chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Pain, Pyrexia
Clinical narrative: Received 1st COVID vaccine on 01/28/2021. Started to have some fevers, body ache, cough, mild sob starting 02/01/21. Tested COVID positive on 02/03/2021. Was been measuring SpO2 at home and was in the high 80s at home by 02 so referred to ED on 2/4/2021.  Admitted 02/05/2021.  Started on dexmethasone and supplemental oxygen.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Received 1st COVID vaccine on 01/28/2021. Started to have some fevers, body ache, cough, mild sob starting 02/01/21. Tested COVID positive on 02/03/2021. Was been measuring SpO2 at home and was in the high 80s at home by 02 so referred to ED on 2/4/2021.  Admitted 02/05/2021.  Started on dexmethasone and supplemental oxygen.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Immune system disorder
Clinical narrative: Patient complained of headache after receiving Pfizer Covid vaccine. Client was sitting in waiting area post vaccine. EMT responded. Vitals taken at 1528: blood pressure 126/82, pulse 87, respirations 12, oxygen 98. Headache pain 4/10. Per client history of brain injury (encephalopathy) and weakened immune system. Client informed EMT had ate breakfast this morning and hydrated all day. Denied shortness of breath, chest pain, vision changes. Client kept in observation for 30 minutes. EMT reassessed at 1540. Headache still 4/10, same, not worsening or new complaints. Per client felt well to leave. Vitals: blood pressure 118/78, oxygen 99, pulse 80, respirations 12, alert and oriented. Client left facility with a steady gait at 1545.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Chills, Dyspnoea, Heart rate increased
Clinical narrative: Received dose 2 of COVID vaccine. Within 12 hours of receiving the vaccine, started to have intensifying symptoms all of a sudden: low grad fever of 100.0, cold chills, cold intolerance, a migraine, joint pain, muscle pain, injection site pain, increased hart rate and a heaviness in the chest that made it slightly more difficult to breathe. At 24 hour mark, only injection site pain and headache persisted.  Reported injection site swelling 36 hour after vaccination.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Migraine, Myalgia, Pyrexia
Clinical narrative: Received dose 2 of COVID vaccine. Within 12 hours of receiving the vaccine, started to have intensifying symptoms all of a sudden: low grad fever of 100.0, cold chills, cold intolerance, a migraine, joint pain, muscle pain, injection site pain, increased hart rate and a heaviness in the chest that made it slightly more difficult to breathe. At 24 hour mark, only injection site pain and headache persisted.  Reported injection site swelling 36 hour after vaccination.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Temperature intolerance
Clinical narrative: Received dose 2 of COVID vaccine. Within 12 hours of receiving the vaccine, started to have intensifying symptoms all of a sudden: low grad fever of 100.0, cold chills, cold intolerance, a migraine, joint pain, muscle pain, injection site pain, increased hart rate and a heaviness in the chest that made it slightly more difficult to breathe. At 24 hour mark, only injection site pain and headache persisted.  Reported injection site swelling 36 hour after vaccination.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture negative, Chest X-ray normal, Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine EUA  Fever 104.7.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous
Clinical narrative: February 5, 2021 in morning woke up with red scattered rashes down left arm, very itchy.  I called Moderna and they said it was delayed reaction to shot. Was 9 days later. Had been red but not the whole arm. Friday night go so bad, down both arms and across both shoulders, raised bumps, some on thigh, and face.   Doctor suggested I take Benadryl.  itching stopped, went to sleep. today, Feb. 6, only mild rash. concern about taking second shot. Appt. February 24, 2021.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Feeling abnormal, Incontinence
Clinical narrative: Vaccine 10 am- fine all day and evening.  Awoke at 3:40 am and rolled off of arm where injection given and a wave of pain and nausea and malaise overwhelmed me. I passed completely out still lying in bed (so out that I wet myself in bed) and gradually came to, still feeling horrible. Got up, changed clothes, and major chills when I returned to bed. Around 6am I felt nauseous, got up to vomit, but instead passed completely out on the bathroom floor for about 15 minutes.  Remainder of day I felt very stiff, low energy and slightly woozy. By afternoon, energy was returning (I vacuumed the house). Minimal pain in arm this time compared to previous.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Malaise, Musculoskeletal stiffness, Nausea, Pain in extremity
Clinical narrative: Vaccine 10 am- fine all day and evening.  Awoke at 3:40 am and rolled off of arm where injection given and a wave of pain and nausea and malaise overwhelmed me. I passed completely out still lying in bed (so out that I wet myself in bed) and gradually came to, still feeling horrible. Got up, changed clothes, and major chills when I returned to bed. Around 6am I felt nauseous, got up to vomit, but instead passed completely out on the bathroom floor for about 15 minutes.  Remainder of day I felt very stiff, low energy and slightly woozy. By afternoon, energy was returning (I vacuumed the house). Minimal pain in arm this time compared to previous.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Heart rate increased, Nausea
