chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Brain natriuretic peptide normal, Chest discomfort, Dizziness, Full blood count normal
Clinical narrative: Patient is a 70-year-old female that presents to the ER with complaint of chest pressure and palpitations.  Patient states this morning she received her second Covid 19 vaccination at 0711.  She states about 5-10 minutes after receiving that she started having palpitations, became dizzy and pale.  She states staff did check her blood pressure which was elevated.  She states her symptoms lasted about 5 minutes and improved.  She states at 0726 she started having palpitations again, dizziness and substernal chest pressure/heaviness.  She states the dizziness and palpitations have improved but not resolved. pt states she had no reactions with her first dose. Patient denies nausea/vomiting, shortness of breath or recent surgery/travel, fever, cough.  Patient states she did take a 81 mg aspirin this morning. 0853- pt resting in the er, nad. vital signs improved. resp equal and non-labored. pt states she feels much better, symptoms resolved. labs / imaging reviewed along with obtaining repeat trop. pt verbalized agreement. 1143- pt resting in the er, nad. vss, pt non-toxic. second trop negative. pt states no further symptoms while in er. denies chest pain, soa, dizziness or palpitations. pt states she feels good to go home. discussed strict return precautions and importance of close f/u with pcp / cardiology. pt verbalized agreement. aware to return to er if concerns or change in symptoms. pt ambulatory out of er with steady gait wo difficulty.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test normal, Pallor, Palpitations, Troponin normal
Clinical narrative: Patient is a 70-year-old female that presents to the ER with complaint of chest pressure and palpitations.  Patient states this morning she received her second Covid 19 vaccination at 0711.  She states about 5-10 minutes after receiving that she started having palpitations, became dizzy and pale.  She states staff did check her blood pressure which was elevated.  She states her symptoms lasted about 5 minutes and improved.  She states at 0726 she started having palpitations again, dizziness and substernal chest pressure/heaviness.  She states the dizziness and palpitations have improved but not resolved. pt states she had no reactions with her first dose. Patient denies nausea/vomiting, shortness of breath or recent surgery/travel, fever, cough.  Patient states she did take a 81 mg aspirin this morning. 0853- pt resting in the er, nad. vital signs improved. resp equal and non-labored. pt states she feels much better, symptoms resolved. labs / imaging reviewed along with obtaining repeat trop. pt verbalized agreement. 1143- pt resting in the er, nad. vss, pt non-toxic. second trop negative. pt states no further symptoms while in er. denies chest pain, soa, dizziness or palpitations. pt states she feels good to go home. discussed strict return precautions and importance of close f/u with pcp / cardiology. pt verbalized agreement. aware to return to er if concerns or change in symptoms. pt ambulatory out of er with steady gait wo difficulty.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Electrocardiogram, Full blood count, Metabolic function test
Clinical narrative: Anaphylaxis
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Needle issue, Syringe issue, Vaccination error
Clinical narrative: Vaccine administration error. It is suspected that a 1/2? needle syringe was used instead of a 1? needle syringe IM.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Postictal paralysis, Seizure
Clinical narrative: Pt has a hx of seizure disorder.  Vaccine given at 0942. Seizure started at approximately 0944 and lasted until 0948. Patient was unable to converse- was attempting. It lasted approximately 4-5 minutes. Her partner was with us and assured us she was okay and did not need medical tx. She states vaccines can "sometimes shock system" but it had been a long time since she had a seizure. Second seizure occurred at 10:10 and occurred for approximately 3 minutes. Patient states she took her medication: Lamictal 150mg BID for her seizures.  Partner states that seizures can be normal for her and declined need for ambulance.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain, Throat tightness
Clinical narrative: Patient was vaccinated on 2/4/2021 at 1:02pm. She was monitored  for a 1/2 hour due  to history of anaphylaxis. No concerned noted upon release. It was Reported by a nurse, that patient reached out to her with a reaction from the vaccine and that she took Benadryl at 2pm. She started to have some coughing, then her throat is sore and tight. Nurse called patient at 2:40pm. Patient stated that symptoms have improved. Patient was instructed to take epi pen for worsening  symptoms and go to the ED. Patient agreed. PCP notified; supervisor notified  Patient reported that after her first dose she did have mild hives, slight cough about hour after, then diminished. -This was reported by patient during phone call with nurse.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Lymph node pain, Lymphadenopathy, Pain in extremity
Clinical narrative: The lymph nodes in my inside upper right thigh have been swollen and painful and the pain continues on my inner left knee and down to the outside of my big toe and second toe. Feels like a terrible sunburn and it hurts to even wear pants shoes and socks on that leg/foot. It?s going on 5 days and I have to take several over the counter naproxen per day for any relief. May or may not be related to the vaccine, but it?s new to me so I thought I would report  it.
