chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Laboratory test, Myocardial necrosis marker, Nausea, Palpitations
Clinical narrative: nausea, vomiting, dizziness, lightheadedness, headache, feeling of heart palpitations with associated shortness of breath IV ondansetron, IV bolus normal saline ED visit for > 5 hrs.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: nausea, vomiting, dizziness, lightheadedness, headache, feeling of heart palpitations with associated shortness of breath IV ondansetron, IV bolus normal saline ED visit for > 5 hrs.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall
Clinical narrative: Patient felt dizzy, lightheaded and fell. She reported that she could have "passed out" she lives alone. She remembers getting up off the floor.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Immediate post-injection reaction, Needle issue, Product administration interrupted, Rash
Clinical narrative: First dose the needle broke.... seemed like none went in. Second try successful administration. Headache, minor, immediate. Three days later a rash began on upper body and progressed to entire body. Thick, very itchy. No respiratory response. Treated with Claritin, Benadryl, hydrocortisone and oat baths. Lasted 9 days.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: First dose the needle broke.... seemed like none went in. Second try successful administration. Headache, minor, immediate. Three days later a rash began on upper body and progressed to entire body. Thick, very itchy. No respiratory response. Treated with Claritin, Benadryl, hydrocortisone and oat baths. Lasted 9 days.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 10 days following-  injection site has a large bump under the skin, skin is red and hot to touch, dime sized area.   Day 2- red area is raised  larger, hot to touch, lump is painful.   Day 3- red area is much larger and spreading down arm, a raised ring around the site is present.  Dr. is notified and prescribes Antibiotic for bacterial infections.  Day 4 - red area is still spreading but the pain and swelling has subsided.  Day 5,  redness is subsiding but present.  Pain and swelling gone.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypopnoea, Loss of consciousness, Tremor
Clinical narrative: Patient was given second dose.  30 minutes later she sat down on a couch and was breathing short and shallow.  She was not responsive and mildly shaking.  I gave her an Epipen shot and in less than a minute she was a wake and feeling much better.  She drank some water.  911 was not called because her mother was a nurse and was nearby.  She came and picked her up and took her to a doctor.  I checked on the patient this afternoon and she is feeling fine other than feeling tired.  She has a medical history of weight loss surgery and not dieting properly.  The administrator of the home  said she has a history of not feeling well and almost fainting from not eating properly after her weight loss surgery.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Nausea, Pain
Clinical narrative: Sore arm at injection site, tiredness, nausea, achiness
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Severe headache, body aches, extreme fatigue, chills, sweats., dizziness.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Severe headache, body aches, extreme fatigue, chills, sweats., dizziness.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient was present at our Moderna vaccine clinic at his Assisted Living Residence where he resides. He did not tell us that he had obtained a Pfizer vaccine previously. We gave him Moderna vaccine on 2/2/21. We received a call from staff at the community days later who reported that the patient had received Pfizer dose #1 on 1/18/21. No side effects or unusual events have been reported at this time.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Laboratory test normal, Oral pain, Rash
Clinical narrative: Approximately 35 red spots about 1/4 inch each with a pinhead sized head appeared across stomach and reaching around to back on right and left sides of trunk.  Spots were observed at bedtime,  Not sure when they first appeared.  No itching.  Roof of mouth and gums were sore later in the night and mild headache occurred.  Spots started disappearing on their own over the course of a week.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: patient test positive for covid 2-10-21 after exposure asymptomatic
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Device connection issue, Incorrect dose administered
Clinical narrative: Person receiving vaccine is also a staff member. While here during a vaccination event 2/10/2021 he voiced concern that during his 2nd dose he felt the needle was withdrawn too soon which caused liquid/vaccine from the syringe to splash on him. He felt that it was a decent enough amount to have him believe that he didn't receive a full dose. We spoke with our Chief Medical Officer who recommended that he be vaccinated that same day (2/10/21).
