chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Haemoglobin decreased, Lung opacity, Platelet count decreased, Pyrexia
Clinical narrative: CHIEF COMPLAINT SOB   HISTORY OF PRESENT ILLNESS Patient is a 61 y.o. female, vaccinated with past medical history notable for Crohn's disease, Short Bowel syndrome on TPN, Amyloidosis without evidence of cardiac involvement c/B ESRD on Dialysis MWF, Chronic Anemia who presents with COVID Pneumonia.     The patient reports that her symptoms first developed on 9/21. She reports cough, fevers, chills, congestion, and diarrhea out of her rectum (not out of her ostomy) with diminished ability to tolerate her TPN and vomiting with oral intake.  Additionally, her son was swab for COVID on 9/25 which came back positive today. With regards to her diarrhea, she reports increased frequency of non-bloody, watery stoo CHIEF COMPLAINT SOB   HISTORY OF PRESENT ILLNESS Patient is a 61 y.o. female, vaccinated with past medical history notable for Crohn's disease, Short Bowel syndrome on TPN, Amyloidosis without evidence of cardiac involvement c/B ESRD on Dialysis MWF, Chronic Anemia who presents with COVID Pneumonia.     The patient reports that her symptoms first developed on 9/21. She reports cough, fevers, chills, congestion, and diarrhea out of her rectum (not out of her ostomy) with diminished ability to tolerate her TPN and vomiting with oral intake.  Additionally, her son was swab for COVID on 9/25 which came back positive today. With regards to her diarrhea, she reports increased frequency of non-bloody, watery stools passing rectally which does not occur very frequently. She does not make urine. She reports that she has had progressive shortness of breath over the last few days, and when she checked her pulse ox at home today it was in the 80s. In this setting she called EMS and  was placed on oxygen and transported to the emergency department. She denies headache, changes in vision, lower extremity edema, or abdominal pain.   On arrival to the ED she was tachycardic in the 100s and intermittently tachypneic up to 41. She arrived on 4L nasal canula and was normotensive. Her workup is notable for Hbg 9.9 (baseline 10.0), Plt 102, WBC 7.2, Na 136, K 3.9, BUN 30, Cr. 5.38, Mg 1.6, D. Bili 0.5, ALT 53, AST 61, and Alk Phos 248. She tested positive for COVID. Her CXR was notable for new peripheral patchy airspace opacities consistent with known COVID-19 infection. Otherwise unchan. Interventions in the ED included 1L NS.    On arrival to the pulmonary service, the patient reports she feels much more comfortable being here than at home. Notably, she is febrile to 39.1. She is adamant that she does not want Remdesivir treatment as she has read that the WHO does not recommend it and has also read things about terrible outcomes. She is requesting treatment with convalescent plasma, which I explained is no longer standard of care. She otherwise reports no additional concerns or complaints recently.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Tachycardia, Tachypnoea, Vomiting
Clinical narrative: CHIEF COMPLAINT SOB   HISTORY OF PRESENT ILLNESS Patient is a 61 y.o. female, vaccinated with past medical history notable for Crohn's disease, Short Bowel syndrome on TPN, Amyloidosis without evidence of cardiac involvement c/B ESRD on Dialysis MWF, Chronic Anemia who presents with COVID Pneumonia.     The patient reports that her symptoms first developed on 9/21. She reports cough, fevers, chills, congestion, and diarrhea out of her rectum (not out of her ostomy) with diminished ability to tolerate her TPN and vomiting with oral intake.  Additionally, her son was swab for COVID on 9/25 which came back positive today. With regards to her diarrhea, she reports increased frequency of non-bloody, watery stoo CHIEF COMPLAINT SOB   HISTORY OF PRESENT ILLNESS Patient is a 61 y.o. female, vaccinated with past medical history notable for Crohn's disease, Short Bowel syndrome on TPN, Amyloidosis without evidence of cardiac involvement c/B ESRD on Dialysis MWF, Chronic Anemia who presents with COVID Pneumonia.     The patient reports that her symptoms first developed on 9/21. She reports cough, fevers, chills, congestion, and diarrhea out of her rectum (not out of her ostomy) with diminished ability to tolerate her TPN and vomiting with oral intake.  Additionally, her son was swab for COVID on 9/25 which came back positive today. With regards to her diarrhea, she reports increased frequency of non-bloody, watery stools passing rectally which does not occur very frequently. She does not make urine. She reports that she has had progressive shortness of breath over the last few days, and when she checked her pulse ox at home today it was in the 80s. In this setting she called EMS and  was placed on oxygen and transported to the emergency department. She denies headache, changes in vision, lower extremity edema, or abdominal pain.   On arrival to the ED she was tachycardic in the 100s and intermittently tachypneic up to 41. She arrived on 4L nasal canula and was normotensive. Her workup is notable for Hbg 9.9 (baseline 10.0), Plt 102, WBC 7.2, Na 136, K 3.9, BUN 30, Cr. 5.38, Mg 1.6, D. Bili 0.5, ALT 53, AST 61, and Alk Phos 248. She tested positive for COVID. Her CXR was notable for new peripheral patchy airspace opacities consistent with known COVID-19 infection. Otherwise unchan. Interventions in the ED included 1L NS.    On arrival to the pulmonary service, the patient reports she feels much more comfortable being here than at home. Notably, she is febrile to 39.1. She is adamant that she does not want Remdesivir treatment as she has read that the WHO does not recommend it and has also read things about terrible outcomes. She is requesting treatment with convalescent plasma, which I explained is no longer standard of care. She otherwise reports no additional concerns or complaints recently.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count normal
