chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Musculoskeletal pain, Nerve stimulation test, Pain
Clinical narrative: 10/13/21 1pm Pharmacy got Pfizer shot 10/13/21 mild headache within 2 hours 10/14/21 bad headache the entire day. No arm soreness.  10/15 teaching all day and felt pain on right side.  10/16-10/17 still pain on right side and armpit 10/18 teaching all day With the pain 10/18 5pm feeling pain down back of right leg down through heal. Tingling. Numbness. Deep tissue pain right but cheek.  10/19 called dr 3x to tell of pain. No call back  10/20 9:00am. Primary dr sent me to emergency room for Nerve tests/scans.   Ekg, chest  X-ray, given   Valume amd toroidal given. Dr release Me ans said it was muscular. I strained my sciatica somehow he said. He would not discuss with me if it could hane possible been due to vaccine a few days prior.  600mg iniprophen given as prescription amd a muscle relaxer as well   Today is 10/23/21. I still have pain on right side that radiates from arm pit through chest and parricularly painful Down right leg. Increasing in severity to a 10 At times
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Sciatica
Clinical narrative: 10/13/21 1pm Pharmacy got Pfizer shot 10/13/21 mild headache within 2 hours 10/14/21 bad headache the entire day. No arm soreness.  10/15 teaching all day and felt pain on right side.  10/16-10/17 still pain on right side and armpit 10/18 teaching all day With the pain 10/18 5pm feeling pain down back of right leg down through heal. Tingling. Numbness. Deep tissue pain right but cheek.  10/19 called dr 3x to tell of pain. No call back  10/20 9:00am. Primary dr sent me to emergency room for Nerve tests/scans.   Ekg, chest  X-ray, given   Valume amd toroidal given. Dr release Me ans said it was muscular. I strained my sciatica somehow he said. He would not discuss with me if it could hane possible been due to vaccine a few days prior.  600mg iniprophen given as prescription amd a muscle relaxer as well   Today is 10/23/21. I still have pain on right side that radiates from arm pit through chest and parricularly painful Down right leg. Increasing in severity to a 10 At times
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Cough, Fatigue, Feeling abnormal, Loss of personal independence in daily activities
Clinical narrative: Ongoing......... Brainfog, fatigue, weakness, sore throat, dry cough, body aches. Affecting my ability to function, make decisions, drive and fill out this form.  Treatment: Self help, following strict anti-inflammatory diet, when side effect were not improving after 3.5 months  Outcome: After starting the diet 3.5 months after getting vaccine, brain fog and body aches cured, rest of symptoms very slowly improving.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, Pain
Clinical narrative: Ongoing......... Brainfog, fatigue, weakness, sore throat, dry cough, body aches. Affecting my ability to function, make decisions, drive and fill out this form.  Treatment: Self help, following strict anti-inflammatory diet, when side effect were not improving after 3.5 months  Outcome: After starting the diet 3.5 months after getting vaccine, brain fog and body aches cured, rest of symptoms very slowly improving.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Fatigue, Herpes zoster, Mobility decreased
Clinical narrative: 3 days after my booster shot my right shoulder was extremely sore it progressed over the hrs. until I could no longer lift my arm without assistance. This lasted for about 4 days. 1 day after my right shoulder felt better then my left shoulder did the same as my right one had. It was extremely painful and from past flareups I recognized  the symptoms to be an RA episode.   Since then in the last  18 days I've experienced a flare of the Sjogren's  as well as lingering effects from the initial RA flare.  This morning on 10/23/2021 I woke up with the shingles on the right side of my ribcage. I've never had shingles before. Very, very tired.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid arthritis, Sjogren's syndrome
Clinical narrative: 3 days after my booster shot my right shoulder was extremely sore it progressed over the hrs. until I could no longer lift my arm without assistance. This lasted for about 4 days. 1 day after my right shoulder felt better then my left shoulder did the same as my right one had. It was extremely painful and from past flareups I recognized  the symptoms to be an RA episode.   Since then in the last  18 days I've experienced a flare of the Sjogren's  as well as lingering effects from the initial RA flare.  This morning on 10/23/2021 I woke up with the shingles on the right side of my ribcage. I've never had shingles before. Very, very tired.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone decreased, Cardiomyopathy, Catheterisation cardiac, Coronary artery disease, Echocardiogram
Clinical narrative: Patient presented with new cardiomyopathy, with regional hyopkinesis; cardiac catheterization without evidence of CAD.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokinesia
Clinical narrative: Patient presented with new cardiomyopathy, with regional hyopkinesis; cardiac catheterization without evidence of CAD.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Cough, Fatigue, Headache
Clinical narrative: pain at injection site, fatigue, nausea,headache, congestion, fever, achy joints, cough, body aches all over, chills
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: pain at injection site, fatigue, nausea,headache, congestion, fever, achy joints, cough, body aches all over, chills
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Erythema
Clinical narrative: heartrate went to 145 20 hours later and temp went to 100.9.  Arm has 2 red circles and it's over 48 hours later.  Arm red developed the same night as the vaccine
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Vomiting
