chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Feeling of body temperature change, Myalgia, Pyrexia
Clinical narrative: Same day of shot: 1900: Muscle/Joint pain in whole body 2200: Fever and fatigue  2400: Fever of 104 Next day of shot: 0000-0430: Cycle of hot and chills every 15 min or so  0430-1700: Fatigue and fever still at 104. 1700-0000: Fever between 102-104, less fatigue. Still have hot/chill cycles Day 2 after shot:  0000-0800: Fever around 101-102. Less fatigue. No longer experiencing hot and chills. 0800-1400: Temperature between 98-102. No longer sleepy. Muscle ache and joint pain gone.  1400:Symptom free
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Patient has reported persistent pain in left arm since receiving his second dose of Pfizer's Covid 19 vaccine
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Nausea, Pain in extremity
Clinical narrative: Broke out in hives all over my body.  Also had headache, nausea, dizziness, sore arm, tired
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Broke out in hives all over my body.  Also had headache, nausea, dizziness, sore arm, tired
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear congestion, Vertigo
Clinical narrative: Vertigo, lightheaded, headaches, fullness in ears,
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Polymenorrhoea
Clinical narrative: irregular spotting and shortened menstrual cycle
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Arrhythmia, Atelectasis, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: The patient was seen and examined as above.  Differential diagnosis includes Covid pneumonia, dehydration, electrolyte abnormality, renal failure, arrhythmia.  I suspect the patient had syncope due to orthostasis.  I considered doing a head CT but he fell last yesterday, and has no worsening headache, a nonfocal neuro exam, and is not on blood thinners.  He was hypoxic when he got to the room and was placed on oxygen.  His sats were 88 to 89% on room air.  His chest x-ray shows bibasilar atelectasis.  He was given some fluids.  He has an acute kidney injury which is likely due to GI losses.  His troponin is negative.  His EKG shows no concerning signs for arrhythmia.  At this time given that he needs oxygen he needs admission.  I spoke with with the hospitalist who accepted the admission.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dehydration, Electrocardiogram normal, Electrolyte imbalance, Fall, Gastrointestinal disorder
Clinical narrative: The patient was seen and examined as above.  Differential diagnosis includes Covid pneumonia, dehydration, electrolyte abnormality, renal failure, arrhythmia.  I suspect the patient had syncope due to orthostasis.  I considered doing a head CT but he fell last yesterday, and has no worsening headache, a nonfocal neuro exam, and is not on blood thinners.  He was hypoxic when he got to the room and was placed on oxygen.  His sats were 88 to 89% on room air.  His chest x-ray shows bibasilar atelectasis.  He was given some fluids.  He has an acute kidney injury which is likely due to GI losses.  His troponin is negative.  His EKG shows no concerning signs for arrhythmia.  At this time given that he needs oxygen he needs admission.  I spoke with with the hospitalist who accepted the admission.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Renal failure, SARS-CoV-2 test, Syncope, Troponin normal
Clinical narrative: The patient was seen and examined as above.  Differential diagnosis includes Covid pneumonia, dehydration, electrolyte abnormality, renal failure, arrhythmia.  I suspect the patient had syncope due to orthostasis.  I considered doing a head CT but he fell last yesterday, and has no worsening headache, a nonfocal neuro exam, and is not on blood thinners.  He was hypoxic when he got to the room and was placed on oxygen.  His sats were 88 to 89% on room air.  His chest x-ray shows bibasilar atelectasis.  He was given some fluids.  He has an acute kidney injury which is likely due to GI losses.  His troponin is negative.  His EKG shows no concerning signs for arrhythmia.  At this time given that he needs oxygen he needs admission.  I spoke with with the hospitalist who accepted the admission.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Sepsis
Clinical narrative: pt received vaccination and now admitted to hospital with covid pna causing sepsis
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Death, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: pt received vaccination and now admitted to hospital with covid pna causing sepsis
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Respiratory viral panel, SARS-CoV-2 test positive
Clinical narrative: pt received vaccination and now admitted to hospital with covid pna causing sepsis
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes simplex
Clinical narrative: Perfectly fine with no symptoms until day 20. On Day 20, I woke up with a HSV-1 outbreak.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Eye haematoma, Headache
Clinical narrative: Headaches and ocular hematoma.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: fever 100,chills on going
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Injection site pain, Lymphadenopathy, Myalgia, Pyrexia
Clinical narrative: pain at vaccine site, fever, muscle pain, hot flashes, swollen lymph nodes
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chest discomfort, Discomfort, Dry throat, Dyspnoea
