chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased, Nausea, Pain
Clinical narrative: High heart rate. Went up to 158 bpm. Severe body aching and fatigue. Nausea.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Low fever, muscle aches, headache. Starting around 10pm on 4/7, I noticed muscle aches, followed by a low fever by 4am on 4/8; woke up in the afternoon with a headache.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Pyrexia, Vomiting
Clinical narrative: Chills, fever,  vomit, dizzy, 48 hr headache
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Visual impairment
Clinical narrative: Pt received vaccine and then became anxious, dizzy, and stated she had visual changes. Pt was laid down and then observed. Symptoms resolved 45 minutes after they started.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Injection site nodule, Injection site rash, Rash erythematous, Rash pruritic
Clinical narrative: large knot under skin at injection site, red rash around injection site that is itchy, burning (painful) and hot to the touch,
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: large knot under skin at injection site, red rash around injection site that is itchy, burning (painful) and hot to the touch,
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Chills, Diarrhoea, Irritability
Clinical narrative: Gastrointestinal issues including upset stomach, abdominal pain and diarrhea w some loose stools.. Also had irritability, chills.   Lasted 48 hrs... was sever for the first 24 hrs.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Fatigue, Headache, Pyrexia
Clinical narrative: 4/7/21 @ approximately 7:00am- I felt a burning sensation on the left side of my chest and upper back.  Went on for most of the morning then subsided. Did NOT have trouble breathing.  4/6/21 @ approximately 4 pm - Low grade fever (highest temp was 100.6) headache, fatigue. Still have these symptoms today 4/8/21
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient took vaccine at 10am.  We asked Pt to stay in observation area for 30 min because of reaction to Penicillin and a flu shot 10 years ago.  At 10:04am patient complained about not being able to breathe.  We called 911 and We immediately gave patient a shot of Epi-pen and observed patient. We took patient's blood pressure as well. We stayed with patient and administered a second shot of Epi-pen as patient still could not breathe.  After second shot patient was able to breathe and was attended by EMT.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: Pt was given vaccine in the gluteal muscle
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Got Tinnitus and severe ringing in left ear
Age: 25.0
Sex: F
Vaccine: UNK
Symptoms: Confusional state, Dizziness, Moaning, Musculoskeletal stiffness, Mydriasis
Clinical narrative: Patient had either 10-30 second seizure or vasovagal response after blood draw and immunizations (TB was given right before). Lasted only about 10 seconds but patient stated that she started to feel "woozy" and then hunched forward and then her eyes enlarged and pupils dilated and she moaned slightly and stiffened. With help, was able to get patient's mask down to allow her to breathe and put a pulse ox on her and it was 96-100% with HR in the 90's. No changes in vitals. Patient recovered quickly and was groggy for about a minute and was asking what had happened. Patient informed of instance and she stated that she has had 2 similar events in the last 5 years but one was when she had a UTI and the other when she was dehydrated. Alert and oriented after. Called for ride to pick her up as exam was normal and she refused ambulance at this time. Recommended she follow-up with PCP and ask for neurology consult to check on past events and this event in case it was a seizure and she is at risk of more. Patient in agreement with plan.
Age: 25.0
Sex: F
Vaccine: UNK
Symptoms: Somnolence, Vital signs measurement
Clinical narrative: Patient had either 10-30 second seizure or vasovagal response after blood draw and immunizations (TB was given right before). Lasted only about 10 seconds but patient stated that she started to feel "woozy" and then hunched forward and then her eyes enlarged and pupils dilated and she moaned slightly and stiffened. With help, was able to get patient's mask down to allow her to breathe and put a pulse ox on her and it was 96-100% with HR in the 90's. No changes in vitals. Patient recovered quickly and was groggy for about a minute and was asking what had happened. Patient informed of instance and she stated that she has had 2 similar events in the last 5 years but one was when she had a UTI and the other when she was dehydrated. Alert and oriented after. Called for ride to pick her up as exam was normal and she refused ambulance at this time. Recommended she follow-up with PCP and ask for neurology consult to check on past events and this event in case it was a seizure and she is at risk of more. Patient in agreement with plan.
