chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bone pain, Chills, Cough, Decreased appetite
Clinical narrative: After I took it at my job, I went back working. Around 9pm I felt chills and cold so I went and got a warm blanket from the warmer and got Aleve. I finished work and went home and the next day I still had chills. when I would pick something up with my right arm anything I held would drop down. The next day I still had chills with weakness (Friday). Saturday walking to my car I fell and was having hard time getting up. Monday I had severe heavy sinus, eye, jaw, ears, bones, everything up from my upper ear was hurting so bad. I felt sore throat as if I was to have a cough. My job required me to get a COVID test from the ER before I would be able to come back to work. ER gave me Sudafed and COVID test. The next day I was still feeling bad so I got vitamin C because Sudafed wasn't helping. I did a steam water inhalation, my taste was off, I feel feverish off and on and was so weak I couldn't walk. I had a virtual doctors appointment because I was still very weak and off from work. Now I still don't have my taste and no appetite and feverish off an on, and still have pain and fatigued with shortness of breath. This has been since November.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Ear pain, Eye pain, Fatigue, Feeling abnormal
Clinical narrative: After I took it at my job, I went back working. Around 9pm I felt chills and cold so I went and got a warm blanket from the warmer and got Aleve. I finished work and went home and the next day I still had chills. when I would pick something up with my right arm anything I held would drop down. The next day I still had chills with weakness (Friday). Saturday walking to my car I fell and was having hard time getting up. Monday I had severe heavy sinus, eye, jaw, ears, bones, everything up from my upper ear was hurting so bad. I felt sore throat as if I was to have a cough. My job required me to get a COVID test from the ER before I would be able to come back to work. ER gave me Sudafed and COVID test. The next day I was still feeling bad so I got vitamin C because Sudafed wasn't helping. I did a steam water inhalation, my taste was off, I feel feverish off and on and was so weak I couldn't walk. I had a virtual doctors appointment because I was still very weak and off from work. Now I still don't have my taste and no appetite and feverish off an on, and still have pain and fatigued with shortness of breath. This has been since November.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Gait disturbance, Oropharyngeal pain, Pain in jaw, Pyrexia
Clinical narrative: After I took it at my job, I went back working. Around 9pm I felt chills and cold so I went and got a warm blanket from the warmer and got Aleve. I finished work and went home and the next day I still had chills. when I would pick something up with my right arm anything I held would drop down. The next day I still had chills with weakness (Friday). Saturday walking to my car I fell and was having hard time getting up. Monday I had severe heavy sinus, eye, jaw, ears, bones, everything up from my upper ear was hurting so bad. I felt sore throat as if I was to have a cough. My job required me to get a COVID test from the ER before I would be able to come back to work. ER gave me Sudafed and COVID test. The next day I was still feeling bad so I got vitamin C because Sudafed wasn't helping. I did a steam water inhalation, my taste was off, I feel feverish off and on and was so weak I couldn't walk. I had a virtual doctors appointment because I was still very weak and off from work. Now I still don't have my taste and no appetite and feverish off an on, and still have pain and fatigued with shortness of breath. This has been since November.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus pain, Taste disorder
Clinical narrative: After I took it at my job, I went back working. Around 9pm I felt chills and cold so I went and got a warm blanket from the warmer and got Aleve. I finished work and went home and the next day I still had chills. when I would pick something up with my right arm anything I held would drop down. The next day I still had chills with weakness (Friday). Saturday walking to my car I fell and was having hard time getting up. Monday I had severe heavy sinus, eye, jaw, ears, bones, everything up from my upper ear was hurting so bad. I felt sore throat as if I was to have a cough. My job required me to get a COVID test from the ER before I would be able to come back to work. ER gave me Sudafed and COVID test. The next day I was still feeling bad so I got vitamin C because Sudafed wasn't helping. I did a steam water inhalation, my taste was off, I feel feverish off and on and was so weak I couldn't walk. I had a virtual doctors appointment because I was still very weak and off from work. Now I still don't have my taste and no appetite and feverish off an on, and still have pain and fatigued with shortness of breath. This has been since November.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain
Clinical narrative: Fatigue and aches: 48hrs time length. Chills: 5hrs during overnight.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 5/21 and 6/11. Positive on 12/13
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient presents cutaneous elevation of the puncture area with a slight red mark that appears to be scratching the patient. He does not report pain in the area, only mild itching. 10:46 patient withdraws stable vital signs. He does not refer itching, no cutaneous elevation is observed
Age: 33.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Arthralgia, Chills, Pain in extremity
Clinical narrative: Chills, joint pain in hips and knees, sharp pain shooting down legs
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Bundle branch block right, Chest X-ray normal, Computerised tomogram thorax, Coronavirus test negative, Differential white blood cell count
Clinical narrative: Adverse events: Acute pericarditis, right bundle branch block. Diagnosed: after hospitalization at Medical Center emergency department on 11/18/2021. Treatment: 600mg Ibuprofen 3x/day, 0.6mg colchicine 1x/day, metoprolol 1x/day, cardiologist supervision. Outcomes: not yet resolved
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ST segment elevation, Fibrin D dimer normal, Full blood count, Pericarditis, Troponin increased
Clinical narrative: Adverse events: Acute pericarditis, right bundle branch block. Diagnosed: after hospitalization at Medical Center emergency department on 11/18/2021. Treatment: 600mg Ibuprofen 3x/day, 0.6mg colchicine 1x/day, metoprolol 1x/day, cardiologist supervision. Outcomes: not yet resolved
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Adverse events: Acute pericarditis, right bundle branch block. Diagnosed: after hospitalization at Medical Center emergency department on 11/18/2021. Treatment: 600mg Ibuprofen 3x/day, 0.6mg colchicine 1x/day, metoprolol 1x/day, cardiologist supervision. Outcomes: not yet resolved
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Haematemesis, Seizure
Clinical narrative: Multiple seizures, Vomiting blood(greater than a pint.)
