chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Muscle spasms, Musculoskeletal discomfort, Pain
Clinical narrative: severe chills during night after injection. body aches for 2 days leading to muscle spasms in neck.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Only partial dose administered due to defective syringe.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Muscle rigidity, Saccadic eye movement, Unresponsive to stimuli, Wrist deformity
Clinical narrative: Patient ambulated to the clinic waiting area for observation immediately after vaccine was administered. Upon entering the room patient stated that she felt dizzy, patient was assisted to sit down, she immediately became verbally unresponsive to questions, her left arm and left leg became rigid, dorsiflexion of the left wrist occurred, she exhibited rapid horizontal eye movements bilaterally, approximately 15 seconds later patient was able to respond appropriately to questions and stated her name. Oxygen was placed via nasal cannula at 2Lpm, vital signs were obtained BP 118/75 pulse 79 oxygen saturation 100% on nasal cannula 2Lpm, patient was given orange juice and peanut butter cookies, blood glucose was checked by ancillary staff. patient was seen by the staff doctor and was cleared to leave. Patient's husband arrived and she left the clinic with him. She reported he would be driving her home. Oxygen was removed by the physician and she reported that the patient was stable on room air. Patient reported that she was feeling good. Patient left the clinic ambulatory without assistance with her husband.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash
Clinical narrative: Patient reports rash development ~2 weeks after receiving first dose of Moderna COVID-19 vaccine. patient reports rash began on upper arms/shoulders near injection site and progressed to other areas of body including torso, legs, and arms.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Airway secretion clearance therapy, Dyspnoea, SARS-CoV-2 test positive, Salivary hypersecretion, Unresponsive to stimuli
Clinical narrative: Patient has been under Hospice services for almost a year.  She began to demonstrate a large amount of oral secretions on 1/10/21 at 2130.  She was suctioned and a Rapid COVID-19 test was performed, which was negative.  The COVID-19 Rapid test was repeated on 1/11/21 and was positive.  Oxygen saturation was noted to be 78% on 1/12/21, and oxygen was initiated at 1133 at 3L per nasal cannula.  Oxygen was increased to 4L at 1635 d/t shortness of breath.  On 1/15/21 @ 0645 patient was unresponsive and without vital signs.  Orders were for DNR and CPR was not initiated.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Vital functions abnormal
Clinical narrative: Patient has been under Hospice services for almost a year.  She began to demonstrate a large amount of oral secretions on 1/10/21 at 2130.  She was suctioned and a Rapid COVID-19 test was performed, which was negative.  The COVID-19 Rapid test was repeated on 1/11/21 and was positive.  Oxygen saturation was noted to be 78% on 1/12/21, and oxygen was initiated at 1133 at 3L per nasal cannula.  Oxygen was increased to 4L at 1635 d/t shortness of breath.  On 1/15/21 @ 0645 patient was unresponsive and without vital signs.  Orders were for DNR and CPR was not initiated.
Age: 1.58
Sex: M
Vaccine: DTAP, HEPA, MMRV, PNC13, VARCEL
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: There was no adverse reaction per patient. Was given 2 doses of varicella
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Chills, Fatigue, Hypoaesthesia
Clinical narrative: I received my second covid vaccine on Monday.  For the two days following the vaccine I felt very fatigue with nausea, 1 episode of vomiting, chills, elevated temps,  muscle and joint pain.  I left work early yesterday due to these s/s.  I also had some numbness to my left hand.  I had my vaccine given in my left deltoid.  The numbness in my left hand has resolved today, but now I am having right arm/hand,  heaviness, numbness with limited ROM.  It has progressively worsen throughout the day to the point that my hand is very shaky and I am starting to not have full control.  My handwriting has started to become sloppy and I am having trouble drawing up vaccines.  You can phone follow up, or you can reply via email.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Limb discomfort, Limb immobilisation, Myalgia, Nausea
Clinical narrative: I received my second covid vaccine on Monday.  For the two days following the vaccine I felt very fatigue with nausea, 1 episode of vomiting, chills, elevated temps,  muscle and joint pain.  I left work early yesterday due to these s/s.  I also had some numbness to my left hand.  I had my vaccine given in my left deltoid.  The numbness in my left hand has resolved today, but now I am having right arm/hand,  heaviness, numbness with limited ROM.  It has progressively worsen throughout the day to the point that my hand is very shaky and I am starting to not have full control.  My handwriting has started to become sloppy and I am having trouble drawing up vaccines.  You can phone follow up, or you can reply via email.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vomiting
