chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was given an adult  dose, (0.3mL) of Pfizer Covid 19 Vaccine.  Anyone 12 years old and up gets 0.3mL of the vaccine.  Children 5-11 years old get 0.2mL.  Father of Patient insisted that the patient was 12 years old while giving information to office staff and nurse administering the vaccine. Once the nurse had given the dose of 0.3mL, she was reviewing the paper work and saw that that the date of birth given would make the child 11, not 12.  After questioning the father again, he said the correct date of birth was 02/05/2011, making the child 11 years old, not 12 years old.  Everything was explained to the father, and the child waited in the clinic 30 minutes after receiving the vaccine to ensure there were no problems or reactions. There were no issues noted, father was instructed to monitor child for normal possible side effects of the vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Biopsy breast, Breast cancer, Magnetic resonance imaging, Mammogram
Clinical narrative: was diagnosed with Breast Cancer on 2/2/2022
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Scan thyroid gland
Clinical narrative: was diagnosed with Breast Cancer on 2/2/2022
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Patient presented to the community vaccine clinic for a Janssen Vaccine for COVID-19 at 2:18 pm.  Prepped patient's arm with an alcohol pad and gave the injection in the right arm deltoid muscle. Due to patient' previous response to the Pfizer vaccine, staff was monitoring patient closely for signs/symptoms of a reaction. Within 10 minutes of receiving the vaccine patient complained of itching all over. AT ~2:32pm HR:100 and oxygen saturations:99%, % were obtained. Writer called the emergency response team and then gave an injection of an epi-pen 0.3 mg dose at 2:32 pm. At ~2:38 pm, the patient was transported to the emergency department of this facility, for further monitoring and treatment.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored Ineffectively
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer
Clinical narrative: Lipschutz Ulcer or Vulvar Aphthous Ulcer VIRUS.
Age: 15.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was Stored Ineffectively.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Physical product label issue
Clinical narrative: received COVID19 vaccine with no label on syringe. Order was placed for Pfizer vaccine but bag had Moderna label applied to bag only. Pharmacist notified. New dose to be sent for patient administration with correct labeling.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine administration error related to temperature excursion from recommended storage temperature, not known to this writer to be associated with an adverse event. The clinic has relayed to this writer that prior to the vaccine's thawing and administration to the vaccine recipient, the administered vaccine was stored in frozen temperatures for longer than recommended by the manufacturer. (This VAERS writer assigned to form completion was not the administrator of this vaccine.)
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Biliary dilatation, COVID-19, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted for respiratory distress, epigastric abdominal pain, +screen covid 19 positive, elevated troponin possible demand ischemia.  No need further for work up for the dilatated CBD. Cardiology recommend out pt follow up. covid 19 infections remains stable, no abdominal pain, nausea, vomiting, tolerating oral intake. Pt was discharged home stable condition.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Patient was admitted for respiratory distress, epigastric abdominal pain, +screen covid 19 positive, elevated troponin possible demand ischemia.  No need further for work up for the dilatated CBD. Cardiology recommend out pt follow up. covid 19 infections remains stable, no abdominal pain, nausea, vomiting, tolerating oral intake. Pt was discharged home stable condition.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dysgeusia, Erythema, Gait disturbance, Headache
Clinical narrative: Immediately had metallic taste in mouth. When I stood up my head felt like it was going to explode. My heartrate was fluctuating between 208 bpm and going down to 40 bpm. I waited the 15 minutes and was released. The headache continued as did my fluctuating heartrate for two days. On day 3, I woke up with my muscles hurting and my joints swollen and red, especially on my hands, elbows, knees, and ankles. I have head a headache everyday since January 21, 2021. At times, I have vision trouble in my right eye and do not have complete vision in my right eye. My heartrate sometimes fluctuates to the very high level and then very low. My joint swelling continues and at times I cannot walk.  I have lots numbness in my legs and feet.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Hypoaesthesia, Immediate post-injection reaction, Joint swelling, Magnetic resonance imaging
Clinical narrative: Immediately had metallic taste in mouth. When I stood up my head felt like it was going to explode. My heartrate was fluctuating between 208 bpm and going down to 40 bpm. I waited the 15 minutes and was released. The headache continued as did my fluctuating heartrate for two days. On day 3, I woke up with my muscles hurting and my joints swollen and red, especially on my hands, elbows, knees, and ankles. I have head a headache everyday since January 21, 2021. At times, I have vision trouble in my right eye and do not have complete vision in my right eye. My heartrate sometimes fluctuates to the very high level and then very low. My joint swelling continues and at times I cannot walk.  I have lots numbness in my legs and feet.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Ophthalmological examination, Visual impairment
Clinical narrative: Immediately had metallic taste in mouth. When I stood up my head felt like it was going to explode. My heartrate was fluctuating between 208 bpm and going down to 40 bpm. I waited the 15 minutes and was released. The headache continued as did my fluctuating heartrate for two days. On day 3, I woke up with my muscles hurting and my joints swollen and red, especially on my hands, elbows, knees, and ankles. I have head a headache everyday since January 21, 2021. At times, I have vision trouble in my right eye and do not have complete vision in my right eye. My heartrate sometimes fluctuates to the very high level and then very low. My joint swelling continues and at times I cannot walk.  I have lots numbness in my legs and feet.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I WAS RUNNING A FEVER AND I WAS VERY NAUSEOUS & ACHY ALL OVER AND IT WAS A GENERAL FEELING OF UNWELLNESS. I STARTED FEELING BAD AGAIN IN DEC & WAITED FOR ABOUT A MONTH & I GOT TESTED FOR COVID & IT WAS NEGATIVE.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Oropharyngeal pain
Clinical narrative: Patient started to get a pain in the side of her neck, throat after getting the COVID vaccine. The paramedics came and looked her over, they said that she is okay to go home as long as she was up for it since her husband was here with her. They told him to stay with her and monitor and to call them if anything changed or got worse
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Musculoskeletal discomfort, Neck pain
Clinical narrative: The next day after vaccine, my neck was very sore which was intense. My neck felt like a rock and was heavy. Symptoms lasted 2 days. It was very uncomfortable and painful.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine administration error related to temperature excursion from recommended storage temperature, not known to this writer to be associated with an adverse event. The clinic has relayed to this writer that prior to the vaccine's thawing and administration to the vaccine recipient, the administered vaccine was stored in frozen temperatures for longer than recommended by the manufacturer. (This VAERS writer assigned to form completion was not the administrator of this vaccine.)