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site rash, Joint swelling, Lymphadenopathy
Clinical narrative: Fever/flush, chills/pale, body aches, headache, sore arm day 1 3 large red bumps below injection site, pain from shoulder to wrist, swollen wrist (watch too tight), sore/swollen axillary glands & neck on injection beginning day 1 night (reported to Moderna phone line) worsening & spreading day 2 treated with ice at injection and bump sites, 500mg Tylenol about every 4 waking hours
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever/flush, chills/pale, body aches, headache, sore arm day 1 3 large red bumps below injection site, pain from shoulder to wrist, swollen wrist (watch too tight), sore/swollen axillary glands & neck on injection beginning day 1 night (reported to Moderna phone line) worsening & spreading day 2 treated with ice at injection and bump sites, 500mg Tylenol about every 4 waking hours
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Mammogram, Ultrasound scan
Clinical narrative: Lymph nodes in underarm of injected arm swelled up to the size of a lemon and became sore/tender
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pruritus, Eye pruritus, Headache, Nausea
Clinical narrative: patient had nausea, headache, hot and itchy eyes and ears. Patient was given 25mg Benadryl and 4mg zofran
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Antinuclear antibody positive, Full blood count, Hepatitis C antibody negative, Laboratory test
Clinical narrative: Lacy vascular rash on both calves.  Calf pain and cramping.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Muscle spasms, Pain in extremity, Ultrasound Doppler, Vasculitic rash
Clinical narrative: Lacy vascular rash on both calves.  Calf pain and cramping.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Arthralgia, Blood pressure increased, Fatigue, Full blood count
Clinical narrative: 1/4 vaccination 1/5 Severe HA; extreme couldn't hold head.  1/6 Elevated BP 160/100 stayed for about 1 week; put on BP meds. Fatigue, joint pain; extreme. Could not stay awake.  Thursday I went to Dr. Administered BP meds.  Following week; Dr. Tested all inflammatory markers; elevated.  *waiting to have markers retested.  **missed 3 weeks of work.  ***still having joint pain. Hasn't resolved.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired work ability, Inflammation, Inflammatory marker increased, SARS-CoV-2 test negative
Clinical narrative: 1/4 vaccination 1/5 Severe HA; extreme couldn't hold head.  1/6 Elevated BP 160/100 stayed for about 1 week; put on BP meds. Fatigue, joint pain; extreme. Could not stay awake.  Thursday I went to Dr. Administered BP meds.  Following week; Dr. Tested all inflammatory markers; elevated.  *waiting to have markers retested.  **missed 3 weeks of work.  ***still having joint pain. Hasn't resolved.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: 1/4 vaccination 1/5 Severe HA; extreme couldn't hold head.  1/6 Elevated BP 160/100 stayed for about 1 week; put on BP meds. Fatigue, joint pain; extreme. Could not stay awake.  Thursday I went to Dr. Administered BP meds.  Following week; Dr. Tested all inflammatory markers; elevated.  *waiting to have markers retested.  **missed 3 weeks of work.  ***still having joint pain. Hasn't resolved.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Sore, Swollen lymph glands under right arm pit
Age: 17.0
Sex: F
Vaccine: FLU4, HPV9, MNQ
Symptoms: Allergy to vaccine, Arthralgia, Pruritus, Swelling, Urticaria
Clinical narrative: Hives and swelling.  Still uncomfortable in feet and ankles.  Fingers are still kind of tight. Patient noticed itching and swelling on fingers, hands, feet, toes, ankles, and knees on Sunday (2/7). Had hives, went to urgent care, thought it was allergic reaction to vaccines received. Received influenza, meningococcal, and HPV on 2/2. Given prednisone and famotidine at after hours clinic and have been taking since then, swelling has gone down, still has pain in joints. Also taking benadryl and claritin. Hives come back at night, when steroids wear off. No new foods recently, no new products, not going anywhere.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Patient reports she experienced Bells Palsy after first dose of Moderna Vaccine.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness
Clinical narrative: Weakness/dizziness
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Nausea, Vomiting
Clinical narrative: Diarrhea, headache, nausea, vomiting
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Rash, Urticaria
Clinical narrative: generalized rash, urticaria, hives, angioedema of lips, tongue
Age: 23.0
Sex: U
Vaccine: COVID19
Symptoms: Confusional state, Fatigue, Paranasal sinus discomfort, Pyrexia, Sinus headache
Clinical narrative: Extreme fatigue, and confusion, paired with a sinus pressure headache, and mild fever (100F)
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Rash pruritic
Clinical narrative: I started to have rash on my right arm with pumps showing up and is very itchy, itchy and redness with bumps on the right side of my lower face.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cytokine storm, Discomfort, Dizziness, Hypoaesthesia
Clinical narrative: Immediate feeling of tahycardia, numbness in feet and feeling of passing out after injection.  My immunologist believes that this was a cytokine storm reaction (non anyphylaxis).  Store gave me water and cookie to help.  Discomfort continued.  Paramedics were on site and did work up on me and allowed me after 1 hour to go home where fever and chills continued for 2 hours.  Immunologist would like to administer second dose in her office using desensitizing approach.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Pyrexia, Tachycardia
Clinical narrative: Immediate feeling of tahycardia, numbness in feet and feeling of passing out after injection.  My immunologist believes that this was a cytokine storm reaction (non anyphylaxis).  Store gave me water and cookie to help.  Discomfort continued.  Paramedics were on site and did work up on me and allowed me after 1 hour to go home where fever and chills continued for 2 hours.  Immunologist would like to administer second dose in her office using desensitizing approach.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID + post 1st vaccine dose
