chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Vaccination site erythema, Vaccination site swelling
Clinical narrative: Day after vaccines when putting child to bed mom noted area around vaccine site red and slightly raised. Mom gave benadryl and was instructed to continue benadryl as needed and apply cool compresses
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Extra dose administered, Pyrexia
Clinical narrative: Pt given 4 year old vaccines at annual 4 year old well check. After administering, nurse discovered that pt had received same 2 vaccine injections on 9/12/2023. Have documentation from manufacturer noting there are no known risks associated with this, or need to repeat vaccines. Provider notified and reports no need for f/u visit if pt asymptomatic. Mom made aware and reports pt had fever of 102 on evening of 10/31/2023, but has not recurred after that date. Mom did not feel need for office visit at this time.
Age: 51.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Dizziness, Exposure via skin contact, Product leakage
Clinical narrative: PATIENT CLAIMS THAT SHE FELT A DROP DRIPPING ON HER ARM DURING VACCINATION. PHARMACISTS EXPLAINED THAT THERE COULD BE A LEAKAGE DURING ADMINISTRATION; HOWEVER, SHE STILL RECIEVED FULL DOSE. ALSO, PATIENT CLAIMED THAT SHE FELT DIZZY AND LIGHTHEADED AT CHECK-OUT AFTER MORE THAN 2 HOURS OF SHOPPING WHICH INCLUDED CONTINUOUS WALKING, LIFTING ITEMS, BENDING, AND MULTIPLE SUDDEN TEMPERATURE CHANGES AT FROZEN ISLE. VACCINES WERE GIVEN AT 01:54PM AND SHE FELT LIGHTHEADED AT 04:03PM.
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccination error, high dose vaccine given to 60-year-old.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Nausea, Pneumonia, Vomiting
Clinical narrative: to ED c/o abd pain, n/v, no resp s/s--+ pneumonia; TX: rocephin, zithromax, no indication for decadron/remdesivir, did not require supplemental O2; D/C'd home
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: given high dose instead of regular flu
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Myalgia, Pyrexia, Tachycardia
Clinical narrative: to ED c/o back pain, myalgias, fever, tachycardia, no hypoxia, does not meet criteria for steroids or remdesivir; TX: Zosyn, zinc.  D/C'd home
Age: 61.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Fatigue, fever, achiness
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: to ED c/o SOB, fatigue, decreased O2 to 85%, + COVID 2 days prior, on Levaquin and prednisone. In hospital TX: O2, decadron, Levaqui, Merrem, remdesivir, Vanc, nebs, zinc.  D/C'd home on O2
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Pneumonia, Sepsis
Clinical narrative: to ED c/o weakness, sats 70s, severe sepsis, pneumonia. TX: rocephin, zinc, vit C, singulair, decadron, remdesivir. D/c'd home on O2 1lpm.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Confusional state, Cough, Death
Clinical narrative: to ED c/o SOB, cough, congestion, + COVID 10 days prior, now with low O2 and confused; tested + again with pneumonia and req TX: rocephin, decadron, mucinex, singulair, remdesivir, zinc; develops AMS, toxic metabolic encephalopathy; pt transitioned to hospice care 2/16/22 and pt expired 2/23/22
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Mental status changes, Oxygen saturation decreased, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: to ED c/o SOB, cough, congestion, + COVID 10 days prior, now with low O2 and confused; tested + again with pneumonia and req TX: rocephin, decadron, mucinex, singulair, remdesivir, zinc; develops AMS, toxic metabolic encephalopathy; pt transitioned to hospice care 2/16/22 and pt expired 2/23/22
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Toxic encephalopathy
Clinical narrative: to ED c/o SOB, cough, congestion, + COVID 10 days prior, now with low O2 and confused; tested + again with pneumonia and req TX: rocephin, decadron, mucinex, singulair, remdesivir, zinc; develops AMS, toxic metabolic encephalopathy; pt transitioned to hospice care 2/16/22 and pt expired 2/23/22
Age: 66.0
Sex: F
Vaccine: RSV
Symptoms: Burning sensation, Pain
Clinical narrative: Patient received vaccine 27 days ago and noticed about a week after receiving shot that she started experiencing pain and random burning sensation.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Death, Endotracheal intubation, Metabolic acidosis, Respiratory acidosis
Clinical narrative: to ED after being found down at home,+ COVID pneumonia, required intubation, has severe metabolic/resp acidosis, on pressors s/p possible STEMI, pt made DNR and expired in hospital. TX: maxipime, bicarb, Vanc.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: to ED after being found down at home,+ COVID pneumonia, required intubation, has severe metabolic/resp acidosis, on pressors s/p possible STEMI, pt made DNR and expired in hospital. TX: maxipime, bicarb, Vanc.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Headache, Respiratory tract congestion