Clinical narrative: Severe nausea, vomiting and diarrhea lasting for 1 day and then again 1 week later, lasting for 1 day.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Myalgia
Clinical narrative: Chills for 24 hours, aching muscles and joints
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash erythematous, Swelling
Clinical narrative: Patient said she has the rash under her armpit.  The size is around 2-3 inches. It is red, swollen and painful.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Influenza, Myalgia, Palpitations
Clinical narrative: EXTREME MUSCLE  AND JOINT PAIN UNABLE TO CALM WITH ADVIL OR TYLENOL,   HEART POUNDING AND PAPULATIONS  GENERAL  FLU SYMPTOMS
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Catheterisation cardiac, Echocardiogram, Encephalopathy, Lumbar puncture, Stress cardiomyopathy
Clinical narrative: presented 48 hours after booster vaccination with encephalopathy and stress/takatsubo cardiomyopathy
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Urticaria
Clinical narrative: After my third dose of Moderna (right arm),  my rms felt like I was being bitten by a thousand fleas. I've had hives in the past and recognized it as early symptoms of hives. I immediately took 50 mg of Benadryl.  Nevertheless,  I developed five welts on my right arm and one welt on my left arm that were itchy. I took another 50 of Benadryl later that night.  The welts had subsided by then and were no longer itchy; they were still visible though not red.. This morning,  I have a fever of 101.4 but the welts are gone and I am not itching.    Previously,  I had a fever after the 2nd dose but not after the first dose.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Fatigue, Haemoglobin decreased
Clinical narrative: 8/13/2021- Date of 1st vaccination patient was already on menstrual cycle-no abnormal issues (heavy bleeding) during the 1st dose. Issues (heavy bleeding) noticed on or during 2nd dose, during menstrual.  9/3/2021- Date of 2nd vaccination; patient had her menstrual starting the 1st week of September; which was abnormal, o include heavy bleeding. After abnormal heavy bleeding cycle, patients menstrual cycle would stop for 2-3 days and start back heavy again after the 2-3 days. At this point; patient noticed extreme heavy bleeding. Patient being a teenager dealt with it thinking it was just a change that would go away; until she started having headaches, shortness of breath, tiredness, dizziness, and chest pains as well as the heavy menstrual cycle. Patient notified parents when dizziness and chest pains worsened. Parents scheduled medical appoint on 8 October 2021, and found out that day from the doctor that her hemoglobin (blood) levels were extremely low; causing for her to have a same day blood transfusion. Hospitalized 8 October 2021 @ 1pm for a blood transfusion, and released at 11:30 pm.  Patient received 2 units of blood while hospitalized; as well as, ferrous sulfate 325 (65 FE) MG tablet, and norgestimate-ethinyl estradiol 0.25-35 MG-MCG tablet.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Heavy menstrual bleeding, Menstrual disorder, Menstruation irregular, Transfusion
Clinical narrative: 8/13/2021- Date of 1st vaccination patient was already on menstrual cycle-no abnormal issues (heavy bleeding) during the 1st dose. Issues (heavy bleeding) noticed on or during 2nd dose, during menstrual.  9/3/2021- Date of 2nd vaccination; patient had her menstrual starting the 1st week of September; which was abnormal, o include heavy bleeding. After abnormal heavy bleeding cycle, patients menstrual cycle would stop for 2-3 days and start back heavy again after the 2-3 days. At this point; patient noticed extreme heavy bleeding. Patient being a teenager dealt with it thinking it was just a change that would go away; until she started having headaches, shortness of breath, tiredness, dizziness, and chest pains as well as the heavy menstrual cycle. Patient notified parents when dizziness and chest pains worsened. Parents scheduled medical appoint on 8 October 2021, and found out that day from the doctor that her hemoglobin (blood) levels were extremely low; causing for her to have a same day blood transfusion. Hospitalized 8 October 2021 @ 1pm for a blood transfusion, and released at 11:30 pm.  Patient received 2 units of blood while hospitalized; as well as, ferrous sulfate 325 (65 FE) MG tablet, and norgestimate-ethinyl estradiol 0.25-35 MG-MCG tablet.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Fatigue, Headache, Myalgia
Clinical narrative: from 4.30pm on day : dopey and dozey and went to bed at 8.30 p.m.  Tiredness, muscle pain, itching ankles, elbows, head, back;  muscle pain; headache; joint pain; all for one week or more.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: from 4.30pm on day : dopey and dozey and went to bed at 8.30 p.m.  Tiredness, muscle pain, itching ankles, elbows, head, back;  muscle pain; headache; joint pain; all for one week or more.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Migraine, Nausea, SARS-CoV-2 test negative
Clinical narrative: Severe debiitaing migraine type headache with nausea and vomiting.  Continued for 3 days until treated.   Prescribed Methylprednisolone 4mg dosepak.  Headache and nausea resolved in 24 hours.  Intestinal recovery was 3 days.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Severe debiitaing migraine type headache with nausea and vomiting.  Continued for 3 days until treated.   Prescribed Methylprednisolone 4mg dosepak.  Headache and nausea resolved in 24 hours.  Intestinal recovery was 3 days.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Migraine, Nausea, SARS-CoV-2 test, Vomiting
Clinical narrative: Severe debiitaing migraine type headache with nausea and vomiting.  Continued for 3 days until treated.   Prescribed Methylprednisolone 4mg dosepak.  Headache and nausea resolved in 24 hours.  Intestinal recovery was 3 days.
