chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Needle became detached from syringe during injection. Participant stated she she felt some vaccine leak down her arm, and a couple of drops of vaccine were visible on the table. Participant was worried that she did not receive full dose. Participant was informed that the amount she received was more than plenty to elicit the appropriate immune response, and that protocol was to not administer additional vaccine in this instance. Participant stated understanding, although still uneasy. Participant information was collected for VAERS report.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Not adverse event but reportable event.  Patient has received both COVID-19 vaccinations due in series and is more than 2 weeks out from vaccination and developed COVID-19, patient tested positive for COVID-19  3/10/2021 form for breakthrough case sent to Epidemiology   Dose 1: 12/19/2020 Pfizer EK5730 in left deltoid Dose 2: 1/8/2021 Pfizer EL3246 in left deltoid Tested positive for COVID-19 3/10/2021
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Pharyngeal paraesthesia
Clinical narrative: Patient experienced cramping immediately after administration and then "tingly throat" approximately 10 minutes after administration. I administered 50 mg diphenhydramine and continued to observe patient. Patient reported that tingling had stopped and she was feeling better prior to departure from observation area at 7:49 am. Counseled patient on potential for allergic reaction days to weeks after administration.
Age: 38.0
Sex: M
Vaccine: UNK
Symptoms: Chills, Injection site rash, Loss of consciousness, Pyrexia, Tremor
Clinical narrative: passed out. Shaking like he has Parkinson's disease, fever, chills, throwing up. Rash on arm it was injected.
Age: 38.0
Sex: M
Vaccine: UNK
Symptoms: Vomiting
Clinical narrative: passed out. Shaking like he has Parkinson's disease, fever, chills, throwing up. Rash on arm it was injected.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Moderna COVID-19 Vaccine EUA 7 days after the shot: itching, swelling, redness at the injection site. The pharmacist at the vaccine provider recommended using an anti-histamine and ice, which lessened the reaction.  There is still redness at 12 days after the injection.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Neurological symptom, Speech disorder
Clinical narrative: STROKE SYMPTOMS, DIFFICULTY AMBULATING, IMPAIRED SPEECH
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy
Clinical narrative: No adverse. Affect  19 weeks pregnant
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokinesia, Magnetic resonance imaging
Clinical narrative: patient called in and spoke with writer.  She reports that the evening of her second dose she could not pick her left arm up over her head.  Unable to bear weight or grip.  States that she attempted to contact her PCP and  MD on 3/5/21.  She received a call back on Monday 3/8/21 and was sent in for an MRI of Lt Arm.  Per patient, her PCP followed up with her about MRI results stating she could go for a walk -in appointment at the Clinic. Patient states she has not gone to the clinic as of yet and has not followed up with PCP at this time but plans to do so.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Diarrhea
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: First trimester pregnancy, Pyrexia, Vaginal haemorrhage
Clinical narrative: Fever and spotting (very early in pregnancy. About 4 weeks) spotting happened with fever. No damage to the pregnancy know so far. Spotting stopped
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hunger
Clinical narrative: Feeling hunger after getting the injection.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Gait inability, Injection site pain, Myalgia, Peripheral swelling
Clinical narrative: Severe muscle/joint pain/swelling in the middle of my left foot. Unable to walk in the morning. Slowly relieved over the next 36 hours.   Soreness at injection site. Relieved within 24 hrs of injection.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pain, Stomatitis
Clinical narrative: 3/10/2021 at approximately 7 p.m. I noticed my gums, roof of mouth and inside bottom lip hurting when I was eating.  I discovered I had approximately 10 sores, similar feeling to a small blister or canker sore.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling, redness tenderness and itching at injection site
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Red, firm splotch the size of a golf ball on my left arm at the injection site. Extremely itchy. This began the day after my vaccine (March 4) and disappeared by March 7. It returned again today (March 11)
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pain
Clinical narrative: Around 7pm I started with chills, body aches, diarrhea, nauseas, I was throwing up & headaches. I took extra strength Tylenol & the symptoms lasted for a little under 24 hrs.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Around 7pm I started with chills, body aches, diarrhea, nauseas, I was throwing up & headaches. I took extra strength Tylenol & the symptoms lasted for a little under 24 hrs.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: patient received vaccine on 3/1 on 3/8 the injection site became very swollen and hot to the touch and patient reported itching and pain. the area remained swollen when she reported on 3/10. when i checked in with her on 3/11 she said the swelling had gone down but it was still itchy.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Malaise, Nausea, Syncope