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Computerised tomogram thorax abnormal, Cough, Dyspnoea
Clinical narrative: Per History and Physical on 12/14/21: "Patient is a 87 y.o. male with PMHx significant for HTN, HLD who presents to BHL with complaints of increasing shortness of breath, cough and chest congestion. He was found to be hypoxic into the 80's at his primary care physician appointment. He is vaccinated for COVID but has not had his booster shot. On arrival to the ED he was placed on 2L of oxygen and is feeling improved. He notes some fevers/chills at home also. COVID positive in the ED with CT scan showing bilateral infiltrates."
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Lung infiltration, Pulmonary congestion, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Per History and Physical on 12/14/21: "Patient is a 87 y.o. male with PMHx significant for HTN, HLD who presents to BHL with complaints of increasing shortness of breath, cough and chest congestion. He was found to be hypoxic into the 80's at his primary care physician appointment. He is vaccinated for COVID but has not had his booster shot. On arrival to the ED he was placed on 2L of oxygen and is feeling improved. He notes some fevers/chills at home also. COVID positive in the ED with CT scan showing bilateral infiltrates."
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Diarrhoea, Fatigue
Clinical narrative: Patient presents to the ED on 10/18/2021 with fever, cough, diarrhea. Patient reported that she has not been feeling well over the last week with symptoms starting on 10/11. She reported that her cough has been mainly dry, fever over 100F over the last two days, nausea with ongoing diarrhea, congestion, runny nose, sore throat, fatigue, and poor appetite. She reported she went to urgent care for a COVID-19 test where she tested positive and was sent to the emergency room for an evaluation.  She reported receiving both COVID-19 vaccinations in February and March 2021.  She required oxygen up to 6L via NC during the hospitalization.  She received remdesivir, tocilizumab, and dexamethasone.  She was eventually weaned down to 2L of oxygen and discharged to a HCF.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Nausea, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Patient presents to the ED on 10/18/2021 with fever, cough, diarrhea. Patient reported that she has not been feeling well over the last week with symptoms starting on 10/11. She reported that her cough has been mainly dry, fever over 100F over the last two days, nausea with ongoing diarrhea, congestion, runny nose, sore throat, fatigue, and poor appetite. She reported she went to urgent care for a COVID-19 test where she tested positive and was sent to the emergency room for an evaluation.  She reported receiving both COVID-19 vaccinations in February and March 2021.  She required oxygen up to 6L via NC during the hospitalization.  She received remdesivir, tocilizumab, and dexamethasone.  She was eventually weaned down to 2L of oxygen and discharged to a HCF.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 antibody test positive, SARS-CoV-2 test positive
Clinical narrative: Patient presents to the ED on 10/18/2021 with fever, cough, diarrhea. Patient reported that she has not been feeling well over the last week with symptoms starting on 10/11. She reported that her cough has been mainly dry, fever over 100F over the last two days, nausea with ongoing diarrhea, congestion, runny nose, sore throat, fatigue, and poor appetite. She reported she went to urgent care for a COVID-19 test where she tested positive and was sent to the emergency room for an evaluation.  She reported receiving both COVID-19 vaccinations in February and March 2021.  She required oxygen up to 6L via NC during the hospitalization.  She received remdesivir, tocilizumab, and dexamethasone.  She was eventually weaned down to 2L of oxygen and discharged to a HCF.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Covid vaccine documentation: PT admitted 12/11/21 ? 12/13/21. POC SARS COV2 ANTIGEN POS 12/11/21. PT had symptoms 10 days prior to arrival. History of COPD pn oxygen at home. PT received bamlanivimab. PT discharged home 12/13/21. Moderna dose 1 3/17/21 Lot 006B21A. Moderna dose 2 4/14/21 Lot 036B21A.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Rash, Swelling, Urticaria
Clinical narrative: HAVES,RASH,SWELLING ALL OVER HIS BODY.ITS VERY BAD HE NEVER HAD ANY OF THESE PROBLEM BEFORE THE VACCINE.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site mass, Injection site pain, Limb discomfort
Clinical narrative: Bruising, lump, and pain around shot area around 2.5 inches in diameter.  Legs feel heavy.  Still present after a week.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood test, COVID-19, Chest discomfort, Cold sweat