Clinical narrative: CHIEF COMPLAINT SOB   HISTORY OF PRESENT ILLNESS Patient is a 61 y.o. female, vaccinated with past medical history notable for Crohn's disease, Short Bowel syndrome on TPN, Amyloidosis without evidence of cardiac involvement c/B ESRD on Dialysis MWF, Chronic Anemia who presents with COVID Pneumonia.     The patient reports that her symptoms first developed on 9/21. She reports cough, fevers, chills, congestion, and diarrhea out of her rectum (not out of her ostomy) with diminished ability to tolerate her TPN and vomiting with oral intake.  Additionally, her son was swab for COVID on 9/25 which came back positive today. With regards to her diarrhea, she reports increased frequency of non-bloody, watery stoo CHIEF COMPLAINT SOB   HISTORY OF PRESENT ILLNESS Patient is a 61 y.o. female, vaccinated with past medical history notable for Crohn's disease, Short Bowel syndrome on TPN, Amyloidosis without evidence of cardiac involvement c/B ESRD on Dialysis MWF, Chronic Anemia who presents with COVID Pneumonia.     The patient reports that her symptoms first developed on 9/21. She reports cough, fevers, chills, congestion, and diarrhea out of her rectum (not out of her ostomy) with diminished ability to tolerate her TPN and vomiting with oral intake.  Additionally, her son was swab for COVID on 9/25 which came back positive today. With regards to her diarrhea, she reports increased frequency of non-bloody, watery stools passing rectally which does not occur very frequently. She does not make urine. She reports that she has had progressive shortness of breath over the last few days, and when she checked her pulse ox at home today it was in the 80s. In this setting she called EMS and  was placed on oxygen and transported to the emergency department. She denies headache, changes in vision, lower extremity edema, or abdominal pain.   On arrival to the ED she was tachycardic in the 100s and intermittently tachypneic up to 41. She arrived on 4L nasal canula and was normotensive. Her workup is notable for Hbg 9.9 (baseline 10.0), Plt 102, WBC 7.2, Na 136, K 3.9, BUN 30, Cr. 5.38, Mg 1.6, D. Bili 0.5, ALT 53, AST 61, and Alk Phos 248. She tested positive for COVID. Her CXR was notable for new peripheral patchy airspace opacities consistent with known COVID-19 infection. Otherwise unchan. Interventions in the ED included 1L NS.    On arrival to the pulmonary service, the patient reports she feels much more comfortable being here than at home. Notably, she is febrile to 39.1. She is adamant that she does not want Remdesivir treatment as she has read that the WHO does not recommend it and has also read things about terrible outcomes. She is requesting treatment with convalescent plasma, which I explained is no longer standard of care. She otherwise reports no additional concerns or complaints recently.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: 9-28-21 Began running a fever. Highest temp was 102.6.  9-29-21 left arm below injection site has become red, hot and sore and is about 3" long by about 2" wide. The injection site is also red, but is a smaller area.  I am still running a temp. Today's temp is about 101.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dyspnoea, Headache, Nasopharyngitis
Clinical narrative: 104 degree temperature  Cold chills Breathing labored Sever joint pain Severe headache
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 104 degree temperature  Cold chills Breathing labored Sever joint pain Severe headache
Age: 22.0
Sex: M
Vaccine: FLU4
Symptoms: Hyperhidrosis, Nausea, Seizure, Syncope, Tension
Clinical narrative: Approx. 3 min after vaccination Pt felt nauseous and sat down, then went into vasovagal syncope episode, Pt was sweating, tensed up in both arms, minor convulsions last 10 seconds, episode lasted approximately 30-45 seconds. Administer high flow oxygen post-syncope at 12LPM for 10 minutes, took vitals, all normal. Gave 12fl.oz water PO. Pt did not feel nauseous or have any other Sx post syncope.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Chest X-ray, Echocardiogram, Full blood count normal, Pericarditis
Clinical narrative: Acute Pericarditis, approx onset of symptoms 9/18  seen at urgent care on 9/23 Stat Labs results showed elevated Troponin Levels, sent to ER. Went to Hospital ER where he was admitted into observation on 9/23/2021 discharged 9/25 to follow up with cardiologist on 10/12
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Acute Pericarditis, approx onset of symptoms 9/18  seen at urgent care on 9/23 Stat Labs results showed elevated Troponin Levels, sent to ER. Went to Hospital ER where he was admitted into observation on 9/23/2021 discharged 9/25 to follow up with cardiologist on 10/12
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pyrexia, Rhinitis, SARS-CoV-2 test positive
Clinical narrative: Covid infection (fever, rhinitis, cough)
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Nausea, Paraesthesia, Tinnitus, Vertigo
Clinical narrative: Severe vertigo, tinnitus, nausea, painful lymph nodes, paraesthesia
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging, Magnetic resonance imaging head
Clinical narrative: On the evening August 4th, I started to have numbness on left side of face. I went to the PCP. The doctor ordered an MRI of brain and upon those results they found 14 lesions on my brain so I was referred to a neurologist. I went to neurologist who ordered spinal tap, bloodwork, and two MRIS of my spine. After MD reviewed the results I have been diagnosed with MS ( Multiple sclerosis ) as of September 10th 2021. I started a treatment on Sunday 9/26/21 with injectable medicine. I will be giving myself the shots weekly and monthly for treatment.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Multiple sclerosis
