chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Nervousness, Palpitations, Stomatitis, Tongue disorder
Clinical narrative: Pfizer BioNTech Covid 19 vaccine = treatment under Emergency Use Authorization(EUA): Patient presented to Covid Vaccine Clinic. Appointment time was 0925. Patient indicated she did have allergies on her screening sheet. Pfizer- BioNTech Covid-19 vaccine (0.3ml) was administered per protocol (Lot # EL3246, exp. date 04/30/21). At 0947 I was asked to come assess patient by the monitor. Patient reported her tongue felt thick and the roof of her mouth felt weird. I asked if her throat felt tight, if she had any shortness of breath or chest tightness. She denied any other symptoms. I asked if she had any allergies. Patient reported having a reaction in the past to adhesive from EKG leads, codeine, and contrast dye. I asked patient to pull her mask down. No swelling was observed around her mouth, lips, or tongue at that time. No hives were observed on her arms, chest or back. Patient than started to complain of feeling worse and had some tightness in her chest. At that time I escorted patient to a cot and advised I was going to administer an epi-pen. Patient verbalized understanding. I advised staff to call 911. At 0955 0.3 mg of epinephrine was administered into her left anteriolateral thigh. HR was 88 bpm at this time. Patient reported feeling shaky and felt like her heart was racing. I advised her that was a normal reaction to the epinephrine. Symptoms at this time did not progress. Patient reported her chest felt less tight at 10:05. EMS arrived and reported on 02 sat of 97% on room air. Patient was transported to the ED without further incident on location. Husband was present at all times and informed on all action taken.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Skin rash Client took COVID-19 (Moderna) vaccine on 1/27/21. 9:15 am. At 6:00 pm, started itching. Reported it today 1/28/21.  Has mild rash to both arms. No other symptoms.  Has not sought any treatment.
Sex: F
Vaccine: FLUX, TDAP
Symptoms: Hypoaesthesia
Clinical narrative: Patient reported to be waiting for a call from HCP due to reactions she had from a flu vaccine and a TDAP shot. She reports her left arm went numb Wednesday at midnight. She states it feels like a MS flare-up.
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Injection site erythema, Injection site pruritus
Clinical narrative: Received Moderna Covid19 vaccine on 1-20-21. On 1-21-21 developed headache, chills, fever, redness at site of injection. It measured 3"x2". Temp reached 101.9. On 1-22-21 woke to a headache but fever is gone. Site of injection redness appears the same itchy.
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Received Moderna Covid19 vaccine on 1-20-21. On 1-21-21 developed headache, chills, fever, redness at site of injection. It measured 3"x2". Temp reached 101.9. On 1-22-21 woke to a headache but fever is gone. Site of injection redness appears the same itchy.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Headache, Injection site pruritus, Injection site rash
Clinical narrative: 1/25/21 0800 Fever 101.5, nausea, joint pain, HA. Rash appeared at injection, circular around 50 cm in length. Red, hot and itchy. 1/27/21 1600-1700 rash increased in size to 195 cm. Red, hot and itchy. Other symptoms resolved by 1900. Oral and cream Benadryl OTC taken and administed had no effect on rash
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Nausea
Clinical narrative: 1/25/21 0800 Fever 101.5, nausea, joint pain, HA. Rash appeared at injection, circular around 50 cm in length. Red, hot and itchy. 1/27/21 1600-1700 rash increased in size to 195 cm. Red, hot and itchy. Other symptoms resolved by 1900. Oral and cream Benadryl OTC taken and administed had no effect on rash
Sex: M
Vaccine: TTOX
Symptoms: Anaphylactic shock
Clinical narrative: ON JANUARY 21, 2021 THE PATIENT REPORTED THAT THEY HAVE ALLERGIES FROM MAPLE AND ELM TREES CAUSING SHORTNESS OF BREATH AND ASHTHMA. PATIENT RECEIVED A TETANUS INJECTION AND WENT INTO ANAPHYLATIC SHOCK
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Headache, Pain
Clinical narrative: Day after - body aches, headache 2 days after - backache, chills
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Headache, Hypoaesthesia
Clinical narrative: I am an RN, and received the Pfizer BioNtech covid-19 vaccine (EK 9231) on 1/11/21, I had a mild headache that continued to get stronger, and on the 17th I began to have pain starting from my left shoulder to the top of my head on the left side (the same side of the injection). By the 18th I had complete numbness and burning on my left side. The 18 & 19th the headache was very strong.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Lung opacity, Pneumonia aspiration, Vomiting, White blood cell count normal
Clinical narrative: Patient lives in a SNF and received the first dose of the COVID-19 vaccine 1 day prior to admission. After the vaccine, patient had multiple rounds of vomiting. The next morning, patient was sent to emergency department for continued vomiting. On assessment, patient was found to have right sided opacities on chest x-ray. Patient was afebrile, with a normal WBC, and had mild increase in his chronic oxygen requirement. It was thought that these right sided opacities could be aspiration pneumonitis/pneumonia from the recurrent vomiting in a bed bound SNF patient. Vomiting leading to aspiration pneumonitis/pneumonia. Idiosyncratic response not expected from normal pharmacological mode of action (MOA) vomiting post vaccine leading to aspiration. Vomiting does appear to be linked to receipt of vaccine given timing. Of note, patient had COVID-19 requiring hospital admission approximately 1 month before receiving the COVID-19 vaccine. It is possible that the recent COVID-19 infection contributed to a worsened response to the COVID-19 vaccine.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Injection site pruritus, Pruritus, Swollen tongue
