like this.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash pruritic, Sleep disorder
Clinical narrative: Very itchy rash which started out in left axilla then spread to right axilla, then right upper anterior chest, then lower chest bilaterally, then to right forearm, then to left forearm.  Rash is ongoing for almost 7 months and continues to spread and be very red, itchy and painful.  Keeps me up at night and I many of my clothes are uncomfortable to wear.  I?ve never had a rash like this.  For 40 years my Dowling Degos disease has never been bothersome nor has it flared up like this.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Arthralgia, Pain, Sleep disorder
Clinical narrative: Constant shoulder pain since HPV vaccine. Pain with movement of arm. Unable to lay on arm while resting. Tylenol was used with no relief. Patient referred to Orthopedics for further examination and treatment.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: Client hospitalized on 8/24/2021 with SOB, cough, low oxygen saturation. Submitter does not have access to any further medical records for this client. For any other needed follow up information, please contact HOSPITAL.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient was checked in and registered for his first dose of the pfizer vaccine but after the administration upon recording it was discovered this was his third dose. He had gotten his second dose on 9/20/21
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram, Musculoskeletal disorder, Pancreatitis, Pneumonia
Clinical narrative: Developed Pancreatitis, Pneumonia , and blood clots in both lungs. cant lift arms.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: Developed Pancreatitis, Pneumonia , and blood clots in both lungs. cant lift arms.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Dizziness, Immediate post-injection reaction
Clinical narrative: Immediately after receipt of injection; tingling in lower left jaw, dizziness.  48 hrs after injection (26-Sep,) fever/chills/body aches/nausea/vomiting. Inability to sleep due to body aches. Loss of appetite, dizziness, lightheaded ness.   72 hrs after injection to present; same symptoms as above, lessening in severity. At present, bedbound with limited energy to perform daily tasks.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Mobility decreased, Nausea, Pain, Paraesthesia
Clinical narrative: Immediately after receipt of injection; tingling in lower left jaw, dizziness.  48 hrs after injection (26-Sep,) fever/chills/body aches/nausea/vomiting. Inability to sleep due to body aches. Loss of appetite, dizziness, lightheaded ness.   72 hrs after injection to present; same symptoms as above, lessening in severity. At present, bedbound with limited energy to perform daily tasks.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Immediately after receipt of injection; tingling in lower left jaw, dizziness.  48 hrs after injection (26-Sep,) fever/chills/body aches/nausea/vomiting. Inability to sleep due to body aches. Loss of appetite, dizziness, lightheaded ness.   72 hrs after injection to present; same symptoms as above, lessening in severity. At present, bedbound with limited energy to perform daily tasks.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy uterus normal, Blood test abnormal, Menstrual disorder
Clinical narrative: I went through Menopause 5 yrs ago, 1 month after recieving the vaccine, I started my menstral cycle again.  I have multiple cycles so it was not a ONE time thing.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, C-reactive protein, Cellulitis, Computerised tomogram abdomen, Differential white blood cell count
Clinical narrative: Cellulitis of the scrotum, Scrotal edema, Epididymitis, bilateral, in a 61-year-old male who has been dealing with epididymitis. He within the last week has had a CT and ultrasound. He is following with urology. He has been taking oral Levaquin. He saw urology yesterday. He followed up in the primary care clinic today, and was sent to the emergency department due to increased scrotal swelling/cellulitis. He is a diabetic and therefore we discussed Fournier's gangrene. I did recommend that they immediately proceed with a CT scan of the abdomen pelvis to include the scrotum. He is afebrile and white blood cell count is normal. If he does have evidence of Fournier's gangrene and needs surgical intervention. Certainly if this is a cellulitis it is less emergent and we will have them talk to the patient's urologist to determine most appropriate treatment plan.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Epididymitis, Full blood count, Metabolic function test, Scan with contrast, Scrotal oedema
