chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased, Nervousness
Clinical narrative: After sitting about 15 minutes, felt a bit dizzy. States had minimal breakfast; had water, oj, crackers. Pulse device on arm showed HR 145; refused BP initially. Feeling better after po intake; still reports "shaky". Agreeable to VS: BP 122/80; HR 100.  Continued sitting for 10-15 minutes and drinking water.  Feels comfortable leaving; works in hospital and escorted to floor. Will be eating snack once back at work.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Called to schedule second vaccine and daughter reports that he died on01/19/2021 with "COVID"
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: Red, Rashy hot and painful area below the shot site
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Muscle spasms, Myalgia
Clinical narrative: Arm soreness started evening on 1/20/21. At 1:30AM 1/21/2021 I woke with a fever, chills, muscle pain, joint pain, muscle cramps, headache, nausea and fatigue. Highest fever 102.3, fever holding at 100.5 with Tylenol. Drinking fluids.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Pyrexia
Clinical narrative: Arm soreness started evening on 1/20/21. At 1:30AM 1/21/2021 I woke with a fever, chills, muscle pain, joint pain, muscle cramps, headache, nausea and fatigue. Highest fever 102.3, fever holding at 100.5 with Tylenol. Drinking fluids.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain
Clinical narrative: Body aches neck stiffness
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction
Clinical narrative: Systemic: Anaphylaxis
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Myalgia, Pyrexia
Clinical narrative: Reported muscle aches, chest tightness and fever 101.3F
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Insomnia, Pain, Pain in extremity
Clinical narrative: Sore arm starting a couple of hours after injection, starting at injection site, then slowly spreading to include entire upper arm. . Difficult to lift arm or do tasks (washing hair) the next day. Trouble sleeping, fatigued and achy the next day.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anxiety, Death, Dizziness, Headache, Injection site pain
Clinical narrative: Patient's wife called this morning stating that her husband has passed away last night. After receiving first dose of Pfizer COVID-19 vaccine at around 0830, patient remained in the Immunizations Department for the 15-minute monitoring period. Per wife, patient's only complaint was pain at the injection site. At 1300, wife states that patient complaint of dizziness which "dissipated after a few minutes" followed by a headache which "dissipated after a few minutes" as well. Then patient complained of nausea, no vomiting and "couldn't relax." Per wife, from around 1400/1500, patient stayed on his recliner while still having a conversation with her--"he didn't get up to eat." Last conversation they had was around 2000/2100. Per wife, at around 2100/2200, patient was quiet and when she checked on him, "he wasn't responding anymore." Wife then called 911, "but they couldn't revive him."
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nausea, Unresponsive to stimuli
Clinical narrative: Patient's wife called this morning stating that her husband has passed away last night. After receiving first dose of Pfizer COVID-19 vaccine at around 0830, patient remained in the Immunizations Department for the 15-minute monitoring period. Per wife, patient's only complaint was pain at the injection site. At 1300, wife states that patient complaint of dizziness which "dissipated after a few minutes" followed by a headache which "dissipated after a few minutes" as well. Then patient complained of nausea, no vomiting and "couldn't relax." Per wife, from around 1400/1500, patient stayed on his recliner while still having a conversation with her--"he didn't get up to eat." Last conversation they had was around 2000/2100. Per wife, at around 2100/2200, patient was quiet and when she checked on him, "he wasn't responding anymore." Wife then called 911, "but they couldn't revive him."
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Headache, Malaise, Nausea, Respiratory arrest
Clinical narrative: Patient's wife called this morning stating that her husband has passed away last night. After receiving first dose of Pfizer COVID-19 vaccine at around 0830, patient remained in the Immunizations Department for the 15-minute monitoring period. Per wife, patient's only complaint was pain at the injection site. At 1300, wife states that patient complaint of dizziness which "dissipated after a few minutes" followed by a headache which "dissipated after a few minutes" as well. Then patient complained of nausea, no vomiting and "couldn't relax." Per wife, from around 1400/1500, patient stayed on his recliner while still having a conversation with her--"he didn't get up to eat." Last conversation they had was around 2000/2100. Per wife, at around 2100/2200, patient was quiet and when she checked on him, "he wasn't responding anymore." Wife then called 911, "but they couldn't revive him."
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death, Dizziness, Headache, Nausea
Clinical narrative: Patient's wife called this morning stating that her husband has passed away last night. After receiving first dose of Pfizer COVID-19 vaccine at around 0830, patient remained in the Immunizations Department for the 15-minute monitoring period. Per wife, patient's only complaint was pain at the injection site. At 1300, wife states that patient complaint of dizziness which "dissipated after a few minutes" followed by a headache which "dissipated after a few minutes" as well. Then patient complained of nausea, no vomiting and "couldn't relax." Per wife, from around 1400/1500, patient stayed on his recliner while still having a conversation with her--"he didn't get up to eat." Last conversation they had was around 2000/2100. Per wife, at around 2100/2200, patient was quiet and when she checked on him, "he wasn't responding anymore." Wife then called 911, "but they couldn't revive him."