Clinical narrative: I felt okay after getting it and went to bed about 9:30pm. Then I woke up around 11pm so cold and shaking uncontrollably and my head was pounding and my whole body was uncomfortable like pins and needles with goosebumps and I was in so much pain with muscle aches and icy head was pounding and I couldn?t stay still I was like rocking in discomfort. And then I put on long sweat pants and socks and a sweater and got water. My throat was so dry and also hurt. A sore throat. And then I threw up a ton and it was awful me hard to clear and hard to breath and I had this pressure in my chest. My temp was 101.5F and I didn?t even have patients to let it keep going under my young so I think it was higher. And then I called my mom and tried to rest and tried hard to get comfy on my bed prolong myself up with pillows and I fell back asleep. Then woke up again at 2am and felt the same and rechecked my temp and it was 101.2F.  I took Tylenol. Then I fell back asleep until almost 7 but with lots of tossing and turning and lots of waking up uncomfortable again. Then in the morning I checked my temp again an fit was 99.2. And I still really hurt all over and my right eye is throbbing along with the headache and still gods bumps but not shaking anymore but still very uncomfortable. I took a warm shower and more Tylenol at 8:20. I didn?t retake my temp bc I didn?t want to move but I know it got really hot again with a fever. And I still feel really yucky.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Feeling abnormal, Feeling cold, Headache, Myalgia
Clinical narrative: I felt okay after getting it and went to bed about 9:30pm. Then I woke up around 11pm so cold and shaking uncontrollably and my head was pounding and my whole body was uncomfortable like pins and needles with goosebumps and I was in so much pain with muscle aches and icy head was pounding and I couldn?t stay still I was like rocking in discomfort. And then I put on long sweat pants and socks and a sweater and got water. My throat was so dry and also hurt. A sore throat. And then I threw up a ton and it was awful me hard to clear and hard to breath and I had this pressure in my chest. My temp was 101.5F and I didn?t even have patients to let it keep going under my young so I think it was higher. And then I called my mom and tried to rest and tried hard to get comfy on my bed prolong myself up with pillows and I fell back asleep. Then woke up again at 2am and felt the same and rechecked my temp and it was 101.2F.  I took Tylenol. Then I fell back asleep until almost 7 but with lots of tossing and turning and lots of waking up uncomfortable again. Then in the morning I checked my temp again an fit was 99.2. And I still really hurt all over and my right eye is throbbing along with the headache and still gods bumps but not shaking anymore but still very uncomfortable. I took a warm shower and more Tylenol at 8:20. I didn?t retake my temp bc I didn?t want to move but I know it got really hot again with a fever. And I still feel really yucky.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Paraesthesia, Sleep disorder, Tremor
Clinical narrative: I felt okay after getting it and went to bed about 9:30pm. Then I woke up around 11pm so cold and shaking uncontrollably and my head was pounding and my whole body was uncomfortable like pins and needles with goosebumps and I was in so much pain with muscle aches and icy head was pounding and I couldn?t stay still I was like rocking in discomfort. And then I put on long sweat pants and socks and a sweater and got water. My throat was so dry and also hurt. A sore throat. And then I threw up a ton and it was awful me hard to clear and hard to breath and I had this pressure in my chest. My temp was 101.5F and I didn?t even have patients to let it keep going under my young so I think it was higher. And then I called my mom and tried to rest and tried hard to get comfy on my bed prolong myself up with pillows and I fell back asleep. Then woke up again at 2am and felt the same and rechecked my temp and it was 101.2F.  I took Tylenol. Then I fell back asleep until almost 7 but with lots of tossing and turning and lots of waking up uncomfortable again. Then in the morning I checked my temp again an fit was 99.2. And I still really hurt all over and my right eye is throbbing along with the headache and still gods bumps but not shaking anymore but still very uncomfortable. I took a warm shower and more Tylenol at 8:20. I didn?t retake my temp bc I didn?t want to move but I know it got really hot again with a fever. And I still feel really yucky.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I felt okay after getting it and went to bed about 9:30pm. Then I woke up around 11pm so cold and shaking uncontrollably and my head was pounding and my whole body was uncomfortable like pins and needles with goosebumps and I was in so much pain with muscle aches and icy head was pounding and I couldn?t stay still I was like rocking in discomfort. And then I put on long sweat pants and socks and a sweater and got water. My throat was so dry and also hurt. A sore throat. And then I threw up a ton and it was awful me hard to clear and hard to breath and I had this pressure in my chest. My temp was 101.5F and I didn?t even have patients to let it keep going under my young so I think it was higher. And then I called my mom and tried to rest and tried hard to get comfy on my bed prolong myself up with pillows and I fell back asleep. Then woke up again at 2am and felt the same and rechecked my temp and it was 101.2F.  I took Tylenol. Then I fell back asleep until almost 7 but with lots of tossing and turning and lots of waking up uncomfortable again. Then in the morning I checked my temp again an fit was 99.2. And I still really hurt all over and my right eye is throbbing along with the headache and still gods bumps but not shaking anymore but still very uncomfortable. I took a warm shower and more Tylenol at 8:20. I didn?t retake my temp bc I didn?t want to move but I know it got really hot again with a fever. And I still feel really yucky.
