chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Septic shock, White blood cell count increased
Clinical narrative: Narrative:  78 y/o Male with HIV, Multiple Myeloma on chemo, HTN, paroxysmal SVT, COPD and active smoker, chronic kidney disease, peripheral neuropathy, PVD. Patient recently discharged from hospital 10/31/21. At that time was admitted and treated for septic shock from e-coli bacteremia and e coli pneumonia. He was intubated, on broad spectrum abx and on pressors. Blood cultures grew 2/2 E coli and also growth in BAL. He completed a 2 week course of IV antibiotics and was discharged to a nursing facility. At that time he was COVID negative. He was also previously covid vaccinated and s/p booster. While at the nursing facility he was noted to have cough, SOB, hypoxia and low BP's. He admits to also having headache, loss of taste and smell, cough with clear sputum, SOB, fever/chills and body aches. For that reason he presented back to the ED. Patient id fully Covid vaccinated (With Booster) with PMH of HIV on HAART, multiple myeloma on chemo (lenalidomide, decadron last 10/8/21), essential hypertension, paroxysmal SVT, COPD not on HOT h/o s/p Intubation 10/2021(AHRF from sepsis), tobacco dependency, recently discharged 11/04/2021 to Care Center transferred to ED for Cough and SOB,loss of sense of taste & smell x 1 week ,O2 sat at 2 LPM NC 91%,COVID +,CTA Chest : no PE ,+GGO ,CXRAY: Neg,BP 99/59 , serum procalcitonin :0.22. Patient while in hospital continue to deteriorate and develop leukocytosis with white blood cell count of 20,000 started empirically on IV Zosyn however his respiratory status continued to worsen. His overall physical endurance has deteriorated and eventually patient requesting to be placed in end of life hospice/palliative care (12/07/2021). Patient is awaiting transfer to an inpatient hospice center.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Lung consolidation, Productive cough, SARS-CoV-2 test positive
Clinical narrative: Narrative: Patient is a 60 year old MALE, Covid vaccinated with Jansen vaccine on 07/2021, hypertension, CAD with prior non-STEMI, chronic troponin elevation/chronic angina, SVT, hypertrophic obstructive cardiomyopathy s/p AICD, chronic kidney disease stage IIIa, HRpEF EF 65-70% (5/2019), hyperlipidemia, Hashimoto's thyroiditis with secondary hypothyroidism, PTSD, bipolar disorder, GERD, active smoker recently tested Covid positive 11/23/2021 associated with symptoms of cough with increased phlegm production than his usual with no fever, no diarrhea, no nausea or vomiting, mild change of sensation of taste but otherwise appetite is good. Patient is being admitted secondary to elevated serum troponin although no symptoms of chest pain,need to r/o ACS. Patient was admitted to Covid floor. He did not require supplemental oxygen. O2 sat range between 97% on room air. Chest x-ray showed focal patchy airspace consolidation at left superior lung. He recovered and was discharged to home.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Taste disorder, Troponin increased
Clinical narrative: Narrative: Patient is a 60 year old MALE, Covid vaccinated with Jansen vaccine on 07/2021, hypertension, CAD with prior non-STEMI, chronic troponin elevation/chronic angina, SVT, hypertrophic obstructive cardiomyopathy s/p AICD, chronic kidney disease stage IIIa, HRpEF EF 65-70% (5/2019), hyperlipidemia, Hashimoto's thyroiditis with secondary hypothyroidism, PTSD, bipolar disorder, GERD, active smoker recently tested Covid positive 11/23/2021 associated with symptoms of cough with increased phlegm production than his usual with no fever, no diarrhea, no nausea or vomiting, mild change of sensation of taste but otherwise appetite is good. Patient is being admitted secondary to elevated serum troponin although no symptoms of chest pain,need to r/o ACS. Patient was admitted to Covid floor. He did not require supplemental oxygen. O2 sat range between 97% on room air. Chest x-ray showed focal patchy airspace consolidation at left superior lung. He recovered and was discharged to home.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Clostridium difficile colitis, Diverticular perforation, Diverticulitis, SARS-CoV-2 test positive
Clinical narrative: Narrative: 88 YEAR OLD FEMALE ADMITTED TO HOSPITAL ON 11/12/2021 WITH ACUTE COMPLICATED DIVERTICULITIS WITH MICROPERFORATIONS, AND C. DIFFICILE COLITIS. PATIENT TESTED POSITIVE FOR COVID-19 ON 11/22/2021. THIS DELAYED HER DISCHARGE FROM HOSPITAL TO HOSPICE NURSING HOME. SHE REMAINED ASYMPTOMATIC REGARDING COVID-19.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asymptomatic COVID-19, Device malfunction, SARS-CoV-2 test positive, Small intestinal obstruction
Clinical narrative: Narrative:  PATIENT PRESENTED TO E.D. WITH ACUTE ABDOMINAL PAIN, DIAGNOSED WITH SMALL BOWEL OBSTRUCTION. TESTED POSITIVE FOR COVID-19 INFECTION, HOWEVER PATIENT WAS COMPLETELY ASYMPTOMATIC OTHERWISE. PATIENT FULLY VACCINATED WITH COVID-19 VACCINES GIVEN ON 2/12/21 AND 3/5/21. Patient treated with NG tube suction, SBO resolved without surgical intervention.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray gastrointestinal tract abnormal