Clinical narrative: Site: Itching at Injection Site-Severe, Systemic: Exhaustion-Mild, Systemic: Other- Itching,Swollen tongue, Difficulty in breathing
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Skin warm
Clinical narrative: Left Arm Rash  3 inches x5 Inches started 1-21-21   continues to fade, but still very red and visible on today 1-28-2021 No pain, no itch, but warm to touch
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Injection site rash, Nausea
Clinical narrative: Pain at the site and a rash that continues to this day.  Nausea, fatigue, headache on day 4 which lasted about 12 hours.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Pharyngeal swelling
Clinical narrative: After leaving injection center (after waiting 15 min) while driving down the road started getting the feeling of my throat swelling.  This progressed and got very light headed and weak for about 2 minutes. Throat tightness continued for about 1 hour but did not cause trouble breathing.  At one point felt like I was unable to swallow.  Monitored by coworkers when arrived at work and chose not to go to ED unless symptoms worsened which they did not.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Fatigue, Headache, Hypoaesthesia, Paraesthesia
Clinical narrative: Spoke with Patient regardingside effects following her #1 Covid Vaccine on 1/15/21. She stated that about 12 hours later developed extreme fatigue, all over weakness, headache, she also c/o intermittent numbness & tingling in bilateral lower extremities (mid-calf to toes) she states that she also has Resless Leg Syndrrome that is untreated. Has been in contact with her PCP. Encouraged her to "Self-Report"  to the Vaccine's web-site listed in the Vaccine handout. Encouraged her to call back if she has further concerns or questions.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Feeling abnormal, Hypoaesthesia, Muscular weakness, Nervousness, Paraesthesia
Clinical narrative: Spoke with Patient regardingside effects following her #1 Covid Vaccine on 1/15/21. She stated that about 12 hours later developed extreme fatigue, all over weakness, headache, she also c/o intermittent numbness & tingling in bilateral lower extremities (mid-calf to toes) she states that she also has Resless Leg Syndrrome that is untreated. Has been in contact with her PCP. Encouraged her to "Self-Report"  to the Vaccine's web-site listed in the Vaccine handout. Encouraged her to call back if she has further concerns or questions.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Paralysis
Clinical narrative: Spoke with Patient regardingside effects following her #1 Covid Vaccine on 1/15/21. She stated that about 12 hours later developed extreme fatigue, all over weakness, headache, she also c/o intermittent numbness & tingling in bilateral lower extremities (mid-calf to toes) she states that she also has Resless Leg Syndrrome that is untreated. Has been in contact with her PCP. Encouraged her to "Self-Report"  to the Vaccine's web-site listed in the Vaccine handout. Encouraged her to call back if she has further concerns or questions.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electromyogram, Fatigue, Hypoaesthesia, Immediate post-injection reaction, Insomnia
Clinical narrative: Spoke with Patient regardingside effects following her #1 Covid Vaccine on 1/15/21. She stated that about 12 hours later developed extreme fatigue, all over weakness, headache, she also c/o intermittent numbness & tingling in bilateral lower extremities (mid-calf to toes) she states that she also has Resless Leg Syndrrome that is untreated. Has been in contact with her PCP. Encouraged her to "Self-Report"  to the Vaccine's web-site listed in the Vaccine handout. Encouraged her to call back if she has further concerns or questions.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Limb discomfort, Paraesthesia
Clinical narrative: Spoke with Patient regardingside effects following her #1 Covid Vaccine on 1/15/21. She stated that about 12 hours later developed extreme fatigue, all over weakness, headache, she also c/o intermittent numbness & tingling in bilateral lower extremities (mid-calf to toes) she states that she also has Resless Leg Syndrrome that is untreated. Has been in contact with her PCP. Encouraged her to "Self-Report"  to the Vaccine's web-site listed in the Vaccine handout. Encouraged her to call back if she has further concerns or questions.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chest pain, Heart rate increased, Muscle spasms, Myalgia
Clinical narrative: Moderna COVID-19 Vaccine EUA I started to have an increased heart rate and heart palpitations that lasted about a second/1.5 seconds on and off. The increased heart rate would persist for quite some time (an hour or two), and then would stop, and happen again on and off.  The heart palpitations would occur multiple times per day. This lasted for about three days from the start date of the adverse event. On that start date, I also had some muscle cramping in my left arm (arm of vaccine injection), and had soreness beginning around my lymph nodes in my left armpit (that radiated into my chest a bit)  which was enough to make me want to life my arm up so it wasn't pressing down on it. The soreness is mostly gone now, but still there. I also had what I believe is muscles in my chest (on the left side mainly) cramping, as I had some aching and brief sharp pains occurring mainly during the time I had heart palpitations and increased heart rate, but it was hard to tell. I still get an occasional heart palpitation (one or two per day), but it is much less frequent than before.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpitations