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was Stored Ineffectively.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Vaccination administered too early in series - administered after a 2 week interval rather than 28 days. No adverse effects or symptoms reported by patient. Patient is scheduled to receive an additional dose to replace the early dose.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine administration error related to temperature excursion from recommended storage temperature, not known to this writer to be associated with an adverse event. The clinic has relayed to this writer that prior to the vaccine's thawing and administration to the vaccine recipient, the administered vaccine was stored in frozen temperatures for longer than recommended by the manufacturer. (This VAERS writer assigned to form completion was not the administrator of this vaccine.)
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness to bilateral thighs after vaccines, right was greater than left.  Right thigh has redness, swelling, warm to touch.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored ineffectively.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Malaise, Pain, Peripheral swelling
Clinical narrative: Swollen, red arm, aching ,chills, not feeling well, and lasted 48 hours.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Fatigue, Pain, Rash
Clinical narrative: I began to get a rash across cheeks on face. It lasted for 6 weeks included body aches and fatigue.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthma, Condition aggravated, Dizziness, Wheezing
Clinical narrative: 12:49 Patient approached RN stating she has slight expiratory wheezing. Taken to observation for assessment.  12:50 vitals BP 149/58 HR 112 o2 100% Denies pain   Patient denies difficulty breathing and states she has anxiety as a baseline condition. Patient appears calm and is cooperative. Patient states she has history of asthma so RN instructed her to use her inhaler. Wheezing diminished immediately.   13:00 vitals BP 162/99 HR 89 o2 98% Denies pain    Patient states she feels light headed and instructed to lie down on gurney  (HOB elevated). Patient no longer has wheezing. Patient currently drinking coconut water and states she did not eat much today.   13:15 vitals  BP 157/86 HR 73 o2 100% Denies pain   Patient states she still feels a little light headed but overall feels better. No difficulty breathing and no expiratory wheezing. Patient states she still feels slightly anxious.   13:23 Symptoms have subsided and husband states he can drive patient home. RN educated patient and husband if any symptoms return to go directly to the ER and use inhaler if wheezing returns on the way to the ER. Both patient and husband agree with this plan and patient left nursing care without distress.   Electronically signed by: RN 2/18/2022 1:30 PM
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient is incidentally noted to be positive for COVID-19.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: itchy rash on  face and part of back
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Cough, Dyspnoea, Hypophagia
Clinical narrative: Patient states that over the last 2 weeks he Z of progressively worsening weakness, patient states he usually gets around well with a walker, he has not been doing this, no recent falls.  His cough is shortness of breath have been stable, his p.o. intake has decreased
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise, Resuscitation, Unresponsive to stimuli
Clinical narrative: Patient states that over the last 2 weeks he Z of progressively worsening weakness, patient states he usually gets around well with a walker, he has not been doing this, no recent falls.  His cough is shortness of breath have been stable, his p.o. intake has decreased
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pericarditis
Clinical narrative: Suspected pericarditis.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Immunodeficiency, SARS-CoV-2 test positive
Clinical narrative: COVID-19 Infection - Supplemental oxygen to maintain SpO2>92%.  Encourage self-proning.        - Current O2 req: Room Air.  Baseline: Room Air.                - O2 change in past 24h: No        - Sx onset: NA.  Positive Test: 2/17.  Severity: Moderate.  Immunocompromised: Yes.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine administration error related to temperature excursion from recommended storage temperature, not known to this writer to be associated with an adverse event. The clinic has relayed to this writer that prior to the vaccine's thawing and administration to the vaccine recipient, the administered vaccine was stored in frozen temperatures for longer than recommended by the manufacturer. (This writer assigned to form completion was not the administrator of this vaccine.)