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anxiety, Death, Dizziness, Headache, Injection site pain
Clinical narrative: Several hours after the vaccine, patient began to complain of feeling ill. Progressive symptoms included dizziness, malaise, nausea, and then headache. Approximately 11 hours after the vaccine, the patient stopped breathing. He was quiet and peaceful. No complaints or evidence of chocking, trouble breathing, swelling about the face, mouth, or neck.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nausea, Unresponsive to stimuli
Clinical narrative: Several hours after the vaccine, patient began to complain of feeling ill. Progressive symptoms included dizziness, malaise, nausea, and then headache. Approximately 11 hours after the vaccine, the patient stopped breathing. He was quiet and peaceful. No complaints or evidence of chocking, trouble breathing, swelling about the face, mouth, or neck.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Headache, Malaise, Nausea, Respiratory arrest
Clinical narrative: Several hours after the vaccine, patient began to complain of feeling ill. Progressive symptoms included dizziness, malaise, nausea, and then headache. Approximately 11 hours after the vaccine, the patient stopped breathing. He was quiet and peaceful. No complaints or evidence of chocking, trouble breathing, swelling about the face, mouth, or neck.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death, Dizziness, Headache, Nausea
Clinical narrative: Several hours after the vaccine, patient began to complain of feeling ill. Progressive symptoms included dizziness, malaise, nausea, and then headache. Approximately 11 hours after the vaccine, the patient stopped breathing. He was quiet and peaceful. No complaints or evidence of chocking, trouble breathing, swelling about the face, mouth, or neck.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dysphagia, Dyspnoea, Fatigue, Palpitations
Clinical narrative: Developed hives all over the body, difficulty swallowing, itchiness, tingling, SOB,  mild chest tightness 9 min following the first dose of the vaccine on 01/11/21and was treated with IV Benadryl, Pepcid and Hydrocortisone.  Since the vaccine on 01/11 patient c/o prolonged fatigue and intermittent episodes of palpitations, chest tightness resolving without intervention. (2-3 episodes )  01/20 patient reported symptoms of chest tightness, full body shaking requiring medical attention and d/c from care.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pruritus, Tremor, Urticaria
Clinical narrative: Developed hives all over the body, difficulty swallowing, itchiness, tingling, SOB,  mild chest tightness 9 min following the first dose of the vaccine on 01/11/21and was treated with IV Benadryl, Pepcid and Hydrocortisone.  Since the vaccine on 01/11 patient c/o prolonged fatigue and intermittent episodes of palpitations, chest tightness resolving without intervention. (2-3 episodes )  01/20 patient reported symptoms of chest tightness, full body shaking requiring medical attention and d/c from care.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Rhabdomyolysis
Clinical narrative: Rhabdomyolysis
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Nausea
Clinical narrative: 1/16 started with "not feeling right, felt off"  1/17  complained of nausea, no fever 1/18 lightheaded and nausea did not work. 1/19 continues with nausea, by mid-afternoon subsided, did work
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: severe headaches, muscle aches, fevers, chills
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash, Skin warm, Urticaria
Clinical narrative: She had a history of hives and fainting  when she received the pertussis vaccine.  This was her first dose of the COVID-19 vaccine and she had no known allergy to components of the COVID-19 vaccine.  She said she had spoken with her doctor prior to her appointment.  Staff at the vaccination facility set up a precaution in case she fainted including 1:1 observation immediately following injection.  She had no fainting, and proceeded to the post vaccination area after about 15 minutes, when she said she felt fine.  At about 30 minutes after receiving the vaccine, she reported a rash across her chest, visible hives and hot to the touch, and she had a few areas of rash on her arms. She did not express any difficulty breathing. EMS was onsite and were immediately notified.  In the course of her evaluation by EMS, she drank water, used an ice pack on rash, and took her own Benadryl and reported that she was beginning to feel better after approximately 30 more minutes. EMS confirmed that she was stable and okay to leave. On-site DOHMH medical greeter informed her about v-safe, told her to talk with her PCP, and inform people at the time of her next vaccination.  At approximately 6pm, this reporter (non-medical professional) followed up with patient to check on her symptoms. She expressed that she was feeling better, the rash subsided but that her hands were swollen. This reporter reiterated the importance of following up with her regular medical provider.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Nausea, Presyncope
Clinical narrative: From 15-30 hours post vaccination, experienced chills, 2 degree rise in temperature, extreme headache, nausea, and 1 episode of near-syncope.  At the onset of symptoms, I took Tylenol q4-6 hours and sipped on Gatorade. From hours 30-40, I changed over to ibuprofen and experienced headache only while up doing activities.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, Sneezing