Age: 49.0
Sex: M
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: Patient was due for Hep B , was Given pediatric dose Hep B
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram head, Hemiplegia, Magnetic resonance imaging
Clinical narrative: DAY AFTER SECOND COVID VACCINE HAD A ISCHEMIC CVA, WITH TOTAL LEFT SIDED PARALYSIS NOT RESPONSIVE TO MEDICAL INTERVENTION, HAS BEEN IN HOSPITAL SINCE 4-17-2021, IS NOT EXSPECTED TO EVER LEAVE HOSPITAL
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Blood test, Bradyphrenia, Feeling abnormal
Clinical narrative: I had no adverse events until a couple of weeks after the vaccine around middle of June 2021. I started to noticed I had trouble remembering things and drawing a blank when trying to think. This brain fog happens throughout the day. I notice I can not find the words to explain things and it takes much longer to process thought and get the word out. I did consult with my doctor and she recommended exercise to lower stress. I did do bloodwork which came back normal.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Chest pain, Skin discolouration
Clinical narrative: His blood pressure dropped to 100/58 the first time I took it and 15 minutes later it went up to 108/58. He began to have really bad chest pain. He turned gray. All of this happened about 3 hours after he received the vaccine. I made him lay down and elevate his legs and I called the doctor's office and they advised me someone would follow up. It took him 2 1/2 hours to recover. I was advised by the doctor's office to monitor him and if he got worse to take him to the ER. He was back to normal after a few hours.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lethargy, Nausea, Pyrexia
Clinical narrative: High fever, fatigue, nausea, lethargy, missed school the reaction to this vaccine was so bad - no other reactions to report YET
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID-19 on 8/6/21, hospitalized due to COVID-19 illness from 8/9/21 through 8/23/21.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed, Mobility decreased, Pain, Palpitations, Rash
Clinical narrative: Rash on arm at second dose subsided in week, unable to move arm to full capacity.   Period delayed by 2 weeks.   Ongoing heart palpitations and pain since.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives on both inner arms, tops of feet ,groin and abdominal area
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: The patient MAY have received a dose of Janssen vaccine that was administered after the Beyond Use Date.  The provider may have given the dose outside of the 6 hour window after the vial was opened.  No symptoms or signs.  Pt will be contacted and offered to be re-vaccinated to offer full protection, per our Medical Group.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: POSITIVE COVID
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Pain in extremity, Vertigo
Clinical narrative: Dizziness (started on the 20th, ongoing), nausea, vertigo (on August 21st), arm pain (gone by August 23).
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient MAY have received a dose of Janssen vaccine that was administered after the Beyond Use Date.  The provider may have given the dose outside of the 6 hour window after the vial was opened.  No symptoms or signs.  Pt will be contacted and offered to be re-vaccinated to offer full protection, per our Medical Group.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Janssen on 5/5. Positive on 8/23
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Oropharyngeal pain, Parosmia, Taste disorder
Clinical narrative: change in taste and smell, sore throat, cough
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Mobility decreased, Pain in extremity
Clinical narrative: Painful arm to use it, raise or lower, and spot of injection
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer on 3/10 and 4/9. Positive on 8/15 admitted 8/23
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness exertional, Electrocardiogram, Electrocardiogram ambulatory, Fatigue
Clinical narrative: My very first symptom was tachycardia, it was around dinner I noticed my heart beating fast and I had a low grade fever. I went to sleep and went to work the next morning I was walking from parking lot to the ICU my heart rate was in 140's and then after an hour my heart was still racing, I was sweating, shaking and chills and I still had a low grade fever. I had dizziness when I was exerting myself. All my symptoms went away within 24 hours except my tachardia, and I was fatigued. Then on Tuesday my heart rate was getting higher in 160s. I saw my doctor, the only time my heart rate is normal when I'm lying down. I went to ER because I couldn't even get a reading on my pulse oximeter. I was referred to a cardiologist. I wore a monitor for 2 weeks, They put me on metoprolol. I'm waiting to see a cardiologist for a full work up.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hyperhidrosis, Laboratory test, Oxygen saturation abnormal, Palpitations
Clinical narrative: My very first symptom was tachycardia, it was around dinner I noticed my heart beating fast and I had a low grade fever. I went to sleep and went to work the next morning I was walking from parking lot to the ICU my heart rate was in 140's and then after an hour my heart was still racing, I was sweating, shaking and chills and I still had a low grade fever. I had dizziness when I was exerting myself. All my symptoms went away within 24 hours except my tachardia, and I was fatigued. Then on Tuesday my heart rate was getting higher in 160s. I saw my doctor, the only time my heart rate is normal when I'm lying down. I went to ER because I couldn't even get a reading on my pulse oximeter. I was referred to a cardiologist. I wore a monitor for 2 weeks, They put me on metoprolol. I'm waiting to see a cardiologist for a full work up.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tachycardia, Tremor
