chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pH increased, Brain natriuretic peptide normal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Narrative:  COVID infection following COVID vaccine series 06/18 Janssen, dose #1 10/04 pt admit to medicine cc: "altered mental status and diarrhea" dx: COVID pneumonia LOS: 18 10/04 COVID swab, result, detected 10/04 CXR Impression: No acute cardiopulmonary disease. Please note that subtle groundglass opacities associated with viral pneumonia may not be visible on plain radiography 10/05 CXR Impression: Low lung volumes with bibasilar streaky densities and diffuse prominence of pulmonary interstitial markings, increased compared to 10/04/2021. This could represent atelectasis and vascular crowding related to low lung volumes although infectious/inflammatory process or other process not excluded by radiography. 10/06 CXR Impression: Stable bilateral patchy consolidation and groundglass densities (history of Covid). 10/07 US EXTREMITY Impression: Negative examination for thrombosis in the bilateral lower extremity veins listed above. 10/09 i-pH 7.53, i-PCo2 28.1, i-PO2 61, i-HCO3 23.7 08/03 pt cc: exposure: unknown 10/05 i-pH 7.38, i-PCo2 26.6, i-PO2 67, i-HCO3 15.9 10/06 BNP: 30.3 10/08 CXR impression: 1. Patchy bilateral airspace opacities have decreased. 10/09 DDIMER: 1.73 10/09 PROCALCITONIN: 0.24 10/09 CXR impression: 1. Obscuration of the left hemidiaphragm suggestive of left lower lobe consolidation. Findings may be related to atelectasis though superimposed infectious process is not excluded. 10/09 CTA PE impression: No evidence of pulmonary embolism. 10/11 CXR impression: Interval worsening of mixed interstitial and airspace opacities, consistent with COVID pneumonia. 10/13 FIBRNOGEN: 440 10/13 DDIMER: 1.04 10/15 FIBRINOGEN: 515 10/15 i-pH 7.44, i-PCo2 37.8, i-PO2 70, i-HCO3 26.4 10/15 DDIMER: 1.08 10/15 PT/INR 12.9/1.15 10/16 FIBRINOGEN: 515 10/16 DDIMER: 1.43 10/17 i-pH 7.25, i-PCo2 67.7, i-PO2 89, i-HCO3 29.8 10/17 FIBRINOGEN: 638 10/17 DDIMER: 1.34 10/17 i-pH 7.28, i-PCo2 63.3, i-PO2 87, i-HCO3 29.4 10/18 PROCALCITONIN: 0.33 10/18 FIBRINOGEN: 586 10/18 DDIMER: 1.79 10/18 LACTIC ACID: 2.39 10/18 i-pH 7.36, i-PCo2 56.5, i-PO2 79, i-HCO3 31.7 10/19 LACTIC ACID: 2.88 10/19 i-pH 7.22, i-PCo2 80.4, i-PO2 66, i-HCO3 33.3, 10/20 FIBRINOGEN: 658 10/20 DDIMER: 2.42 1020 LACTIC ACID: 2.32 10/21 i-pH 7.28, i-PCo2 70.3, i-PO2 58, i-HCO3 33.1 10/21 i-pH 7.31, i-PCo2 63.9, i-PO2 48, i-HCO3 32.5 10/22 PROCALCITONIN 2.94 10/22 FIBRINOGEN: 638 10/22 DDIMER: 14.31 10/22 LACTIC ACID 2.13 10/22 i-pH 7.19, i-PCo2 85.7, i-PO2 42, i-HCO3 32.7 10/22 pt deceased
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fibrin D dimer, International normalised ratio increased, Interstitial lung disease, Lung consolidation
Clinical narrative: Narrative:  COVID infection following COVID vaccine series 06/18 Janssen, dose #1 10/04 pt admit to medicine cc: "altered mental status and diarrhea" dx: COVID pneumonia LOS: 18 10/04 COVID swab, result, detected 10/04 CXR Impression: No acute cardiopulmonary disease. Please note that subtle groundglass opacities associated with viral pneumonia may not be visible on plain radiography 10/05 CXR Impression: Low lung volumes with bibasilar streaky densities and diffuse prominence of pulmonary interstitial markings, increased compared to 10/04/2021. This could represent atelectasis and vascular crowding related to low lung volumes although infectious/inflammatory process or other process not excluded by radiography. 10/06 CXR Impression: Stable bilateral patchy consolidation and groundglass densities (history of Covid). 10/07 US EXTREMITY Impression: Negative examination for thrombosis in the bilateral lower extremity veins listed above. 10/09 i-pH 7.53, i-PCo2 28.1, i-PO2 61, i-HCO3 23.7 08/03 pt cc: exposure: unknown 10/05 i-pH 7.38, i-PCo2 26.6, i-PO2 67, i-HCO3 15.9 10/06 BNP: 30.3 10/08 CXR impression: 1. Patchy bilateral airspace opacities have decreased. 10/09 DDIMER: 1.73 10/09 PROCALCITONIN: 0.24 10/09 CXR impression: 1. Obscuration of the left hemidiaphragm suggestive of left lower lobe consolidation. Findings may be related to atelectasis though superimposed infectious process is not excluded. 10/09 CTA PE impression: No evidence of pulmonary embolism. 10/11 CXR impression: Interval worsening of mixed interstitial and airspace opacities, consistent with COVID pneumonia. 10/13 FIBRNOGEN: 440 10/13 DDIMER: 1.04 10/15 FIBRINOGEN: 515 10/15 i-pH 7.44, i-PCo2 37.8, i-PO2 70, i-HCO3 26.4 10/15 DDIMER: 1.08 10/15 PT/INR 12.9/1.15 10/16 FIBRINOGEN: 515 10/16 DDIMER: 1.43 10/17 i-pH 7.25, i-PCo2 67.7, i-PO2 89, i-HCO3 29.8 10/17 FIBRINOGEN: 638 10/17 DDIMER: 1.34 10/17 i-pH 7.28, i-PCo2 63.3, i-PO2 87, i-HCO3 29.4 10/18 PROCALCITONIN: 0.33 10/18 FIBRINOGEN: 586 10/18 DDIMER: 1.79 10/18 LACTIC ACID: 2.39 10/18 i-pH 7.36, i-PCo2 56.5, i-PO2 79, i-HCO3 31.7 10/19 LACTIC ACID: 2.88 10/19 i-pH 7.22, i-PCo2 80.4, i-PO2 66, i-HCO3 33.3, 10/20 FIBRINOGEN: 658 10/20 DDIMER: 2.42 1020 LACTIC ACID: 2.32 10/21 i-pH 7.28, i-PCo2 70.3, i-PO2 58, i-HCO3 33.1 10/21 i-pH 7.31, i-PCo2 63.9, i-PO2 48, i-HCO3 32.5 10/22 PROCALCITONIN 2.94 10/22 FIBRINOGEN: 638 10/22 DDIMER: 14.31 10/22 LACTIC ACID 2.13 10/22 i-pH 7.19, i-PCo2 85.7, i-PO2 42, i-HCO3 32.7 10/22 pt deceased