Clinical narrative: Approximately 3 to 4 minutes after receiving vaccine, patient stated she was not feeling good and patient turned red and fainted.  She was sitting in chair so mom stood behind her with an ice pack behind neck and holding patient head while dad stood in front of patient.  Her body became limp and mom was shaking her body on right side in attempt to wake patient up.  Her eyes opened but was still unresponsive and she was breathing heavily for 30-40 seconds.  After placing  patient on floor and elevating her legs, patient stated she felt better but still fills nauseated.  Paramedics were called.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Approximately 3 to 4 minutes after receiving vaccine, patient stated she was not feeling good and patient turned red and fainted.  She was sitting in chair so mom stood behind her with an ice pack behind neck and holding patient head while dad stood in front of patient.  Her body became limp and mom was shaking her body on right side in attempt to wake patient up.  Her eyes opened but was still unresponsive and she was breathing heavily for 30-40 seconds.  After placing  patient on floor and elevating her legs, patient stated she felt better but still fills nauseated.  Paramedics were called.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Autoinflammatory disease, Condition aggravated, Rheumatoid arthritis
Clinical narrative: Caused a flare of my rhuematoid arthritis/inflammatory disease. Flare lasted approximately 5 weeks.  Treatment has included 400mg Celebrex and topical anti-inflammatory NSAID.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Sudden death
Clinical narrative: Sudden death. Alone at home, found on floor 4 hours after last phone contact
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, Computerised tomogram abdomen, Laboratory test, Nausea
Clinical narrative: Back pain (mid-back, above belt line to right of spine) Stomach pain (mid-stomach, above belt line, below right rib cage) Nausea Treatment:  motrin, tylenol, heat and cold packs Symptoms began 02/27/21 and continue unchanged (12 days)
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Fatigue, Muscle spasms, Pain
Clinical narrative: Noticed small, scattered bruises inside left thigh; they went away with time.  After second vaccine 3/1 I began to have leg cramps at night, after 1 week still tired and sore.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Hypophagia
Clinical narrative: 42 yo male without h/o reaction to prior vaccinations or medical problems here for first covid vaccination. approx 9 min after vaccination with dizziness but no headache, no syncope np altered mental status no shortness of breath no wheezing no palpitation no chest pain no stridor no dysphonia no globus no rash no flushing no hives no angioedema. sx resolved with hydration. pt admitted to poor intake and anxiety.. pt  discharged home alert and oriented.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Cold sweat, Fatigue, Feeling hot, Headache
Clinical narrative: Body aches, hot and cold sweats, pounding headache, fatigue and upset stomach. Symptoms started 6 hours after receiving the shot and last for a total of 24 hours. After 24 hours only symptoms included sore right arm where shot was administered.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Body aches, hot and cold sweats, pounding headache, fatigue and upset stomach. Symptoms started 6 hours after receiving the shot and last for a total of 24 hours. After 24 hours only symptoms included sore right arm where shot was administered.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever (101) for about 2 days, chills for about 2 days, Extreme headache for 3 days then moderate headache for 2-3 more days, extreme vertigo for 4 days, nausea and vomiting for about 2 days then nausea for 3-4 more days,  body aches for 3 days,  extreme tiredness for about 5 days.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo, Vomiting
Clinical narrative: Fever (101) for about 2 days, chills for about 2 days, Extreme headache for 3 days then moderate headache for 2-3 more days, extreme vertigo for 4 days, nausea and vomiting for about 2 days then nausea for 3-4 more days,  body aches for 3 days,  extreme tiredness for about 5 days.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pruritus
Clinical narrative: 8 days after vaccination (this evening),  my arm is itchy at the site of the injection.  An area about 4 inches in diameter is bumpy.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: The vial was not diluted and 0.3ml im injected to pt. Pt had no adverse symptoms.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Developed a small rash on the lower part of my left and right arm.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Extreme shortness of breath for 30 minutes
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Student received vaccine at appox 4p. At approx 410pm she c/o light headedness. Placed in wheel chair, brought over to cot, drank 2 juice boxes and felt better. No loss of consciousness. Neuro intact, no seizure activity. Denied pain. No facial swelling, rash, difficulty breathing. All extremities with normal movement. Vitals:  4:12 -  BP: 103/58, HR 44 (she is a cross country runner), spo2: 99%. Blood glucose: 97  mg/dl. Felt completely back to normal ~425p.  Cleared by myself and EMS to go home.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pharyngeal swelling, Skin warm, Swelling, Swelling face
Clinical narrative: Pt called about 1.5 hours after receiving the vaccine stating she felt her throat was swelling and she had swelling in her jaw and neck, and they were warm and numb.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Seizure like phenomena, Unresponsive to stimuli