Clinical narrative: Chills Headache Nausea Rapid Heart Beat
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Cough, Dyspnoea, Pulmonary pain
Clinical narrative: Had high fever , chills , then began coughing bronchitis like lung pain short of breath
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Developed numbness of the right side of face about 20 minutes after receiving her vaccine. She went to the ED to e evaluated.   Symptoms resolved on their own after 2.5 hours and no other symptoms developed.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Large round red swelling around injection site
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Blood test, Cognitive disorder, Computerised tomogram normal, Crying
Clinical narrative: Severe Headache, Disorientation, Physical & cognitive impairment, Aphasia / Stroke-like symptoms Details: My dad has been in excellent health and lives independently. He received the Vaccine on THURSDAY, 1/14/21 at 11 pm. FRIDAY(1/15/21 at 11:45 a.m.) The following morning, I went into his home to check on him.  He was sitting in his chair with his undershirt and boxers that he wore to sleep. Normally, Dad would have showered and been dressed. He was holding his head in his hands and crying.        (CONT'D)
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Headache, Physical disability, Urine analysis abnormal
Clinical narrative: Severe Headache, Disorientation, Physical & cognitive impairment, Aphasia / Stroke-like symptoms Details: My dad has been in excellent health and lives independently. He received the Vaccine on THURSDAY, 1/14/21 at 11 pm. FRIDAY(1/15/21 at 11:45 a.m.) The following morning, I went into his home to check on him.  He was sitting in his chair with his undershirt and boxers that he wore to sleep. Normally, Dad would have showered and been dressed. He was holding his head in his hands and crying.        (CONT'D)
Sex: U
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine EUA. Mild fever, fatigue, slight headache.  Arm sore for three days. Slight fever day three. Used OTC meds for fever and body aches.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: Swollen lips. I have never had anything done to my lips
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site induration, Injection site mass, Injection site pruritus
Clinical narrative: Vaccine given on Thursday 2/4/21 4:30 PM.  On Saturday  2/6/2021 starting  about 2 am excessive itching on shot site and developed a hard lump which wasn't there day before.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Presyncope
Clinical narrative: Vasovagal post vaccination. Pt passed out and lost consciousness.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 1st shot: extreme fatigue, congestion, severe muscle aches, pain/swelling at injection site 2nd dose: extreme fatigue, sever swelling at the injection site with heat, pain and redness, muscle aches, pain
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Respiratory tract congestion
Clinical narrative: 1st shot: extreme fatigue, congestion, severe muscle aches, pain/swelling at injection site 2nd dose: extreme fatigue, sever swelling at the injection site with heat, pain and redness, muscle aches, pain
Age: 38.0
Sex: U
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Musculoskeletal stiffness, Myalgia
Clinical narrative: Received dose #2. Around 11pm awoke with extreme pain with body aches, pains, skin sensitivity, muscle soreness and feverish (sweat with cold chills), also experiencing severe headache and stiff neck.
Age: 38.0
Sex: U
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Skin sensitisation
Clinical narrative: Received dose #2. Around 11pm awoke with extreme pain with body aches, pains, skin sensitivity, muscle soreness and feverish (sweat with cold chills), also experiencing severe headache and stiff neck.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Fever, chills, body aches extreme fatigue. Treated with ibuprofen for some relief. Symptoms subsided after approx 16 hours from onset. Red, swollen,  hot, itchy  injection site speeding across majority of upper arm. Swollen arm and lymph nodes  on left side. Relief of soreness with ibuprofen and ice application. Cortisone cream for itchiness.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Lymphadenopathy, Pain, Peripheral swelling, Pyrexia
Clinical narrative: Fever, chills, body aches extreme fatigue. Treated with ibuprofen for some relief. Symptoms subsided after approx 16 hours from onset. Red, swollen,  hot, itchy  injection site speeding across majority of upper arm. Swollen arm and lymph nodes  on left side. Relief of soreness with ibuprofen and ice application. Cortisone cream for itchiness.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever from 10:00 pm on 2/3 to around 4 pm on 2/5. Mild body ache. Chills. Fever over 100F until 11pm on 2/4. Started subsiding over night  and went away by 2/5. Had 2 NyQuil night time pills at 11 pm on 2/3. And another two on 2/4 at 11:30 am. No medications taken since.