Clinical narrative: presents with cough, SOB, headache, congestion.  TX: decadron, remdesivir, O2, lovenox.  Symptoms improved and d/c'd home
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Dyspnoea, Fatigue, Fibrin D dimer, Pneumonia
Clinical narrative: to ED c/o SOB, sats 89-90%, fatigue, + pneumonia, DD 5, ferritin 264, CRP 10.5; TX: decadron, remdesivir. D/c'd home
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Serum ferritin normal
Clinical narrative: to ED c/o SOB, sats 89-90%, fatigue, + pneumonia, DD 5, ferritin 264, CRP 10.5; TX: decadron, remdesivir. D/c'd home
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Contusion, Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: RSV vaccine given at 12:15pm 10/19/20223, arm was sore that evening, a week later severe pain, redness, swelling and bruising began.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Headache, Nausea, Pain
Clinical narrative: Headache, chills, body aches and pains, nausea onset 11 hours after vaccination.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Migraine, Pyrexia
Clinical narrative: He received his vaccine, about 30 minutes after he got home he started to get a real bad migraine headache that lasted until this morning 11/3/23.  He had 101.5 temperature all night long as he got it and checked it all night, and it finally went down this morning about 20 minute ago .  He did took an aspirin and Tylenol for his symptoms trying to break the fever.  He does not have a history of migraines.  He has a little bit of a headache this morning, but the worst of it is gone.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Cough, Headache, Malaise
Clinical narrative: T 102.2F, chills, night sweats, cough, congestion, head ache, myalgia, general malaise
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Night sweats, Respiratory tract congestion
Clinical narrative: T 102.2F, chills, night sweats, cough, congestion, head ache, myalgia, general malaise
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain, Mobility decreased
Clinical narrative: Arm pain that extended from the shoulder down an inch from the injection site.  Arm pain lasted 24 hours.  Movement was hindered.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Pain in extremity, Shoulder injury related to vaccine administration, Ultrasound scan
Clinical narrative: SIRVA - extreme arm pain and lack of mobility- movement
Age: 21.0
Sex: F
Vaccine: FLUA4
Symptoms: Muscle spasms, Nausea, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Employee recieved Fluad instead of Flulaval. Employee received flu vaccine on 10/13/2023. 10/14/2023 the employee experienced nausea and cramps. 10/23/2023 the cramps were so severe they went to the ED. No treatment was given during the ED visit. The employee's symptoms have resolved.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Erythropsia, Eye pain, Facial pain, Gingival pain
Clinical narrative: PT STATES HER EYES WAS HURTING, SEEING RED, BLOOD CAME OUT OF NOSE WHEN SNEEZING. FEELS LIKE NERVE PAIN IN GUMS/FACE AND THROUGHOUT INJECTION ARM.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Pain in extremity, Sneezing
Clinical narrative: PT STATES HER EYES WAS HURTING, SEEING RED, BLOOD CAME OUT OF NOSE WHEN SNEEZING. FEELS LIKE NERVE PAIN IN GUMS/FACE AND THROUGHOUT INJECTION ARM.
Age: 86.0
Sex: F
Vaccine: RSV
Symptoms: Atrial fibrillation
Clinical narrative: afib
Age: 61.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Dehydration, Diarrhoea, Hypersomnia, Loss of consciousness, Malaise
Clinical narrative: Shot taken on Friday October 27. Saturday slept most of the day and several bouts of explosive diarrhea. Sunday felt a little better and more diarrhea. Monday didn't feel good and ended up passing out from dehydration and went to er for fluids.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test normal, Induration, Magnetic resonance imaging head normal, Magnetic resonance imaging normal, Neuropathy peripheral
Clinical narrative: Induration, neuropathy on head, back, arms, legs  Spikevax-12 + covid 23-34 pfs
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Discomfort, Erythema, Injection site reaction, Pain in extremity, Peripheral swelling
Clinical narrative: Red Rash at vaccination site 1.5" x 1.5" and bilateral red swelling of hands with itching as well as associated pain/discomfort especially when using hand sanitizer. Five days later rash and swelling improving but hands still very sensitive and painful when disinfecting.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Rash erythematous, Sensitive skin
Clinical narrative: Red Rash at vaccination site 1.5" x 1.5" and bilateral red swelling of hands with itching as well as associated pain/discomfort especially when using hand sanitizer. Five days later rash and swelling improving but hands still very sensitive and painful when disinfecting.
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Dizziness
Clinical narrative: PT FELT DIZZY/ LAID ON FLOOOR, WAS GIVEN COLD COMPRESS, EMT CALLED, SHE WAS TAKEN FOR EVALUATION.