Age: 80.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Skin warm, Tenderness
Clinical narrative: rash (warm to touch and sore) that started as one spot and has grown to three spots across arm overnight
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea
Clinical narrative: Loss of period
Age: 32.0
Sex: F
Vaccine: FLUR4
Symptoms: Arthralgia, Injection site pain, Paraesthesia
Clinical narrative: Noticed tingling in hand, ring finger and pinky finger. Elbow and wrist feel some pain. Feels kind of weak in hand. Pain in arm at injection site.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute cardiac event, Body temperature increased, Breast pain, Chest discomfort, Headache
Clinical narrative: First injection, no issues. Second injection, 101 temp for 24 hours, intense headache 8/21/2021 I suffered an incomplete cardiac event.  I have never had any cardio issues prior to this.  I have constant pressure/pain over my left breast.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Pelvic pain
Clinical narrative: I had extreme pelvic pain, symptoms of my menstrual cycle. I had never experienced that kind of pain before and it persisted for 3 days. I did not however start my period until a week later, not something I had experienced before. Bleeding was a lot heavier than normal as well.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Herpes zoster, Oral mucosal blistering, Pain
Clinical narrative: First 2 days left arm was sore next day chills rash on left side of face headache blisters in left side of mouth upper, achy, face and head extremely tender to touch. Called family dr advised me to go to emergency hospital or urgent care. Went to urgent care . Was diagnosed with shingles and given valtrex and lidocaine swish and spit, recommended to take Motrin or Tylenol.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rash, SARS-CoV-2 test negative, Tenderness
Clinical narrative: First 2 days left arm was sore next day chills rash on left side of face headache blisters in left side of mouth upper, achy, face and head extremely tender to touch. Called family dr advised me to go to emergency hospital or urgent care. Went to urgent care . Was diagnosed with shingles and given valtrex and lidocaine swish and spit, recommended to take Motrin or Tylenol.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Mobility decreased, Pain
Clinical narrative: 101 F fever, very sore arm at injection site (last for 2 days) and couldn?t  lift arm it hurt so bad.  Full body aches for 2 full days,  chills, and severe  headache for 2 days.  I still have the headache at day 3, but other symptoms seem to be subsiding.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 101 F fever, very sore arm at injection site (last for 2 days) and couldn?t  lift arm it hurt so bad.  Full body aches for 2 full days,  chills, and severe  headache for 2 days.  I still have the headache at day 3, but other symptoms seem to be subsiding.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Ataxia, Extra dose administered, Fatigue, Feeling cold
Clinical narrative: Fatigue, chilliness, headachy from ~6 pm-11 pm Fever (101.4) from about 11 pm through 6 am Ataxia from about 11 pm through 6 am Muscle and joint pain from about 11 pm through 6 am
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Fatigue, chilliness, headachy from ~6 pm-11 pm Fever (101.4) from about 11 pm through 6 am Ataxia from about 11 pm through 6 am Muscle and joint pain from about 11 pm through 6 am
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient received full 0.5 ml dose when 0.25 ml was indicated patient has not yet had any symptoms but has been notified to reach out the the health care provider if he experiences any symptoms
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Disturbance in attention
Clinical narrative: I started to have sinus symptoms and I had a little bit of a cough. I was congested and I thought my Asthma was acting up. I thought I had a Sinus Infection. I tested positive for COVID-19 on 10/01/2021. I went to get tested because I had no sense of taste two hours after I ate lunch which I could taste. I tested positive right away. The next day I felt awful. My sense of smell came back first at five days. I could not taste anything for about 10 days. My coughing got worse and I had a severe headache for a few days. I did not have a fever the whole time. I used Tylenol and Motrin but I did not spread it to the rest of my family. I still have a lingering cough and brain fog after three weeks. The brain fog started during my quarantine; I could not concentrate on reading. I could not remember things I had read repeatedly.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Memory impairment, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I started to have sinus symptoms and I had a little bit of a cough. I was congested and I thought my Asthma was acting up. I thought I had a Sinus Infection. I tested positive for COVID-19 on 10/01/2021. I went to get tested because I had no sense of taste two hours after I ate lunch which I could taste. I tested positive right away. The next day I felt awful. My sense of smell came back first at five days. I could not taste anything for about 10 days. My coughing got worse and I had a severe headache for a few days. I did not have a fever the whole time. I used Tylenol and Motrin but I did not spread it to the rest of my family. I still have a lingering cough and brain fog after three weeks. The brain fog started during my quarantine; I could not concentrate on reading. I could not remember things I had read repeatedly.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus disorder
Clinical narrative: I started to have sinus symptoms and I had a little bit of a cough. I was congested and I thought my Asthma was acting up. I thought I had a Sinus Infection. I tested positive for COVID-19 on 10/01/2021. I went to get tested because I had no sense of taste two hours after I ate lunch which I could taste. I tested positive right away. The next day I felt awful. My sense of smell came back first at five days. I could not taste anything for about 10 days. My coughing got worse and I had a severe headache for a few days. I did not have a fever the whole time. I used Tylenol and Motrin but I did not spread it to the rest of my family. I still have a lingering cough and brain fog after three weeks. The brain fog started during my quarantine; I could not concentrate on reading. I could not remember things I had read repeatedly.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Pain in extremity