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: RASHES AT INJECTION SITE
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Arm tender for two days, ran a fever, body aches and headache for 12 hours. Blood pressure went up to 187/101.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: Arm tender for two days, ran a fever, body aches and headache for 12 hours. Blood pressure went up to 187/101.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: There are no adverse reaction, the reason of this report is because the patient was under age(17 years) at the moment of the vaccination.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Chest discomfort, Headache, Injection site erythema, Injection site pruritus
Clinical narrative: Patient stated that her adverse symptoms started 6 days after she got the first vaccine, on 29 January 2021. It began as swelling, and redness at the injection site. She stated she had hives that were itchy and raised on her left arm around the site, and on 30 January 2021 the hives spread down her arm. She also noted that the lymph node in her left axilla was swollen.  On 6-7 Feb 2021 patient stated that the rash has mostly resolved, but that she started having neck pain, on the sides of her neck, near her collar bone. This pain leads to a headache, which she has been taking Ibuprofen for. The Ibuprofen only helps with the headache pain, not the neck muscle pain. She also stated that since the 6 and 7 of Feb in the evening her chest begins to feel "heavy, like something is sitting on it". Patient stated that she went to see her primary care provider at the end of January and was sent to an allergist, who did not believe it was an allergic reaction. She was not prescribed any medication.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site urticaria, Lymphadenopathy, Myalgia, Neck pain
Clinical narrative: Patient stated that her adverse symptoms started 6 days after she got the first vaccine, on 29 January 2021. It began as swelling, and redness at the injection site. She stated she had hives that were itchy and raised on her left arm around the site, and on 30 January 2021 the hives spread down her arm. She also noted that the lymph node in her left axilla was swollen.  On 6-7 Feb 2021 patient stated that the rash has mostly resolved, but that she started having neck pain, on the sides of her neck, near her collar bone. This pain leads to a headache, which she has been taking Ibuprofen for. The Ibuprofen only helps with the headache pain, not the neck muscle pain. She also stated that since the 6 and 7 of Feb in the evening her chest begins to feel "heavy, like something is sitting on it". Patient stated that she went to see her primary care provider at the end of January and was sent to an allergist, who did not believe it was an allergic reaction. She was not prescribed any medication.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Patient stated that her adverse symptoms started 6 days after she got the first vaccine, on 29 January 2021. It began as swelling, and redness at the injection site. She stated she had hives that were itchy and raised on her left arm around the site, and on 30 January 2021 the hives spread down her arm. She also noted that the lymph node in her left axilla was swollen.  On 6-7 Feb 2021 patient stated that the rash has mostly resolved, but that she started having neck pain, on the sides of her neck, near her collar bone. This pain leads to a headache, which she has been taking Ibuprofen for. The Ibuprofen only helps with the headache pain, not the neck muscle pain. She also stated that since the 6 and 7 of Feb in the evening her chest begins to feel "heavy, like something is sitting on it". Patient stated that she went to see her primary care provider at the end of January and was sent to an allergist, who did not believe it was an allergic reaction. She was not prescribed any medication.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue
Clinical narrative: Chills that lasted 2 hours and fatigue that lasted 24 hours
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Epistaxis, Immune thrombocytopenia, Intensive care, Platelet count decreased
Clinical narrative: Nose bleed started on 2/1/21 that would not stop for 2 days. Labs checked - Platelets dropped from baseline of 210 to "4" - sent to hospital on 2/2/21, required ICU Admission with dx of unspecified ITP.  There are no other changes of medications or regimen prior to incident. Hospital notes also suspect from COVID vaccine as otherwise unexplained.  Has not fully recovered, still in ICU.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Epistaxis, Faeces discoloured, Immune thrombocytopenia, Immunoglobulin therapy
Clinical narrative: Nose bleed started on 2/1/21 that would not stop for 2 days. Labs checked - Platelets dropped from baseline of 210 to "4" - sent to hospital on 2/2/21, required ICU Admission with dx of unspecified ITP.  There are no other changes of medications or regimen prior to incident. Hospital notes also suspect from COVID vaccine as otherwise unexplained.  Has not fully recovered, still in ICU.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Melaena, Petechiae, Platelet count decreased, Platelet count normal, Platelet transfusion
Clinical narrative: Nose bleed started on 2/1/21 that would not stop for 2 days. Labs checked - Platelets dropped from baseline of 210 to "4" - sent to hospital on 2/2/21, required ICU Admission with dx of unspecified ITP.  There are no other changes of medications or regimen prior to incident. Hospital notes also suspect from COVID vaccine as otherwise unexplained.  Has not fully recovered, still in ICU.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Thrombocytopenia