Clinical narrative: On the day- mild light headedness, muscles spasms with 30 minutes then it went away. Arm tenderness, Cold sweat in the middle of the night. Then it all went away. In Oct 2021- Nov 2021- bleeding in between my period the whole month. No pain, COVID- 10 Dec2021 headache and diarrhea, fatigue, 14Dec2021 my daughter was positive and I got tested positive. Fatigue. My symptoms got worse, got migraine headache and extreme fatigue and upset stomach and sore throat and chest was tight and congestion. 12/15/2021- mild stomach discomfort and the rest of the symptoms still exist.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fatigue, Headache, Menstruation irregular
Clinical narrative: On the day- mild light headedness, muscles spasms with 30 minutes then it went away. Arm tenderness, Cold sweat in the middle of the night. Then it all went away. In Oct 2021- Nov 2021- bleeding in between my period the whole month. No pain, COVID- 10 Dec2021 headache and diarrhea, fatigue, 14Dec2021 my daughter was positive and I got tested positive. Fatigue. My symptoms got worse, got migraine headache and extreme fatigue and upset stomach and sore throat and chest was tight and congestion. 12/15/2021- mild stomach discomfort and the rest of the symptoms still exist.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Tenderness
Clinical narrative: On the day- mild light headedness, muscles spasms with 30 minutes then it went away. Arm tenderness, Cold sweat in the middle of the night. Then it all went away. In Oct 2021- Nov 2021- bleeding in between my period the whole month. No pain, COVID- 10 Dec2021 headache and diarrhea, fatigue, 14Dec2021 my daughter was positive and I got tested positive. Fatigue. My symptoms got worse, got migraine headache and extreme fatigue and upset stomach and sore throat and chest was tight and congestion. 12/15/2021- mild stomach discomfort and the rest of the symptoms still exist.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan, Vitamin D decreased
Clinical narrative: On the day- mild light headedness, muscles spasms with 30 minutes then it went away. Arm tenderness, Cold sweat in the middle of the night. Then it all went away. In Oct 2021- Nov 2021- bleeding in between my period the whole month. No pain, COVID- 10 Dec2021 headache and diarrhea, fatigue, 14Dec2021 my daughter was positive and I got tested positive. Fatigue. My symptoms got worse, got migraine headache and extreme fatigue and upset stomach and sore throat and chest was tight and congestion. 12/15/2021- mild stomach discomfort and the rest of the symptoms still exist.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received pediatric dose of Pfizer when it should have 12 and up Pfizer dose.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Haemoptysis, SARS-CoV-2 test positive
Clinical narrative: Cough, blood tinged sputum, COVID + test
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient was hospitalized 35 days after receiving 2nd covid vaccine shot.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Aortic dissection, Aortic surgery, Chest pain
Clinical narrative: developed loss of taste and loss of smell  and fatigue on 12/04. THen developed chest pain and admitted to Hospital on 12/05. Then transferred to Hospital on 12/05 with an aortic dissection.  Underwent surgery. Moved from ICU on 12/13 to a COVID floor. Currently on 1-2 liters of oxygen.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Intensive care
Clinical narrative: developed loss of taste and loss of smell  and fatigue on 12/04. THen developed chest pain and admitted to Hospital on 12/05. Then transferred to Hospital on 12/05 with an aortic dissection.  Underwent surgery. Moved from ICU on 12/13 to a COVID floor. Currently on 1-2 liters of oxygen.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient was hospitalized 4 days after receiving first covid vaccine shot.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Within 15 minutes of receiving vaccine, patient became diaphoretic, pale, dizzy and bradycardic. Symptoms lasted for over 30 minutes. 911 responded and transported patient to Hospital and Medical Center.  Of note, is that the patient did not eat all day. However, no history of diabetes.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chills, Electrocardiogram normal, Gait disturbance, Pyrexia
Clinical narrative: About 12 days after being vaccinated woke up with fever and chills and had trouble walking and went to ER 03-13-21. All tests came back normal.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: About 12 days after being vaccinated woke up with fever and chills and had trouble walking and went to ER 03-13-21. All tests came back normal.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Gave pedi dose, but patient should have received an adult dose.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Laboratory test, Multisystem inflammatory syndrome in children
Clinical narrative: MIS-C. Started with symptoms on 11/30 , seen 12/2, 12/3, 12/4, 12/7 and admitted to PICU on 12/7.