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Mental status changes, PCO2 decreased, PCO2 increased, PO2 decreased
Clinical narrative: Narrative:  COVID infection following COVID vaccine series 06/18 Janssen, dose #1 10/04 pt admit to medicine cc: "altered mental status and diarrhea" dx: COVID pneumonia LOS: 18 10/04 COVID swab, result, detected 10/04 CXR Impression: No acute cardiopulmonary disease. Please note that subtle groundglass opacities associated with viral pneumonia may not be visible on plain radiography 10/05 CXR Impression: Low lung volumes with bibasilar streaky densities and diffuse prominence of pulmonary interstitial markings, increased compared to 10/04/2021. This could represent atelectasis and vascular crowding related to low lung volumes although infectious/inflammatory process or other process not excluded by radiography. 10/06 CXR Impression: Stable bilateral patchy consolidation and groundglass densities (history of Covid). 10/07 US EXTREMITY Impression: Negative examination for thrombosis in the bilateral lower extremity veins listed above. 10/09 i-pH 7.53, i-PCo2 28.1, i-PO2 61, i-HCO3 23.7 08/03 pt cc: exposure: unknown 10/05 i-pH 7.38, i-PCo2 26.6, i-PO2 67, i-HCO3 15.9 10/06 BNP: 30.3 10/08 CXR impression: 1. Patchy bilateral airspace opacities have decreased. 10/09 DDIMER: 1.73 10/09 PROCALCITONIN: 0.24 10/09 CXR impression: 1. Obscuration of the left hemidiaphragm suggestive of left lower lobe consolidation. Findings may be related to atelectasis though superimposed infectious process is not excluded. 10/09 CTA PE impression: No evidence of pulmonary embolism. 10/11 CXR impression: Interval worsening of mixed interstitial and airspace opacities, consistent with COVID pneumonia. 10/13 FIBRNOGEN: 440 10/13 DDIMER: 1.04 10/15 FIBRINOGEN: 515 10/15 i-pH 7.44, i-PCo2 37.8, i-PO2 70, i-HCO3 26.4 10/15 DDIMER: 1.08 10/15 PT/INR 12.9/1.15 10/16 FIBRINOGEN: 515 10/16 DDIMER: 1.43 10/17 i-pH 7.25, i-PCo2 67.7, i-PO2 89, i-HCO3 29.8 10/17 FIBRINOGEN: 638 10/17 DDIMER: 1.34 10/17 i-pH 7.28, i-PCo2 63.3, i-PO2 87, i-HCO3 29.4 10/18 PROCALCITONIN: 0.33 10/18 FIBRINOGEN: 586 10/18 DDIMER: 1.79 10/18 LACTIC ACID: 2.39 10/18 i-pH 7.36, i-PCo2 56.5, i-PO2 79, i-HCO3 31.7 10/19 LACTIC ACID: 2.88 10/19 i-pH 7.22, i-PCo2 80.4, i-PO2 66, i-HCO3 33.3, 10/20 FIBRINOGEN: 658 10/20 DDIMER: 2.42 1020 LACTIC ACID: 2.32 10/21 i-pH 7.28, i-PCo2 70.3, i-PO2 58, i-HCO3 33.1 10/21 i-pH 7.31, i-PCo2 63.9, i-PO2 48, i-HCO3 32.5 10/22 PROCALCITONIN 2.94 10/22 FIBRINOGEN: 638 10/22 DDIMER: 14.31 10/22 LACTIC ACID 2.13 10/22 i-pH 7.19, i-PCo2 85.7, i-PO2 42, i-HCO3 32.7 10/22 pt deceased
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Procalcitonin, Prothrombin time prolonged, SARS-CoV-2 test positive, Total lung capacity decreased, Ultrasound Doppler normal
Clinical narrative: Narrative:  COVID infection following COVID vaccine series 06/18 Janssen, dose #1 10/04 pt admit to medicine cc: "altered mental status and diarrhea" dx: COVID pneumonia LOS: 18 10/04 COVID swab, result, detected 10/04 CXR Impression: No acute cardiopulmonary disease. Please note that subtle groundglass opacities associated with viral pneumonia may not be visible on plain radiography 10/05 CXR Impression: Low lung volumes with bibasilar streaky densities and diffuse prominence of pulmonary interstitial markings, increased compared to 10/04/2021. This could represent atelectasis and vascular crowding related to low lung volumes although infectious/inflammatory process or other process not excluded by radiography. 10/06 CXR Impression: Stable bilateral patchy consolidation and groundglass densities (history of Covid). 10/07 US EXTREMITY Impression: Negative examination for thrombosis in the bilateral lower extremity veins listed above. 10/09 i-pH 7.53, i-PCo2 28.1, i-PO2 61, i-HCO3 23.7 08/03 pt cc: exposure: unknown 10/05 i-pH 7.38, i-PCo2 26.6, i-PO2 67, i-HCO3 15.9 10/06 BNP: 30.3 10/08 CXR impression: 1. Patchy bilateral airspace opacities have decreased. 10/09 DDIMER: 1.73 10/09 PROCALCITONIN: 0.24 10/09 CXR impression: 1. Obscuration of the left hemidiaphragm suggestive of left lower lobe consolidation. Findings may be related to atelectasis though superimposed infectious process is not excluded. 10/09 CTA PE impression: No evidence of pulmonary embolism. 10/11 CXR impression: Interval worsening of mixed interstitial and airspace opacities, consistent with COVID pneumonia. 