Clinical narrative: Moderna COVID-19 Vaccine EUA I started to have an increased heart rate and heart palpitations that lasted about a second/1.5 seconds on and off. The increased heart rate would persist for quite some time (an hour or two), and then would stop, and happen again on and off.  The heart palpitations would occur multiple times per day. This lasted for about three days from the start date of the adverse event. On that start date, I also had some muscle cramping in my left arm (arm of vaccine injection), and had soreness beginning around my lymph nodes in my left armpit (that radiated into my chest a bit)  which was enough to make me want to life my arm up so it wasn't pressing down on it. The soreness is mostly gone now, but still there. I also had what I believe is muscles in my chest (on the left side mainly) cramping, as I had some aching and brief sharp pains occurring mainly during the time I had heart palpitations and increased heart rate, but it was hard to tell. I still get an occasional heart palpitation (one or two per day), but it is much less frequent than before.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Erythema, Headache, Nausea
Clinical narrative: neck and chest became red and splotchy  but subsided on its own. Headache, body aches, low grade temp, chills, nausea and dizziness. No treatment
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash macular, Rash papular
Clinical narrative: neck and chest became red and splotchy  but subsided on its own. Headache, body aches, low grade temp, chills, nausea and dizziness. No treatment
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Pyrexia
Clinical narrative: Slight headache from 1630 through the night. Chills but sweating at 2145.  Fever of 100.1 at 2305. 99.3 at 0830 on 1/19/21.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: From shoulder to palm of L side numbness immediately after receiving the vaccine it felt like her arm fell asleep.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling hot, Injection site rash, Injection site streaking, Injection site warmth
Clinical narrative: The patient had muscle aches/fatigue as expected that lasted about 36 hours.  However, she developed red raised, itchy hot rash localized rash in  the area of vaccine 6 days after vaccine.  There was some heat to the area and some streaking below the circular rash.  We discussed that a red rash at the injection site can be a side effect (benign) of the Moderna vaccine.  However, based on the streaking and the delay in the rash beginning we did also cover with a short course of antibiotic and patient requested this be reported to VAERS.  She did not receive the vaccine at our facility and so I do not know the lot number or other specifics.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Rash, Rash erythematous, Rash pruritic
Clinical narrative: The patient had muscle aches/fatigue as expected that lasted about 36 hours.  However, she developed red raised, itchy hot rash localized rash in  the area of vaccine 6 days after vaccine.  There was some heat to the area and some streaking below the circular rash.  We discussed that a red rash at the injection site can be a side effect (benign) of the Moderna vaccine.  However, based on the streaking and the delay in the rash beginning we did also cover with a short course of antibiotic and patient requested this be reported to VAERS.  She did not receive the vaccine at our facility and so I do not know the lot number or other specifics.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Headache
Clinical narrative: dizziness, headache, anxiety
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Nurse tested positive for COVID on 1-4-2021
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Discharge, Erythema, Pain, Skin warm
Clinical narrative: redness, pain, puss, skin warm to touch. recommended patient go to doctor. had vaccine 10 days ago
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue
Clinical narrative: Achy joints; fatigue
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Started with headache and  muscle aches at night. Woke up with love grade temperature, fatigue, chills, muscle aches,nausea. Temperature was normal by 9:00 AM. Other symptoms improved but still remained
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Started with headache and  muscle aches at night. Woke up with love grade temperature, fatigue, chills, muscle aches,nausea. Temperature was normal by 9:00 AM. Other symptoms improved but still remained
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Headache, Nausea
Clinical narrative: Extreme dizziness some nausea headache loss of balance
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Peripheral swelling, Skin warm
Clinical narrative: Left arm swollen hot to touch, can barely move arm.  received  vaccination 9:30  Headaches  started 1:30. No symptoms have resolved . Currently have 99.8 temperature
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Somnolence, Vomiting
Clinical narrative: 4am woke up felt sick with lose stools & threw up a couple times felt chilled could not get warm. slept on & off thought was getting better, the started throwing up several times again. today I feel better & was able to keep coffee & cerel down.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Severe vertigo
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus
Clinical narrative: Site: Itching at Injection Site-Medium
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Pruritus, Rash, Throat tightness
