chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Hypoaesthesia, Magnetic resonance imaging, Pruritus, Urticaria
Clinical narrative: On June 14th, 2021, I got my first Covid-19 Moderna Vaccination. Within a few hours of receiving the vaccination, I developed a significant itch on my left hand. The itching continued on into the night with no relief. Upon arising the next morning I developed a severe outbreak of the hives. I called the doctor and he prescribed Benadryl which gave me some relief. The severity of the hives continued over the next two weeks without significant change. It took me a month before I was completely free of the outbreaks. On August 12th I had another outbreak in three locations, but it lasted only one day without treatment.  In addition, I experienced numbness in my feet following the shot, but I was so focused on ridding myself of the hives the numbness did not concern me until it became so prominent that my feet began to feel like they were weighted down and felt very heavy. I consulted with three doctors over the next three months to determine if there could be any other explanation other than the Moderna Vaccine. Unfortunately, none of the doctors could give me an alternative explanation for the numbness. Although the numbness continues as I complete this report, I have sensed that there has been a slight improvement over the past week.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization on 9/7/2021  due to COVID19. Reported per Janssen COVID vaccine EUA.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: rash and hives in the arm of shot, chest, and legs for a few hours, benadryl was taken twice before it went away
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Lip cosmetic procedure
Clinical narrative: I got lip filler 1 month after second vaccine shot and it dissolved in 2 months. The last 5 years it takes over a year to dissolve.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, SARS-CoV-2 test positive
Clinical narrative: Screening, contact with positive covid 19 case
Age: 64.0
Sex: F
Vaccine: FLUA3
Symptoms: Musculoskeletal pain, Nodule, Tenderness
Clinical narrative: Patient stated that the left side of her shoulder blade. It is up by her neck. It is tender to the touch, It feels like there is a knot in the middle.
Age: 26.0
Sex: M
Vaccine: FLU4
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Patient was waiting the 15-20 minutes after the shot. He was sitting down and passed out. He fell out of his chair and hit the floor. Patient was sweating and pale. Patient regained consciousness. He drink a soda and we gave him a cold compress.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray, Dyspnoea, Pyrexia, SARS-CoV-2 test
Clinical narrative: Pt came to ER c/o weakness and fever for 1 week, SOB.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness unilateral, Eye haemorrhage, Eye operation
Clinical narrative: blood vessel burst in back of eye and an ophthamologist did surgery to stop the hemorrhaging.  Still recovering. Some sight has returned to the eye.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: Had a very heavy menstrual period 4 days after receiving 2nd vaccination (received 2nd dose on May 4, cycle started on May 8, which would have been the expected date that was normal for me). My next cycle came very early on May 21,  just 13 days after the prior cycle. That period was also unusually heavy. After that May 21 menstrual cycle, my periods have returned to regular intervals (normal for me) and of normal flow.  So I had 2 abnormally heavy periods after vaccination, and one cycle post 2nd vaccination that came 2+ weeks early.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Magnetic resonance imaging heart, Myocarditis, Pericardial effusion, Red blood cell sedimentation rate normal
Clinical narrative: myocarditis treated with NSAIDs, colchicine
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Troponin
Clinical narrative: myocarditis treated with NSAIDs, colchicine
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia
Clinical narrative: I'm a general contractor I went out of town to visit a friend and lost my voice. I went to the hospital and they prescribed me prednisone and sent me on my way. Went home a 1.5 days later and it got worse and completely lost my voice. I went to the hospital and the Dr. prescribed me Flonase, antibiotics and more prednisone.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Dyspnoea, Electrocardiogram
Clinical narrative: Shortness of breath Chest pain Pain in my jaw Pain at the roof of my mouth Hive on my right forearm, which was raised & red
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Oral pain, Pain in jaw, Troponin, Urticaria
Clinical narrative: Shortness of breath Chest pain Pain in my jaw Pain at the roof of my mouth Hive on my right forearm, which was raised & red
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Back pain, Blood cholesterol normal, Dyspepsia, Laboratory test abnormal