10/13 FIBRNOGEN: 440 10/13 DDIMER: 1.04 10/15 FIBRINOGEN: 515 10/15 i-pH 7.44, i-PCo2 37.8, i-PO2 70, i-HCO3 26.4 10/15 DDIMER: 1.08 10/15 PT/INR 12.9/1.15 10/16 FIBRINOGEN: 515 10/16 DDIMER: 1.43 10/17 i-pH 7.25, i-PCo2 67.7, i-PO2 89, i-HCO3 29.8 10/17 FIBRINOGEN: 638 10/17 DDIMER: 1.34 10/17 i-pH 7.28, i-PCo2 63.3, i-PO2 87, i-HCO3 29.4 10/18 PROCALCITONIN: 0.33 10/18 FIBRINOGEN: 586 10/18 DDIMER: 1.79 10/18 LACTIC ACID: 2.39 10/18 i-pH 7.36, i-PCo2 56.5, i-PO2 79, i-HCO3 31.7 10/19 LACTIC ACID: 2.88 10/19 i-pH 7.22, i-PCo2 80.4, i-PO2 66, i-HCO3 33.3, 10/20 FIBRINOGEN: 658 10/20 DDIMER: 2.42 1020 LACTIC ACID: 2.32 10/21 i-pH 7.28, i-PCo2 70.3, i-PO2 58, i-HCO3 33.1 10/21 i-pH 7.31, i-PCo2 63.9, i-PO2 48, i-HCO3 32.5 10/22 PROCALCITONIN 2.94 10/22 FIBRINOGEN: 638 10/22 DDIMER: 14.31 10/22 LACTIC ACID 2.13 10/22 i-pH 7.19, i-PCo2 85.7, i-PO2 42, i-HCO3 32.7 10/22 pt deceased
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling of body temperature change, Fluid retention, Injected limb mobility decreased, Injection site erythema
Clinical narrative: I received my Covid booster on Thursday, November 18. All three doses were Pfizer. On Friday and Saturday, I was in a daze and alternately way too hot and way too cold. Then on Sunday morning I couldn't move my arm. The entire outer half of my upper arm where I had received the injection was extremely swollen, red, hot, hard, and painful. Monday it was still bad, so I called my doctor's office and the nurse said to come in. The doctor said to switch from Tylenol to Aleve and to keep applying a cold pack and that it would go away in less then two weeks. She said maybe get Moderna if we have to get more boosters in the future, but I've read that covid arm is more common with Moderna. I don't know when I've had a bad a pain as that (9/10) for 2 whole days. It has been slowly getting better every day. Range of motion was back by Wednesday the 24th. Now its Monday the 29th, and my arm is still hot, itchy, and retaining some water.
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: I received my Covid booster on Thursday, November 18. All three doses were Pfizer. On Friday and Saturday, I was in a daze and alternately way too hot and way too cold. Then on Sunday morning I couldn't move my arm. The entire outer half of my upper arm where I had received the injection was extremely swollen, red, hot, hard, and painful. Monday it was still bad, so I called my doctor's office and the nurse said to come in. The doctor said to switch from Tylenol to Aleve and to keep applying a cold pack and that it would go away in less then two weeks. She said maybe get Moderna if we have to get more boosters in the future, but I've read that covid arm is more common with Moderna. I don't know when I've had a bad a pain as that (9/10) for 2 whole days. It has been slowly getting better every day. Range of motion was back by Wednesday the 24th. Now its Monday the 29th, and my arm is still hot, itchy, and retaining some water.
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, Catheterisation cardiac normal, Endotracheal intubation, Life support, Myoclonus
Clinical narrative: 54M PMH?HTN, HLD, diastolic cardiomyopathy with biventricular pacemaker. Received third COVID vaccine on 10/18/2021. Patient last seen running with his show dogs. Found down undetermined amount of time by RN who initiated CPR. Patient presented with EMS in ER with ventricular fibrillation. ACLS and intubation followed with ROSC. Pupils fixed with myoclonic upper extremity motions noted by providers prior to paralytic and intubation. Patient transported to Cath Lab where coronaries found to be without lesion.
Sex: M
Vaccine: COVID19
Symptoms: Pupil fixed, Resuscitation, Troponin, Ventricular fibrillation
Clinical narrative: 54M PMH?HTN, HLD, diastolic cardiomyopathy with biventricular pacemaker. Received third COVID vaccine on 10/18/2021. Patient last seen running with his show dogs. Found down undetermined amount of time by RN who initiated CPR. Patient presented with EMS in ER with ventricular fibrillation. ACLS and intubation followed with ROSC. Pupils fixed with myoclonic upper extremity motions noted by providers prior to paralytic and intubation. Patient transported to Cath Lab where coronaries found to be without lesion.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Internal haemorrhage, Menstruation irregular, Ovarian cyst
Clinical narrative: I was fully vaccinated September 6, 2021. I had Covid-19 in April 2021. After being fully vaccinated, I experienced an abnormal period in September and in October during my period I developed a large mass of 2 ovarian cysts merging together and creating a giant cyst behind my uterus. I nearly lost my ovaries, I spent 2 days in the hospital and visited 2 different ERs before they realized I needed surgery. I was internally bleeding from this as well. I had an ultrasound 6 months before this incident and the cysts were not severe and did not require surgery. I believe this is a reaction to the covid shot and should be looked into.