Age: 80.0
Sex: F
Vaccine: FLUA4
Symptoms: Contusion, Fall, Feeling hot, Head injury, Loss of consciousness
Clinical narrative: Patient reported feeling hot and experiencing tingling in her hands several minutes after administration. For approximately the next hour her symptoms remained the same, did not worsen or improve. At approximately 11:15 AM, the patient had what appeared to be a momentary loss of consciousness resulting in her falling from her seated position in her chair, landing on her head. She suffered a contusion and laceration at the point of impact. I ran over to her and by the time I got to her she had already regained consciousness and was alert and aware of her surroundings and what day it was. I waited with her until EMS arrived without further incident
Age: 80.0
Sex: F
Vaccine: FLUA4
Symptoms: Paraesthesia, Skin laceration
Clinical narrative: Patient reported feeling hot and experiencing tingling in her hands several minutes after administration. For approximately the next hour her symptoms remained the same, did not worsen or improve. At approximately 11:15 AM, the patient had what appeared to be a momentary loss of consciousness resulting in her falling from her seated position in her chair, landing on her head. She suffered a contusion and laceration at the point of impact. I ran over to her and by the time I got to her she had already regained consciousness and was alert and aware of her surroundings and what day it was. I waited with her until EMS arrived without further incident
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Chills, Decreased appetite, Disability
Clinical narrative: Joint pain in knees, toes, hips, rear end, hands. pain ping pongs throughout body. burning in legs, chills, loss of appetite. Given a course of prednisone. Helped for a short time and now symptoms have returned and are debilitating.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal pain, Pain in extremity, X-ray normal
Clinical narrative: Joint pain in knees, toes, hips, rear end, hands. pain ping pongs throughout body. burning in legs, chills, loss of appetite. Given a course of prednisone. Helped for a short time and now symptoms have returned and are debilitating.
Age: 1.5
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, PNC20
Symptoms: Joint swelling
Clinical narrative: Swelling of knees and ankles the day after vaccine administration, waxing and waning in severity throughout the day
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2, FLU4
Symptoms: Bradycardia, Chest pain, Dizziness, Dyspnoea, Ear discomfort
Clinical narrative: 11/2/23 4:30-530 PM: light headedness, fatigue, headache, nausea, body aches, 5:30- 6:30PM: shortness of breath, chest pain, headache, body aches, bradycardia (32-68 bpm, varying), oxygen saturation 90-93%. ear fullness, fatigue 7:00 PM Blurred vision, headache, shortness of breath, chest pain, body aches, ear fullness, fatigue 8:00 PM after sleeping, blurred vision, headache, hives present on arms and itching all over body, ear fullness, fatigue. 9:00 PM headache, hives diminishing, fatigue, insomnia did not sleep until 3:00 AM 11/3/23 7:30 AM headache, nausea, body aches, and current at 11:19 AM None, managed with albuterol inhaler 2 puffs PRN, sleeping when possible, sitting up, increased fluids, alternated Tylenol and ibuprofen every 4-6 hours and still continuing current interventions.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2, FLU4
Symptoms: Fatigue, Headache, Insomnia, Nausea, Pain
Clinical narrative: 11/2/23 4:30-530 PM: light headedness, fatigue, headache, nausea, body aches, 5:30- 6:30PM: shortness of breath, chest pain, headache, body aches, bradycardia (32-68 bpm, varying), oxygen saturation 90-93%. ear fullness, fatigue 7:00 PM Blurred vision, headache, shortness of breath, chest pain, body aches, ear fullness, fatigue 8:00 PM after sleeping, blurred vision, headache, hives present on arms and itching all over body, ear fullness, fatigue. 9:00 PM headache, hives diminishing, fatigue, insomnia did not sleep until 3:00 AM 11/3/23 7:30 AM headache, nausea, body aches, and current at 11:19 AM None, managed with albuterol inhaler 2 puffs PRN, sleeping when possible, sitting up, increased fluids, alternated Tylenol and ibuprofen every 4-6 hours and still continuing current interventions.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2, FLU4
Symptoms: Pruritus, Urticaria, Vision blurred
Clinical narrative: 11/2/23 4:30-530 PM: light headedness, fatigue, headache, nausea, body aches, 5:30- 6:30PM: shortness of breath, chest pain, headache, body aches, bradycardia (32-68 bpm, varying), oxygen saturation 90-93%. ear fullness, fatigue 7:00 PM Blurred vision, headache, shortness of breath, chest pain, body aches, ear fullness, fatigue 8:00 PM after sleeping, blurred vision, headache, hives present on arms and itching all over body, ear fullness, fatigue. 9:00 PM headache, hives diminishing, fatigue, insomnia did not sleep until 3:00 AM 11/3/23 7:30 AM headache, nausea, body aches, and current at 11:19 AM None, managed with albuterol inhaler 2 puffs PRN, sleeping when possible, sitting up, increased fluids, alternated Tylenol and ibuprofen every 4-6 hours and still continuing current interventions.
Age: 15.0
Sex: M
Vaccine: VARCEL
Symptoms: Product storage error
Clinical narrative: Received vaccine after it experienced a supported temperature excursion.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Pulse absent, Respiratory arrest
Clinical narrative: Resident was given  Covid vaccine around 1:30 pm and was fine following the administration.  Around 2:25 pm resident was observed on the floor next to her bed with no pulse or respirations present.  Resident was a DNR so no attempts were made at resuscitation.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: SEVERE HIVES FROM HEAD TO TOE
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Fifty-six year old patient received high-dose flu vaccine instead of the regular-dose flu vaccine indicated for her age. No side effects or adverse reaction noted at this time.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient states that she asked for a Flu vaccine and not a COVID-19 vaccine.  Pfizer 2023-2023 COMIRATY vaccine was administered.
