chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Paraesthesia, Peripheral coldness, Throat irritation
Clinical narrative: Pt reported having a "burning sensation" in his throat about 11 min post vaccine.  Denied any shortness of breath, swelling of lips or tongue and had no evidence of rash.  He also denied any difficulty swallowing .  He did report tingling and "cold" feeling in his hands.  Pts BP was elevated to 148 / 98 ( both by machine and manually) with HR 87,  He drank some juice, but refused any Benadryl.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza like illness, Irregular breathing, Pain in extremity
Clinical narrative: Horrible flu like symptoms, aching legs, irregular breathing, headache.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: VACCINE GIVEN SUB Q. 3rd DOSE TO BE GIVEN
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia, Pyrexia
Clinical narrative: chills, fever, headache, arthralgia, myalgia
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: At 10:00, pt reported feeling lightheaded. VS 98%, 96/42, 53. At 10:06, 82/49, 64. At 10:09, pt assisted to recliner chair and reclined, reports dizziness subsiding. At 10:15, 122/84, 77, 99%. Pt dc'd without dizziness completely resolved.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hot flush, Injected limb mobility decreased, Injection site pain
Clinical narrative: I received the Moderna vaccine 01-14-21 at approximately 930am. It hurt more than seemed reasonable to get the shot, almost like a jarring pain. The pain did not subside, and by 11am, I could not move my arm at all. By 4pm, I was in an unreasonable amount of pain from my shoulder to my hand, and this lasted the rest of the day and the next two days, which I would equate to an 8 out of 10 or similar to an abscessed tooth. The injection site was just below my right shoulder, which may have been too high and caused an injection site type injury/reaction. I now have most range of motion and strength but any movement and effort results in a repeating popping sensation in the muscle. In reading about this, and if the sensation does not go away within the week, I plan to seek medical attention.  Separately, related to the vaccine itself, the evening of the 14th, I experienced approximately six hours of chills, hot flashes, headache, nausea, and trying not to pass out. I reported this to the CDC per the paperwork your team provided. Please let me know if you need any other information from me.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Nausea, Pain in extremity
Clinical narrative: I received the Moderna vaccine 01-14-21 at approximately 930am. It hurt more than seemed reasonable to get the shot, almost like a jarring pain. The pain did not subside, and by 11am, I could not move my arm at all. By 4pm, I was in an unreasonable amount of pain from my shoulder to my hand, and this lasted the rest of the day and the next two days, which I would equate to an 8 out of 10 or similar to an abscessed tooth. The injection site was just below my right shoulder, which may have been too high and caused an injection site type injury/reaction. I now have most range of motion and strength but any movement and effort results in a repeating popping sensation in the muscle. In reading about this, and if the sensation does not go away within the week, I plan to seek medical attention.  Separately, related to the vaccine itself, the evening of the 14th, I experienced approximately six hours of chills, hot flashes, headache, nausea, and trying not to pass out. I reported this to the CDC per the paperwork your team provided. Please let me know if you need any other information from me.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Condition aggravated, Headache, Influenza A virus test, Influenza B virus test
Clinical narrative: 55-year-old female presented to urgent care on 1/13/2021 with headache, body aches, temp up to 100.2 Fahrenheit, sore throat, and some left axillary lymph node swelling. She also had some erythema and edema to the vaccination site.  She received this vaccination on January 11.  Her symptoms started January 12. On January 14, 2021, patient returned to urgent care for worsening erythema and discomfort at injection site. Patient was given supportive care and discharged home.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discomfort, Injection site erythema, Injection site oedema, Lymphadenopathy, Oropharyngeal pain
Clinical narrative: 55-year-old female presented to urgent care on 1/13/2021 with headache, body aches, temp up to 100.2 Fahrenheit, sore throat, and some left axillary lymph node swelling. She also had some erythema and edema to the vaccination site.  She received this vaccination on January 11.  Her symptoms started January 12. On January 14, 2021, patient returned to urgent care for worsening erythema and discomfort at injection site. Patient was given supportive care and discharged home.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Respiratory syncytial virus test negative, SARS-CoV-2 test
Clinical narrative: 55-year-old female presented to urgent care on 1/13/2021 with headache, body aches, temp up to 100.2 Fahrenheit, sore throat, and some left axillary lymph node swelling. She also had some erythema and edema to the vaccination site.  She received this vaccination on January 11.  Her symptoms started January 12. On January 14, 2021, patient returned to urgent care for worsening erythema and discomfort at injection site. Patient was given supportive care and discharged home.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Nausea, Pain
Clinical narrative: Body Aches , Chills, 100.9 Temp , Fatigue , nausea , Skin hurt
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin
Clinical narrative: Body Aches , Chills, 100.9 Temp , Fatigue , nausea , Skin hurt
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Painful respiration
Clinical narrative: The day after I received  my shot, Jan.16, at about 7:00 pm I began having pain breathing when I inhaled.  I was laying down on the coach watching TV.  I did not have any pain exhaling  (only inhaling).  The pain was on my left ribs.  The pain was a 2 out of 10.  If I stood up the pain subsided to a 1.  I did not have any pain when I laid on my right side.  The pain occurred when a laid on my back and on my left side (the side of the shot in my left arm).  I slept that night on my right side with no pain.  Upon waking on April 17 at about 7 am the pain was about a 1 on my left side.  The pain stopped completely at about noon that day.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Flushing, Hyperhidrosis, Hypertension
Clinical narrative: Received vaccine at 11:30am.  At 1:30p didn't feel well, noted that my left hand was swelling and felt tight.  The injection site looked OK. I was sweating and face was flushed.  I was given Benadryl 50mg PO and lay down for an hour at work.  I went home at 2:30p.  The following day I went to work but at 12:00noon I was feverish (100.0F), dizzy, SOB, all-over sore muscles and my blood pressure was 200/100 taken twice by nurses at the facility.  I was taken to the ER by car and had labs and work up in the ER.  They were unable to determine if symptoms were vaccine related or not.  I had taken first dose of hypothyroid medication on 1/14/21.  They diagnosed hypertension and wrote me a script for Lisinopril 5mg PO daily.  I continue to have high BP readings.  My left arm at injection site is sore.  The edema in my hand resolved the first day after the Benadryl dose.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Laboratory test, Malaise, Myalgia, Peripheral swelling
Clinical narrative: Received vaccine at 11:30am.  At 1:30p didn't feel well, noted that my left hand was swelling and felt tight.  The injection site looked OK. I was sweating and face was flushed.  I was given Benadryl 50mg PO and lay down for an hour at work.  I went home at 2:30p.  The following day I went to work but at 12:00noon I was feverish (100.0F), dizzy, SOB, all-over sore muscles and my blood pressure was 200/100 taken twice by nurses at the facility.  I was taken to the ER by car and had labs and work up in the ER.  They were unable to determine if symptoms were vaccine related or not.  I had taken first dose of hypothyroid medication on 1/14/21.  They diagnosed hypertension and wrote me a script for Lisinopril 5mg PO daily.  I continue to have high BP readings.  My left arm at injection site is sore.  The edema in my hand resolved the first day after the Benadryl dose.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Received vaccine at 11:30am.  At 1:30p didn't feel well, noted that my left hand was swelling and felt tight.  The injection site looked OK. I was sweating and face was flushed.  I was given Benadryl 50mg PO and lay down for an hour at work.  I went home at 2:30p.  The following day I went to work but at 12:00noon I was feverish (100.0F), dizzy, SOB, all-over sore muscles and my blood pressure was 200/100 taken twice by nurses at the facility.  I was taken to the ER by car and had labs and work up in the ER.  They were unable to determine if symptoms were vaccine related or not.  I had taken first dose of hypothyroid medication on 1/14/21.  They diagnosed hypertension and wrote me a script for Lisinopril 5mg PO daily.  I continue to have high BP readings.  My left arm at injection site is sore.  The edema in my hand resolved the first day after the Benadryl dose.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Blood pressure fluctuation, Blood pressure increased, Dyspnoea, Feeling abnormal
Clinical narrative: Received vaccine at 11:30am.  At 1:30p didn't feel well, noted that my left hand was swelling and felt tight.  The injection site looked OK. I was sweating and face was flushed.  I was given Benadryl 50mg PO and lay down for an hour at work.  I went home at 2:30p.  The following day I went to work but at 12:00noon I was feverish (100.0F), dizzy, SOB, all-over sore muscles and my blood pressure was 200/100 taken twice by nurses at the facility.  I was taken to the ER by car and had labs and work up in the ER.  They were unable to determine if symptoms were vaccine related or not.  I had taken first dose of hypothyroid medication on 1/14/21.  They diagnosed hypertension and wrote me a script for Lisinopril 5mg PO daily.  I continue to have high BP readings.  My left arm at injection site is sore.  The edema in my hand resolved the first day after the Benadryl dose.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Hypertension, Injection site pain, Laboratory test, Myalgia
Clinical narrative: Received vaccine at 11:30am.  At 1:30p didn't feel well, noted that my left hand was swelling and felt tight.  The injection site looked OK. I was sweating and face was flushed.  I was given Benadryl 50mg PO and lay down for an hour at work.  I went home at 2:30p.  The following day I went to work but at 12:00noon I was feverish (100.0F), dizzy, SOB, all-over sore muscles and my blood pressure was 200/100 taken twice by nurses at the facility.  I was taken to the ER by car and had labs and work up in the ER.  They were unable to determine if symptoms were vaccine related or not.  I had taken first dose of hypothyroid medication on 1/14/21.  They diagnosed hypertension and wrote me a script for Lisinopril 5mg PO daily.  I continue to have high BP readings.  My left arm at injection site is sore.  The edema in my hand resolved the first day after the Benadryl dose.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Peripheral swelling, Pyrexia, Skin tightness