Clinical narrative: On the evening August 4th, I started to have numbness on left side of face. I went to the PCP. The doctor ordered an MRI of brain and upon those results they found 14 lesions on my brain so I was referred to a neurologist. I went to neurologist who ordered spinal tap, bloodwork, and two MRIS of my spine. After MD reviewed the results I have been diagnosed with MS ( Multiple sclerosis ) as of September 10th 2021. I started a treatment on Sunday 9/26/21 with injectable medicine. I will be giving myself the shots weekly and monthly for treatment.
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Interchange of vaccine products, No adverse event, Wrong product administered
Clinical narrative: Patient was given Menveo in error. She has received Menactra 7/28/15 and another dose of Menveo 7/13/21. Patient was only due for Bexsero on 8/13/21, but was given Bexsero and Menveo. This dose of Menveo was given less than 8 weeks after previous dose, which is the minimum interval. Patient did not report any adverse side effects.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, Pain in extremity
Clinical narrative: persistant and pervasive ache in left shoulder/arm, unable to raise arm, unable to reach steering wheel, unable to adjust my bed covers at night, arem is nearly useless.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Rec'd Flu shot on 9/27/2021 at 0730.  Noticed plum-sized, red, hot, firm area on L arm about 2 1/2 inches below the injection site on 9/29/2021 at 1700.  Occupational Health contacted on 9/30/2021, viewed site. Felt it may be cellulitis, and instructed to go to an Urgent/Express Care by end of day 9/30/2021.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cellulitis, Dysgeusia, Erythema, Fatigue
Clinical narrative: The following day after receiving the first shot, my arm was sore and it lasted a day of two and had tiredness. I had metallic strange taste in my mouth that went away and came back a few times but nothing more than that and not a big deal. I was perfectly fine after those 3 days. Up until the 25th and woke up that morning with arm being sore like and very difficult to move and thought it was very strange and lasted all day and I took Tylenol and into the next morning the 26th it was very sore. That morning I noticed a rash around my arm around the injection where I had the shot and was itchy and still sore. That was the extent of it, the redness continued to migrate down my arm so the next morning I was feeling off so I went to the Doctor that day to be seen. He gave me antibiotic and told me not to get the second shot until we figured it out. The next Tuesday my arm looked and felt better already. Dr. mentioned Cellulitis. I took the antibiotic and it made me very sick and didn't take it anymore. Awaiting followup.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Injection site pain, Injection site pruritus, Injection site rash, Mobility decreased
Clinical narrative: The following day after receiving the first shot, my arm was sore and it lasted a day of two and had tiredness. I had metallic strange taste in my mouth that went away and came back a few times but nothing more than that and not a big deal. I was perfectly fine after those 3 days. Up until the 25th and woke up that morning with arm being sore like and very difficult to move and thought it was very strange and lasted all day and I took Tylenol and into the next morning the 26th it was very sore. That morning I noticed a rash around my arm around the injection where I had the shot and was itchy and still sore. That was the extent of it, the redness continued to migrate down my arm so the next morning I was feeling off so I went to the Doctor that day to be seen. He gave me antibiotic and told me not to get the second shot until we figured it out. The next Tuesday my arm looked and felt better already. Dr. mentioned Cellulitis. I took the antibiotic and it made me very sick and didn't take it anymore. Awaiting followup.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: The following day after receiving the first shot, my arm was sore and it lasted a day of two and had tiredness. I had metallic strange taste in my mouth that went away and came back a few times but nothing more than that and not a big deal. I was perfectly fine after those 3 days. Up until the 25th and woke up that morning with arm being sore like and very difficult to move and thought it was very strange and lasted all day and I took Tylenol and into the next morning the 26th it was very sore. That morning I noticed a rash around my arm around the injection where I had the shot and was itchy and still sore. That was the extent of it, the redness continued to migrate down my arm so the next morning I was feeling off so I went to the Doctor that day to be seen. He gave me antibiotic and told me not to get the second shot until we figured it out. The next Tuesday my arm looked and felt better already. Dr. mentioned Cellulitis. I took the antibiotic and it made me very sick and didn't take it anymore. Awaiting followup.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: patient experienced numbness down left side of body about 20 minutes after injection. she said it went from top of head to toe, she had been walking around store. stated did not feel like swelling of tongue or throat but numbness in left side. given benadryl 50mg caps in case it was allergy related as a precaution, pt was monitored about an hour before she decided to leave without recommended medical attention (911/ER visit)
Age: 66.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Asthenia, Chills, Extra dose administered, Headache, Nausea
Clinical narrative: Pt. states that after receiving the 1st dose of Flu Shot (High Dose)/2nd dose of Pneumonia 23 09/28/2021. started experiencing symptoms that evening of Vomiting, nausea, uncontrollable shaking, weakness, chills, and headache. Headache and shaking still continue. No noted Primary visit.