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Palpitations, Rash erythematous, Skin warm
Clinical narrative: Wheezing for air, heart palpitations, red rash on face, neck, and arms, hot feeling on the skin, weak and dizziness.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Wheezing for air, heart palpitations, red rash on face, neck, and arms, hot feeling on the skin, weak and dizziness.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Haemoptysis, SARS-CoV-2 test positive
Clinical narrative: COVID positive, concerns of increasing shortness of breath and hemoptysis.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fibrin D dimer increased, Imaging procedure abnormal, SARS-CoV-2 test positive
Clinical narrative: COVID positive, concerns of increasing shortness of breath and hemoptysis.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia, Rash
Clinical narrative: On 04/06/2021 a few hours after the vaccine a rash developed on my chest. that night. It was all over my arm, neck,  legs, and cheeks, a little low grade fever,  barely over 100. The next morning the rash was more prevalent, all over my body, a fever and a headache. I called the nurse's line. I discussed the symptoms over the phone. They just said if I had SOB to call and they called a few days later to check in. On the 2nd or 3rd day, I ended up taking Benadryl and it went away. And I took Advil for the headache.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Lymphadenitis, Nausea
Clinical narrative: lymphadenitis L axilla. Nausea, dizziness, fatigue.  supportive care at home. Required doctor visit.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Fatigue, Headache
Clinical narrative: Scratchy throat, fatigue, slight headache and a cough. Lasted about 2 weeks. I did test positive for Covid. The 3rd day was the worse, I could barely move and did not have a whole of energy. The doctor prescribed: benvonatate 200mg for the cough, Dexanthasone 6mg, Guaiatussin AC for the cough.  Steroids taken about 6 days, and cough lasted for about 2 weeks.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Movement disorder, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: Scratchy throat, fatigue, slight headache and a cough. Lasted about 2 weeks. I did test positive for Covid. The 3rd day was the worse, I could barely move and did not have a whole of energy. The doctor prescribed: benvonatate 200mg for the cough, Dexanthasone 6mg, Guaiatussin AC for the cough.  Steroids taken about 6 days, and cough lasted for about 2 weeks.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Electrocardiogram ambulatory normal, Electrocardiogram normal, Palpitations
Clinical narrative: I received my Moderna booster on Friday, January 14th. Heart palpitations lasting between 3 and 10 seconds began on January 17th. Palpitations would occur about four or five times a day, most noticeable at nighttime. Wednesday, January 19th was the peak of the palpitations, meaning that they were the strongest and lasted the longest. The night of January 19th, they occurred continuously for 5-7 minutest before I fell asleep. Last palpitations were felt Monday January 24th. There may have been one very small one on Wednesday January 26th after a heart monitor was placed on me, and at which time I pressed the monitor to trigger a mark in their system. No other symptoms occurred.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Rash, Vision blurred
Clinical narrative: Blurred vision in right eye, headaches, and rash after injection
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine administration error related to temperature excursion from recommended storage temperature, not known to to this writer to be associated with an adverse event. The clinic has relayed to this writer that prior to the vaccine's thawing and administration to the vaccine recipient, the administered vaccine was stored in frozen temperatures for longer than recommended by the manufacturer. (This VAERS writer assigned to form completion was not the administrator of this vaccine.)
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Pericarditis
Clinical narrative: myocarditis/pericarditis
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Fatigue
Clinical narrative: Patient was initially presented on 12/29/2021 with dyspnea, cough, and fatigue. Patient has past medical history of hypertension, type 2 diabetes, and obesity. Patient received two doses of COVID-19 vaccine but did not receive a booster dose. He was found to be positive for COVID-19 one day prior to admission. Patient was going to have monoclonal antibody treatment however he was found to be hypoxic and was referred to the EC instead. Chest x-ray showed bilateral infiltrates consistent with COVID-19. His procalcitonin was elevated. Patient was started on Decadron, doxycycline, ceftriaxone, and remdesivir. His respiratory status worsened and he was started on baricitinib. Patient subsequently started to improve and was able to be weaned off of oxygen and he was stable in room air.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Lung infiltration, Procalcitonin increased, Respiratory disorder, SARS-CoV-2 test positive