Age: 40.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Arrhythmia, COVID-19, Cardiac stress test, Dizziness, Electrocardiogram
Clinical narrative: Symptoms first noticed were elevated heart beat with arrhythmia. Heart palpitations and skipping beats. Signs were elevated heart rate, light headed, noticeable arrhythmia, especially when prone. Symptoms have been consistent since first exposure to COVID after booster shot. Did not contract COVID-19 until the month following symptoms, but was exposed at same time of family member. Treatment has been ongoing...daily medication, EKG, ECG, EKG w/stress test, MRI, Holter monitor, etc.
Age: 40.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Electrocardiogram ambulatory, Exposure to SARS-CoV-2, Extrasystoles, Heart rate increased, Magnetic resonance imaging
Clinical narrative: Symptoms first noticed were elevated heart beat with arrhythmia. Heart palpitations and skipping beats. Signs were elevated heart rate, light headed, noticeable arrhythmia, especially when prone. Symptoms have been consistent since first exposure to COVID after booster shot. Did not contract COVID-19 until the month following symptoms, but was exposed at same time of family member. Treatment has been ongoing...daily medication, EKG, ECG, EKG w/stress test, MRI, Holter monitor, etc.
Age: 40.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Palpitations
Clinical narrative: Symptoms first noticed were elevated heart beat with arrhythmia. Heart palpitations and skipping beats. Signs were elevated heart rate, light headed, noticeable arrhythmia, especially when prone. Symptoms have been consistent since first exposure to COVID after booster shot. Did not contract COVID-19 until the month following symptoms, but was exposed at same time of family member. Treatment has been ongoing...daily medication, EKG, ECG, EKG w/stress test, MRI, Holter monitor, etc.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: The patient states she asked for the Flu vaccine and not the COVID-19 vaccine.  Pfizer Comirnaty 2023-2024 was administered in error.
Age: 68.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Computerised tomogram thorax abnormal, Pulmonary embolism, Scan with contrast abnormal
Clinical narrative: pulmonary embolism
Age: 84.0
Sex: F
Vaccine: UNK
Symptoms: Eye pain, Facial pain, Neck pain, Pain, Pain in extremity
Clinical narrative: While administering , patient said that she felt the pain traveling up to her neck & across her forehead & eye. The pain also traveled down to her arm & hand.  We called EMS for her & she was brought to the hospital . She got discharged after few hours in the hospital . She stated that she felt better but the symptoms were still there
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given incorrect COVID vaccine age range. Received the 12 years and up, when patient should of received the 5 years to 11 years COVID vaccine. Spoke to mom of patient and she stated that there had been no symptoms or reactions.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: administration error; vaccine given 2x
Age: 74.0
Sex: M
Vaccine: RSV
Symptoms: Atrial fibrillation, Condition aggravated
Clinical narrative: Patient reported that after multiple years of afib controlled on a pacemaker, patient had an event following reception of Arexvy and Fluzone HD vaccine on same date and was informed that pacemaker intervention was no longer viable and initiated on amiodarone (RX received 11/1/23)
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: The patient states she asked for the Flu vaccine and not the COVID-19 vaccine.  Pfizer Comirnaty 2023-2024 was administered in error.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Myalgia, Pyrexia
Clinical narrative: Influenza symptoms of sore muscles, sore joints, mild fever, fatigue. Duration of awakening 11/01/23 through Morning of 11/02/23. A period of about 24 hours.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation reaction
Clinical narrative: Covid arm - Moderna vaccine
Age: 24.0
Sex: M
Vaccine: UNK
Symptoms: Injected limb mobility decreased, Injection site joint pain
Clinical narrative: Patient experienced severe pain in right shoulder joint. Trouble lifting arm.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: The patient's wife states she asked for the Flu vaccine and not the COVID-19 vaccine.  Pfizer Comirnaty 2023-2024 was administered in error.
Age: 22.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site irritation, Injection site pain, Injection site pruritus
Clinical narrative: Patient was seen for vaccine reaction on 10/28/23-Patient reports redness, swelling, and pain to posterior side of left upper arm following Varicella vaccination on 10/27/23.  Patient states last night area was irritated/itchy.    Patient felt "kinda" feverish and achy.   Patient was seen approximately 24 hours after being given Varicella vaccine.  Patient was noted to have a 1.5 cm x 1.5 cm- slightly firm, erythematous area where Varicella vaccine was given-posterior left arm. Vital signs on 10/28/23: t-97.3, P-74, BP-104/70 and Pulse ox- 98% RA. Did explain that a reaction of redness and pain at the injection site is a possibility with Varicella vaccine. Patient is concerned because she is a Type I Diabetic and is slow to heal from any type of skin issue.  Patient was given a script for Antihistamines-Recommend Patient take Claritin during the day and Benadryl at night for the itching. Patient can take Acetaminophen/Ibuprofen for the body aches and feeling of fever. Patient was set up with a follow-up appointment on 10/30/23. Follow-up on 10/30/23- erythema had spread but was slightly lighter, less itching and less pain. Pt denied any bodyaches or fever. Patient was concerned she would develop infection. Given hx of Diabetes Type I. Placed on Doxycyline 100 mg BID x 10 days- However, after script was sent, Patient decided she would wait to take anibiotic if her symptoms did not resolve in the next 2 days- I agree as I feel her reaction was probably a known or common reaction to Varicella.