Age: 66.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Tremor, Vomiting
Clinical narrative: Pt. states that after receiving the 1st dose of Flu Shot (High Dose)/2nd dose of Pneumonia 23 09/28/2021. started experiencing symptoms that evening of Vomiting, nausea, uncontrollable shaking, weakness, chills, and headache. Headache and shaking still continue. No noted Primary visit.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Computerised tomogram abdomen abnormal, Enteritis, Fixed bowel loop
Clinical narrative: The patient was in his usual state of health when after eating dinner on 9/28/21, he developed sudden onset abdominal pain. For dinner he had tomato soup, an apple, along with bacon, lettuce, soy and mayonnaise. The pain was primarily centered between the epigastrium and left upper quadrant. At the time of onset, the pain was intermittent but very severe, and without radiation. This went on for about 2 hours as he observed these symptoms. He denies having any warning prior to onset. He also denies any history of pain similar to this in the days or weeks leading up to the onset of symptoms. He did not take any medications to try to lessen the pain. After this had gone on without relief, he went to the emergency dept.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Small intestinal obstruction
Clinical narrative: The patient was in his usual state of health when after eating dinner on 9/28/21, he developed sudden onset abdominal pain. For dinner he had tomato soup, an apple, along with bacon, lettuce, soy and mayonnaise. The pain was primarily centered between the epigastrium and left upper quadrant. At the time of onset, the pain was intermittent but very severe, and without radiation. This went on for about 2 hours as he observed these symptoms. He denies having any warning prior to onset. He also denies any history of pain similar to this in the days or weeks leading up to the onset of symptoms. He did not take any medications to try to lessen the pain. After this had gone on without relief, he went to the emergency dept.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness
Clinical narrative: Within a few minutes after receiving her injection, the patient reported she felt like she may pass out.  She was dizzy and weak and said she felt it was from anxiety about getting the shot.  Her father who was with her said she?s felt faint after getting vaccines in the past.  Within a few more minutes, after lying down with a cool cloth on her head and relaxing, she seemed fine.  She waited a little longer then said she was fine and left.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error: Mixed series mRNA vaccine Pfizer and Moderna.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Fatigue, Headache, Pain in extremity
Clinical narrative: Headache Fatigue Sore joints Sore arm
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Condition aggravated
Clinical narrative: Extreme Chills day 2, stomach upset every day Tuesday to Thursday.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Hyperhidrosis, Loss of consciousness
Clinical narrative: Dizziness, blacking out, fainted and was unconscious for several minutes, Profuse sweating, chills, nausea, arm pain, headache, fever.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Pyrexia, Syncope
Clinical narrative: Dizziness, blacking out, fainted and was unconscious for several minutes, Profuse sweating, chills, nausea, arm pain, headache, fever.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Syncope
Clinical narrative: Patient began to feel nauseas and fainted shortly after. We called 911 while we laid the patient on the floor and monitored her pulse until patient came to.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error: Mixed series mRNA vaccine Pfizer and Moderna.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Adverse reaction, Injection site pain, Morton's neuralgia, Pain, Pain in extremity
Clinical narrative: Ever since the second dose, the deltoid muscle where the injection was made, has been extremely sore when my left arm is used. Whenever I have to lift my left arm and engage the deltoid muscle, it is incredibly painful.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Blood test, Hyperhidrosis, Musculoskeletal discomfort
Clinical narrative: He began to experience profuse sweating, extreme anxiety, pain/discomfort from shoulders to pelvis front and back, severe restlessness especially in legs.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Restless legs syndrome, Restlessness
Clinical narrative: He began to experience profuse sweating, extreme anxiety, pain/discomfort from shoulders to pelvis front and back, severe restlessness especially in legs.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Whole body rash
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Left shoulder pain began after second dose ~2/2021. Other joint pains also noticed but post menopausal. August 2021 placed on hormone replacement therapy, all other joint pain ceased (ankles, hips, wrists, fingers) but left shoulder pain has persisted.   On 9/28/2021 saw Orthopedic surgeon who has ordered MRI left shoulder (scheduled for 10/4/2021).