Age: 27.0
Sex: F
Vaccine: UNK
Symptoms: Menstrual disorder
Clinical narrative: No menstruation after vaccine. Last menstrual cycle 02/06/2021.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: mild pain at the injection place (left upper arm) when raise the arm.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea
Clinical narrative: Pt received the vaccine where patient started to have Chest Pain, sob, and dizziness. Ems was called to pt's bedside. Pts symptoms continue and patient wished to be seen in ER. EMS took patient as requested.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Palpitations
Clinical narrative: A FEW MINUTES AFTER RECEIVING VACCINE, PT STATED THEY FELT LIGHTHEADED AND FAST HEART RATE. GAVE PT WATER AND CHECKED HER BLOOD PRESSURE - BP WAS 227/138 WITH PULSE OF 123. 10 MINUTES LATER BP WAS STILL ABOVE 200 WITH NO PREVIOUS HX OF HYPERTENSION. TOLD PATIENT I COULD CALL AN AMBULANCE OR PTS DAUGHTER NEEDED TO TAKE HER TO THE HOSPITAL. PT WENT TO NEAREST HOSPITAL AND WAS RELEASED AFTER BLODD PRESSURE WAS UNDER CONTROL
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: Janssen COVID-19 Vaccine EUA Strong headache 7 hrs after shot; lasting over 24 hours Fever 9 hrs after shot; lasting 18 hours Brief nausea lasting 3 hrs upon waking up the next day Aches lasting 12 hrs upon waking up the next day
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Premature labour
Clinical narrative: I was a G1P0, 36 weeks 0 days at the time of my 2nd dose of the Moderna vaccine. I received the injection at 8:25am and my water broke at 6:35pm. I had been lying down for about 5 minutes prior to the water breaking, with no physical exertion or contractions orior to that. I had no prior risk factors (other than advanced maternal age), but delivered my preterm baby about 5.5 hours later. Nearly 48hrs after delivery, baby and I are both doing fine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity
Clinical narrative: Sore arm day of and for another day or two, but then didn't notice again until I had shooting arm pain a few days ago. Yesterday, the soreness started again, and I'm still feeling it. I may also be more fatigued than usual, but I'm not sure.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: CSF glucose decreased, CSF protein, CSF white blood cell count decreased, Headache, Lymphocyte percentage increased
Clinical narrative: Severe headache, nausea, vomiting. CSF studies with WBC 972, Lymphs 89%, Glucose 44, Protein 120. Concerning for bacterial vs viral meningitis. Work up in progress.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Severe headache, nausea, vomiting. CSF studies with WBC 972, Lymphs 89%, Glucose 44, Protein 120. Concerning for bacterial vs viral meningitis. Work up in progress.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: rash or hives on left arm and back of neck for 2 days now
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 17 year 10 month old male given IM injection of Johnson & Johnson vaccine in right deltoid at 1 pm on 04/8/2021. Pt was observed for 30 minutes after receiving vaccine without  reaction observed . Mother was notified that child was younger than 18 years old. Mother verbalized that she thought he would be fine.  Mother was provided with Janssen fact sheet.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia oral, Lip swelling
Clinical narrative: 17 year 10 month old male given IM injection of Johnson & Johnson vaccine in right deltoid at 1 pm on 04/8/2021. Pt was observed for 30 minutes after receiving vaccine without  reaction observed . Mother was notified that child was younger than 18 years old. Mother verbalized that she thought he would be fine.  Mother was provided with Janssen fact sheet.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Angiogram, Asthenia, Blood test normal, Computerised tomogram head
Clinical narrative: One week after vaccine, he started having episodes of aggitation, weakness, poor appetite.  Had total of 7-9 episodes starting about Feb 20, 2021 until about March 20th.  Went to ER twice, had several office visits.  Brain CT and brain CTA were normal except for vertebral artery stenosis bilaterally.  Neurologist felt that was unrelated to symptoms,  Multiple labs done in ER visits were normal.  I worked him up for carcinoid and pheochromocytoma also.  The pheo labs are still pending.  All else negative.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Stenosis
Clinical narrative: One week after vaccine, he started having episodes of aggitation, weakness, poor appetite.  Had total of 7-9 episodes starting about Feb 20, 2021 until about March 20th.  Went to ER twice, had several office visits.  Brain CT and brain CTA were normal except for vertebral artery stenosis bilaterally.  Neurologist felt that was unrelated to symptoms,  Multiple labs done in ER visits were normal.  I worked him up for carcinoid and pheochromocytoma also.  The pheo labs are still pending.  All else negative.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Tremor
Clinical narrative: Within 10 minutes of vaccination the patient stated she was feeling her heart race. We took her blood pressure at 5:03 her blood pressure was 136/106, at 5:07 it was 132-105 with a pulse of 110. 5:18 138/107 pulse 95. 5:39pm 146/97 pulse 93. 5:48 155/108 pulse 102. We let the patient move to a seat to a cooler quieter environment and then let her test her blood pressure. At 6:11 her blood pressure was 136/80. Since back in normal range we let her go. She said she felt better though still slightly shaky.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Dizziness, Headache, Malaise
Clinical narrative: Headache within 15 min. of getting the shot.  not feeling well and my whole left arm hurting  about 120 min. of getting the shot.   dizziness, chills, nausea and cold sweat lasting for another 120min.  headache lasted longer
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity
Clinical narrative: Headache within 15 min. of getting the shot.  not feeling well and my whole left arm hurting  about 120 min. of getting the shot.   dizziness, chills, nausea and cold sweat lasting for another 120min.  headache lasted longer
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Pain in extremity
Clinical narrative: Severe pain in left arm from shoulder to hand both top and bottom of arm that worsens with activity.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: After a week of my first shot I have ringing in both ears. (Tinnitus)
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, Bilevel positive airway pressure, COVID-19, Chest pain, Chills