Age: 22.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site swelling, Pain, Pyrexia
Clinical narrative: Patient was seen for vaccine reaction on 10/28/23-Patient reports redness, swelling, and pain to posterior side of left upper arm following Varicella vaccination on 10/27/23.  Patient states last night area was irritated/itchy.    Patient felt "kinda" feverish and achy.   Patient was seen approximately 24 hours after being given Varicella vaccine.  Patient was noted to have a 1.5 cm x 1.5 cm- slightly firm, erythematous area where Varicella vaccine was given-posterior left arm. Vital signs on 10/28/23: t-97.3, P-74, BP-104/70 and Pulse ox- 98% RA. Did explain that a reaction of redness and pain at the injection site is a possibility with Varicella vaccine. Patient is concerned because she is a Type I Diabetic and is slow to heal from any type of skin issue.  Patient was given a script for Antihistamines-Recommend Patient take Claritin during the day and Benadryl at night for the itching. Patient can take Acetaminophen/Ibuprofen for the body aches and feeling of fever. Patient was set up with a follow-up appointment on 10/30/23. Follow-up on 10/30/23- erythema had spread but was slightly lighter, less itching and less pain. Pt denied any bodyaches or fever. Patient was concerned she would develop infection. Given hx of Diabetes Type I. Placed on Doxycyline 100 mg BID x 10 days- However, after script was sent, Patient decided she would wait to take anibiotic if her symptoms did not resolve in the next 2 days- I agree as I feel her reaction was probably a known or common reaction to Varicella.
Age: 52.0
Sex: F
Vaccine: FLUC4
Symptoms: Injected limb mobility decreased, Injection site bruising, Injection site pain, Shoulder injury related to vaccine administration
Clinical narrative: Large bruise next day following vaccine and mid deltoid pain with limited range of motion R shoulder is ongoing  SIRVA
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Injection site pain, Shoulder injury related to vaccine administration
Clinical narrative: SIRVA, Right upper extremity pain. Proximal arm and into shoulder
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Rash erythematous, Rash pruritic, Vaccination site reaction
Clinical narrative: Patient had a delayed red, circular rash on arm at injection site. Received his vaccine almost 2 weeks ago. It is itchy as well.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Skin warm
Clinical narrative: Area round about 3 inches in diameter  looked red and warm to the touch.  Seems to have stop spreading .   4 days out.    Patient is taking antihistamine to help with redness. and was reccomended to seek medical attention if worsening.
Age: 68.0
Sex: M
Vaccine: PNC20, VARZOS
Symptoms: Injection site erythema, Myalgia
Clinical narrative: Patient is experiences redness at the injection site and also muscle pain. He is convinced it must be infected and probably MRSA. He has not allowed us to view it to confirm.  Patient is a doctor (orthopedic surgeon).
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received 5y-11y covid-19 vaccine dose.
Age: 0.5
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Nausea, Pyrexia
Clinical narrative: was given 0.5ml of the covid vaccine  had fever and nausea for 2 days
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received 5y-11y covid-19 vaccine dose
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Hypoaesthesia, Tinnitus
Clinical narrative: Patient received  Tdap, Meningococcal Conjugate Quadrivalent (Left Deltoid) and HPV (Right Deltoid) vaccines today during well visit. Upon completion of vaccines, after leaving room and walking to check out, patient stated to parent that he could not feel his hands and heard "noises". Parent escorted patient to a seated position in chair while Patient Service Specialist  notified Registered Nurses. RNs immediately responded. Patient instructed to lay down on parent, was pale at this time. Patient provided with apple juice, ice water and a cool wash cloth for forehead. Patient's skin color began to return and stated that he could feel his arms again after resting and having some juice. Stated that he no longer was hearing noises. Patient was then instructed to sit up into a seated position to see how he tolerated. Reported that he felt better. After approximately 5 minutes, was instructed to stand. Upon standing reported that he felt fine. Patient then remained seated in lobby for an additional 10 minutes prior to leaving. Reported at check out while stating that he was better.
Age: 69.0
Sex: F
Vaccine: FLUA4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: The patient states she asked for a COVID-19 vaccine but erroneously received a FLUAD Quad vaccine. No adverse effects. Error was discovered when the patient sought out her annual Flu vaccine.