Age: 65.0
Sex: F
Vaccine: MENB
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Ordered for patient was the pneumococcal 23 vaccine and patient was inadvertently given Meningococcal B instead
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Constant Itchy skin on face, neck, chest, arms and stomach with no rash lasting  8 months.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient admitted to hospital 26 days after receiving the first COVID-19 vaccine shot.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted >15 minutes after administration.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypophagia, Lethargy
Clinical narrative: shortness of breath, lethargy, decreased oral intake. Hospitalization
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Feeling abnormal, Headache, Injection site pain, Lethargy
Clinical narrative: Woke up day after shot with an extreme headache, arm pain at shot site, general lethargy.  No appetite.  Had extreme headache all day, like a very bad hangover.  Ate a small lunch at noon.  Took 2 650 mg tablets of Acetaminophen at 3:00PM.  Threw up at 4:00PM.  Went to bed at 4:30PM, woke up at 6:30 PM with extreme nausea.  Threw up rest of stomach contents over next 40 minutes.  At 8:00 PM started sipping 7UP and eating saltine crackers.  Condition improved, sore arm and nausea dissipated.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Vomiting
Clinical narrative: Woke up day after shot with an extreme headache, arm pain at shot site, general lethargy.  No appetite.  Had extreme headache all day, like a very bad hangover.  Ate a small lunch at noon.  Took 2 650 mg tablets of Acetaminophen at 3:00PM.  Threw up at 4:00PM.  Went to bed at 4:30PM, woke up at 6:30 PM with extreme nausea.  Threw up rest of stomach contents over next 40 minutes.  At 8:00 PM started sipping 7UP and eating saltine crackers.  Condition improved, sore arm and nausea dissipated.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Computerised tomogram head normal, Conversion disorder, Coordination abnormal, Dizziness
Clinical narrative: Pt began with severe headaches for the first few days after 6 weeks of vaccine, then began to feel dizzy, unbalanced, and would walk into things like walls without having voluntary control. Pt was falling, uncoordinated for weeks, went to 4 or 5 different hospitals and said MRI and ct of the head are normal and MRI of spine normal was told to see the neuro specialist. Pt went to see Neuro and ENT and was diagnosed with vestibular neuritis. Was given prednisone for 2 weeks with little improvement, pt continued to deteriorate mother finally took the pt. to another HCF and was taken to a local hospital and admitted for 6 days he had more MRI of head and spine, normal labs normal. lumbar puncture normal was diagnosed with Conversion Disorder by neurologist. Was discharged home last week woth PT and OT orders
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Gait disturbance, General physical health deterioration, Headache, Laboratory test normal
Clinical narrative: Pt began with severe headaches for the first few days after 6 weeks of vaccine, then began to feel dizzy, unbalanced, and would walk into things like walls without having voluntary control. Pt was falling, uncoordinated for weeks, went to 4 or 5 different hospitals and said MRI and ct of the head are normal and MRI of spine normal was told to see the neuro specialist. Pt went to see Neuro and ENT and was diagnosed with vestibular neuritis. Was given prednisone for 2 weeks with little improvement, pt continued to deteriorate mother finally took the pt. to another HCF and was taken to a local hospital and admitted for 6 days he had more MRI of head and spine, normal labs normal. lumbar puncture normal was diagnosed with Conversion Disorder by neurologist. Was discharged home last week woth PT and OT orders
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Lumbar puncture normal, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal normal, Neurological examination abnormal, Vestibular neuronitis
Clinical narrative: Pt began with severe headaches for the first few days after 6 weeks of vaccine, then began to feel dizzy, unbalanced, and would walk into things like walls without having voluntary control. Pt was falling, uncoordinated for weeks, went to 4 or 5 different hospitals and said MRI and ct of the head are normal and MRI of spine normal was told to see the neuro specialist. Pt went to see Neuro and ENT and was diagnosed with vestibular neuritis. Was given prednisone for 2 weeks with little improvement, pt continued to deteriorate mother finally took the pt. to another HCF and was taken to a local hospital and admitted for 6 days he had more MRI of head and spine, normal labs normal. lumbar puncture normal was diagnosed with Conversion Disorder by neurologist. Was discharged home last week woth PT and OT orders
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient was hospitalized 34 days after receiving second covid vaccine shot,
Age: 61.0
Sex: U
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received second dose of Moderna too early. First dose was given 11/19/21 and had not been 28 days. The patient is scheduled to return to the clinic on 1/7/22 for repeat second dose.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Peripheral swelling, Pruritus, Pyrexia, Swelling
Clinical narrative: Swollen armpit back chest and arms about 1 day after vaccine left side worse than right  Unable to move my arms straight due to swelling Continuous fever for 3 days while taking ibuprofen Swelling did not decrease  Itchy arms Took Benadryl no improvement
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia
Clinical narrative: Acute hypoxemic/failure, secondary to COVID-19 viral pneumonia
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, Headache, SARS-CoV-2 test positive
Clinical narrative: Covid vaccine documentation: PT admitted 12/11/21. POC SARS COV2 ANTIGEN POS 12/11/21. PT documented to have SOB, generalized weakness, dyspnea, HA. PT first tested positive 2 weeks prior to admission but was documented to have increased SOB. Moderna dose 1 received 2/10/21 Lot 031M20A. Moderna dose 2 received 3/10/21 Lot 026A21A. PT currently admitted.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site inflammation
Clinical narrative: External inflammation in the upper right area near the puncture.