Clinical narrative: Narrative:  PATIENT PRESENTED TO E.D. WITH ACUTE ABDOMINAL PAIN, DIAGNOSED WITH SMALL BOWEL OBSTRUCTION. TESTED POSITIVE FOR COVID-19 INFECTION, HOWEVER PATIENT WAS COMPLETELY ASYMPTOMATIC OTHERWISE. PATIENT FULLY VACCINATED WITH COVID-19 VACCINES GIVEN ON 2/12/21 AND 3/5/21. Patient treated with NG tube suction, SBO resolved without surgical intervention.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Subdural haematoma
Clinical narrative: Narrative:  87yo male patient was admitted to hospital on 11/24/2021 for Subdural hematoma. Pt remained in hospital and died at hospital on 12/6/21 from complications of his diagnosis. Pt had received covid vaccines on 2/5/21 & 3/9/21. This death is not related to covid vaccines.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: 89yo male patient who receives most of his care outside clinic died on 10/31/2021. No info given on cause of pt's death. No info on events leading up to pt's death. Last note from 5/2021. See pt's clinic problem list below: 8 Active Problems PROBLEM LAST MOD PROVIDER Bilateral arthritis of knees (SCT 03/20/2019 1074871000119108) (ICD-10-CM M17.9) Cognitive disorder (SCT 443265004) (ICD-10-CM 08/19/2016 G31.09) Constipation (SCT 14760008) (ICD-9-CM 564.00) 08/19/2015 Personal History of Venus Thrombosis and 5/12/2014 Embolism (ICD-9-CM V12.51) Long term (current) use of Anticoagulants 10/21/2013 (ICD-9-CM V58.61) (ICD-10-CM E78.5); Hyperlipidemia (SNOMED CT 02/19/2016 55822004) (ICD-10-CM I10.); Benign essential hypertension 02/19/2016 (SNOMED CT 1201005) Cerebrovascular accident (SCT 230690007) 11/12/2013 (ICD-9-CM 436.) Mri 10-2013, r parietal, occipital Pt had received covid vaccines on 3/19/21 & 4/9/21 from outside provider. This death is likely not related to the vaccinations due to patient's comorbidities, advanced age, and length of time from vaccine administration.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  74yo male patient with the following Past Medical History: Chronic kidney disease stage 3 (SCT 4331 Congestive heart failure (SCT Osteoarthritis of knee (SCT 239873007) Benign prostatic hypertrophy with outflow obstruction (SCT 236646007) Dependent edema (SCT 248499004) Bilateral carpal tunnel syndrome (SCT Major depression in partial remission (SChronic post-traumatic stress Impulse control disorder (SCT 66347000) Diabetes mellitus (SCT 73211009) Morbid obesity (SCT 238136002) Anxiety (SCT 48694002) Coronary arteriosclerosis (SCT 53741008)Gout (SCT 90560007) Hyperlipidemia (SCT 55822004) Benign essential hypertension (SCT) Died on 11/10/2021. Cause of death not clearly defined in chart. Pt did receive covid vaccines on 2/12/21 & 1/13/21. This death is likely not related to the vaccinations due to patient's comorbidities, advanced age, and length of time from vaccine administration.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: Narrative:  75-year-old male patient Covid vaccinated with PMH of essential hypertension, vitamin D deficiency, hyperlipidemia, glaucoma, bipolar disorder admitted after presented to ED with 1 week duration of shortness of breath and cough and COVID-19 detected with O2 sat at room air was 90% and CTA chest negative PE but with GGO's. #1. Acute hypoxic respiratory failure 2/2 COVID pneumonia -O2 sat at room air on admission:89 - 90% -->1-2 LPM NC sat at 98%-->(12/04)1 LPM NC O2 sat at 94%-->(12/05)95 to 97% at 2 LPM NC--> 12/06 at RA sats >93% patient is discharged home with no home oxygen needed. -Encourage use of incentive spirometry and self proning -Bronchodilator RTC #2. Acute Covid Pneumonia: Vaccinated with x2 Pfizer but no Booster yet -Continue IV remdesivir 11/30 - 12/04, dexamethasone 6 pm po 11/30 - 12/09 -Continue to trend inflammatory markers: Slightly elevated but stable -Continue supplements: Ascorbic acid, vitamin D and zinc oxide -Supportive treatment: Benzonatate - Serum procalcitonin: WNL, discontinue azithromycin Patient recovered and was discharged to home without need for supplemental oxygen.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Inflammatory marker increased, Lung opacity, Procalcitonin normal, SARS-CoV-2 test positive
Clinical narrative: Narrative:  75-year-old male patient Covid vaccinated with PMH of essential hypertension, vitamin D deficiency, hyperlipidemia, glaucoma, bipolar disorder admitted after presented to ED with 1 week duration of shortness of breath and cough and COVID-19 detected with O2 sat at room air was 90% and CTA chest negative PE but with GGO's. #1. Acute hypoxic respiratory failure 2/2 COVID pneumonia -O2 sat at room air on admission:89 - 90% -->1-2 LPM NC sat at 98%-->(12/04)1 LPM NC O2 sat at 94%-->(12/05)95 to 97% at 2 LPM NC--> 12/06 at RA sats >93% patient is discharged home with no home oxygen needed. -Encourage use of incentive spirometry and self proning -Bronchodilator RTC #2. Acute Covid Pneumonia: Vaccinated with x2 Pfizer but no Booster yet -Continue IV remdesivir 11/30 - 12/04, dexamethasone 6 pm po 11/30 - 12/09 -Continue to trend inflammatory markers: Slightly elevated but stable -Continue supplements: Ascorbic acid, vitamin D and zinc oxide -Supportive treatment: Benzonatate - Serum procalcitonin: WNL, discontinue azithromycin Patient recovered and was discharged to home without need for supplemental oxygen.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Cardio-respiratory arrest, Death