Clinical narrative: Received vaccine at 11:30am.  At 1:30p didn't feel well, noted that my left hand was swelling and felt tight.  The injection site looked OK. I was sweating and face was flushed.  I was given Benadryl 50mg PO and lay down for an hour at work.  I went home at 2:30p.  The following day I went to work but at 12:00noon I was feverish (100.0F), dizzy, SOB, all-over sore muscles and my blood pressure was 200/100 taken twice by nurses at the facility.  I was taken to the ER by car and had labs and work up in the ER.  They were unable to determine if symptoms were vaccine related or not.  I had taken first dose of hypothyroid medication on 1/14/21.  They diagnosed hypertension and wrote me a script for Lisinopril 5mg PO daily.  I continue to have high BP readings.  My left arm at injection site is sore.  The edema in my hand resolved the first day after the Benadryl dose.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Flushing, Hyperhidrosis, Hypertension
Clinical narrative: Got vaccine at 11:30am.   At 1:30p not feeling right, sweating, anxiousL hand swollen and tight, injection site looked normal.  Assessed and was given Benadryl 50mg PO and lay down for an hour.  Went home at 2:30p.  Returned to work the next day and at noon felt feverish (100.0F), SOB, overall muscles ached and sore, injection site sore.  My blood pressure was taken x 2 at 200/100 by nursing.  I was driven to local ER and worked up.  They could not determine if symptoms r/t to vaccine or not.  My BP returned to normal.  I was given a diagnosis of hypertension and a script for Lisinopril 5mg PO qd.  I continue to have fluctuating high BP readings.  My left hand swelling resolved.  I plan to see my PCP as I have now s
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Laboratory test, Malaise, Myalgia, Peripheral swelling
Clinical narrative: Got vaccine at 11:30am.   At 1:30p not feeling right, sweating, anxiousL hand swollen and tight, injection site looked normal.  Assessed and was given Benadryl 50mg PO and lay down for an hour.  Went home at 2:30p.  Returned to work the next day and at noon felt feverish (100.0F), SOB, overall muscles ached and sore, injection site sore.  My blood pressure was taken x 2 at 200/100 by nursing.  I was driven to local ER and worked up.  They could not determine if symptoms r/t to vaccine or not.  My BP returned to normal.  I was given a diagnosis of hypertension and a script for Lisinopril 5mg PO qd.  I continue to have fluctuating high BP readings.  My left hand swelling resolved.  I plan to see my PCP as I have now s
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Got vaccine at 11:30am.   At 1:30p not feeling right, sweating, anxiousL hand swollen and tight, injection site looked normal.  Assessed and was given Benadryl 50mg PO and lay down for an hour.  Went home at 2:30p.  Returned to work the next day and at noon felt feverish (100.0F), SOB, overall muscles ached and sore, injection site sore.  My blood pressure was taken x 2 at 200/100 by nursing.  I was driven to local ER and worked up.  They could not determine if symptoms r/t to vaccine or not.  My BP returned to normal.  I was given a diagnosis of hypertension and a script for Lisinopril 5mg PO qd.  I continue to have fluctuating high BP readings.  My left hand swelling resolved.  I plan to see my PCP as I have now s
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Blood pressure fluctuation, Blood pressure increased, Dyspnoea, Feeling abnormal
Clinical narrative: Got vaccine at 11:30am.   At 1:30p not feeling right, sweating, anxiousL hand swollen and tight, injection site looked normal.  Assessed and was given Benadryl 50mg PO and lay down for an hour.  Went home at 2:30p.  Returned to work the next day and at noon felt feverish (100.0F), SOB, overall muscles ached and sore, injection site sore.  My blood pressure was taken x 2 at 200/100 by nursing.  I was driven to local ER and worked up.  They could not determine if symptoms r/t to vaccine or not.  My BP returned to normal.  I was given a diagnosis of hypertension and a script for Lisinopril 5mg PO qd.  I continue to have fluctuating high BP readings.  My left hand swelling resolved.  I plan to see my PCP as I have now s
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Hypertension, Injection site pain, Laboratory test, Myalgia
Clinical narrative: Got vaccine at 11:30am.   At 1:30p not feeling right, sweating, anxiousL hand swollen and tight, injection site looked normal.  Assessed and was given Benadryl 50mg PO and lay down for an hour.  Went home at 2:30p.  Returned to work the next day and at noon felt feverish (100.0F), SOB, overall muscles ached and sore, injection site sore.  My blood pressure was taken x 2 at 200/100 by nursing.  I was driven to local ER and worked up.  They could not determine if symptoms r/t to vaccine or not.  My BP returned to normal.  I was given a diagnosis of hypertension and a script for Lisinopril 5mg PO qd.  I continue to have fluctuating high BP readings.  My left hand swelling resolved.  I plan to see my PCP as I have now s
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Peripheral swelling, Pyrexia, Skin tightness
Clinical narrative: Got vaccine at 11:30am.   At 1:30p not feeling right, sweating, anxiousL hand swollen and tight, injection site looked normal.  Assessed and was given Benadryl 50mg PO and lay down for an hour.  Went home at 2:30p.  Returned to work the next day and at noon felt feverish (100.0F), SOB, overall muscles ached and sore, injection site sore.  My blood pressure was taken x 2 at 200/100 by nursing.  I was driven to local ER and worked up.  They could not determine if symptoms r/t to vaccine or not.  My BP returned to normal.  I was given a diagnosis of hypertension and a script for Lisinopril 5mg PO qd.  I continue to have fluctuating high BP readings.  My left hand swelling resolved.  I plan to see my PCP as I have now s