Clinical narrative: Patient fell backwards out of chair 3min after administration (later noted was lightheaded right before collapse). Unresponsive, seizure-like behavior initially. EMS administered epinephrine 0.3mg autoinjector into left thigh. By 3:15pm (5min after collapse, 8min after vaccine administration), patient was responsive. Patient eating snack bar by 3:34pm. Patient notes he has exhibited this behavior before with other vaccines and worksite wellness blood draws. Clinic nurse noted patient did not collapse until watching neighbor coworker receive vaccine. Co-workers noted this is a behavior they have witnessed him exhibiting before. Patient called and requested boost dose scheduling the following week; recommended he receive it in a healthcare setting and coordinated local hospital distribution for an appointment.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Diarrhoea, Fatigue, Influenza like illness
Clinical narrative: About 1 hour after the injection I began to feel like I was getting the flu.  I was freezing, but no spike in temperature.  Immediately,  diarrhea started.  Diarrhea did not subside until Thursday mid-morning when the last bowel movement was soft, but not diarrhea.  I was very tired and had zero energy.   I had no appetite.  All symptoms subsided by mid-afternoon  Thursday.  I contacted my daughter who is an NP,  Level 1 Trauma and she said to continue to hydrate and complete this form ASAP.  It is currently Thursday evening and all symptoms are gone.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Vaccine accidentally given to patient at 87 days after patient had received passive monoclonal antibody therapy instead of after 90 days, after misreading the answer section on prep-mod. Patient appeared to have no adverse reaction. Patient was monitored for 15+ minutes by multiple nurses. Patient is under care at a skilled nursing facility and received ongoing monitoring from the staff there, but no changes were noted in the course of observation or reported by staff after this writer's monitoring period had ended, and required no further treatment related to receiving the vaccine. Alerted staff to the error, and staff stated that they had been told by another vaccinating service that they wouldn't vaccinate this patient and several others who had had the passive monoclonal antibody therapy too recently. This information wasn't shared with this vaccination service that this was the reason, and registered several patients for vaccination who were not yet outside of the 90 day window. Provided education to staff regarding this, and vaccinators refused other individuals who were registered.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia oral
Clinical narrative: My upper lip is swollen and tingles. It?s the inside of lip
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Speech sound disorder
Clinical narrative: Pt got shot at 12:37 pm and asked to wait 15 mins Around 12:42pm he went to bathroom  and came back at 12:53pm, sat in waiting chair and begin to lose consciousness. Pharmacy tech associate noticed he was slumping over, breathing and making loud growling /  humming sound. Pharmacist came over , shake him for responsiveness. Management called Emergency responders. His eyes open and closed a bit. After one minute he came to.  We called code white, management, EMT and fire rescue came and took over. Escorted to hospital after that.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Tremor
Clinical narrative: Having uncontrolled shaking and spasms of the legs
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure fluctuation, Flushing, Hypoaesthesia, Rash macular
Clinical narrative: Numbness in face and hands; flush; blood pressure fluctuating; blotches on neck, arms,hands
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain
Clinical narrative: Started with extreme chills in the evening  and progressed to chills with tiredness and overall aching body lasting about 36 hours from onset.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Discomfort, Dizziness, Feeling abnormal, Heart rate decreased
Clinical narrative: Shortly after shot (5-10 minutes after) heart rate dropped from average 70-80 BPM down to low 60?s.  Felt strange/panicky. Heart rate then spiked to 116. Heart felt fast/uncomfortable for a few minutes. Felt a bit dizzy/unsteady. I was in wk 17 of my first pregnancy at this time.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Pregnancy
Clinical narrative: Shortly after shot (5-10 minutes after) heart rate dropped from average 70-80 BPM down to low 60?s.  Felt strange/panicky. Heart rate then spiked to 116. Heart felt fast/uncomfortable for a few minutes. Felt a bit dizzy/unsteady. I was in wk 17 of my first pregnancy at this time.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Dyspnoea, Hyperhidrosis, Muscular weakness
Clinical narrative: I woke up with heavy fever symptoms, sweating, chills, weakness in legs. The unexpected event included elevated resting pulse of 120, O2 level of 92 and a heavy pounding in my chest. I could feel my pulse throughout my extremities, and was short of breath.  Symptoms subsided about an hour later. The next day I experienced anticipated fever symptoms and slept all day.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I woke up with heavy fever symptoms, sweating, chills, weakness in legs. The unexpected event included elevated resting pulse of 120, O2 level of 92 and a heavy pounding in my chest. I could feel my pulse throughout my extremities, and was short of breath.  Symptoms subsided about an hour later. The next day I experienced anticipated fever symptoms and slept all day.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Dizziness, Headache