Clinical narrative: I received my second covid vaccine on Monday.  For the two days following the vaccine I felt very fatigue with nausea, 1 episode of vomiting, chills, elevated temps,  muscle and joint pain.  I left work early yesterday due to these s/s.  I also had some numbness to my left hand.  I had my vaccine given in my left deltoid.  The numbness in my left hand has resolved today, but now I am having right arm/hand,  heaviness, numbness with limited ROM.  It has progressively worsen throughout the day to the point that my hand is very shaky and I am starting to not have full control.  My handwriting has started to become sloppy and I am having trouble drawing up vaccines.  You can phone follow up, or you can reply via email.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Apnoea, Cough, Oxygen saturation decreased, Oxygen therapy, Rales
Clinical narrative: Client tested positive for COVID-19 by rapid test on 1/8/21.  On 1/9/21 at 1405 his oxygen saturation dropped to 86% and oxygen was initiated at 2L per nasal cannula.  A non-productive cough was noted on 1/10/21 and oxygen was increased to 3L.  On 1/12/21 Client became non-responsive with 30 second periods of apnea.  Dexamethasone was initiated on 1/13/21.  Lung sounds were noted with crackles on 1/15/21 at 1158 and at 2120 Client was unresponsive and without vital signs.  Orders were for DNR and CPR was not initiated.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: Client tested positive for COVID-19 by rapid test on 1/8/21.  On 1/9/21 at 1405 his oxygen saturation dropped to 86% and oxygen was initiated at 2L per nasal cannula.  A non-productive cough was noted on 1/10/21 and oxygen was increased to 3L.  On 1/12/21 Client became non-responsive with 30 second periods of apnea.  Dexamethasone was initiated on 1/13/21.  Lung sounds were noted with crackles on 1/15/21 at 1158 and at 2120 Client was unresponsive and without vital signs.  Orders were for DNR and CPR was not initiated.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Axillary pain, Oedema peripheral, Swelling, Tenderness
Clinical narrative: 5 days later of the vaccine on 1/01/2021 on evening I felt like my armpit was ripped raw the next day on 1/2/2021 I had a lump under my left armpit it was very swollen to the point where I couldn't put my hand touching my body then on the next day on my left side on my neck it also got very swollen it went away until 1/6/2021.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Oxygen saturation decreased, SARS-CoV-2 test positive, Unresponsive to stimuli, Vital functions abnormal
Clinical narrative: Patient tested positive for COVID-19 by rapid test on 1/6/21.  She began to demonstrate a dry cough on 1/11/21.  On 1/12/21 at 1723 her oxygen saturation dropped to 79% and oxygen was applied at 4L per nasal cannula.  On 1/19/21 at 2130 Patient was unresponsive and without vital signs.  Orders were for DNR and CPR was not initiated.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Oropharyngeal pain, Pain
Clinical narrative: Severe sore throat.  Still present 7 days after receiving vaccine although less severe. Also headache lasting 4 days, cough ( still present) body aches lasting 4 days and fatigue still present 7 days after receiving vaccine
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Decreased appetite, Dyspnoea, Fluid intake reduced, Hypophagia
Clinical narrative: Patient recevied the COVID-19 vaccine on 1/5/21 by the Vaccine clinic #1. Patient tested positive for COVID-19 by rapid testing on 1/6/21.  She demonstrated poor appetite and fluid/food intake and an IV of Normal Saline was initiated on 1/7/21.  Oxygen saturation was initiated on 1/12/21 at 4L per nasal cannula.  for shortness of breath.  On 1/22/21 at 0310 Patient was unresponsive and without vital signs.  Orders were for DNR and CPR was not initiated.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Unresponsive to stimuli, Vital functions abnormal
Clinical narrative: Patient recevied the COVID-19 vaccine on 1/5/21 by the Vaccine clinic #1. Patient tested positive for COVID-19 by rapid testing on 1/6/21.  She demonstrated poor appetite and fluid/food intake and an IV of Normal Saline was initiated on 1/7/21.  Oxygen saturation was initiated on 1/12/21 at 4L per nasal cannula.  for shortness of breath.  On 1/22/21 at 0310 Patient was unresponsive and without vital signs.  Orders were for DNR and CPR was not initiated.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Dyspnoea exertional, Hypophagia, Lethargy
Clinical narrative: Patient began to demonstrate a cough the evening of 1/5/2021, after receiving the COVID-19 vaccine earlier in the afternoon. A rapid COVID-19 test was performed and was positive. She began to demonstrate shortness of breath with exertion on 1/7/21, and lethargy on 1/12/21. Appetite and oral intake began to decline on 1/12/21, and Oxygen saturation dropped on 1/16/21 to 82%, and oxygen was initiated at 3L per nasal cannula. On 1/19/21 at 0414 patient was unresponsive and without vital signs. Orders were for DNR, and CPR was not initiated.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, SARS-CoV-2 test positive, Unresponsive to stimuli, Vital functions abnormal
Clinical narrative: Patient began to demonstrate a cough the evening of 1/5/2021, after receiving the COVID-19 vaccine earlier in the afternoon. A rapid COVID-19 test was performed and was positive. She began to demonstrate shortness of breath with exertion on 1/7/21, and lethargy on 1/12/21. Appetite and oral intake began to decline on 1/12/21, and Oxygen saturation dropped on 1/16/21 to 82%, and oxygen was initiated at 3L per nasal cannula. On 1/19/21 at 0414 patient was unresponsive and without vital signs. Orders were for DNR, and CPR was not initiated.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Local reaction, Pyrexia