Clinical narrative: Vaccine breakthrough hospitalization - SOB with O2 sat 50% when EMS arrived. On non-rebreather satting 70%. Chills, fever, cough, and chest pain. BP 152/79, HR 93, RR 20, SpO2 91%. Had been scheduled to receive COVID mAb day of admission, but clinical course worsened. Admitted to Medical ICU for acute respiratory failure with hypoxia and ARDS secondary to COVID-19. Placed on BIPAP and Rx with Remdesivir, dexamethasone, & tociluzumab. Treated for presumed pulmonary embolism with full-dose anticoagulation. Pt expressed wishes to remain DNR/DNI, ultimately she elected to transition to comfort measures only given worsening hypoxia.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Hypoxia, Oxygen saturation decreased, Pulmonary embolism
Clinical narrative: Vaccine breakthrough hospitalization - SOB with O2 sat 50% when EMS arrived. On non-rebreather satting 70%. Chills, fever, cough, and chest pain. BP 152/79, HR 93, RR 20, SpO2 91%. Had been scheduled to receive COVID mAb day of admission, but clinical course worsened. Admitted to Medical ICU for acute respiratory failure with hypoxia and ARDS secondary to COVID-19. Placed on BIPAP and Rx with Remdesivir, dexamethasone, & tociluzumab. Treated for presumed pulmonary embolism with full-dose anticoagulation. Pt expressed wishes to remain DNR/DNI, ultimately she elected to transition to comfort measures only given worsening hypoxia.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Vaccine breakthrough hospitalization - SOB with O2 sat 50% when EMS arrived. On non-rebreather satting 70%. Chills, fever, cough, and chest pain. BP 152/79, HR 93, RR 20, SpO2 91%. Had been scheduled to receive COVID mAb day of admission, but clinical course worsened. Admitted to Medical ICU for acute respiratory failure with hypoxia and ARDS secondary to COVID-19. Placed on BIPAP and Rx with Remdesivir, dexamethasone, & tociluzumab. Treated for presumed pulmonary embolism with full-dose anticoagulation. Pt expressed wishes to remain DNR/DNI, ultimately she elected to transition to comfort measures only given worsening hypoxia.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Pallor
Clinical narrative: Patient (DOB 4/19/1991)  received the COVID vaccine at 1405. At 1407, she reported dizziness and EMT and RN  responded. She complained of lightheadedness and was clammy and pale. Vital signs were as follows: heart rate of 112, respiratory rate of 12, and O2 of 99%. The client has no allergies, takes no medications, and has no medical conditions that she is aware of. She was alert and oriented, and her pupils were equal and reactive to light. At 1415, the client had another set of vitals taken: blood pressure 100/palpable, heart rate 102, and O2 99%. The client was unable to keep her arm still and stated the blood pressure cuff was too tight, so the blood pressure was difficult to obtain. The client refused water at this time and stated her last meal was at 1330. At 1420, the client stated she felt more calm and EMT attempted a repeat blood pressure, which was 104/60. At this time, the client's color had returned and she was less clammy. At 1425, the client's repeat vital signs were as follows: blood pressure of 100/80, heart rate of 104, respiratory rate of 16, and O2 of 98%. The client was again offered water, which she refused. At 1430, the client stated that she would rate the severity of her symptoms at an 8/10 and she was now rating her symptoms of dizziness and lightheadedness at 2-3/10. At this time, the client accepted a bottle of water and started to drink it, no complaints of nausea. At 1435, the client's repeat blood pressure was 110.80 band her heart rate was 100. She stated her symptoms were resolved. Benadryl was refused. At 1442, the client's vital signs were as follows: her blood pressure was 108/82, heart rate of 98, respiratory rate of 14 and an O2 of 98%. The client was educated regarding system, emergency response and when to activate , and to follow up with her primary care provider. The client was escorted out to her car by EMT , ambulating with a steady gait, and was driven home by her girlfriend.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Loss of consciousness, Syncope, Tinnitus
Clinical narrative: Pt received vaccine and they started to feel dizzy and then passed out in his chair momentarily. Pt began to feel better and then patient fainted again. Pt also complained of ringing in his ears. EMS was called to the bedside where they found patient to be hypotensive. Pt was resolved quickly. Once he began to feel better he was sat up at the side of the bed and monitored for a short while. Pt no longer had any symptoms or concerns and went home with his girlfriend
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dyspnoea, Pain, Pyrexia
Clinical narrative: Chest Pain, shortness of breath, fever, chills (9:00pm-3:00am) chills, body aches (April 4th-April 5th)
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus left ear
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Patient was administered Pfizer Covid 2nd dose vaccine and about 10 minutes later was stating she was light-headed, dizzy, feeling faint, and she wanted to throw up. Spoke to patient who was awake and called EMT to assist. EMT cleared with no findings. EMT stated normal blood sugar, blood pressure and that she was clear to leave. Patient waited in waiting area for approximately 1 hour until she felt better to leave.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Delusion, Diarrhoea
Clinical narrative: Vomiting  Sweats Chills Diarrhea  Very weak Times of delusion  Not able to eat for days It started Thursday evening and I did not feel where I could get up and around until Wednesday morning
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Mobility decreased, Vomiting
Clinical narrative: Vomiting  Sweats Chills Diarrhea  Very weak Times of delusion  Not able to eat for days It started Thursday evening and I did not feel where I could get up and around until Wednesday morning
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fatigue, Headache, Injection site erythema
Clinical narrative: Redness at injection site, swelling at injection site, painful to touch, feverish to touch, mild headaches, mild diarrhea, mild nausea, dizziness, fatigue, fever of 102.1 at its highest. Red mark slightly went below injection site by the next day and started to swell, harden and increase in size.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Injection site warmth, Nausea
Clinical narrative: Redness at injection site, swelling at injection site, painful to touch, feverish to touch, mild headaches, mild diarrhea, mild nausea, dizziness, fatigue, fever of 102.1 at its highest. Red mark slightly went below injection site by the next day and started to swell, harden and increase in size.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Redness at injection site, swelling at injection site, painful to touch, feverish to touch, mild headaches, mild diarrhea, mild nausea, dizziness, fatigue, fever of 102.1 at its highest. Red mark slightly went below injection site by the next day and started to swell, harden and increase in size.