Clinical narrative: Cellulitis of the scrotum, Scrotal edema, Epididymitis, bilateral, in a 61-year-old male who has been dealing with epididymitis. He within the last week has had a CT and ultrasound. He is following with urology. He has been taking oral Levaquin. He saw urology yesterday. He followed up in the primary care clinic today, and was sent to the emergency department due to increased scrotal swelling/cellulitis. He is a diabetic and therefore we discussed Fournier's gangrene. I did recommend that they immediately proceed with a CT scan of the abdomen pelvis to include the scrotum. He is afebrile and white blood cell count is normal. If he does have evidence of Fournier's gangrene and needs surgical intervention. Certainly if this is a cellulitis it is less emergent and we will have them talk to the patient's urologist to determine most appropriate treatment plan.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan, White blood cell count normal
Clinical narrative: Cellulitis of the scrotum, Scrotal edema, Epididymitis, bilateral, in a 61-year-old male who has been dealing with epididymitis. He within the last week has had a CT and ultrasound. He is following with urology. He has been taking oral Levaquin. He saw urology yesterday. He followed up in the primary care clinic today, and was sent to the emergency department due to increased scrotal swelling/cellulitis. He is a diabetic and therefore we discussed Fournier's gangrene. I did recommend that they immediately proceed with a CT scan of the abdomen pelvis to include the scrotum. He is afebrile and white blood cell count is normal. If he does have evidence of Fournier's gangrene and needs surgical intervention. Certainly if this is a cellulitis it is less emergent and we will have them talk to the patient's urologist to determine most appropriate treatment plan.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Mouth swelling, Pruritus, Swelling face, Urticaria
Clinical narrative: Hives, swollen face and mouth, puritis, urticaria.  Treatment was Benadryl, famotidine, prednisone (deltasone)
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Extra dose administered, Fatigue, Swelling
Clinical narrative: received 3rd dose of pfizer on 9/21/21. Pt c/o  of lump under left armpit  and swelling to left neck that started on 9/22/2021 not accompanied by pain or fever. Pt reports feeling some fatigue. Pt received 3rd dose Covid 19 vaccine on 9/21/21
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Influenza A virus test negative, Influenza B virus test, Respiratory syncytial virus test negative
Clinical narrative: C/o headache, cough, sneezing  off/on x1 wk.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sneezing
Clinical narrative: C/o headache, cough, sneezing  off/on x1 wk.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Dyspnoea, Headache, Heart rate increased
Clinical narrative: severe headache. severe Body pain. I woke at the middle of night with severe short  of breath. The short of breath lasted proximally 10 minutes. My heart rate was very high. I sweated a lot all night. I had shaking chills for three nights. I Had  Back pain. ( days lates i have flue like symptoms.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Influenza like illness, Pain
Clinical narrative: severe headache. severe Body pain. I woke at the middle of night with severe short  of breath. The short of breath lasted proximally 10 minutes. My heart rate was very high. I sweated a lot all night. I had shaking chills for three nights. I Had  Back pain. ( days lates i have flue like symptoms.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Dyspnoea, Echocardiogram
Clinical narrative: Shortness of breath and chest pain began three days after receiving the first Moderna shot. Symptoms have worsened in the 3 weeks that followed. Heart palpitations and exercise intolerance made things worse. All symptoms are still present over 3 weeks later.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Exercise tolerance decreased, Palpitations
Clinical narrative: Shortness of breath and chest pain began three days after receiving the first Moderna shot. Symptoms have worsened in the 3 weeks that followed. Heart palpitations and exercise intolerance made things worse. All symptoms are still present over 3 weeks later.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Rash on arm near injection site. Pruritic, erythematous rash that appeared 1 day after patient was given a booster shot (3rd does) of Moderna COVID vaccine. Evaluated 4 days after vaccination by virtual visit. Seeing improvement after applying cool compresses, taking an antihistamine, and using a topical steroid cream.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient believed to have received 0.30mL of the 0.45mL undiluted covid-19 vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Breast pain, Breast tenderness, Chest pain, Head discomfort