Clinical narrative: My very first symptom was tachycardia, it was around dinner I noticed my heart beating fast and I had a low grade fever. I went to sleep and went to work the next morning I was walking from parking lot to the ICU my heart rate was in 140's and then after an hour my heart was still racing, I was sweating, shaking and chills and I still had a low grade fever. I had dizziness when I was exerting myself. All my symptoms went away within 24 hours except my tachardia, and I was fatigued. Then on Tuesday my heart rate was getting higher in 160s. I saw my doctor, the only time my heart rate is normal when I'm lying down. I went to ER because I couldn't even get a reading on my pulse oximeter. I was referred to a cardiologist. I wore a monitor for 2 weeks, They put me on metoprolol. I'm waiting to see a cardiologist for a full work up.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer on 3/4 and 3/25. Positive on 8/19 and 8/23 admitted 8/23
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient MAY have received a dose of Janssen vaccine that was administered after the Beyond Use Date.  The provider may have given the dose outside of the 6 hour window after the vial was opened.  No symptoms or signs.  Pt will be contacted and offered to be re-vaccinated to offer full protection, per our Medical Group.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Epistaxis, Headache, Malaise, Pain
Clinical narrative: Nose bleed. Body aches. Headache. Malaise. Thirst. Weakness
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Thirst
Clinical narrative: Nose bleed. Body aches. Headache. Malaise. Thirst. Weakness
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pruritus, Sensory disturbance
Clinical narrative: Burning sensation in back, itching over the body, stabbing feeling in the body.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Pain, Spinal pain
Clinical narrative: Chronic pain the lower spinal column every morning for the last month or so Chronic pain in the Sternum every morning;  When I would have a arthritis flair up they would normally last 2 or 3 days, not it's every morning, I wake up normally around 3 a.m. with pain my lower back and sternum .
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Muscular weakness, Premenstrual pain
Clinical narrative: Persistent menstrual type cramps that lasted 5 days and intermittently since then even though I wasn?t on my period or even close to it. Intermittent chest pain and weakness in legs 1-3 days
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Fatigue, Nausea, Pain
Clinical narrative: Asthma attack about 4 hours later and had to take prednisone to control. Asthma lasted 36 hours. Fever of 102 started about 8 hours later and lasted about 60 hours. Sharp pains all over the body, vomiting and nausea for about 48 hours. Extreme fatigue for about 60 hours.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Asthma attack about 4 hours later and had to take prednisone to control. Asthma lasted 36 hours. Fever of 102 started about 8 hours later and lasted about 60 hours. Sharp pains all over the body, vomiting and nausea for about 48 hours. Extreme fatigue for about 60 hours.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Rash and Hives all over the body
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Dizziness, shortness of breath, metallic taste in mouth, shaking chills, severe neck pain, headache, extreme fatigue, muscle and joint pain. Ping-Pong size knot at injection site, purple/red and warm to touch, constant shocking pain to injection site and entire right arm.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site discolouration, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Dizziness, shortness of breath, metallic taste in mouth, shaking chills, severe neck pain, headache, extreme fatigue, muscle and joint pain. Ping-Pong size knot at injection site, purple/red and warm to touch, constant shocking pain to injection site and entire right arm.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Neck pain, Pain in extremity, Taste disorder, Tremor
Clinical narrative: Dizziness, shortness of breath, metallic taste in mouth, shaking chills, severe neck pain, headache, extreme fatigue, muscle and joint pain. Ping-Pong size knot at injection site, purple/red and warm to touch, constant shocking pain to injection site and entire right arm.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Feeling abnormal
Clinical narrative: Brain fog, memory loss.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Cardiac pharmacologic stress test, Chest X-ray, Chest pain, Echocardiogram
Clinical narrative: High BP and Chest Pain. Very high BP for the first 30 days reaching 185/118 on a regular basis. Frequency of events an pain diminished after 60 days
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Enzyme level test, Sleep study
Clinical narrative: High BP and Chest Pain. Very high BP for the first 30 days reaching 185/118 on a regular basis. Frequency of events an pain diminished after 60 days
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Burning sensation, Headache, Hypoaesthesia, Oropharyngeal pain
Clinical narrative: Patient report that she a burning sensation on the inside of her skin, also her face felt numb, headaches, and stomach pains and sore throat
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea, Neck pain
Clinical narrative: Fever (max 100.0 on Tylenol/ibuprofen), Chills, Body aches, headache + neck pain (>24hr), nausea/vomiting (x3), diarrhea (x6+)