Clinical narrative: Dry cough , headaches, light headedness, loss of appetite,
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain
Clinical narrative: 5 days after the shot, the lymph nodes located under the arm pit on the same side of the shot were very sore, even to the touch. The pain was low to moderate and lasted for 2-3 days before going away.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Flushing
Clinical narrative: pt waiting 15min no problem then return to pharmacy 30 minutes later with facial flushing no other symptoms ask pt to wait longer (gave ice pack) took blood pressure which was elevated and bout 45-1 hr later stilled had flushing and arm seemed bit redder gave 10ml benadryl 12.5/5ml and recheck blood pressure which was still elevated. around 5:45 pm pt said she felt fine and decided to go home. to her to keep eye on symptom and follow with er if got worse.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Rhinorrhoea, Thrombosis
Clinical narrative: I experienced a runny nose with mucus, blood running from nose with blood clots four to five times a day from March 8th 2021 up to March 10th  2021. It is unknown rather I have blood clots within my body.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site erythema, Injection site pain, Pain in extremity
Clinical narrative: Janssen COVID-19 Vaccine EUA  Less than 24 hrs: Arm pain, fever, chills, fatigue  48hrs: arm pain, red circle and spot around injection sight  72 hours: continuous arm pain at injection sight and red rash on left arm down to left breast.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Janssen COVID-19 Vaccine EUA  Less than 24 hrs: Arm pain, fever, chills, fatigue  48hrs: arm pain, red circle and spot around injection sight  72 hours: continuous arm pain at injection sight and red rash on left arm down to left breast.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Eye pain, Headache, Injection site pain, Nausea
Clinical narrative: Mild Redness and pain in both eyes started afternoon of Monday, 08mar2021. Stye  on left upper eyelid developed Tuesday 09mar2021  and one in right lower eyelid  on Wednesday 10mar2021. Began treating with Alcon pataday eye drops in both eyes twice a day starting on Tuesday. Left eye has improved but still has mild redness/pain. Moderate right eye redness and pain continues. If no improvement by 12mar2021 will seek medical advice. Moderate Headache and mild nausea off and on since Monday 08mar2001. Extra strength Tylenol 1000mg 2-3 times a day beginning 07mar2021 for arm pain and ongoing for headache. Nausea resolved 09mar2021. Moderate Pain in injection site right arm radiating to neck and scapulae night of injection?treated with 2 extra strength Tylenol and improved next 2 days. Resolved by Wednesday 10mar2021.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular hyperaemia, Pain in extremity
Clinical narrative: Mild Redness and pain in both eyes started afternoon of Monday, 08mar2021. Stye  on left upper eyelid developed Tuesday 09mar2021  and one in right lower eyelid  on Wednesday 10mar2021. Began treating with Alcon pataday eye drops in both eyes twice a day starting on Tuesday. Left eye has improved but still has mild redness/pain. Moderate right eye redness and pain continues. If no improvement by 12mar2021 will seek medical advice. Moderate Headache and mild nausea off and on since Monday 08mar2001. Extra strength Tylenol 1000mg 2-3 times a day beginning 07mar2021 for arm pain and ongoing for headache. Nausea resolved 09mar2021. Moderate Pain in injection site right arm radiating to neck and scapulae night of injection?treated with 2 extra strength Tylenol and improved next 2 days. Resolved by Wednesday 10mar2021.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Red circle, a little larger than a quarter at the injection site.  Hard to the touch, compared to surrounding tissue. Itchy.  No treatment.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: rash diffuse, itching
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient is a 49 y.o. female who received the Pfizer-BioNtech Covid-19 Vaccine, mRNA, BNT162b2 (PF) 30 mcg/0.3 mL IM Susp, Lot EN6208 on 3/11/2021. The patient experienced the following reaction(s) during the immediate of observation: 4:48pm Patient c/o dizziness during observation period. Patient states she is a prediabetic and hasn't eaten since noon. Gatorade given to patient. Patient walked to treatment area. Patient was treated/managed as follows:    4:52pm VS: BP 130/86, HR 90, RR 18, O2 sat 97% on room air. Patient reports feeling better. 5:02pm VS BP 140/80, HR 87, RR 18, O2 sat 98% on room air. Patient states reports symptoms improving. 5:08pm Patient escorted to car by nurse. Patient given educational material regarding vaccine and advised to continue to self-monitor per the CDC guidance.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Skin tightness
Clinical narrative: pt was feeling tightness in neck and face around eyes about 5 minutes or so after vaccination.   She used an epipen and the symptoms improved. ems was called, fire fighters evaluated her upon arrival and then ems arrived and also evaluated her.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: Bruising throughout the arm of injection. The bruising did not appear for almost a week after the vaccinations
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular, Skin warm, Swelling