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Rash, Rash erythematous, Rash macular, Rash papular
Clinical narrative: Shortly after getting GlaxoSmithKline Fluarix Shot lot# NS755 at Pharmacy 11 year old female began complaining of itchiness beginning in her wrists. Within an hour her body was covered in red raised rash blotches on truck, neck and thighs. She was taken to urgent care where she was given a steroid and Benadryl and told to go to the ER of symptoms worsen.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acne, Antinuclear antibody, Blood test, C-reactive protein, Cellulitis
Clinical narrative: Pt. Reported the development of Raynaud syndrome in both hands after receiving first dose. Pt seen by PCP and rheumatologist. Both agreed she should receive second dose.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Complement factor C3, Complement factor C4, Differential white blood cell count, Eye pain, Full blood count
Clinical narrative: Pt. Reported the development of Raynaud syndrome in both hands after receiving first dose. Pt seen by PCP and rheumatologist. Both agreed she should receive second dose.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Herpes zoster, Lacrimation increased, Lipids, Metabolic function test, Ophthalmic herpes zoster
Clinical narrative: Pt. Reported the development of Raynaud syndrome in both hands after receiving first dose. Pt seen by PCP and rheumatologist. Both agreed she should receive second dose.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic, Rheumatoid factor, Swelling face
Clinical narrative: Pt. Reported the development of Raynaud syndrome in both hands after receiving first dose. Pt seen by PCP and rheumatologist. Both agreed she should receive second dose.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Swelling of eyelid, Urine analysis, Urine protein/creatinine ratio, Vomiting, White blood cell count
Clinical narrative: Pt. Reported the development of Raynaud syndrome in both hands after receiving first dose. Pt seen by PCP and rheumatologist. Both agreed she should receive second dose.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood test, C-reactive protein, Full blood count, Hypoaesthesia, Lipids
Clinical narrative: Pt. Reported the development of Raynaud syndrome in both hands after receiving first dose. Pt seen by PCP and rheumatologist. Both agreed she should receive second dose.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Metabolic function test, Pain in extremity, Pallor, Raynaud's phenomenon, Skin discolouration
Clinical narrative: Pt. Reported the development of Raynaud syndrome in both hands after receiving first dose. Pt seen by PCP and rheumatologist. Both agreed she should receive second dose.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Urine analysis, Urine protein/creatinine ratio, White blood cell count
Clinical narrative: Pt. Reported the development of Raynaud syndrome in both hands after receiving first dose. Pt seen by PCP and rheumatologist. Both agreed she should receive second dose.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Raynaud's phenomenon
Clinical narrative: Pt. Reported the development of Raynaud syndrome in both hands after receiving first dose. Pt seen by PCP and rheumatologist. Both agreed she should receive second dose.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic, Urticaria
Clinical narrative: PATIENT DEVELOPED A MULTIFORM RASH OVER HER LEGS, ARMS, BACK, AND HIPS. SKIN COLORED PAPULAR RASH ON LEGS AND UPPER BACK. HIVES ON LEFT AND RIGHT HIPS AND LOWER BACK AND UPPER BUTTOCKS. SEVERE ITCHING WHICH LASTED FOR 8 WEEKS. PATIENT RETURNED TO DOCTORS CARE WHERE SHE RECEIVED THE VACCINE AND WAS ORDERED ORAL STEROIDS AND ANTIHISTAMINES WHICH DID NOT RELIEVE THE RASH AND ITCHINESS AT ALL. PATIENT WAS ALSO PRESCRIBED TOPIC AL STEROID WHICH ALSO DID NOT HELP RELIEVE SYMPTOMS.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Rash, Rash papular, Urticaria
Clinical narrative: PATIENT DEVELOPED A MULTIFORM RASH OVER HER LEGS, ARMS, BACK, AND HIPS. SKIN COLORED PAPULAR RASH ON LEGS AND UPPER BACK. HIVES ON LEFT AND RIGHT HIPS AND LOWER BACK AND UPPER BUTTOCKS. SEVERE ITCHING WHICH LASTED FOR 8 WEEKS. PATIENT RETURNED TO DOCTORS CARE WHERE SHE RECEIVED THE VACCINE AND WAS ORDERED ORAL STEROIDS AND ANTIHISTAMINES WHICH DID NOT RELIEVE THE RASH AND ITCHINESS AT ALL. PATIENT WAS ALSO PRESCRIBED TOPIC AL STEROID WHICH ALSO DID NOT HELP RELIEVE SYMPTOMS.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Areflexia, Back pain, C-reactive protein, Cellulitis, Eye pain
Clinical narrative: Pt presented to ED on 3/1/21 via PCP due to concern for GBS. Vaccinated 2/3/21 and subsequently developed mild fevers, chills, nausea vomiting. About 10 days later she developed ""bumps"" around the neck, and a ""pimple"" on the right forehead. She saw PCP, got doxycycline. The bumps got worse, itchy, burning, she went to urgent care and got clindamycin for possible periorbital cellulitis. She subsequently went to specialist because of pain in the right eye, and she was told she had zoster ophthalmicus. Friday night (2/26/21) she developed a headache associated with some neck stiffness and tightness. She tried taking Imitrex which helped a little but not fully. On Saturday she began experiencing muscle weakness/soreness in the hamstrings and calves, like she had done an intense workout. This continued and progressed to the point where on Sunday she could not do her normal activity for as long or as hard as she normally does. Yesterday (Monday) she visited her PCP who felt that her reflexes were down and told her to go to the ED for possible GBS. Neurologic exam notable for: proximal muscle weakness in the lower extremities and neck flexion/extension weakness. Reflexes intact. Findings are most consistent with a myopathic pattern rather than neuropathic pattern. Given constellation of symptoms beginning after vaccination (Raynaud's, rash c/f Zoster, and muscle soreness/weakness) we are concerned about a rheumatologic/autoimmune process possibly triggered by vaccination contributing to a myopathy. She will need wu including serum muscle enzymes and EMG/NCS (may or may not be able to do this as an outpatient). Her presentation is not consistent with GBS. Continues to seek additional care from dermatology and neurology as an outpatient.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eyelid oedema, Full blood count, Herpes zoster, Hypoaesthesia, Impaired work ability