Age: 0.17
Sex: M
Vaccine: RV5
Symptoms: Vomiting
Clinical narrative: Vomiting  for day and half
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Headache, Myalgia
Clinical narrative: 2/3/2021 I felt very bad headache and myalgia 8/10,Chilly ,tired,.Took two doses 650mg Tylenol doesn?t help.7:30pm took 650mg Tylenol 10mg hydroxyzine by mouth ,about 10pm felt to sleep.2/4/21 around 5:30am wake up and fell better.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: itchy with whelps, raised bumps, took Benadryl 5 hours later  currently on a histamine blocker
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Patient reported itching almost immediately after getting vaccine.    Patient was taken to ER via wheelchair but left AMA before being evaluated.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incomplete dose administered
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Feeling hot
Clinical narrative: Vaccine recipient stated she felt hot in her chest and face upon parking after her vaccination was given. She stated she didn't quite feel light headed or dizzy but she felt weak. Vitals were taken and within normal ranges. VR was given a longer observation time and was given water. Upon 30 minutes of observation she stated she felt better and safe enough to leave.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hot flush, Palpitations, Visual impairment
Clinical narrative: I was standing in my home and had a sudden onset of heart palpitations, dizziness, hot flash, and vision began to go black.  I quickly got down on the floor. I started to feel better after a few seconds, but  I stayed sitting on the floor for 30 minutes.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Red circle developed around vaccine site- about two inches  Location ached and I took Tylenol.   Sensitivity continues but does not require Tylenol.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Oropharyngeal pain, Swelling, Swelling face
Clinical narrative: Patient was in car in 1st dose waiting line after getting the vaccine. I was checking on patient and she c/o swelling in face and neck and redness in face. I told her husband to drive her up to the front parking lot where EMS was waiting. I notified EMS of her symptoms. EMS attended to her and advised her to be taken in to be seen at the ER. The patient refused. EMS once again advised her to go to the ER, patient refused. Patient was told to wait in car for an additional 30 minutes before leaving.  EMS advised pt to report to ER if symptoms get worse. Patient signed a declination for EMS. I checked on the patient again before her 30 minutes were up. She c/o her throat hurting. EMS attended her again and advised her to go to the ER either by them or POV. Husband of patient stated he would take her to the ER.  Patient left by POV @ 1345.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Vomiting
Clinical narrative: VOMITING AND DIARRHEA. VISISTED ER ON 1/29/21. CAME BACK TO ASSISTED LIVING FACILITY, THEN WENT BACK OUT TO HOSPITAL AND WAS ADMITTED ON 1/31/21
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood pressure fluctuation, Dizziness, Flushing, Headache
Clinical narrative: Patient received her 2nd dose of covid-19 Pfzier vaccine drive thru @ 0819. Patient c/o severe headache, dizziness, nausea, palpitations.  0821 BP164/100, denied shortness of breath, no respiratory distress noted.  0828 BP 160/98, O2 sat 98 %. HR 115, c/o nausea, severe headache, face flushed.  0831 BP 145/83 HR 99, o2 sat 100%, c/o severe headache, vomited x 1. 0832EMS activated.   0833BP 143/91 HR 95. 0835 Fire Department on site,  0838 BP 182/102 HR 125 O2 sat 98% (by the Fire Department) 0839 Patient c/o severe headache, nausea, vomited x 1 0841 Blood glucose 173 (by the Fire Department) 0848 EMS arrived  0850 BP 180/99 HR 105, patient c/o severe headache, nausea and dizziness. 0901 Patient transported to Hospital. Pt was alert and oriented x 3 @ all time, no respiratory distress noted.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Palpitations, Vomiting
Clinical narrative: Patient received her 2nd dose of covid-19 Pfzier vaccine drive thru @ 0819. Patient c/o severe headache, dizziness, nausea, palpitations.  0821 BP164/100, denied shortness of breath, no respiratory distress noted.  0828 BP 160/98, O2 sat 98 %. HR 115, c/o nausea, severe headache, face flushed.  0831 BP 145/83 HR 99, o2 sat 100%, c/o severe headache, vomited x 1. 0832EMS activated.   0833BP 143/91 HR 95. 0835 Fire Department on site,  0838 BP 182/102 HR 125 O2 sat 98% (by the Fire Department) 0839 Patient c/o severe headache, nausea, vomited x 1 0841 Blood glucose 173 (by the Fire Department) 0848 EMS arrived  0850 BP 180/99 HR 105, patient c/o severe headache, nausea and dizziness. 0901 Patient transported to Hospital. Pt was alert and oriented x 3 @ all time, no respiratory distress noted.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient called the office and stated that where the vaccine was given his arm is starting to turn red, swelling, itchy, and the redness is moving down his arm. Patient came to the office and was seen BY Dr. and she is treating the Cellulitis with Ibuprofen/Tylenol, ice, Benadryl and hydrocortisone cream.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Heart rate increased, Palpitations, Tremor
Clinical narrative: Symptoms: c/o dizziness, palpitations, tremors, chills. HR 132. Other vitals stable.  Intervention: Rest, reassurance, warm water, HR down to 98. Stabilized.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Heart rate increased
Clinical narrative: Patient states that about 45 minutes after her vaccine, she states that her chest felt very "heavy" and that it was hard to breathe. She did not feel that her throat was closing and denies any swelling. She did not feel any constriction. She did report a rapid heartbeat. No other symptoms reported.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on right side of neck extending past inferior mandible onto right cheek
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives spreading all over my torso and neck
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Pharyngeal swelling
Clinical narrative: Swelling of throat to uncomfortable point, but did not close.  Hard to swallow.   This occured within an hour of injection
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Dyspnoea, Hyperhidrosis