Sex: U
Vaccine: COVID19
Symptoms: Flatulence, Gastrointestinal hypermotility
Clinical narrative: Hypermotility of boewls began 1-2 days after injection and has persisted for 8 days. No fever, chills sweats. Mo blood in stool or other discoloration. Profound gaseousness and flatus
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis allergic, Injection site pain, Injection site pruritus, Injection site rash, Rash erythematous
Clinical narrative: Delayed cutaneous hypersensitivity?redish rash on upper arm near injection sight. About 2 inches long and 1 inch wide. Slightly itchy and sore.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Headache, body aches/ pain all joints, moderate fatigue, redness/pain/swelling at injection site, fever of 101.4 (F).
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pain, Pyrexia
Clinical narrative: Headache, body aches/ pain all joints, moderate fatigue, redness/pain/swelling at injection site, fever of 101.4 (F).
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site induration, Injection site warmth, Pruritus
Clinical narrative: Very itchy red patch on arm around injection site. Felt hard and hot.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Feeling abnormal
Clinical narrative: An hour after vaccine I felt lightheadedness, some fogginess, a slow wave of weakness flowed from my face down to the neck, shoulders, arms, torso, thighs, knees, legs, feet.  Although my entire body experienced weakness, I tried & was able to stand and walk cautiously, ate a little bit of chicken, had tea but I had to sit. The weakness remained for about an hour. After which my strength was returning slowly. It took 30min more for the strength in my legs & feet to  fully return.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site rash
Clinical narrative: Large rash on arm where vaccine was administrated 11 days post vaccination
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Initial side effects subsided at 1 week after receiving the injection. Today, nine days after receiving the vaccine, I noticed a rash on my left arm at the injection site and surrounding area. I am also experiencing itchiness and a sensation of heat around the rash area. The area is noticeably swollen as well. Around this same time the rash appeared, I also experienced feeling weak upon standing a couple of times, although I am not sure if this is related.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: I have had a ache in my bycept for over a week/ it began a week after the vaccination.   Not real serious but I am concerned about getting the second shot next week
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash papular, Swelling
Clinical narrative: Swelling, raised rash and itching
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Physical examination
Clinical narrative: Diagnosed with bell's palsy 8 days after shot.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Feeling cold, Musculoskeletal stiffness
Clinical narrative: Chills and very cold for over 12 hours. loss of appetite 48 hrs.  Stiffness in muscles over entire body till Saturday afternoon.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth, Pain
Clinical narrative: This Morning I noticed my left arm itching at the site of the shot by night it was even more read and itchy but also achy and feverish. I did sleep on that side last night some and I usually do not sleep on that side at all. I washed my arm with a cold wash cloth and left the cold compress on it for a few minutes. It took away the itchyness but it still felt feverish but also not achy as much
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: This Morning I noticed my left arm itching at the site of the shot by night it was even more read and itchy but also achy and feverish. I did sleep on that side last night some and I usually do not sleep on that side at all. I washed my arm with a cold wash cloth and left the cold compress on it for a few minutes. It took away the itchyness but it still felt feverish but also not achy as much
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Arm started to itch and neck started to itch
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Impaired work ability, Influenza A virus test negative
Clinical narrative: I got my first round of the Pfizer vaccine on 1/14/21. On 1/27/21 I woke up feverish, with chills, body aches, diaherra and intense nausea. I went to Urgent Care on 1/28/21 and was tested for Covid, Influenza (A and B) and strep, all 4 tests came back negative/ not detected. I was told I had a viral infection and to be off work for 7 per symptoms. All of my symptoms worsened extremely over the next week. I went to Hospital on 2/2/21 after 3 days of no sleep, intense pain aches, headaches, and severe vomiting.  They also gave me another Covid test that came back negative. The ER physician informed me that he thought my symptoms were too late to be considered an adverse reaction to the Pfizer vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Nausea, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I got my first round of the Pfizer vaccine on 1/14/21. On 1/27/21 I woke up feverish, with chills, body aches, diaherra and intense nausea. I went to Urgent Care on 1/28/21 and was tested for Covid, Influenza (A and B) and strep, all 4 tests came back negative/ not detected. I was told I had a viral infection and to be off work for 7 per symptoms. All of my symptoms worsened extremely over the next week. I went to Hospital on 2/2/21 after 3 days of no sleep, intense pain aches, headaches, and severe vomiting.  They also gave me another Covid test that came back negative. The ER physician informed me that he thought my symptoms were too late to be considered an adverse reaction to the Pfizer vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Streptococcus test negative, Viral infection, Vomiting