Clinical narrative: Patient was initially presented on 12/29/2021 with dyspnea, cough, and fatigue. Patient has past medical history of hypertension, type 2 diabetes, and obesity. Patient received two doses of COVID-19 vaccine but did not receive a booster dose. He was found to be positive for COVID-19 one day prior to admission. Patient was going to have monoclonal antibody treatment however he was found to be hypoxic and was referred to the EC instead. Chest x-ray showed bilateral infiltrates consistent with COVID-19. His procalcitonin was elevated. Patient was started on Decadron, doxycycline, ceftriaxone, and remdesivir. His respiratory status worsened and he was started on baricitinib. Patient subsequently started to improve and was able to be weaned off of oxygen and he was stable in room air.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Vaccine was administered too early in the series - given after 14 days rather the full 28 day interval.  Patient did not report any adverse effects.  Patient is scheduled to receive an additional dose to account for the early dose 28 days following the dose administered early.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: redness, pain, swelling to injection site
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient should have been given a booster dose and instead he received a full third dose of Moderna because he marked that it was his second dose.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine administration error related to temperature excursion from recommended storage temperature, not known by this writer to be associated with an adverse event. The clinic has relayed to this writer that prior to the vaccine's thawing and administration to the vaccine recipient, the administered vaccine was stored in frozen temperatures for longer than recommended by the manufacturer. (This VAERS writer assigned to form completion was not the administrator of this vaccine.)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Osteoarthritis, Pain, Radiculopathy
Clinical narrative: My Vaccination record is incorrect and does not list the Moderna lot number. It incorrectly list pfizer.  Prior history of a free neck injuries such as car accidents last one in 2020, 2019, 2013, 2010 No pain for almost a year, previous pain was right shoulder after 2019 accident and 2020 accident The report to vsafe was before I had the MRI done and I thought it was shoulder pain. I am not sure if the inflammatory/immune response would flare up the old injuries.  I never communicated the vaccine date to my doctor. She is unaware  2/2/22 shot in left arm-felt fine that day.  2/8/22 woke up in severe pain. Right shoulder 9/10 pain. Had xray on 2/9/22 -1. Mild osteoarthritis right acromioclavicular joint. 2. Mild calcific tendinitis. Referred to another doctor xray on 2/10/22 Degenerative changes are noted with intervertebral disc space narrowing and facet arthropathy as described above with apparent moderate bony foraminal narrowing on the right at C3-4.  MRI on 2/16: CLINICAL HISTORY: 52 years Female, M54.12: Radiculopathy, cervical region. Sudden onset right shoulder pain with numbness in right.  COMPARISON: X-rays of the cervical spine dated 2/10/2022.  TECHNIQUE: Multiplanar imaging was performed with T1 and T2 weighted sequences were obtained.  FINDINGS:  Alignment: Normal.  Discs: Mild disc desiccation at C2-3 through C4-5. Mild disc height loss at C5-6.  Osseous structures/marrow: Osseous marrow signal is normal. No evidence of acute fracture or focal suspicious osseous lesion.  Central canal: The central canal is relatively narrowed secondary to shortened pedicles and measures approximately 12 mm in AP dimension.  Cervical cord: Normal in size and signal.  Craniocervical Junction: Normal.  Paraspinous soft tissues: No significant paraspinous soft tissue abnormalities are demonstrated.  C2-C3 : Mild facet arthropathy, right greater than left. No significant central canal or neuroforaminal stenosis.  C3-C4: Mild to moderate right and mild left facet arthropathy. Mild right-sided uncovertebral spurring. Minimal central disc protrusion. Moderate right foraminal stenosis. No significant central canal or left foraminal stenosis.  C4-C5: 2 mm central protrusion. Mild bilateral facet arthropathy with mild uncovertebral spurring. No significant central canal stenosis. Mild nonimpinging bilateral foraminal encroachment.  C5-C6: 4-5 mm right paracentral disc extrusion extending into the proximal right intervertebral foramen. Small portion of extruded disc extends in the right lateral recess. Severe proximal right foraminal stenosis with moderate to severe right lateral recess stenosis and mild right central canal stenosis. The left foramen is patent.  C6-C7: 2 mm central protrusion. No significant central canal or neuroforaminal stenosis.  C7-T1: No significant disc bulge or facet arthropathy. No significant central canal or neuroforaminal stenosis.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Tendonitis, X-ray
Clinical narrative: My Vaccination record is incorrect and does not list the Moderna lot number. It incorrectly list pfizer.  Prior history of a free neck injuries such as car accidents last one in 2020, 2019, 2013, 2010 No pain for almost a year, previous pain was right shoulder after 2019 accident and 2020 accident The report to vsafe was before I had the MRI done and I thought it was shoulder pain. I am not sure if the inflammatory/immune response would flare up the old injuries.  I never communicated the vaccine date to my doctor. She is unaware  2/2/22 shot in left arm-felt fine that day.  2/8/22 woke up in severe pain. Right shoulder 9/10 pain. Had xray on 2/9/22 -1. Mild osteoarthritis right acromioclavicular joint. 2. Mild calcific tendinitis. Referred to another doctor xray on 2/10/22 Degenerative changes are noted with intervertebral disc space narrowing and facet arthropathy as described above with apparent moderate bony foraminal narrowing on the right at C3-4.  