Clinical narrative: Headache. Very sore right arm. Pain in back. Pain achy in fingers all right side down to toes
Age: 85.0
Sex: M
Vaccine: HEPAB
Symptoms: Peripheral swelling
Clinical narrative: Arm swelling
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cold sweat, Influenza like illness, Magnetic resonance imaging, Musculoskeletal stiffness
Clinical narrative: 11:30pm Right hand tightened up, pain, stiffness, since.  Had a cortisone shot in my Right Ring finger in June 2021, had no pain, no limited mobility, exercised daily, no symptoms.  After the vaccine, haven't been able to complete a full exercise routine.  Also had flu like symptoms for three days, 103.5 fever, cold sweats, no energy for weeks.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: 11:30pm Right hand tightened up, pain, stiffness, since.  Had a cortisone shot in my Right Ring finger in June 2021, had no pain, no limited mobility, exercised daily, no symptoms.  After the vaccine, haven't been able to complete a full exercise routine.  Also had flu like symptoms for three days, 103.5 fever, cold sweats, no energy for weeks.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Eye irritation, Eye pain, Fatigue
Clinical narrative: Cough, sinus congestion, body aches, fatigue, headache, eye pain and burning which began 3 days after vaccine. Was diagnosed with COVID on 10/5/2021.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: Cough, sinus congestion, body aches, fatigue, headache, eye pain and burning which began 3 days after vaccine. Was diagnosed with COVID on 10/5/2021.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Worsening Tinitus
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abdomen, Dysphagia, Endoscopy, Influenza like illness, Laboratory test
Clinical narrative: Within the first 72hrs of receiving the vaccine I had what would be described as "flu" like symptoms or perhaps a sinus infection. Mild congestion, lethargy, clear nasal drip, mild difficulty swallowing my own secretions. Those symptoms in my opinion were to be expected, what wasn't expected is how my ability to swallow got progressively worse. September 2nd, I had to resort to giving myself the heimlich maneuver because I was unable to swallow food mid meal. That evening ended with me in the Emergency Department, I would go five other times between then and now as I write this. In all my years of being aware of my food intake that is very abnormal.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lethargy, Respiratory tract congestion, Rhinorrhoea, Sinusitis
Clinical narrative: Within the first 72hrs of receiving the vaccine I had what would be described as "flu" like symptoms or perhaps a sinus infection. Mild congestion, lethargy, clear nasal drip, mild difficulty swallowing my own secretions. Those symptoms in my opinion were to be expected, what wasn't expected is how my ability to swallow got progressively worse. September 2nd, I had to resort to giving myself the heimlich maneuver because I was unable to swallow food mid meal. That evening ended with me in the Emergency Department, I would go five other times between then and now as I write this. In all my years of being aware of my food intake that is very abnormal.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: Hives, fever, headache, sore muscles, nausea, diarrhea
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives, fever, headache, sore muscles, nausea, diarrhea
Age: 62.0
Sex: M
Vaccine: FLUR4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: PAIN, SWELLING, REDNESS NEAR INJECTION SITE
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: I was informed by the pharmacist that she had injected me with an expired vaccine. It had been more than 6 hours since the vaccine was thawed.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Nausea, Pyrexia, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Severe chills. Fever, Nausea and Vomiting multiple times. Headache.  No pain at injection site. Began about 8.5 hours after injection. Lasted about 3.5 hours. I get the annual flu shot every year for about 20 years with no side effects, expect sometimes a slightly sore are.. This was VERY different. Shared an evening meal with friends and family - nobody was ill except me. I did a rapid Covid test when was experiencing strong vaccine side-effect - it was negative.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity
Clinical narrative: Very sore right arm, and has continued since March.  Since I sleep on my side, the pain has been present almost every night. since the first shot.  Second only made it worse.  Plus I received my second dose of Shingles in the same arm, and its on fire most of the time.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Blepharospasm
Clinical narrative: Patient reports intermittent right eyelid twitching since covid vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Mobility decreased, Muscular weakness, Pain
Clinical narrative: Numbness, tingling left hand, sharp pain left shoulder, weakness left arm. Within two weeks progressed to pain in joint/elbow left arm. Month later it progressed to the inability to bend, flex, or straighten arm without excruciating pain, unable to lift objects with left hand without assistance of right hand. Left arm remains weak, with occasional numbness/tingling to hand & fingertips.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Numbness, tingling left hand, sharp pain left shoulder, weakness left arm. Within two weeks progressed to pain in joint/elbow left arm. Month later it progressed to the inability to bend, flex, or straighten arm without excruciating pain, unable to lift objects with left hand without assistance of right hand. Left arm remains weak, with occasional numbness/tingling to hand & fingertips.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Feeling hot, Pain, Pain in extremity, Pharyngeal swelling
Clinical narrative: Throat swelling, difficulty swallowing (20 minutes after vaccine).  20 ml of Benadryl taken PO. Body aches, extreme sore arm, swollen and hot to touch (1 hour after continuing into day 2).