Age: 1.0
Sex: M
Vaccine: FLU4, MMR, VARCEL
Symptoms: Febrile convulsion
Clinical narrative: Febrile seizure nine days after administration of vaccines, evaluated in ED, possible AOM at the time, started antibiotics.  Fever did not return and was 102 the day of the ED visit.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient was hospitalized 34 days after receiving 3rd covid shot.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Panic attack, Syncope, White blood cell count increased
Clinical narrative: Faint/dizzy. Occurred day of shot. Three days after shot very strong that caused a panic attack. Faint/dizzy lasted for a week straight. Spells come up randomly.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received second dose of Moderna too soon. Patient had first dose of Moderna 11/19/21 and had not yet been 28 days.  The patient is aware of this issue and is scheduled to return to the Health Clinic on 1/7/22 for a repeat second dose.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: swollen collar bone lymph node on right side
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Unresponsive to stimuli
Clinical narrative: patient very light headed and slightly unresponsive. B/P 106/68. lowered to floor with feet elevated and cold packs applied to forehead and back of neck.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Malaise, Physical deconditioning
Clinical narrative: Malaise and fatigue; Physical deconditioning; COVID-19
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Wrong product administered
Clinical narrative: Client had received Moderna as primary series. Client requested Moderna vaccine as booster. Pfizer vaccine was given in error.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Cough, Dyspnoea, Immediate post-injection reaction, Oropharyngeal pain
Clinical narrative: Immediately had sore throat, sneezing, cough, shortness of breath
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Sneezing
Clinical narrative: Immediately had sore throat, sneezing, cough, shortness of breath
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: Fever of 99.8 headache Ache in upper left arm - soreness extending from just above the elbow to the shoulder
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia
Clinical narrative: Left shoulder pain after receiving first injection.
Age: 43.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Cough, Headache, Nausea, Pain
Clinical narrative: Shoulder pain followed by a cough, headache, and the next day congestion, nausea, headache,  full body ache, temperature registered at 99 degrees F.  Treated with 8 * 200 mg tablets ibuprofen over the course of 20 hours.  Symptoms ongoing at time of report.