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Fever (max 100.0 on Tylenol/ibuprofen), Chills, Body aches, headache + neck pain (>24hr), nausea/vomiting (x3), diarrhea (x6+)
Age: 69.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Condition aggravated, Urticaria
Clinical narrative: Chronic hives recurrence. Started June , occurred everyday since. Last affected in June 2016 thru Dec 2017, no known cause.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Fatigue, Injection site mass, Injection site pain, Injection site pruritus
Clinical narrative: Basic fatigue and arm tenderness with in 24hours. Symptoms went away. Few days later servers pain in left underarm near lymph nodes. Pain lasted 5 days. Pain became less intense day 2 but developed intense itch at injection site. Lump, rash, tenderness, and pain developed at injection site again and lasted for 5 days.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Tenderness
Clinical narrative: Basic fatigue and arm tenderness with in 24hours. Symptoms went away. Few days later servers pain in left underarm near lymph nodes. Pain lasted 5 days. Pain became less intense day 2 but developed intense itch at injection site. Lump, rash, tenderness, and pain developed at injection site again and lasted for 5 days.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Rash erythematous, Rash pruritic
Clinical narrative: I have a single shingle on my right rib cage.  It is a small red bump with redness around it.  It was itchy and then very painful to touch. It resembles the shingles I had when I was in my 20s.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted after receiving first dose of Pfizer COVID19 vaccine. Patient came to in a matter of seconds.  EMT did arrive to assess patient and vitals were okay and patient declined to go to the hospital.  Patient states he was nervous and fainted due to anxiety.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Oropharyngeal pain, Pain in extremity
Clinical narrative: Arm soreness, sore throat, little bit of chills.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Hyperhidrosis, Loss of consciousness, Tremor
Clinical narrative: My Blood sugar went down to a dangerous level. I was sweating and shaking  I passed out one day after getting the vaccine.  I had to drink lots of sweet juices then I felt better. (I do run low BS but never passed out or feel sick from it)
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Myalgia, Pyrexia
Clinical narrative: Chills; fever, upset stomach; muscle aches
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt is 17 years old and was given a first dose of Moderna vaccine at the pharmacy, she presented for her second dose to a clinic at which time the mistake was identified.  A second dose of Moderna was administered on 8-18-21 per recommendation from CDC when 1st dose is given to an underage person by mistake.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Cough, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: Moderna COVID-19 Vaccine EUA Patient received Moderna Vaccines on 1/27/2021 and 3/01/2021. Patient transferred from another ED on 7/17/2021 with complaint of body aches, cough, fever, chills, sore throat, and difficulty breathing. Patient was Intubated on 7/22/21. Completed 5 days of Remdesivir on 7/21. Completed vanc/cefepime 10 days on 7/27. Received 14 doses of Decadron. Pt continued to decline and comfort care initiated. Patient expired 7/30/21
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: General physical health deterioration, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine EUA Patient received Moderna Vaccines on 1/27/2021 and 3/01/2021. Patient transferred from another ED on 7/17/2021 with complaint of body aches, cough, fever, chills, sore throat, and difficulty breathing. Patient was Intubated on 7/22/21. Completed 5 days of Remdesivir on 7/21. Completed vanc/cefepime 10 days on 7/27. Received 14 doses of Decadron. Pt continued to decline and comfort care initiated. Patient expired 7/30/21
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: The patient MAY have received a dose of Janssen vaccine that was administered after the Beyond Use Date.  The provider may have given the dose outside of the 6 hour window after the vial was opened.  No symptoms or signs.  Pt will be contacted and offered to be re-vaccinated to offer full protection, per our Group.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Blood urine present, Renal function test normal, Urine analysis
Clinical narrative: blood in urine...first time was the day after the first dose of the vaccine.  ..continuall intermittent blood in urin e , never for mor e than one day, and randomly to present day
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Pain in joints in left wrist, as of 08/20/2021 severe pain at base joint of left pointer finger.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chest pain, Disorientation, Dyspnoea, Feeling abnormal
Clinical narrative: MVP/stabbing pain, Fog/vision blurred, Disorientation of whereabouts to drive home from Doctors office, Nausea-severe, Low grade temp-6weeks endurance, Yeast infection,  Shortness of breath/wheezing
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fungal infection, Incomplete course of vaccination, Vision blurred, Wheezing
Clinical narrative: MVP/stabbing pain, Fog/vision blurred, Disorientation of whereabouts to drive home from Doctors office, Nausea-severe, Low grade temp-6weeks endurance, Yeast infection,  Shortness of breath/wheezing
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea
Clinical narrative: Hospitalization for SOB, COVID19 8/14/21-8/17/21
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Decreased appetite, Fatigue, Feeling cold