Clinical narrative: Moderna COVID-19 Vaccine EUA                              On 03/11/21 I discovered red splotches with swelling underneath, warm to the touch.  They do not hurt or itch, so could have been there longer (just happened to see them this morning).  They are below, and slightly forward of the injection site.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: On 03/10/2021 Pt presented to clinic for follow up of recent hospitalization.  During visit Provider noted a rash above his left eye.  Pt reports that he noticed it a "few" hours after his 2nd Covid-19 vaccine, which was given on 03/08/2021.  Pt describes it as "achy".   Pt denies pruritus.  No adverse reaction reported on 1st vaccine done on 01/25/2021. Rash not present anywhere besides above left eye.  No evidence or report of systemic symptoms. Provider dx as shingles.  Pt prescribed valACYclovir 1g 1 tab q 8 hours x 7 days.  Pt referred to ophthalmologist as precaution.  Pt was not seen until today, no report yet.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Rash, Skin warm, Vaccine positive rechallenge
Clinical narrative: At 1615 Patient reported symptoms after coivd19 vaccine Pfizer 2nd dose. With left arm rash, warm to touch and numbness. Same symptoms were reported by patient after receiving the first dose coivd19 vaccine Pfizer.  Adverse reactions were reported to  Dr. and RN. for further medical intervention  As per Dr. orders,  Benadryl 25 mg IM.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Tremor
Clinical narrative: Patient received the 1st dose of the Pfizer vaccine on Feb. 17, 2021.  On or about Feb. 22 or Feb. 23, 2021, she began to notice trembling in her jaw.  She told me (her mom) about the trembling on Feb. 25.  She had just increased her dosage of Venlaxafine on Feb. 21, 2021, so we actually thought that the jaw tremor was due to that.  As a result, at the direction of her psychiatrist, we began to taper off the Venlaxafine beginning on March 1.  Over time, the jaw tremor was less noticeable.  However, on March 10, 2021, patient received the 2nd does of the Pfizer vaccine.  The next day, March 11, 2021, the jaw tremor was worse than ever.  I can see the tremor - basically, her lower (?) jaw trembles and you can see the trembling in her mouth and chin.  It does not cause pain, and she does not have any other symptoms (no chills, fever, body aches, rashes, difficult breathing, etc.).  We talked to her pediatrician and to her psychiatrist.  Neither one could say what is causing the tremor; perhaps it is the COVID vaccine; perhaps it is the Venlaxafine (she's not all the way off of it yet); perhaps something else.  However, given the timing of the tremor, and given that the strength of the tremor seemed to get better but then got worse again the day after the 2nd COVID vaccine shot, I wanted to report it.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia, Vomiting
Clinical narrative: Horrible fever, shot 1 up to 103,shot 2 102, headache,uncontrollable vomiting,
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Vomiting began at 10am, continued all day. No food was consumed, and small sips of water not tolerated until 7:00pm
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test, Chest X-ray, Dyspnoea, Feeling cold
Clinical narrative: Suddenly went into afib, shortness of breath, throat was tight for a short time, body felt cold inside, shaking inside
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness, Throat tightness
Clinical narrative: Suddenly went into afib, shortness of breath, throat was tight for a short time, body felt cold inside, shaking inside
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Influenza like illness
Clinical narrative: Night of shot chills, headache, sore throat 3 days after shot and ongoing: sore throat, chills, headache, body aches, fatigue, diarrhea, nasal congestion. Feels like the flu.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pain
Clinical narrative: Night of shot chills, headache, sore throat 3 days after shot and ongoing: sore throat, chills, headache, body aches, fatigue, diarrhea, nasal congestion. Feels like the flu.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush
Clinical narrative: Gave patient first dose of moderna vaccine. 14 minutes after injection, patient claimed hot flash like reactions on back of neck and down arms. Gave patient a cool compress. Patient kept saying it went away and then would return. Checked blood pressure at 3 15 min intervals with values of 187/101, 192/95, 189/96. Urged patient she needed to seek medical attention. Daughter came and picked up patient with intent of taking her to ER.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: patient was dizziness shortly after receiving shot
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Pain, SARS-CoV-2 test negative
Clinical narrative: After 8 days still have body ache and chills, weak and persistent dry cough
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Diarrhoea, Fatigue, Headache
Clinical narrative: On March 8, 2021 I started running a mild fever, chills, headache, nausea, diarrhea, severe body aches, stuffy nose, sore throat and extreme fatigue. I took a home COVID test on March 10, 2021 based on my symptoms and the results from the online questionnaire. I am currently awaiting those results as of March 11, 2021. My fever has been gone for 24 hours now, body aches are minimal and I?m just a little fatigued at this point with a minor cough. I had to cancel my appointment for my second dose that was scheduled for Tuesday March 9, 2021. I have not left my home in weeks except for an eye exam on Saturday March 6, 2021 where I could have been exposed to something, even though it was not crowded and all CDC guidelines were being strictly followed.