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Throat swelling, difficulty swallowing (20 minutes after vaccine).  20 ml of Benadryl taken PO. Body aches, extreme sore arm, swollen and hot to touch (1 hour after continuing into day 2).
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: 102-103* fever and chills beginning 12-13 hours after vaccination. Chills continuing for 12 hours with fever subsiding gradually. Muscle soreness in both arms and upper back, neck.
Sex: U
Vaccine: FLUC4, VARZOS
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Increase in arthritic pain in hands, neck elbow and feet
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Developed tinnitus in both ears.  Worse is left ear.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Increased tinnitus symptoms
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Blood test, Chest pain, Discomfort
Clinical narrative: Symptoms varied over the course of 10+ days. -  Day 1-2: Piercing headache and  pain behind eyes that resulted in blurry vision for 20 minutes.  Pains in chest when inhaling deeply.  Pain and pressure behind knees.  Nausea. Persistent pain in flanks. - Day 3-7: Sever pain in stomach particularly immediately after eating.  Nausea, vomiting. Persistent pain in flanks. - Day 7-10: Pain in flanks, stomach pain, headaches and tenderness in left upper thigh  - Symptoms continue
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Flank pain, Headache, Nausea, Tenderness
Clinical narrative: Symptoms varied over the course of 10+ days. -  Day 1-2: Piercing headache and  pain behind eyes that resulted in blurry vision for 20 minutes.  Pains in chest when inhaling deeply.  Pain and pressure behind knees.  Nausea. Persistent pain in flanks. - Day 3-7: Sever pain in stomach particularly immediately after eating.  Nausea, vomiting. Persistent pain in flanks. - Day 7-10: Pain in flanks, stomach pain, headaches and tenderness in left upper thigh  - Symptoms continue
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Vision blurred, Vomiting
Clinical narrative: Symptoms varied over the course of 10+ days. -  Day 1-2: Piercing headache and  pain behind eyes that resulted in blurry vision for 20 minutes.  Pains in chest when inhaling deeply.  Pain and pressure behind knees.  Nausea. Persistent pain in flanks. - Day 3-7: Sever pain in stomach particularly immediately after eating.  Nausea, vomiting. Persistent pain in flanks. - Day 7-10: Pain in flanks, stomach pain, headaches and tenderness in left upper thigh  - Symptoms continue
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pallor, Tremor
Clinical narrative: Few minutes post vaccine, patient stared shaking uncontrollably, Clinician assisted immediately, Patient pale and diaphoretic, BP 77/60 P:56, Placed in semi trendelenburg position. BP re checked after 10m minutes-100/59 P:62, patient offered crackers, refused.  Spouse in car states patient has history of severe anxiety,  Patient states he did not have breakfast .Patient states he is feeling better, monitored for additional 30 minutes, last BP 110/72, P. 63, Patient reports feeling much better, no longer pale or diaphoretic.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Dysstasia, Erythema, Feeling hot, Malaise
Clinical narrative: Within seconds of the shot my body felt warm (like I had a fever), my face went red, my hands and face started to swell.  I felt generally uncomfortable throughout and was not comfortable standing.  Since I have a hx of anaphylaxis from Ceclor, they asked me to stay for 30 min after the injection rather than the normal 15 min.  I stayed with 1/2 hr inside the facility.  I told someone I was not feeling well and a nurse came over and asked questions.  I had no tightness in my throat.  Felt ok to leave the facility. On the car ride home  both  my ears started ringing at a very high pitch and this continued non-stop  x3 months.  Horrible horrible horrible.   Dr put me on Medrol Dose Pack to try to eliminate the tinnitus however it did not help.   The initial redness and swelling of my hands and face lasted 5 days.  I was strongly advised not to get the second shot.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Swelling face, Tinnitus
Clinical narrative: Within seconds of the shot my body felt warm (like I had a fever), my face went red, my hands and face started to swell.  I felt generally uncomfortable throughout and was not comfortable standing.  Since I have a hx of anaphylaxis from Ceclor, they asked me to stay for 30 min after the injection rather than the normal 15 min.  I stayed with 1/2 hr inside the facility.  I told someone I was not feeling well and a nurse came over and asked questions.  I had no tightness in my throat.  Felt ok to leave the facility. On the car ride home  both  my ears started ringing at a very high pitch and this continued non-stop  x3 months.  Horrible horrible horrible.   Dr put me on Medrol Dose Pack to try to eliminate the tinnitus however it did not help.   The initial redness and swelling of my hands and face lasted 5 days.  I was strongly advised not to get the second shot.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Endoscopy, Magnetic resonance imaging head, Parosmia
Clinical narrative: Phantosmia: strong sense of smelling smoke when none present, started ten days after vaccine, continues today
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Oedema, Swelling
Clinical narrative: The patient developed marked erythema , edema, and swelling but no pain (color, tumor) in early september . She was given a medrol dose pack by another physician which resolved the condition. The same symptoms came back October 20th  she was given Bactrim and keflex in the ER with no decrease in symptoms. The next day I gave her   solumedrol with resolution for 18 hours. After 18 hours the signs and symptoms returned . I then placed her on an ace inhibitor , oral prednisone, and removed the antibiotics and she is doing better.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Sick with covid 19
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Myalgia, Neck pain
Clinical narrative: Joint pain, muscle pain, 102 fever, neck base of skull pain, headache , fatigue
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Joint pain, muscle pain, 102 fever, neck base of skull pain, headache , fatigue
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Feeling abnormal, Heart rate irregular, Sleep disorder