Clinical narrative: Intense fever and chills the night of vaccination. On going fever since that that 8/13. Fever everyday since the date of vaccination as well as intense fatigue, muscle weakness, lack of appetite, sleepiness, pain in back and other muscle aches, chills and cold. It is now 8/24 and I feel worst.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Myalgia, Pyrexia, Somnolence
Clinical narrative: Intense fever and chills the night of vaccination. On going fever since that that 8/13. Fever everyday since the date of vaccination as well as intense fatigue, muscle weakness, lack of appetite, sleepiness, pain in back and other muscle aches, chills and cold. It is now 8/24 and I feel worst.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Customer experienced  nausea and vomiting .  Emergency personal came , customer was checked and few hours later she left to go home
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Dyspnoea, Hypoxia, Pyrexia
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA Patient received Pfizer Vaccines on 1/29/2021 and 3/2/2021. Presented to emergency department on 7/20/2021 with c/o fever and dyspnea x24 hours. Patient had a chest xray and positive COVID-19 test at another facility prior to presentation. Patient was hypoxic at 85% and started on Nasal cannula O2. Patient was treated with Remdesivir and dexamethasone. Patient expired on 7/31/2021.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Feeling cold, Headache, Pain, Pyrexia
Clinical narrative: Headache, fever, heart pain, body aches, chills
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Pain, Pruritus
Clinical narrative: Due to my auto-immune disease, this was my Pfizer booster. For my first and second shots, I had no side effects other than mild discomfort at injection site and mild fatigue. For this booster, I experienced more aches and pains during 48-72 hour window following the injection, and inner right ear itching/ache.  I contacted them to make sure no inner ear infection (not thinking this was vaccine related). Result was no infection, no issues found at all. Nurse recommended that I note the symptom on this site in the event this discomfort was related to the vaccine. The issue coincided with the 48-72 hour window of the other general side effects.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: Patient received Pfizer for the 1st, and 2nd doses. Her third immunocompromised dose was accidently given as Moderna. Patient waited her 15 minutes after vaccination with no issues reported, no signs, and no symptoms. Nothing reported after 24 hours of receiving the vaccine.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chills
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Patient received Pfizer-BioNTech COVID Vaccines on 2/4/2021 and 2/25/2021. Patient diagnosed with COVID-19 on 8/6/21 presented to ED complaining of worsening repsiratory status over a couple of days.  1 day prior to ED visit pt was given Decadron and discharged from unknown location per provider note. Associated symptoms include headache, cough, fever (T-max 104°), chills, decreased appetite/thirst, abdominal cramping with cough, and fatigue. X-ray shows moderate bilateral airspace opacities left greater than right, most consistent with multilevel low-grade pneumonia in this clinical setting. Pt treated with ceftriaxone, azithromycin x 3days 8/10, solumedrol #4 cont.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Death, Decreased appetite, Fatigue, Headache
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Patient received Pfizer-BioNTech COVID Vaccines on 2/4/2021 and 2/25/2021. Patient diagnosed with COVID-19 on 8/6/21 presented to ED complaining of worsening repsiratory status over a couple of days.  1 day prior to ED visit pt was given Decadron and discharged from unknown location per provider note. Associated symptoms include headache, cough, fever (T-max 104°), chills, decreased appetite/thirst, abdominal cramping with cough, and fatigue. X-ray shows moderate bilateral airspace opacities left greater than right, most consistent with multilevel low-grade pneumonia in this clinical setting. Pt treated with ceftriaxone, azithromycin x 3days 8/10, solumedrol #4 cont.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Pneumonia, Pyrexia, Respiratory distress, Respiratory failure
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Patient received Pfizer-BioNTech COVID Vaccines on 2/4/2021 and 2/25/2021. Patient diagnosed with COVID-19 on 8/6/21 presented to ED complaining of worsening repsiratory status over a couple of days.  1 day prior to ED visit pt was given Decadron and discharged from unknown location per provider note. Associated symptoms include headache, cough, fever (T-max 104°), chills, decreased appetite/thirst, abdominal cramping with cough, and fatigue. X-ray shows moderate bilateral airspace opacities left greater than right, most consistent with multilevel low-grade pneumonia in this clinical setting. Pt treated with ceftriaxone, azithromycin x 3days 8/10, solumedrol #4 cont.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Thirst decreased
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Patient received Pfizer-BioNTech COVID Vaccines on 2/4/2021 and 2/25/2021. Patient diagnosed with COVID-19 on 8/6/21 presented to ED complaining of worsening repsiratory status over a couple of days.  1 day prior to ED visit pt was given Decadron and discharged from unknown location per provider note. Associated symptoms include headache, cough, fever (T-max 104°), chills, decreased appetite/thirst, abdominal cramping with cough, and fatigue. X-ray shows moderate bilateral airspace opacities left greater than right, most consistent with multilevel low-grade pneumonia in this clinical setting. Pt treated with ceftriaxone, azithromycin x 3days 8/10, solumedrol #4 cont.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Respiratory failure