MRI on 2/16: CLINICAL HISTORY: 52 years Female, M54.12: Radiculopathy, cervical region. Sudden onset right shoulder pain with numbness in right.  COMPARISON: X-rays of the cervical spine dated 2/10/2022.  TECHNIQUE: Multiplanar imaging was performed with T1 and T2 weighted sequences were obtained.  FINDINGS:  Alignment: Normal.  Discs: Mild disc desiccation at C2-3 through C4-5. Mild disc height loss at C5-6.  Osseous structures/marrow: Osseous marrow signal is normal. No evidence of acute fracture or focal suspicious osseous lesion.  Central canal: The central canal is relatively narrowed secondary to shortened pedicles and measures approximately 12 mm in AP dimension.  Cervical cord: Normal in size and signal.  Craniocervical Junction: Normal.  Paraspinous soft tissues: No significant paraspinous soft tissue abnormalities are demonstrated.  C2-C3 : Mild facet arthropathy, right greater than left. No significant central canal or neuroforaminal stenosis.  C3-C4: Mild to moderate right and mild left facet arthropathy. Mild right-sided uncovertebral spurring. Minimal central disc protrusion. Moderate right foraminal stenosis. No significant central canal or left foraminal stenosis.  C4-C5: 2 mm central protrusion. Mild bilateral facet arthropathy with mild uncovertebral spurring. No significant central canal stenosis. Mild nonimpinging bilateral foraminal encroachment.  C5-C6: 4-5 mm right paracentral disc extrusion extending into the proximal right intervertebral foramen. Small portion of extruded disc extends in the right lateral recess. Severe proximal right foraminal stenosis with moderate to severe right lateral recess stenosis and mild right central canal stenosis. The left foramen is patent.  C6-C7: 2 mm central protrusion. No significant central canal or neuroforaminal stenosis.  C7-T1: No significant disc bulge or facet arthropathy. No significant central canal or neuroforaminal stenosis.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Laboratory test, Malaise, Pain, Pyrexia
Clinical narrative: APPROXIMATLY 8 HOURS AFTER RECIEVING THE VACCINE, I DEVELOPED A HIGH FEVER (102+) AND COVIDE LIKE SYMPTOMS 10 DAYS DESPITE BEING COVID NEGATIVE.  ALMOST 2 WEEKS LATER, I BECAME SICK AGAIN. AFTER THE 3RD ROUND OF THIS HAPPENING, MY DOCTORS AT HOSPITAL STARTED INVESTIGATING AND BY MAY/JUNE 2021 DIAGNOSED ME WITH ADULT ONSET STILL'S DISEASE AS A RESULT OF THE ADVERSE REACTION.  I AM CURRENTLY TAKING KINERET, ARAVA, PREDINSONE, TACROLIMUS, TRIAMCINOLONE, VALTREX IN ADDITION TO MY OTHER MEDICAITON I TAKE.  I GO TO PT, DRY NEEDLING,  TRIGGER POINT INJECTIONS,CHIROPRACTOR, MASSAGE THERAPY, YOGA, WALKING, LIGHT STREGNTH TRAINING. CURRENTLY EXPERENINCE CONTINUED SYSMPTOMS OF ADOS AND CONTINUES TO PROGRESS AS I AM STILL EXPERIENCING FEVERS, RASHES, SWELING, PAIN, AND FATIQUE. THERE IS AN ARTICLE IN RHEUMATOLOGY DISCUSSING THE CONNECTION BETWEEN THE OCCURANCE OF ADULT ONSET STILL'S DISEASE AFTER RECIEVING COVIDE VACCINE.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, SARS-CoV-2 test negative, Still's disease, Swelling
Clinical narrative: APPROXIMATLY 8 HOURS AFTER RECIEVING THE VACCINE, I DEVELOPED A HIGH FEVER (102+) AND COVIDE LIKE SYMPTOMS 10 DAYS DESPITE BEING COVID NEGATIVE.  ALMOST 2 WEEKS LATER, I BECAME SICK AGAIN. AFTER THE 3RD ROUND OF THIS HAPPENING, MY DOCTORS AT HOSPITAL STARTED INVESTIGATING AND BY MAY/JUNE 2021 DIAGNOSED ME WITH ADULT ONSET STILL'S DISEASE AS A RESULT OF THE ADVERSE REACTION.  I AM CURRENTLY TAKING KINERET, ARAVA, PREDINSONE, TACROLIMUS, TRIAMCINOLONE, VALTREX IN ADDITION TO MY OTHER MEDICAITON I TAKE.  I GO TO PT, DRY NEEDLING,  TRIGGER POINT INJECTIONS,CHIROPRACTOR, MASSAGE THERAPY, YOGA, WALKING, LIGHT STREGNTH TRAINING. CURRENTLY EXPERENINCE CONTINUED SYSMPTOMS OF ADOS AND CONTINUES TO PROGRESS AS I AM STILL EXPERIENCING FEVERS, RASHES, SWELING, PAIN, AND FATIQUE. THERE IS AN ARTICLE IN RHEUMATOLOGY DISCUSSING THE CONNECTION BETWEEN THE OCCURANCE OF ADULT ONSET STILL'S DISEASE AFTER RECIEVING COVIDE VACCINE.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Asthenia, COVID-19, Chest pain, Dehydration
Clinical narrative: Flu and UTI,  stomach pain, severe vomiting, diarrhea, dehydration, fatigue, weakness, headache, bodyaches, eye pain, chest pain, incontinence
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Eye pain, Fatigue, Headache, Incontinence
Clinical narrative: Flu and UTI,  stomach pain, severe vomiting, diarrhea, dehydration, fatigue, weakness, headache, bodyaches, eye pain, chest pain, incontinence
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Influenza, Pain, SARS-CoV-2 test positive, Urinary tract infection, Vomiting
Clinical narrative: Flu and UTI,  stomach pain, severe vomiting, diarrhea, dehydration, fatigue, weakness, headache, bodyaches, eye pain, chest pain, incontinence
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Blood test normal, Haemoglobin decreased, Heavy menstrual bleeding, Intermenstrual bleeding