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Pallor, Pharyngeal swelling, Rash, Throat irritation
Clinical narrative: During the Covid vaccine observation period the patient complained of hoarseness, itching and throat swelling.   The patient had  history of chronic urticaria and prior to receiving her vaccine had taken benadryl, ranitidine as well as an OTC antihistamine at home.  She was escorted via wheelchair to the ED, BP 151/102 and pulse 101 in ED, pt noted to have blanching hive-like rash on her chest as well.   Received Epinephrine 0.3mg, prednisone 60mg PO x 1.   Pt was monitored for 3 hours and discharged to home.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: During the Covid vaccine observation period the patient complained of hoarseness, itching and throat swelling.   The patient had  history of chronic urticaria and prior to receiving her vaccine had taken benadryl, ranitidine as well as an OTC antihistamine at home.  She was escorted via wheelchair to the ED, BP 151/102 and pulse 101 in ED, pt noted to have blanching hive-like rash on her chest as well.   Received Epinephrine 0.3mg, prednisone 60mg PO x 1.   Pt was monitored for 3 hours and discharged to home.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Fever, fatigue, headache, muscle pain, chills, pain at the injection site.  Still have some side effects 6 days later. Sleep for 10 to 13 hours each night. Totally exhausted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Sinusitis
Clinical narrative: Fever, fatigue, headache, muscle pain, chills, pain at the injection site.  Still have some side effects 6 days later. Sleep for 10 to 13 hours each night. Totally exhausted.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: left sided cervical adenopathy
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Chills, Computerised tomogram, Electrocardiogram, Facial paralysis
Clinical narrative: 9 to 36 hours. Lymphnode swelling , pain left axilla. Fever,  chills ,muscle aches, brain fog.  1 week post Facial paralysis, fatigue,  vocal cord weakness, feeling of unwell.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Feeling abnormal, Laboratory test, Lymphadenopathy, Magnetic resonance imaging
Clinical narrative: 9 to 36 hours. Lymphnode swelling , pain left axilla. Fever,  chills ,muscle aches, brain fog.  1 week post Facial paralysis, fatigue,  vocal cord weakness, feeling of unwell.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Myalgia, Pyrexia, SARS-CoV-2 test negative, Vocal cord disorder
Clinical narrative: 9 to 36 hours. Lymphnode swelling , pain left axilla. Fever,  chills ,muscle aches, brain fog.  1 week post Facial paralysis, fatigue,  vocal cord weakness, feeling of unwell.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Adductor vocal cord weakness, Adverse event, Chills, Facial paralysis, Fatigue
Clinical narrative: 9 to 36 hours. Lymphnode swelling , pain left axilla. Fever,  chills ,muscle aches, brain fog.  1 week post Facial paralysis, fatigue,  vocal cord weakness, feeling of unwell.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Lymph node pain, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: 9 to 36 hours. Lymphnode swelling , pain left axilla. Fever,  chills ,muscle aches, brain fog.  1 week post Facial paralysis, fatigue,  vocal cord weakness, feeling of unwell.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, Viral test negative, Vocal cord disorder
Clinical narrative: 9 to 36 hours. Lymphnode swelling , pain left axilla. Fever,  chills ,muscle aches, brain fog.  1 week post Facial paralysis, fatigue,  vocal cord weakness, feeling of unwell.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactoid reaction, Dizziness, Erythema, Pruritus, Wheezing
Clinical narrative: Patient experienced wheezing, dizziness, redness, itching, anaphylacyic-type reaction.  Patient was given 0.3mg epinephrine and brought to ED.  In ED, given acetaminophen, diphenhydramine, famotidine, lorazpeam.  Patient stable and released home on 1/17/2021.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral
Clinical narrative: 3+ peripheral edema (above knee down to toes bilaterally)
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaphylactic reaction
Clinical narrative: Systemic: Anaphylaxis-Severe
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Bladder catheterisation, Chills, Hypotension, Malaise
Clinical narrative: Systemic: Anaphylaxis-Severe
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Purulent discharge, Pyrexia, SARS-CoV-2 test negative, Unresponsive to stimuli, Urosepsis
Clinical narrative: Systemic: Anaphylaxis-Severe
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood pressure decreased, Oxygen saturation decreased, Sepsis, Tremor
Clinical narrative: Systemic: Anaphylaxis-Severe
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune thyroiditis, Blood thyroid stimulating hormone
Clinical narrative: Saw reproductive endocrinologist.  Dx with acute autoimmune thyroiditis.  Started on Synthroid.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Lymphadenopathy
Clinical narrative: Flu like symptoms and swelling (lymph nodes at left clavicle and underarm
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Eye swelling, Facial paralysis, Facial paresis, Lacrimation increased
Clinical narrative: Approximately 4 days after my second dose of Pfizer vaccine, I started noticing my left eye being swollen and constantly watering. 7 days post vaccine, I started having left sided facial weakness and droop. I was diagnosed with Bell's palsy by my Primary Care Physician today (8 days post vaccine).