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Syncope
Clinical narrative: Patient fainted after receiving the vaccine. Staff gave water, monitored heart rate, oxygen level and took blood pressure Q15 minutes. Patient stated they forgot to tell us that they faint during some medical procedures especially after seeing blood. Patient returned to baseline approximately 30 mins after fainting.  Color was good 99% oxygen pulse 67 BPM 12 blood pressure was 130/70.  Offered an ambulance - patient declined, offered to take patient to the emergency department patient declined.  Offered to drive patient home and patient accepted. Patient was dropped at residence with a friend meeting there. Patient was counseled on adverse affects to look for and to call 911 or go to the emergency room if condition got worse.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Pyrexia, Respiratory tract congestion
Clinical narrative: Fever, cold, congestion
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Device connection issue, Underdose
Clinical narrative: During administration into left deltoid the hub of the syringe separated from the needle, causing some of the solution to spray out rather than inject into arm.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Face oedema, Lip swelling, Rash, Urticaria
Clinical narrative: Urticarial rash of upper extremities, anterior and posterior trunk as well as neck. Upper and lower lip swelling with mild facial edema
Age: 0.33
Sex: F
Vaccine: DTAP
Symptoms: Febrile convulsion
Clinical narrative: My daughter had her first (of now 4) febrile seizures.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Severe chest pain increase.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Hypoaesthesia, Paraesthesia, Peripheral coldness, Ultrasound Doppler
Clinical narrative: Patient states that 10 days after vaccination he began to have swelling, numbness, tingling, and coolness in his L foot. He now reports that he has numbness and tingling in both feet and hands. His L foot continues to be the most affected.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan normal
Clinical narrative: Patient states that 10 days after vaccination he began to have swelling, numbness, tingling, and coolness in his L foot. He now reports that he has numbness and tingling in both feet and hands. His L foot continues to be the most affected.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bells Palsy
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dehydration, Headache, Myalgia, SARS-CoV-2 test
Clinical narrative: vomiting with dehydration, myalgia, headache
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: vomiting with dehydration, myalgia, headache
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood test, Chills, Fatigue, Feeling hot
Clinical narrative: 1st shot:3 Days of severe all over body pain, hot then chills, severe headache, nausea, very week, fatigue continued after the 3 days. Video chat with my doctor. Tylenol taken during this time. Missed 1 day of work. 2nd shot: 7 days  of severe all over body pain, hot then chills, severe headache, nausea, very week, fatigue continued after the 7 days. Contacted my doctor. Tylenol taken during this time. Missed 1 day of work then worked from home. fatigue continued
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Impaired work ability, Liver disorder, Nausea, Nonalcoholic fatty liver disease
Clinical narrative: 1st shot:3 Days of severe all over body pain, hot then chills, severe headache, nausea, very week, fatigue continued after the 3 days. Video chat with my doctor. Tylenol taken during this time. Missed 1 day of work. 2nd shot: 7 days  of severe all over body pain, hot then chills, severe headache, nausea, very week, fatigue continued after the 7 days. Contacted my doctor. Tylenol taken during this time. Missed 1 day of work then worked from home. fatigue continued
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Ultrasound abdomen abnormal
Clinical narrative: 1st shot:3 Days of severe all over body pain, hot then chills, severe headache, nausea, very week, fatigue continued after the 3 days. Video chat with my doctor. Tylenol taken during this time. Missed 1 day of work. 2nd shot: 7 days  of severe all over body pain, hot then chills, severe headache, nausea, very week, fatigue continued after the 7 days. Contacted my doctor. Tylenol taken during this time. Missed 1 day of work then worked from home. fatigue continued
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Hypertension, Hypoaesthesia, Lymphadenopathy, Palpitations
Clinical narrative: Later that night he got vertigo he had a spinning sensation and was unable to stand. He has heart palpitations, a rash and swollen lymph node under left arm. Under heel of left foot has become numb. He went to the dr who dx him with vertigo and high blood pressure.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Vertigo
Clinical narrative: Later that night he got vertigo he had a spinning sensation and was unable to stand. He has heart palpitations, a rash and swollen lymph node under left arm. Under heel of left foot has become numb. He went to the dr who dx him with vertigo and high blood pressure.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Back pain, Inflammation, Spinal X-ray abnormal
Clinical narrative: Have developed a flare-up of arthritis/inflammation in my hands/fingers and back.  I have never had arthritis prior to Covid Vaccine.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dysstasia, Fatigue, Pain, Pyrexia