Clinical narrative: I got my first round of the Pfizer vaccine on 1/14/21. On 1/27/21 I woke up feverish, with chills, body aches, diaherra and intense nausea. I went to Urgent Care on 1/28/21 and was tested for Covid, Influenza (A and B) and strep, all 4 tests came back negative/ not detected. I was told I had a viral infection and to be off work for 7 per symptoms. All of my symptoms worsened extremely over the next week. I went to Hospital on 2/2/21 after 3 days of no sleep, intense pain aches, headaches, and severe vomiting.  They also gave me another Covid test that came back negative. The ER physician informed me that he thought my symptoms were too late to be considered an adverse reaction to the Pfizer vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Flushing, Hot flush, Lip pain, Lip swelling, Paraesthesia oral
Clinical narrative: 24 hrs after 2nd dose, (approx. 2pm next day): body flushing and lip tingling noted.  40 hrs after (approx 6am 2 days after 2nd dose): moderate, painful upper lip swelling present for 10-12 hours. Body flushing, hot flashes noted on and off throughout day. Resolved without treatment.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rash erythematous, Rash pruritic, Skin warm, Swelling
Clinical narrative: Sore arm. Bump. Then became red itchy hot rash about the size of a quarter. This gradually increased in size until it was about 5x7? covering a large portion of upper arm. Get hot to touch, very sore. Took about 2 weeks to go away. Still have lump and residual itchiness.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Oedema peripheral, Pain in extremity, Physical examination
Clinical narrative: Initial side effects were typical, arm soreness and headache which subsided by day 3. However, almost 7 days after vaccine I noted swollen tender posterior cervical nodes and supraclavicular node. This was upsetting as I did not initially relate it to the vaccine. Contacted and saw my doctor who had received similar reports. I also had swelling and tenderness in axilla but no discrete axillary nodes. We watched and waited, swelling and tenderness gradually decreased over the next 3-4 days (days 8-11 post vaccine). I continue to have a palpable shotty cervical node which will be monitored until resolution.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Initial side effects were typical, arm soreness and headache which subsided by day 3. However, almost 7 days after vaccine I noted swollen tender posterior cervical nodes and supraclavicular node. This was upsetting as I did not initially relate it to the vaccine. Contacted and saw my doctor who had received similar reports. I also had swelling and tenderness in axilla but no discrete axillary nodes. We watched and waited, swelling and tenderness gradually decreased over the next 3-4 days (days 8-11 post vaccine). I continue to have a palpable shotty cervical node which will be monitored until resolution.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Pain for 48 hours after injection, red swollen bump appeared at injection site 7 days after injection (covid arm?).  Chills for 2 hours 57 hours after injection.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Headache, Injection site pain, Injection site swelling
Clinical narrative: Fever for 5 hours, high oral temp of 102.6, controlled with Tylenol. Body aches and headache 18 hours, pain and swelling at injection site- ongoing , blotchy red rash that burns over chest and neck- ongoing. Mild nausea- 8 hours.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Local reaction, Nausea, Pain, Pyrexia, Rash
Clinical narrative: Fever for 5 hours, high oral temp of 102.6, controlled with Tylenol. Body aches and headache 18 hours, pain and swelling at injection site- ongoing , blotchy red rash that burns over chest and neck- ongoing. Mild nausea- 8 hours.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash macular
Clinical narrative: Fever for 5 hours, high oral temp of 102.6, controlled with Tylenol. Body aches and headache 18 hours, pain and swelling at injection site- ongoing , blotchy red rash that burns over chest and neck- ongoing. Mild nausea- 8 hours.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Significant fatigue, body aches, headache, chills, low grade temp 100.4 (F), pain at injection site.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Significant fatigue, body aches, headache, chills, low grade temp 100.4 (F), pain at injection site.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Injection 1 caused itching at the injection site within 5min of administration, then to entire body with 60min. Relieved with Benadryl and Pepcid.  Injection 2 caused a reddened area at injection site within 5-10min of injection. With an hour, a red circular raised spot approx 2-3 inches in diameter was hot, painful and swollen. 24hrs after the injection, the red area was 3-4 inches in diameters, still swollen, red, raised, painful. 36hrs after the injection, the area was no longer raised, but remained red, swollen and started itching. Seems to be slowly dissipating.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site warmth, Pruritus
Clinical narrative: Injection 1 caused itching at the injection site within 5min of administration, then to entire body with 60min. Relieved with Benadryl and Pepcid.  Injection 2 caused a reddened area at injection site within 5-10min of injection. With an hour, a red circular raised spot approx 2-3 inches in diameter was hot, painful and swollen. 24hrs after the injection, the red area was 3-4 inches in diameters, still swollen, red, raised, painful. 36hrs after the injection, the area was no longer raised, but remained red, swollen and started itching. Seems to be slowly dissipating.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: chills, headache, nausea, tired, bodyache.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Feeling hot, Headache, Influenza like illness
Clinical narrative: I was fine until about 10:30 pm. Started with headache and felt tired. During the night (around 12) started severe all over aches, joints hurting, ribs sore, skin sensitive to touch, and freezing despite extra clothing and blankets. By morning I was still achy, but feeling warm instead of cold. It has now been 24 hours, still feel the same along with sore throat. Arm is swollen and sore and hot to the touch. Feel like I?m developing the arm rash again. Overall I feel very ill as if I have a bad case of the flu (especially the body aches which are terrible).