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Confusional state, Cough, Fatigue
Clinical narrative: On 1/15/2021 (8 days after first vaccine shot) I started having a cough. The following day I started having feverish feelings, runny nose, continued cough, slight sore throat, fatigue. The day after that, Jan 17th, I had all the previous listed symptoms as well as loss of taste and some loss of smell. On Monday, Jan 18th, I had all the previous listed symptoms without any feverish feelings. I did have more fatigue and confusion, and I also had increased hunger for food. Today, Tuesday, Jan 19th, I took a rapid test for COVID 19 and tested positive. Today I am experiencing fatigue, slight amount of confusion, slightly sore throat.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Increased appetite, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On 1/15/2021 (8 days after first vaccine shot) I started having a cough. The following day I started having feverish feelings, runny nose, continued cough, slight sore throat, fatigue. The day after that, Jan 17th, I had all the previous listed symptoms as well as loss of taste and some loss of smell. On Monday, Jan 18th, I had all the previous listed symptoms without any feverish feelings. I did have more fatigue and confusion, and I also had increased hunger for food. Today, Tuesday, Jan 19th, I took a rapid test for COVID 19 and tested positive. Today I am experiencing fatigue, slight amount of confusion, slightly sore throat.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Employee developed rash to RT. Flank area, describes no pain or itching.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Under age for receiving Moderna. Under the age of 18 is contraindicated for the administration of the vaccine.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Rash and itch developed at the spot of the inoculation about 10 days after the shot. Treating with benadryl cream. Primary care physician was informed and said it was not serious. He advised taking Claritin if the cream didn't work. So far the itching has abated.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Nausea, Pain
Clinical narrative: Headache, Body aches, Nausea, Chills, Sweats, Took Tylenol
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Myalgia
Clinical narrative: fatigue, headache, muscle pain the evening of the injection.  Those symptoms subsided the next day. The second evening/night I experienced chills and diarrhea.  Those symptoms subsided as the day went on.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: numbness/tingling in R arm, intermittent  not constant last 2-3 weeks prior to 2nd administration
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Flushing
Clinical narrative: Employee felt flushed within 2 min of vaccine administration.  Heart rate varied 56-68  Employee was observed and offered fluids and pretzels. 12:40-  Bp 138/65, HR 62 100 %  o2 sat.  14:00 156/80 68 100% on RA   Lungs CTABL rrr no murmer.  Employee was discharged to home.   1/15 Called employee for follow up and employee  reported that she experienced intermittent chest pressure  x approx 2 days at home and elevated BP which resolved on 1/1/21    had taken losartan 25 in the morning, thend again after COVID vaccine and again before bed.  Employee was referred to contact PMD to assist in determining if secondary dose is okay to receive or if she will need cardiac eval.  Employeee was referred to Oc health clinic, examined and discharged with recommendation to double losartan before next vaccine and talk to PMD before second dose of covid vaccine.  Employee was also provided with the PFIZER number to report this to Pfizer.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered at inappropriate site
Clinical narrative: INJECTION GIVEN TOO HIGH AND UNKNOWN AMOUNT ADMINISTERED VIA INJECTION. 3rd DOSE TO BE GIVEN
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Vaccine on 12/31/20. On 1/13/21 awoke with a 3-4" red oval  area below injection site. On 1/14/21 red area doubled in size. Red area warm and itchy. By 11:00pm 1/15/21, redness spread to back of arm and below elbow. Red, warm, itchy and swollen. On 1/16/21 the  red area became painful.  I went to urgent care and was diagnosed with cellulitis. Prescribed Keflex 500mg. Noticed improvement of symptoms within 24 hours. 1/19/21 redness and itching 80% resolved. Pain and swelling gone.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: Vaccine on 12/31/20. On 1/13/21 awoke with a 3-4" red oval  area below injection site. On 1/14/21 red area doubled in size. Red area warm and itchy. By 11:00pm 1/15/21, redness spread to back of arm and below elbow. Red, warm, itchy and swollen. On 1/16/21 the  red area became painful.  I went to urgent care and was diagnosed with cellulitis. Prescribed Keflex 500mg. Noticed improvement of symptoms within 24 hours. 1/19/21 redness and itching 80% resolved. Pain and swelling gone.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bilevel positive airway pressure, COVID-19 pneumonia, Cough, Death
Clinical narrative: 12/28/2020: generalized weakness and fell twice at home, cough, nausea,1/04/2021: cough, nausea, fever and chronic pain when she fell from being weak. admitted to hospital with Covid pneumonia, shortness of breath, covid postive, 1/09/2021: pt on bipap, 1/15/2021: pt was intubated, on TPN, pt DNR, 1/18/2021: was extubated and put on comfort measures and passed away