Clinical narrative: Patient woke Tuesday, 4 days after her second dose of Pfizer, and had terrible arm and back pain and what felt like really bad heart burn in her chest.  Her mother called Wednesday and told me about her symptoms and I suggested getting to a doctor and getting an EKG.  The patient came in today and was feeling much better but she was getting nitrogylcerin SL tabs and baby aspirin because cardiologist said she had  minor heart attack.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Myocardial infarction, Pain in extremity
Clinical narrative: Patient woke Tuesday, 4 days after her second dose of Pfizer, and had terrible arm and back pain and what felt like really bad heart burn in her chest.  Her mother called Wednesday and told me about her symptoms and I suggested getting to a doctor and getting an EKG.  The patient came in today and was feeling much better but she was getting nitrogylcerin SL tabs and baby aspirin because cardiologist said she had  minor heart attack.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19 pneumonia
Clinical narrative: weakness; pneumonia due to COVID-19
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Myocarditis, Troponin increased
Clinical narrative: Myocarditis with troponin elevation
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization on 9/5/2021 due to COVID19. Reported per Janssen COVID vaccine EUA.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Brain scan normal, Condition aggravated, Facial spasm, Glaucoma, Magnetic resonance imaging normal
Clinical narrative: Within 2 months after receiving the 2nd shot, patient developed extremely high pressure in the left eye, glaucoma, and irreparable damage to a quarter of the eye with degraded vision. Pressure slightly high in the right eye as well. Patient had eyes checked 4 months prior to the injection and per the ophthalmologist patients eyes were fine. Brain scans and MRI all normal. Patient has seen several specialists who were surprised by the unusual and aggressive progression of the eye.  Also of note, patient had spasm on right side of face for 10 years possibly due to a blood vessel wrapped around a facial nerve due to trauma that was treated with botox. He has had occasional spasms after stopping the botox 1-2years ago, but the spasms have started back up again with a vengeance within 1 week of the injection.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Ocular discomfort, Visual impairment
Clinical narrative: Within 2 months after receiving the 2nd shot, patient developed extremely high pressure in the left eye, glaucoma, and irreparable damage to a quarter of the eye with degraded vision. Pressure slightly high in the right eye as well. Patient had eyes checked 4 months prior to the injection and per the ophthalmologist patients eyes were fine. Brain scans and MRI all normal. Patient has seen several specialists who were surprised by the unusual and aggressive progression of the eye.  Also of note, patient had spasm on right side of face for 10 years possibly due to a blood vessel wrapped around a facial nerve due to trauma that was treated with botox. He has had occasional spasms after stopping the botox 1-2years ago, but the spasms have started back up again with a vengeance within 1 week of the injection.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Received 2nd dose during my period and my period continued for 2 more weeks.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Generalised tonic-clonic seizure, Incoherent, Laboratory test normal, Postictal state
Clinical narrative: Grand Mal seizure lasting approximately 5-7 mins. Posticatal state for 4 mins, then an alert, incoherent psychosis like state for approx. 30 mins.  No PMH for Epilepsy
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Complex regional pain syndrome, Condition aggravated, Deep vein thrombosis, Oedema peripheral, Pain
Clinical narrative: Patient developed left lower extremity pain and edema 1 week after J&J Covid vaccination. He was on therapeutic Rivaroxaban given a past h/o DVT. He did not miss any doses. He was diagnosed with a left soleall vein DVT on 06.10.2021  and was switched to Lovenox.  He saw me later for follow up in clinic.  He has chronic pain of his left lower extremity now and is  now daignosed with to have Chronic Regional Pain Syndrome type 1 as per pain management.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Ultrasound Doppler abnormal
Clinical narrative: Patient developed left lower extremity pain and edema 1 week after J&J Covid vaccination. He was on therapeutic Rivaroxaban given a past h/o DVT. He did not miss any doses. He was diagnosed with a left soleall vein DVT on 06.10.2021  and was switched to Lovenox.  He saw me later for follow up in clinic.  He has chronic pain of his left lower extremity now and is  now daignosed with to have Chronic Regional Pain Syndrome type 1 as per pain management.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna vaccine inadvertently administered to 17yo patient.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Menstrual Cycle Change. Previously near exact 28 day regular cycle to a longer (33-40 day) irregular cycle.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Covid arm- large, hard, hot to touch swollen circle on arm about 2 inches just diameter. Getting worse 2 days later. Itchy at injection site.