Clinical narrative: Hospitalization for hypoxic respiratory failure, COVID pneumonia. Treated with dexamethasone 6 mg IV twice daily
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Pain
Clinical narrative: Muscle and joint pain. General whole body aches.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient MAY have received a dose of Janssen vaccine that was administered after the Beyond Use Date.  The provider may have given the dose outside of the 6 hour window after the vial was opened.  No symptoms or signs.  Pt will be contacted and offered to be re-vaccinated to offer full protection.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Chest discomfort, Electrocardiogram normal, Palpitations
Clinical narrative: A day or two after the vaccine, I felt a constant dull pressure in my chest for roughly 7-10 days. Then it became very on and off with pressure, pulsing/pounding, and pinching feelings in my chest. It doesn?t happen often but at least once a day. About 2 and a half weeks after the shot, it was the worst it?s been; I was kept awake by what felt like my heart pounding against the wall of my chest for 3 hours. It has been worse after intense exercise and when I am laying flat.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Sensory disturbance, Sleep disorder
Clinical narrative: A day or two after the vaccine, I felt a constant dull pressure in my chest for roughly 7-10 days. Then it became very on and off with pressure, pulsing/pounding, and pinching feelings in my chest. It doesn?t happen often but at least once a day. About 2 and a half weeks after the shot, it was the worst it?s been; I was kept awake by what felt like my heart pounding against the wall of my chest for 3 hours. It has been worse after intense exercise and when I am laying flat.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Incomplete course of vaccination, Nausea, Pain
Clinical narrative: Severe body aches, fever, Severe nausea, diarrhea , Pain, swelling,hot on arm, Severe fatigue. was unable to do anything the first week following injection Most lasting for approv 3 weeks. except the arm pain and soreness. Did not go back for second dose.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia, Skin warm
Clinical narrative: Severe body aches, fever, Severe nausea, diarrhea , Pain, swelling,hot on arm, Severe fatigue. was unable to do anything the first week following injection Most lasting for approv 3 weeks. except the arm pain and soreness. Did not go back for second dose.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: CASE IS SYMPTOMATIC WITH COUGH, RUNNING NOSE, SORE TROAT AND HEAD ACHE, WAS TESTED ON 8/22/2021.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: CASE IS SYMPTOMATIC WITH COUGH, RUNNING NOSE, SORE TROAT AND HEAD ACHE, WAS TESTED ON 8/22/2021.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Urticaria
Clinical narrative: Rash hives on top of feet and toes. Very itchy.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Feeling abnormal, Syncope, Tremor
Clinical narrative: Patient received 1st dose injection approximately 4:40pm. Patient fainted after administration. Supportive care provided. Patient was feeling better a few minutes later. After 15 minute monitoring period patient left with guardian. Guardian called in to pharmacy approximately 1 hour post injection and stated that patient was feeling weird (difficulty swallowing and shaky). Guardian indicated no difficulty in breathing and no increase in respiration. Guardian was to continue monitoring for worsening symptoms. Symptoms worsened a few minutes post phone call and patient was taken by ambulance to hospital for treatment.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Dysphagia, Dyspnoea, Electrocardiogram, Immediate post-injection reaction
Clinical narrative: Patient received 1st dose injection approximately 4:40pm. Patient fainted after administration. Supportive care provided. Patient was feeling better a few minutes later. After 15 minute monitoring period patient left with guardian. Guardian called in to pharmacy approximately 1 hour post injection and stated that patient was feeling weird (difficulty swallowing and shaky). Guardian indicated no difficulty in breathing and no increase in respiration. Guardian was to continue monitoring for worsening symptoms. Symptoms worsened a few minutes post phone call and patient was taken by ambulance to hospital for treatment.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness, Pallor, Seizure, Throat tightness
Clinical narrative: Patient received 1st dose injection approximately 4:40pm. Patient fainted after administration. Supportive care provided. Patient was feeling better a few minutes later. After 15 minute monitoring period patient left with guardian. Guardian called in to pharmacy approximately 1 hour post injection and stated that patient was feeling weird (difficulty swallowing and shaky). Guardian indicated no difficulty in breathing and no increase in respiration. Guardian was to continue monitoring for worsening symptoms. Symptoms worsened a few minutes post phone call and patient was taken by ambulance to hospital for treatment.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Chest discomfort, Chills, Decreased appetite
Clinical narrative: 15 minutes after vaccine- headache, stomach cramping; night of vaccine-sore left arm, tiredness; next day-extreme fatigue, headache, chills, joint pain, loss of appetite; 3rd-4th day- tiredness and brain fog.  2 months after vaccine - present- shortness of breath, heart palpitations, extreme fatigue, muscle pain, joint pain, chest tightness, left arm pain, left arm tingling and numbness, memory issues, stuttering over words, poor concentration, edema to bilateral legs and ankles.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dysphemia, Dyspnoea, Fatigue, Feeling abnormal