Clinical narrative: 1/4/2020 vaccine few hours later, started to experience dizzy, SOB. I passed out on the floor, still conscious. Felt weak, sat up. Sweating profusely. Migraine. I went home from work. Couldn't move arm; extreme soreness. Body aches, chills, fever at nights. Peaked within 24 hours. 2-3 days, 2nd day being the hardest.  Within couple days, I felt fine.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Loss of consciousness, Migraine, Pain, Pain in extremity
Clinical narrative: 1/4/2020 vaccine few hours later, started to experience dizzy, SOB. I passed out on the floor, still conscious. Felt weak, sat up. Sweating profusely. Migraine. I went home from work. Couldn't move arm; extreme soreness. Body aches, chills, fever at nights. Peaked within 24 hours. 2-3 days, 2nd day being the hardest.  Within couple days, I felt fine.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 1/4/2020 vaccine few hours later, started to experience dizzy, SOB. I passed out on the floor, still conscious. Felt weak, sat up. Sweating profusely. Migraine. I went home from work. Couldn't move arm; extreme soreness. Body aches, chills, fever at nights. Peaked within 24 hours. 2-3 days, 2nd day being the hardest.  Within couple days, I felt fine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Pain, Pyrexia
Clinical narrative: This morning I woke up with some chest congestion.  Around noon today, I started getting achy.  I rested during lunch and then started running a low grade fever after lunch, 101.1.  I had the same reaction with the first dose.  Took Tylenol before coming to work and during lunch.  Still running low grade fever at 4pm.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Needle issue, Syringe issue
Clinical narrative: Vaccine administration error. It is suspected that a 1/2? needle syringe was used instead of a 1? needle syringe IM.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal distension, Contusion, Feeling hot, Induration
Clinical narrative: Hard, Bruised, hot to the touch, swollen
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: RASH AND HIVES ON TRUNK.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Headache, Nausea, Pain
Clinical narrative: Patient developed chills, nausea, headache, body aches, loss of appetite. She went to the emergency room and received Benadryl and a bolus of normal saline,  She is feeling back to her baseline today,
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Pyrexia
Clinical narrative: Pain at injection site for 6 days, then on 7th day severe itching and fever with redness at injection site.  Took oral antihistamine, and rubbed site with cortisone cream
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Around 1:00 am on the 2/3/21 I got a fever and was shivering.   When I got up I was very weak and tired.   I started with a headache in the evening of 2/2/21
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pain
Clinical narrative: Achy body , sweats
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain, X-ray limb normal
Clinical narrative: Shooting arm pain in right shoulder began 1/23/21 around 11AM and continued for most of the afternoon. 1/24/21 around noon it came back. Monday 1/25 it was getting worse and just began to feel like I tried to lift entirely too much weight for a long time but I hadn't done anything. Tuesday 1/26 the pain was all but gone but returned and was worse on 1/27 and 1/28. On 1/29 it subsided again and I felt fine but on 1/30 and 1/31 it came back with a vengeance and hurt all day on both of those days.  On Monday 2/1 it was back to just being sore again and has been the same soreness on 2/2 and 2/3. No more shooting pain just lingering soreness.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash papular
Clinical narrative: Raised rash at site of injection and started on hands, waistband, back, legs, neck lower legs Seen by urgent care and given triamcinolon cream
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Myalgia
Clinical narrative: Large red mark around the injection site.  Arm muscle site has hurt beginning two days after injection and still hurts.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Flushing
Clinical narrative: Symptoms: c/o flushing, chills. Vitals stable. Intervention: rest, reassurance, used bathroom ? felt better.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Had Pfizer #1 on 12/17/20 but patient told nurse he was returning for Moderna #2. Nurse completed documentation and injection for Moderna then when completing the CDC vaccine card for patient the nurse noticed he had Pfizer for his first dose.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Diarrhoea, Dyspnoea, Nausea, Pharyngeal swelling
Clinical narrative: Pt stayed 30 min for monitoring d/t hx of allergies. 2 hours after admin developed wheezing, chest tightness, diarrhea. Went to ED, had severe diarrhea, throat swelling, chest tightness, DIB, n/v; pt received IV doses of steroids, benadryl, IM epinephrine, racemic epinephrine breathing treatments x2; and duoneb tx's every 2 hours. Pt required overnight admission to the hospital for monitoring as had some persistent symptoms.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, Wheezing
Clinical narrative: Pt stayed 30 min for monitoring d/t hx of allergies. 2 hours after admin developed wheezing, chest tightness, diarrhea. Went to ED, had severe diarrhea, throat swelling, chest tightness, DIB, n/v; pt received IV doses of steroids, benadryl, IM epinephrine, racemic epinephrine breathing treatments x2; and duoneb tx's every 2 hours. Pt required overnight admission to the hospital for monitoring as had some persistent symptoms.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram neck, Lymphadenitis, Lymphadenopathy, Mass, Neck mass
Clinical narrative: Moderna COVID-19 Vaccine EUA  Left posterior triangle lymphadenopathy, enlarged right submandibular and left submental lymph nodes.  Localized swelling,mass and lump, neck. Palpable lumb in neck. Tender to the touch
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Tenderness, Ultrasound scan
Clinical narrative: Moderna COVID-19 Vaccine EUA  Left posterior triangle lymphadenopathy, enlarged right submandibular and left submental lymph nodes.  Localized swelling,mass and lump, neck. Palpable lumb in neck. Tender to the touch
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Hyperhidrosis, Influenza like illness, Pain
Clinical narrative: I started feeling body aches at 3 PM Friday, that progressed to chills and sweats by 5PM. These flu-like symptoms started to abate the next day (Saturday by noon) and I felt drained the rest of the day. I felt normal by the day after (Sunday).