Clinical narrative: Moderate symptoms of runny nose and sneezing from the day of vaccine (1/16/21)
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 4 days following all over body itching, 12 days later injection site was red, warm, painful and swollen, itching as well.  Random itching all over body. Benadryl relieved the first body itching.  Taken for site spot, Benadryl did not help.  Haven't started Benadryl for the remaining itching.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: 4 days following all over body itching, 12 days later injection site was red, warm, painful and swollen, itching as well.  Random itching all over body. Benadryl relieved the first body itching.  Taken for site spot, Benadryl did not help.  Haven't started Benadryl for the remaining itching.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Fatigue, Feeling cold, Hyperhidrosis
Clinical narrative: Fevers, uncontrollable shaking, chills, sweats, muscle aches, chest tightness, painful enlarged left axillary lymph node, left arm pain, fatigue, weakness, and nausea. Adverse effects started approximately 12 hours after vaccination and lasted up to 48-72 hours.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fevers, uncontrollable shaking, chills, sweats, muscle aches, chest tightness, painful enlarged left axillary lymph node, left arm pain, fatigue, weakness, and nausea. Adverse effects started approximately 12 hours after vaccination and lasted up to 48-72 hours.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Fevers, uncontrollable shaking, chills, sweats, muscle aches, chest tightness, painful enlarged left axillary lymph node, left arm pain, fatigue, weakness, and nausea. Adverse effects started approximately 12 hours after vaccination and lasted up to 48-72 hours.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Feeling of body temperature change, Headache, Pain
Clinical narrative: I had COVID-19 in December for more than 3 weeks.  I felt like I felt during that time..  I was weak.  I hurt everywhere.  I had a temperature. of 101-102 degrees. My normal temperature is 97.6.  I had a severe headache.  My vision was impaired.  I would go from freezing to being very hot.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: I had COVID-19 in December for more than 3 weeks.  I felt like I felt during that time..  I was weak.  I hurt everywhere.  I had a temperature. of 101-102 degrees. My normal temperature is 97.6.  I had a severe headache.  My vision was impaired.  I would go from freezing to being very hot.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: First 6-8 hrs the Left Arm was Sore 2-3/10  on Pain scale.  After 8 hours, unable to move arm away from body related to the Pain, now a 10/10.  This Pain level last for about 24hours.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: pt states she has a itchy warm hard red area about 2 1/2 x 1 1/2  below the injection site similar to a hive.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
Clinical narrative: "Moderna Covid-19 vaccine EUA" The left side of my face, including nose and lips became numb and tingly for 4.5 hours. There was no swelling and I could breath and swallow fine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID + post vaccine #1
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Crying, Discomfort, Dizziness, Erythema
Clinical narrative: About 30 min after the vaccination I felt dizzy. It felt almost like I had gotten up too quickly and felt dizzy, that kind of dizziness. Lots of soreness on the injection site the day of the vaccination and also going down the arm if I tried to lift my arm it was painful, everything else was fine until 4:30PM when I started feeling chills and feverish. Around 9PM the cold chills were so awful I started crying because it was so uncomfortable. I took some Tylenol and it knocked me out. I felt cold and hot during the night. About 7AM the next morning I had hives, on my chest, arms and legs (red itchy, swollen) the chills have gone away in the morning. I took an Allegra around 8AM and it did work after 30 min to an hour. Then I went to see my allergist around 11AM and  the itchiness and redness had gone down a lot but the itchiness was still there. The allergist told me to take some more Allegra that day and it ended up working.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling of body temperature change, Injection site movement impairment, Injection site pain, Pruritus, Pyrexia
Clinical narrative: About 30 min after the vaccination I felt dizzy. It felt almost like I had gotten up too quickly and felt dizzy, that kind of dizziness. Lots of soreness on the injection site the day of the vaccination and also going down the arm if I tried to lift my arm it was painful, everything else was fine until 4:30PM when I started feeling chills and feverish. Around 9PM the cold chills were so awful I started crying because it was so uncomfortable. I took some Tylenol and it knocked me out. I felt cold and hot during the night. About 7AM the next morning I had hives, on my chest, arms and legs (red itchy, swollen) the chills have gone away in the morning. I took an Allegra around 8AM and it did work after 30 min to an hour. Then I went to see my allergist around 11AM and  the itchiness and redness had gone down a lot but the itchiness was still there. The allergist told me to take some more Allegra that day and it ended up working.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Urticaria