Clinical narrative: Patient reported symptoms of nausea and severe lightheadedness approximately 10 minutes after vaccine administration.  Symptoms progressed and patient report feeling  itchy with throat tightness.  New onset of rash on bilateral forearms.  He was elevated by Doctor with recommendation to be transported to the local Emergency Department.   Patient refused to be transported and asked to stay on-site for continued observations.   Patient's symptoms failed to resolve after 45 minutes, rescue team was called.  They presented and evaluated patient with recommendations to be transported to the local Emergency Department.  Patient declined transport to the hospital.  Rescue team spoke with the Emergency Department, the decision was made and the patient agreed to an additional hour of observation with the understanding if symptoms didn't resolve they would be transported to the Emergency Department.   Symptoms unchanged after 1 hour, patient made the decision to leave and follow up with their Primary Care Physician.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue
Clinical narrative: Joint achyness; fatigue
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth, Local reaction
Clinical narrative: Vaccinated on 1/15.  Noting a 1inch diameter redness, firm, warm and itchy area around my injection site on 1/22 PM.  By Monday, 1/25 had a 6 inch length by 4 inch in width site, much more red and warm.  Visited my PCP, stating  a " local reaction."  No medication administered except did take Ibuprofen 200mg each day in the evening when it seemed to bother me the most.  Today is 1/28 and it is still quite evident and warm.  Used warm compresses the w/e of 1/23,24 in hope to dissipate the firm/hardness and then cool compresses since then. Afebrile
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: resident was on hospice, chronically ill w dementia, COPD, HTN, failure to thrive, passed away 1/13/21. Not certain injection related as he was declining already.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial test negative, Blood test normal, Influenza virus test negative, Nausea, Pain
Clinical narrative: fever, nausea, vomiting, severe body aches severe left arm pain, all symptoms worse that 1st dose. Fever persisted from 1/7/21 to 1/10/21. Seen in ER 1/9/21 with T 101.9 again & workup (-) for bacterial infection /sepsis , COVID neg, flu neg.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, SARS-CoV-2 test negative, Vomiting
Clinical narrative: fever, nausea, vomiting, severe body aches severe left arm pain, all symptoms worse that 1st dose. Fever persisted from 1/7/21 to 1/10/21. Seen in ER 1/9/21 with T 101.9 again & workup (-) for bacterial infection /sepsis , COVID neg, flu neg.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Throat irritation
Clinical narrative: Patient received Pfizer vaccine #2 today.    After the vaccine, the employee reported the following symptoms:    Lot: EL3247  Time of Administration: 11:24  Time Symptoms Began: about 10 minutes later   _____  Patient alerted observer who took the patient to the medical observation area.  I was alerted and responded.  She is reporting itching in her throat about 10 minutes after the vaccine was administered.  Ears are also itchy.    Vaccine given in L arm.    Initial Assessment @ _11:55am_:  Patient is AAO.  The employee is sitting up on the sofa.  The employee is pink and does not appear to be in distress.  She is talking and making conversation.    Vitals @: 11:56am  HR:80-90s  BP:  O2: 97%   Pt took Benadryl 25mg PO that she brought with her at 11:58am   PMH:  - sulfa drugs - hives  - Levaquin and these types of meds - rash  - food allergies: peanuts, seafood, legumes, tree nuts  - environmental allergies such as mold, grass, trees  - does take allergy shots  Vitals @: 12p  HR: 94  BP: --  O2: 98%  Vitals @: 12:05p  HR: 96  BP: --  O2: 96   Throat does not feel tight but is still itchy.  Ears are getting better.  Mouth is not itchy, tingly, or weird feeling.    Pt does carry an Epi with her.  Only used as a child.  Has never had to use it as an adult.    Medications -  Symbicort BID  Albuterol PRN  Zyrtec - qAM  Flonase - qAM  Wellbutrin - qday  Singulair qPM  Vitamins  Birth Control   12:08pm - pt is sitting up and talking.  No distress noted.  We are discussing her work history at Hospital.  She has been a nurse at Hospital for 13 years.  Previously worked at and is now at Hospital.    Vitals @: 12:10p  HR: 88  BP: 143/77  O2: 97   Throat is not as itchy at 12:11.  O2 is 97-98.  Pt reports that this is normal for her.  She also notes that the BP is normal for her as well.    Patient lives alone but her mom is going to come to her house
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Eye pain, Headache
Clinical narrative: fever (99-102), body aches, joint pain, lethargy, chills, eye pain, headache, loss of appetite
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pain, Pyrexia
Clinical narrative: fever (99-102), body aches, joint pain, lethargy, chills, eye pain, headache, loss of appetite
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Impaired work ability, Pruritus, Swelling
Clinical narrative: No symptoms initially, then 3-4 hours having itching which got worse.  1/27/21 reaction was on face on the right side.  Last night the ears on the ride was red and having swelling.  Taking Benadryl (advised by son who is dr), cortisone with itching.   Not able to go to work due to side effects from taking the Benadryl.  Does have a call-in to her doctor.  Saw on website which said to have an injection of Benadryl and/or Cortisone which is waiting on instructions from him.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: The patient was set to receive the second dose of the COVID-19 vaccine series on 1/25/21 and instead received it on 1/19/21. The patient reported no adverse reactions in the 72 hours following the vaccination.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Skin warm