Age: 87.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received Comirnaty on 9/24/23 and was given another dose on 11/2/23 at a vaccine clinic. Patient was offered the vaccine and consented to receive it at the clinic. The daughter then reported to us on 11/3/23 that the patient could not consent for themselves and had previously received the vaccine given. There were no adverse events reported to us.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received 5y-11 yr dose
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: incorrect dose given was give 0.5ml no noticeable side effects at this time
Age: 16.0
Sex: M
Vaccine: HPV9, MENB, MNQ
Symptoms: Immediate post-injection reaction, Seizure, Syncope
Clinical narrative: Patient had immediate syncope and seizure within 1 minute of last injection
Age: 83.0
Sex: M
Vaccine: RSV, RSV
Symptoms: Extra dose administered
Clinical narrative: Verified pt with spouse in room. Went over side effects to look out for, and counseling point. Confirmed with patient what vaccine he was getting (RSV and Flu HD). While discussing about how pt is doing, administered both spouse and pt RSV in Right Deltoid. After administration Realized Two doses was given to patient. Reported to pt will report this to VAERS, what side effects to look out for, to stay at pharmacy for 30 minutes in case of acute reaction. In addition, due to this event and lack of data in being given 1ml of RSV, did not administer Flu HD. Shared if want get Flu HD, would recommend getting vaccine after 2 weeks. Pt and spouse took incident well and stated will report side effects or concerns.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: inaccuracy of dose was given 0.5ml  no noticeable side effects
Age: 33.0
Sex: M
Vaccine: TD
Symptoms: Headache, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Myalgia
Clinical narrative: Generalized myalgia, headache and fever of 101.8
Age: 33.0
Sex: M
Vaccine: TD
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Generalized myalgia, headache and fever of 101.8
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: After injection, practitioner noted the vaccine had expired 05/31/2023.  On 11-3-23 patient noted that the injection site was erythematous, raised and warm to the touch.  No further signs/symptoms reported.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received 5y-11y dose
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: inaccuracy of dose was given 0.5ml no side effect at this time
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Patient reported waking up with rash/hives over the phone and was told that this might be an allergic reaction by the pharmacist on duty. Patient was going to go to the doctor to get medicine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: patient received 5y-11 yr dose
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Rash erythematous, Skin warm
Clinical narrative: Patient had a red rash on both legs mid lower leg to ankle.  She states it was hot to the touch.  She states it had red bumps that looked like broken blood vessels under the surface.  The rash remained for 5 days before dissipating on it's own.
Age: 73.0
Sex: M
Vaccine: RSV
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness and tingling in my left arm
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Incorrect dose administered, Pain in extremity, Pyrexia
Clinical narrative: inaccuracy of dose given was given 0.5ml  had 3 days of fever and couldn't walk due to having both legs hurting
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Diarrhoea, Dysstasia, Fall, Thinking abnormal
Clinical narrative: 10/31/23 evening developed weakness and thought process slowed down. 11/01/2023 two episodes of diarrhea, continued with weakness.  Fell that evening and spouse unable to get up.  Was sent by 911 to Hospital ER were he was later transferred to another Hospital.  Was discharged to home late 11/02/23.  11/03/23 received call from spouse who gave these details.  11/3/23 continues with weakness and is slightly aware of what has occurred over last 2 days.
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Arthritis, Asthenia, Burns third degree, Condition aggravated
Clinical narrative: She got her vaccine, it itched and was red and became very hard.  It felt like it had fever in it, she did not take her temp but the arm was hot.  She thought that it was going to go away but it did not.  She put a hot compress on it, and then had a blister burst on it.  The size of that was the size of a silver dollar, and had a dark spot in the middle of it, which it still has.  It is still very sore and hard.  Her joints in her hands, back and where her arthritis is is more painful than usual.  She had headaches, felt very weak.  She tried to get into see her doctor and on 10/16/23 she went to the walk in clinic.  They gave her some ointment because she cannot take Sulfa drugs, Betanethval twice a day.  It has taken the redness away but that's it.  She saw her doctor on 10/26/23, and at that time she did not tell her about her arm hurting.  This was when she had burns on her hands as she had touched the exhaust on her lawnmower and had 2nd to 3rd degree burns.  it is still hard to touch and hurts when she touches it, and when she puts the ointment on it it hurts, and it's black and has an indention to it.  Her doctor told her that if it was not better by Monday to give them a call and by the way it feels right now she will be making that call.  They did not give her any antibiotics or anything, just the ointment.    She has been wheezing more and having dizziness as well.  Every 5 minutes while cleaning as she was not able to stop the dizziness.  She had fatigue at the time of that vaccine as well.  Even parts of the top of her head hurt, but after 2 days that went away.
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Dizziness, Fatigue, Headache, Injection site discolouration, Injection site erythema
Clinical narrative: She got her vaccine, it itched and was red and became very hard.  It felt like it had fever in it, she did not take her temp but the arm was hot.  She thought that it was going to go away but it did not.  She put a hot compress on it, and then had a blister burst on it.  The size of that was the size of a silver dollar, and had a dark spot in the middle of it, which it still has.  It is still very sore and hard.  Her joints in her hands, back and where her arthritis is is more painful than usual.  She had headaches, felt very weak.  She tried to get into see her doctor and on 10/16/23 she went to the walk in clinic.  They gave her some ointment because she cannot take Sulfa drugs, Betanethval twice a day.  It has taken the redness away but that's it.  She saw her doctor on 10/26/23, and at that time she did not tell her about her arm hurting.  This was when she had burns on her hands as she had touched the exhaust on her lawnmower and had 2nd to 3rd degree burns.  it is still hard to touch and hurts when she touches it, and when she puts the ointment on it it hurts, and it's black and has an indention to it.  Her doctor told her that if it was not better by Monday to give them a call and by the way it feels right now she will be making that call.  They did not give her any antibiotics or anything, just the ointment.    She has been wheezing more and having dizziness as well.  Every 5 minutes while cleaning as she was not able to stop the dizziness.  She had fatigue at the time of that vaccine as well.  Even parts of the top of her head hurt, but after 2 days that went away.