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Musculoskeletal chest pain, Oropharyngeal pain, Pain, Pain in extremity
Clinical narrative: I was fine until about 10:30 pm. Started with headache and felt tired. During the night (around 12) started severe all over aches, joints hurting, ribs sore, skin sensitive to touch, and freezing despite extra clothing and blankets. By morning I was still achy, but feeling warm instead of cold. It has now been 24 hours, still feel the same along with sore throat. Arm is swollen and sore and hot to the touch. Feel like I?m developing the arm rash again. Overall I feel very ill as if I have a bad case of the flu (especially the body aches which are terrible).
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral coldness, Peripheral swelling, Rash, Skin sensitisation
Clinical narrative: I was fine until about 10:30 pm. Started with headache and felt tired. During the night (around 12) started severe all over aches, joints hurting, ribs sore, skin sensitive to touch, and freezing despite extra clothing and blankets. By morning I was still achy, but feeling warm instead of cold. It has now been 24 hours, still feel the same along with sore throat. Arm is swollen and sore and hot to the touch. Feel like I?m developing the arm rash again. Overall I feel very ill as if I have a bad case of the flu (especially the body aches which are terrible).
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pruritus, Vaccination site rash
Clinical narrative: Rash and itching at site of vaccine
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth, Pain in extremity
Clinical narrative: Hot red itchy area around injection site.  Arm has been sore for over a week now but just started with itching and burning on the site.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Swelling, rash, and itching appeared at injection site six days after first COVID-19 injection. Applied ice to injection site but swelling does not subside.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus
Clinical narrative: Delayed Itchiness at injection site, minor, went away on its own, no rash, no headache
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Influenza like illness, Pain, Pyrexia
Clinical narrative: Fever 101.0; Chills; Body aches; Headache; Typical flu like symptoms
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Head discomfort, Injection site pain, Nausea, Pain, Sensitive skin
Clinical narrative: One full day of symptoms.  Body aches, occasional queasy stomach,  head felt bad but not a headache.  Sensitive pain at injection site. Symptoms lasted only one full day, the day after the injection.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Pyrexia
Clinical narrative: Fatigue, headache, fever, chills and pain at the injection site
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Fatigue, Headache, Injection site erythema, Lymphadenopathy
Clinical narrative: Symptoms started with headache and fatigue.  Red circle around injection site developed.  Right axillary Lymph node became slightly  enlarged, armpit had dull ache.  I took Advil and Benadryl to help resolve symptoms.  This helped resolve headache.  Red area still present as it just developed today.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Capillary fragility, Contusion, Gait inability, Hypoaesthesia
Clinical narrative: I felt sudden pain and said to my family ?I feel like a vein is going to pop in my foot.?  Then within seconds a blood vessel burst in my foot.  It swelled up, and I couldn?t walk on it and bruised.  I have inconsistent feeling in the tips of three of my toes.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Local reaction, Pain in extremity, Peripheral swelling
Clinical narrative: I felt sudden pain and said to my family ?I feel like a vein is going to pop in my foot.?  Then within seconds a blood vessel burst in my foot.  It swelled up, and I couldn?t walk on it and bruised.  I have inconsistent feeling in the tips of three of my toes.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia oral, Lymphadenopathy, Palpitations, Paraesthesia oral, Pruritus
Clinical narrative: Immediate heart racing (about 10 minutes). Immediate Numbing/tingling lips (about 10 minutes) 5 minutes after severe itching in hand (1 1/2 hours). 2 days after injection Gland swelling (lasted about 2 weeks)
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Blood pressure decreased, Blood pressure increased, Chest pain, Computerised tomogram head
Clinical narrative: Immediate heart racing (about 10 minutes). Immediate Numbing/tingling lips (about 10 minutes) 5 minutes after severe itching in hand (1 1/2 hours). 2 days after injection Gland swelling (lasted about 2 weeks)
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Electric shock sensation, Fatigue, Feeling abnormal, Headache
Clinical narrative: Immediate heart racing (about 10 minutes). Immediate Numbing/tingling lips (about 10 minutes) 5 minutes after severe itching in hand (1 1/2 hours). 2 days after injection Gland swelling (lasted about 2 weeks)
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Lymphadenopathy, Mammogram, Muscle twitching, Nausea
Clinical narrative: Immediate heart racing (about 10 minutes). Immediate Numbing/tingling lips (about 10 minutes) 5 minutes after severe itching in hand (1 1/2 hours). 2 days after injection Gland swelling (lasted about 2 weeks)