Clinical narrative: Nose bleed started on 2/1/21 that would not stop for 2 days. Labs checked - Platelets dropped from baseline of 210 to "4" - sent to hospital on 2/2/21, required ICU Admission with dx of unspecified ITP.  There are no other changes of medications or regimen prior to incident. Hospital notes also suspect from COVID vaccine as otherwise unexplained.  Has not fully recovered, still in ICU.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: MODERNA COVID-19 VACCINE EUA  ;  BODYBONE PAIN, FEVER, CHILLS, HEADACHE, VOMIT, TIRENESS, INJECTION SITEHARD/SWOLLEN/HOT, LETHARGIC FOR 14.5 HOURS (FELT LIKE I DID WHEN I HAD COVID19 IN OCTOBER); SYMPTOMS EASED UP AFTER 24 HOURS.. I AM CONCERNED ABOUT GETTING SECOND DOSE
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pain, Pyrexia, Vomiting
Clinical narrative: MODERNA COVID-19 VACCINE EUA  ;  BODYBONE PAIN, FEVER, CHILLS, HEADACHE, VOMIT, TIRENESS, INJECTION SITEHARD/SWOLLEN/HOT, LETHARGIC FOR 14.5 HOURS (FELT LIKE I DID WHEN I HAD COVID19 IN OCTOBER); SYMPTOMS EASED UP AFTER 24 HOURS.. I AM CONCERNED ABOUT GETTING SECOND DOSE
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal X-ray, Abdominal pain, Computerised tomogram head, Headache, Laboratory test
Clinical narrative: 2/11/2021 Per Healthcare worker.  Day after pt received 1st Covid vaccine went to ER for hives on face and abd pain.  Also reported HA and body aches. Discharged from ER with unspecified stomach pains.  Pt is nonverbal.  Information obtained from Healthcare worker.  As of 2/22/2021 patient is doing fine and having no s/s.  Asked Healthcare worker to provide  a statement from physician or PCP as to whether pt should receive the second dose of the Covid vaccine. RN
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Urticaria
Clinical narrative: 2/11/2021 Per Healthcare worker.  Day after pt received 1st Covid vaccine went to ER for hives on face and abd pain.  Also reported HA and body aches. Discharged from ER with unspecified stomach pains.  Pt is nonverbal.  Information obtained from Healthcare worker.  As of 2/22/2021 patient is doing fine and having no s/s.  Asked Healthcare worker to provide  a statement from physician or PCP as to whether pt should receive the second dose of the Covid vaccine. RN
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Fatigue, headache, injection site redness and swelling, malaise, muscle pain and injection site pain.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia
Clinical narrative: Fatigue, headache, injection site redness and swelling, malaise, muscle pain and injection site pain.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Feeling cold, Feeling hot, Injection site discomfort
Clinical narrative: She woke me at about 4:15am and told me she was freezing, she was shivering in the bed even though she had a blanket on, so I went and got her another blanket and put some socks on her feet. She went back to sleep until about 6:30am when she woke up and said she felt like she was burning up, so I took 1 blanket and her socks off. I took her temperature at 6:45am and it was 100.2 degrees,  so I went to the store to buy her some Tylenol. I gave a cracker and a Tylenol with a glass of water. She went back to sleep until 9:45am, when she woke back up and I took her temperature, it was at 99.7 degrees, she ate another cracker and drank some water and some Diet Coke. She went back to sleep and at 11:35 she woke up and told me she was hungry so I made her some chicken noodle soup and 1/2 of a hotdog. Her temperature at that time was 98.6 degrees. Basically she was in bed the whole day and couldn?t do any of the things that she normally would do. She feels some what better today, no fever, but still has body aches and pains. Her arm is still bothering her and she has a rash at the injection site.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Loss of personal independence in daily activities, Pain
Clinical narrative: She woke me at about 4:15am and told me she was freezing, she was shivering in the bed even though she had a blanket on, so I went and got her another blanket and put some socks on her feet. She went back to sleep until about 6:30am when she woke up and said she felt like she was burning up, so I took 1 blanket and her socks off. I took her temperature at 6:45am and it was 100.2 degrees,  so I went to the store to buy her some Tylenol. I gave a cracker and a Tylenol with a glass of water. She went back to sleep until 9:45am, when she woke back up and I took her temperature, it was at 99.7 degrees, she ate another cracker and drank some water and some Diet Coke. She went back to sleep and at 11:35 she woke up and told me she was hungry so I made her some chicken noodle soup and 1/2 of a hotdog. Her temperature at that time was 98.6 degrees. Basically she was in bed the whole day and couldn?t do any of the things that she normally would do. She feels some what better today, no fever, but still has body aches and pains. Her arm is still bothering her and she has a rash at the injection site.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Lymphadenopathy, Palpitations
Clinical narrative: C/O heart racing, dizziness and swollen lymph nodes
Age: 0.42
Sex: F
Vaccine: RV1
Symptoms: Product preparation issue
Clinical narrative: no vaccine received only diluent
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Flushing, Hypoaesthesia oral
Clinical narrative: Per EMS report:  ED was dispatched to the vaccination clinic at city hall for a female having an adverse reaction. When we arrived the patient was found sitting in an upright position on a chair; she was conscious and alert. We were informed by medical staff on scene(EMT) the patient had developed some redness on her chest and had been given 50 mg Benadryl prior to our arrival. Patient informed us she has a history of adverse reactions to vaccines so she was expecting something to happen. She said she had initially gotten a feeling of warm/flushing from her feet and up into her body and then developed the redness. She also said her tongue had been feeling numb but she denied any shortness of breath or chest palpitations associated with her symptoms. According to the patient and provider on scene the redness was improving after the Benadryl. Patient also said her tongue was feeling normal again. The patient did not want to be transported to the hospital as she said she was feeling better. Health department staff on scene was going to be sending Benadryl with the patient in case she needed more. Patient signed medical release and ED cleared.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Headache, Myalgia, Pain, Pyrexia