Clinical narrative: Narrative:  76yo male patient died on 12/18/2021 from Cardiac pulmonary arrest at outside hospital Pt had received one J&J covid vaccine on 8/3/2021. This death is not related to the covid vaccine.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: 65yo male patient with PMHx of DMII, ESRD on DIALYSIS T/TH/S, anemia, PVD, CAD with prior CABG and B/L BKA with (R side BKA in 2020 non-healing wound & L side BKA in 2019 2/2 osteomyelitis) died on 11/13/2021. Pt had received covid vaccines on 2/17/21 & 4/8/21. No information provided on pt's cause of death. This death is likely not related to the vaccinations due to the patient's comorbidities, advanced age, and length of time from vaccine administration.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: 73 yo male patient died of unknown causes on 11/23/2021. No info in chart providing any issues leading to pt's death. Pt had received covid vaccines on 2/23/21 & 2/2/2021. This death is likely not related to the vaccinations due to patient's comorbidities, advanced age, and length of time from vaccine administration. See pts problem list: PROBLEM LAST MOD PROVIDER Diabetes mellitus (SCT 73211009) (ICD-10-CM 03/15/2021 E11.9) Atrial fibrillation (SCT 494436004) (ICD-10-CM 09/14/2020 I48.91) Constipation (SCT 14760008) (ICD-10-CM K59.09) 09/17/2018 Benign essential hypertension (SCT 1201005) 02/03/2016 (ICD-10-CM I10.) Hyperlipidemia (SCT 55822004) (ICD-10-CM E78.5) 02/03/2016 Cobalamin deficiency (SCT 190634004) (ICD-10-CM 02/03/2016 D51.8) Decreased vitamin D (SCT 131114008) (ICD-10-CM 02/03/2016 E55.9) Hepatitis B carrier (SCT 235871004) (ICD-10-CM 02/03/2016 Z22.51) Impaired glucose tolerance (SCT 9414007) 02/03/2016 (ICD-10-CM R73.9)
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dementia, Encephalopathy
Clinical narrative: Narrative:  64yo male pt was discharged from inpatient admission on 9/22/21 to skilled nursing facility with hospice care for Encephalopathy in the setting of Dementia. Pt then died on 10/31/2021 at this facility with hopice care. Pt had received covid vaccines on 3/9/21 & 4/6/21. This death is not related to covid vaccines.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Mobility decreased, Pyrexia
Clinical narrative: Narrative: 77 year old male with past medical history significant for CKD, HTN, CAD, CHR , PAD, DM c/b peripheral neuropathy, HLD, Depression/ Anxiety, and PTSD. Patient received first dose of the Moderna COVID-19 vaccination at a Pharmacy on 3/11/2021. The following day the patient was feeling extremely fatigued and difficulty moving around. He also had fevers and loss of appetite. Per the patients wife, the symptoms continued for around 5-6 days at which time the patient returned to his baseline health.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Headache, Oropharyngeal pain, Productive cough, Pyrexia
Clinical narrative: Narrative: COVID infection following COVID vaccine series 01/11 COVID vaccine dose#1 02/01 COVID vaccine dose #2 09/28 COVID vaccine dose #3 12/19 pt seen in ED c/oi wheezing, productive cough x 2 days, low grade fever; COVID Positive, requests regeneron 12/20 c/o mild headache, cough, given Regeneron in community center 12/21 c/o cough, rhinorrhea, sore throat
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Wheezing
Clinical narrative: Narrative: COVID infection following COVID vaccine series 01/11 COVID vaccine dose#1 02/01 COVID vaccine dose #2 09/28 COVID vaccine dose #3 12/19 pt seen in ED c/oi wheezing, productive cough x 2 days, low grade fever; COVID Positive, requests regeneron 12/20 c/o mild headache, cough, given Regeneron in community center 12/21 c/o cough, rhinorrhea, sore throat
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Myalgia
Clinical narrative: Narrative:  COVID infection following COVID vaccine series 03/05 COVID vaccine dose #1 03/26 COVID vaccine dose #2 12/16 pt c/o non-productive cough, headache, myalgia, requested to be tested for COVID; COVID positive 12/17 pt c/o fever, fatigue, myalgia, nausea, vomiting 12/20 pt meets criteria for regeneron, reports desire to receive from community source
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Narrative:  COVID infection following COVID vaccine series 03/05 COVID vaccine dose #1 03/26 COVID vaccine dose #2 12/16 pt c/o non-productive cough, headache, myalgia, requested to be tested for COVID; COVID positive 12/17 pt c/o fever, fatigue, myalgia, nausea, vomiting 12/20 pt meets criteria for regeneron, reports desire to receive from community source
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Choking, Confusional state, Dyspnoea
Clinical narrative: Narrative:  Patient had been admitted to a hospital. Had a very bad reaction to Moderna vaccine. The first dose given in September had no problems. On the day of 2nd dose of the vaccine in October, he was fine. About 16 hours after the 2nd dose in October, he felt funny like he couldn't breathe. He was too weak to walk, had to be carried to the car. +vomiting. Confused, hands shaking, EMS called. 79% O2. Went to a ED and was given supplemental oxygen and was given an antibiotic, ceftriaxone for temp of 103 with tachycardia. He was hacking and choking after taking ondansetron. Later he was discharged to home feeling better.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Gait disturbance, Tachycardia, Tremor, Vomiting