Clinical narrative: Symptoms started 3 days after her vaccine, and she reports having "inflammation" of various areas of her body.  She has breast cancer and had lumpectomy surgery on the L breast in Oct 2020.  She notes that her breast surgery site got very tender to palpation, felt some lumps there that were very tender, as if she had just had surgery.  She also had a headache, described as dull pain on the top of her head.  This then turned into a squeezing feeling in the head with stiff neck.  Other symptoms include: her jaw felt stiff (was difficult to open/close), had various muscle spasms in her body, such as on the front of her foot or in her rib cage, felt stabbing pains of the R breast and in her chest.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Inflammation, Joint stiffness, Muscle spasms, Musculoskeletal stiffness
Clinical narrative: Symptoms started 3 days after her vaccine, and she reports having "inflammation" of various areas of her body.  She has breast cancer and had lumpectomy surgery on the L breast in Oct 2020.  She notes that her breast surgery site got very tender to palpation, felt some lumps there that were very tender, as if she had just had surgery.  She also had a headache, described as dull pain on the top of her head.  This then turned into a squeezing feeling in the head with stiff neck.  Other symptoms include: her jaw felt stiff (was difficult to open/close), had various muscle spasms in her body, such as on the front of her foot or in her rib cage, felt stabbing pains of the R breast and in her chest.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary mass, Feeling hot, Injection site pain, Pain in extremity
Clinical narrative: Patient refers to having felt pain, "a heat" and burning at the time of the administration of the vaccine. Also refer that he felt like "the vaccine ran through his body, burning him". The patient reaffirms that at the time of reporting the incident, he continues with pain in the arm area and feeling lumps in the axillary area.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Fatigue, Headache, Nausea
Clinical narrative: Within days of both shots: - increased fatigue, dizziness, nausea, headaches lasting days; fatigue and dizziness continuing on and off - knee and joint pains, especially on shot arm
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: Within days of both shots: - increased fatigue, dizziness, nausea, headaches lasting days; fatigue and dizziness continuing on and off - knee and joint pains, especially on shot arm
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Metabolic function test, Nausea, Pallor
Clinical narrative: 9/26: 28yr old male who presents to ED via private car with complaints of diarrhea and nausea since Tuesday, 9/21/2021.  Patient states he was seen at ER on Wednesday and was diagnosed with food poisoning/gastroenteritis.  Patient states he was given bentyl, zofran odt, and imodium.  Patient states he has not taken the bentyl or zofran since yesterday morning and the imodium since Friday.  Patient states he is having 6+ episodes of diarrhea per day.  Denies pain. Denies any other issues at this time.   9/27 back to ED 28yr old male arrived to ED with complaints of diarrhea lasting over a week. He was seen in the clinic earlier today and then sent to ED for further eval. Stool sample obtained in clinic. He is pale. Feels weak. . Diarrhea has occurred about 5 times today. No vomiting today. He has been taking prescribed medications as ordered.       9/28 clinic visit: Plan: Gastrointeritis/diarrhea  Stool testing today. OP - LR bolus 1,000ml - Potassium 20 mEq - Zofran Continue Zofran prn at home Continue bland diet, avoid dairy products and monitor symptoms Avoid anti-diarrheals at this time. - Initiate flagyl twice a day for 7 days. Avoid all Alcohol.   Return in about 2 days (around 10/1/2021) for Recheck.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis, Vomiting
Clinical narrative: 9/26: 28yr old male who presents to ED via private car with complaints of diarrhea and nausea since Tuesday, 9/21/2021.  Patient states he was seen at ER on Wednesday and was diagnosed with food poisoning/gastroenteritis.  Patient states he was given bentyl, zofran odt, and imodium.  Patient states he has not taken the bentyl or zofran since yesterday morning and the imodium since Friday.  Patient states he is having 6+ episodes of diarrhea per day.  Denies pain. Denies any other issues at this time.   9/27 back to ED 28yr old male arrived to ED with complaints of diarrhea lasting over a week. He was seen in the clinic earlier today and then sent to ED for further eval. Stool sample obtained in clinic. He is pale. Feels weak. . Diarrhea has occurred about 5 times today. No vomiting today. He has been taking prescribed medications as ordered.       9/28 clinic visit: Plan: Gastrointeritis/diarrhea  Stool testing today. OP - LR bolus 1,000ml - Potassium 20 mEq - Zofran Continue Zofran prn at home Continue bland diet, avoid dairy products and monitor symptoms Avoid anti-diarrheals at this time. - Initiate flagyl twice a day for 7 days. Avoid all Alcohol.   Return in about 2 days (around 10/1/2021) for Recheck.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: High temperature, sore throat, muscular  pain, headache