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Paraesthesia, Pharyngitis streptococcal, Pruritus, Stress echocardiogram
Clinical narrative: Immediate heart racing (about 10 minutes). Immediate Numbing/tingling lips (about 10 minutes) 5 minutes after severe itching in hand (1 1/2 hours). 2 days after injection Gland swelling (lasted about 2 weeks)
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness, Tinnitus, Urticaria, Vaccination site pain, Vertigo
Clinical narrative: Immediate heart racing (about 10 minutes). Immediate Numbing/tingling lips (about 10 minutes) 5 minutes after severe itching in hand (1 1/2 hours). 2 days after injection Gland swelling (lasted about 2 weeks)
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash pruritic
Clinical narrative: Itchy rash at/near injection site 7.5 days after vaccine
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Headache, Injection site pain, Malaise, Nausea
Clinical narrative: Injection site pain, headache, chills, nausea, feeling unwell. Injection site pain and chills went away after two days. Headache, nausea, and feeling unwell is still going on but intermittent as of 8 days after the first injection.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Headache, Malaise, Nausea, Vaccination site pain
Clinical narrative: Injection site pain, headache, chills, nausea, feeling unwell. Injection site pain and chills went away after two days. Headache, nausea, and feeling unwell is still going on but intermittent as of 8 days after the first injection.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Injection site discomfort, Injection site erythema, Injection site pruritus
Clinical narrative: Moderna Covid-19 Vaccine EUA  First 3 days only had minor discomfort, 4,5,6 days itching started, next  3 days were great, no pain or itching. Tenth day woke up to large red itchy mark on arm. Went to urgent care and got antibiotics. Next morning the circle was bigger and redder. Went to the doctor who sent me to ER where I received an antibiotic drip. This morning the area looked much better however tonight it is pink and itchy again. Going back to ER tomorrow. Second shot due on 1/18/21
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Impaired work ability, Pain
Clinical narrative: I got some sore arm, and high fever after couple hours, followed by headaches , chills and body aches, tiredness. Took paracetamol and ibuprofen otc. That cause me unable to go to work.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: I got some sore arm, and high fever after couple hours, followed by headaches , chills and body aches, tiredness. Took paracetamol and ibuprofen otc. That cause me unable to go to work.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on front of neck
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Feeling abnormal, Headache
Clinical narrative: Joint aches and pain, nausea, chills, fever, headache, dizzy/ unstable occurring 24 hours after 2nd  shot.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Joint aches and pain, nausea, chills, fever, headache, dizzy/ unstable occurring 24 hours after 2nd  shot.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Felt dizzy with resolution after a few minutes.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Headache, Palpitations, Paraesthesia oral
Clinical narrative: Dizzy Heart Palpitations Shortness of Breath Tingling of Lips & Tongue Swollen Face  Head Pain Throat Tightness
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Throat tightness
Clinical narrative: Dizzy Heart Palpitations Shortness of Breath Tingling of Lips & Tongue Swollen Face  Head Pain Throat Tightness
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Back pain, Pain, Pain in extremity, Throat irritation
Clinical narrative: Body aches, really bad back ache and legs aching. Left arm were vaccine was given really sore and armpit and whole left side of body hurt. Burning in throat.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Back pain, Chest pain, Contusion, Lymphadenitis
Clinical narrative: L axillary pain beginning approx. 8 hours post-injection escalating to severe throbbing pain (8-9 in severity) 12 to 24 hours following injection. Pain was accompanied by significant axilla, arm, chest and back swelling with a collection of approximately 500-700 ml fluid during peak of lymphadenitis. A small (1 cm x 2 cm) bruise appeared in armpit day 1 post-vaccine followed by 3 more bruises day 3 post-vaccine in armpit and on L chest wall. Pain subsided within 2 days but with waxing and waning of pain and swelling still by day 4 post-vaccination (today).
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Swelling
Clinical narrative: L axillary pain beginning approx. 8 hours post-injection escalating to severe throbbing pain (8-9 in severity) 12 to 24 hours following injection. Pain was accompanied by significant axilla, arm, chest and back swelling with a collection of approximately 500-700 ml fluid during peak of lymphadenitis. A small (1 cm x 2 cm) bruise appeared in armpit day 1 post-vaccine followed by 3 more bruises day 3 post-vaccine in armpit and on L chest wall. Pain subsided within 2 days but with waxing and waning of pain and swelling still by day 4 post-vaccination (today).