Clinical narrative: Pt presented to ED on 3/1/21 via PCP due to concern for GBS. Vaccinated 2/3/21 and subsequently developed mild fevers, chills, nausea vomiting. About 10 days later she developed ""bumps"" around the neck, and a ""pimple"" on the right forehead. She saw PCP, got doxycycline. The bumps got worse, itchy, burning, she went to urgent care and got clindamycin for possible periorbital cellulitis. She subsequently went to specialist because of pain in the right eye, and she was told she had zoster ophthalmicus. Friday night (2/26/21) she developed a headache associated with some neck stiffness and tightness. She tried taking Imitrex which helped a little but not fully. On Saturday she began experiencing muscle weakness/soreness in the hamstrings and calves, like she had done an intense workout. This continued and progressed to the point where on Sunday she could not do her normal activity for as long or as hard as she normally does. Yesterday (Monday) she visited her PCP who felt that her reflexes were down and told her to go to the ED for possible GBS. Neurologic exam notable for: proximal muscle weakness in the lower extremities and neck flexion/extension weakness. Reflexes intact. Findings are most consistent with a myopathic pattern rather than neuropathic pattern. Given constellation of symptoms beginning after vaccination (Raynaud's, rash c/f Zoster, and muscle soreness/weakness) we are concerned about a rheumatologic/autoimmune process possibly triggered by vaccination contributing to a myopathy. She will need wu including serum muscle enzymes and EMG/NCS (may or may not be able to do this as an outpatient). Her presentation is not consistent with GBS. Continues to seek additional care from dermatology and neurology as an outpatient.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: International normalised ratio, Lacrimation increased, Magnetic resonance imaging, Magnetic resonance imaging head, Metabolic function test
Clinical narrative: Pt presented to ED on 3/1/21 via PCP due to concern for GBS. Vaccinated 2/3/21 and subsequently developed mild fevers, chills, nausea vomiting. About 10 days later she developed ""bumps"" around the neck, and a ""pimple"" on the right forehead. She saw PCP, got doxycycline. The bumps got worse, itchy, burning, she went to urgent care and got clindamycin for possible periorbital cellulitis. She subsequently went to specialist because of pain in the right eye, and she was told she had zoster ophthalmicus. Friday night (2/26/21) she developed a headache associated with some neck stiffness and tightness. She tried taking Imitrex which helped a little but not fully. On Saturday she began experiencing muscle weakness/soreness in the hamstrings and calves, like she had done an intense workout. This continued and progressed to the point where on Sunday she could not do her normal activity for as long or as hard as she normally does. Yesterday (Monday) she visited her PCP who felt that her reflexes were down and told her to go to the ED for possible GBS. Neurologic exam notable for: proximal muscle weakness in the lower extremities and neck flexion/extension weakness. Reflexes intact. Findings are most consistent with a myopathic pattern rather than neuropathic pattern. Given constellation of symptoms beginning after vaccination (Raynaud's, rash c/f Zoster, and muscle soreness/weakness) we are concerned about a rheumatologic/autoimmune process possibly triggered by vaccination contributing to a myopathy. She will need wu including serum muscle enzymes and EMG/NCS (may or may not be able to do this as an outpatient). Her presentation is not consistent with GBS. Continues to seek additional care from dermatology and neurology as an outpatient.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Ophthalmic herpes zoster, Pain, Prothrombin time, Rash
Clinical narrative: Pt presented to ED on 3/1/21 via PCP due to concern for GBS. Vaccinated 2/3/21 and subsequently developed mild fevers, chills, nausea vomiting. About 10 days later she developed ""bumps"" around the neck, and a ""pimple"" on the right forehead. She saw PCP, got doxycycline. The bumps got worse, itchy, burning, she went to urgent care and got clindamycin for possible periorbital cellulitis. She subsequently went to specialist because of pain in the right eye, and she was told she had zoster ophthalmicus. Friday night (2/26/21) she developed a headache associated with some neck stiffness and tightness. She tried taking Imitrex which helped a little but not fully. On Saturday she began experiencing muscle weakness/soreness in the hamstrings and calves, like she had done an intense workout. This continued and progressed to the point where on Sunday she could not do her normal activity for as long or as hard as she normally does. Yesterday (Monday) she visited her PCP who felt that her reflexes were down and told her to go to the ED for possible GBS. Neurologic exam notable for: proximal muscle weakness in the lower extremities and neck flexion/extension weakness. Reflexes intact. Findings are most consistent with a myopathic pattern rather than neuropathic pattern. Given constellation of symptoms beginning after vaccination (Raynaud's, rash c/f Zoster, and muscle soreness/weakness) we are concerned about a rheumatologic/autoimmune process possibly triggered by vaccination contributing to a myopathy. She will need wu including serum muscle enzymes and EMG/NCS (may or may not be able to do this as an outpatient). Her presentation is not consistent with GBS. Continues to seek additional care from dermatology and neurology as an outpatient.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash erythematous, Rash pruritic, SARS-CoV-2 antibody test, SARS-CoV-2 test, Trigeminal neuralgia