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient presented vaccine card with two Pfizer doses documented. RN checked vaccine card. Pfizer booster dose administered by RN. Patient requested new card. When copying information for new card from the system, staff noticed that patient had previously received two doses of Moderna rather than Pfizer. Patient has had no ill effects at this time from vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Lung disorder, X-ray abnormal
Clinical narrative: I had hard time breathing when I go upstairs or walk.  I went to the doctor about this.  They did a x-ray, that shown that I had altoists of the lungs.  I was to told to do deep breathing exercise.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Eye swelling
Clinical narrative: : got second dose of covid vaccine today, having bilateral eye swelling, no throat swelling,able to talk in full sentences     History of Present Illness: Pt is a 49 year old female who presents to the ER with eyelid swelling, possible reaction to COVID vaccine. Patient received her 2nd dose of Moderna COVID vaccine at 9:30AM. Was feeling okay during obs period, and then when she went to her care, noted eyelid swelling. Eyes still feel sore and heavy. No lip swelling, no tongue swelling, normal voice. No wheezing or SOB.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Adverse drug reaction, Anxiety, Blister
Clinical narrative: pt called hospital call center reporting side effects after dose 1. Pt reports she had her 1st dose of Moderna on 09/22/21, next day woke with fever and noticed S/E 10-12 hrs started sharp abdominal pain,  she took medical charcoal . During this 9/25/21 call, pt reports still has abdominal discomfort, states concerned abut her worse rash on hands, noticed blisters and itchy. Pt was advised to be reevaluated at ED
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Rash
Clinical narrative: pt called hospital call center reporting side effects after dose 1. Pt reports she had her 1st dose of Moderna on 09/22/21, next day woke with fever and noticed S/E 10-12 hrs started sharp abdominal pain,  she took medical charcoal . During this 9/25/21 call, pt reports still has abdominal discomfort, states concerned abut her worse rash on hands, noticed blisters and itchy. Pt was advised to be reevaluated at ED
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient wrote on immunization consent form that he received Pfizer for Dose 1.  Grandmother was with patient and confirmed.  Patient did not have COVID card at time of vaccination.  Proceeded to administer Pfizer as Dose #2 and gave patient a Pfizer sticker (with lot # and date) to take home to adhere to his card.  The next day, patient's mom came in to show his card to us that Moderna was actually Dose #1.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Mobility decreased, Nausea, Vertigo
Clinical narrative: Upon waking the day after the shot, Vertigo started. Incapacitated me for the entire day with nausea and intense dizziness with intermittent nystagmus upon movement such as to rise to go to toilet. Symptoms lessened by AM on the 30th, though still present. Nystagmus not present on  the 30th.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Vestibular nystagmus
Clinical narrative: Upon waking the day after the shot, Vertigo started. Incapacitated me for the entire day with nausea and intense dizziness with intermittent nystagmus upon movement such as to rise to go to toilet. Symptoms lessened by AM on the 30th, though still present. Nystagmus not present on  the 30th.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Maternal exposure during breast feeding
Clinical narrative: After approx. 10 hours after injection, my 1 month old baby refused to drink breast milk from my breast. He would scream and reject the milk. I substituted older, frozen breast milk instead, which he drank without issue. He also slept 4 hours longer than normal, and was irritable/fussy for 2 days following. He returned to drinking breast milk from my breast 2 days after the injection.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Thrombosis
Clinical narrative: LESS THAN 48 HOURS AFTER BEING VACCINATED, I STARTED BLEEDING. IT STARTED LIKE A PERIOD THAT SUDENLY TURNED INTO MENORRAGHIA. THE FIRST 4 DAYS CONSISTED OF HEAVY BLEEDING ALONG WITH LOTS OF CLOTS AND CRAMPING. I EXPERIENCED LEG WEAKNESS AND BACK ACHE. I HAD A LOW GRADE FEVER AT NIGHT TIME AND CHILLS. THE BLEEDING CONTINUED FROM HEAVY TO LIGHT FOR ABOUT 10 DAYS OR SO. I WAS WORRIED BECAUSE I HAD ACTUALLY STOPPED MENSTRUATING 8 MONTHS BEFORE. BEFORE THE VACCINE SHOT, I HAD NEVER EXPERIENCED ANYTHING LIKE THIS. IT WAS SUDDEN AND MY BODY GAVE ME NO WARNINGS. I HAVE NOT HAD ANY BLEDDING OR  A "PERIOD" SINCE THIS HAPPENED. I WILL NOT BE GOING BACK  FOR A SECOND DOSE BECAUSE OF MY BODY'S REACTION. I AM SCHEDULED TO SEE MY OB/GYN FOR MY ANNUAL CHECK UP SOON.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Acute left ventricular failure, Acute respiratory distress syndrome, Atrial fibrillation, Brain natriuretic peptide