Clinical narrative: Hives, raised red area, warm to touch, firm hard center, no pain.  Hydrocortisone cream and ice applied. Oral Tylenol x1 and Benadryl for 3 days.  Redness spread over 24 hours, hives resolved, remained hot to touch.  Redness and swelling resolved in 3 days after medications
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives, raised red area, warm to touch, firm hard center, no pain.  Hydrocortisone cream and ice applied. Oral Tylenol x1 and Benadryl for 3 days.  Redness spread over 24 hours, hives resolved, remained hot to touch.  Redness and swelling resolved in 3 days after medications
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache
Clinical narrative: headache, chills, and fatigue
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Diplopia, Magnetic resonance imaging brain, Metabolic function test, Strabismus, Ultrasound Doppler
Clinical narrative: On 1/19/21 I started to experience double-vision with both eyes open.  My left eye crossed towards the nose.  The diplopia goes away when I cover either eye.  My primary physician referred me to a neuro ophthalmologist who diagnosed sixth cranial nerve palsy.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: VIth nerve paralysis
Clinical narrative: On 1/19/21 I started to experience double-vision with both eyes open.  My left eye crossed towards the nose.  The diplopia goes away when I cover either eye.  My primary physician referred me to a neuro ophthalmologist who diagnosed sixth cranial nerve palsy.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Soreness at injection site beginning 0230 hrs following an injection at 1400 hrs the day previously.  Self-administered 1000 mg Acetaminophen PO. Just in second day now. Soreness less. Taking 500 mg Acetaminophen PO Q8hours
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site pruritus
Clinical narrative: on the same day as the injection (1/19/21) I felt a small lump/bump/hardness at injection site. Beginning the night of 1/26/21 I felt the hardness but was much bigger. The next day (1/27/21) it became itchy; called primary physician and was instructed to report it to CDC or agency where I received shot; On 1/28/21, noticed a red welt at injection site, with tenderness.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Urticaria
Clinical narrative: on the same day as the injection (1/19/21) I felt a small lump/bump/hardness at injection site. Beginning the night of 1/26/21 I felt the hardness but was much bigger. The next day (1/27/21) it became itchy; called primary physician and was instructed to report it to CDC or agency where I received shot; On 1/28/21, noticed a red welt at injection site, with tenderness.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthralgia, Chills, Headache, Muscle spasms
Clinical narrative: 14 hours after the shot, I began having chills, a slight headache, muscle and joint pain, muscle cramps, and a slight upset stomach. It lasted throughout the night.  In the morning (after symptoms between 11pm and 9am) I woke up with only the muscle and joint aches and a slight headache. The chills, muscle cramps and upset stomach were gone.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: 14 hours after the shot, I began having chills, a slight headache, muscle and joint pain, muscle cramps, and a slight upset stomach. It lasted throughout the night.  In the morning (after symptoms between 11pm and 9am) I woke up with only the muscle and joint aches and a slight headache. The chills, muscle cramps and upset stomach were gone.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Lymphoedema, Ultrasound scan
Clinical narrative: I had swollen lympnodes  along my clavicle and neck. I had lymphedema.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Headache
Clinical narrative: After1st dose December 22, 2020. I've had an on going headache since morning of the December 23, 2020.  After 2nd dose January 08, 2021 , (Pfizer EK417, also left arm IM) occasionally light headed with ongoing headache. I will find a new PCP, my insurance has changed.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: large red area around site, hot to touch, itchy, area doubled in size daily  symptoms started exactly 1 week after injection
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Discomfort, Dry skin, Eczema, Eyelids pruritus
Clinical narrative: Itchy eyelids/ Eyelid swelling/Dry skin - eyebags - began 2nd - 3rd day eczema - hands/neck/ shaky/cold - Day 6 low energy 6 - 8 day - sleeping/napping more  Day 3 & 4 -Took Benadryl - did not help with swelling/ did help with discomfort Day 5 & 6- took Zyrtec and anti-itch eye drops - this helped  95% cleared of symptoms
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Periorbital swelling, Somnolence, Swelling of eyelid, Tremor
Clinical narrative: Itchy eyelids/ Eyelid swelling/Dry skin - eyebags - began 2nd - 3rd day eczema - hands/neck/ shaky/cold - Day 6 low energy 6 - 8 day - sleeping/napping more  Day 3 & 4 -Took Benadryl - did not help with swelling/ did help with discomfort Day 5 & 6- took Zyrtec and anti-itch eye drops - this helped  95% cleared of symptoms
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Lymphadenopathy
Clinical narrative: I got the pfizer covid vaccine on 1/18/21 my initial reactions were slight soreness at injection site and a mild headache for 2 days. I took some ibuprofen for the headache.  Prior to the vaccination I have not been ill. When I woke up on Sunday morning , 6 days after my initial injection I have a swollen gland on the left side of my neck about 2 " directly below my ear lobe. The swollen gland is mildly sore. Initially i think the size was about 1.75" by 3/4 ".  Now on day 4 after it first presented itself the swelling is slowly going down to about 1"x  1/2 ".