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Fall, Nausea, Pain
Clinical narrative: 12/28/2020: generalized weakness and fell twice at home, cough, nausea,1/04/2021: cough, nausea, fever and chronic pain when she fell from being weak. admitted to hospital with Covid pneumonia, shortness of breath, covid postive, 1/09/2021: pt on bipap, 1/15/2021: pt was intubated, on TPN, pt DNR, 1/18/2021: was extubated and put on comfort measures and passed away
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 12/28/2020: generalized weakness and fell twice at home, cough, nausea,1/04/2021: cough, nausea, fever and chronic pain when she fell from being weak. admitted to hospital with Covid pneumonia, shortness of breath, covid postive, 1/09/2021: pt on bipap, 1/15/2021: pt was intubated, on TPN, pt DNR, 1/18/2021: was extubated and put on comfort measures and passed away
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Palpitations
Clinical narrative: Elevated blood pressure, heart palpitations
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Bursitis, Product administered at inappropriate site, X-ray
Clinical narrative: severe left shoulder pain: seen by orthopedics.  the injection was placed incorrectly leading to bursitis
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bursitis, Imaging procedure, Immediate post-injection reaction, Injected limb mobility decreased, Injection site extravasation
Clinical narrative: severe left shoulder pain: seen by orthopedics.  the injection was placed incorrectly leading to bursitis
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site pain, Injection site reaction, Pain in extremity, SARS-CoV-2 antibody test negative, Tendonitis
Clinical narrative: severe left shoulder pain: seen by orthopedics.  the injection was placed incorrectly leading to bursitis
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain in extremity, Product administered at inappropriate site
Clinical narrative: severe left shoulder pain: seen by orthopedics.  the injection was placed incorrectly leading to bursitis
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Gait disturbance, Headache, Malaise
Clinical narrative: Started with general malaise then severe headache, and slight dizziness .  These subsided for about 12 hours.  Returned later in the evening with severe dizziness that wouldn?t go away, severe headache, difficulty walking.   Spoke to On call ?night nurse?  via my doctors service ( office closed entire weekend for holiday) she told me to ride it out.   For 48 hours these symptoms continued.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Lymphadenopathy, Tenderness
Clinical narrative: Round swelling under L arm and breast area. Tenderness.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Feeling hot, Hyperhidrosis, Nodule, Pharyngeal paraesthesia
Clinical narrative: About 10 minutes after receiving the shot, I felt a warm tingling sensation in my throat. I alerted the nurse and about another 3-5 minutes afterwards felt like a rising sensation up toward my ears. It almost felt like I was being filled with something but could still breathe. I start to have a fast heartbeat and felt like I was sweating. I received Benadryl (IM) and felt relief about 1-2 minutes. After about 7-10 minutes I felt like it was coming back and the feeling rising back to my ears. I received another dose of Benadryl. I went home and made sure I continued the Benadryl  for 24 hours. My throat appeared swollen from the outside of my neck when I woke up from a nap about 3-4 hours after receiving the vaccine shot. My chest did have a little redness like hives but not full blown. Just red and irritated. The next morning my voice was very hoarse for a day and a half.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Sensory disturbance, Skin irritation, Ultrasound scan abnormal
Clinical narrative: About 10 minutes after receiving the shot, I felt a warm tingling sensation in my throat. I alerted the nurse and about another 3-5 minutes afterwards felt like a rising sensation up toward my ears. It almost felt like I was being filled with something but could still breathe. I start to have a fast heartbeat and felt like I was sweating. I received Benadryl (IM) and felt relief about 1-2 minutes. After about 7-10 minutes I felt like it was coming back and the feeling rising back to my ears. I received another dose of Benadryl. I went home and made sure I continued the Benadryl  for 24 hours. My throat appeared swollen from the outside of my neck when I woke up from a nap about 3-4 hours after receiving the vaccine shot. My chest did have a little redness like hives but not full blown. Just red and irritated. The next morning my voice was very hoarse for a day and a half.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: PAIN AT SITE
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Swelling face, Throat irritation, Throat tightness
Clinical narrative: At 1026, pt reported feeling "swollen" and "tight" around side of face/jawline. No obvious swelling of tongue or throat observed, pt able to swallow without difficulty. Vitals monitored every 5 minutes, At 1034, pt reports that feeling has subsided around sides of face and now migrated to lower throat. At 1040, pt reports feeling has diminished completely. Dc'd from clinic stable.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Back pain, Fatigue, Hypoaesthesia