Clinical narrative: came to ED for shortness of breath, transferred to another facility  Diagnoses   Acute respiratory distress syndrome (ARDS) due to COVID-19 virus  Acute systolic CHF (congestive heart failure)  Cough  Hypoxia  Elevated troponin level  Paroxysmal atrial fibrillation  D-dimer, elevated  SOB (shortness of breath)
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, COVID-19, Cardiac failure congestive, Chest X-ray, Cough
Clinical narrative: came to ED for shortness of breath, transferred to another facility  Diagnoses   Acute respiratory distress syndrome (ARDS) due to COVID-19 virus  Acute systolic CHF (congestive heart failure)  Cough  Hypoxia  Elevated troponin level  Paroxysmal atrial fibrillation  D-dimer, elevated  SOB (shortness of breath)
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine, Differential white blood cell count, Dyspnoea, Electrocardiogram, Fibrin D dimer
Clinical narrative: came to ED for shortness of breath, transferred to another facility  Diagnoses   Acute respiratory distress syndrome (ARDS) due to COVID-19 virus  Acute systolic CHF (congestive heart failure)  Cough  Hypoxia  Elevated troponin level  Paroxysmal atrial fibrillation  D-dimer, elevated  SOB (shortness of breath)
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Hypoxia, Inflammation, Influenza A virus test, Influenza B virus test
Clinical narrative: came to ED for shortness of breath, transferred to another facility  Diagnoses   Acute respiratory distress syndrome (ARDS) due to COVID-19 virus  Acute systolic CHF (congestive heart failure)  Cough  Hypoxia  Elevated troponin level  Paroxysmal atrial fibrillation  D-dimer, elevated  SOB (shortness of breath)
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: International normalised ratio, Laboratory test, Metabolic function test, Prothrombin time, Respiratory syncytial virus test
Clinical narrative: came to ED for shortness of breath, transferred to another facility  Diagnoses   Acute respiratory distress syndrome (ARDS) due to COVID-19 virus  Acute systolic CHF (congestive heart failure)  Cough  Hypoxia  Elevated troponin level  Paroxysmal atrial fibrillation  D-dimer, elevated  SOB (shortness of breath)
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Troponin I, Troponin increased, Urine analysis
Clinical narrative: came to ED for shortness of breath, transferred to another facility  Diagnoses   Acute respiratory distress syndrome (ARDS) due to COVID-19 virus  Acute systolic CHF (congestive heart failure)  Cough  Hypoxia  Elevated troponin level  Paroxysmal atrial fibrillation  D-dimer, elevated  SOB (shortness of breath)
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Chest pain, Diarrhoea, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: Chest pain, SOB, N/V/D and abd pain. No fever, cough or sore throat. Worsen over the next 2 days prompting ED visit. Dx Pericarditis
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pericarditis, Troponin normal, Vomiting
Clinical narrative: Chest pain, SOB, N/V/D and abd pain. No fever, cough or sore throat. Worsen over the next 2 days prompting ED visit. Dx Pericarditis
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Bed rest, Burning sensation, Dizziness postural, Feeding disorder, Feeling abnormal
Clinical narrative: On March 8, 2021 at approximately 7:00 AM became ill with severe pain in all for extremities with feeling that each one of my cells was being attacked with severe burning and a red rash over my chest and face. Not able to function at all and was on bedrest for three - fours days. Not able to eat and became dizzy upon arising from bed, which was new. I thought I may die. I called my Primary Physician and was instructed if I became worse to let her know. Over the reminder of the week improved and I swore I would NEVER have another experiential mRNA injection.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Malaise, Pain in extremity, Rash, Rash erythematous
Clinical narrative: On March 8, 2021 at approximately 7:00 AM became ill with severe pain in all for extremities with feeling that each one of my cells was being attacked with severe burning and a red rash over my chest and face. Not able to function at all and was on bedrest for three - fours days. Not able to eat and became dizzy upon arising from bed, which was new. I thought I may die. I called my Primary Physician and was instructed if I became worse to let her know. Over the reminder of the week improved and I swore I would NEVER have another experiential mRNA injection.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I was contacted by VSAFE and told to file a VAERS report due to being diagnosed with COVID-19 on 9/7/21.
Age: 0.42
Sex: M
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: Patient received Hep B Vaccine. After vaccine was given, Medical Assistant documenting vaccine noticed that it was expired. Vaccine expired 09.22.2021 and was administered 09.30.2021.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: I experienced my pulse going from 120's to the 140's and medication could no longer keep it down.