Clinical narrative: 15 minutes after vaccine- headache, stomach cramping; night of vaccine-sore left arm, tiredness; next day-extreme fatigue, headache, chills, joint pain, loss of appetite; 3rd-4th day- tiredness and brain fog.  2 months after vaccine - present- shortness of breath, heart palpitations, extreme fatigue, muscle pain, joint pain, chest tightness, left arm pain, left arm tingling and numbness, memory issues, stuttering over words, poor concentration, edema to bilateral legs and ankles.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Memory impairment, Myalgia, Oedema peripheral
Clinical narrative: 15 minutes after vaccine- headache, stomach cramping; night of vaccine-sore left arm, tiredness; next day-extreme fatigue, headache, chills, joint pain, loss of appetite; 3rd-4th day- tiredness and brain fog.  2 months after vaccine - present- shortness of breath, heart palpitations, extreme fatigue, muscle pain, joint pain, chest tightness, left arm pain, left arm tingling and numbness, memory issues, stuttering over words, poor concentration, edema to bilateral legs and ankles.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Palpitations, Paraesthesia
Clinical narrative: 15 minutes after vaccine- headache, stomach cramping; night of vaccine-sore left arm, tiredness; next day-extreme fatigue, headache, chills, joint pain, loss of appetite; 3rd-4th day- tiredness and brain fog.  2 months after vaccine - present- shortness of breath, heart palpitations, extreme fatigue, muscle pain, joint pain, chest tightness, left arm pain, left arm tingling and numbness, memory issues, stuttering over words, poor concentration, edema to bilateral legs and ankles.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Death
Clinical narrative: Hospitalization 8/14-8/22/2021 for acute respiratory failure/pneumonia due to COVID.  Treated with dexamethasone 6 mg IV daily; Remdesivir for 5 days. Expired 8/22/2021
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: The patient MAY have received a dose of Janssen vaccine that was administered after the Beyond Use Date.  The provider may have given the dose outside of the 6 hour window after the vial was opened.  No symptoms or signs.  Pt will be contacted and offered to be re-vaccinated to offer full protection.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Diarrhoea, Laboratory test
Clinical narrative: Diarrhea, lower back pain with no relief of pain with Tylenol and ibuprofen.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Blepharospasm
Clinical narrative: Since taking the shot my left eye started twitching.  It started on sat and has not stopped.  It seems to be getting worse.
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Nausea, Pain in extremity, Vomiting
Clinical narrative: chills, arm pain in both arms, nausea/vomiting - patient called Dr. but were still waiting for a response to see if needed to do anything further. Patient was improving on 6/25/21
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Angiopathy, Aphasia, Blood pressure increased, Borrelia test negative, C-reactive protein normal
Clinical narrative: At 48 h developed migraine which became continuous and hard to control w NSAIDS , baby ASA. Elevated BP to 170s/ 85 previously controlled to 135/70. At times migraine associated w scintillating Scotomas. Behind eye ache, slight ear pain. In distribution of left temporal artery. Artery tender to touch. Severe brain fog. Some word searching, memory change.Left finger joint stiffness.  Continued x 2 weeks went to urgent care. Uncertain dx.  Treated w NSAIDS, rxd prednisone 20mg but only took one dose. Aug 16 had follow up w oncologist routine. Mentioned new migraines got MRI brain contrast showed L parietooccipital meninges lighting up. Diff dx: cancer, inflammation, vascular is. Admitted to hospital same day fir work up.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cryptococcus test, Cytology normal, Ear pain, Ehrlichia test, Epstein-Barr virus test negative
Clinical narrative: At 48 h developed migraine which became continuous and hard to control w NSAIDS , baby ASA. Elevated BP to 170s/ 85 previously controlled to 135/70. At times migraine associated w scintillating Scotomas. Behind eye ache, slight ear pain. In distribution of left temporal artery. Artery tender to touch. Severe brain fog. Some word searching, memory change.Left finger joint stiffness.  Continued x 2 weeks went to urgent care. Uncertain dx.  Treated w NSAIDS, rxd prednisone 20mg but only took one dose. Aug 16 had follow up w oncologist routine. Mentioned new migraines got MRI brain contrast showed L parietooccipital meninges lighting up. Diff dx: cancer, inflammation, vascular is. Admitted to hospital same day fir work up.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Feeling abnormal, Herpes simplex test negative, Inflammation, Joint stiffness
Clinical narrative: At 48 h developed migraine which became continuous and hard to control w NSAIDS , baby ASA. Elevated BP to 170s/ 85 previously controlled to 135/70. At times migraine associated w scintillating Scotomas. Behind eye ache, slight ear pain. In distribution of left temporal artery. Artery tender to touch. Severe brain fog. Some word searching, memory change.Left finger joint stiffness.  Continued x 2 weeks went to urgent care. Uncertain dx.  Treated w NSAIDS, rxd prednisone 20mg but only took one dose. Aug 16 had follow up w oncologist routine. Mentioned new migraines got MRI brain contrast showed L parietooccipital meninges lighting up. Diff dx: cancer, inflammation, vascular is. Admitted to hospital same day fir work up.