Age: 43.0
Sex: F
Vaccine: VARZOS
Symptoms: Respiratory tract congestion
Clinical narrative: Shoulder pain followed by a cough, headache, and the next day congestion, nausea, headache,  full body ache, temperature registered at 99 degrees F.  Treated with 8 * 200 mg tablets ibuprofen over the course of 20 hours.  Symptoms ongoing at time of report.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Condition aggravated, Nucleic acid test, Respiratory syncytial virus infection, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID 19 INFECTION.  PT WITH MILD TO MOD SX.  SHE IS 3 WEEKS OUT FROM THE ORIGINAL RSV INFECTION.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Brain natriuretic peptide increased, COVID-19, Fibrin D dimer increased
Clinical narrative: 1. Acute hypoxemic respiratory failure due to COVID-19   2. Acute hypoxemic respiratory failure  3. Type 2 myocardial infarction  4. History of polycythemia vera  5. Elevated brain natriuretic peptide (BNP) level  6. Elevated d-dimer
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Pain of skin, Sjogren's syndrome, Skin burning sensation
Clinical narrative: Patient has known Sjogrens  syndrome. Had first flare up in November 2019 after a knee injury. Two days after her covid booster she had her second flare up of Sjogrens years from the first she thinks the vaccine triggered this. She says this flare up is alot worse then the first flare up she had years prior. She says she feels like her skin is burning all over and is on fire. She is not able to straighten her back because of the pain in her skin. her Back and Hip  feel like skin is burning. Pain gets better and worse at times. Benadryl and aloe vera  helps . Pain is still not resolved. Was given Gabapentin., samples of epiceram given for burning skin and irritation due to sjogrens patient will increase to 400 mg of gabapentin at night for burning skin sensation. Advised to return in 6 weeks for follow up on burning skin.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Diabetic ketoacidosis, Hyponatraemia, Nausea, Type 1 diabetes mellitus
Clinical narrative: 1.    Diabetic ketoacidosis without coma associated with type 1 diabetes mellitus   2. COVID-19  3. Intractable vomiting with nausea, unspecified vomiting type  4. Hyponatremia
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 1.    Diabetic ketoacidosis without coma associated with type 1 diabetes mellitus   2. COVID-19  3. Intractable vomiting with nausea, unspecified vomiting type  4. Hyponatremia
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Electrocardiogram, Laboratory test, Pulmonary embolism, Pulmonary thrombosis
Clinical narrative: Patient hospitalized with blood clot. Right-sided PE in lung.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Patient hospitalized with blood clot. Right-sided PE in lung.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Erythema, Flushing, Pruritus, Skin warm
Clinical narrative: Cheeks red/flush warm to touch.  Itchy skin on face, neck no rash. Started within the first 45 minutes after dose was give and has not let up.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vial opened in excess of recommended 12 hours.  Vial was opened on 12/8/21 at approximately 11:40 am.  Dose was administered on 12/9/21 at 9:29am.   No adverse effects have been reported.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood culture positive, COVID-19, COVID-19 pneumonia, Cardio-respiratory arrest
Clinical narrative: Patient presented to the emergency department on 10/10/2021 for evaluation of worsening weakness, cough, and shortness of breath that started in the past week. He was recently hospitalized for 2 days for fluid overload, diuresed, and discharged to home on 09/27/2021 and was feeling completely fine.  In the past week he started to have dizziness, lightheadedness, vision problems, shortness of breath, and cough.  He was admitted with COVID pneumonia.  He received 2 doses of COVID vaccine in Feb and March 2021.  He is on baseline oxygen of 2L via NC.  He was placed on 10L HFNC on admission.  Oxygen requirements continued to increase and he was intubated, ventilated on 10/17/2021.    Patient received remdesivir, dexamethasone, and 1 dose of tocilizumab.  He developed sepsis, and received IV fluids, vasopressors, and broad spectrum antibiotics.  A code blue was called on 10/18/2021 and the patient expired despite resuscitation efforts.   The patient stated that he was fully vaccinated for COVID-19. He explained that
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Death, Dizziness, Dyspnoea, Endotracheal intubation
Clinical narrative: Patient presented to the emergency department on 10/10/2021 for evaluation of worsening weakness, cough, and shortness of breath that started in the past week. He was recently hospitalized for 2 days for fluid overload, diuresed, and discharged to home on 09/27/2021 and was feeling completely fine.  In the past week he started to have dizziness, lightheadedness, vision problems, shortness of breath, and cough.  He was admitted with COVID pneumonia.  He received 2 doses of COVID vaccine in Feb and March 2021.  He is on baseline oxygen of 2L via NC.  He was placed on 10L HFNC on admission.  Oxygen requirements continued to increase and he was intubated, ventilated on 10/17/2021.    Patient received remdesivir, dexamethasone, and 1 dose of tocilizumab.  He developed sepsis, and received IV fluids, vasopressors, and broad spectrum antibiotics.  A code blue was called on 10/18/2021 and the patient expired despite resuscitation efforts.   The patient stated that he was fully vaccinated for COVID-19. He explained that