Clinical narrative: About 30 min after the vaccination I felt dizzy. It felt almost like I had gotten up too quickly and felt dizzy, that kind of dizziness. Lots of soreness on the injection site the day of the vaccination and also going down the arm if I tried to lift my arm it was painful, everything else was fine until 4:30PM when I started feeling chills and feverish. Around 9PM the cold chills were so awful I started crying because it was so uncomfortable. I took some Tylenol and it knocked me out. I felt cold and hot during the night. About 7AM the next morning I had hives, on my chest, arms and legs (red itchy, swollen) the chills have gone away in the morning. I took an Allegra around 8AM and it did work after 30 min to an hour. Then I went to see my allergist around 11AM and  the itchiness and redness had gone down a lot but the itchiness was still there. The allergist told me to take some more Allegra that day and it ended up working.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea
Clinical narrative: WEAKNESS, SHORTNESS OF BREATH
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Vaccination site swelling, Vaccination site warmth
Clinical narrative: 10 days post vaccine, vaccination area swelled and became itchy and hot to touch, these symptoms lasted two days
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Nausea, Pain in extremity
Clinical narrative: Sore arm right after shot and throughout the next day. Woke up in the middle of the night (around 11:45pm)with very bad chills, nausea, and headache. Temperature at the time was 99.7. Several hours later (around 3:45am) woke up again with less chills and temperature 101.6-101.8 with headache continuing. Woke up again at 5:45am with continued fever 101.7 and headache. Took ibuprofen around 6:30am and fever dissipated around 9am. Headache still continuing but not as severe.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Sore arm right after shot and throughout the next day. Woke up in the middle of the night (around 11:45pm)with very bad chills, nausea, and headache. Temperature at the time was 99.7. Several hours later (around 3:45am) woke up again with less chills and temperature 101.6-101.8 with headache continuing. Woke up again at 5:45am with continued fever 101.7 and headache. Took ibuprofen around 6:30am and fever dissipated around 9am. Headache still continuing but not as severe.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Vomiting
Clinical narrative: I woke up at 3am on Wednesday  the 20th and felt very dizzy. Keep on going for about an hour or so. About 4AM I started to puke my guts out. I called the doctor about 9am that morning who told me that it was an effect from the vaccine (I had a virtual visit with the doctor). I was also feeling very weak. Today I feel I better and was able to eat and even take my dog for a walk.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dry mouth, Headache, Nausea
Clinical narrative: Severe headache 8/10 unrelieved by OTC acetaminophen, nausea, dry mouth, chills without fever
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: nausea and vomiting, possible mild SOB after vaccination. light headache
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and Swelling at injection site  size is 7cm X 4.5 cm
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Site: Swelling at Injection Site-Mild
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site nodule, Injection site pain, Injection site pruritus, Injection site urticaria
Clinical narrative: Patient had no symptoms during 15 minute observation period.  2 hours later, she developed hives and nodules with itching and burning in the left arm.  She went to the ER where she was observed and treated with PO loratadine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: fever red at injection site injection  site has a bump hot to touch throbs
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Feeling cold, Headache, Insomnia, Pain
Clinical narrative: Second Shingles shot. Aches, chills, headache, insomnia. No problem with the first shot
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Hyperhidrosis, Pyrexia, Tremor
Clinical narrative: Fever 103,  sweating, shakes, and diarrhea
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Migraine, Nausea, Vomiting
Clinical narrative: Migraine with nausea and vomiting, extreme fatigue x 48hrs
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Cough, Dyspnoea, Fatigue, Intensive care
Clinical narrative: Patient presented with worsening fatigue and shortness of air that began Friday(1/15/21) after receiving COVID 19 vaccination. She has also had nausea, vomiting, and diffuse abdominal pain since that time. Patient has had a cough for last five days. Patient admitted to ICU for care on 1/17/2021.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Patient presented with worsening fatigue and shortness of air that began Friday(1/15/21) after receiving COVID 19 vaccination. She has also had nausea, vomiting, and diffuse abdominal pain since that time. Patient has had a cough for last five days. Patient admitted to ICU for care on 1/17/2021.