Clinical narrative: Fever= 104 F, Severe Fatigue, Respiratory congestion and difficulty catching my breath, sever body aches, severe head ache. Debilitating fatigue, I was unable to physically get up off the floor after laying down due to fatigue. symptoms persisted for 30 hours.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: Fever= 104 F, Severe Fatigue, Respiratory congestion and difficulty catching my breath, sever body aches, severe head ache. Debilitating fatigue, I was unable to physically get up off the floor after laying down due to fatigue. symptoms persisted for 30 hours.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19, FLU4
Symptoms: Grip strength decreased, Hypoaesthesia, Muscle spasms
Clinical narrative: Shortly after receiving FLU vaccine in left arm, start to develop mussel spasms in left shoulder, numbness in fingers, and weak grip strength in left hand. FLU vax site is same site as COVID 19 vax site.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive covid test 09/29/21
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Chills, Decreased appetite, Diarrhoea
Clinical narrative: 9/23/21: Patient arrived at the ER due to shortness of breath, weakness, urinary frequency, chills, diarrhea, decreased appetite, and bilateral hip pain. Pt states she has had symptoms since her last cancer treatment 9 days ago. She notes having an iron injection at that time as well. Denies any bleeding. Pt confirms her shortness of breath is worse with exertion, and she notes recent falls due to weakness.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Fall, Injection, Pollakiuria
Clinical narrative: 9/23/21: Patient arrived at the ER due to shortness of breath, weakness, urinary frequency, chills, diarrhea, decreased appetite, and bilateral hip pain. Pt states she has had symptoms since her last cancer treatment 9 days ago. She notes having an iron injection at that time as well. Denies any bleeding. Pt confirms her shortness of breath is worse with exertion, and she notes recent falls due to weakness.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, SARS-CoV-2 test negative
Clinical narrative: This person is enrolled in a Covid-19 Vaccine study. He claimed in the inclusion/exclusion criteria portion of the informed consent interview that he had not received a Covid-19 vaccination. In the study, he received Dose #1 on 02 Aug 21 and Dose #2 on 30 Aug 2021. On 23 September 2021, an attempt was made to enter him into the Registry of Immunization and it was discovered that he had been vaccinated elsewhere in the state on 01 and 29 April 2021. The participant claimed that he thought the April vaccinations were flu shots.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Headache, Myalgia, Oropharyngeal pain
Clinical narrative: 9/26/21: Patient arrived at the ER due to complaints of sore throat, cough, HA, myalgias, and urinary frequency x 09/22/2021. Pt tested positive on 09/23/2021 and is vaccinated against COVID.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pollakiuria, SARS-CoV-2 test positive
Clinical narrative: 9/26/21: Patient arrived at the ER due to complaints of sore throat, cough, HA, myalgias, and urinary frequency x 09/22/2021. Pt tested positive on 09/23/2021 and is vaccinated against COVID.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 9/19/21: Patient arrived at the ER due to complaints of cough, chest pain, shortness of breath, onset a week ago, was seen on 09/16/2021, was tested for COVID and was COVID positive.
Age: 34.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient reports she received both vaccines yesterday, 9/29/21. Reports she began with an urticarial rash as well as puritis shortly after. Patient followed up today, 9/30/21, for treatment.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Aspiration, Atrial fibrillation, Breath sounds abnormal, COVID-19
Clinical narrative: 9/22/21: Patient arrived at the ER who was sent from nursing home on 09/22 for fever and respiratory distress.  Patient tested positive for coronavirus 19.  Transferred to ICU from ER due to hypoxia necessitating high-flow and significant hypernatremia.  Patient nonverbal and altered on admission.  Patient started on hypotonic fluids along with free water flushes, tube feed (protein content adjusted).  Patient was recently admitted this ICU for AFib with RVR causing hypotension.  Treated with Levophed and fluid boluses and transferred to PCU on 09/26.  This evening the patient acutely hypoxic with gurgly breath sounds from aspiration of tube feeds.  Intubated on arrival to ICU.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Gastrointestinal tube insertion, Hypernatraemia, Hypotension, Hypoxia
Clinical narrative: 9/22/21: Patient arrived at the ER who was sent from nursing home on 09/22 for fever and respiratory distress.  Patient tested positive for coronavirus 19.  Transferred to ICU from ER due to hypoxia necessitating high-flow and significant hypernatremia.  Patient nonverbal and altered on admission.  Patient started on hypotonic fluids along with free water flushes, tube feed (protein content adjusted).  Patient was recently admitted this ICU for AFib with RVR causing hypotension.  Treated with Levophed and fluid boluses and transferred to PCU on 09/26.  This evening the patient acutely hypoxic with gurgly breath sounds from aspiration of tube feeds.  Intubated on arrival to ICU.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Pyrexia, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: 9/22/21: Patient arrived at the ER who was sent from nursing home on 09/22 for fever and respiratory distress.  Patient tested positive for coronavirus 19.  Transferred to ICU from ER due to hypoxia necessitating high-flow and significant hypernatremia.  Patient nonverbal and altered on admission.  Patient started on hypotonic fluids along with free water flushes, tube feed (protein content adjusted).  Patient was recently admitted this ICU for AFib with RVR causing hypotension.  Treated with Levophed and fluid boluses and transferred to PCU on 09/26.  This evening the patient acutely hypoxic with gurgly breath sounds from aspiration of tube feeds.  Intubated on arrival to ICU.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Cough, Oropharyngeal discomfort, Pyrexia