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Received Pfizer vaccine on 2/2/2021, noticed that left hand was achy and swollen on 2/3/2021 and on 2/4/2021, she noticed that her right hand was swollen.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Anti-GAD antibody, Antibody test, Aspartate aminotransferase increased, Asthenia
Clinical narrative: 79 yo female with past medical history only significant for endovascular coiling of cerebral aneurysms over 30 years ago presenting with fevers, fatigue, weakness, noise sensitivity, myalgias,and tremors.  She exercises regularly and has become so weak that she cannot climb stairs.  Neurological exam revealed hyperreflexia, subtle proximal muscle weakness, the presence of a startle reflex and rooting reflex, clonus, and a positive Babinski.  Infectious work up has been negative, autoimmune evaluation is underway.  Inpatient neurology consultation has been obtained, she was given a trial of diazepam for stiff person syndrome and started on daily IVIG on 2/3/2021 for a 5 day course. She continues to have an elevated CRP, a mild transaminitis, and mild thrombocytopenia.  The ESR dropped from 44 to 20 with hydration.  She has had no cognitive changes. No headache, visual changes, jaw pain. We are unable to obtain MRI given the presence of these coils which are not MRI compatible.  Encephalitis immune antibodies are pending, myositis panel, MOG antibodies ADEM are pending, GAD65 antibody pending.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin decreased, Blood alkaline phosphatase normal, Blood bicarbonate decreased, Blood bilirubin normal, Blood chloride normal
Clinical narrative: 79 yo female with past medical history only significant for endovascular coiling of cerebral aneurysms over 30 years ago presenting with fevers, fatigue, weakness, noise sensitivity, myalgias,and tremors.  She exercises regularly and has become so weak that she cannot climb stairs.  Neurological exam revealed hyperreflexia, subtle proximal muscle weakness, the presence of a startle reflex and rooting reflex, clonus, and a positive Babinski.  Infectious work up has been negative, autoimmune evaluation is underway.  Inpatient neurology consultation has been obtained, she was given a trial of diazepam for stiff person syndrome and started on daily IVIG on 2/3/2021 for a 5 day course. She continues to have an elevated CRP, a mild transaminitis, and mild thrombocytopenia.  The ESR dropped from 44 to 20 with hydration.  She has had no cognitive changes. No headache, visual changes, jaw pain. We are unable to obtain MRI given the presence of these coils which are not MRI compatible.  Encephalitis immune antibodies are pending, myositis panel, MOG antibodies ADEM are pending, GAD65 antibody pending.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, Blood creatinine normal, Blood culture negative, Blood potassium decreased, Blood sodium normal
Clinical narrative: 79 yo female with past medical history only significant for endovascular coiling of cerebral aneurysms over 30 years ago presenting with fevers, fatigue, weakness, noise sensitivity, myalgias,and tremors.  She exercises regularly and has become so weak that she cannot climb stairs.  Neurological exam revealed hyperreflexia, subtle proximal muscle weakness, the presence of a startle reflex and rooting reflex, clonus, and a positive Babinski.  Infectious work up has been negative, autoimmune evaluation is underway.  Inpatient neurology consultation has been obtained, she was given a trial of diazepam for stiff person syndrome and started on daily IVIG on 2/3/2021 for a 5 day course. She continues to have an elevated CRP, a mild transaminitis, and mild thrombocytopenia.  The ESR dropped from 44 to 20 with hydration.  She has had no cognitive changes. No headache, visual changes, jaw pain. We are unable to obtain MRI given the presence of these coils which are not MRI compatible.  Encephalitis immune antibodies are pending, myositis panel, MOG antibodies ADEM are pending, GAD65 antibody pending.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea normal, C-reactive protein increased, CSF culture negative, CSF lymphocyte count increased, CSF red blood cell count positive
Clinical narrative: 79 yo female with past medical history only significant for endovascular coiling of cerebral aneurysms over 30 years ago presenting with fevers, fatigue, weakness, noise sensitivity, myalgias,and tremors.  She exercises regularly and has become so weak that she cannot climb stairs.  Neurological exam revealed hyperreflexia, subtle proximal muscle weakness, the presence of a startle reflex and rooting reflex, clonus, and a positive Babinski.  Infectious work up has been negative, autoimmune evaluation is underway.  Inpatient neurology consultation has been obtained, she was given a trial of diazepam for stiff person syndrome and started on daily IVIG on 2/3/2021 for a 5 day course. She continues to have an elevated CRP, a mild transaminitis, and mild thrombocytopenia.  The ESR dropped from 44 to 20 with hydration.  She has had no cognitive changes. No headache, visual changes, jaw pain. We are unable to obtain MRI given the presence of these coils which are not MRI compatible.  Encephalitis immune antibodies are pending, myositis panel, MOG antibodies ADEM are pending, GAD65 antibody pending.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Clonus, Clostridium test negative, Complement factor C3, Complement factor C4 increased, Computerised tomogram abdomen