Age: 65.0
Sex: U
Vaccine: COVID19
Symptoms: Cough, Electrocardiogram, Headache, Pruritus
Clinical narrative: Approximately 15 mins after receiving COVID vaccine began c/o headache, cough and itchiness. Took 2 25 mg Benadryl that she had with her. Was then administered 25 mg IV Benadryl by EMS. By 4:30 pm reports itching and headache improved. Encouraged to take Benadryl q 6-8hours prn. Discharged home. Phone call on 1/17-No symptoms. Has f/u w/PMD 1/20
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Ocular discomfort, Pain
Clinical narrative: Severe body aches, chills, low grade temperature 100.1 degrees, headache, and pressure around eyes.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Hyperhidrosis, Loss of personal independence in daily activities
Clinical narrative: The following morning when she woke up had chills, temperature, very bad headache, and a head cold.  Went to HD, they sent her home and to report to us and monitor it.  If she didn't get better to go to ER or Dr.  1/20/21, felt chills, woke up in pool of sweat, bad headache, and mucousy with runny  nose and still having that symptom.   1/21/21 feeling like she may be getting a little better, but FU with her PCP tomorrow.  No difficulty breathing, cold like symptoms.  Feels like she doesn't have a temperature.  Finally does not have a headache.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Rhinorrhoea
Clinical narrative: The following morning when she woke up had chills, temperature, very bad headache, and a head cold.  Went to HD, they sent her home and to report to us and monitor it.  If she didn't get better to go to ER or Dr.  1/20/21, felt chills, woke up in pool of sweat, bad headache, and mucousy with runny  nose and still having that symptom.   1/21/21 feeling like she may be getting a little better, but FU with her PCP tomorrow.  No difficulty breathing, cold like symptoms.  Feels like she doesn't have a temperature.  Finally does not have a headache.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Systemic: Tingling in the fingers on the same arm of injection site-Mild
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Hypoxia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital 1/14/21 with Fever; Hypoxia; Pneumonia due to COVID-19 virus;  COVID+1/14/21. Discharged home 1/18/21
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Pain in extremity, Toothache
Clinical narrative: Main reaction: very achy wisdom teeth area (pulled ~10 years ago), all other teeth fine, for ~ 10 days Also: headache and dizziness night of vaccine, sore arm ~2 days
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site swelling, Injection site warmth, Local reaction, Pain
Clinical narrative: Itching Local reaction pink 3-4 inches around warm and swollen at injection site Mild soreness
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itching Local reaction pink 3-4 inches around warm and swollen at injection site Mild soreness
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling of body temperature change, Headache, Pain, Pyrexia
Clinical narrative: Fever,  (felt like she was freezing then burning up) headache, bodyache.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Hyperaesthesia, Pruritus, Skin irritation, Urticaria
Clinical narrative: 11pm (approx) :  What resembled hives (just one big one) observed in the area of the right temple.  No pain or itching.  Very slight sensetivity.  The next morning, the hive had reduced, but a new one was seen on the right side of the base of my neck.  Very red and irritated looking but no pain or itching.   There were also 2 or 3 smaller hives a few inches below and to the right of my navel.  This was the only area in which I experienced itchiness.  I have pictures of the last two areas where this occurred.  Hives reduced each day until done.  The last to clear up was the one on my neck.  Total duration, approximately 3 or 4 days.   The areas seemed to line up with parts of the lymphatic system, when I looked up a map of it.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site haemorrhage, Injection site pruritus, Injection site rash
Clinical narrative: On Sunday, Jan 17 noticed enlarged  Left supraclavicular lymph node.  On Monday/Tuesday noticed rash, redness, swelling on Left arm below the injection site. Also noticed bruise at injection site.  (Note: arm did bleed more than normal at time of the injection).  By Wed 1/20, rash had gotten larger, itched some and was warm to the touch.  Applied Hydrocortisone cream to site a couple times that day.  Lymph node still enlarged (maybe larger?) Wed 1/20 at bedtime took Benadryl 25mg.  Thurs 1/21 swelling less on L arm, less itching, still red with some rash.  Lymph node smaller.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Lymphadenopathy
Clinical narrative: On Sunday, Jan 17 noticed enlarged  Left supraclavicular lymph node.  On Monday/Tuesday noticed rash, redness, swelling on Left arm below the injection site. Also noticed bruise at injection site.  (Note: arm did bleed more than normal at time of the injection).  By Wed 1/20, rash had gotten larger, itched some and was warm to the touch.  Applied Hydrocortisone cream to site a couple times that day.  Lymph node still enlarged (maybe larger?) Wed 1/20 at bedtime took Benadryl 25mg.  Thurs 1/21 swelling less on L arm, less itching, still red with some rash.  Lymph node smaller.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Heart rate increased, Pain, Pyrexia