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Oropharyngeal pain, Pyrexia, Rhinorrhoea
Clinical narrative: Fever, shortness of breath, difficulty breathing, cough, runny nose, sore throat
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Electromyogram, Heart rate increased, Hypoaesthesia, Palpitations
Clinical narrative: Burning and tingling in hands, as well as Numbness in limbs. Severe fevers for three days and heart palpitation.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: Burning and tingling in hands, as well as Numbness in limbs. Severe fevers for three days and heart palpitation.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Eczema, Fatigue, Feeling abnormal, Headache, Hyperhidrosis
Clinical narrative: Later that night after the vaccine I was really tired. My arm was really sore. I woke up later that night with a pounding headache causing me to sleep all day. Later during the night I got up to use the restroom and noticed a rash going down my stomach about 4-5 inches wide but it wasnt itchy or anything at that time. I went back to bed and sleep all day the next day and night. 8/21, I noticed eczema had covered most of my right side and it got really itchy on the various places down the right side of my body. This progressed over the next couple of weeks. I felt ok for the next few days but by Wed I was back down and feeling really bad and severely nauseous.   By that Thursday I beginning feeling a little better, but the itchiness and eczema continued to get worse.   On 9/2 I reached out to my PCP and was advised the COVID shot had triggered an immune reaction and caused a lot of inflammation in my body and prescribed a steroid to help.   I was really tired and couldn't sleep.  Was really sweaty at night, but  I take my last dose of the steroid today so hopefully all symptoms will resolves soon, but I am feeling better and no itchiness just left with a lot of scars from the eczema.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pruritus, Rash, Scar
Clinical narrative: Later that night after the vaccine I was really tired. My arm was really sore. I woke up later that night with a pounding headache causing me to sleep all day. Later during the night I got up to use the restroom and noticed a rash going down my stomach about 4-5 inches wide but it wasnt itchy or anything at that time. I went back to bed and sleep all day the next day and night. 8/21, I noticed eczema had covered most of my right side and it got really itchy on the various places down the right side of my body. This progressed over the next couple of weeks. I felt ok for the next few days but by Wed I was back down and feeling really bad and severely nauseous.   By that Thursday I beginning feeling a little better, but the itchiness and eczema continued to get worse.   On 9/2 I reached out to my PCP and was advised the COVID shot had triggered an immune reaction and caused a lot of inflammation in my body and prescribed a steroid to help.   I was really tired and couldn't sleep.  Was really sweaty at night, but  I take my last dose of the steroid today so hopefully all symptoms will resolves soon, but I am feeling better and no itchiness just left with a lot of scars from the eczema.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Gait inability, Migraine, Nausea
Clinical narrative: Day of vaccine symptoms nausea, vomiting, coughing up flem. Clear.  Day 7 neuropathy in Bilateral lower extremities, migrain, severe pain in left leg. Day 10 unable to walk and bear weight on left leg for 24 hours unable to get out of bed. Continue severe pain in Bilateral hip, knees, left wrist. Joint pain inflammation. Coughing up flem chronic cough.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Pain in extremity, Productive cough, Vomiting, Weight bearing difficulty
Clinical narrative: Day of vaccine symptoms nausea, vomiting, coughing up flem. Clear.  Day 7 neuropathy in Bilateral lower extremities, migrain, severe pain in left leg. Day 10 unable to walk and bear weight on left leg for 24 hours unable to get out of bed. Continue severe pain in Bilateral hip, knees, left wrist. Joint pain inflammation. Coughing up flem chronic cough.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Computerised tomogram, Myalgia, Urticaria
Clinical narrative: Symptoms similar to Shingles in head without rash. 7/7 to 7/21 Diagnosed with bells palsy. 7/22 to 8/19 Random hives and muscle pain 8/20 to 9/10
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Symptoms similar to Shingles in head without rash. 7/7 to 7/21 Diagnosed with bells palsy. 7/22 to 8/19 Random hives and muscle pain 8/20 to 9/10