Clinical narrative: Narrative:  Patient had been admitted to a hospital. Had a very bad reaction to Moderna vaccine. The first dose given in September had no problems. On the day of 2nd dose of the vaccine in October, he was fine. About 16 hours after the 2nd dose in October, he felt funny like he couldn't breathe. He was too weak to walk, had to be carried to the car. +vomiting. Confused, hands shaking, EMS called. 79% O2. Went to a ED and was given supplemental oxygen and was given an antibiotic, ceftriaxone for temp of 103 with tachycardia. He was hacking and choking after taking ondansetron. Later he was discharged to home feeling better.
Sex: U
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pruritus, Rash, Urticaria
Clinical narrative: contact urticaria; hives; typical reaction; rash at back of my head /spread to other parts; chills; fatigue; itch at back of my head; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (itch at back of my head), URTICARIA CONTACT (contact urticaria), URTICARIA (hives), VACCINATION COMPLICATION (typical reaction) and RASH (rash at back of my head /spread to other parts) in a  patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    In December 2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In December 2021, the patient experienced PRURITUS (itch at back of my head), VACCINATION COMPLICATION (typical reaction), RASH (rash at back of my head /spread to other parts), CHILLS (chills) and FATIGUE (fatigue). On an unknown date, the patient experienced URTICARIA CONTACT (contact urticaria) and URTICARIA (hives). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Adverse event, at a dose of 12.5 mg every six hours; DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Adverse event, at a dose of 25 mg every four hours and PREDNISONE in December 2021 for Adverse event, at an unspecified dose and frequency. In December 2021, VACCINATION COMPLICATION (typical reaction), CHILLS (chills) and FATIGUE (fatigue) had resolved. At the time of the report, PRURITUS (itch at back of my head), URTICARIA CONTACT (contact urticaria) and URTICARIA (hives) outcome was unknown and RASH (rash at back of my head /spread to other parts) had not resolved.            Tried second generation antihistamine didn't work. No concomitant medications were reported.
Sex: U
Vaccine: COVID19
Symptoms: Urticaria contact, Vaccination complication
Clinical narrative: contact urticaria; hives; typical reaction; rash at back of my head /spread to other parts; chills; fatigue; itch at back of my head; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (itch at back of my head), URTICARIA CONTACT (contact urticaria), URTICARIA (hives), VACCINATION COMPLICATION (typical reaction) and RASH (rash at back of my head /spread to other parts) in a  patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    In December 2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In December 2021, the patient experienced PRURITUS (itch at back of my head), VACCINATION COMPLICATION (typical reaction), RASH (rash at back of my head /spread to other parts), CHILLS (chills) and FATIGUE (fatigue). On an unknown date, the patient experienced URTICARIA CONTACT (contact urticaria) and URTICARIA (hives). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Adverse event, at a dose of 12.5 mg every six hours; DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Adverse event, at a dose of 25 mg every four hours and PREDNISONE in December 2021 for Adverse event, at an unspecified dose and frequency. In December 2021, VACCINATION COMPLICATION (typical reaction), CHILLS (chills) and FATIGUE (fatigue) had resolved. At the time of the report, PRURITUS (itch at back of my head), URTICARIA CONTACT (contact urticaria) and URTICARIA (hives) outcome was unknown and RASH (rash at back of my head /spread to other parts) had not resolved.            Tried second generation antihistamine didn't work. No concomitant medications were reported.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Illness, Myalgia, Pyrexia, Vaccination site lymphadenopathy
Clinical narrative: sick for 7 days /in bed for 4 days; 101°F fever; large muscle pain; joint pain; lymph nodes under the left arm swelled till the ribs; This spontaneous case was reported by a consumer and describes the occurrence of ILLNESS (sick for 7 days /in bed for 4 days), PYREXIA (101°F fever), MYALGIA (large muscle pain), ARTHRALGIA (joint pain) and VACCINATION SITE LYMPHADENOPATHY (lymph nodes under the left arm swelled till the ribs) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 032B21A and 044A21A) for COVID-19 vaccination.     No Medical History information was reported.   On 12-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Apr-2021, the patient experienced ILLNESS (sick for 7 days /in bed for 4 days), PYREXIA (101°F fever), MYALGIA (large muscle pain), ARTHRALGIA (joint pain) and VACCINATION SITE LYMPHADENOPATHY (lymph nodes under the left arm swelled till the ribs). The patient was treated with DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE, EPHEDRINE SULFATE, ETHANOL, PARACETAMOL (NYQUIL) ongoing from April 2021 for Adverse event, at an unspecified dose and frequency. At the time of the report, ILLNESS (sick for 7 days /in bed for 4 days), PYREXIA (101°F fever), MYALGIA (large muscle pain), ARTHRALGIA (joint pain) and VACCINATION SITE LYMPHADENOPATHY (lymph nodes under the left arm swelled till the ribs) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In April 2021, Body temperature: 101 (High) 101°F fever..         Concomitant information was not reported.   This case was linked to MOD-2021-404059 (Patient Link).