Clinical narrative: SEVERE SHIVERING !!  Headache, body aches, muscle pain, fever.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Rash, Rash erythematous, Skin discolouration, Swelling
Clinical narrative: Red rash on arm, raised small blister, black and blue, growing from small circle spreading a bit
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Aura
Clinical narrative: Had an aura at about 7:30pm on 2/10/2021 about 27 hours after vaccination, lasted about an hour, no headache developed.  Do have history of migraines when around puberty that usually began with an aura...have not have one in about 10 _+ years .No
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Urticaria
Clinical narrative: I felt an itchy feeling and scratched it. When I looked at the sight (where I had the injection) there were small welts, approximately 6 or 7 taking up an oval about 1" x 2".  I applied lotion to prevent further itching. In the morning, the welts were  smaller and the patch is red and still itches. I am continuing  to  apply lotion.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache
Clinical narrative: Chills, arthralgia, headache, and fatigue that resolved after 12 hours
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Oedema, Pain
Clinical narrative: Soreness, redness and edema came on a week following the vaccination.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site pruritus, Peripheral swelling, Skin warm
Clinical narrative: Arm became red, mildly edematous, warm to touch. Used steroid cream and improved. 24 hours later with red circle at site of injection. No pain. It continues to itch. No PO medications used.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Burning sensation, Foot fracture, Sleep disorder, X-ray limb abnormal
Clinical narrative: Stabbing pain over the right first metatarsophalangeal joint.  Intermittent.  No relation to activity.  Progressed to nightly burning over the area, waking me up from sleep or preventing me from falling asleep.
Age: 11.0
Sex: F
Vaccine: FLU4, HPV9, MNQ
Symptoms: Dizziness, Flushing, Pain in extremity, Rash
Clinical narrative: Patient started with a rash on both arms , face and neck. Her face was flushed. She felt lightheaded and her arms hurt. She also became anxious.  Initial VS: pulse ox:97% on RA, pulse: 102, BP: 102/64; 5 minutes later: pulse ox:96% on RA, pulse: 106 5 minutes later: Zyrtec 10 mg po given; 5 minutes later: pulse ox:99% on RA, pulse: 68; 10 minutes later: pulse ox:98% on RA, pulse: 91, BP: 104/62: lungs were CTA the entire time; no tongue swelling. Water given, a lollipop and brownie given. After 30 minutes; rash almost completely gone and pulse ox:97% on RA, pulse: 87. Patient discharged home with Mom and walked out of the office.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Received first dose of Moderna COVID-19 on January 20, 2021 at Hospital. Received #2 dose of Moderna 21 days after first. Received vaccination earlier than recommended timing.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza like illness, Lethargy, Malaise, Nausea
Clinical narrative: Flu like symptoms began 12 hours or so after injection: headache, lethargy, naseau, felt "unwell".  Symptoms continued for 3-4 days.  Noted that I previously had COVID infection in April  2020 for which I was hospitalized for a week on oxygen.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Death, Dizziness, Haematemesis, Hypotension
Clinical narrative: New onset dizziness with hypotension, tachycardia, and vomiting blood. Sent to ER - told he went into cardiac arrest and died.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: New onset dizziness with hypotension, tachycardia, and vomiting blood. Sent to ER - told he went into cardiac arrest and died.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Exposure during pregnancy, Fatigue, Feeling cold, Nausea
Clinical narrative: Chills Achy Lack of energy Tired  Nausea No treatment just rest
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Chills Achy Lack of energy Tired  Nausea No treatment just rest
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Injection site reaction, Swollen tongue
Clinical narrative: About an hour after administration, she started feeling like she couldn't catch her breath. She also stated that it felt like her tongue was too big for her mouth. She also stated that it looked like there was a mosquito bite at the site of administration. She took a benadryl (unknown strength) about 1 hour after developing the breathing symptoms, and an hour later, she was starting to feel better. As of 24 hours after, the administration site reaction is not resolved.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Lip swelling, Paraesthesia oral
Clinical narrative: Pt first developed numbness and tingling of the lips which was followed by very slight upper lip swelling.  This numbness and swelling improved without intervention but over the next 10 mins returned but this time with swelling of the lower lips.  Pt has h/o atrial thrombus as well as reaction to epinephrine (drooling, tachycardia, unsteady gait).  Benadryl 50 mg given in hopes that this will slow the reaction while patient was transported to the ER.  While epinephrine was indeed warranted this was not provided given her comorbidities and prior reaction to epinephrine.  Patient with stable vitals, no dyspnea.  Ambulatedto the Ambulance without difficulty.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Chills, headache, fever - 100 degrees, body aches, sore arm 2/10 & 2/11  Tylenol eased the symptoms
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Child maltreatment syndrome, Dizziness, Nausea
Clinical narrative: Nausea, shakes, light headedness.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Nausea, Pain, Vomiting
Clinical narrative: chills, fatigue, nausea, body ache, vomiting lasted 3 days. took Ibuprofen after 24 hours to help with symptoms.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Myalgia