Clinical narrative: INJECTION SITE LOCAL REACTION (REDNESS/HOT TO TOUCH/SWELLING) & LOW-GRADE FEVER THAT RESOLVED A FEW DAYS AFTER INJECTION , BUT THEN RETURNED APPROXIMATELY A WEEK LATER. LOCAL REACTION ALSO RECURRED APPROXIMATELY 4 INCHES FROM ORIGINAL INJECTION SITE.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: 1/20/21 vaccinated; 5 days later nausea, vomiting, slight headache following.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Flushing
Clinical narrative: Chest pain (left side) when breathing, flushing, dizziness, and difficulty breathing. BP within normal limits. Patient stabilized and left for home.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia
Clinical narrative: Upper left are red, swollen, indurated and slightly itchy on day 12 after Moderna vaccine injection.  Some muscle pain in area.  Some generalized muscle aches.  No fever, no vomiting/diarrhea, no other rashes.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: rash on abdomen, torso, back and left arm
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Bilateral Tinnitus
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Deafness, Ear pain, Tinnitus
Clinical narrative: Hearing loss in left ear. Not complete but high pitch sounds. Ear has been ringing since onset. Came on abruptly while sleeping at 5 am. There was pain initially. I am not sure if it is related as this did not occur until 1 week after I had the vaccine. However, I thought it was worth mentioning as the vaccine is so new.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: rash
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pruritus, Rash, Skin warm, Swelling
Clinical narrative: Soreness on injection resolved within 24 hours. Itchiness began approximately 5 days after vaccine. Large swollen warm rash developed on day 7.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Pruritus, Swollen tongue
Clinical narrative: Lip and tongue swelling . Itchy palms of hands . Benedryl and rest .
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Tachycardia
Clinical narrative: Tachycardia and anxiety
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Confusional state, Dizziness, Gait disturbance, Headache
Clinical narrative: Chills,  dizzy, headache, body aches, hurt to move / walk, lethargic, confusion.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Pain
Clinical narrative: Chills,  dizzy, headache, body aches, hurt to move / walk, lethargic, confusion.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Choking sensation, Dizziness, Dysphagia, Feeling abnormal
Clinical narrative: A few hours after the vaccination I started to feel dizzy and my mouth started to feel strange.  It continually got worse and around 5pm I was having a hard time swallowing and it kept getting worse.  I felt like i was choking.  I could breath fine and speak the whole time. Due to the later hour i went to the ER where after examine gave epinefrin.  The Dr examined my throat by eye and x-ray.  He saw no signs of swelling.  He hypothesized this was an anxiety reaction as none of the symptoms indicated allergic reaction
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Fatigue, Injection site pain, Lymph node pain, Neck pain
Clinical narrative: Had normal site pain, fatigue and began running fever of about 100.0 the evening of injection however the fever has continued x7 days, getting as high as 101.9.  I began noticing soreness in the lymph nodes in my neck and underarms on the evening of 1/25 and that lasted until midmorning of 1/27.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Had normal site pain, fatigue and began running fever of about 100.0 the evening of injection however the fever has continued x7 days, getting as high as 101.9.  I began noticing soreness in the lymph nodes in my neck and underarms on the evening of 1/25 and that lasted until midmorning of 1/27.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Feeling hot, Heart rate increased, Throat irritation
Clinical narrative: Patient felt as though she was going to "pass out"  approximately 20 minutes after receiving the vaccine.  Patient felt hot.  Heart rate became elevated and blood pressure became elevated.  Patient also felt as though there was something at the back of her throat.  This was examined by the physician in which he stated the throat was normal without any swelling.  Patient did receive Benadryl 20mg PO.  Patient stated that this feeling felt similar to a reaction in the past when she had a severe reaction to Cipro.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: states had covid vaccine on 12/28, had L arm pain that extended down the arm, also had joints pains, now noticing R thumb pain and swelling;   f/u 1/14/21: My thumb is resolved and it lasted 1.5 days of swelling and redness. Pain now in one specific spot on my deltoid
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Musculoskeletal chest pain, Pain in extremity, Pain in jaw
Clinical narrative: I woke up in the night with severe indigestion, a pain in my left jaw and pain in the back of my ribs near my heart. It?s subsided in about one minute time. This morning I woke up with some right arm pain but it was short-lived too. I have felt fine since...