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: received vaccine past published expiry; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (received vaccine past published expiry) in a  patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 050e21a) for COVID-19 vaccination.     No Medical History information was reported.    On 16-Nov-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Nov-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (received vaccine past published expiry). On 16-Nov-2021, EXPIRED PRODUCT ADMINISTERED (received vaccine past published expiry) had resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No concomitant medications were reported. No treatment medications were reported.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cold sweat, Headache, Pyrexia, Tremor
Clinical narrative: The next morning I had upper left quadrant pain, breast pain, and nipple burning that persisted for several days. I got checked out and week 4 they ordered an ultrasound. It was painful and hard to lay on left side. No finding were found on the ultrasound. They did palpate abdomen when I went in and it was tender in that area and they just wanted to make sure spleen wasn't enlarged.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Abdominal tenderness, Breast pain, Burning sensation, Ultrasound scan normal
Clinical narrative: The next morning I had upper left quadrant pain, breast pain, and nipple burning that persisted for several days. I got checked out and week 4 they ordered an ultrasound. It was painful and hard to lay on left side. No finding were found on the ultrasound. They did palpate abdomen when I went in and it was tender in that area and they just wanted to make sure spleen wasn't enlarged.
Age: 11.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event occurred. Reporting patient was underage before the 05/12/21 approval for [12-15yr olds] Pfizer vaccine.
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE USED; This spontaneous report received from a health care professional concerned a 52 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included: chronic obstructive pulmonary disease, colon cancer, traumatic brain injury, mild cerebral atrophy, breast cancer, and skin cancer, and other pre-existing medical conditions included: The patient had no illness at the time of vaccination. The patient had no adverse event after any previous vaccination. The patient had no history of allergy to vaccine, drug, or food. The patient had no pre-existing acute illness 30 days prior to vaccination. The patient had no history of hospitalization in last 30 days, with cause. The patient do not have any family history of any disease (relevant to vaccination) or allergy. Family history of unknown MH issues. The patient experienced drug abuse when treated with cocaine, ethanol, and metamfetamine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 207A21A, and expiry: 21-SEP-2021) dose was not reported, administered on 22-SEP-2021 for prophylactic vaccination. No concomitant medications were reported. On 22-SEP-2021, the patient experienced expired vaccine used. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of expired vaccine used was not reported. This report was non-serious. This case, from the same reporter is linked to 20211246488, 20211246559, 20211246439, 20211246474, 20210955823, 20211246539, 20211246517, 20211246432, and 20210955494.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Back pain, Chills, Decreased appetite, Fatigue
Clinical narrative: Patient after a few days she experienced  lethargy, systemic muscle soreness and weakness
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gait inability, Immediate post-injection reaction, Injection site pain, Migraine, Muscle spasms
Clinical narrative: Patient after a few days she experienced  lethargy, systemic muscle soreness and weakness
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Vision blurred
Clinical narrative: Patient after a few days she experienced  lethargy, systemic muscle soreness and weakness
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lethargy, Muscular weakness, Myalgia
Clinical narrative: Patient after a few days she experienced  lethargy, systemic muscle soreness and weakness
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Contusion, Fatigue, Platelet count decreased
Clinical narrative: I started getting large bruises all over my body because my blood platelte levels went from the following  date               Blood PLatelet levels 12/10/21 = 26,000 12/14/21 = 19,000 12/16/21 = 14,000 12/20/21 = 14,000 Dr perscribed a large dose of steriods  12/23/21 = 23,000
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Contusion, Platelet count decreased
Clinical narrative: I started getting large bruises all over my body because my blood platelte levels went from the following  date               Blood PLatelet levels 12/10/21 = 26,000 12/14/21 = 19,000 12/16/21 = 14,000 12/20/21 = 14,000 Dr perscribed a large dose of steriods  12/23/21 = 23,000
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Disease recurrence, Headache, Seizure
Clinical narrative: Grand mal seizure occurred on 11/22/2021 and a second occurred  12/13/2021. Patient had been seizure-free for over one year.