Clinical narrative: Body aches, fever, headache and chills. Increased Heart rate.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Rash, Skin warm
Clinical narrative: Develop a rash on Right arm 8 days after, 7-8 inch in length x 3 inch wide.  Area red, swollen and hot to touch.  No pain. Notified PCP on line 3 days after. Recommended Zyrtec am and Benadryl pm (protocol). Also, observe for infection. Seen by Urgent care 4th day.  Rx'd Triamcinolone and Clindamycin (held off on antibiotics per my preference).  6 days on-rash remains the same.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: approximately 2.5? x 3? red rash at injection site ( upper left arm),  slightly warm to touch, mildly hard, slightly itchy, first noticed this morning and has increased a little in size over the last 5-6 hours, no treatment
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness
Clinical narrative: OFF BALANCE/DIZZY
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Systemic: Felt lightheaded, but resolved after 10 minutes; BP 112/60; Temp. 97.9-Mild
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Fatigue, Lymphadenopathy, Pain in extremity
Clinical narrative: Left arm soreness achiness, left lateral breast soreness and pain, left axillary lymph node swelling to size of softball. Fatigue
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot
Clinical narrative: Ears turned red, entire face became hot and red.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Urticaria, Vital signs measurement
Clinical narrative: ?Moderna COVID-19 Vaccine EUA?  Patient states that 5 minutes after receiving the vaccination he started to develop HIVES, and SOB and lightheadness. Patient admits he was given Benadryl IM at vaccination drive thru clinic and was transported to ER.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Glossodynia
Clinical narrative: Patient reported tongue pain located on the edges of the tongue, dizziness, shortness of breath.  Initial vital signs  108- HR 99% Pulse OX room air- 220/100
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Injection site pain, headache, tiredness, muscle pain, chills, nausea, feeling unwell, sweating, dizziness. After 45 minutes it subsided enough, except the nausea, so that I could go to the recovery area where I remained for a few more minutes. I then felt well enough to drive myself home.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Malaise, Myalgia, Nausea
Clinical narrative: Injection site pain, headache, tiredness, muscle pain, chills, nausea, feeling unwell, sweating, dizziness. After 45 minutes it subsided enough, except the nausea, so that I could go to the recovery area where I remained for a few more minutes. I then felt well enough to drive myself home.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Patient was given the injection (right deltoid) on 13 January 2001 and noticed pain under that arm  on  16 Jan 2001.  On January 19th, she noticed itching to the deltoid area and then on the 20th, a red rash appeared. It was warm to the touch and 21 Jan she stated the area of redness was warm and hard to touch. I examined the patient and did not find any induration but agree with warm to touch and an irregular shaped area with noticeable erythematous area measuring  5cm X 7 cm.  Gave her an injection of Clindamycin 300mg and a prescription of Cephalexin 500mg four times a day for ten days.  Will re- evaluate in 24 hours.  No other symptoms to report.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Discomfort, Dizziness, Erythema, Headache
Clinical narrative: First dose without incident. 18Jan2021 6:40am 2nd dose - 12hr later felt blah, 24hrs later extremely dizzy with moderate headache and body aches.  then at 4am 20Jan2021 (right around 48hrs), I had erythema with a blister on left lateral side around rib region 8-10 with itching and burning. This improved to no erythema and this morning (21Jan2021) only 3 blisters with mild discomfort.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain, Pruritus, SARS-CoV-2 test negative, Skin burning sensation
Clinical narrative: First dose without incident. 18Jan2021 6:40am 2nd dose - 12hr later felt blah, 24hrs later extremely dizzy with moderate headache and body aches.  then at 4am 20Jan2021 (right around 48hrs), I had erythema with a blister on left lateral side around rib region 8-10 with itching and burning. This improved to no erythema and this morning (21Jan2021) only 3 blisters with mild discomfort.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Flushing, Nausea, Vital signs measurement
Clinical narrative: Flushing Elevated BP @1254   BP152/95, P93, R20, T98.3, Spo2 99%RA Nausea
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Intensive care, Mental status changes, Pneumonia
Clinical narrative: Admitted to hospital 1/14/2021 with acute mental status changes, hypoxia, pneumonia (previous positive COVID 12/18/2020)  ICU 1/14/2021-1/16/2021, currently hospitalized PCU level of care
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Headache, Paraesthesia
Clinical narrative: Approx 1 hour after injection (arm ok) top of head near crown on left side felt pressure extreme soreness to touch and like nerves were tingling. Did not have any of this before  injection. This went on for rest of evening , all next day.  Next morning was back to normal. Never any severe pain  just pressure and soreness. Got inj. At 3:35 on Tuesday 1-19 2021 started feeling apps 4:30 same day into night. All next day Wednesday 1-20-2021 into night. Next morning Thursday 01-21 it was gone. Could not stand to touch that area on top of head.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Throat tightness, Tremor