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Productive cough, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 case. Pt was sent to the ED for COVID 19 management. PT stated she has been coughing for 4-5 days with scant sputum production. Covid test was done on 8/18/21 at outside facility and results today were positive. She was sent to the ED and admitted on 8/21/21. Note: patient previously received Moderna Covid-19 vaccines on 4/12/21 & 5/10/21. Diagnosed and treated for Covid-19 infection. discharged 8/25/21.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Candida infection, Glossitis, Pruritus, Respiratory tract infection, SARS-CoV-2 test negative
Clinical narrative: Intense itching @ vaccination site ~4 min after receiving vaccine. Hives and itching began on right arm shortly after. Hives spread to neck, chest, and part of left arm within ~15 min.  Thrush and tongue lesions developed ~3-5 days post-vaccination and lasted 2-3 weeks. Severe respiratory infection occurred within 3 weeks of vaccination. 2 negative COVID tests, symptoms lingering on week 4.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Vaccination site pruritus
Clinical narrative: Intense itching @ vaccination site ~4 min after receiving vaccine. Hives and itching began on right arm shortly after. Hives spread to neck, chest, and part of left arm within ~15 min.  Thrush and tongue lesions developed ~3-5 days post-vaccination and lasted 2-3 weeks. Severe respiratory infection occurred within 3 weeks of vaccination. 2 negative COVID tests, symptoms lingering on week 4.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Erythema, Extubation, Intensive care
Clinical narrative: From chart review: 15 minutes post injection VSS with no patient complaints. 45 minutes post injection patient developed whole body itching with erythematous skin. PIV started an normal saline administered. Given 125 mg IV solumedrol, pt started wheezing and took 2 puffs of inhaler (presume albuterol) without relief. Respiratory code called and transferred to ER. From ER note: "Found in respiratory distress, tripoding, mentating appropriately. Sats 100%. Lungs clear. Given epi 0.3mg- unfortunately this was given IV not IM. She developed emesis, improved after zofran and suctioning, was able to protect her airway through this episode. No benefit from the epi, and on reeval she had developed stridor. Next given racemicepi with BiPAP, benadryl 50mg IV, ativan 1mg and another epi 0.3mg now IM. Work of breathing worsened and lungs now severely diminished. Sats still 100%.  Decision made to intubate, which was done successfully as below, after which she was admitted to the ICU." Extubated 9/9 per chart review but remains in hospital.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Positive airway pressure therapy, Pruritus, Respiratory distress, Stridor, Vomiting
Clinical narrative: From chart review: 15 minutes post injection VSS with no patient complaints. 45 minutes post injection patient developed whole body itching with erythematous skin. PIV started an normal saline administered. Given 125 mg IV solumedrol, pt started wheezing and took 2 puffs of inhaler (presume albuterol) without relief. Respiratory code called and transferred to ER. From ER note: "Found in respiratory distress, tripoding, mentating appropriately. Sats 100%. Lungs clear. Given epi 0.3mg- unfortunately this was given IV not IM. She developed emesis, improved after zofran and suctioning, was able to protect her airway through this episode. No benefit from the epi, and on reeval she had developed stridor. Next given racemicepi with BiPAP, benadryl 50mg IV, ativan 1mg and another epi 0.3mg now IM. Work of breathing worsened and lungs now severely diminished. Sats still 100%.  Decision made to intubate, which was done successfully as below, after which she was admitted to the ICU." Extubated 9/9 per chart review but remains in hospital.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Wheezing
Clinical narrative: From chart review: 15 minutes post injection VSS with no patient complaints. 45 minutes post injection patient developed whole body itching with erythematous skin. PIV started an normal saline administered. Given 125 mg IV solumedrol, pt started wheezing and took 2 puffs of inhaler (presume albuterol) without relief. Respiratory code called and transferred to ER. From ER note: "Found in respiratory distress, tripoding, mentating appropriately. Sats 100%. Lungs clear. Given epi 0.3mg- unfortunately this was given IV not IM. She developed emesis, improved after zofran and suctioning, was able to protect her airway through this episode. No benefit from the epi, and on reeval she had developed stridor. Next given racemicepi with BiPAP, benadryl 50mg IV, ativan 1mg and another epi 0.3mg now IM. Work of breathing worsened and lungs now severely diminished. Sats still 100%.  Decision made to intubate, which was done successfully as below, after which she was admitted to the ICU." Extubated 9/9 per chart review but remains in hospital.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Intensive care, Pruritus, Respiratory distress, Wheezing