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: 3 or more instances of syncope/lightheadedness
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: CNA tested positive for COVID on 1-4-2021
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Elevated heart rate
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discomfort, Injection site erythema, Injection site irritation, Injection site pruritus
Clinical narrative: My arm started itching at the injection site a week after receiving the vaccination. Today there is redness, irritation, and discomfort.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Electrocardiogram normal, Peripheral swelling
Clinical narrative: After I received the vaccination that evening I went to bed and woke up about midnight felt water in the bed and it was coming out of my arm, I dried it off went back to sleep. The next morning my arm was swelling, and it?s gotten worse and worse, the top of my had is so swollen I cannot make a fist. My doctor sent me to the hospital and blood work was alight the echocardiogram showed heart is alight no blood clot and there?s no other reason. My doctor thinks it?s because of the vaccination.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Hyperhidrosis, Walking aid user
Clinical narrative: EXTREMELY DIZZY, SWEATING, LACK OF APATITE. I HAD TO HOLD ONTO THING WHEN WALKING. TODAY 1/ 28/2121 I AM BACK TO NORMAL. NO SIDE EFFECTS. JUST ONE DAY OF COMPILATIONS
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, chills, aches
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Chills, Cold sweat, Nausea
Clinical narrative: Severe mid and upper back pain, abdominal pain, nausea, vomiting, fever, chills, cold sweats, body aches
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Severe mid and upper back pain, abdominal pain, nausea, vomiting, fever, chills, cold sweats, body aches
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling of body temperature change, Headache, Nasal discomfort, Nasopharyngitis
Clinical narrative: I had a rash on the left arm and down my side. Headache tiredness cold symptoms. Burning and cooling in nose.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: I had a rash on the left arm and down my side. Headache tiredness cold symptoms. Burning and cooling in nose.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Nausea, Pain
Clinical narrative: Body aches; chills; sweaty; nausea
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: First dose of pfizer on 1/6/21. Second dose of pfizer on 1/21/21 Second dose was 15 days after first dose, instead of the recommended 21 days No adverse reaction was noted in patient after administration No adverse reaction has been reported by the patient since administration
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hypoaesthesia, Paraesthesia
Clinical narrative: anxiety/possible panic attack, left arm numbness/tingling, patient encouraged to go to ER for further eval, facility staff took her to ER (next door to facility).
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness
Clinical narrative: ON 1/28 IN THE EVENING, DEVELOPED WEAKNESS IN HANDS AND LEGS. RESIDENT HAD NO STRENGTH AND WAS UNABLE TO WALK. WAS SEEN IN THE EMERGENCY ROOM THAT NIGHT AND RELEASED SAME NIGHT. VITALS WERE STABLE.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Large red area noticed 13 days after injection administered. Arm was very tender, sore after initial injection with large slightly swollen area present for approximately 10 days after injection. Photos available if needed.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: Dizziness, headache, and nausea Went to ER on the 24th, the night the symptoms appeared. Received fluids and toradol Discharged that night and still felt dizzy. Symptoms went away the next day and returned on the 26th with feeling of dizziness, headache and nausea. Continued to the next day, called primary care provider the 27th and was perscribed Ondansetron for the nausea. Symtpoms of headache and dizziness continued the 28th
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Headache
Clinical narrative: HA  chill temp, fatigue   lasted 72 hours
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Hyperhidrosis
Clinical narrative: HA  chill temp, fatigue   lasted 72 hours
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: HA  chill temp, fatigue   lasted 72 hours
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dry mouth, Fluid replacement, Headache
Clinical narrative: Dizziness, sweating, chest heaviness, palpitations, headache, dry mouth, nausea, hypertension
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypertension, Nausea, Palpitations
Clinical narrative: Dizziness, sweating, chest heaviness, palpitations, headache, dry mouth, nausea, hypertension
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Hyperhidrosis, Monoplegia
Clinical narrative: At 2am I woke up with severe headache 9/10, sweating chills, fever on three different thermometers. 100.5, 100.6, 100.8, my right arm I couldn't not move it was just hanging there dead, I called my dr the AM of 31st, he prescribed solumedrol pack for the headache, acitomenaphine,, he asked me to get covid tested, I got results on the 1/2/2021 I was positive, I retested on 1/5/2021 and results were negative on the 6th, I retested again on 1/7 and reported 1/8 I was negative,  I went to local pharmacy that did antibody testing: they marked IGM and IGGM  positive - resulting in I had Covid, I quarantined and took 5-6 days to feel better.  I think I already had covid and that may be why I had that reaction  I get a monthly allergy shot - because I'm allergic to a lot