Clinical narrative: 79 yo female with past medical history only significant for endovascular coiling of cerebral aneurysms over 30 years ago presenting with fevers, fatigue, weakness, noise sensitivity, myalgias,and tremors.  She exercises regularly and has become so weak that she cannot climb stairs.  Neurological exam revealed hyperreflexia, subtle proximal muscle weakness, the presence of a startle reflex and rooting reflex, clonus, and a positive Babinski.  Infectious work up has been negative, autoimmune evaluation is underway.  Inpatient neurology consultation has been obtained, she was given a trial of diazepam for stiff person syndrome and started on daily IVIG on 2/3/2021 for a 5 day course. She continues to have an elevated CRP, a mild transaminitis, and mild thrombocytopenia.  The ESR dropped from 44 to 20 with hydration.  She has had no cognitive changes. No headache, visual changes, jaw pain. We are unable to obtain MRI given the presence of these coils which are not MRI compatible.  Encephalitis immune antibodies are pending, myositis panel, MOG antibodies ADEM are pending, GAD65 antibody pending.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Computerised tomogram spine, Computerised tomogram thorax, Computerised tomogram thorax normal, Culture stool negative
Clinical narrative: 79 yo female with past medical history only significant for endovascular coiling of cerebral aneurysms over 30 years ago presenting with fevers, fatigue, weakness, noise sensitivity, myalgias,and tremors.  She exercises regularly and has become so weak that she cannot climb stairs.  Neurological exam revealed hyperreflexia, subtle proximal muscle weakness, the presence of a startle reflex and rooting reflex, clonus, and a positive Babinski.  Infectious work up has been negative, autoimmune evaluation is underway.  Inpatient neurology consultation has been obtained, she was given a trial of diazepam for stiff person syndrome and started on daily IVIG on 2/3/2021 for a 5 day course. She continues to have an elevated CRP, a mild transaminitis, and mild thrombocytopenia.  The ESR dropped from 44 to 20 with hydration.  She has had no cognitive changes. No headache, visual changes, jaw pain. We are unable to obtain MRI given the presence of these coils which are not MRI compatible.  Encephalitis immune antibodies are pending, myositis panel, MOG antibodies ADEM are pending, GAD65 antibody pending.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine negative, Cytology normal, Electroencephalogram abnormal, Extensor plantar response, Fatigue
Clinical narrative: 79 yo female with past medical history only significant for endovascular coiling of cerebral aneurysms over 30 years ago presenting with fevers, fatigue, weakness, noise sensitivity, myalgias,and tremors.  She exercises regularly and has become so weak that she cannot climb stairs.  Neurological exam revealed hyperreflexia, subtle proximal muscle weakness, the presence of a startle reflex and rooting reflex, clonus, and a positive Babinski.  Infectious work up has been negative, autoimmune evaluation is underway.  Inpatient neurology consultation has been obtained, she was given a trial of diazepam for stiff person syndrome and started on daily IVIG on 2/3/2021 for a 5 day course. She continues to have an elevated CRP, a mild transaminitis, and mild thrombocytopenia.  The ESR dropped from 44 to 20 with hydration.  She has had no cognitive changes. No headache, visual changes, jaw pain. We are unable to obtain MRI given the presence of these coils which are not MRI compatible.  Encephalitis immune antibodies are pending, myositis panel, MOG antibodies ADEM are pending, GAD65 antibody pending.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin normal, Hyperacusis, Hyperreflexia, Immunoglobulin therapy, Mobility decreased
Clinical narrative: 79 yo female with past medical history only significant for endovascular coiling of cerebral aneurysms over 30 years ago presenting with fevers, fatigue, weakness, noise sensitivity, myalgias,and tremors.  She exercises regularly and has become so weak that she cannot climb stairs.  Neurological exam revealed hyperreflexia, subtle proximal muscle weakness, the presence of a startle reflex and rooting reflex, clonus, and a positive Babinski.  Infectious work up has been negative, autoimmune evaluation is underway.  Inpatient neurology consultation has been obtained, she was given a trial of diazepam for stiff person syndrome and started on daily IVIG on 2/3/2021 for a 5 day course. She continues to have an elevated CRP, a mild transaminitis, and mild thrombocytopenia.  The ESR dropped from 44 to 20 with hydration.  She has had no cognitive changes. No headache, visual changes, jaw pain. We are unable to obtain MRI given the presence of these coils which are not MRI compatible.  Encephalitis immune antibodies are pending, myositis panel, MOG antibodies ADEM are pending, GAD65 antibody pending.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Myalgia, Neurological examination abnormal, Platelet count decreased, Pyrexia
Clinical narrative: 79 yo female with past medical history only significant for endovascular coiling of cerebral aneurysms over 30 years ago presenting with fevers, fatigue, weakness, noise sensitivity, myalgias,and tremors.  She exercises regularly and has become so weak that she cannot climb stairs.  Neurological exam revealed hyperreflexia, subtle proximal muscle weakness, the presence of a startle reflex and rooting reflex, clonus, and a positive Babinski.  Infectious work up has been negative, autoimmune evaluation is underway.  Inpatient neurology consultation has been obtained, she was given a trial of diazepam for stiff person syndrome and started on daily IVIG on 2/3/2021 for a 5 day course. She continues to have an elevated CRP, a mild transaminitis, and mild thrombocytopenia.  The ESR dropped from 44 to 20 with hydration.  She has had no cognitive changes. No headache, visual changes, jaw pain. We are unable to obtain MRI given the presence of these coils which are not MRI compatible.  Encephalitis immune antibodies are pending, myositis panel, MOG antibodies ADEM are pending, GAD65 antibody pending.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, Reflexes abnormal, Respiratory viral panel, SARS-CoV-2 test negative, Stiff person syndrome