Clinical narrative: From chart review: 15 minutes post injection VSS with no patient complaints. 45 minutes post injection patient developed whole body itching with erythematous skin. PIV started an normal saline administered. Given 125 mg IV solumedrol, pt started wheezing and took 2 puffs of inhaler (presume albuterol) without relief. Respiratory code called and transferred to ER. From ER note: "Found in respiratory distress, tripoding, mentating appropriately. Sats 100%. Lungs clear. Given epi 0.3mg- unfortunately this was given IV not IM. She developed emesis, improved after zofran and suctioning, was able to protect her airway through this episode. No benefit from the epi, and on reeval she had developed stridor. Next given racemicepi with BiPAP, benadryl 50mg IV, ativan 1mg and another epi 0.3mg now IM. Work of breathing worsened and lungs now severely diminished. Sats still 100%.  Decision made to intubate, which was done successfully as below, after which she was admitted to the ICU." Extubated 9/9 per chart review but remains in hospital.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscle tightness, Musculoskeletal stiffness
Clinical narrative: Right sided facial numbness: stiff and tight neck, right sided facial numbing. Treat with prednisone.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization on 9/3/2021 due to COVID19. Reported per Janssen COVID vaccine EUA.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure systolic decreased, Dizziness, Dizziness postural, Electrocardiogram, Tachycardia
Clinical narrative: Within 5 minutes of vaccination, I had tachycardia with pulse of 98.  I  then felt lightheaded and dizzy.  EMS was on site on took had to lie down.  When sitting upright my symptoms would reappear.  EMS checked my vitals in supine, sitting and standing.  My systolic BP dropped 160 to 110.  He took me to the ER.  They gave me IVFs with some correction of my orthostasis and symptoms.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Dysmenorrhoea
Clinical narrative: I have been having menstrual cramps ever since my second dose. I did not have a period for the month of August. I am still having painful menstrual cramps almost every day. I did some research and found that other women are having these problem as well.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Nephrolithiasis, Urinary tract infection, Urine analysis, X-ray
Clinical narrative: UTI and x-ray shows multiple kidney stones
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer on 2/28 and 3/21. Positive on 9/8
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received dose of Moderna on 9/6 . He had received a previous dose of Moderna 8/31/2021
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Lethargy, Myalgia
Clinical narrative: About 8-10 hours after the second covid dose, I woke in the middle of the night with chattering teeth and soaking wet from sweat.  This symptom would come and go for a couple days but lessened over time, none as bad as the first episode but still significant enough to note.  I had a headache for several days and my skin was generally painful to touch for about four days along with muscle pain in my larger muscles.  I experience lethargy for about five days and it was about a week until I felt decent and perhaps a month until I felt like all of the effects had worn off.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pain of skin
Clinical narrative: About 8-10 hours after the second covid dose, I woke in the middle of the night with chattering teeth and soaking wet from sweat.  This symptom would come and go for a couple days but lessened over time, none as bad as the first episode but still significant enough to note.  I had a headache for several days and my skin was generally painful to touch for about four days along with muscle pain in my larger muscles.  I experience lethargy for about five days and it was about a week until I felt decent and perhaps a month until I felt like all of the effects had worn off.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion
Clinical narrative: bruizing
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Hospitalization
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: arm is very hot swollen , painful and hot
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt asymptomatic, but tested positive for COVID prior to a procedure.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: positive for COVID-19, fever, confusion
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Influenza A virus test negative, Influenza B virus test
Clinical narrative: some cough, congestion and shortness of brath; no other symptoms or concerns; high risk for complications
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: some cough, congestion and shortness of brath; no other symptoms or concerns; high risk for complications
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Swelling face
Clinical narrative: swelling of the right cheek and the lips
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Death