Clinical narrative: Pt presented to ED on 3/1/21 via PCP due to concern for GBS. Vaccinated 2/3/21 and subsequently developed mild fevers, chills, nausea vomiting. About 10 days later she developed ""bumps"" around the neck, and a ""pimple"" on the right forehead. She saw PCP, got doxycycline. The bumps got worse, itchy, burning, she went to urgent care and got clindamycin for possible periorbital cellulitis. She subsequently went to specialist because of pain in the right eye, and she was told she had zoster ophthalmicus. Friday night (2/26/21) she developed a headache associated with some neck stiffness and tightness. She tried taking Imitrex which helped a little but not fully. On Saturday she began experiencing muscle weakness/soreness in the hamstrings and calves, like she had done an intense workout. This continued and progressed to the point where on Sunday she could not do her normal activity for as long or as hard as she normally does. Yesterday (Monday) she visited her PCP who felt that her reflexes were down and told her to go to the ED for possible GBS. Neurologic exam notable for: proximal muscle weakness in the lower extremities and neck flexion/extension weakness. Reflexes intact. Findings are most consistent with a myopathic pattern rather than neuropathic pattern. Given constellation of symptoms beginning after vaccination (Raynaud's, rash c/f Zoster, and muscle soreness/weakness) we are concerned about a rheumatologic/autoimmune process possibly triggered by vaccination contributing to a myopathy. She will need wu including serum muscle enzymes and EMG/NCS (may or may not be able to do this as an outpatient). Her presentation is not consistent with GBS. Continues to seek additional care from dermatology and neurology as an outpatient.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urine analysis, Vomiting, White blood cell count
Clinical narrative: Pt presented to ED on 3/1/21 via PCP due to concern for GBS. Vaccinated 2/3/21 and subsequently developed mild fevers, chills, nausea vomiting. About 10 days later she developed ""bumps"" around the neck, and a ""pimple"" on the right forehead. She saw PCP, got doxycycline. The bumps got worse, itchy, burning, she went to urgent care and got clindamycin for possible periorbital cellulitis. She subsequently went to specialist because of pain in the right eye, and she was told she had zoster ophthalmicus. Friday night (2/26/21) she developed a headache associated with some neck stiffness and tightness. She tried taking Imitrex which helped a little but not fully. On Saturday she began experiencing muscle weakness/soreness in the hamstrings and calves, like she had done an intense workout. This continued and progressed to the point where on Sunday she could not do her normal activity for as long or as hard as she normally does. Yesterday (Monday) she visited her PCP who felt that her reflexes were down and told her to go to the ED for possible GBS. Neurologic exam notable for: proximal muscle weakness in the lower extremities and neck flexion/extension weakness. Reflexes intact. Findings are most consistent with a myopathic pattern rather than neuropathic pattern. Given constellation of symptoms beginning after vaccination (Raynaud's, rash c/f Zoster, and muscle soreness/weakness) we are concerned about a rheumatologic/autoimmune process possibly triggered by vaccination contributing to a myopathy. She will need wu including serum muscle enzymes and EMG/NCS (may or may not be able to do this as an outpatient). Her presentation is not consistent with GBS. Continues to seek additional care from dermatology and neurology as an outpatient.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acne, Burning sensation, Chills, Eye pain, Headache
Clinical narrative: Pt presented to ED on 3/1/21 via PCP due to concern for GBS. Vaccinated 2/3/21 and subsequently developed mild fevers, chills, nausea vomiting. About 10 days later she developed ""bumps"" around the neck, and a ""pimple"" on the right forehead. She saw PCP, got doxycycline. The bumps got worse, itchy, burning, she went to urgent care and got clindamycin for possible periorbital cellulitis. She subsequently went to specialist because of pain in the right eye, and she was told she had zoster ophthalmicus. Friday night (2/26/21) she developed a headache associated with some neck stiffness and tightness. She tried taking Imitrex which helped a little but not fully. On Saturday she began experiencing muscle weakness/soreness in the hamstrings and calves, like she had done an intense workout. This continued and progressed to the point where on Sunday she could not do her normal activity for as long or as hard as she normally does. Yesterday (Monday) she visited her PCP who felt that her reflexes were down and told her to go to the ED for possible GBS. Neurologic exam notable for: proximal muscle weakness in the lower extremities and neck flexion/extension weakness. Reflexes intact. Findings are most consistent with a myopathic pattern rather than neuropathic pattern. Given constellation of symptoms beginning after vaccination (Raynaud's, rash c/f Zoster, and muscle soreness/weakness) we are concerned about a rheumatologic/autoimmune process possibly triggered by vaccination contributing to a myopathy. She will need wu including serum muscle enzymes and EMG/NCS (may or may not be able to do this as an outpatient). Her presentation is not consistent with GBS. Continues to seek additional care from dermatology and neurology as an outpatient.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle tightness, Muscular weakness, Musculoskeletal stiffness, Nausea, Ophthalmic herpes zoster
Clinical narrative: Pt presented to ED on 3/1/21 via PCP due to concern for GBS. Vaccinated 2/3/21 and subsequently developed mild fevers, chills, nausea vomiting. About 10 days later she developed ""bumps"" around the neck, and a ""pimple"" on the right forehead. She saw PCP, got doxycycline. The bumps got worse, itchy, burning, she went to urgent care and got clindamycin for possible periorbital cellulitis. She subsequently went to specialist because of pain in the right eye, and she was told she had zoster ophthalmicus. Friday night (2/26/21) she developed a headache associated with some neck stiffness and tightness. She tried taking Imitrex which helped a little but not fully. On Saturday she began experiencing muscle weakness/soreness in the hamstrings and calves, like she had done an intense workout. This continued and progressed to the point where on Sunday she could not do her normal activity for as long or as hard as she normally does. Yesterday (Monday) she visited her PCP who felt that her reflexes were down and told her to go to the ED for possible GBS. Neurologic exam notable for: proximal muscle weakness in the lower extremities and neck flexion/extension weakness. Reflexes intact. Findings are most consistent with a myopathic pattern rather than neuropathic pattern. Given constellation of symptoms beginning after vaccination (Raynaud's, rash c/f Zoster, and muscle soreness/weakness) we are concerned about a rheumatologic/autoimmune process possibly triggered by vaccination contributing to a myopathy. She will need wu including serum muscle enzymes and EMG/NCS (may or may not be able to do this as an outpatient). Her presentation is not consistent with GBS. Continues to seek additional care from dermatology and neurology as an outpatient.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Pruritus, Pyrexia, Rash, Reflexes abnormal