Clinical narrative: fever, cough, loss of smell and taste, lots of miucus, cough feels like a tickle in throat. starting on 9/25/21
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Antiphospholipid antibodies negative, Blood bicarbonate decreased, Blood creatinine increased, Blood glucose increased, Blood ketone body increased
Clinical narrative: 9/17/21: Patient arrived at the ER due to acute onset SOB the morning of presentation. She reports feeling well the day prior. Notes she stopped taking warfarin 2 days ago.  In the ED she was tachypneic, tachycardia, INR >13, BG 500, pH of 7.22, Bicarb of 5, K of 6.1, WBC 20, Cr 1.21 (baseline 1.1), LA 4.1, BHBT elevated. CXR showed diffuse b/l infiltrates. She was started on glucommander, and sepsis protocol for HCAP and placed on NC.  Upon arrival to the ICU pt was placed on BiPAP due to resp distress without improvement and was subsequently intubated shortly after arrival. In addition Kcentra was initally ordered for elevated INR 2/2 warfarin. 9.29 :  She is still on ventilator support.  FiO2 of 40%.  Good urine output.  She has been placed on IV antibiotics.  Chest x-ray is been improving.  Sodium level is high at 153 mEq per L.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pH decreased, Blood potassium increased, Blood sodium increased, Chest X-ray abnormal, Dyspnoea
Clinical narrative: 9/17/21: Patient arrived at the ER due to acute onset SOB the morning of presentation. She reports feeling well the day prior. Notes she stopped taking warfarin 2 days ago.  In the ED she was tachypneic, tachycardia, INR >13, BG 500, pH of 7.22, Bicarb of 5, K of 6.1, WBC 20, Cr 1.21 (baseline 1.1), LA 4.1, BHBT elevated. CXR showed diffuse b/l infiltrates. She was started on glucommander, and sepsis protocol for HCAP and placed on NC.  Upon arrival to the ICU pt was placed on BiPAP due to resp distress without improvement and was subsequently intubated shortly after arrival. In addition Kcentra was initally ordered for elevated INR 2/2 warfarin. 9.29 :  She is still on ventilator support.  FiO2 of 40%.  Good urine output.  She has been placed on IV antibiotics.  Chest x-ray is been improving.  Sodium level is high at 153 mEq per L.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, Intensive care, International normalised ratio increased, Lung infiltration, Mechanical ventilation
Clinical narrative: 9/17/21: Patient arrived at the ER due to acute onset SOB the morning of presentation. She reports feeling well the day prior. Notes she stopped taking warfarin 2 days ago.  In the ED she was tachypneic, tachycardia, INR >13, BG 500, pH of 7.22, Bicarb of 5, K of 6.1, WBC 20, Cr 1.21 (baseline 1.1), LA 4.1, BHBT elevated. CXR showed diffuse b/l infiltrates. She was started on glucommander, and sepsis protocol for HCAP and placed on NC.  Upon arrival to the ICU pt was placed on BiPAP due to resp distress without improvement and was subsequently intubated shortly after arrival. In addition Kcentra was initally ordered for elevated INR 2/2 warfarin. 9.29 :  She is still on ventilator support.  FiO2 of 40%.  Good urine output.  She has been placed on IV antibiotics.  Chest x-ray is been improving.  Sodium level is high at 153 mEq per L.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Positive airway pressure therapy, Respiratory distress, Tachycardia, Tachypnoea
Clinical narrative: 9/17/21: Patient arrived at the ER due to acute onset SOB the morning of presentation. She reports feeling well the day prior. Notes she stopped taking warfarin 2 days ago.  In the ED she was tachypneic, tachycardia, INR >13, BG 500, pH of 7.22, Bicarb of 5, K of 6.1, WBC 20, Cr 1.21 (baseline 1.1), LA 4.1, BHBT elevated. CXR showed diffuse b/l infiltrates. She was started on glucommander, and sepsis protocol for HCAP and placed on NC.  Upon arrival to the ICU pt was placed on BiPAP due to resp distress without improvement and was subsequently intubated shortly after arrival. In addition Kcentra was initally ordered for elevated INR 2/2 warfarin. 9.29 :  She is still on ventilator support.  FiO2 of 40%.  Good urine output.  She has been placed on IV antibiotics.  Chest x-ray is been improving.  Sodium level is high at 153 mEq per L.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: 9/17/21: Patient arrived at the ER due to acute onset SOB the morning of presentation. She reports feeling well the day prior. Notes she stopped taking warfarin 2 days ago.  In the ED she was tachypneic, tachycardia, INR >13, BG 500, pH of 7.22, Bicarb of 5, K of 6.1, WBC 20, Cr 1.21 (baseline 1.1), LA 4.1, BHBT elevated. CXR showed diffuse b/l infiltrates. She was started on glucommander, and sepsis protocol for HCAP and placed on NC.  Upon arrival to the ICU pt was placed on BiPAP due to resp distress without improvement and was subsequently intubated shortly after arrival. In addition Kcentra was initally ordered for elevated INR 2/2 warfarin. 9.29 :  She is still on ventilator support.  FiO2 of 40%.  Good urine output.  She has been placed on IV antibiotics.  Chest x-ray is been improving.  Sodium level is high at 153 mEq per L.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Feeling abnormal, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 07/07/2021 it began with a runny nose and felt bad; did not feel right. On 07/07/2021 I went to urgent care and I tested posted for Covid-19.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dyspnoea, Hypersensitivity, Myalgia, Pharyngeal swelling