Clinical narrative: My periods were becoming more frequent and heavier. Periods lasted 30 days to 24 days. And Then there was major blood clotting post booster shot. Dr. did blood work, ultrasound, and biopsy and nothing remarkable came about these tests. My doctor sent a prescription of Provera for ten days to stop heavy bleeding. I began to bleed heavily again on 02/9/2022 and on  02/12/2022, I was admitted to the emergency room and upon tracking my blood level 12.7 hemoglobin and then within 3 hours it got down 10 hemoglobin count due to over bleeding. I was admitted to the hospital and got scheduled a DNC dilation, and around 02:00PM I was in the procedure. I did have 2 rounds of IV estrogen which helped with slowing the bleeding. By the time that I was discharged it was down to 9 hemoglobin count. I was given sprintec birth control to help with the bleeding and now at this point the symptoms have gone from active bleeding to now spotting. I did meet with my OBGYN and they are going to place an implant birth control on 3-1-2022.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pathology test, Polymenorrhoea, Thrombosis, Ultrasound scan normal, Uterine dilation and curettage
Clinical narrative: My periods were becoming more frequent and heavier. Periods lasted 30 days to 24 days. And Then there was major blood clotting post booster shot. Dr. did blood work, ultrasound, and biopsy and nothing remarkable came about these tests. My doctor sent a prescription of Provera for ten days to stop heavy bleeding. I began to bleed heavily again on 02/9/2022 and on  02/12/2022, I was admitted to the emergency room and upon tracking my blood level 12.7 hemoglobin and then within 3 hours it got down 10 hemoglobin count due to over bleeding. I was admitted to the hospital and got scheduled a DNC dilation, and around 02:00PM I was in the procedure. I did have 2 rounds of IV estrogen which helped with slowing the bleeding. By the time that I was discharged it was down to 9 hemoglobin count. I was given sprintec birth control to help with the bleeding and now at this point the symptoms have gone from active bleeding to now spotting. I did meet with my OBGYN and they are going to place an implant birth control on 3-1-2022.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Swelling
Clinical narrative: Next day she had a painful lump on the left side under her armpit.
Age: 62.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Abdominal discomfort, Asthenia, Chills, Fatigue, Headache
Clinical narrative: The next day after vaccine, I got very weak, fatigued, and slept about all day. Was sick to my stomach with headaches. I had chills and a possible fever. I took liquid Tylenol. These symptoms lasted 2-3 days.
Age: 62.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Hypersomnia, Pyrexia
Clinical narrative: The next day after vaccine, I got very weak, fatigued, and slept about all day. Was sick to my stomach with headaches. I had chills and a possible fever. I took liquid Tylenol. These symptoms lasted 2-3 days.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Sleep disorder, Urticaria
Clinical narrative: I first noticed I was really itchy when I was sleeping that night. When I got up in the middle of the night I noticed it on my arms, chest, and stomach. There were red bumps and some white bumps. I sprayed something on it. I don't remember what it was. I called my pharmacist and she told me to take Benadryl and Zyrtec. I was taking Zyrtec throughout the day and Benadryl at night. The bumps look red and the rash was in the form of lines. Always on my forearm, and sometimes on my neck, chest, face, and upper legs. When I take Zyrtec it seems to go away after an hour, but it comes back after about 4 hours, but its happening more often. I had a tele-visit with my doctor and he prescribed Urticaria and wanted my to see an allergist. I scheduled that appointment and I will see them in March 2022.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: low grade fever and aching and fatigue
Age: 48.0
Sex: M
Vaccine: DTAP, FLUA4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 65 year old and over flu vaccine was given to a 48 year old male patient, Patient was made aware of the adverse event and informed about the vaccine that was given along with symptoms to look out for patient was advised if he was having any shortness of breath or vaccine site were to become swollen and our office happened to be closed to report to the ER, Patient stated he was feeling fine and had no symptoms.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus
Clinical narrative: Noticeable soreness and itchiness at injection site and surrounding area over 90 days post vaccine.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Atelectasis, C-reactive protein increased, COVID-19, Cough
Clinical narrative: hospitalization  due to symptomatic COVID-19 after 2 doses of Moderna vaccine 1/24/22: symptoms started 1/28/22: pt presents to ED with SOB, cough and tests Positive for COVID-19 Imaging: CTPA: no pulmonary embolism, atelectasis involving right middle lobe, diffuse emphysematous changes of lungs Oxygen requirements on admission: 4LNC Current oxygen requirements: 2-3LNC. Baseline 3LNC CRP 28, PCT normal Medical therapy: steroids Consultants following: none Anticipated special isolation end date: 2/3/22 2/1/22: discharged to home
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Emphysema, Procalcitonin normal, SARS-CoV-2 test positive
Clinical narrative: hospitalization  due to symptomatic COVID-19 after 2 doses of Moderna vaccine 1/24/22: symptoms started 1/28/22: pt presents to ED with SOB, cough and tests Positive for COVID-19 Imaging: CTPA: no pulmonary embolism, atelectasis involving right middle lobe, diffuse emphysematous changes of lungs Oxygen requirements on admission: 4LNC Current oxygen requirements: 2-3LNC. Baseline 3LNC CRP 28, PCT normal Medical therapy: steroids Consultants following: none Anticipated special isolation end date: 2/3/22 2/1/22: discharged to home