Clinical narrative: 55 minutes (12:00pm) after receiving 1st dose of Moderna COVID-19 vaccine resident was shaky all over.  States he's had panic attacks but it "doesn't feel like that".  Denies chest pain.  Denies shortness of breath.  Visibly shaking.  Facial   Hx of diabetes and had just finished lunch.  Blood sugar 189.  02= 98% on room air, BP 140/70  Pulse 106.  At 12:07 complains that tongue feels numb and throat feels tight.  12:08 pm, Epi-pen administered to left outer thigh.  12:16pm  states he's feeling better.  Shaking has subsided.  Tongue numbness almost gone.   12:31pm T= 98.3  02 = 98%   P=80   BP= 114/72
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Eye contusion, Eye haemorrhage
Clinical narrative: Took a nap and woke up with a black eye, left side.  Occurred approximately 1430 on 01 January 2021. Black Eye continued to spread downward to the check bone.  Visited Urgent Care on 1/11/2021 and they said it was due to a broken blood vain.  I have never had this incident in the past.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous, Rash pruritic
Clinical narrative: Round red itchy rash around the injection site.  Likely been there since injection  and still noticeable on day 9 post vaccination
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction
Clinical narrative: Systemic: Anaphylaxis-Severe
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Pain in extremity
Clinical narrative: Had arm soreness on the day of the vaccine. The following day continues to have soreness of the arm but noticed a firm hard small lump in her left neck. Left neck lump persists. Non painful
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Feeling abnormal, Feeling cold, Injection site pain, Malaise
Clinical narrative: about 1 hour after shot, I got very cold and chilled, then that night or following day, I felt like I had a cold and sore throat and congested. Each day it got a tiny bit worse, I was soo sick but lethargic and unwell. It got a tiny bit worse the next day but I am hoarse and my throat feels annoyed and I don't feel like me. Even though all this happened I would go through with it again. The injection site hurt the next day and it went away.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, Throat irritation
Clinical narrative: about 1 hour after shot, I got very cold and chilled, then that night or following day, I felt like I had a cold and sore throat and congested. Each day it got a tiny bit worse, I was soo sick but lethargic and unwell. It got a tiny bit worse the next day but I am hoarse and my throat feels annoyed and I don't feel like me. Even though all this happened I would go through with it again. The injection site hurt the next day and it went away.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriovenous fistula aneurysm, Death, Respiratory failure, Septic shock
Clinical narrative: Admitted to hospital after vaccination with Acute hypoxemic respiratory failure, Septic shock;  Aneurysm of arteriovenous dialysis fistula; expired 1/16/2021
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Global myalgia, chills, high fever, significant arm pain.  Excedrin used.  Symptoms mostly resolved.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Headache (one day post vaccine), Fatigue (one day post vaccine)
Age: 83.0
Sex: M
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: none
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Headache, Oropharyngeal pain, Paranasal sinus discomfort
Clinical narrative: 1/20/21 HA, fever, sinus pressure/pain, ear pain, congestion, sore throat, chills  *Positive for Covid
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus pain
Clinical narrative: 1/20/21 HA, fever, sinus pressure/pain, ear pain, congestion, sore throat, chills  *Positive for Covid
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives on chest, back, legs and groin
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Pain in extremity
Clinical narrative: Received vaccine 1/20/2021 Awoke 1/21/2021 with chills, temp of 100.5, arm is sore
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Asthenia, Chills, Dizziness, Hallucination
Clinical narrative: Morning after receiving vaccine (01/14/2021), woke up and was having chills, weakness, "head felt like it did when having covid, dizziness, light-headed". Urinary incontinence and memory loss, and hallucinations on 01/14/2021. Blue color to left deltoid started 01/13/2021 in PM and on 01/14/2021 when waking up, left upper arm was blue and redness noted down to elbow. "I have laid on the couch and that's basically all I've done since getting the shot."
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discolouration, Injection site erythema, Urinary incontinence
Clinical narrative: Morning after receiving vaccine (01/14/2021), woke up and was having chills, weakness, "head felt like it did when having covid, dizziness, light-headed". Urinary incontinence and memory loss, and hallucinations on 01/14/2021. Blue color to left deltoid started 01/13/2021 in PM and on 01/14/2021 when waking up, left upper arm was blue and redness noted down to elbow. "I have laid on the couch and that's basically all I've done since getting the shot."