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: At 2am I woke up with severe headache 9/10, sweating chills, fever on three different thermometers. 100.5, 100.6, 100.8, my right arm I couldn't not move it was just hanging there dead, I called my dr the AM of 31st, he prescribed solumedrol pack for the headache, acitomenaphine,, he asked me to get covid tested, I got results on the 1/2/2021 I was positive, I retested on 1/5/2021 and results were negative on the 6th, I retested again on 1/7 and reported 1/8 I was negative,  I went to local pharmacy that did antibody testing: they marked IGM and IGGM  positive - resulting in I had Covid, I quarantined and took 5-6 days to feel better.  I think I already had covid and that may be why I had that reaction  I get a monthly allergy shot - because I'm allergic to a lot
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Fatigue, Headache, Injection site pain
Clinical narrative: About 4 hours after the vaccine I started getting a headache. At approximately 8 hours after receiving the vaccine, I started running a fever of 100F. It went up to 101F and stayed there until last night (Jan. 27). It got as high as 102F. I also had joint pain, nausea, fatigue. I took acetaminophen and ibuprofen for the symptoms without much relief.  Today (Jan. 28) I feel much better but am very weak and tired. Arm at injection site is still very painful.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: About 4 hours after the vaccine I started getting a headache. At approximately 8 hours after receiving the vaccine, I started running a fever of 100F. It went up to 101F and stayed there until last night (Jan. 27). It got as high as 102F. I also had joint pain, nausea, fatigue. I took acetaminophen and ibuprofen for the symptoms without much relief.  Today (Jan. 28) I feel much better but am very weak and tired. Arm at injection site is still very painful.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: dietary staff tested positive for COVID on 1/6/2021
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperaesthesia, Pain
Clinical narrative: Sensitivity to touch (pain) for four days, ache continuing.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Head discomfort, Myalgia, Pyrexia
Clinical narrative: slight fever, muscle pain akin to those suffered with statin medication, pressure in the head, light headed, some chest pain
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Headache, Injection site erythema, Injection site pruritus
Clinical narrative: 10 days after injection, 01/25/2021, left arm became itchy at injection site. When I looked at arm, it has a large pink oval spot, warm to the touch, under the injection site. Itching stopped overnight. Woke up next day 01/26/2021, with headache, very tired and nausea and gagging. This is my third day feeling sick. Not as bad but still turned from eating.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Malaise, Nausea, Retching
Clinical narrative: 10 days after injection, 01/25/2021, left arm became itchy at injection site. When I looked at arm, it has a large pink oval spot, warm to the touch, under the injection site. Itching stopped overnight. Woke up next day 01/26/2021, with headache, very tired and nausea and gagging. This is my third day feeling sick. Not as bad but still turned from eating.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dysgeusia, Lymph node pain, Lymphadenopathy, Pyrexia
Clinical narrative: Metallic taste beginning 20 min after injection. Chills beginning 15 hours after, then  fever up to 100  F  at18 hours after.  Treated with   400 mg ibuprofen every 6 hours. Fever resolved at 20 hours after injection.  Lymphadenopathy in left axillary nodes with  tenderness.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: FEVER, VOMITING X 1 AND GENERALIZED ITCHING STARTED ON THIRD DAY AFTER VACCINATION
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Vomiting, body aches and chills, fever, sore arm. only vomiting has resolved.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Impaired work ability, Nausea
Clinical narrative: Chills; sweating; headache; nausea   left work early
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Heart rate increased
Clinical narrative: Patient c/o rapid heart rate 5 minutes after recieving first covid vaccine. States no h/o allergic reaction to any previous vaccines or medications. Denied any feeling of swelling, shortness of breath. Stated he has a h/o anxiety and was very anxious about vaccine.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Rash in vaccine site, began as small itchy red spot on 1/26/21; expanded threefold in 24 hours. No treatment at this point aside from taking a couple of Tylenol at bedtime each night. Watching to see if anything else happens.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Epilepsy, Generalised tonic-clonic seizure
Clinical narrative: I have longstanding epilepsy but have not had a grand mal seizure in many years until the night I received my second Covid vaccination.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Heart rate increased, Hyperaesthesia