Clinical narrative: 6 hours after 2nd shot ran 202 degree fever, had head ache, muscle aches, chills, sweats, and fatigue for well over 48 hours.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: 6 hours after 2nd shot ran 202 degree fever, had head ache, muscle aches, chills, sweats, and fatigue for well over 48 hours.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Blood test normal, Computerised tomogram head normal, Cubital tunnel syndrome, Electrocardiogram normal
Clinical narrative: Complete numbness in head, left side of face, left side of neck, left shoulder, left arm, and left hand. Numbness has been consistently present for 6 weeks now in left side but is now including the right side (right shoulder, arm, and hand namely). Has subsided slightly. Pain in neck and shoulder has increased. If arms are bent, even for a very short time, both hands instantly fall asleep with tingling feeling. Significant muscle loss has occurred in the left arm (bicep and tricep) as well. Doctor has diagnosed me with Parsonage Turner Syndrome and Cubital Tunnel Syndrome - both due to the 4th anthrax vaccine I received eight weeks ago.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Electromyogram abnormal, Hypoaesthesia, Magnetic resonance imaging head normal, Magnetic resonance imaging normal, Muscle atrophy
Clinical narrative: Complete numbness in head, left side of face, left side of neck, left shoulder, left arm, and left hand. Numbness has been consistently present for 6 weeks now in left side but is now including the right side (right shoulder, arm, and hand namely). Has subsided slightly. Pain in neck and shoulder has increased. If arms are bent, even for a very short time, both hands instantly fall asleep with tingling feeling. Significant muscle loss has occurred in the left arm (bicep and tricep) as well. Doctor has diagnosed me with Parsonage Turner Syndrome and Cubital Tunnel Syndrome - both due to the 4th anthrax vaccine I received eight weeks ago.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Neck pain, Nerve conduction studies abnormal, Nerve injury, Neuralgic amyotrophy, Paraesthesia
Clinical narrative: Complete numbness in head, left side of face, left side of neck, left shoulder, left arm, and left hand. Numbness has been consistently present for 6 weeks now in left side but is now including the right side (right shoulder, arm, and hand namely). Has subsided slightly. Pain in neck and shoulder has increased. If arms are bent, even for a very short time, both hands instantly fall asleep with tingling feeling. Significant muscle loss has occurred in the left arm (bicep and tricep) as well. Doctor has diagnosed me with Parsonage Turner Syndrome and Cubital Tunnel Syndrome - both due to the 4th anthrax vaccine I received eight weeks ago.
Age: 41.0
Sex: M
Vaccine: ANTH
Symptoms: Ultrasound Doppler normal
Clinical narrative: Complete numbness in head, left side of face, left side of neck, left shoulder, left arm, and left hand. Numbness has been consistently present for 6 weeks now in left side but is now including the right side (right shoulder, arm, and hand namely). Has subsided slightly. Pain in neck and shoulder has increased. If arms are bent, even for a very short time, both hands instantly fall asleep with tingling feeling. Significant muscle loss has occurred in the left arm (bicep and tricep) as well. Doctor has diagnosed me with Parsonage Turner Syndrome and Cubital Tunnel Syndrome - both due to the 4th anthrax vaccine I received eight weeks ago.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Discomfort, Gait disturbance, Muscular weakness, Pain
Clinical narrative: Woke up shortly after falling asleep at night with a heaviness that I felt from head to toe that was accompanied with tingling in my hands, arms, legs, feet, and face combined with sharp pains that would come in go in all my extremities, face, chest, hips, and sides. I got up and had difficulty walking and weakness in my legs. Pain has persisted on and off since the vaccine to this date. Sharp pains will occur in my extremities + hands/feet, hips, chest, and sides. Random bouts of leg weakness has happened since the vaccine a few times after initial night.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Woke up shortly after falling asleep at night with a heaviness that I felt from head to toe that was accompanied with tingling in my hands, arms, legs, feet, and face combined with sharp pains that would come in go in all my extremities, face, chest, hips, and sides. I got up and had difficulty walking and weakness in my legs. Pain has persisted on and off since the vaccine to this date. Sharp pains will occur in my extremities + hands/feet, hips, chest, and sides. Random bouts of leg weakness has happened since the vaccine a few times after initial night.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Impaired driving ability, Impaired work ability, Malaise
Clinical narrative: Progressively getting dizzier and out of sorts every day since the vaccine. Getting worse every day. No brain function. Cant drive. Cant work. Feeling weak, shakey and like shit. Blood oxygen levels dropped to 93. Deep breathing brings it up to 98 but drops again as soon as deep breathing stops. All other vitals normal.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Mental impairment, Oxygen saturation decreased, Tremor
Clinical narrative: Progressively getting dizzier and out of sorts every day since the vaccine. Getting worse every day. No brain function. Cant drive. Cant work. Feeling weak, shakey and like shit. Blood oxygen levels dropped to 93. Deep breathing brings it up to 98 but drops again as soon as deep breathing stops. All other vitals normal.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: He has developed a rash macular rash, that gradually grew in size over a period of 1 week. No pain, no numbness. Has some itching.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: Induration 11 days post-vaccination - warm, hard, and red - about 4cm in diameter, non-painful and non-itchy.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Heart rate increased, Pain
Clinical narrative: Headache, body aches, chills, rapid heart beat (100), and cough
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Mobility decreased, Upper respiratory tract congestion
Clinical narrative: Chills. Unable to get out of bed. Fatigue. Mild congestion.