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Body temperature increased, Chills, Fatigue
Clinical narrative: weakness, chills, severe headache, low grade temp to 100.5, nausea, fatigue, severe joint pain, muscle aches lasting acutely x 48hrs and sub-acutely to present day.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea
Clinical narrative: weakness, chills, severe headache, low grade temp to 100.5, nausea, fatigue, severe joint pain, muscle aches lasting acutely x 48hrs and sub-acutely to present day.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Pain in extremity, Paraesthesia, Screaming
Clinical narrative: When given the first dose I had slight pricking when the needle went in and when they removed the needle. Otherwise no pain.  Later that night my arm started hurting and I felt a sharp pain in my forearm, my fingers felt like millions of needles were picking them in both hands, and I had severe abdominal pain just below the belly button. The abdominal pain was so severe that I was screaming out in pain and my wife had to hold me. I took three ibuprofen, still have the pain, but fell asleep. The abdominal pain went away the next day. The other symptoms took a few days to get rid of.
Age: 74.0
Sex: M
Vaccine: FLU4
Symptoms: Back pain, Computerised tomogram head normal, Facet joint syndrome, Guillain-Barre syndrome, Immunoglobulin therapy
Clinical narrative: Presented to emergency room 12/19/20  with back pain and leg weakness.  He was diagnosed with Guillain Barre Syndrome and hospitalized from 12/19/20 to 1/3/21 and discharged to skilled nursing facility for rehabilitation. per discharge summary" Guillain Barre Syndrome  -Deficits:quadriparesis, legs more affected than arms and LE sensory impairment with resulting functional deficits, sensory deficits, neurogenic bladder, neuropathy  -Pt reports receiving the Flu Vaccine 1 week prior to onset of LE weakness -S/p IVIG x 5 days with improvement"
Age: 74.0
Sex: M
Vaccine: FLU4
Symptoms: Intervertebral disc degeneration, Intervertebral disc space narrowing, Magnetic resonance imaging spinal abnormal, Muscular weakness, Neurogenic bladder
Clinical narrative: Presented to emergency room 12/19/20  with back pain and leg weakness.  He was diagnosed with Guillain Barre Syndrome and hospitalized from 12/19/20 to 1/3/21 and discharged to skilled nursing facility for rehabilitation. per discharge summary" Guillain Barre Syndrome  -Deficits:quadriparesis, legs more affected than arms and LE sensory impairment with resulting functional deficits, sensory deficits, neurogenic bladder, neuropathy  -Pt reports receiving the Flu Vaccine 1 week prior to onset of LE weakness -S/p IVIG x 5 days with improvement"
Age: 74.0
Sex: M
Vaccine: FLU4
Symptoms: Neuropathy peripheral, Quadriparesis, Sensory disturbance, Sensory loss, Spinal osteoarthritis
Clinical narrative: Presented to emergency room 12/19/20  with back pain and leg weakness.  He was diagnosed with Guillain Barre Syndrome and hospitalized from 12/19/20 to 1/3/21 and discharged to skilled nursing facility for rehabilitation. per discharge summary" Guillain Barre Syndrome  -Deficits:quadriparesis, legs more affected than arms and LE sensory impairment with resulting functional deficits, sensory deficits, neurogenic bladder, neuropathy  -Pt reports receiving the Flu Vaccine 1 week prior to onset of LE weakness -S/p IVIG x 5 days with improvement"
Age: 74.0
Sex: M
Vaccine: FLU4
Symptoms: Spinal stenosis
Clinical narrative: Presented to emergency room 12/19/20  with back pain and leg weakness.  He was diagnosed with Guillain Barre Syndrome and hospitalized from 12/19/20 to 1/3/21 and discharged to skilled nursing facility for rehabilitation. per discharge summary" Guillain Barre Syndrome  -Deficits:quadriparesis, legs more affected than arms and LE sensory impairment with resulting functional deficits, sensory deficits, neurogenic bladder, neuropathy  -Pt reports receiving the Flu Vaccine 1 week prior to onset of LE weakness -S/p IVIG x 5 days with improvement"
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Diarrhoea
Clinical narrative: approximately 60 hours after receiving the vaccine, i experienced extreme pain in the lower left of my abdomen.  i was able to manage the pain by exercising my legs over a 2 hour period.  when i felt the need to go to the toilet, a huge amount of watery substance came out.  the water in the toilet was brown.  there were small particles of feces floating in the brown water.  i had to flush twice to get rid of it. over the next 5 or 6 hours, there was less watery substance and somewhat larger pieces of feces.  by 12 hours from the onset of the pain, there were only small stools which were a bit larger as time passed.  i kept myself quiet for the rest of the day and had no more symptoms.    i kept myself hydrated throughout the day.   i ate a banana, later some rice,  later an apple  and later some tea and toast. the next day i was able to eat my normal diet.  stools were solid and small. i feel fine. my doctor insisted that i make this report.  i reported the incident on My Chart.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Injection site swelling
Clinical narrative: left deltoid felt extremely swollen, large and was painful (could not see swelling) but arm felt HUGE Headache
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Periorbital swelling
Clinical narrative: peri-orbital, non-inflamed, swelling left eye region
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient reports redness w/ minor swelling around injection site persisting for 2+ weeks after 1st dose of Moderna vaccine. EE reports has started to improve slightly, but redness still prominent.