Age: 59.0
Sex: F
Vaccine: TDAP, UNK
Symptoms: Bedridden, Loss of personal independence in daily activities, Malaise
Clinical narrative: I have flu shot every year with never any adverse effects. However when I received the TDAP vaccine, I was sick and bedridden for 1.5 days (unable to function normally.)
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia
Clinical narrative: Muscle aches (back and legs specifically) Fatigue
Age: 49.0
Sex: F
Vaccine: UNK
Symptoms: Pelvic discomfort, Urethritis
Clinical narrative: Urethritis and pelvic pressure
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Fatigue, Headache, Nausea
Clinical narrative: Covid arm, extreme fatigue, nausea, diarrhea, headache, fever, body pain, joint pain
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vaccination complication
Clinical narrative: Covid arm, extreme fatigue, nausea, diarrhea, headache, fever, body pain, joint pain
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vertigo
Clinical narrative: Patient received Pfizer COVID-19 Vaccination on 04/07/21. Presented in clinic at 0745 PM on 04/08/21. States he's had vertigo and nausea today, and has been at work all day. States vertigo and nausea are relatively mild, but worrisome. Alert and oriented and in no apparent distress, grossly normal gait and balance at time of presentation to clinic. Advised to go to ER for further evaluation, given potential relationship of symptoms to Pfizer COVID-19 vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Hyperhidrosis, Injection site erythema
Clinical narrative: 12 hours after vaccine: fever approx. 102/103.  Chills, body aches, sweating.    15 hours after vaccine: 101.5 fever, continued chills, body aches, sweating.  Nausea.  Dizziness.    Approx 24-30 hours after vaccine (12-18 hours after onset), developed severe headache.   Fever broke approximately 24/30 hours after onset.  Body aches and chills subsided.     Headache worsened.  Took 2 aspirin 48 hours after vaccine.  Headache went away but returned several hours later.  Went away with 2 more aspirin.  Retuned the next day.   Did not respond well to aspirin.  Finally subsided 77 hours after vaccine/65 hours after onset.      Severe night sweats continued for 3 nights after fever broke.  Lessened, but still continue.    Skin reactions: injection site reaction developed within a day.  Large red welt on arm.   6 days after vaccine, developed itchy trash all over back and abdomen.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site swelling, Nausea, Night sweats, Pain
Clinical narrative: 12 hours after vaccine: fever approx. 102/103.  Chills, body aches, sweating.    15 hours after vaccine: 101.5 fever, continued chills, body aches, sweating.  Nausea.  Dizziness.    Approx 24-30 hours after vaccine (12-18 hours after onset), developed severe headache.   Fever broke approximately 24/30 hours after onset.  Body aches and chills subsided.     Headache worsened.  Took 2 aspirin 48 hours after vaccine.  Headache went away but returned several hours later.  Went away with 2 more aspirin.  Retuned the next day.   Did not respond well to aspirin.  Finally subsided 77 hours after vaccine/65 hours after onset.      Severe night sweats continued for 3 nights after fever broke.  Lessened, but still continue.    Skin reactions: injection site reaction developed within a day.  Large red welt on arm.   6 days after vaccine, developed itchy trash all over back and abdomen.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Rash pruritic, Urticaria
Clinical narrative: 12 hours after vaccine: fever approx. 102/103.  Chills, body aches, sweating.    15 hours after vaccine: 101.5 fever, continued chills, body aches, sweating.  Nausea.  Dizziness.    Approx 24-30 hours after vaccine (12-18 hours after onset), developed severe headache.   Fever broke approximately 24/30 hours after onset.  Body aches and chills subsided.     Headache worsened.  Took 2 aspirin 48 hours after vaccine.  Headache went away but returned several hours later.  Went away with 2 more aspirin.  Retuned the next day.   Did not respond well to aspirin.  Finally subsided 77 hours after vaccine/65 hours after onset.      Severe night sweats continued for 3 nights after fever broke.  Lessened, but still continue.    Skin reactions: injection site reaction developed within a day.  Large red welt on arm.   6 days after vaccine, developed itchy trash all over back and abdomen.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: I initially had a sore arm for a couple days after the first shot  but it went away and 9 days later that arm was sore and swollen and red. The next day it?s starting to itch.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hot flush, Loss of consciousness, Urinary incontinence