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Generalised tonic-clonic seizure
Clinical narrative: Grand mal seizure occurred on 11/22/2021 and a second occurred  12/13/2021. Patient had been seizure-free for over one year.
Age: 11.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain upper, Headache, Pyrexia, Tardive dyskinesia
Clinical narrative: Arms started to tremble and flail uncontrollably in the morning before breakfast for a little over five minutes.  This has happened about four times -- twice after the first dose and twice after the second dose.
Age: 11.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyskinesia, Tremor
Clinical narrative: Arms started to tremble and flail uncontrollably in the morning before breakfast for a little over five minutes.  This has happened about four times -- twice after the first dose and twice after the second dose.
Age: 11.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain upper, Headache, Tardive dyskinesia
Clinical narrative: Arms started to tremble and flail uncontrollably in the morning before breakfast for a little over five minutes.  This has happened about four times -- twice after the first dose and twice after the second dose.
Age: 9.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash
Clinical narrative: Two red, scaly lesions appeared on the chest 2 days after receiving the Pfizer vaccine on 12/09/2021. The lesions spread to  arms and torso.  They also  increased in amount.  The patient was seen in our office on 12/27/2021 and evaluated.  DIAGNOSIS:  Guttate psoriasis TREATMENT:  triamcinolone acetonide 0.1% ointment Apply to affected area twice a day. OUTCOME:  TBD  Photos attached
Age: 9.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Erythema, Guttate psoriasis, Skin exfoliation, Skin lesion
Clinical narrative: Two red, scaly lesions appeared on the chest 2 days after receiving the Pfizer vaccine on 12/09/2021. The lesions spread to  arms and torso.  They also  increased in amount.  The patient was seen in our office on 12/27/2021 and evaluated.  DIAGNOSIS:  Guttate psoriasis TREATMENT:  triamcinolone acetonide 0.1% ointment Apply to affected area twice a day. OUTCOME:  TBD  Photos attached
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Condition aggravated, Diarrhoea, Fatigue, Sleep disorder
Clinical narrative: Watery diarrhea for 6 weeks.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Stool analysis normal
Clinical narrative: Watery diarrhea for 6 weeks.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Culture stool, Diarrhoea
Clinical narrative: Watery diarrhea for 6 weeks.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Syncope
Clinical narrative: Patient experienced chest pain, shortness of breath within 5 minutes of vaccine receipt, which resolved but was followed by dysphonia
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dysphonia, Dyspnoea
Clinical narrative: Patient experienced chest pain, shortness of breath within 5 minutes of vaccine receipt, which resolved but was followed by dysphonia
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test, Blood test, Chills, Feeling abnormal, Nervousness
Clinical narrative: She is very upset; scared since she thought this whole time she was protected and now fears that she is not and that everyone else isn't either; she awoke at 3am shivering & shaking; she awoke at 3am shivering & shaking; This spontaneous case was reported by a consumer and describes the occurrence of TREMOR (she awoke at 3am shivering & shaking), FEELING ABNORMAL (She is very upset), NERVOUSNESS (scared since she thought this whole time she was protected and now fears that she is not and that everyone else isn't either) and CHILLS (she awoke at 3am shivering & shaking) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 034F21A, 010M20A and 012L20A) for COVID-19 vaccination.     No Medical History information was reported.   On 12-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 11-Nov-2021, the patient experienced TREMOR (she awoke at 3am shivering & shaking) and CHILLS (she awoke at 3am shivering & shaking). On an unknown date, the patient experienced FEELING ABNORMAL (She is very upset) and NERVOUSNESS (scared since she thought this whole time she was protected and now fears that she is not and that everyone else isn't either). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Shivering and Shaking, at an unspecified dose and frequency and IBUPROFEN for Shivering and Shaking, at an unspecified dose and frequency. At the time of the report, TREMOR (she awoke at 3am shivering & shaking), FEELING ABNORMAL (She is very upset), NERVOUSNESS (scared since she thought this whole time she was protected and now fears that she is not and that everyone else isn't either) and CHILLS (she awoke at 3am shivering & shaking) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Antibody test: negative (Negative) showed no antibodies. On an unknown date, Blood test: normal (normal) She had bloodwork recently which came back good.         No concomitant medications reported by reporter  Patient reported that the night of booster she awoke at 3am shivering and shaking. She took medication. The next night she woke with same thing. Patient had an antibody test too that showed with no antibodies. The doctor suggested her to go to an immunologist. She plans on having the antibody test redone    Reporter did not allow further contact