Age: 1.33
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash, Rash erythematous
Clinical narrative: 2 days after vaccine started with fevers that lasted for 2-3 days, 2 days after fevers stopped patient developed flat red rash on back and trunk.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Facial pain, Headache, Nausea, Pain
Clinical narrative: Chills,fever,headache, frontal face pain,body aches, nausea, shooting pains in heels of feet,
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Chills,fever,headache, frontal face pain,body aches, nausea, shooting pains in heels of feet,
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia, Pyrexia
Clinical narrative: on 1/25: chills first, fever 100.8 by 10 pm, muscle aches, joint pain, headache overnight.  Fever receeds by 10 am on 1/26.  All others resolved by 6 pm.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Swelling face
Clinical narrative: I had flu-like symptoms after the 2nd dose for 4 days.    I got radiesse filler in my face 1/22/21 and about two days later developed facial swelling out of proportion to expected swelling
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Feeling cold
Clinical narrative: Patient felt cold/weak, but no rash after the vaccine was administered. Brought to lie down in the observation area. Given water and had BP monitored. Stabilized and went home.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Retching, Vomiting
Clinical narrative: Nausea once waking up the day following the vaccine. About 30 minutes after getting up and moving around I was dry heaving and later puke a small amount. Started to feel better in the late afternoon.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site erythema, Injection site swelling
Clinical narrative: initially next day had redness and swelling at site >3 inches around site, still red when speaking today, but dizziness onset 1/28/2021 in the morning. Drinking plenty of fluids
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Oropharyngeal pain, Pharyngeal swelling
Clinical narrative: Patient presented approximately 25 minutes following vaccine with a feeling of swelling in her throat along with throat pain and shortness of breath.  She stated that she has had similar reactions during an asthma attack and also with anxiety.  She was given Benadryl 50 mg by mouth once and observed for 30 minutes.  She was given water to drink and rested comfortably.  Her vitals remained within normal range during the entire event with an oxygen saturation of 99-100%.  She stated that the feeling improved significantly with the Benadryl dose.  No erythema or swelling was observed to lips, tongue, or mouth.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain
Clinical narrative: pt stated when she woke up the day after receiving the vax she had a sharp pain on her right side around rib area.  Pt said the pain has since subsided.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Peripheral swelling, Pruritus
Clinical narrative: Redness of cheeks and nose, achy joints, redness, swelling and itching of bilateral hands. Took 2 hydroxyzine about 6 hours apart. Symptoms  resolved and did not return.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Vomiting
Clinical narrative: Immunizer gave immunization around 10 a.m.  Patient experienced nausea, vomiting, and diarrhea around 11:40 a.m.  No initial effects seen within 15 minute monitoring period of vaccine.  Patient stated they've never tested positive for Covid-19.  Nurse measured vitals.  Pulse 98   Temperature 97.2 F  BP  136/89  Patient needed to leave from work (was on duty).
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Disturbance in attention, Fatigue, Headache
Clinical narrative: Headache (worse than normal, lasting all day so far) Chills Muscle aches Diarrhea  Nauseous (did not throw up - yet) Tired Lack of concentration ability
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea
Clinical narrative: Headache (worse than normal, lasting all day so far) Chills Muscle aches Diarrhea  Nauseous (did not throw up - yet) Tired Lack of concentration ability
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cough, Fatigue, Headache, Impaired work ability
Clinical narrative: Very sore arm x 2-3 days after vaccine, resolved. 4 days after vaccine - cough, horrible headaches, body aches, no energy (fatigue) x 9-10 days. I was unable to work, slept a lot. Took Migraine medications that helped lessen headache pain (Zomig nasal spray, Sumatriptan, Eletriptan) and Acetaminophen and Ibuprofen for body aches.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Pain, Pain in extremity
Clinical narrative: Very sore arm x 2-3 days after vaccine, resolved. 4 days after vaccine - cough, horrible headaches, body aches, no energy (fatigue) x 9-10 days. I was unable to work, slept a lot. Took Migraine medications that helped lessen headache pain (Zomig nasal spray, Sumatriptan, Eletriptan) and Acetaminophen and Ibuprofen for body aches.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Very sore arm x 2-3 days after vaccine, resolved. 4 days after vaccine - cough, horrible headaches, body aches, no energy (fatigue) x 9-10 days. I was unable to work, slept a lot. Took Migraine medications that helped lessen headache pain (Zomig nasal spray, Sumatriptan, Eletriptan) and Acetaminophen and Ibuprofen for body aches.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Pallor, Swelling face
Clinical narrative: 3 days after vaccination experiences SOB, dizziness. Next day, continued to have SOB, dizziness (duration: on and off). Following day developed swelling on face (cheeks and up).  Pale in color, went away later at night (8pm). Relieved using Benadryl 50mg every 4 hours for a total of 3 doses. SOB and dizziness had also resolved. Mentioned to primary care 2 weeks later during a physical exam.   Similar reaction with clindamycin in the past.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Red, hot circular rash on arm of injection site.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Hyperhidrosis, Nausea