Clinical narrative: 8/17/2021 Client received Pfizer #1 in a homebound mission.   9/7/2021 Homebound team contacted husband for Pfizer #2 and he informed the team that she was in the hospital after a stroke. 9/92021 Team notified that client had died.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Fever, headache (3 days), muscle pain, arm pain
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Agonal respiration, Arthralgia, Atrial fibrillation, COVID-19, Cough
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer BioNTech Vaccine on 1/23/2021 and 2/13/2021. Presented to ED on 8/16 with complaints of syncope and right shoulder pain. Patient had been diagnosed with COVID on 8/13, with his main symptoms being fatigue/tiredness, cough, nausea. On 8/27, patient was agonal breathing (after he removed his bipap); patient was intubated and placed on mechanical ventilation and moved to ICU.  On 8/29, patient became more hypoxic in respiratory distress with dyssynchronous hypotensive Afib with RVR.  Patient received decadron x 6 days, baricitnib x 8 days, doxycycline x 7 days, Micafungin started on 8/26, started vancomycin and meropenem on 8/28. Patient expired on 8/29/21.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Endotracheal intubation, Fatigue, Hypotension, Hypoxia
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer BioNTech Vaccine on 1/23/2021 and 2/13/2021. Presented to ED on 8/16 with complaints of syncope and right shoulder pain. Patient had been diagnosed with COVID on 8/13, with his main symptoms being fatigue/tiredness, cough, nausea. On 8/27, patient was agonal breathing (after he removed his bipap); patient was intubated and placed on mechanical ventilation and moved to ICU.  On 8/29, patient became more hypoxic in respiratory distress with dyssynchronous hypotensive Afib with RVR.  Patient received decadron x 6 days, baricitnib x 8 days, doxycycline x 7 days, Micafungin started on 8/26, started vancomycin and meropenem on 8/28. Patient expired on 8/29/21.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Mechanical ventilation, Nausea, Positive airway pressure therapy, Respiratory distress
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer BioNTech Vaccine on 1/23/2021 and 2/13/2021. Presented to ED on 8/16 with complaints of syncope and right shoulder pain. Patient had been diagnosed with COVID on 8/13, with his main symptoms being fatigue/tiredness, cough, nausea. On 8/27, patient was agonal breathing (after he removed his bipap); patient was intubated and placed on mechanical ventilation and moved to ICU.  On 8/29, patient became more hypoxic in respiratory distress with dyssynchronous hypotensive Afib with RVR.  Patient received decadron x 6 days, baricitnib x 8 days, doxycycline x 7 days, Micafungin started on 8/26, started vancomycin and meropenem on 8/28. Patient expired on 8/29/21.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Syncope, Ventricular dyssynchrony
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer BioNTech Vaccine on 1/23/2021 and 2/13/2021. Presented to ED on 8/16 with complaints of syncope and right shoulder pain. Patient had been diagnosed with COVID on 8/13, with his main symptoms being fatigue/tiredness, cough, nausea. On 8/27, patient was agonal breathing (after he removed his bipap); patient was intubated and placed on mechanical ventilation and moved to ICU.  On 8/29, patient became more hypoxic in respiratory distress with dyssynchronous hypotensive Afib with RVR.  Patient received decadron x 6 days, baricitnib x 8 days, doxycycline x 7 days, Micafungin started on 8/26, started vancomycin and meropenem on 8/28. Patient expired on 8/29/21.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Encephalopathy, Hyperglycaemia, Influenza
Clinical narrative: Hospital states pt was admitted 8/16 -8/24 for treatment of Covid and Flu B+, patient was discharged to Nursing Home. Pt was readmitted 8/30 ? 9/4 for encephalopathy and hyperglycemia. Patient expired 9/4/21. No ventilators either hospitalization.  Patient was fully vaccinated.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza B virus test positive
Clinical narrative: Hospital states pt was admitted 8/16 -8/24 for treatment of Covid and Flu B+, patient was discharged to Nursing Home. Pt was readmitted 8/30 ? 9/4 for encephalopathy and hyperglycemia. Patient expired 9/4/21. No ventilators either hospitalization.  Patient was fully vaccinated.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 2nd dose of Moderna on 9/6/2021  after receiving the first dose on 8/15/2021
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Atrial fibrillation, COVID-19, Cardiogenic shock, Catheterisation cardiac abnormal