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: She is very upset; scared since she thought this whole time she was protected and now fears that she is not and that everyone else isn't either; she awoke at 3am shivering & shaking; she awoke at 3am shivering & shaking; This spontaneous case was reported by a consumer and describes the occurrence of TREMOR (she awoke at 3am shivering & shaking), FEELING ABNORMAL (She is very upset), NERVOUSNESS (scared since she thought this whole time she was protected and now fears that she is not and that everyone else isn't either) and CHILLS (she awoke at 3am shivering & shaking) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 034F21A, 010M20A and 012L20A) for COVID-19 vaccination.     No Medical History information was reported.   On 12-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 11-Nov-2021, the patient experienced TREMOR (she awoke at 3am shivering & shaking) and CHILLS (she awoke at 3am shivering & shaking). On an unknown date, the patient experienced FEELING ABNORMAL (She is very upset) and NERVOUSNESS (scared since she thought this whole time she was protected and now fears that she is not and that everyone else isn't either). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Shivering and Shaking, at an unspecified dose and frequency and IBUPROFEN for Shivering and Shaking, at an unspecified dose and frequency. At the time of the report, TREMOR (she awoke at 3am shivering & shaking), FEELING ABNORMAL (She is very upset), NERVOUSNESS (scared since she thought this whole time she was protected and now fears that she is not and that everyone else isn't either) and CHILLS (she awoke at 3am shivering & shaking) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Antibody test: negative (Negative) showed no antibodies. On an unknown date, Blood test: normal (normal) She had bloodwork recently which came back good.         No concomitant medications reported by reporter  Patient reported that the night of booster she awoke at 3am shivering and shaking. She took medication. The next night she woke with same thing. Patient had an antibody test too that showed with no antibodies. The doctor suggested her to go to an immunologist. She plans on having the antibody test redone    Reporter did not allow further contact
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Vomiting
Clinical narrative: Nausea, vomiting, chills without running a fever
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Pt was given a pediatric pfizer that was not reconstituted with diluent; no SE thus far
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pt was given a pediatric pfizer that was not reconstituted with diluent; no SE thus far
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Fatigue, Hyperhidrosis, Impaired work ability, Pyrexia
Clinical narrative: Due to the COVID-19 vaccine symptoms (i.e., fatigue, high fever, sweating) - became dehydrated and developed UTI. Missed (2) days of work, 11/22/21 and 11/23/21 Medical Appointment with PCP, 11/22/21 Antibiotic Treatment / Medication for 7 days
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Urine analysis
Clinical narrative: Due to the COVID-19 vaccine symptoms (i.e., fatigue, high fever, sweating) - became dehydrated and developed UTI. Missed (2) days of work, 11/22/21 and 11/23/21 Medical Appointment with PCP, 11/22/21 Antibiotic Treatment / Medication for 7 days
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pain in extremity
Clinical narrative: Left Arm pain about 4 months after receiving vaccines arm becomes very week I?ve dropped things because it was so week . Went to  Emergency Room my own Dr was unavailable.Also I?m having left leg pain really bad my fingers hurt constantly
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 12/29/21 @ 4:42PM  As pt. was being assessed , I was notified by Nurse, RN regarding  administering moderna booster 0.25mL IM to 17 y/o pt.  I informed the father and pt that I have given moderna to his 17 y/o daughter. I explained to parent that moderna should not be given to 17 y/o. Father and pt acknowledged and is aware. Pt will  monitored for 30 minutes from 4:30 pm to 5:00 pm.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis contact, Pruritus
Clinical narrative: Pt has Latex allergy, and was given the Moderna Booster. She had a reaction to the band aid used, which was latex free. Pt still has some itching 3 days later, nothing has been applied to the allergy site.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Client is 13 years old and received a Pfizer Pediatric dose for COVID vaccine.  Client's father made aware of dose received.  Medical consult with county doctor, recommends not repeating dose based on client's weight and height.  Client's father made aware of dose and medical doctor's recommendation.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriogram coronary normal, Bundle branch block left, Cardiac septal defect, Cardiac stress test abnormal, Echocardiogram abnormal
Clinical narrative: 11/19/21  -   10:30 0.5ml Vaccine IM left deltoid.                            - 18:00 PT reports noticeable but mild "flu like" symptoms -Self treats with 800mg NSAID 11/20/21  -   PT wakes to mild to severe symptoms that persist for the next 48 hours.  These include: fever <103F, muscle fatigue, soreness, headache, and lethargic presentation 11/23/21 -  PT's symptoms begin to subside to "mild" over the next 24-36 hours.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Electrocardiogram abnormal, Headache, Influenza like illness, Lethargy
Clinical narrative: 11/19/21  -   10:30 0.5ml Vaccine IM left deltoid.                            - 18:00 PT reports noticeable but mild "flu like" symptoms -Self treats with 800mg NSAID 11/20/21  -   PT wakes to mild to severe symptoms that persist for the next 48 hours.  These include: fever <103F, muscle fatigue, soreness, headache, and lethargic presentation 11/23/21 -  PT's symptoms begin to subside to "mild" over the next 24-36 hours.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Lipids normal, Muscle fatigue, Myocardial ischaemia, Pain, Pyrexia
Clinical narrative: 11/19/21  -   10:30 0.5ml Vaccine IM left deltoid.                            - 18:00 PT reports noticeable but mild "flu like" symptoms -Self treats with 800mg NSAID 11/20/21  -   PT wakes to mild to severe symptoms that persist for the next 48 hours.  These include: fever <103F, muscle fatigue, soreness, headache, and lethargic presentation 11/23/21 -  PT's symptoms begin to subside to "mild" over the next 24-36 hours.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Scan myocardial perfusion abnormal, Sleep disorder, Ventricular hypertrophy, Ventricular hypokinesia