Clinical narrative: Pt presented to ED on 3/1/21 via PCP due to concern for GBS. Vaccinated 2/3/21 and subsequently developed mild fevers, chills, nausea vomiting. About 10 days later she developed ""bumps"" around the neck, and a ""pimple"" on the right forehead. She saw PCP, got doxycycline. The bumps got worse, itchy, burning, she went to urgent care and got clindamycin for possible periorbital cellulitis. She subsequently went to specialist because of pain in the right eye, and she was told she had zoster ophthalmicus. Friday night (2/26/21) she developed a headache associated with some neck stiffness and tightness. She tried taking Imitrex which helped a little but not fully. On Saturday she began experiencing muscle weakness/soreness in the hamstrings and calves, like she had done an intense workout. This continued and progressed to the point where on Sunday she could not do her normal activity for as long or as hard as she normally does. Yesterday (Monday) she visited her PCP who felt that her reflexes were down and told her to go to the ED for possible GBS. Neurologic exam notable for: proximal muscle weakness in the lower extremities and neck flexion/extension weakness. Reflexes intact. Findings are most consistent with a myopathic pattern rather than neuropathic pattern. Given constellation of symptoms beginning after vaccination (Raynaud's, rash c/f Zoster, and muscle soreness/weakness) we are concerned about a rheumatologic/autoimmune process possibly triggered by vaccination contributing to a myopathy. She will need wu including serum muscle enzymes and EMG/NCS (may or may not be able to do this as an outpatient). Her presentation is not consistent with GBS. Continues to seek additional care from dermatology and neurology as an outpatient.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Pt presented to ED on 3/1/21 via PCP due to concern for GBS. Vaccinated 2/3/21 and subsequently developed mild fevers, chills, nausea vomiting. About 10 days later she developed ""bumps"" around the neck, and a ""pimple"" on the right forehead. She saw PCP, got doxycycline. The bumps got worse, itchy, burning, she went to urgent care and got clindamycin for possible periorbital cellulitis. She subsequently went to specialist because of pain in the right eye, and she was told she had zoster ophthalmicus. Friday night (2/26/21) she developed a headache associated with some neck stiffness and tightness. She tried taking Imitrex which helped a little but not fully. On Saturday she began experiencing muscle weakness/soreness in the hamstrings and calves, like she had done an intense workout. This continued and progressed to the point where on Sunday she could not do her normal activity for as long or as hard as she normally does. Yesterday (Monday) she visited her PCP who felt that her reflexes were down and told her to go to the ED for possible GBS. Neurologic exam notable for: proximal muscle weakness in the lower extremities and neck flexion/extension weakness. Reflexes intact. Findings are most consistent with a myopathic pattern rather than neuropathic pattern. Given constellation of symptoms beginning after vaccination (Raynaud's, rash c/f Zoster, and muscle soreness/weakness) we are concerned about a rheumatologic/autoimmune process possibly triggered by vaccination contributing to a myopathy. She will need wu including serum muscle enzymes and EMG/NCS (may or may not be able to do this as an outpatient). Her presentation is not consistent with GBS. Continues to seek additional care from dermatology and neurology as an outpatient.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Injection site pain, Injection site swelling, Platelet count, Rash
Clinical narrative: "I had pain/swelling at injection site with both doses, however after second dose, I have had a chronic rash that will not subside along with photosensitivity. I have received prednisone, a cortisone shot and steroid cream and it has not gone away. It has not been over two months of this. I have seen my primary, two dermatologists and an allergist. So far, nobody has any idea when this will go away bc there is not enough info on the vaccine. I'm completely frustrated by this and regret getting the vaccine. I'm currently awaiting auto immune bloodwork as everyone is puzzled at what to do or how else to treat this."
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Injection site swelling, Photosensitivity reaction, Rash
Clinical narrative: "I had pain/swelling at injection site with both doses, however after second dose, I have had a chronic rash that will not subside along with photosensitivity. I have received prednisone, a cortisone shot and steroid cream and it has not gone away. It has not been over two months of this. I have seen my primary, two dermatologists and an allergist. So far, nobody has any idea when this will go away bc there is not enough info on the vaccine. I'm completely frustrated by this and regret getting the vaccine. I'm currently awaiting auto immune bloodwork as everyone is puzzled at what to do or how else to treat this."
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: high fever of 105, taken orally; temporarily responsive to tylenol; started 12hrs post vaccination, resolved 12hrs after it began.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: high fever of 105, taken orally; temporarily responsive to tylenol; started 12hrs post vaccination, resolved 12hrs after it began.
Age: 39.0
Sex: F
Vaccine: COVID19, UNK, COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Extreme cognitive issues, motor skills heavily affected.  Was unable to walk without stumbling the night I received the vaccine. Could not form words correctly for several days following, very bad brain fog. Has also effected my menstrual cycle, which has been consistent for years. Started my cycle on November 10th and still have it 20 days later.
Age: 39.0
Sex: F
Vaccine: COVID19, UNK, COVID19
Symptoms: Aphasia, Cognitive disorder, Feeling abnormal, Gait disturbance, Gait inability
Clinical narrative: Extreme cognitive issues, motor skills heavily affected.  Was unable to walk without stumbling the night I received the vaccine. Could not form words correctly for several days following, very bad brain fog. Has also effected my menstrual cycle, which has been consistent for years. Started my cycle on November 10th and still have it 20 days later.