Age: 72.0
Sex: F
Vaccine: FLUA4
Symptoms: Cooling therapy, Musculoskeletal stiffness, Skin irritation
Clinical narrative: She called on Wednesday on 09/29 and asked about potential side effects of flu vaccine. There is a local irritation on her arm with stiffness all the way to her neck. She was wondering if it is something to do with her vaccine. She denied any new medications or OTC supplements.  Explained to her that it is possible the local side effect from the vaccine. She may take OTC ibuprofen (due to her allergy of tylenol) and use cold compress. Will contact her in couple days to follow up her symptoms. Recommend medical attention if it is getting worse
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Muscle twitching, Neck pain
Clinical narrative: I experienced Severe neck pain on the left side and I also experienced forehead twitching for 3 days
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Pt's parent called hospital call center on 9/24/21. Pt's mother states pt got 2nd dose of Pfizer today around 4:30pm and pt started having rash all over the body. Advised pt's mother to take pt to the nearest ED immediately. Parent expressed understanding
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Chest pain, Cough, Dyspnoea, Electrocardiogram
Clinical narrative: Cough, shortness of breath, pleuritic chest pain. -Spo2  94%. Temp: 98.7F. Treatment: Quarantine
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pleuritic pain, SARS-CoV-2 test
Clinical narrative: Cough, shortness of breath, pleuritic chest pain. -Spo2  94%. Temp: 98.7F. Treatment: Quarantine
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Pleuritic pain
Clinical narrative: Cough, shortness of breath, pleuritic chest pain. -Spo2  94%. Temp: 98.7F. Treatment: Quarantine
Age: 49.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Chills, Injection site erythema, Injection site warmth, Nausea, Pain
Clinical narrative: Fever of 102-103 for 40 hours; Chills for 40 hours; Body Aces for 40 hours; Nausea & Vomiting 40 hours after; administration of the vaccine; Tongue Swelling 34 hours after administration of the vaccine; Sore Arm continues today; Injection Site Warm to Touch and Red 66 hours after administration of the vaccine.
Age: 49.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Pain in extremity, Pyrexia, Swollen tongue, Vomiting
Clinical narrative: Fever of 102-103 for 40 hours; Chills for 40 hours; Body Aces for 40 hours; Nausea & Vomiting 40 hours after; administration of the vaccine; Tongue Swelling 34 hours after administration of the vaccine; Sore Arm continues today; Injection Site Warm to Touch and Red 66 hours after administration of the vaccine.
Age: 49.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Erythema, Injection site induration, Injection site pruritus, Injection site warmth, Nausea
Clinical narrative: Fever of 102-103 for 40 hours; Chills for 40 hours; Body Aces for 40 hours; Nausea & Vomiting 40 hours after; administration of the vaccine; Tongue Swelling 34 hours after administration of the vaccine; Sore Arm continues today; Injection Site Warm to Touch and Red 66 hours after administration of the vaccine.
Age: 49.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Pain, Pain in extremity, Peripheral swelling, Pyrexia, Skin warm
Clinical narrative: Fever of 102-103 for 40 hours; Chills for 40 hours; Body Aces for 40 hours; Nausea & Vomiting 40 hours after; administration of the vaccine; Tongue Swelling 34 hours after administration of the vaccine; Sore Arm continues today; Injection Site Warm to Touch and Red 66 hours after administration of the vaccine.
Age: 49.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Swollen tongue, Vomiting
Clinical narrative: Fever of 102-103 for 40 hours; Chills for 40 hours; Body Aces for 40 hours; Nausea & Vomiting 40 hours after; administration of the vaccine; Tongue Swelling 34 hours after administration of the vaccine; Sore Arm continues today; Injection Site Warm to Touch and Red 66 hours after administration of the vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases, Blood test, Computerised tomogram head, Dehydration, Echocardiogram
Clinical narrative: 03/24/2021 Patient had open wound that was draining and it was not diagnosed at the time of the vaccination. Six days later it was diagnosed as staff infection 03/30/2021 09:00 AM prescribed antibiotics for days and she was not able to eat and drink, became dehydrated and had violent shakes. Was sent to the hospital, tests performed by Doctors. Had a GBS 03/09/2021 prior to vaccination then after the vaccination on 03/29/2021 infusion. Nursing home facility for 1 month after the hospital.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Electroencephalogram, Feeding disorder, Guillain-Barre syndrome, Infusion
Clinical narrative: 03/24/2021 Patient had open wound that was draining and it was not diagnosed at the time of the vaccination. Six days later it was diagnosed as staff infection 03/30/2021 09:00 AM prescribed antibiotics for days and she was not able to eat and drink, became dehydrated and had violent shakes. Was sent to the hospital, tests performed by Doctors. Had a GBS 03/09/2021 prior to vaccination then after the vaccination on 03/29/2021 infusion. Nursing home facility for 1 month after the hospital.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Respiratory viral panel, Scan brain, Staphylococcal infection, Tremor
Clinical narrative: 03/24/2021 Patient had open wound that was draining and it was not diagnosed at the time of the vaccination. Six days later it was diagnosed as staff infection 03/30/2021 09:00 AM prescribed antibiotics for days and she was not able to eat and drink, became dehydrated and had violent shakes. Was sent to the hospital, tests performed by Doctors. Had a GBS 03/09/2021 prior to vaccination then after the vaccination on 03/29/2021 infusion. Nursing home facility for 1 month after the hospital.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Wound, Wound drainage
Clinical narrative: 03/24/2021 Patient had open wound that was draining and it was not diagnosed at the time of the vaccination. Six days later it was diagnosed as staff infection 03/30/2021 09:00 AM prescribed antibiotics for days and she was not able to eat and drink, became dehydrated and had violent shakes. Was sent to the hospital, tests performed by Doctors. Had a GBS 03/09/2021 prior to vaccination then after the vaccination on 03/29/2021 infusion. Nursing home facility for 1 month after the hospital.