Clinical narrative: 79 yo female with past medical history only significant for endovascular coiling of cerebral aneurysms over 30 years ago presenting with fevers, fatigue, weakness, noise sensitivity, myalgias,and tremors.  She exercises regularly and has become so weak that she cannot climb stairs.  Neurological exam revealed hyperreflexia, subtle proximal muscle weakness, the presence of a startle reflex and rooting reflex, clonus, and a positive Babinski.  Infectious work up has been negative, autoimmune evaluation is underway.  Inpatient neurology consultation has been obtained, she was given a trial of diazepam for stiff person syndrome and started on daily IVIG on 2/3/2021 for a 5 day course. She continues to have an elevated CRP, a mild transaminitis, and mild thrombocytopenia.  The ESR dropped from 44 to 20 with hydration.  She has had no cognitive changes. No headache, visual changes, jaw pain. We are unable to obtain MRI given the presence of these coils which are not MRI compatible.  Encephalitis immune antibodies are pending, myositis panel, MOG antibodies ADEM are pending, GAD65 antibody pending.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombocytopenia, Transaminases increased, Tremor, White blood cell count normal
Clinical narrative: 79 yo female with past medical history only significant for endovascular coiling of cerebral aneurysms over 30 years ago presenting with fevers, fatigue, weakness, noise sensitivity, myalgias,and tremors.  She exercises regularly and has become so weak that she cannot climb stairs.  Neurological exam revealed hyperreflexia, subtle proximal muscle weakness, the presence of a startle reflex and rooting reflex, clonus, and a positive Babinski.  Infectious work up has been negative, autoimmune evaluation is underway.  Inpatient neurology consultation has been obtained, she was given a trial of diazepam for stiff person syndrome and started on daily IVIG on 2/3/2021 for a 5 day course. She continues to have an elevated CRP, a mild transaminitis, and mild thrombocytopenia.  The ESR dropped from 44 to 20 with hydration.  She has had no cognitive changes. No headache, visual changes, jaw pain. We are unable to obtain MRI given the presence of these coils which are not MRI compatible.  Encephalitis immune antibodies are pending, myositis panel, MOG antibodies ADEM are pending, GAD65 antibody pending.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea
Clinical narrative: Patient had already been observed for 15 minutes and left the facility. Patient stated while on her way home her and her husband were discussing side effects when she started to feel SOB, dizziness, and slight chest pain so they returned to the clinic. Full set of vitals was taken. Doctor evaluated patient. Patient started feeling better after drinking some water. Second set of vitals taken and patient discharged to go home with husband 1215pm.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Rash, Rash macular
Clinical narrative: Diffuse Rash around back and nipple area.  Diagnosed with Shingles and prescribed Valtrex
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swelling
Clinical narrative: redness swelling
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Rash macular
Clinical narrative: Slight swelling at the injection site with a red, blotchy,  itchy area approximately 2 1/2" in diameter appearing {2/3/2021} exactly 1 week after my 1st covid-19 shot.  As of today, 2/4/2021  the injection site still remains red, itchy, blotchy and slightly swollen.  I am simply notifying this site of the reaction to provide you with data.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral congestion, Condition aggravated, Feeling cold, Headache, Malaise
Clinical narrative: After 4-5 hours I developed arm pain, malaise, headache,low grade temp, chilly feeling, head congestion,  sore throat. By 0700 Tuesday, all were resolved except the arm pain and malaise. The arm pain had increased Monday evening to excruciating pain  that lasted until Wednesday at noon. The pain was unrelieved by otc parents n remedies. I couldn?t sleep, walk , move my fingers,  or use my arm in any way. There was no redness or swelling. I couldn?t find the puncture.  I was in bed all day Tuesday because I couldn?t move my arm without intense pain. If I didn?t move it, it was a dull ache. The pain was mstly in my upper circumferentially. But moving my hand or fingers brought down to them. The pain lessened slightly on Wednesday but was still debilitating. By Wednesday evening it was greatly improved and I woke up Thursday morning pain free.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain in extremity, Pyrexia