Age: 0.42
Sex: M
Vaccine: RV1
Symptoms: Product preparation issue
Clinical narrative: no vaccine received only diluent
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chest discomfort, Dizziness, Feeling hot, Muscle tightness
Clinical narrative: Received Covid vaccine at school setting. 10 min after vaccine- client stated felt tightness in back and chest and it felt hot there -kind of like hot flash but different. Also got upset stomach and little light headed.  A co-worker (teacher ) took her pulse and it was 66.  Lasted for about an hour and then felt better. She notified public health by phone after 30 min and was recommended she call her healthcare provider. Called her back 30 min after that (about hour and 10 min after vaccine) and she had not called provider and was feeling much better. Denies having problems with any shots in the past
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint swelling, Muscular weakness, Pain in extremity, Peripheral swelling
Clinical narrative: Swelling, pain and weakness of left wrist and hand.  I have had this to date since  adverse reactions started.
Age: 88.0
Sex: M
Vaccine: UNK
Symptoms: Injection site rash
Clinical narrative: Rash at injection spot and surrounding area
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Palpitations, Vitreous floaters
Clinical narrative: 10 minutes post second COVID vaccine, reported "floaters in vision," mild central  chest pressure and  elevated blood pressure 200sys/100dias and felt her "heart racing" pulse measured 101.  after monitoring for approximately 30 min we decided to send to ER.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular
Clinical narrative: Irregular heart rhythm for 1 hour, bounding heart rhythm for 5 hours
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Rash
Clinical narrative: 2 weeks after first vaccine: Large rash suddenly appeared on upper arm (looks like subcontinent). Very stiff neck and shoulder on left too.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia oral
Clinical narrative: Lip numbness more on left, but bilateral.  Onset 3 hr after injection, worsen over 6 hours.  Improved after 12 hours but did not resolve after 1 month.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Glossodynia, Lymphatic obstruction, Salivary gland disorder
Clinical narrative: Tongue was sore on the left side. I had a knot under my chin.. In about 8 hours the knot tripled the size looked like a large lymph Node under my chin  I went to see a ENT within a week and they stated that my lymph was clogged and  congested  around the tissue which caused saliva gland to become clogged which causes Salisbury stones in my tongue
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Device leakage, Occupational exposure to product
Clinical narrative: I was preparing Pfizer COVID-19 for administration. After adding the diluent to vile, I started drawing-up the doses in syringes. Due to the pressure in the vile, while drawing up the dose the vile sprayed me in both eyes. I finished drawing up all doses from that vile and went to the restroom to rinse out my eyes.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Distractibility, Dizziness, Fatigue, Headache
Clinical narrative: Ringing in head to the point of distraction and mild confusion , body aches, headache (worse than usual), dizziness and some queasiness.  Fluctuates very bad for 6-12 hours, then slightly better for a few hours, then pattern repeats.  Unusual fatigue occasionally but not too severe.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Tinnitus
Clinical narrative: Ringing in head to the point of distraction and mild confusion , body aches, headache (worse than usual), dizziness and some queasiness.  Fluctuates very bad for 6-12 hours, then slightly better for a few hours, then pattern repeats.  Unusual fatigue occasionally but not too severe.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site nodule, Injection site pain
Clinical narrative: first two days-pain at injection site, fatigue-- 2/10 pt has knot in arm where vaccination was given/tender
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pain in extremity, Sensitive skin
Clinical narrative: Both legs achy, sore back, skin sensitive Treatment: Took two Advil(200mg each), went to bed. Woke up feeling fine in the morning
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Only soreness and tiredness noted for one week.  One week later on the morning of Feb. 3, 2021,  my left upper outer arm was itching a lot.  Nothing else noticed.  That evening, it was still itching and was slightly swollen.  On Feb 4, it was still itching, swollen and sore and there was a reddened area just below the injection site the size of an inch circle and it was warm to touch.  Feb. 5, Reddened area is larger, about 3.5 inches by 5 inches.  It is still swollen, sore and very itchy.  On Feb. 6, the red area is fading.  It's still itchy but less sore and swollen.  On Feb. 7 it feels and looks slightly better.  On Feb 10, it's itching occasionally, the red area is fading and it's not swollen.