Clinical narrative: At about 3:45 a.m. I woke up from a disturbed sleep and felt "off".  When I rolled over on my left side I detected a very irregular heartbeat.  I took a wrist pulse and got the same.  I have been diagnosed with atrial fibrillation several years ago and have a heart care/heart monitoring app on my phone.  I took a reading at 4:28 a.m. and it reported "Atrial Fibrillation" at 60 BPM.  I took 100 mg tab of previously prescribed flecainide acetate.  I took a further reading at 5:41 a.m. and it reported "Normal Sinus Rhythm at 59 BPM. I have a low resting heart rate, usually around 48-52 BPM.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Condition aggravated, Echocardiogram, Electrocardiogram, Full blood count
Clinical narrative: Pericarditis. Treated with Advil and colchicine for three months following. Had follow up echocardiogram.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Pericarditis
Clinical narrative: Pericarditis. Treated with Advil and colchicine for three months following. Had follow up echocardiogram.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Fever, dizziness, headache, tired, chills, sweating
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, dizziness, headache, tired, chills, sweating
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Feeling abnormal, Headache, Illness
Clinical narrative: Within seconds my right arm began to hurt.  Over the course of a week my body became stiff as a board and I could not move, I had a cough, fever, chills, and both arms hurt as it felt like I had been given a shot in both arms.  I had Covid-19 in December 2020 and recovered fully and had never felt better in my life up until the vaccination was issued on October 4th as a condition of employment with my employer.  19 days later I am still sick with cold like symptoms, including a cough, headache, soreness over my body, congestion in my sinus.  During this time period I have had brain fog conditions with memory issues as well.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Memory impairment, Mobility decreased, Musculoskeletal stiffness, Nasopharyngitis, Pain
Clinical narrative: Within seconds my right arm began to hurt.  Over the course of a week my body became stiff as a board and I could not move, I had a cough, fever, chills, and both arms hurt as it felt like I had been given a shot in both arms.  I had Covid-19 in December 2020 and recovered fully and had never felt better in my life up until the vaccination was issued on October 4th as a condition of employment with my employer.  19 days later I am still sick with cold like symptoms, including a cough, headache, soreness over my body, congestion in my sinus.  During this time period I have had brain fog conditions with memory issues as well.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Sinus congestion
Clinical narrative: Within seconds my right arm began to hurt.  Over the course of a week my body became stiff as a board and I could not move, I had a cough, fever, chills, and both arms hurt as it felt like I had been given a shot in both arms.  I had Covid-19 in December 2020 and recovered fully and had never felt better in my life up until the vaccination was issued on October 4th as a condition of employment with my employer.  19 days later I am still sick with cold like symptoms, including a cough, headache, soreness over my body, congestion in my sinus.  During this time period I have had brain fog conditions with memory issues as well.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure fluctuation, Cardiac flutter, Cardiac stress test, Electrocardiogram, Electrocardiogram ambulatory
Clinical narrative: Heart flutters, Blood pressure spikes from phyical activity, or caffeine consumption
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Rash
Clinical narrative: severe pelvic cramps 1 day after vaccination drug rash 5 days after vaccination on back, arms, chest & leg
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Fatigue, Injection site pain, Nausea
Clinical narrative: 3/17/21- Sore arm at injection site.  3/18/21-  Nausea (no vomiting) and lack of appetite, arm more sore, very tired.  3/19/21- Very tired, nausea gone but still not very hungry, arm soreness getting better.  3/20/21- Feeling much better. 4/7/21- Took Vitamin C, Magnesium, and drank a lot of water for 2 days prior to getting 2nd shot- only experienced sore arm (which started that evening and lasted 2 days) and was extremely tired- which lasted 4/8/21 and 4/9/21.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Extreme nausea and vomiting starting 12 hours after the shot and lasting for 16 hours
Age: 34.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Headache, Hyperhidrosis, Pyrexia
Clinical narrative: Fever, chills, sweating, headache
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Presyncope, Syncope
Clinical narrative: Pre syncope followed by syncope.   Lower dose of blood pressure medicine
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Condition aggravated, Costochondritis, Electrocardiogram
Clinical narrative: A few days after my first vaccine I started having chest pain. I had an ekg, and xrays done because I went to the dr twice in August for the pain. I have had chostochondritis before and that is what my dr said it was this time. I had not had a flare up in years. This one is still on going even 3 months later. I have been treated with steriods and NSAIDS and they help only while im taking them. My sternum feels like it is going to break. I did recieve my 2nd shot 3 weeks later and it did not make it any worse. That first shot just really had affected my quality of life as I have to take medicine everyday to not hurt. The Nsaids in turn make me have reflux.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: A few days after my first vaccine I started having chest pain. I had an ekg, and xrays done because I went to the dr twice in August for the pain. I have had chostochondritis before and that is what my dr said it was this time. I had not had a flare up in years. This one is still on going even 3 months later. I have been treated with steriods and NSAIDS and they help only while im taking them. My sternum feels like it is going to break. I did recieve my 2nd shot 3 weeks later and it did not make it any worse. That first shot just really had affected my quality of life as I have to take medicine everyday to not hurt. The Nsaids in turn make me have reflux.