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypervolaemia, Mechanical ventilation, Polyuria, Pseudomonas infection, Resuscitation
Clinical narrative: Patient presented to the emergency department on 10/10/2021 for evaluation of worsening weakness, cough, and shortness of breath that started in the past week. He was recently hospitalized for 2 days for fluid overload, diuresed, and discharged to home on 09/27/2021 and was feeling completely fine.  In the past week he started to have dizziness, lightheadedness, vision problems, shortness of breath, and cough.  He was admitted with COVID pneumonia.  He received 2 doses of COVID vaccine in Feb and March 2021.  He is on baseline oxygen of 2L via NC.  He was placed on 10L HFNC on admission.  Oxygen requirements continued to increase and he was intubated, ventilated on 10/17/2021.    Patient received remdesivir, dexamethasone, and 1 dose of tocilizumab.  He developed sepsis, and received IV fluids, vasopressors, and broad spectrum antibiotics.  A code blue was called on 10/18/2021 and the patient expired despite resuscitation efforts.   The patient stated that he was fully vaccinated for COVID-19. He explained that
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 antibody test, SARS-CoV-2 test positive, Sepsis, Visual impairment
Clinical narrative: Patient presented to the emergency department on 10/10/2021 for evaluation of worsening weakness, cough, and shortness of breath that started in the past week. He was recently hospitalized for 2 days for fluid overload, diuresed, and discharged to home on 09/27/2021 and was feeling completely fine.  In the past week he started to have dizziness, lightheadedness, vision problems, shortness of breath, and cough.  He was admitted with COVID pneumonia.  He received 2 doses of COVID vaccine in Feb and March 2021.  He is on baseline oxygen of 2L via NC.  He was placed on 10L HFNC on admission.  Oxygen requirements continued to increase and he was intubated, ventilated on 10/17/2021.    Patient received remdesivir, dexamethasone, and 1 dose of tocilizumab.  He developed sepsis, and received IV fluids, vasopressors, and broad spectrum antibiotics.  A code blue was called on 10/18/2021 and the patient expired despite resuscitation efforts.   The patient stated that he was fully vaccinated for COVID-19. He explained that
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Brain natriuretic peptide, Cardiac stress test, Chest X-ray normal, Dyspnoea, Dyspnoea exertional
Clinical narrative: Onset of shortness of breath/rapid heart rate upon moderate activity/mild exertion (dyspnea; tachycardia), 1st noticed in April 2021.  Multiple, ongoing episodes to date.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram, Fibrin D dimer, Full blood count, Heart rate increased
Clinical narrative: Onset of shortness of breath/rapid heart rate upon moderate activity/mild exertion (dyspnea; tachycardia), 1st noticed in April 2021.  Multiple, ongoing episodes to date.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: International normalised ratio, Left atrial enlargement, Left ventricular enlargement, Metabolic function test, Oxygen therapy
Clinical narrative: Onset of shortness of breath/rapid heart rate upon moderate activity/mild exertion (dyspnea; tachycardia), 1st noticed in April 2021.  Multiple, ongoing episodes to date.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Prothrombin time, Tachycardia, Troponin I
Clinical narrative: Onset of shortness of breath/rapid heart rate upon moderate activity/mild exertion (dyspnea; tachycardia), 1st noticed in April 2021.  Multiple, ongoing episodes to date.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient passed away
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Computerised tomogram, Electrocardiogram, Hypertension, Illness
Clinical narrative: I got up that morning and stopped by restaurant and got me a orange juice and coffee. I got very sick and nauseous. I started itching and whelping up very badly. So, I went to work but had to leave early because I threw up and the itching was even worse. So, my husband took me to the ER and they gave me Benadryl, my blood pressure was very high my sugar was very high also. so I was sent home from ER.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pruritus, Urticaria, Vomiting
Clinical narrative: I got up that morning and stopped by restaurant and got me a orange juice and coffee. I got very sick and nauseous. I started itching and whelping up very badly. So, I went to work but had to leave early because I threw up and the itching was even worse. So, my husband took me to the ER and they gave me Benadryl, my blood pressure was very high my sugar was very high also. so I was sent home from ER.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia
Clinical narrative: Acute respiratory failure with hypoxia; Pneumonia due to COVID-19 virus
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza
Clinical narrative: I felt like I had the flu but extremely worse. I had all flu symptoms but times ten.