Clinical narrative: Fever 101.4, nausea, diaphoresis, body ache to the joints, headache, chills
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever 101.4, nausea, diaphoresis, body ache to the joints, headache, chills
Age: 60.0
Sex: U
Vaccine: COVID19
Symptoms: Paraesthesia, Pharyngeal swelling, Sensory disturbance
Clinical narrative: Patient reported that after she completed her 15 min observation in the clinic she left an around 10 min later she stated that she began to feel her throat swelling and tingling feeling. patient referred to the feeling as if she had gone to the dentist and had lidocaine administered. Patient reported that she didn't have trouble breathing. Her lips didn't feel normal for around 24 hours.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Nausea, Pain
Clinical narrative: temp of 101, body aches, nausea for 48 hours after receiving vaccination
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Malaise, Myalgia, Pyrexia
Clinical narrative: Pain at injection site starting 6 hours after injection Fever, chills, myalgia, malaise starting 18 hours after injection Ibuprofen 400 mg as needed Resolution of symptoms after 48 hours from injection
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Headache, Injection site pain, Injection site rash, Myalgia
Clinical narrative: 1 hour after injection: metallic taste in mouth for 30 minutes 4 hours after injection: soreness at injection site 8 hours after injection: myalgia 24 hours after injection: fever all day, headache all day, myalgia all day 48 hours after injection: 2 inch by 3 inch rash on same arm as injection
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 1 hour after injection: metallic taste in mouth for 30 minutes 4 hours after injection: soreness at injection site 8 hours after injection: myalgia 24 hours after injection: fever all day, headache all day, myalgia all day 48 hours after injection: 2 inch by 3 inch rash on same arm as injection
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Fatigue, Headache, Nausea
Clinical narrative: 1 day after receiving the vaccine the patient reported extreme fatigue, headaches, diffuse body/joint pain, chills, and nausea.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: 1 day after receiving the vaccine the patient reported extreme fatigue, headaches, diffuse body/joint pain, chills, and nausea.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pain, Pain in extremity
Clinical narrative: Sore Arm, chills, full body aches. Brief nausea only lasted maybe 2 hours. Body aches persisted for about 2 days before subsiding. Fatigue on day of onset but improved gradually.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired work ability, Mobility decreased, Nausea, Oropharyngeal pain
Clinical narrative: Body aches, Sore arm can't raise her arm, Could not sleep, nausea, skin is painful, head ache, aching throat. Her work would not allow her to come in.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pain of skin, Sleep disorder
Clinical narrative: Body aches, Sore arm can't raise her arm, Could not sleep, nausea, skin is painful, head ache, aching throat. Her work would not allow her to come in.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Dizziness, Lip swelling, Malaise
Clinical narrative: Burning sensation of lips at 14 min post vaccine folliwed by mildly swollen upper lip. Then started feeling ill and lightheaded so reportedto site nurse/ems. Bp 190/100 which I have never experienced before.  Bp on diovan 80 mg typically 110/60; without diovan is 140/80 -90.  Given 2 benadryl and monitored and given 2 more.  About 60-90 min bp 155/90 and I went home. Took more benadryl and bp 134/80 this morning and have not taken ot for 10 hrs but feel ok. No local rx.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Paraesthesia oral, Pharyngeal paraesthesia, Pyrexia
Clinical narrative: Patient called to report starting yesterday she has had a fever 101.0, she admitted she took Tylenol this morning  and she took her temperature as we were talking on the phone she stated it was 97.5.  She also said she has been having chills and she is short of breath "after walking across the room".  I didn't notice any SOB while speaking on the phone.  We talked quite a bit and I kept asking her what else her symptoms she was having and she didn't have anything additional to say.  But when I asked if her throat and lips was tingling she stated yes it feels like her throat is closing.  The things I specifically asked about she stated "yes" that was happening to her.  She denied having any Benadryl at home.  I told her to go to urgent care immediately and to call me back once she is seen,
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Patient called to report starting yesterday she has had a fever 101.0, she admitted she took Tylenol this morning  and she took her temperature as we were talking on the phone she stated it was 97.5.  She also said she has been having chills and she is short of breath "after walking across the room".  I didn't notice any SOB while speaking on the phone.  We talked quite a bit and I kept asking her what else her symptoms she was having and she didn't have anything additional to say.  But when I asked if her throat and lips was tingling she stated yes it feels like her throat is closing.  The things I specifically asked about she stated "yes" that was happening to her.  She denied having any Benadryl at home.  I told her to go to urgent care immediately and to call me back once she is seen,
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dehydration, Headache, Pain
Clinical narrative: I had headaches, chills, body aches, and dehydration symptoms starting at 3:00 am.  I took Tylenol 1000 mg and pedialyte on the first day. The second day my symptoms were minor headaches. I took Tylenol 1000 mg.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site irritation, Injection site swelling, Injection site warmth
Clinical narrative: Red , hard, hot bump in arm (in  shot site) Irritation at time of shot had disappeared and after a week, showed symptoms again.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Chills, Fever