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: 12 hours later, chills, fever and achy
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema nodosum, Full blood count normal, Laboratory test, Nodule, Pain
Clinical narrative: Mild erythema nodosum to R leg, multiple painful tender nodules, prescribing ibuprofen.  Pain started on 2/5, rash started on 2/6.  Still pending outcome
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Tenderness
Clinical narrative: Mild erythema nodosum to R leg, multiple painful tender nodules, prescribing ibuprofen.  Pain started on 2/5, rash started on 2/6.  Still pending outcome
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Lymphadenopathy
Clinical narrative: Large swollen lymph node Rash on arm of injection.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19, MMR
Symptoms: Asthenia, Blood pressure increased, Dizziness, Feeling abnormal, Heart rate increased
Clinical narrative: Within 10 or so minutes after vaccine,  I became very dizzy, then weak, my heart began to feel like it was going to pound out of my chest and so the nurse had me relax and said ahe could see my pulse through my clothing layers, they took my bp and it was really elevated (I don't have hypertension and I don't remember the exact number because I was kind of out of it)  I know the diastolic was over 110  maybe even 120 the first time.  My pulse was excessively high too. They called 911 and paramedics monitored me until my pulse slowed and softened some. My diastolic was still around 110. They allowed me to go home and lie down as long as I agreed to call them back or go to hospital if it didn't go below 100 after lying down a bit. It was 97 after about 40 mins,  then 95 after 1.5 hours, then 78 after 3.5 hours and 67 after 6 hours. I felt good again at that point.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19, MMR
Symptoms: Palpitations
Clinical narrative: Within 10 or so minutes after vaccine,  I became very dizzy, then weak, my heart began to feel like it was going to pound out of my chest and so the nurse had me relax and said ahe could see my pulse through my clothing layers, they took my bp and it was really elevated (I don't have hypertension and I don't remember the exact number because I was kind of out of it)  I know the diastolic was over 110  maybe even 120 the first time.  My pulse was excessively high too. They called 911 and paramedics monitored me until my pulse slowed and softened some. My diastolic was still around 110. They allowed me to go home and lie down as long as I agreed to call them back or go to hospital if it didn't go below 100 after lying down a bit. It was 97 after about 40 mins,  then 95 after 1.5 hours, then 78 after 3.5 hours and 67 after 6 hours. I felt good again at that point.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19, MMR
Symptoms: Asthenia, Blindness, Dizziness, Heart rate increased
Clinical narrative: Within 10 or so minutes after vaccine,  I became very dizzy, then weak, my heart began to feel like it was going to pound out of my chest and so the nurse had me relax and said ahe could see my pulse through my clothing layers, they took my bp and it was really elevated (I don't have hypertension and I don't remember the exact number because I was kind of out of it)  I know the diastolic was over 110  maybe even 120 the first time.  My pulse was excessively high too. They called 911 and paramedics monitored me until my pulse slowed and softened some. My diastolic was still around 110. They allowed me to go home and lie down as long as I agreed to call them back or go to hospital if it didn't go below 100 after lying down a bit. It was 97 after about 40 mins,  then 95 after 1.5 hours, then 78 after 3.5 hours and 67 after 6 hours. I felt good again at that point.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Rock solid lump over my collar bone possibly lymph nodes, it started 7-8 days after the shot and I still have it same side where I got the shot, 3 days after the shot I also got pain on my armpit . I?m worried about lump over my collarbone
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Bladder discomfort, Injection site pain, Muscle spasms, Nausea, Pyrexia
Clinical narrative: 100.3 fever - took motrin nausea sore at injection site 4 days pelvic cramping/bladder discomfort lasting 24 hours
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased
Clinical narrative: Two days later 01/18/2021 to 02/01/2021  increase in my glucose levels   range from 125 to 283
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Red, swollen, itchy rash near the injection site
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Fatigue, Malaise, Pain, Pain in extremity
Clinical narrative: Dose 1 and 2 usual adverse events. Sore arm, achey, tired and crappy. But after dose 2 after 24 hours I began to notice itching. My back, neck, legs, arms. Begins once my zyrtec wears off around 7:30 pm I always take and antihistamine to keep my nose clear for better sleep. All nighttime meds are take at 8- 8:30 pm. Must take ativan to control anxiety and help get to sleep
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus
Clinical narrative: Dose 1 and 2 usual adverse events. Sore arm, achey, tired and crappy. But after dose 2 after 24 hours I began to notice itching. My back, neck, legs, arms. Begins once my zyrtec wears off around 7:30 pm I always take and antihistamine to keep my nose clear for better sleep. All nighttime meds are take at 8- 8:30 pm. Must take ativan to control anxiety and help get to sleep
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Fatigue, Pyrexia, Urticaria
Clinical narrative: I was eating food that I normally eat and I looked down at my right arm and saw decent amount of hives. Then I check the rest of my body and found more. I took benadryl and zyrtec on the 5th and then feel asleep. I woke up in the middle the night to see that they had doubled eone in my private parts. I went to urgent care and they gave me a steroid injection, prescriptions for pepcid, a steroid pack and told me to continue to take the benadryl and zrytec. The hives have gone down, but I feel very weak and tired. It occured around 8:30 Friday night (2/5) and I am sorry I didn't fill out the form last night. i got the shot this morning at 8:30 am. I had a slight fever this morning.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: I was eating food that I normally eat and I looked down at my right arm and saw decent amount of hives. Then I check the rest of my body and found more. I took benadryl and zyrtec on the 5th and then feel asleep. I woke up in the middle the night to see that they had doubled eone in my private parts. I went to urgent care and they gave me a steroid injection, prescriptions for pepcid, a steroid pack and told me to continue to take the benadryl and zrytec. The hives have gone down, but I feel very weak and tired. It occured around 8:30 Friday night (2/5) and I am sorry I didn't fill out the form last night. i got the shot this morning at 8:30 am. I had a slight fever this morning.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Pain in extremity, Peripheral swelling, Pruritus, Urticaria
Clinical narrative: At 6:30PM on 2/6 (29.5 hours after I received my 2nd Moderna vaccine dose), I developed a small cluster of hives on my left arm around the crease of my elbow (4-5 inches away from the injection site). The hives continued to spread outward until they covered about 25% of my arm 2-3 hours after the hives first appeared. This was the height of the pain/swelling/itchiness. The hives gradually moved upward along my arm and are currently an inch or two below my injection site (5 hours after the adverse effects began).