Clinical narrative: Events happened about 5 mins after shot was given. Patient experienced lightheadedness, loss of consciousness for a couple seconds, uncontrolled urination, hot flashes, headache. Patient was given water and a snack to consume. After about 10 minutes of resting and consuming food, she feeling better afterwards, said it could have been to fear of getting injections, and was able to go home with her family.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Hypoaesthesia oral, Swollen tongue, Throat tightness
Clinical narrative: My tongue became numb, my tongue swelled up, my throat started to close and swallowing my saliva became difficult
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Feeling hot, Headache, Hot flush
Clinical narrative: Felt a little warm for first 30 minutes after receiving the shot at 1015am but then felt fine until about 6pm that same day.  At that point, started getting chills, which progressed into mix of chills and hot spells, fever, headache, and frequent urination throughout the night (though was also hydrating a lot).  Had fever the next morning still and Diarrhea.  Still feel modest headache and chills the next evening (before bed where I had felt the worst overnight the first night of the vaccine) but feeling better than the first night.  Per the form I received, I was told to include Janssen COVID-19 Vaccine EUA in this section of the form.  I am reporting this on the day after the vaccination, so don't yet know final outcome, but again, improving and don't feel like I need medical attention.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Pollakiuria, Pyrexia
Clinical narrative: Felt a little warm for first 30 minutes after receiving the shot at 1015am but then felt fine until about 6pm that same day.  At that point, started getting chills, which progressed into mix of chills and hot spells, fever, headache, and frequent urination throughout the night (though was also hydrating a lot).  Had fever the next morning still and Diarrhea.  Still feel modest headache and chills the next evening (before bed where I had felt the worst overnight the first night of the vaccine) but feeling better than the first night.  Per the form I received, I was told to include Janssen COVID-19 Vaccine EUA in this section of the form.  I am reporting this on the day after the vaccination, so don't yet know final outcome, but again, improving and don't feel like I need medical attention.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Feeling hot, Hyperhidrosis, Tachycardia
Clinical narrative: tachycardia, hot sweats, anxiety   Patient was hospitalized
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I woke up the day after my 2nd Moderna vaccine shot with loud ringing in both ears and it has continued for 4 straight days. Sudden onset that morning - had never experienced this ringing sensation before. Possible tinnitus.
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: 7 days after receiving the shot I?ve had what?s called ?Covid Arm?.  At the injection sight it?s very read, hard lump and fever to the touch. It?s also very sore and looks like a red ring around the injection sight. Over the last two days it?s increasingly getting bigger.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood urine present, Computerised tomogram, Dyspnoea, Heart rate increased
Clinical narrative: Blood in my urine, kidney pain, shortness of breath.   Fast heart beat that went into atrial fib. 145 BEats a minute for 4 hours.   Difficulty breathing for 2 weeks following vaccine.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Protein urine present, Renal pain
Clinical narrative: Blood in my urine, kidney pain, shortness of breath.   Fast heart beat that went into atrial fib. 145 BEats a minute for 4 hours.   Difficulty breathing for 2 weeks following vaccine.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Asthma, Chest X-ray, Chest pain, Condition aggravated
Clinical narrative: severe Asthma Attack, wheezing , shortness of breath, coughng chest pain extreme weakness / feeling like  i were  about to pass out  ended up in a steroid , used  my inhaler   and  utilized a nebulizer for  over a month
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Dyspnoea, Wheezing
Clinical narrative: severe Asthma Attack, wheezing , shortness of breath, coughng chest pain extreme weakness / feeling like  i were  about to pass out  ended up in a steroid , used  my inhaler   and  utilized a nebulizer for  over a month
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding
Clinical narrative: Breakthrough menstrual bleeding.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Disturbance in attention, Head discomfort, Hot flush