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Only soreness and tiredness noted for one week.  One week later on the morning of Feb. 3, 2021,  my left upper outer arm was itching a lot.  Nothing else noticed.  That evening, it was still itching and was slightly swollen.  On Feb 4, it was still itching, swollen and sore and there was a reddened area just below the injection site the size of an inch circle and it was warm to touch.  Feb. 5, Reddened area is larger, about 3.5 inches by 5 inches.  It is still swollen, sore and very itchy.  On Feb. 6, the red area is fading.  It's still itchy but less sore and swollen.  On Feb. 7 it feels and looks slightly better.  On Feb 10, it's itching occasionally, the red area is fading and it's not swollen.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort
Clinical narrative: ~ 7 minutes post injection, patient reports ?warmness in throat?. ~10 minutes post injection patient reports to being asymptomatic, V/S BP-130/75, HR-78, O2-98%, Resp. 20. ~30 minutes post complaint patient continues reporting asymptomatic. Education provided to seek medical attention if symptoms worsen. Patient expresses understanding.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity
Clinical narrative: just a red spot about 1 1/2" in diameter. Doesn't bother her at all. Her arm is sore when moved or touch but not bad
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue
Clinical narrative: 1st dose, tired about 5 HR after vaccine. Tired 2nd day after 1st dose.  2nd dose was 4 1/2hr ago, so far no symptoms. Bed rest.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Sore left arm when I move it in every direction.  It does not hurt, when stationery.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal distension, Diarrhoea, Dyspepsia, Headache
Clinical narrative: A week after the vaccine (1/28 9 pm) overnight on 2/5/21  I got a severe stomach bug. It started with a severe headache, heartburn and bloating. (At first I thought it was food poisoning because it came on suddenly within hours of eating. The severe discomfort was Followed by a fever of 100.5, and body aches. I took Tylenol. The next day I took gas-x and Mylanta. The next day my temp was down to 99.5 and I had severe diarrhea all day. The 3rd and 4th days I hydrated and tolerated soft foods.  6 days later I am feeling better and started  eating more solid foods. I got tested for COVID on Tuesday 2/9/21 ans got the results today that I tested negative.  I?m not sure if this was a vaccine Rection or a separate bug. I?m relieved that it wasn?t COVID.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: A week after the vaccine (1/28 9 pm) overnight on 2/5/21  I got a severe stomach bug. It started with a severe headache, heartburn and bloating. (At first I thought it was food poisoning because it came on suddenly within hours of eating. The severe discomfort was Followed by a fever of 100.5, and body aches. I took Tylenol. The next day I took gas-x and Mylanta. The next day my temp was down to 99.5 and I had severe diarrhea all day. The 3rd and 4th days I hydrated and tolerated soft foods.  6 days later I am feeling better and started  eating more solid foods. I got tested for COVID on Tuesday 2/9/21 ans got the results today that I tested negative.  I?m not sure if this was a vaccine Rection or a separate bug. I?m relieved that it wasn?t COVID.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Night sweats, Pyrexia
Clinical narrative: Fever / Night sweats
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site induration, Pyrexia
Clinical narrative: MODERNA COVID 19 Vaccine EUA   High fever, 101.9 , hardness of left deltoid,headache,
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot
Clinical narrative: Patient became hot, dizzy and lightheaded.  Placed supine on cart, observed x 40 minutes.  Initial BP 180/70 HR 74  Sat 100.   F/U BP 182/73  HR 77  sat 100%.    Provided water and cold pack.  Systems resolved ~ 15 minutes and patient denies further complaints. Last BP 170/68  HR 76 sat 100%
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Rash, Tongue discomfort, Tongue pruritus
Clinical narrative: Burnt sensation and itchiness to tongue, rash to face, neck and ears, shortness of breath
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide, Cough, Electrocardiogram, Fibrin D dimer, Full blood count
Clinical narrative: 2 days after vaccination, patient developed intermittent dry cough and palpitations that are worsening. Has not been diagnosed with COVID-19 prior.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: 2 days after vaccination, patient developed intermittent dry cough and palpitations that are worsening. Has not been diagnosed with COVID-19 prior.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Five days after immunization, she developed a warm, itchy, red patch just inferior to the injection site on her left arm measuring approximately 10 cm x 15 cm.  We initially thought it was cellulitis due to the delay in presentation, but it spontaneously resolved less than 24 hours later without antibiotics.