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Swollen red spot on arm. Showed up 8 days after vaccination
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling on and around injection site.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Significant supraclavicular and cervical lymphadenopathy  on vaccine arm side. Still present 14 days status post 2nd Moderna vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing
Clinical narrative: after 30 mins, pt reports feeling "flushed"
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Chest discomfort, Dizziness, Fatigue
Clinical narrative: Fatigue, dizziness, loss of balance, chest tightness
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Had initial ?normal? side effects in the first few days following injection (sore arm, swelling at injection site). Those side effects had fully subsided by around 3 or 4 days after the injection. Then, around 7 days after the injection, the injection site began swelling again and became red. Site of swelling is about the diameter of a baseball currently (now 9 days after injection). It does not hurt and I do not have a fever or other symptoms. I went to an urgent care facility today to have it looked at. The doctor said it is unlikely that it is something like cellulitis and is likely a localized immune response that should get better on its own.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Headache, Pain, Skin exfoliation
Clinical narrative: After first dose my face started peeling. I thought it was related to the mask I?ve been wearing and did t think much of it. It took 3 weeks to clear up but it did clear up completely for a week. I used gentle moisturizers only. I took the second dose on Wednesday 2/3/21 and I was off work the 3 days after that. I stayed home due to headache and body aches. Did not use ANY mask. On Friday my face started peeling again and continued to get worse on Saturday. It feels like a bad sunburn with very sensitive red skin. I?m using the same moisturizer. Nothing has changed.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bradycardia, Dizziness, Headache, Hemiparesis
Clinical narrative: Dizziness, Headache, Myalgia, HYPERtension, Syncope, Bradycardia, had flulike symptoms and rash with 1st dose, 2nd dose: during 15min observation period, felt weak, tingling all over body and felt weak on her right side and dizziness. lightheadedness, dizziness, and generalized weakness. slow to respond to questions, co Narrative:  Other Relevant History:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Hyporesponsive to stimuli, Influenza like illness, Myalgia, Paraesthesia
Clinical narrative: Dizziness, Headache, Myalgia, HYPERtension, Syncope, Bradycardia, had flulike symptoms and rash with 1st dose, 2nd dose: during 15min observation period, felt weak, tingling all over body and felt weak on her right side and dizziness. lightheadedness, dizziness, and generalized weakness. slow to respond to questions, co Narrative:  Other Relevant History:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Slow response to stimuli, Syncope
Clinical narrative: Dizziness, Headache, Myalgia, HYPERtension, Syncope, Bradycardia, had flulike symptoms and rash with 1st dose, 2nd dose: during 15min observation period, felt weak, tingling all over body and felt weak on her right side and dizziness. lightheadedness, dizziness, and generalized weakness. slow to respond to questions, co Narrative:  Other Relevant History:
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Nausea with vomiting and dizziness; vomiting was constant when it began @ 2100. patient then came to er, received fluids dizziness and nausea decreased in ER
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Patient reports she received 2nd dose Moderna vaccine Lot #013L20A on 1/30/2021. Monday 2/01/21, patient reports she developed a rash states "it's all over my body." Patient reports she left work early at 10 AM that day. Patient reports she has been self managing with Benadryl and hydrocortisone cream. Patient states "it seems a little better today. Feels less itchy." Patient denies to see EHS. Patient has contacted her PCP who suggested patient go to the ED. Patient does not plan to go to the ED at this time. Patient wishes to continue to self manage. Plan is for care management follow up tomorrow 2/5/2021. VAERS.