Age: 39.0
Sex: F
Vaccine: COVID19, UNK, COVID19
Symptoms: Motor dysfunction, Oligomenorrhoea
Clinical narrative: Extreme cognitive issues, motor skills heavily affected.  Was unable to walk without stumbling the night I received the vaccine. Could not form words correctly for several days following, very bad brain fog. Has also effected my menstrual cycle, which has been consistent for years. Started my cycle on November 10th and still have it 20 days later.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoaesthesia, Injection site hypoaesthesia, Vaccine positive rechallenge
Clinical narrative: When I received it they asked me to wait a half hour to see if side effects because of what happened after the 1st shot. 5 minutes after the shot from my shoulder to the back of my neck went numb. 30 felt like I had a NovaCAID shot, whole face numb (inside and outside), and my left arm was completely numb. They sent me to the ER and did a CAT scan and it was normal. After 6 hours the numbness subsided. The next day I had the normal side affects being achy tired, and I slept it off. The next day is when I found that when I rolled up my sleeves wherever the sleeve ended, down went numb. if I turned my head to the left for too long my left arm would go numb. Didn't happen when I turned right, my right arm was fine. That lasted a month and I saw my doctor and he did blood work and it was normal. Did an x-ray and it showed a narrowing of my C6/C7. So the doctor wrote it off that there was impediment of my nerve. Symptoms of my arm going numb any time time I put pressure or nerve impediment the arm would go number from that point down. this happened from the time of the shot until August 28, 2021. Then I only felt numbness in my fingertips and then by mid Sept 2021 all my symptoms were gone. I'm a certified ortho massage therapist so I understand how nerve entrapments work but knowing where the entrapment is on my neck doesn't explain why my whole arm would be numb all the way down.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram, Eye contusion, Fatigue, Hypoaesthesia, Nerve injury
Clinical narrative: When I received it they asked me to wait a half hour to see if side effects because of what happened after the 1st shot. 5 minutes after the shot from my shoulder to the back of my neck went numb. 30 felt like I had a NovaCAID shot, whole face numb (inside and outside), and my left arm was completely numb. They sent me to the ER and did a CAT scan and it was normal. After 6 hours the numbness subsided. The next day I had the normal side affects being achy tired, and I slept it off. The next day is when I found that when I rolled up my sleeves wherever the sleeve ended, down went numb. if I turned my head to the left for too long my left arm would go numb. Didn't happen when I turned right, my right arm was fine. That lasted a month and I saw my doctor and he did blood work and it was normal. Did an x-ray and it showed a narrowing of my C6/C7. So the doctor wrote it off that there was impediment of my nerve. Symptoms of my arm going numb any time time I put pressure or nerve impediment the arm would go number from that point down. this happened from the time of the shot until August 28, 2021. Then I only felt numbness in my fingertips and then by mid Sept 2021 all my symptoms were gone. I'm a certified ortho massage therapist so I understand how nerve entrapments work but knowing where the entrapment is on my neck doesn't explain why my whole arm would be numb all the way down.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, X-ray
Clinical narrative: When I received it they asked me to wait a half hour to see if side effects because of what happened after the 1st shot. 5 minutes after the shot from my shoulder to the back of my neck went numb. 30 felt like I had a NovaCAID shot, whole face numb (inside and outside), and my left arm was completely numb. They sent me to the ER and did a CAT scan and it was normal. After 6 hours the numbness subsided. The next day I had the normal side affects being achy tired, and I slept it off. The next day is when I found that when I rolled up my sleeves wherever the sleeve ended, down went numb. if I turned my head to the left for too long my left arm would go numb. Didn't happen when I turned right, my right arm was fine. That lasted a month and I saw my doctor and he did blood work and it was normal. Did an x-ray and it showed a narrowing of my C6/C7. So the doctor wrote it off that there was impediment of my nerve. Symptoms of my arm going numb any time time I put pressure or nerve impediment the arm would go number from that point down. this happened from the time of the shot until August 28, 2021. Then I only felt numbness in my fingertips and then by mid Sept 2021 all my symptoms were gone. I'm a certified ortho massage therapist so I understand how nerve entrapments work but knowing where the entrapment is on my neck doesn't explain why my whole arm would be numb all the way down.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoaesthesia
Clinical narrative: When I received it they asked me to wait a half hour to see if side effects because of what happened after the 1st shot. 5 minutes after the shot from my shoulder to the back of my neck went numb. 30 felt like I had a NovaCAID shot, whole face numb (inside and outside), and my left arm was completely numb. They sent me to the ER and did a CAT scan and it was normal. After 6 hours the numbness subsided. The next day I had the normal side affects being achy tired, and I slept it off. The next day is when I found that when I rolled up my sleeves wherever the sleeve ended, down went numb. if I turned my head to the left for too long my left arm would go numb. Didn't happen when I turned right, my right arm was fine. That lasted a month and I saw my doctor and he did blood work and it was normal. Did an x-ray and it showed a narrowing of my C6/C7. So the doctor wrote it off that there was impediment of my nerve. Symptoms of my arm going numb any time time I put pressure or nerve impediment the arm would go number from that point down. this happened from the time of the shot until August 28, 2021. Then I only felt numbness in my fingertips and then by mid Sept 2021 all my symptoms were gone. I'm a certified ortho massage therapist so I understand how nerve entrapments work but knowing where the entrapment is on my neck doesn't explain why my whole arm would be numb all the way down.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram, Angiogram normal, Blood gases normal, Blood magnesium normal, Blood thyroid stimulating hormone normal
Clinical narrative: Per patient history, 3 days after receiving 1st dose of Pfizer COVID vaccine she developed left arm redness, bumpy rash and swelling. While the rash resolved over time, she continues to have mild waxing/waning swelling of her left arm from upper arm down to wrist, which she reports in November 2021.