Clinical narrative: Swelling of face throat, severe allergic reaction and rash all over body, shortness of breath, muscle and joint pains, burst blood veins
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling face, Vein disorder
Clinical narrative: Swelling of face throat, severe allergic reaction and rash all over body, shortness of breath, muscle and joint pains, burst blood veins
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2
Clinical narrative: Covid positive household contact
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: pt notes that a day after receiving the Moderna vaccine he started having body aches, fever, fatigue, and headaches
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Pruritus, Skin reaction, Skin warm
Clinical narrative: Patient got this at another location and then reported a skin reaction to PCP. her arm became red and warm one day after the vaccine. They became itchy and painful in the following days. looks like Covid arm but is not with Moderna.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Oropharyngeal pain, Productive cough, Vomiting
Clinical narrative: Cough with phlegm, sore throat on 9/23/21 onset, and vomiting diarrhea and abdominal pain up to 9/30/21
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Chills, fever, muscle ache
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Broke out in hives all over chest, neck, and scalp approximately 4 hours after the injection.  This happened with 2nd vaccine.  Has my PCP go ahead and give me steroids prior to 3rd vaccine.  Began taking them that night.  Hives lasted 3 days.
Age: 29.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site reaction, Lymphadenopathy, Nausea, Pyrexia
Clinical narrative: Had reaction at site, fever, nausea and enlarged lymph node on my neck for couple months after
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthritis, Groin pain, X-ray of pelvis and hip abnormal
Clinical narrative: Pain in groin, right side. X-ray showed arthritis of right hip joint.  No symptoms prior to this event
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Induration, Oedema peripheral, Pain, Swelling
Clinical narrative: Swollen, hard, painful left armpit. Visible swelling from front of the body. Pain is constant during stillness and movement.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Constipation, Headache, Influenza like illness
Clinical narrative: (2/23/2021) Chronic constipation, flu-like symptoms, headaches (sinus). Was given enema and prescribed Miralax. Still takes it everyday.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral
Clinical narrative: Swollen armpit on left arm
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: Patient was given Moderna as covid 19 booster shot instead of Pfizer. Patient had no adverse reaction to different vaccination during 15 minute observation time and was released.  Dr. was contacted and ok'd that Moderna was fine as 3rd vaccination. Several attempts have been made to contact patient to notify her that she was given Moderna instead of Pfizer and she has not answered the phone nor contacted us back.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive community contact (funeral)
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Headache, Nasal congestion, Oropharyngeal pain, Pain
Clinical narrative: headache, body aches, runny nose, nonproductive cough, sore throat, sinus congestion, nasal congestion, post nasal drainage.  starting on 9/26/21
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rhinorrhoea, Sinus congestion, Upper-airway cough syndrome
Clinical narrative: headache, body aches, runny nose, nonproductive cough, sore throat, sinus congestion, nasal congestion, post nasal drainage.  starting on 9/26/21
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Mental status changes, Sepsis
Clinical narrative: Hospitalization with AMS, hypoxia, Sepsis
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Hypoxia, Pyrexia, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Hospitalization with AMS, hypoxia, Sepsis
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Insomnia, Somnolence, Thirst
Clinical narrative: Constant thirst from 4/18/21 until present, headache  from 4/18/21 until 5/29/2021, fatigue 4/18/21 to 5/29/21( I was falling asleep at work and driving)  insomnia,  4/18/21 to present,  Inability to walk more then 10 minutes without feeling fatigue 4/18/21 to present. I now carry bottled water with me at all times. I no longer go for strolls.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site swelling, Musculoskeletal stiffness
Clinical narrative: Redness, swelling, fever, baseball sized firm area of erythema at injection site with stiffness of right arm.  Patient's mother took her to urgent care 5 days after injection.  Patient was given Rx for Cephalexin 500mg QID and hydrocortisone cream.  Both prescriptions were started 9/29/21 after released from urgent care.