Age: 22.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Incorrect dose administered
Clinical narrative: On 29 Oct 2020 around 1030hrs, I had administered the undiluted Pfizer COVID-19 vaccine to patient. At the time of inoculation I was unaware that the Pfizer COVID-19 vaccine had to be reconstituted with 1.8mL Sodium Chloride 0.9%. While retrieving the vaccine I confirmed the name of the vaccine, the expiration date, and the lot number. Once I draw the dose in the syringe, I looked to confirm what I thought was a 0.3ml dose in the syringe and proceeded to vaccinate the patient. Later, on in the duty day it was informed to me that the Pfizer Vaccine is actually a multi-dose vial, not a single dose vial. And that it has to be reconstituted before administering to patients. Upon, being informed this I alerted others about my error and they immediately informed the DO ,who then with the guidance of department and other agencies, contacted the patient to make her aware of the error and given strict follow up instructions and ER precautions.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: I use the vaccine in the vial that was punctured more than 20 times.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Non-localized hives for 4 days (so far). Itchiness and redness with no other adverse effects. Treating with 20mg Zyrtec (cetirizine) daily.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site pain
Clinical narrative: Severe pain at injection site severe flu like symptoms
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Covid vaccine documentation: PT admitted 12/12/21.  POC SARS COV2 ANTIGEN POS 12/12/21. PT documented to have been admitted and discharged 12/14/21 from another hospital for covid-19 pneumonia. Pt required oxygen at that time and was and was discharged on oral steroids. PT currently admitted. Pfizer dose 1 8/25/21 Lot EW0179. Pfizer dose 2 9/15/21 Lot EW0167.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicectomy, Appendicitis, Blood test, Computerised tomogram
Clinical narrative: Developed Appendicitis 11 days after first Covid vaccine (his first symptoms were 11 days after the vaccine). No previous issues with appendix prior to Appendicitis. Had appendix removed and is recovering well.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Heart Palpitations developed a couple of weeks after vaccine. They have continued into time of submission of this report.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bone contusion, COVID-19, Contusion, Gait inability
Clinical narrative: 1. COVID-19  2. General weakness  3. Unable to ambulate  4. Rib contusion, right, initial encounter  5. Contusion of right knee, initial encounter
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Administered COVID vaccines dose age 5-11 yr instead of age 12 and up. No adverse events noted at the time of administration or reported by father on telephone interview on 12/14/2021.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Feeling cold, Headache, Hot flush, Nausea
Clinical narrative: Elevted blood pressure, headaches, nausea, vomiting and hot flashes leading to cold flashes. . INcrease blood pressure meds to keep blood pressure at a normal range. 12/14/21 md office visit to comfirm blood pressures out of range with take prescribed meds.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Elevted blood pressure, headaches, nausea, vomiting and hot flashes leading to cold flashes. . INcrease blood pressure meds to keep blood pressure at a normal range. 12/14/21 md office visit to comfirm blood pressures out of range with take prescribed meds.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Product administered to patient of inappropriate age
Clinical narrative: Pt was 15 years old at time of administration.  Third dose only approved for age 16 and over.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Migraine
Clinical narrative: Within about 3 days I had severe migraine come on that continued to worsen on the right side. I went to see the doctor about 03/25/2021. It diminished after a while not sure when but now I have them on that side severely once in a while. It is normal for me to have migraines on my left side but not like this on my right.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated, Dizziness, Fatigue, Injection site pain
Clinical narrative: Besides general injection sight pain, muscular aches and fatigue, I have begun to experience enhanced/extreme anxiety upon the 2 day after receiving the Moderna booster shot. I also seem to be experiencing bouts of dizziness and general faintness.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Besides general injection sight pain, muscular aches and fatigue, I have begun to experience enhanced/extreme anxiety upon the 2 day after receiving the Moderna booster shot. I also seem to be experiencing bouts of dizziness and general faintness.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fall, Fatigue, Hypoxia, Myalgia
Clinical narrative: Patient presented to ED on 11/8/2021 after a fall at home.  She also complained of fatigue and muscle aches.  She was COVID positive.  She became hypoxic and required 2L oxygen.  She was admitted to the hospital and received dexamethasone and remdesivir while in the hospital.   She was discharged on 11/11/2021 without oxygen, but will complete a 10 day course of dexamethasone.   She is vaccinated with 2 doses received in January/February 2021.  She received a booster dose following this hospitalization on 11/29/2021.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient presented to ED on 11/8/2021 after a fall at home.  She also complained of fatigue and muscle aches.  She was COVID positive.  She became hypoxic and required 2L oxygen.  She was admitted to the hospital and received dexamethasone and remdesivir while in the hospital.   She was discharged on 11/11/2021 without oxygen, but will complete a 10 day course of dexamethasone.   She is vaccinated with 2 doses received in January/February 2021.  She received a booster dose following this hospitalization on 11/29/2021.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Nausea
Clinical narrative: Pt.'s Mother states that after receiving the 2nd dose of Phizer 09/14/2021, started experiencing symptoms 10/2021 of nausea and fatigue. Scheduled for Primary visit 12/20/2021.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: NSTEMI (non-ST elevated myocardial infarction)
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: I used the vaccine in the vial that I punctured more than 20 times.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Significant hives started 13 days after first COVID vaccine. No prior history of hives. He is on day 6 of having the hives and they have spread significantly since they first appeared.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: severe body aches and chills. headachy
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: -- c/o: rash  started about 2 weeks ago.... Received her booster vaccine for COVID..Pfizer Recieved booster Moderna 1/2 dose 11/23/21...rash started on 11/25/21  started on neck with one scaling patch then spread getting worse mildly itchy now on anterior chest forehead and scalp no fevers no breathing or swalloing issues  has not tried anything on this  nothing new ie detergents, lotions etc
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Contusion, Fatigue, Gingival bleeding
Clinical narrative: Fever, chills, body aches and fatigue that lasted approximately two weeks. Bruising on deltoid and bleeding gums that started a week later but resolved with steroids.