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: Body aches, headache, chills
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: redness and itching over injection site
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure decreased, Confusional state, Dizziness, Dyspnoea
Clinical narrative: Patient received the Moderna Covid-19 vaccine and during the observation the patient was observed to experience a reaction.  Approximately 5 minutes after the vaccine patient experienced warmth, dizziness, weakness, confusion, vision blurred, labored breathing, hypotension, mild nausea.  Blood pressure was dropping after first reading from 96/60 to 86/42 at which point a single dose of epi-pen was administered.  The patient BP stabilized at 105/83 at the time paramedics arrived and took the patient.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Nausea, Skin warm, Vision blurred
Clinical narrative: Patient received the Moderna Covid-19 vaccine and during the observation the patient was observed to experience a reaction.  Approximately 5 minutes after the vaccine patient experienced warmth, dizziness, weakness, confusion, vision blurred, labored breathing, hypotension, mild nausea.  Blood pressure was dropping after first reading from 96/60 to 86/42 at which point a single dose of epi-pen was administered.  The patient BP stabilized at 105/83 at the time paramedics arrived and took the patient.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Gait disturbance
Clinical narrative: on the 18th i was in the Dr office and went to take my blood pressure i got up to get my weight and went to walk to the scale IN front of me and instead i was walking backwards instead of forward.  i stopped myself but i couldn't make myself  forward only going backward. my brain wasn't telling me to walk back but my feet were moving backward. Finally stopped and was able to make myself move forward. i was fully aware of what was happening but just couldn't stop it.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Pain at injection site.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Two days post vaccination patient began having itching, redness, swelling and hot to the touch at injection site. has traced the redness with pen and states redness is expanding.  states about 3 in in diameter,  states some redness after injection with a small lump but the last 3 days redness has grown and expanded. Encouraged to apply ice pack, may take Tylenol/Anti Itch medication for sxs.  Continued to expand. Went to Urgent Care 1/17/21. Rx Cephalexin.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: General symptom, Headache, Nasal congestion, Pyrexia
Clinical narrative: Extreme body aches started 01/20/21 at 06:00am as well as headache and fever. This has continued to today 01/21/21 with body aches, fever, congested nose.  Taken IBU and Tylenol with little relief
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Headache, Pain
Clinical narrative: On the monday following  my vaccination is very suddenly developed SEVERE chills.  It took me three hours in a bed with electric blankets to get warm.  Headache and body aches and tiredness.  That day was the worst.   And here is is 4 days later and I am still not out of the woods.  I am still taking tylenol and advil for the body aches and chills and I have no energy
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Hypotension, Syncope
Clinical narrative: Patient was sitting in chair and fainted, would not respond to sternal rub or name. Called rapid response and was taken to ED. Patient was not responding for 2 minutes, proceeded to take vitals and gave him some orange juice in case low sugar. Took vitals and patient had low BP, felt cold, all other vitals were WNL. Taken to ED after about 15 minutes where they ran tests and made sure patient was okay.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Pyrexia
Clinical narrative: Fever 102 x 1 - Droplet Isolation implemented
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Hyperaesthesia, Myalgia, Nausea
Clinical narrative: Moderna COVID?19 Vaccine EUA Nausea, vertigo, headache, joint and muscle ache, increased skin sensitivity, fever
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vertigo
Clinical narrative: Moderna COVID?19 Vaccine EUA Nausea, vertigo, headache, joint and muscle ache, increased skin sensitivity, fever
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Inappropriate affect
Clinical narrative: Per dad, 2 hours after getting the vaccine the  patient  started laughing and crying inappropriately at the same time. This episode lasted around 4 hours. Patient then fell asleep and when she woke up she was fine. Patient has not had any problems or episodes since that day.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Discomfort, Fatigue, Headache, Lymphadenopathy
Clinical narrative: Swelling in underarms (at where armpit meets chest), more significant in left armpit (side of vaccine) but present on both sides. Noticed as soon as arrived home from clinic. Currently persistent still 9 days later. Not worsening but not improving. Some discomfort from this swelling. No swelling or redness of actual injection site at any point. Also had headache, arm and body aches and pains of muscle/bone, and fatigue but these resolved within a few days. Only swelling in armpits persists.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pain in extremity
Clinical narrative: Swelling in underarms (at where armpit meets chest), more significant in left armpit (side of vaccine) but present on both sides. Noticed as soon as arrived home from clinic. Currently persistent still 9 days later. Not worsening but not improving. Some discomfort from this swelling. No swelling or redness of actual injection site at any point. Also had headache, arm and body aches and pains of muscle/bone, and fatigue but these resolved within a few days. Only swelling in armpits persists.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered at inappropriate site
Clinical narrative: Vaccine recipient received injection low in the arm (8 finger breadths below the AC). She was concerned this was not in the deltoid muscle itself.  Upon review, the vaccine was not injected in the appropriate location for a deltoid IM injection.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash macular, Rash papular
Clinical narrative: Full body red raised spotted rash with bloches of large red patches on the the upper arms. Itchy   Treated with steroids and H2 blockers
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received second dose 1 day too early.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain
Clinical narrative: Body aches and chills 10 hours after second vaccine.  Lasted 12 hours.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Musculoskeletal discomfort, Neck pain
Clinical narrative: Pain/discomfort in left shoulder and neck.