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: blood clots in lungs
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Syncope, Tremor
Clinical narrative: AFTER ADMINISTERING THE VACCINE PATIENT WAS SHAKING AND FAINTED COULDN'T STAND FOR A FEW MINUTES
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Back disorder, Back pain
Clinical narrative: At 11:35 am caregiver stated feeling pulsating sensation and pain in her mid back. No other symptoms reported. Vital signs were taken with in normal limits. BP:119/76, HR: 84, Sp02: 96%  denies allergic reaction. Caregiver was observed for an hour in caregiver health office. Per caregiver she requested to leave.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Myelitis transverse, Paraesthesia
Clinical narrative: Pt developed paresthesia in lower extremities and was admitted inpatient at local hospital and diagnosed with Transverse Myelitis bilateral Lower Extremities; April 15, 2022.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test abnormal, Gait inability, Loss of personal independence in daily activities, Myalgia
Clinical narrative: Increasing  right shoulder pain, muscle pain  over 2-3 weeks Sudden onset of PMR (polymyalgia rheumatica ) one morning Unable to walk, dress myself Hospital ER- steroid IV Under care of Rheumatologist presently On prednisone and methotrexate
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Polymyalgia rheumatica
Clinical narrative: Increasing  right shoulder pain, muscle pain  over 2-3 weeks Sudden onset of PMR (polymyalgia rheumatica ) one morning Unable to walk, dress myself Hospital ER- steroid IV Under care of Rheumatologist presently On prednisone and methotrexate
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Diarrhoea, Dizziness
Clinical narrative: Fever, chills, body aches, vomiting, diarrhea, heart palpitations, extreme fatigue, loss of appetite, dizziness, extreme joint pain, and difficulty walking. Missed work.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Impaired work ability, Pain, Palpitations
Clinical narrative: Fever, chills, body aches, vomiting, diarrhea, heart palpitations, extreme fatigue, loss of appetite, dizziness, extreme joint pain, and difficulty walking. Missed work.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever, chills, body aches, vomiting, diarrhea, heart palpitations, extreme fatigue, loss of appetite, dizziness, extreme joint pain, and difficulty walking. Missed work.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient wanted to receive the pfizer booster, and patient was inadvertently given Moderna 0.3ml instead. Patient did not have reaction immediately after the injection.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Asthenia, Blood test, Chest X-ray, Echocardiogram
Clinical narrative: I got really low blood pressure, became shaky, and weak. General lack of energy. I went to the cardiologist and there was nothing found at this point. I am still experiencing off and on symptoms. The cardiologist completed a number of test but found nothing. The symptoms are still ongoing. No medication was prescribed. I went to the emergency room also and still nothing was found.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Tremor
Clinical narrative: I got really low blood pressure, became shaky, and weak. General lack of energy. I went to the cardiologist and there was nothing found at this point. I am still experiencing off and on symptoms. The cardiologist completed a number of test but found nothing. The symptoms are still ongoing. No medication was prescribed. I went to the emergency room also and still nothing was found.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test abnormal, COVID-19, SARS-CoV-2 test negative
Clinical narrative: I had someone from the CDC contact me and tell me to report my COVID infection to VAERS which brought me to this site, I am not sure if this is the correct place to report?  I contracted COVID with symptoms beginning January 21, 2022 which progressed into a severe case. My symptoms included pain level 10 (on a scale 1-10); my pain was so severe that I could not bend my limbs and I had to have someone carry me around. I could not even bend my legs to reposition myself in my bed. My entire body felt like stone to the touch as if you had a charley horse in every joint.  I could not open my jaw. I could not bend my legs, my arms, my fingers.   I had sores all over inside of my mouth. The white part of my eyes were red like a zombie.  Nausea was severe. My body itched uncontrollably.   Constant fevers fluctuating 100-102.  Oxygen levels fine.   I did not go to the hospital per my doctor's recommendation as I did not get a positive PCR test or  a positive rapid test and she was concerned I may contract COVID if I went, but if I can be honest the pain was so bad I wished for death. I tested 4 times.  My severe symptoms lasted two full weeks.  No respiratory issues until around day 12 or 13 I had runny nose and developed a cough which I still have. Lingering symptoms of fatigue and cough are still an issue.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Resident received booster vaccine prior to the 5 month mark.  No ASE symptoms at this time.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Basedow's disease, Blood thyroid stimulating hormone decreased, Hypomenorrhoea, Magnetic resonance imaging, Thyroid function test abnormal