Clinical narrative: Migraine started 2.5 hours after receiving shot (2nd dose). Intense migraine with nausea, hand and facial tingling/ numbness, seeing spots. Went away at just about 24 hours after it started. Got the chills just before it went away, no fever. Skin sensitivity and fever set in around 26 hours in - 102. Heart rate jumped from 130-170. Improved to about 150 with Tylenol  and ALOT of fluids as fever improved, remained high until fever was gone around noon the next day. Hip pain, neck pain and back pain throughout. Hip pain first 24 hours. Back pain following that.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Migraine, Nausea, Neck pain, Paraesthesia
Clinical narrative: Migraine started 2.5 hours after receiving shot (2nd dose). Intense migraine with nausea, hand and facial tingling/ numbness, seeing spots. Went away at just about 24 hours after it started. Got the chills just before it went away, no fever. Skin sensitivity and fever set in around 26 hours in - 102. Heart rate jumped from 130-170. Improved to about 150 with Tylenol  and ALOT of fluids as fever improved, remained high until fever was gone around noon the next day. Hip pain, neck pain and back pain throughout. Hip pain first 24 hours. Back pain following that.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Visual impairment
Clinical narrative: Migraine started 2.5 hours after receiving shot (2nd dose). Intense migraine with nausea, hand and facial tingling/ numbness, seeing spots. Went away at just about 24 hours after it started. Got the chills just before it went away, no fever. Skin sensitivity and fever set in around 26 hours in - 102. Heart rate jumped from 130-170. Improved to about 150 with Tylenol  and ALOT of fluids as fever improved, remained high until fever was gone around noon the next day. Hip pain, neck pain and back pain throughout. Hip pain first 24 hours. Back pain following that.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Mass, Pain in extremity, Pruritus, Skin warm
Clinical narrative: Sore arm, hot, red, lump for 5 days, then it cleared up 3 days later became sore and itchy and red again (same size redness) cleared in 3 days (11 total)
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: arm muscle/nerve twitching x 3 days
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Malaise
Clinical narrative: Soreness on left deltoid Headache, chills, shakiness, fatigue, malaise and body aches
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Tremor
Clinical narrative: Soreness on left deltoid Headache, chills, shakiness, fatigue, malaise and body aches
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Tremor
Clinical narrative: Tremors, headache, nausea and dizziness
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus, Injection site rash
Clinical narrative: I received my vaccination on January 20th, and on the 7th day after my vaccination, January 27th 2021, my arm began to feel itchy and warm with little red bumps around the injection site. A huge lump appeared on my upper arm at the site of the injection later in the day.   Today on the 28th  It seems to be getting worse. Site is reddened, warm to the touch, swollen and semi hardened. It feels very  tight. I am taking Motrin and icing the area.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Skin tightness
Clinical narrative: I received my vaccination on January 20th, and on the 7th day after my vaccination, January 27th 2021, my arm began to feel itchy and warm with little red bumps around the injection site. A huge lump appeared on my upper arm at the site of the injection later in the day.   Today on the 28th  It seems to be getting worse. Site is reddened, warm to the touch, swollen and semi hardened. It feels very  tight. I am taking Motrin and icing the area.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Ammonia increased, Lethargy, Muscle twitching, Tremor, Unresponsive to stimuli
Clinical narrative: Pt came to tx a/o x4. Pt given COVID-19 Moderna vaccine at around 1545, then RN checked on pt at 1600, and pt not verbally responsive. Pt BP in the low 100's. Pt able to open eyes, but very lethargic. Pt placed supine, given 2l 02 via, breathing unlabored, hr ok, about 600 cc ns bolus given. Pt still not responding verbally. RN noted body twitching/shaking. Paramedics called and transferred to ER at around 1615. The patient did not require the use of an Epi pen .  Patient spent the night in the hospital. It was reported that he had  elevated Ammonia levels which may have caused this issue. However as this happened so close to the vaccination we are reporting
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Migraine, Pain, Rhinorrhoea
Clinical narrative: Migraine, runny nose, body aches, chills
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Rash, Rash pruritic
Clinical narrative: Bad rash over entire torso, some on the arms and legs.  Itchy and painful.  Very red.  Day 3 and still major.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chest discomfort, Chest pain, Fatigue
Clinical narrative: Received 2nd dose vaccine on 1/22/21; woke up on 1/23/21 with mild headache by later in afternoon with generalized body aches.  By early evening left arm tightness radiates to shoulder/shoulder blade/left chest and arm tingling sensation (as if pulled muscle) requiring icing area and Motrin; felt tired and lethargic; woke up Sunday with headache, ate breakfast and went back to bed till 2pm.  Felt better as day progresses Sunday.  Wednesday 1/27/21 left arm sore as if I received injection that morning.  as day progresses soreness radiates to the shoulder and chest area, tingling resumes and by evening with numbness and nausea.  Thursday 1/28/21 still with the tingling sensation and whole left upper arm and shoulder area tight with some weakness.