Clinical narrative: Soreness at sight of injection followed by chills, fever, muscle and joint aches throughout body.  Shakes and intermittent hot flashes and nausea accompanied by stuffy head, inability to concentrate.  Excessive yawning and need to stretch legs frequently.  These symptoms still present at 8:15 p.m. on 4/8/21, with exception of yawning.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Limb discomfort, Myalgia, Nausea, Pyrexia
Clinical narrative: Soreness at sight of injection followed by chills, fever, muscle and joint aches throughout body.  Shakes and intermittent hot flashes and nausea accompanied by stuffy head, inability to concentrate.  Excessive yawning and need to stretch legs frequently.  These symptoms still present at 8:15 p.m. on 4/8/21, with exception of yawning.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Yawning
Clinical narrative: Soreness at sight of injection followed by chills, fever, muscle and joint aches throughout body.  Shakes and intermittent hot flashes and nausea accompanied by stuffy head, inability to concentrate.  Excessive yawning and need to stretch legs frequently.  These symptoms still present at 8:15 p.m. on 4/8/21, with exception of yawning.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Heart rate increased, Hyperhidrosis
Clinical narrative: I developed joint pain approximately 8 hours after vaccination, at 10 PM, beginning in the hips and spreading throughout the entire body.  Around 11 PM, I began to experience chills. Around midnight, I developed a pounding headache. Around 1 AM, I began to experience muscle pain. Around 2 AM, I began to experience nausea and sweating. Around 3 AM, I experienced tachycardia, with a pulse rate of between 110 and 120 beats per minute while lying down. Throughout the time, I was lying in bed but not sleeping. I was unable to work the next day and spent most of it in bed.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Myalgia, Nausea, Tachycardia
Clinical narrative: I developed joint pain approximately 8 hours after vaccination, at 10 PM, beginning in the hips and spreading throughout the entire body.  Around 11 PM, I began to experience chills. Around midnight, I developed a pounding headache. Around 1 AM, I began to experience muscle pain. Around 2 AM, I began to experience nausea and sweating. Around 3 AM, I experienced tachycardia, with a pulse rate of between 110 and 120 beats per minute while lying down. Throughout the time, I was lying in bed but not sleeping. I was unable to work the next day and spent most of it in bed.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Rash, Rash erythematous, Vaccination site pain
Clinical narrative: Right after: Sore arm at site of vaccination A couple of days after -Rash on neck, just below chin-very red, dry, sore and itchy Bumps on hand appearing a week after
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Malaise
Clinical narrative: Malaise began at 12:00am on 4/6/2021 Fever began at 1:00 pm on 4/7/2021 and dissipated around 3:00 am on 4/8/2021 Raised, red, very tender lump appeared about two inches below injection site around 12:00pm on 4/8/2021
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Malaise began at 12:00am on 4/6/2021 Fever began at 1:00 pm on 4/7/2021 and dissipated around 3:00 am on 4/8/2021 Raised, red, very tender lump appeared about two inches below injection site around 12:00pm on 4/8/2021
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Myalgia, Pyrexia
Clinical narrative: Muscle/Joint Pain, Tiredness, Chills, Fever 100.5
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain, Pyrexia, Retching
Clinical narrative: Fever and severe all-body soreness beginning 12 hours after injection (9PM), severe chills and shaking with fever by midnight (12AM), woken from sleep at 2AM by high fever and shaking . Temp almost hit 102 F, but came back down with Acetaminophen. Also had pain, some nausea, and gagged like emesis was imminent. Did fall asleep again. Temp was in range of 98-99 for most of the period 24-36 hours after injection, with and without fever reducing medication, but rose up to 100 around hour 33. Father reports similar development of symptoms from his vaccination experience, lasting 48 hours total. Is there a genetic link?
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Tremor
Clinical narrative: Fever and severe all-body soreness beginning 12 hours after injection (9PM), severe chills and shaking with fever by midnight (12AM), woken from sleep at 2AM by high fever and shaking . Temp almost hit 102 F, but came back down with Acetaminophen. Also had pain, some nausea, and gagged like emesis was imminent. Did fall asleep again. Temp was in range of 98-99 for most of the period 24-36 hours after injection, with and without fever reducing medication, but rose up to 100 around hour 33. Father reports similar development of symptoms from his vaccination experience, lasting 48 hours total. Is there a genetic link?