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nausea, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: On March 8, 2021 I started running a mild fever, chills, headache, nausea, diarrhea, severe body aches, stuffy nose, sore throat and extreme fatigue. I took a home COVID test on March 10, 2021 based on my symptoms and the results from the online questionnaire. I am currently awaiting those results as of March 11, 2021. My fever has been gone for 24 hours now, body aches are minimal and I?m just a little fatigued at this point with a minor cough. I had to cancel my appointment for my second dose that was scheduled for Tuesday March 9, 2021. I have not left my home in weeks except for an eye exam on Saturday March 6, 2021 where I could have been exposed to something, even though it was not crowded and all CDC guidelines were being strictly followed.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: On March 8, 2021 I started running a mild fever, chills, headache, nausea, diarrhea, severe body aches, stuffy nose, sore throat and extreme fatigue. I took a home COVID test on March 10, 2021 based on my symptoms and the results from the online questionnaire. I am currently awaiting those results as of March 11, 2021. My fever has been gone for 24 hours now, body aches are minimal and I?m just a little fatigued at this point with a minor cough. I had to cancel my appointment for my second dose that was scheduled for Tuesday March 9, 2021. I have not left my home in weeks except for an eye exam on Saturday March 6, 2021 where I could have been exposed to something, even though it was not crowded and all CDC guidelines were being strictly followed.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient underage
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue
Clinical narrative: My symptoms occurred approximately  12 hours later. Body temp rose to 102.5, sore all over, and sooooo tired.   Lasted approximately 60 hours.  On 3/12,  I am scheduled for the second dose.  Husband had same vaccine on 3/6/21  with no known side effects.  Sister had same vaccine on 3/9/21 with same similar effects as I; however hers lasted about 30 hrs.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Arthralgia, Cardiac monitoring, Diarrhoea
Clinical narrative: Fatigue, fever, arm pain at injection site,  muscle & joint pain,  loss of taste & smell, diarrhea, severe low blood pressure.  Fainted 2x, and wacky heart rhythms.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Heart rate abnormal, Hypotension, Injection site pain, Myalgia
Clinical narrative: Fatigue, fever, arm pain at injection site,  muscle & joint pain,  loss of taste & smell, diarrhea, severe low blood pressure.  Fainted 2x, and wacky heart rhythms.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Syncope
Clinical narrative: Fatigue, fever, arm pain at injection site,  muscle & joint pain,  loss of taste & smell, diarrhea, severe low blood pressure.  Fainted 2x, and wacky heart rhythms.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Fatigue, Headache, Nausea
Clinical narrative: Fatigue, mild headache most of afternoon on 3/10 then towards evening a wave of nausea followed by shortness of breath accompanied by mild chest pain that lasted several hours.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills
Clinical narrative: Intense chills began about 9 pm.  Lasted till about 10:30 pm.  At about 9:30 pm, the aches kicked in in most joints in my body.  Back, shoulders, knees, elbows,
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: 3/9/21 red circle appeared below (5" or so) vaccine site. Felt slightly hard. No temperature. Otherwise felt fine. 3/11/21 circle shape has changed - more oval or horizonal.  slightly warm at the area.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Fatigue, Pain, Peripheral swelling, Rash
Clinical narrative: Vaginal bleeding at 3:30 am, bloodied underwear and sheets.  Gynecologist gave me an internal ultrasound of uterus, ovaries etc. were perfect. Had fatigue and aches for 24 hr. after vaccine. Also had a very bright pink, red rash covering the underside of my right arm and right chest, hot to the touch, some swelling, primary Doctor put me on antihistamines and antibiotics. Bleeding stopped. Rash and swelling is improving, still slight swelling on the underside of right arm 8 days later.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Skin warm, Swelling, Ultrasound scan normal, Vaginal haemorrhage
Clinical narrative: Vaginal bleeding at 3:30 am, bloodied underwear and sheets.  Gynecologist gave me an internal ultrasound of uterus, ovaries etc. were perfect. Had fatigue and aches for 24 hr. after vaccine. Also had a very bright pink, red rash covering the underside of my right arm and right chest, hot to the touch, some swelling, primary Doctor put me on antihistamines and antibiotics. Bleeding stopped. Rash and swelling is improving, still slight swelling on the underside of right arm 8 days later.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient underage
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Myalgia, Nausea, Photophobia
Clinical narrative: Janssen Covid-19 vaccine EUA caused me to feel extreme muscle pain, lower back pain specifically, I felt nauseous, had a severe headache, was light sensitive
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea
Clinical narrative: Nausea about 30 minutes after first does and still nauseas after 5 days. Mild headache for one day
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Pruritus, Swelling
Clinical narrative: Red swollen itching and painful bump about 2 inch in diameter which occurred  a few days after injection.  It faded somewhat then reappeared along with itching again two weeks later.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Injection site erythema, Injection site rash, Rash