Clinical narrative: Beginning on 12/26 (8 days after dose #1), patient began experiencing severe low back pain, B thigh pain, R knee pain, numbness radiating from her B labia radiating down the medial aspect of her lower extremities to her B halluxes, and possible B shoulder abductor weakness. Pt received dose #2 of the Pfizer vaccine on 6 January 2021 (Lot#EL0142). After dose #2, she noted fatigue and wheezing c/w prior asthma symptoms and took Prednisone 20mg x1. Her pain was much better the next day, but   (cont'd)
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Wheezing
Clinical narrative: Beginning on 12/26 (8 days after dose #1), patient began experiencing severe low back pain, B thigh pain, R knee pain, numbness radiating from her B labia radiating down the medial aspect of her lower extremities to her B halluxes, and possible B shoulder abductor weakness. Pt received dose #2 of the Pfizer vaccine on 6 January 2021 (Lot#EL0142). After dose #2, she noted fatigue and wheezing c/w prior asthma symptoms and took Prednisone 20mg x1. Her pain was much better the next day, but   (cont'd)
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Body aches, Chills, Fever,  took Tylenol
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: After 10days Arm red and swollen lasted 5days
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Dehydration, Diarrhoea, Hypersomnia
Clinical narrative: Chills, nausea, vomiting , diarrhea   Then all day. Very ?deep? sleep. Then extreme dehydration. So to ER for fluids.   Don?t know how to go back. Original start of the event date was 01/14/2021. In am
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Chills, nausea, vomiting , diarrhea   Then all day. Very ?deep? sleep. Then extreme dehydration. So to ER for fluids.   Don?t know how to go back. Original start of the event date was 01/14/2021. In am
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Pyrexia, Tachycardia
Clinical narrative: After receiving second dose on 1/16 I experienced a fever of 102 F, headache, and tachycardia. I took acetaminophen after 12 hours of symptoms and every 6 hours after that for 24 hours and the symptoms have not returned.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: Localized site erythema
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Nervousness
Clinical narrative: Caregiver was vaccinated and observed for the required 15 minutes.  Caregiver left the building and went to drive home.  Caregiver stated, "on my way home I did not feel right - so I came back."  Caregiver was shaky and slightly confused.  Caregiver was immediately taken to the ED across the parking lot by wheelchair and the ED department was notified that Caregiver was on his way, accompanied by Registered Nurse.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Stress
Clinical narrative: Caregiver was vaccinated and observed for the required 15 minutes.  Caregiver left the building and went to drive home.  Caregiver stated, "on my way home I did not feel right - so I came back."  Caregiver was shaky and slightly confused.  Caregiver was immediately taken to the ED across the parking lot by wheelchair and the ED department was notified that Caregiver was on his way, accompanied by Registered Nurse.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Nervousness
Clinical narrative: Patient has been observed in the waiting area for 15 minutes per protocol and suffered no adverse reactions during that time. He was released from the waiting area and walked out independently. He was found appearing to be in some distress in the parking lot by a nurse leaving the vaccination observation area after her COVID 19 injection.  This nurse escorted the patient back into the vaccine clinic at which time he was seated in a wheel chair and wheeled directly to the emergency room for evaluation.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Stress
Clinical narrative: Patient has been observed in the waiting area for 15 minutes per protocol and suffered no adverse reactions during that time. He was released from the waiting area and walked out independently. He was found appearing to be in some distress in the parking lot by a nurse leaving the vaccination observation area after her COVID 19 injection.  This nurse escorted the patient back into the vaccine clinic at which time he was seated in a wheel chair and wheeled directly to the emergency room for evaluation.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain
Clinical narrative: 22 hours after the 1st injection, I had chills and body aches lasting for 5-6 hours.  after taking Advil, I went to bed and slept for 9 hours. The next day I was feeling better but still a little tired. By the following day, I was feeling fine.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Mild (L) deltoid tenderness at injxn site on 1/11/21. (L) deltoid warmth, erythema, pruritis on 1/13/21-1/14/21. Self resolved. Developed another warm/red/itchy patch over injxn site on 1/17/21-1/18/21. No relief w/ Hydrocortisone cream
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain in extremity, Pulmonary congestion, Pyrexia
Clinical narrative: Patient describes Arm soreness, repiritory (congestion) Fever and chills.