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival pain, Gingival swelling, Myalgia
Clinical narrative: Muscle pain, swollen and painful gums
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Feeling of body temperature change, Headache, Migraine, Pain
Clinical narrative: At 2 am 4/8/2021 started with mild headache, went to bed.  At 3 am headache was migraine strength and was having full body aches (except for arms), extreme lower back and lower abdominal pain (he said it must be like what women experience in labor or during their menstrual cycle).   He got up and took temperature (normal) and blood ox (100 %SpO2 on two fingers).  He got a wet rag for eyes and tried to fall asleep.  He said he felt hot with cover on and cold with cover off.   At 5:50 am his father gave him two Motrin (400mg total), applesauce and a ice pack for his head and back.  I checked on him thru-out day and he seemed restless.  He woke up at 3 pm on 4/8/2021 said headache and major back pain/abdominal pains were gone. He still feels slightly achy, but fine otherwise. as of 8:24 pm.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Restlessness
Clinical narrative: At 2 am 4/8/2021 started with mild headache, went to bed.  At 3 am headache was migraine strength and was having full body aches (except for arms), extreme lower back and lower abdominal pain (he said it must be like what women experience in labor or during their menstrual cycle).   He got up and took temperature (normal) and blood ox (100 %SpO2 on two fingers).  He got a wet rag for eyes and tried to fall asleep.  He said he felt hot with cover on and cold with cover off.   At 5:50 am his father gave him two Motrin (400mg total), applesauce and a ice pack for his head and back.  I checked on him thru-out day and he seemed restless.  He woke up at 3 pm on 4/8/2021 said headache and major back pain/abdominal pains were gone. He still feels slightly achy, but fine otherwise. as of 8:24 pm.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Dizziness, Dysphagia, Dyspnoea, Feeling abnormal
Clinical narrative: 4/7/21 at 7pm Felt faint a little breathing off. Sore throat 8pm and started to feel uncomfortable and trouble swallowing a little bit.. 10pm felt like lump in throat. 11pm more trouble swallowing and tongue swollen and throat felt swollen. 6am under chin tongue still felt swollen.  2:45pm 4/8 trouble swallowing and felt odd in mouth/throat. Soft palate and uvula swollen and throat felt swollen. 7pm felt faint and breathing off a little. 9:45pm Mouth still swollen. All of this with Benadryl and Motrin in me.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Mouth swelling, Oropharyngeal pain, Pharyngeal swelling, Sensation of foreign body, Swollen tongue
Clinical narrative: 4/7/21 at 7pm Felt faint a little breathing off. Sore throat 8pm and started to feel uncomfortable and trouble swallowing a little bit.. 10pm felt like lump in throat. 11pm more trouble swallowing and tongue swollen and throat felt swollen. 6am under chin tongue still felt swollen.  2:45pm 4/8 trouble swallowing and felt odd in mouth/throat. Soft palate and uvula swollen and throat felt swollen. 7pm felt faint and breathing off a little. 9:45pm Mouth still swollen. All of this with Benadryl and Motrin in me.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Headache, general body aches
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Pruritus, Skin swelling
Clinical narrative: Had allegries, itchness, swollen skin in certain parts in the body.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on the arms and upper chest.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Nausea, headache,  fever, chills. Injection site pain (which moved to my underarm area) body aches, fatigue
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Nausea, headache,  fever, chills. Injection site pain (which moved to my underarm area) body aches, fatigue
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Fear of injection, Loss of consciousness, Nausea
Clinical narrative: Pt received vaccine; then stated that he felt nauseated, dizzy, and had increased anxiety due to his fear of needles. While sitting in observation he passed out momentarily while sitting in his chair. He awoken quickly and was assisted to a wheelchair for one on one observation. Pt states this has happened before and he always quickly awakens. Water given. Pt observed for 30 minutes and left in stable condition.
Age: 0.75
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Product preparation issue
Clinical narrative: The MA who administered the dose did not combine (reconstitute) the two vials.  She administered only the DTaP-IPV and not the Hib.  She self-reported, notified the provider and the family.  An incident report was done at work, signs were posted on the vaccine refrigerator regarding the need to mix the two vials and they are now bound together.  An email was sent to all of the managers at the  other clinics to please do the same quality updates.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: my period came 3 weeks early and has been extremely heavy and and lasted significantly longer than normal
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Heart rate increased, SARS-CoV-2 test positive, Wheezing
Clinical narrative: Presented to ED with persistent cough X 1 week, some SOB. No obvious fever. ROS + for cough, shortness of breath and wheezing. BP 131/84 HR 107 RR 22. Admitted to general medicine floor on 2L O2 via NC, Rx with remdesivir + Dexamethasone.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Post-acute COVID-19 syndrome
Clinical narrative: Covid-19 Arm,
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blue toe syndrome, Computerised tomogram, Epistaxis, Erythema, Fatigue
Clinical narrative: Headaches, migraines, and tired after vaccine for 2 weeks. 14th day after vaccine noticed some red spots on leg that looked similar to a heat rash and over the next 24 hours entire legs were covered in red dots and feet were almost solid purple. On the morning of 16th day constant nose bleed and multiple blood blisters in mouth inside cheeks and all over tongue. Blood was coming from mouth. At that point legs were covered in dark red almost purple and spreading to chest, back, and arms.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Immune thrombocytopenia, Immunoglobulin therapy, Migraine, Miliaria
Clinical narrative: Headaches, migraines, and tired after vaccine for 2 weeks. 14th day after vaccine noticed some red spots on leg that looked similar to a heat rash and over the next 24 hours entire legs were covered in red dots and feet were almost solid purple. On the morning of 16th day constant nose bleed and multiple blood blisters in mouth inside cheeks and all over tongue. Blood was coming from mouth. At that point legs were covered in dark red almost purple and spreading to chest, back, and arms.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Mouth haemorrhage, Oral mucosal blistering, Platelet count increased, Platelet transfusion, Rash