Age: 0.42
Sex: F
Vaccine: DTAP, HIBV, PNC13, RV1, UNK
Symptoms: Abnormal behaviour, Irritability, Poor feeding infant, Sleep disorder
Clinical narrative: Behavioral changes. Refusing bottle/feeding, sleeping issues (sleeping less), excessive fussiness, irritability.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Clostridium difficile colitis, Diarrhoea
Clinical narrative: Severe diarrhea worsening to Clostridium difficile colitis (C. diff). Patient went to ER on 9/26/21 and returned to the ER on 9/29/21. Patient admitted to the hospital.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Half dollar sized red and firm area noted to left arm at injection site.  Patient stated it is less red.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Neuropathy peripheral
Clinical narrative: Increase neuropathy symptoms fingers, legs and toes, headaches, and chronic pain under left arm and left pectoral.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Fatigue, Feeling abnormal, Headache, Hypoaesthesia
Clinical narrative: 1st dose- numbness/tingling in bilateral hands and feet; severe cough, congestion, boggy headache, fatigue 2nd dose- paresthesia on bilat arms, hands, legs, and feet; extreme pain, rash on left lower extremity.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Paraesthesia, Rash, Respiratory tract congestion
Clinical narrative: 1st dose- numbness/tingling in bilateral hands and feet; severe cough, congestion, boggy headache, fatigue 2nd dose- paresthesia on bilat arms, hands, legs, and feet; extreme pain, rash on left lower extremity.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Hypersensitivity, Rash
Clinical narrative: Pt experienced an allergic reaction to 2nd Pfizer covid vaccine 20min after receiving dose. Pt c/o burning sensation on her chest and face. Chest and facial rash noted. Placed patient on gurney with HOB raised to 25 degrees. Administered Benadryl 50mg/1ml per protocol. Pt denied any difficulty breathing, V/s taken. Pt stated to feel better and no longer to feel burning sensation 10min after Benadryl 50mg/1ml administered. Facial and chest rash subsiding substantially. Allergist Dr. was notified, monitored patient an addition 30minutes. Pt decided to leave on her own, instructed to call 9-11 or go to ER if medical condition worsen. Pt stated to understand.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, COVID-19, Chest X-ray, Dyspnoea, Laboratory test
Clinical narrative: One week after the vaccine I was fine until I got to where I just couldn't hardly breathe. I went to the hospital and they admitted me and I had bronchitis and a touch of pneumonia. I've never had either one of those before. I was admitted into the hospital for 3 days. I had to take breathing treatments and antibiotics. I had never had either bronchitis or pneumonia in my life. I had a virtual visit with my PCP after I was discharged and I've had to just keep taking my breathing treatments and they put me on the hand puffers but after I got over all of that I was fine. It took me about two weeks to get over it.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia
Clinical narrative: One week after the vaccine I was fine until I got to where I just couldn't hardly breathe. I went to the hospital and they admitted me and I had bronchitis and a touch of pneumonia. I've never had either one of those before. I was admitted into the hospital for 3 days. I had to take breathing treatments and antibiotics. I had never had either bronchitis or pneumonia in my life. I had a virtual visit with my PCP after I was discharged and I've had to just keep taking my breathing treatments and they put me on the hand puffers but after I got over all of that I was fine. It took me about two weeks to get over it.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest discomfort, Chest pain, Diarrhoea, Dizziness
Clinical narrative: 9/17-9/19 shortness of breath (difficulty in talking on the phone for more than 1 minute) 9/19-9/22 shortness of breath fading. Tightness in left chest area when breathing deeply 9/23 Inability to get a full deep breath(when seated & not out of breath).  When laying down later, pressure/tightness in left chest area with every inhale. Felt as though I would pass out.  1 burst of diarrhea- called on call physician and was instructed to call for an ambulance. When vitals were checked by EMT, blood pressure was approx 155/97.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Speech disorder
Clinical narrative: 9/17-9/19 shortness of breath (difficulty in talking on the phone for more than 1 minute) 9/19-9/22 shortness of breath fading. Tightness in left chest area when breathing deeply 9/23 Inability to get a full deep breath(when seated & not out of breath).  When laying down later, pressure/tightness in left chest area with every inhale. Felt as though I would pass out.  1 burst of diarrhea- called on call physician and was instructed to call for an ambulance. When vitals were checked by EMT, blood pressure was approx 155/97.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Headache, Influenza A virus test negative, Influenza B virus test