Clinical narrative: 30 minutes after vaccination in R deltoid had rash, fine red not raised on right forearm. Given benadryl 25 mg po. within 5 minutes developed subjective tachycardia/ and shortness of breath and felt light headed.  Rash on forearm improved some with benadryl. Given one epipen at the time 911 was called.  She felt short of breath, she was not audibly wheezing. EMT took her to the local hospital. She was always alert and conversant.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Tachycardia
Clinical narrative: 30 minutes after vaccination in R deltoid had rash, fine red not raised on right forearm. Given benadryl 25 mg po. within 5 minutes developed subjective tachycardia/ and shortness of breath and felt light headed.  Rash on forearm improved some with benadryl. Given one epipen at the time 911 was called.  She felt short of breath, she was not audibly wheezing. EMT took her to the local hospital. She was always alert and conversant.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Malaise, Nausea
Clinical narrative: fatigue, malaise, severe nausea.  Nausea progressed and became debilitating.  Missed two days of work.  Given Zofran to return to work.  resolved after 7-10 days.  lost 5 lbs.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Strong fatigue
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Device connection issue, Syringe issue
Clinical narrative: There was a syringe malfunction which caused a drop of the Janssen Covid 19 vaccine to spill out.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Hypoaesthesia
Clinical narrative: Joint aches, numbness in hands and lips, headache, chills, tiredness
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia oral
Clinical narrative: Joint aches, numbness in hands and lips, headache, chills, tiredness
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Fatigue, Pain, Pyrexia
Clinical narrative: Pain in armpit of arm where shot was given, body aches (shoulders,back), fever 101.0, fatigue
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Covid arm. 2 days after 2nd dose. Redness swelling itchy around vaccine site
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Injection site swelling, Vomiting
Clinical narrative: Patient experienced Vomiting.. Pain and swollen arm to the touch.  Also severe fatigue.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Migraine, Myalgia, Nausea
Clinical narrative: I got the vaccine around 12 pm went home and fell asleep at 1 woke up around 4 was felling very tired and my body was beginning to feel very sore fell asleep again and got up at 6 with a fever and awful migraine and chills and laid down until 8 when I stood up I started to feel very nauseous and started to vomit uncontrollably all throughout the night maybe 4 or 5 times and vomited twice the next day I?ve had a continuous migraine and fever soreness muscle aches in head, neck and back.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: I got the vaccine around 12 pm went home and fell asleep at 1 woke up around 4 was felling very tired and my body was beginning to feel very sore fell asleep again and got up at 6 with a fever and awful migraine and chills and laid down until 8 when I stood up I started to feel very nauseous and started to vomit uncontrollably all throughout the night maybe 4 or 5 times and vomited twice the next day I?ve had a continuous migraine and fever soreness muscle aches in head, neck and back.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling. Redness pain itchy at injection site
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia
Clinical narrative: Muscle aches, chills, headache, fatigue
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain, Pyrexia
Clinical narrative: Low grade fever- 100.0;  general aches, malaise, fatigue
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram, Computerised tomogram abdomen, Concussion, Decreased appetite
Clinical narrative: Day of: Arm pain, 2am fever 101.7, March 2 -chills, body aches,  headache, loss of appetite. 9am fainted,  Mar 4th started with left sided weakness Mar 5 taken to ER for increased weakness Diagnosed with encephalitis in the hippocampus area related to vaccine
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Encephalitis, Headache, Hemiparesis, Laboratory test, Pain
Clinical narrative: Day of: Arm pain, 2am fever 101.7, March 2 -chills, body aches,  headache, loss of appetite. 9am fainted,  Mar 4th started with left sided weakness Mar 5 taken to ER for increased weakness Diagnosed with encephalitis in the hippocampus area related to vaccine
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, SARS-CoV-2 test, Syncope
Clinical narrative: Day of: Arm pain, 2am fever 101.7, March 2 -chills, body aches,  headache, loss of appetite. 9am fainted,  Mar 4th started with left sided weakness Mar 5 taken to ER for increased weakness Diagnosed with encephalitis in the hippocampus area related to vaccine
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Dehydration, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Violent vomiting. Dehydration. 10pm-8am. Went to the er.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Lumbar puncture, Magnetic resonance imaging, Multiple sclerosis, Myelitis transverse
Clinical narrative: Seizures starting 1/25/21, transverse myelitis diagnosed 3/1/21 with symptoms of transverse myelitis starting 2/5/21.  Now with diagnosis of multiple sclerosis but with atypical initial presentation
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Seizures starting 1/25/21, transverse myelitis diagnosed 3/1/21 with symptoms of transverse myelitis starting 2/5/21.  Now with diagnosis of multiple sclerosis but with atypical initial presentation
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dyspnoea, Headache, Pain in extremity