Age: 36.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Fatigue, Injection site erythema, Injection site pruritus, Pain
Clinical narrative: On day 2,3 became feverish, chills, body aches, fatigue On day 5- woke up with redness, itchy arm where vaccine was administered. Applied some hydrocortisone on it, redness is still there
Age: 36.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: On day 2,3 became feverish, chills, body aches, fatigue On day 5- woke up with redness, itchy arm where vaccine was administered. Applied some hydrocortisone on it, redness is still there
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Muscle spasms
Clinical narrative: Dull headache first day; shoulder & neck spasm next day with extreme fatigue
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Migraine, Myalgia, Nausea
Clinical narrative: Chills, Fever 100.5, Arm and Leg muscle pain, fatigue, Migraine, Nausea
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Chills, Fever 100.5, Arm and Leg muscle pain, fatigue, Migraine, Nausea
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Swelling
Clinical narrative: Severe Headache began on Sunday 1/17/2021, then Monday 1/18/2021 I developed Left axillary lymph node edema and left groin swollen lymph node.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: PAIN AT SITE
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site hypoaesthesia, Injection site paraesthesia, Injection site swelling
Clinical narrative: Client stated on 01/14/2021 @ 1327 she had numbness/tingling with some noted swelling and redness to left deltoid at injection site.  Nursing staff called EMT who arrived at 1337 to evaluated client.  Client stated she refused transportation to hospital, but instead, she went back to her worksite where she took Benadryl.  Client stated Benadryl helped reduce reaction symptoms. Client stated she had same reaction for several days and each time she took Benadryl to reduce symptoms.  Client stated all symptoms were resolved on 1/16/2021.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dyspnoea, Feeling hot, Hypotension
Clinical narrative: I experienced SOB, feeling of hot ,dizzy, lightheaded and tachycardiac and hypotensive, shivering and generalized body aches.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Tachycardia
Clinical narrative: I experienced SOB, feeling of hot ,dizzy, lightheaded and tachycardiac and hypotensive, shivering and generalized body aches.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Numbness to mouth & nose. Lower back pain. Flu like feelings
Age: 46.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Pain, Pain in extremity
Clinical narrative: Fatigue, Body aches, arm sore Took tylenol
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Confusional state, Diarrhoea, Electric shock sensation, Headache
Clinical narrative: Sever nausea, vomiting, diarrhea, extreme thirst, high grade fever 102.5, Tylenol would not bring the fever down, chills, shaking, confusion, BRAIN ZAPS which I?ve only ever experienced when coming off of a psych medication, severe body aches, can?t wear clothes because it hurts, headache, scratchy throat, sever sensitivity to smells, I will vomit when I smell food etc.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperaesthesia, Nausea, Oropharyngeal discomfort, Pain, Parosmia
Clinical narrative: Sever nausea, vomiting, diarrhea, extreme thirst, high grade fever 102.5, Tylenol would not bring the fever down, chills, shaking, confusion, BRAIN ZAPS which I?ve only ever experienced when coming off of a psych medication, severe body aches, can?t wear clothes because it hurts, headache, scratchy throat, sever sensitivity to smells, I will vomit when I smell food etc.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Thirst, Tremor, Vomiting
Clinical narrative: Sever nausea, vomiting, diarrhea, extreme thirst, high grade fever 102.5, Tylenol would not bring the fever down, chills, shaking, confusion, BRAIN ZAPS which I?ve only ever experienced when coming off of a psych medication, severe body aches, can?t wear clothes because it hurts, headache, scratchy throat, sever sensitivity to smells, I will vomit when I smell food etc.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Confusional state, Diarrhoea, Dizziness, Electric shock sensation
Clinical narrative: Sever nausea, vomiting, diarrhea, extreme thirst, high grade fever 102.5, Tylenol would not bring the fever down, chills, shaking, confusion, BRAIN ZAPS which I?ve only ever experienced when coming off of a psych medication, severe body aches, can?t wear clothes because it hurts, headache, scratchy throat, sever sensitivity to smells, I will vomit when I smell food etc.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia, Thirst, Vomiting
Clinical narrative: Sever nausea, vomiting, diarrhea, extreme thirst, high grade fever 102.5, Tylenol would not bring the fever down, chills, shaking, confusion, BRAIN ZAPS which I?ve only ever experienced when coming off of a psych medication, severe body aches, can?t wear clothes because it hurts, headache, scratchy throat, sever sensitivity to smells, I will vomit when I smell food etc.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Immediate post-injection reaction, Injection site induration, Peripheral swelling
Clinical narrative: Immediately after shot, my arm swelled and red.  Feels  hard at the site.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Eye pain, Headache, Myalgia
Clinical narrative: Severe headache. Joint and muscle ache. Eye pain. Chills itching. Sore arm
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus
Clinical narrative: Severe headache. Joint and muscle ache. Eye pain. Chills itching. Sore arm
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Chest pain, Dizziness, Dyspnoea
Clinical narrative: Immediate pain in left deltoid after injection. described as a "fire sensation". Then within a couple minutes the pain spread across her shoulder to her upper chest. Her co-worker noticed her upper chest was flushed. She then developed throat tightness and difficulty breathing. Had associated dizziness and nausea. Was given 0.3mg of epinephrine in the left thigh via auto-injector. Symptoms rapidly improved. Transported to ER for monitoring.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Injection site pain, Nausea, Throat tightness
Clinical narrative: Immediate pain in left deltoid after injection. described as a "fire sensation". Then within a couple minutes the pain spread across her shoulder to her upper chest. Her co-worker noticed her upper chest was flushed. She then developed throat tightness and difficulty breathing. Had associated dizziness and nausea. Was given 0.3mg of epinephrine in the left thigh via auto-injector. Symptoms rapidly improved. Transported to ER for monitoring.