Age: 20.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Blindness, Cold sweat, Dizziness, Feeling cold, Feeling hot
Clinical narrative: SECONDS AFTER RECEIVING BOTH VACCINATIONS PATIENT STARTED TO COMPLAIN OF DIZZINESS.  AFTER A FEW MINUTES HE STARTED TO SWEAT PROFUSELY AND STATED HE WAS HOT.  PT GOT VERY PALE AND PUPILS BECAME VERY DILATED.  PATIENT STATED HE COULDN'T SEE (NO SPOTS, JUST BLACKNESS).  911 WAS CALLED AND EMS DISPATCHED.  PT WAS VERY LETHARGIC, HAD TO KEEP HIM TALKING SO HE DIDN'T PASS OUT.  AFTER ~20 MINUTES PT. COLOR CAME BACK, PUPILS RETURNED TO NORMAL AND VISION WAS IMPROVING, NO LONGER COLD/CLAMMY.  EMS CHECKED PT OUT AND HE WENT HOME UNDER HIS OWN POWER.
Age: 20.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Hyperhidrosis, Immediate post-injection reaction, Lethargy, Mydriasis, Pallor
Clinical narrative: SECONDS AFTER RECEIVING BOTH VACCINATIONS PATIENT STARTED TO COMPLAIN OF DIZZINESS.  AFTER A FEW MINUTES HE STARTED TO SWEAT PROFUSELY AND STATED HE WAS HOT.  PT GOT VERY PALE AND PUPILS BECAME VERY DILATED.  PATIENT STATED HE COULDN'T SEE (NO SPOTS, JUST BLACKNESS).  911 WAS CALLED AND EMS DISPATCHED.  PT WAS VERY LETHARGIC, HAD TO KEEP HIM TALKING SO HE DIDN'T PASS OUT.  AFTER ~20 MINUTES PT. COLOR CAME BACK, PUPILS RETURNED TO NORMAL AND VISION WAS IMPROVING, NO LONGER COLD/CLAMMY.  EMS CHECKED PT OUT AND HE WENT HOME UNDER HIS OWN POWER.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Pyrexia
Clinical narrative: Weakness, chills, and low grade tempature
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Eye swelling, Injection site pain, Injection site pruritus, Injection site swelling, Injection site urticaria
Clinical narrative: Swelling of Right side of face (to include eye and cheek) starting 3 days after the injection, remainded swollen for 2 days. Hives and swelling (itching and painful) at injection site 3 days after injection and lasted for 2 days.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Swelling face
Clinical narrative: Swelling of Right side of face (to include eye and cheek) starting 3 days after the injection, remainded swollen for 2 days. Hives and swelling (itching and painful) at injection site 3 days after injection and lasted for 2 days.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Dysstasia, Pain in extremity
Clinical narrative: Pain in arm Stomach upset had hard time standing up in 10/23
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Gait inability, Headache
Clinical narrative: At 3:00AM I started having a terrible headache, massive chills and felt like I had been hit by a semi. I felt a sudden onset of horrible flu like symptoms. I felt nausous and all over body aches and was dry heaving for several hours. I was in total body pain and agony. I tried to go to the bathroom at 6 AM and I couldn't even walk. I was so dizzy and weak I had to crawl to the bathroom. I spent the next 4 days after the date of vaccination in bed. I ,missed several days of work without pay. I have differences in taste and smell, they are not quite the same as I used to be.  I will NOT be getting the second dose. It really hurt my body. I did have a bad case of covid-19 in November 2020 prior to my receiving the vaccine but it was 11 months apart.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Influenza like illness, Nausea, Pain, Parosmia
Clinical narrative: At 3:00AM I started having a terrible headache, massive chills and felt like I had been hit by a semi. I felt a sudden onset of horrible flu like symptoms. I felt nausous and all over body aches and was dry heaving for several hours. I was in total body pain and agony. I tried to go to the bathroom at 6 AM and I couldn't even walk. I was so dizzy and weak I had to crawl to the bathroom. I spent the next 4 days after the date of vaccination in bed. I ,missed several days of work without pay. I have differences in taste and smell, they are not quite the same as I used to be.  I will NOT be getting the second dose. It really hurt my body. I did have a bad case of covid-19 in November 2020 prior to my receiving the vaccine but it was 11 months apart.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Retching, Taste disorder
Clinical narrative: At 3:00AM I started having a terrible headache, massive chills and felt like I had been hit by a semi. I felt a sudden onset of horrible flu like symptoms. I felt nausous and all over body aches and was dry heaving for several hours. I was in total body pain and agony. I tried to go to the bathroom at 6 AM and I couldn't even walk. I was so dizzy and weak I had to crawl to the bathroom. I spent the next 4 days after the date of vaccination in bed. I ,missed several days of work without pay. I have differences in taste and smell, they are not quite the same as I used to be.  I will NOT be getting the second dose. It really hurt my body. I did have a bad case of covid-19 in November 2020 prior to my receiving the vaccine but it was 11 months apart.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Condition aggravated, Headache, Muscular weakness