Clinical narrative: After 4-5 hours I developed arm pain, malaise, headache,low grade temp, chilly feeling, head congestion,  sore throat. By 0700 Tuesday, all were resolved except the arm pain and malaise. The arm pain had increased Monday evening to excruciating pain  that lasted until Wednesday at noon. The pain was unrelieved by otc parents n remedies. I couldn?t sleep, walk , move my fingers,  or use my arm in any way. There was no redness or swelling. I couldn?t find the puncture.  I was in bed all day Tuesday because I couldn?t move my arm without intense pain. If I didn?t move it, it was a dull ache. The pain was mstly in my upper circumferentially. But moving my hand or fingers brought down to them. The pain lessened slightly on Wednesday but was still debilitating. By Wednesday evening it was greatly improved and I woke up Thursday morning pain free.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Cheilitis, Paraesthesia oral, Tongue eruption
Clinical narrative: DEVELOPED RASH AND TINGLING AROUND LIPS AND TOUNGUE. TOOK ORAL BENADRYL AND THIS SUBSIDED WITHOUT INCIDENT.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Chills, Fatigue, Headache
Clinical narrative: Woke up 7:15 am with Headache, chills, fever of101.4, body aches, joint pains, fatigue and on/off chest pain.   Body aches and fever/chills resolved by 1pm and chest pains/joint pains and fatigue and on/off chest pains continued longer Treatment bed rest/Ibuprofen 600 mg x 2 doses
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Woke up 7:15 am with Headache, chills, fever of101.4, body aches, joint pains, fatigue and on/off chest pain.   Body aches and fever/chills resolved by 1pm and chest pains/joint pains and fatigue and on/off chest pains continued longer Treatment bed rest/Ibuprofen 600 mg x 2 doses
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to hospital on 2/3/2021 for dose 2 of Moderna vaccine. Patient received initial dose of moderna vaccine on 1/4/2021 at the hospital. During review of consent form, noted patient had Covid-19 In November and received Convalescent Plasma tranfusion on November 14, 2020.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Patient had a seizure about 1 hour following vaccination.  Pt has hx of seizure dosorder.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Head discomfort, Muscle spasms, Oropharyngeal discomfort, Poor quality sleep
Clinical narrative: didn't sleep well the night of injection, about an hr ago my stomach started cramping and it went to my throat like i was gaging and it went through your arms and into your head.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Retching
Clinical narrative: didn't sleep well the night of injection, about an hr ago my stomach started cramping and it went to my throat like i was gaging and it went through your arms and into your head.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Fatigue, Headache, Myalgia
Clinical narrative: Fever 24 hours,diarrhea 2 days,severe severe headache 2 days  joint Nd muscle pain2 days Severe fatigue 5days
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever 24 hours,diarrhea 2 days,severe severe headache 2 days  joint Nd muscle pain2 days Severe fatigue 5days
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hyperhidrosis, Impaired work ability, Malaise, Pain
Clinical narrative: received covid vaccine Monday morning. became sick with body aches, joint pain, sweating early Tuesday morning. called out sick for Tuesday shift 11am-7pm.
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Death, Herpes zoster, Malaise, Neuralgia
Clinical narrative: On 1/29/21 patient began not feeling well and saw her provider.  The doctor gave her fluids and tramadol for pain.  They noticed increased confusion, but thought that could have been due to the tramadol.  They also increased her gabapentin as she was experiencing nerve pain.  Patient also developed a rash and was diagnosed with shingles on 2/1/21.  Patient died on 2/3/21
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rash
Clinical narrative: On 1/29/21 patient began not feeling well and saw her provider.  The doctor gave her fluids and tramadol for pain.  They noticed increased confusion, but thought that could have been due to the tramadol.  They also increased her gabapentin as she was experiencing nerve pain.  Patient also developed a rash and was diagnosed with shingles on 2/1/21.  Patient died on 2/3/21
Age: 43.0
Sex: U
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Bumps on forehead that itch.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Diarrhoea, Fatigue
Clinical narrative: High fever, chills, severe joint pain, moderate to severe muscle pain, headache, nausea, diarrhea, swollen lymph node in left axilla, fatigue, weakness
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Myalgia, Nausea, Pyrexia
Clinical narrative: High fever, chills, severe joint pain, moderate to severe muscle pain, headache, nausea, diarrhea, swollen lymph node in left axilla, fatigue, weakness
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Dizziness, Dysphonia, Throat irritation
Clinical narrative: Received injection at 0900, at 0910 began feeling sensation of itchy throat. By 0930, increased with raspy voice and urge to cough. Took at approx. 10am. By 1030 itchy throat mildly decreased but with dizziness and chills. O2 sat was 98%. By 1200 most symptoms resolved. At 1400 again with increased itchy throat so took 25mg of Benadryl. No other symptoms, O2 sat 96% and heart rate in the 80's.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Nine days after vaccine #1 my Left arm directly above and below the vaccine site became warm swollen and red. The redness traveled to my shoulder and down to my elbow. It was slightly itchy but not much. It lasted for about 6 days and then disappeared. On the day of the vaccine I took my EPI pen with me to get the vaccine because of my allergy to pepper not really knowing what was in the vaccine. I had a slight tightening of my throat and some facial/head itchiness which resolved without incident. Later in the evening of the vaccine I developed light headedness, nausea and headache which resolved by the next day.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Nausea, Pruritus, SARS-CoV-2 antibody test negative, Throat tightness