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Injection site indentation, Injection site induration, Injection site pain, Injection site pruritus, Injection site vesicles
Clinical narrative: She got her vaccine, it itched and was red and became very hard.  It felt like it had fever in it, she did not take her temp but the arm was hot.  She thought that it was going to go away but it did not.  She put a hot compress on it, and then had a blister burst on it.  The size of that was the size of a silver dollar, and had a dark spot in the middle of it, which it still has.  It is still very sore and hard.  Her joints in her hands, back and where her arthritis is is more painful than usual.  She had headaches, felt very weak.  She tried to get into see her doctor and on 10/16/23 she went to the walk in clinic.  They gave her some ointment because she cannot take Sulfa drugs, Betanethval twice a day.  It has taken the redness away but that's it.  She saw her doctor on 10/26/23, and at that time she did not tell her about her arm hurting.  This was when she had burns on her hands as she had touched the exhaust on her lawnmower and had 2nd to 3rd degree burns.  it is still hard to touch and hurts when she touches it, and when she puts the ointment on it it hurts, and it's black and has an indention to it.  Her doctor told her that if it was not better by Monday to give them a call and by the way it feels right now she will be making that call.  They did not give her any antibiotics or anything, just the ointment.    She has been wheezing more and having dizziness as well.  Every 5 minutes while cleaning as she was not able to stop the dizziness.  She had fatigue at the time of that vaccine as well.  Even parts of the top of her head hurt, but after 2 days that went away.
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Injection site warmth, Wheezing
Clinical narrative: She got her vaccine, it itched and was red and became very hard.  It felt like it had fever in it, she did not take her temp but the arm was hot.  She thought that it was going to go away but it did not.  She put a hot compress on it, and then had a blister burst on it.  The size of that was the size of a silver dollar, and had a dark spot in the middle of it, which it still has.  It is still very sore and hard.  Her joints in her hands, back and where her arthritis is is more painful than usual.  She had headaches, felt very weak.  She tried to get into see her doctor and on 10/16/23 she went to the walk in clinic.  They gave her some ointment because she cannot take Sulfa drugs, Betanethval twice a day.  It has taken the redness away but that's it.  She saw her doctor on 10/26/23, and at that time she did not tell her about her arm hurting.  This was when she had burns on her hands as she had touched the exhaust on her lawnmower and had 2nd to 3rd degree burns.  it is still hard to touch and hurts when she touches it, and when she puts the ointment on it it hurts, and it's black and has an indention to it.  Her doctor told her that if it was not better by Monday to give them a call and by the way it feels right now she will be making that call.  They did not give her any antibiotics or anything, just the ointment.    She has been wheezing more and having dizziness as well.  Every 5 minutes while cleaning as she was not able to stop the dizziness.  She had fatigue at the time of that vaccine as well.  Even parts of the top of her head hurt, but after 2 days that went away.
Age: 0.67
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: inaccuracy of vaccine dose was given 0.5ml  no noticeable side effect
Age: 6.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse reactions noted,    Patient had Flu vaccine on 09/22/2023 and by mistake had a second dose on 10/06/2023.
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Had flu shot in left arm - 2 days ago   First night ,a little red around the area of the injection Then got more and more red on the left arm over the last 48 hours- and now sticking out more and hot and painful to touch.  11/3/23 seen in office and prescribed: cephalexin PO SUSP 250 mg/5 mL; Give 10 mL by mouth 2 times daily for 7 days.
Age: 35.0
Sex: F
Vaccine: VARZOS
Symptoms: No adverse event
Clinical narrative: No reported adverse outcomes at this time
Age: 61.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: No adverse event
Clinical narrative: NO adverse event
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Haematoma
Clinical narrative: Unknown which RSV vaccine. But received it on OCT17 and has a hematoma approximately 3 x 3 cm which is still present 2.5 weeks later.
Age: 0.33
Sex: F
Vaccine: DTPPVHBHPB, FLU4, PNC20, RV5
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Child did not experience an adverse effect , she was accidently given the flu shot. Nurse realized the mistake after administration and the DR was quickly made aware. DR spoke to the parent and the baby was fine before leaving the clinic .