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Palpitations
Clinical narrative: Blood Pressure was very high the next day when I took it. My heartbeat was racing like crazy also.  First time I took my BP it was 161/100 that was around 8 pm. The second time I took it it was 156/106 and that was around 1130 pm. The next day when I woke up and took my BP again it was back to my normal BP 126/78. I have never had that high of a BP before even when I was pregnant with my 3 kids.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Moderna COVID-19 Vaccine EUA  Allergic reaction got hot and really red and red dotes on my chest and itchy  Benadry , Famotidine ,methyIPEDBISOLONE
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Increasing swelling, pain and redness at injection site. Currently the size of an egg. Began a few hours after injection and has become more widespread and swollen each day since.  Uncertain if cellulitis, but treating as such.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site indentation, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Redness began around injection site on morning of 1/26/21 with knot below skin. Sitewas warm to touch and very sore. This has continued and then itching to site began this morning upon awakening at 5am. Throughout day the redness at site is now growing larger andhas spread fewinches below site and itching worse.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain, Vomiting
Clinical narrative: Body aches, shivering, nausea and vomiting
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor, Unresponsive to stimuli
Clinical narrative: Client became unresponsive for about 15 seconds after sitting in the observation area. He was pale and diaphoretic but came to almost immediately and was AO x4. BP was 128/74. Client reported having a history of "passing out" with needles prior but it had been years since that had happened. He was observed until 4:14pm and EMT observer on site took a final BP: 120/84 and walked him to his car. He had a steady gait walking to the car and ate a muffin before driving away.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Emotional distress, Flushing, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Patient began feeling like tongue was numb after approximately 12 minutes. She was taken to the emergency room immediately and felt short of breath, flushed, numbness in limbs, and felt like throat and tongue were numb.  Appeared in distress and began on 4 L of oxygen per nasal cannula (SPO2 remained at 100%).  Epinephrine 0.3 mg was given IM at 1501, Benadryl 50 mg was given IM at 1502 and Alprazolam 0.5 mg PO at 1520.  Patient's BP was 152/91 at 1501 but decreased back down to 133/63 at 1508.  Heart rate remained in the 80's and respiratory rate decreased from 24 at 1501 to 20 at 1521
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal hypoaesthesia
Clinical narrative: Patient began feeling like tongue was numb after approximately 12 minutes. She was taken to the emergency room immediately and felt short of breath, flushed, numbness in limbs, and felt like throat and tongue were numb.  Appeared in distress and began on 4 L of oxygen per nasal cannula (SPO2 remained at 100%).  Epinephrine 0.3 mg was given IM at 1501, Benadryl 50 mg was given IM at 1502 and Alprazolam 0.5 mg PO at 1520.  Patient's BP was 152/91 at 1501 but decreased back down to 133/63 at 1508.  Heart rate remained in the 80's and respiratory rate decreased from 24 at 1501 to 20 at 1521
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bells Palsy one day following 2nd COVID vaccine dose from Moderna
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis
Clinical narrative: Patient developed cellulitis in the left arm after receiving the vaccine and was prescribed Antibiotics..
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: At about 2am l woke up with a lot of Muscle pain all over the body, chills and low fever (101.3 F) After l called my insurance nurse over the phone she prescribed ibuprofen, which helped to ease pain and lower the fever
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: On second dose of vaccine given on 01/27/2021 at approximately 12:30pm during working hours. I began to feel chills throughout my body at approximately 3:30pm in the afternoon. It continued to intensify throughout the evening with chills and body aches.  Then I had taken my temperature at 11:30pm and my temp was 102.7*. I then took a Naproxen 500mg for the body aches and my fever broke about 2 hour later. On 01/28/2021 the fever returned again with chills and body ache. My temperature was 101.0* at 11:30am, at which time I took another Naproxen 500mg, for the body aches. Fever and chills are gone at this time, but now I have headaches. This is at 3:39pm on 1/28/2021.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pain in extremity
Clinical narrative: 02:00 Fever, chills, body aches and sore arm 10:00 woke up with fever, body aches and sore arm and also headache and nausea  10:30 took Tylenol and fell asleep 13:00 checked temp and was afebrile, still had nausea and body aches and sore arm 16:30 body aches, headache, nausea and sore arm
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 02:00 Fever, chills, body aches and sore arm 10:00 woke up with fever, body aches and sore arm and also headache and nausea  10:30 took Tylenol and fell asleep 13:00 checked temp and was afebrile, still had nausea and body aches and sore arm 16:30 body aches, headache, nausea and sore arm
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Peripheral swelling
Clinical narrative: Patient waited normal 15 minutes seated in area for monitoring after injection.  Patient stated she experienced numbness/tingling in left leg and swelling.  Stated no pain or heat from area, just similar to leg falling asleep.  Nurse measured vitals.  Pulse 72, blood pressure 157/82.  Patient did not want any Benadryl (just in case).  No issues breathing, only leg issue.  Patient was on her work shift.  Tried walking around to see if it eased.  Left facility later (unknown if symptoms improved).