Clinical narrative: Nine days after vaccine #1 my Left arm directly above and below the vaccine site became warm swollen and red. The redness traveled to my shoulder and down to my elbow. It was slightly itchy but not much. It lasted for about 6 days and then disappeared. On the day of the vaccine I took my EPI pen with me to get the vaccine because of my allergy to pepper not really knowing what was in the vaccine. I had a slight tightening of my throat and some facial/head itchiness which resolved without incident. Later in the evening of the vaccine I developed light headedness, nausea and headache which resolved by the next day.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Pain
Clinical narrative: GIVEN ON 2/2/2021 - ON 2/3/2021 MISSED WORK. EXTERMELY TIRED, CHILLS ALL DAY, BODY/JOINT SORENESS.   SLEPT ALL DAY UNTIL 5:15 PM.  THEN NO MORE CHILLS, BODY ACE STOPPED (I TOOK IBPROPHRIN -800MG) JUST TIRED . ON THRUSDAY 2/4/2021 I FEEL NORMAL.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Brain contusion, Cold sweat, Dizziness, Fatigue
Clinical narrative: post covid vaccine symptoms included, fatigue, lightheadedness, cold sweats, brain fog, severe neck and back aches.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: post covid vaccine symptoms included, fatigue, lightheadedness, cold sweats, brain fog, severe neck and back aches.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy
Clinical narrative: within about six hours, I had itching in my arm at injection site.  Then the itching was in my armpit.  By the next morning or about 12 hours later my arm area/lymph node was swollen and sore.  By 36 hours later, the lymph node was extremely sore and I was in pain and the itching spread to my breast on the left side.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus
Clinical narrative: within about six hours, I had itching in my arm at injection site.  Then the itching was in my armpit.  By the next morning or about 12 hours later my arm area/lymph node was swollen and sore.  By 36 hours later, the lymph node was extremely sore and I was in pain and the itching spread to my breast on the left side.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis
Clinical narrative: SWEATING AND CHILLS
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Swollen tongue
Clinical narrative: Approximately 5 minutes after administration of injection, client experiences swelling of the lips and tongue.  She states she had similar reaction after 1st dose of covid vaccine approximately 1 hour after injection.  She took benadryl 50 mg PO at home and symptoms resolved.  Also states had similar reaction after receiving an influenza vaccination in the past.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Within 15-minutes of vaccination, the patient reported feeling nauseous. EMS monitored the patient's condition on-site.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: swollen lymph node in upper throat/neck on the right side
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: new onset erythematous pruritic rash started on Arms 02/02/2021 and then spread from neck to ankles
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pain in extremity
Clinical narrative: Extremely sore left harm; body aches; chills
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Pain
Clinical narrative: BODY ACHES, SEVERE BRAIN FOG
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID-19 on 1/20/21. I was advised to report this as an adverse effect for vaccine efficacy.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Pain
Clinical narrative: Starting on 01/25/2021, I started feeling dizzy, body aches, chills (no fever), headaches, and bad fatigue. It has continued until last night (02/03/2021) when I had body aches. Today (02/04/2021)  I feel fine for the first time.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Starting on 01/25/2021, I started feeling dizzy, body aches, chills (no fever), headaches, and bad fatigue. It has continued until last night (02/03/2021) when I had body aches. Today (02/04/2021)  I feel fine for the first time.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia
Clinical narrative: I   have been  having  body  aches  but they have all but disappeared but  the  tingling through out body still continues
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza like illness, Nausea, Pain, Pyrexia
Clinical narrative: Flu like symptoms first 2 days: body and headaches, nausea.  Tuesday, Wednesday felt better. Thursday 101.0 fever
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear pruritus, Ear swelling, Eye irritation, Eye pruritus
Clinical narrative: Had the second Moderna injected placed on 2/2/2021 in the late morning, and within 2 hours started feeling sore and achy.  By 5:00, my eyes were itchy and burning like they were on fire, then my throat, nose, ears, and then my hands swelled up and itched and felt like they were on fire.  I also had chills.  I took Tylenol and Benadryl and also felt the need to increased my Flovent HFA 220 mcg from once a day to twice a day on Tuesday and Wednesday.  I continued to take Tylenol and Benadryl when and as the symptoms reappeared.  I only needed Benadryl Wednesday night and woke up this morning with a bit of a headache.  Took Tylenol and went to work today.  I feel tired and my hands still hurt this afternoon(Thursday 2/4/2021) .