Clinical narrative: Headaches, migraines, and tired after vaccine for 2 weeks. 14th day after vaccine noticed some red spots on leg that looked similar to a heat rash and over the next 24 hours entire legs were covered in red dots and feet were almost solid purple. On the morning of 16th day constant nose bleed and multiple blood blisters in mouth inside cheeks and all over tongue. Blood was coming from mouth. At that point legs were covered in dark red almost purple and spreading to chest, back, and arms.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Rash macular, Tongue blistering
Clinical narrative: Headaches, migraines, and tired after vaccine for 2 weeks. 14th day after vaccine noticed some red spots on leg that looked similar to a heat rash and over the next 24 hours entire legs were covered in red dots and feet were almost solid purple. On the morning of 16th day constant nose bleed and multiple blood blisters in mouth inside cheeks and all over tongue. Blood was coming from mouth. At that point legs were covered in dark red almost purple and spreading to chest, back, and arms.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Herpes zoster, Hypersensitivity, Nausea, Pain of skin
Clinical narrative: Day 1 headache and nasuea that subsided by 7 PM. 1 week later started having sensitivity and pain in scalp with headaches. On 3/27 I had a bump on back of neck.  3/28 rash appeared on left side of neck and on face along jawline.  I also had painful sores appear in my scalp on left side.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Rash, Skin disorder, Swelling
Clinical narrative: Day 1 headache and nasuea that subsided by 7 PM. 1 week later started having sensitivity and pain in scalp with headaches. On 3/27 I had a bump on back of neck.  3/28 rash appeared on left side of neck and on face along jawline.  I also had painful sores appear in my scalp on left side.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Herpes zoster, Lymphadenopathy, Pruritus, Rash
Clinical narrative: Day 1 headache and nasuea that subsided by 7 PM. 1 week later started having sensitivity and pain in scalp with headaches. On 3/27 I had a bump on back of neck.  3/28 rash appeared on left side of neck and on face along jawline.  I also had painful sores appear in my scalp on left side.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Herpes zoster, Pain of skin, Rash, Sensitive skin
Clinical narrative: Day 1 headache and nasuea that subsided by 7 PM. 1 week later started having sensitivity and pain in scalp with headaches. On 3/27 I had a bump on back of neck.  3/28 rash appeared on left side of neck and on face along jawline.  I also had painful sores appear in my scalp on left side.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus  within 8 hrs of vaccination. No treatment. Too early for an outcome
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Condition aggravated, Dehydration, Dizziness, Headache
Clinical narrative: After receiving vaccine, i started to feel headache then extreme nausea, body aches, dizzy, feeling like i'm going to pass out I went to ER at the Hospital the next day, so so sick
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Pain, Vomiting
Clinical narrative: After receiving vaccine, i started to feel headache then extreme nausea, body aches, dizzy, feeling like i'm going to pass out I went to ER at the Hospital the next day, so so sick
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Dyspnoea, Headache, Nausea
Clinical narrative: Approximately 2 hours post vaccine, I experienced light-headedness, nausea and difficulty breathing. I was driven home and assisted into a recliner. About 30 minutes later, a headache began, lasting 24 hours. I rested and refrained from my usual daily activities, and recovered after 24 hours.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: sore arm near injection site starting day of the injection and improving by next day. Soreness within expectations, expected to be fully recovered soon
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity
Clinical narrative: sore arm near injection site starting day of the injection and improving by next day. Soreness within expectations, expected to be fully recovered soon
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Tinnitus
Clinical narrative: Pt received vaccine and then went to observation area. While in the obs area patient began to complain of itching and ringing. 30 minutes later the patient felt better. Pt went home with no symptoms.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: A few minutes after receiving the vaccine, the patient fainted in the pharmacy wait area. She woke up a few seconds later and was alert. She was able to answer questions like "what is your name?" "where are your?" " etc. She denied a history of fainting but did say she fainted once about 8 years ago.  She remained seated in the pharmacy waiting area for another 30 minutes and said she felt fine. She denied feeling dizzy, short of breath, and any allergic reaction symptoms.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Client received the COVID vaccine (Moderna, lot # 041AB21A) at 1005. Client reported dizziness, and EMT, Nurse  and Physician all responded at 1010. The client was sitting in his chair, head back with his eyes closed. The client stated that he was going to pass out and he appeared very pale and diaphoretic. The client was transferred to the reclining chair. At 1015, the client's vital signs were as follows: blood pressure of 110/68, heart rate of 78, respiratory rate of 16, and O2 99%. At 1020, the client stated he was "starting to feel better" and his vital signs were as follows: O2 99%, heart rate 59, and respiratory rate of 16. His color had improved to normal. The client refused benadryl. At 1025, the client's heart rate was 58, respiratory rate was 18, and O2 was 98. He stated he had no medical history, takes no medications, and has no allergies. At 1030, the client's blood pressure was 114/74. He was given a water which he started to drink. At 1040, the client's blood pressure was 112/70, with a heart rate of 57 abd O2 of 98%. The client stated his symptoms were completely resolved and he was able to stand without any return of dizziness. Education was provided regarding V-safe, emergency measure and activation, and primary care follow up. The client has no PCP so information was provided regarding. The client was escorted out to his car, ambulating with a steady gait, and he drove himself home.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes
Clinical narrative: oral herpes simplex outbreak on upper lip