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Mobility decreased, Pain in extremity, Sleep disorder
Clinical narrative: had 1/8/21 had Moderna vaccine was fine after the vaccine except arm was a little sore, increased 1/9/21, woke from sleep that night, didn't respond to Ibuprofen, couldn't use L arm-had to use R arm to move L arm, has improved much better on 1/12/21, then did yoga work out  -1/14/21 had inc pain again and wasn't sleeping well,  worsened 1/15/21, using ice and Motrin and now getting better again 1/19/21 no other sx, can't move actively above shoulder without discomfort, is sleeping better; didn't use meds this am has reached out to PCP and waiting for call back
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Red, warm rash extending from injection site down to elbow lasting 48 hours
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site swelling, Lymph node pain, Pruritus, Urticaria
Clinical narrative: On January 26, I noted generalized swelling at injection site (left arm).  On the evening of January 27th I developed hives and itchiness. As of January 28th, redness remains, and lymph nodes under left armpit are a little tender.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Pyrexia, Scab, Swelling face
Clinical narrative: Fever of 102 followed by facial swelling that looked like she'd been in a fight almost it was so swollen her eyes could barely open. Then her face looked like it was covered in burns and started to scab over. We photographed her over the next 3-days and the burn like marks on her face started to scab over and swelling went down. The doctor believed from looking at the photos that it may have been shingles. Also had major fatigue.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Itching/redness at injection site.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Inflammation, Injection site erythema, Pain, Pain in extremity
Clinical narrative: Right arm erythema and pain with onset 7 days after the injection. Erythema spreading from injection site about 4 inches distal. Treating with ibuprofen and Tylenol for pain and inflammation and keflex for possible cellulitis.   I did have initial right arm tenderness for first day after injection but it resolved by the next day. Returned with erythema (redness, swelling and warmth) one week after injection
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Swelling, Tenderness
Clinical narrative: Right arm erythema and pain with onset 7 days after the injection. Erythema spreading from injection site about 4 inches distal. Treating with ibuprofen and Tylenol for pain and inflammation and keflex for possible cellulitis.   I did have initial right arm tenderness for first day after injection but it resolved by the next day. Returned with erythema (redness, swelling and warmth) one week after injection
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperventilation, Nervousness
Clinical narrative: Patient got dizzy and hyperventilated (nervous, as friend experienced adverse reaction). Gave water and resolved.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: INJECTION SITE SWOLLEN, RED, ITCHY; SWELLING PERSISTED AS OF 1/25/21
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Seizure
Clinical narrative: At checkout post observation period, recipient fell to floor from standing position, seizure observed, series of seizures observed, occurring every 1-3 min, 15-20 second duration, with increasing intensity.  BP 144/80 P 87  R 20.   O2 Via NC at 6 liters initiated. EMS arrived 1:07 pm.  EMS left to transfer to hospital at 1:14 pm. Recipient responding appropriately to commands before and after each seizure. Reported by caregiver that recipient has history of recurrent seizures.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Eye disorder, Hypoaesthesia, Muscle twitching, Pain in extremity, Paraesthesia
Clinical narrative: 1) facial numbness/tingling on L side that occurred about 1 hour after injection and lasted less than 15 minutes. resolved spontaneously. 2) L arm pain started several hours after vaccine and lasted 4-8 hours. resolved spontaneously 3) unsure if related to vaccine, but R eye twitching  began 1-2 days after vaccination until present, although less frequently. initially was several times per day day x several days. now occurs few times per week and is less intense.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram normal, Sinus tachycardia
Clinical narrative: developed intermittent sinus tachycardia associated with dizziness starting about 24 hours after the vaccine. no prior hx tachycardia. sought eval at urgent care 3 days later, EKG sinus tach 160BPM. also had normal EKG NSR. FU with PCP the following week - still having intermittent episodes. labs normal. pt referred to cardiology to see if further testing indicated. trial of alprazolam for possible panic attack prescribed.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Computerised tomogram, Dyspnoea, Electrocardiogram, Feeling abnormal
Clinical narrative: Reports within 10 minutes of receiving the vaccination felt lymph nodes throbbing under left arm . The pain traveled to the left elbow to the left wrist.. The next day 10:30 am, felt tachycardia, c/o blurred vision with a bad headache. Waited a bit for son to finish his activity and drove self to the Fire Station. HR was 258/minute can't remember diastolic BP but systolic BP 145. Received 2-doses of Adenosine on the way to the hospital. HR down to 145/minute in ER. Received Toradol for headache which was unrelieved. Received EKG, blood work, CT lungs. Resting HR on discharge in the 120's. 1/24/2021 Continued to feel poor with back pain making it difficult to breathe, body aches, headache and pain at the injection site. Was able to return to work on 1/26/2021