Clinical narrative: 11/19/21  -   10:30 0.5ml Vaccine IM left deltoid.                            - 18:00 PT reports noticeable but mild "flu like" symptoms -Self treats with 800mg NSAID 11/20/21  -   PT wakes to mild to severe symptoms that persist for the next 48 hours.  These include: fever <103F, muscle fatigue, soreness, headache, and lethargic presentation 11/23/21 -  PT's symptoms begin to subside to "mild" over the next 24-36 hours.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Ear congestion, Tinnitus
Clinical narrative: Tinnitus, mild ringing in both ears, stronger in left ear. Left ear also feels slightly "congested". Hearing doesn't seem affected, but ringing is constant. No previous hearing loss or damage.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Embolic stroke, Facial paralysis, Hemiparesis, Hypoaesthesia
Clinical narrative: Right sided weakness, facial droop, right leg numbness, diagnosis of occlusive stroke
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Autoscopy, Dizziness, Feeling abnormal, Impaired driving ability
Clinical narrative: 03/18/2021 Vaccine: one week later felt dizzy, light headed. Driving into work on 04/11/2011 (24 days after vaccine) I felt like I was going to pass out. That lasted 20 minutes. Continued to feel light headed for another two weeks.  11/17/2021 Booster: On 12/10/2021 (24 days after booster) 1:10pm I felt I was going to pass out. Went to lunch and drank a lot of water. Felt better but still light headed On 12/14/2021 (28 days after booster) at home kept feeling I was going to pass out. Paranoid, felt like I was drugged. Scared to go to sleep. Anxious, out-of-body feeling. experience lasted from 12:00pm to 6:00pm until I felt "normal". Still felt dizzy for the following week.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paranoia, Sleep disorder
Clinical narrative: 03/18/2021 Vaccine: one week later felt dizzy, light headed. Driving into work on 04/11/2011 (24 days after vaccine) I felt like I was going to pass out. That lasted 20 minutes. Continued to feel light headed for another two weeks.  11/17/2021 Booster: On 12/10/2021 (24 days after booster) 1:10pm I felt I was going to pass out. Went to lunch and drank a lot of water. Felt better but still light headed On 12/14/2021 (28 days after booster) at home kept feeling I was going to pass out. Paranoid, felt like I was drugged. Scared to go to sleep. Anxious, out-of-body feeling. experience lasted from 12:00pm to 6:00pm until I felt "normal". Still felt dizzy for the following week.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, C-reactive protein increased, Chills, Computerised tomogram normal, Fatigue
Clinical narrative: Within 12 hours of receiving the booster, I developed a fever of 100.4-101.0, severe body aches, night sweats, chills, exhaustion, nausea and bad headache. These acute symptoms lasted for 72 hours and then resolved. Approximately on 12/13, I developed a chronic headache/migraine at times (with some nausea) that has yet to resolve. It has been minimally responsive to OTC meds, chronic, and varying in degree from mild to severe. On 12/21, I went to my primary care doctor complaining of this same headache and nausea. He did a neurological workup and suggested bloodwork, prescribed antibiotics, offered RX pain meds (which I declined that day) and a return visit if it worsens. Two days later, 12/24, my headache began waking me up at night and increased in severity. I went to the ER where they performed a CT scan, bloodwork and prescribed migraine medication. On 12/26, symptoms exacerbated and in addition to the intense headache, the symptoms from my booster shot returned: body aches, chills, elevated temperature (99.7), nausea, and some additional pains including more muscle soreness, especially in my legs at night. I took an at home Covid-19 test and it was negative. I went to my primary care doctor again on 12/28 and he prescribed prednisone and urged I get bloodwork the following day. Today, 12/29, I met with a naturopathic doctor to discuss supplements to support my immune system and detox from the vaccine side effects.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine, Myalgia, Nausea, Night sweats
Clinical narrative: Within 12 hours of receiving the booster, I developed a fever of 100.4-101.0, severe body aches, night sweats, chills, exhaustion, nausea and bad headache. These acute symptoms lasted for 72 hours and then resolved. Approximately on 12/13, I developed a chronic headache/migraine at times (with some nausea) that has yet to resolve. It has been minimally responsive to OTC meds, chronic, and varying in degree from mild to severe. On 12/21, I went to my primary care doctor complaining of this same headache and nausea. He did a neurological workup and suggested bloodwork, prescribed antibiotics, offered RX pain meds (which I declined that day) and a return visit if it worsens. Two days later, 12/24, my headache began waking me up at night and increased in severity. I went to the ER where they performed a CT scan, bloodwork and prescribed migraine medication. On 12/26, symptoms exacerbated and in addition to the intense headache, the symptoms from my booster shot returned: body aches, chills, elevated temperature (99.7), nausea, and some additional pains including more muscle soreness, especially in my legs at night. I took an at home Covid-19 test and it was negative. I went to my primary care doctor again on 12/28 and he prescribed prednisone and urged I get bloodwork the following day. Today, 12/29, I met with a naturopathic doctor to discuss supplements to support my immune system and detox from the vaccine side effects.