Clinical narrative: c/o subjective fever, chills, productive cough and headache x4 days.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: c/o subjective fever, chills, productive cough and headache x4 days.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Urticaria
Clinical narrative: Patient came into pharmacy, a day after getting her 2nd Covid shot.. she woke up with hives on her right side leg and left side lower arm..she stated when she touches them it feels like a bruise.  She stated it has not gotten worse through out the day. Recommended taking Benadryl and if it gets any worse to go to urgent care/hospital. Told to follow up with doctor in the morning, but if gets worse to contact doctor right away or go to urgent care/hospital
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Palatal oedema, Pharyngeal swelling, Pruritus, Urticaria
Clinical narrative: Since the second dose of the COVID-19 vaccine, patient started to experience spontaneous episodes of urticaria and hives. She has 1-2 episodes of itchy hives involving bilateral legs, abdomen, chest and bilateral arms. These typically resolve spontaneously within 15 minutes. When they last longer, she is able to control them with OTC benedryl. She presented to the emergency department on 9/30/2021 for lip and throat swelling along with her usual hives. She took two OTC benedryl capsules which resolved the hives but her lip and throat swelling remained. On exam,  patient was breathing comfortably without stridor or drooling. She had visible edema of the uvula. Famotidine 20mg IV , solumedrol 125mg IV and epinephrine 0.3mg IM were administered due to ongoing subjective feelings of throat swelling. Plan is to observe the patient for several hours until the uvular swelling resolves.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Extra dose administered, Fatigue
Clinical narrative: Patient developed body aches and chills 4-5 hours after administration of vaccine. 12-14 hrs after vaccination, patient developed severe body aches, very severe myalgia and arthralgia. this was accompanied with severe fatigue and chills. Over the next 24 hrs, developed low grade fever, maximum reordered temperature was 100.5F.  Myalgias were significantly worse with 3rd dose, as compared to 2nd dose -- described as severe pain all across back and shoulder, felt like muscles tearing apart. Arthralgias - pain in both knees and ankles, accompanied with difficulty in walking.  Symptoms slowly evolved after 36-40 hrs.  Local reaction - pain and swelling at injection administration site. This was also significantly worse as compared to vaccine dose 1 and 2. Pain is still ongoing on day 4 but milder now.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Injection site pain, Injection site swelling, Local reaction, Muscle strain
Clinical narrative: Patient developed body aches and chills 4-5 hours after administration of vaccine. 12-14 hrs after vaccination, patient developed severe body aches, very severe myalgia and arthralgia. this was accompanied with severe fatigue and chills. Over the next 24 hrs, developed low grade fever, maximum reordered temperature was 100.5F.  Myalgias were significantly worse with 3rd dose, as compared to 2nd dose -- described as severe pain all across back and shoulder, felt like muscles tearing apart. Arthralgias - pain in both knees and ankles, accompanied with difficulty in walking.  Symptoms slowly evolved after 36-40 hrs.  Local reaction - pain and swelling at injection administration site. This was also significantly worse as compared to vaccine dose 1 and 2. Pain is still ongoing on day 4 but milder now.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pyrexia
Clinical narrative: Patient developed body aches and chills 4-5 hours after administration of vaccine. 12-14 hrs after vaccination, patient developed severe body aches, very severe myalgia and arthralgia. this was accompanied with severe fatigue and chills. Over the next 24 hrs, developed low grade fever, maximum reordered temperature was 100.5F.  Myalgias were significantly worse with 3rd dose, as compared to 2nd dose -- described as severe pain all across back and shoulder, felt like muscles tearing apart. Arthralgias - pain in both knees and ankles, accompanied with difficulty in walking.  Symptoms slowly evolved after 36-40 hrs.  Local reaction - pain and swelling at injection administration site. This was also significantly worse as compared to vaccine dose 1 and 2. Pain is still ongoing on day 4 but milder now.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Chills, Dizziness, Fatigue
Clinical narrative: Pain at injection site, headache, nausea, dizziness, chills,malaise, weakness, fatigue,  temperature 101
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Malaise, Nausea
Clinical narrative: Pain at injection site, headache, nausea, dizziness, chills,malaise, weakness, fatigue,  temperature 101