Clinical narrative: Exactly 12 hours after second dose : Severe chills ,headache ,fever ,stabbing pains in both legs  Shortness of breath Chills lasting 6hours  Fever 12 hours   Fatigue 2 days  Weakness  on going.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Exactly 12 hours after second dose : Severe chills ,headache ,fever ,stabbing pains in both legs  Shortness of breath Chills lasting 6hours  Fever 12 hours   Fatigue 2 days  Weakness  on going.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: rash / hives about size of a quarter on left arm (not arm of injection)
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urine present, Dysuria
Clinical narrative: Painful urination, with red sediment.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain in extremity
Clinical narrative: Painful lymph nodes under arm and in breast
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Neck mass, Pain, Swelling, Tenderness
Clinical narrative: I have had major swelling above my collarbone between my shoulder and neck on the left side, the same side as I received my shot.  It is tender to the touch.  After four days, I can feel harder masses inside.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hyperaesthesia, Injection site erythema, Injection site swelling, Pain of skin
Clinical narrative: none for the first day. Day of shot was fine. 2nd day about 2:30 -3 pm symptoms started while at work. My skin all over hurt for anything to touch it, even my clothes hurt my skin and no visible rash anywhere, had the RN check. 3rd same thing as 2nd day, arm swelling and red around injection site. Minor rash started around 12pm on 3rd day, periods of shortness of breath.  I am so far only 3 days in, the skin sensitivity all over is the worse I had to leave work. All reported to my nurse supervisor at work.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: none for the first day. Day of shot was fine. 2nd day about 2:30 -3 pm symptoms started while at work. My skin all over hurt for anything to touch it, even my clothes hurt my skin and no visible rash anywhere, had the RN check. 3rd same thing as 2nd day, arm swelling and red around injection site. Minor rash started around 12pm on 3rd day, periods of shortness of breath.  I am so far only 3 days in, the skin sensitivity all over is the worse I had to leave work. All reported to my nurse supervisor at work.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia, Pyrexia
Clinical narrative: PIP at injection site- 48 hours Fever- 102.6- 36 hours Chills- 24 hours Muscle and joint aches- 48 hours Severe Headaches- 48 hours
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Eyelid rash, Pain, Pyrexia, Rash papular
Clinical narrative: I started with the expected symptoms (chills, body aches, low grade fever) on the same day  (03/06/21) about 12 hours after the injection.   On March 7th at about 10:00 am, I developed a pruritic papular rash to my right arm.  The rash was from my right wrist to my antecubital area.  The next 1-2 days I developed another pruritic papular rash to the left side of my neck and my  left ear.  I developed another rash to my both my eyelids and to the skin area around my eyebrows.  As of today 03/11/21, I continue to have the rashes.  Today I also developed pruritis and a red macular rash to my left palm and continue to have continued pruritis to both arms, my scalp and both eyes.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Computerised tomogram head
Clinical narrative: BELLS PALSY
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, chills, and aches
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Back pain, Bed rest, Erythema, Fatigue
Clinical narrative: About 4 hours after the vaccine I was so tired i went to bed.   After midnight i had fever which over the next two days rose to 101.4.  My usual temperature is 97.7.  I had severe neck ache and head ache extreme fatigue,  and was bed ridden for 4 days.  My fever started to decrease on the third day.   I had roving pains which lasted 3-4 hours in each place:  first the right back above the waist where the kidneys are, then just below my right breast, then the left side of the top of my head.  Throughout I had to have a wet cloth on my head.  About a week later I had a relapse.... my temperature rose to 98 and I had the same headache place and neck ache at the bottom back of my head along with extreme fatigue and brain fog.  It lasted at least two days.   Of course as expected my arm was sore, but very swollen like a goose egg,  red, and impossible to move.    I still feel the same fatigue, and have to go to be very early but have insomnia and extreme anxiety.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Insomnia, Mobility decreased, Neck pain
Clinical narrative: About 4 hours after the vaccine I was so tired i went to bed.   After midnight i had fever which over the next two days rose to 101.4.  My usual temperature is 97.7.  I had severe neck ache and head ache extreme fatigue,  and was bed ridden for 4 days.  My fever started to decrease on the third day.   I had roving pains which lasted 3-4 hours in each place:  first the right back above the waist where the kidneys are, then just below my right breast, then the left side of the top of my head.  Throughout I had to have a wet cloth on my head.  About a week later I had a relapse.... my temperature rose to 98 and I had the same headache place and neck ache at the bottom back of my head along with extreme fatigue and brain fog.  It lasted at least two days.   Of course as expected my arm was sore, but very swollen like a goose egg,  red, and impossible to move.    I still feel the same fatigue, and have to go to be very early but have insomnia and extreme anxiety.