Age: 23.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: NONE
Age: 1.5
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: patient was already vaccinated with the flu vaccine on 9/15/23 and received another one on 11/3/23 by error
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Heart rate irregular, Pain
Clinical narrative: patient experienced aches, tiredness, loss of appetite, and sporadic changes of heartbeat that went upto 130/min upon resting for 18 hours.  Today is day 5 and patient is stable
Age: 90.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Underdose
Clinical narrative: none
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: NONE
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Injected limb mobility decreased, Pain, Shoulder injury related to vaccine administration
Clinical narrative: Patient is here today with left shoulder pain. She had an influenza vaccination into the left deltoid on 10/5/23; the next day she noted more pain than usual, then some pain with reaching across her torso or reaching behind her.  She did initially have pain with abduction but this has improved.  No swelling or bruising noted. No history of left shoulder problems/injury in the past.  She is right hand dominant.  Left shoulder medial pain along bicipital tendons to anterior AC joint area. Difficult to reach across torso without pain over AC joint. Unable to reach behind Has good abduction of shoulder No swelling or bruising is noted   1. Shoulder injury related to vaccine administration (SIRVA)   After influenza vaccination on 10/5/23 Mostly pain over AC joint/medial anterior shoulder PLAN: 1. Sulindac 200 mg po BID with food 2. Pt will use her ATC on staff at college for shoulder exercises; avoid heavy weight lifting 3. Consult to Orthopaedic Surgery to consider steroid injection unless pain resolves by then (not an urgent consult)
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Product storage error
Clinical narrative: UNIT HAD AN EXCURSION THAT WAS OVERLOOKED. PATIENT HAS BEEN MADE AWARE BY PROVIDER.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Product storage error
Clinical narrative: UNIT HAD AN EXCURSION THAT WAS NOT CAUGHT DURING TROUBLESHOOTING. VACCINE WAS CLEARED BY MANUFACTURER. NO TREATMENT NEEDED. PATIENT WAS CONTACTED BY PROVIDER AND MADE AWARE.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Product storage error
Clinical narrative: UNIT HAD AN EXCURSION THAT WAS NOT CAUGHT UNTIL AFTER VACCINE WAS ADMINISTERED. PATIENT WAS CALLED BY PROVIDER AND MADE AAWARE. NO TREATMENT NEEDED AT THIS TIME
Age: 41.0
Sex: F
Vaccine: TYP
Symptoms: Dyspnoea, Human chorionic gonadotropin positive, Tachycardia
Clinical narrative: SOB, tachycardia - pt went to urgent care.   Two days later from Rx pt tested positive HCG, but tested negative day of administration
Age: 85.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Erythema of eyelid, Swelling of eyelid
Clinical narrative: eyelid redness and swelling
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Electrocardiogram, Erythema, Flushing, Paraesthesia
Clinical narrative: Within 30 minutes of vaccine administration she became very flushed, short of breath, tingling all over, she has some redness on her skin, no sensation of her lips or tongue swelling.  She states similar to her anaphylactic reactions in the past.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 11 year old received the 12+ Moderna presentation.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: accidentally gave patient the high dose influenza vaccine instead of the pcv20 vaccine . no signs that were noticed at this time
Age: 68.0
Sex: M
Vaccine: UNK
Symptoms: Extra dose administered
Clinical narrative: Pt was given a high dose flu shot when he already had a high dose flu shot already the season
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age, Underdose, Wrong product administered
Clinical narrative: Patient was given the Pfizer Toddler dose (6months -4yrs of age) instead of the Comirnaty Pfizer (+12 yrs)
Age: 74.0
Sex: M
Vaccine: FLU4
Symptoms: Asthma, Dyspnoea
Clinical narrative: Patient reported it caused his asthma to resurface and he had a hard time breathing. This resolved spontaneously gradually over the next 3 days.
Age: 0.58
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Petechiae
Clinical narrative: Petechial lesions on thigh. No adverse reactions other than rash.  Similar happened with second COVID immunization- VAERS report done prior VAERS ID: 2691740
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vertigo
Clinical narrative: Nausea, dizziness started 2 days after treatment.  Vertigo started on 4th day, lasting 24 hour.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Electrocardiogram normal, Full blood count normal, Impaired work ability, Injected limb mobility decreased, Injection site erythema
Clinical narrative: Patient was awakened in the night with left upper arm pain, redness and warmth. Pain worsened over the next 2 days and she was seen at clinic for evaluation on 10/31/2023. She rated her pain as a 7-8 out of 10 that was worse with ROM, pain was interfering with her ability to work and sleep. She was prescribed a Medrol Dosepak and Norco 7.5/325 for pain. She was seen ER on November first with c/o 10/10 pain in her left arm; she had a venous doppler US of her left arm, a CBC, CMP and EKG that were all found to be normal; she was prescribed Gabapentin to take in addition to the steroid and pain medications prescribed. As, of 11/3/2023 she was still experiencing sever pain in her arm; the redness had improved, but the arm continued to be warm
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site warmth, Joint range of motion decreased, Metabolic function test normal, Pain
Clinical narrative: Patient was awakened in the night with left upper arm pain, redness and warmth. Pain worsened over the next 2 days and she was seen at clinic for evaluation on 10/31/2023. She rated her pain as a 7-8 out of 10 that was worse with ROM, pain was interfering with her ability to work and sleep. She was prescribed a Medrol Dosepak and Norco 7.5/325 for pain. She was seen ER on November first with c/o 10/10 pain in her left arm; she had a venous doppler US of her left arm, a CBC, CMP and EKG that were all found to be normal; she was prescribed Gabapentin to take in addition to the steroid and pain medications prescribed. As, of 11/3/2023 she was still experiencing sever pain in her arm; the redness had improved, but the arm continued to be warm