Clinical narrative: Started out as an anxiety attack triggered by sensitivity to the vaccine.  I then had weakness in my legs and pains in my head, neck, arm.  I could not sleep the first night and felt a little better after 24 hours but then the pains in my right knee and hips slowly started getting worse.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity, Sleep disorder
Clinical narrative: Started out as an anxiety attack triggered by sensitivity to the vaccine.  I then had weakness in my legs and pains in my head, neck, arm.  I could not sleep the first night and felt a little better after 24 hours but then the pains in my right knee and hips slowly started getting worse.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Urticaria
Clinical narrative: Painful hives on my upper arm, same side as the shot. Lasted about a week. 8 weeks later there are still faint marks from the hives.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ocular discomfort, Ophthalmic migraine, Ophthalmological examination, Visual impairment
Clinical narrative: 15 minutes after getting the shot, both eyeballs had a feeling of electric pinpricks (like 50 in each eyeball).  This lasted 20 minutes and then repeated for the rest of the day.  One week later, I had a visual distortion where I couldn't see behind 1/3 of my visual field.  This was a moving aura across my field of vision.  This lasted for about 20 minutes.  It was an ocular migraine as was determined by the opthalmologist who examined my eyes.  The ocular migranes continue to happen randomly every couple of weeks.  The other side effect is that every night when I close my eyes, I have lights (bubble shaped yellow and blue) that move up and down in the peripheral sides of my vision.  Every day.  This continues.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Gastrointestinal inflammation, Joint range of motion decreased, Laboratory test, Loss of personal independence in daily activities
Clinical narrative: Left shoulder rotator cuff tendinitis symptoms.  Still hurts when I move my left arm above my neck length.  Has affected my ability to do things that I enjoyed doing.  In addition I now have poor gut health.  Also started at the same time.  Feels like inflammation in my gut and is getting worse.  No idea if it was vaccine related but I have never had either of these chronic synptoms and both started happening weeks after my second dose of the vaccine and both feel like inflammatory issues.  I have gone to the DR multiple times now for both and think I am being mid diagnosed as far as root cause consider I am having multiple unusual problems that all appear to be inflammatory related and frankly they can?t tell me what is wrong with me.    My stomach issues are really impacting my well being and there have been many weeks I?ve felt like going to urgent care or ER as a result of this chronic, unknown pain.  I have an ultra sound scheduled now as next step on 1 week.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Rotator cuff syndrome, Ultrasound scan
Clinical narrative: Left shoulder rotator cuff tendinitis symptoms.  Still hurts when I move my left arm above my neck length.  Has affected my ability to do things that I enjoyed doing.  In addition I now have poor gut health.  Also started at the same time.  Feels like inflammation in my gut and is getting worse.  No idea if it was vaccine related but I have never had either of these chronic synptoms and both started happening weeks after my second dose of the vaccine and both feel like inflammatory issues.  I have gone to the DR multiple times now for both and think I am being mid diagnosed as far as root cause consider I am having multiple unusual problems that all appear to be inflammatory related and frankly they can?t tell me what is wrong with me.    My stomach issues are really impacting my well being and there have been many weeks I?ve felt like going to urgent care or ER as a result of this chronic, unknown pain.  I have an ultra sound scheduled now as next step on 1 week.
Age: 68.0
Sex: F
Vaccine: FLUA4
Symptoms: Back pain, Hot flush
Clinical narrative: patient experienced hot flash and back pain shortly after the vaccine
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Electromyogram abnormal, Mobility decreased, Myalgia, Neuropathy peripheral, Pain in extremity
Clinical narrative: About 1 week after injection developed severe deltoid region and upper arm pain that at times is excruciating and limits mobility and other times disappears nearly completely.