Clinical narrative: Above are the two vaccinations I received. The first 1/20/2021. The second  2/8/2021.  I am a healthcare provider. I have NO existing history of thyroid dysfunction prior to the vaccination?no signs or symptoms. After the vaccination, continued to be asymptotic outwardly for any thyroid dysfunction. My husband and I were beginning to start a family. I noticed my menstrual cycle getting extremely light (only lasting for a few days). This seemed  abnormal but I didn?t think anything of it until we were unable to convenience, despite exhausting all options. At the OB/GYN a thyroid panel was drawn resulting in TSH levels of <0.0005. Another panel was drawn a month later, with the same results. I was unable to receive a primary care visit until 1/2022 when my labs were run again with the same results. Imaging and function tests confirmed: Grave?s Disease.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 11 YEAR OLD RECEIVED ADULT LOT # AND DOSE FOR SECOND DOSE PFIZER. UNDERAGED.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral, Immunoglobulin therapy, Platelet count decreased, Tinnitus
Clinical narrative: Loss of hearing in left ear; resolved Tinnitus - unresolved  Platelet count fell to 3,000 (admitted to hospital; given IVIG infusions)
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Fatigue, Headache
Clinical narrative: I had fever for 72 hours. I had headache and body ache for 5 days. I had nausea and diarrhea for about about 6 days.  The diarrhea is still ongoing. I had sore throat and congestion for about 8 days. I had severe fatigue for about 2 weeks. I also had a cough for about 2 weeks. I tested positive for Covid-19 on Dec 3rd.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: I had fever for 72 hours. I had headache and body ache for 5 days. I had nausea and diarrhea for about about 6 days.  The diarrhea is still ongoing. I had sore throat and congestion for about 8 days. I had severe fatigue for about 2 weeks. I also had a cough for about 2 weeks. I tested positive for Covid-19 on Dec 3rd.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had fever for 72 hours. I had headache and body ache for 5 days. I had nausea and diarrhea for about about 6 days.  The diarrhea is still ongoing. I had sore throat and congestion for about 8 days. I had severe fatigue for about 2 weeks. I also had a cough for about 2 weeks. I tested positive for Covid-19 on Dec 3rd.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given half a dose (0.25mL) as his initial dose.
Age: 1.0
Sex: F
Vaccine: HEPA, PNC13, VARCEL
Symptoms: Asthenia, Cough, Irritability, Urticaria, Vomiting
Clinical narrative: Infant developed hives ~ 3 hours after vaccination.  Noted only on lower extremities on the day of vaccination 2/16/22.  No hives on body or face, no lip or eye swelling, no coughing, runny nose, or congestion.  She started vomiting when she was given solids at dinnertime on day of vaccination.  Mom notes coughing preceded vomiting.  Infant able to keep her formula and liquids down without vomiting.  Yesterday, noted to be "weaker", not wanting to walk as much, hives worsened on the legs.  No hives on the body noted.  Still without fever.  Infant seen in the office today (2/18/22) @ 12pm with 1 small area of urticaria on left lateral thigh, few flat patches on lower leg bilaterally.  No wheezing noted, no lip/eye swelling.  Infant was fussy, but consolable.  No altered mental status appreciated on exam.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Nausea, Syncope
Clinical narrative: Shortly after receiving the vaccine the patient became nauseous and hot (415pm). We got a cold cloth and placed it on the back of her neck and also moved the trash bin over in case she became ill. The patient briefly passed out  and emergency was called (416pm)  the technician kept talking to her to keep her calm and her husband. When EMTs arrived (420pm) they took her vitals and when she agreed they transported her to the ER
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia, Urticaria
Clinical narrative: Fatigue Aches Fever Chills Hives
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Breast cancer, Smear cervix
Clinical narrative: After receiving the vaccine I was okay it was not until July when I ended up getting breast cancer.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: CHILD AGED 7 RECEIVED ADULT LOT # AND DOSE OF PFIZER AS SECOND DOSE
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Malaise, Nausea, Pallor, Syncope
Clinical narrative: 14 year female in Clinic to receive Covid 19 Vaccine Booster dose.  After received dose in L deltoid stood up to go to observation area and she told her mother she didn't feel very well and fainted.  Mother was behind her and caught her as she fainted and helped her to floor, she did loose consciousness  for  les than 1 minute.  Patient re gain consciousness and  denies any pain or discomfort she was  helped to wheelchair and take to Special Care Room  to access.  Helped to cot and complains of nausea.  14:40 pm , Given water to sip and vitals as follows: Sat 98, BP 101/56, P 86. color pale.  15:00 , states feeling better, color improving, no complaints of pain or discomfort stated and no dizziness stated  Sat 97, BP 102/62, P72.  Taken to  car  per wheelchair with mother waiting .
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Booster dose administered at 4 months instead of 5 months.  No treatment necessary.  No symptoms or adverse reactions noted.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Acne, Rash
Clinical narrative: Broke out in rash/pimple around shoulders and chest area