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer BioNTech Vaccine on 1/18/2021 and 2/06/2021. Presented to ED on 8/20/21 with worsening shortness of breath. Patient was diagnosed with COVID-19 on 8/18/2021. Patient was tachypneic upon arrival and did not improve with BiPAP and was subsequently intubated and transferred to ICU. Before admission patient developed poor appetite and mild cough and PCP ordered monoclonal antibody for patient. Bedside echo showed an underfilled, hyperdynamic RV. Patient developed ST elevations in inf leads. She underwent LHC on 8/22 which showed myocarditis and lvef of 10%. She had an IABP placed and started  on multiple pressors for cardiogenic shock. Patient also developed AKI, afib (started on amiodarone). Received vancomycin, cefepime, and azithromycin. Patient was transitioned to inpatient hospice on 8/28/21. Patient expired on 8/29/21.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Death, Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer BioNTech Vaccine on 1/18/2021 and 2/06/2021. Presented to ED on 8/20/21 with worsening shortness of breath. Patient was diagnosed with COVID-19 on 8/18/2021. Patient was tachypneic upon arrival and did not improve with BiPAP and was subsequently intubated and transferred to ICU. Before admission patient developed poor appetite and mild cough and PCP ordered monoclonal antibody for patient. Bedside echo showed an underfilled, hyperdynamic RV. Patient developed ST elevations in inf leads. She underwent LHC on 8/22 which showed myocarditis and lvef of 10%. She had an IABP placed and started  on multiple pressors for cardiogenic shock. Patient also developed AKI, afib (started on amiodarone). Received vancomycin, cefepime, and azithromycin. Patient was transitioned to inpatient hospice on 8/28/21. Patient expired on 8/29/21.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram ST segment elevation, Endotracheal intubation, Feeding disorder, Intensive care, Intra-aortic balloon placement
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer BioNTech Vaccine on 1/18/2021 and 2/06/2021. Presented to ED on 8/20/21 with worsening shortness of breath. Patient was diagnosed with COVID-19 on 8/18/2021. Patient was tachypneic upon arrival and did not improve with BiPAP and was subsequently intubated and transferred to ICU. Before admission patient developed poor appetite and mild cough and PCP ordered monoclonal antibody for patient. Bedside echo showed an underfilled, hyperdynamic RV. Patient developed ST elevations in inf leads. She underwent LHC on 8/22 which showed myocarditis and lvef of 10%. She had an IABP placed and started  on multiple pressors for cardiogenic shock. Patient also developed AKI, afib (started on amiodarone). Received vancomycin, cefepime, and azithromycin. Patient was transitioned to inpatient hospice on 8/28/21. Patient expired on 8/29/21.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Positive airway pressure therapy, Right ventricular dysfunction, SARS-CoV-2 test positive, Tachypnoea
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer BioNTech Vaccine on 1/18/2021 and 2/06/2021. Presented to ED on 8/20/21 with worsening shortness of breath. Patient was diagnosed with COVID-19 on 8/18/2021. Patient was tachypneic upon arrival and did not improve with BiPAP and was subsequently intubated and transferred to ICU. Before admission patient developed poor appetite and mild cough and PCP ordered monoclonal antibody for patient. Bedside echo showed an underfilled, hyperdynamic RV. Patient developed ST elevations in inf leads. She underwent LHC on 8/22 which showed myocarditis and lvef of 10%. She had an IABP placed and started  on multiple pressors for cardiogenic shock. Patient also developed AKI, afib (started on amiodarone). Received vancomycin, cefepime, and azithromycin. Patient was transitioned to inpatient hospice on 8/28/21. Patient expired on 8/29/21.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Skin exfoliation
Clinical narrative: Developed burning sensation at the bottom of my feet that has not subsided and skin on the inside of my palms begin to peeled.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood creatine increased, Blood urine present, C-reactive protein increased, COVID-19
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 1/14/2021 and 2/12/2021. Presented to ED on 8/18/21. Family was concerned about patient's increasing confusion and generalized weakness, urinary frequency, incontinence, and fever. In the ED, the patient was found to have WBC count 16.9,  Cr 1.38, urine is hazy with amorphous crystals, blood pos 1+, trace protein, CRP 11.3,  Cr 1.38 which was up from 0.8 from July 2021, CT chest shows ground glass opacities in bilateral lungs. Patient was experiencing respiratory failure and was placed on Airvo at 80%. He experienced low saturations in low 80s and was tachypneic in 40s. Patient voiced he did not want to be intubated. Patient received Solumedrol, Ceftriaxone, Doxycycline, Remdesivir. Pt removed his oxygen and restated he did not want it. The patient expired on 8/28/21.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Confusional state, Crystal urine present, Death, Incontinence
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 1/14/2021 and 2/12/2021. Presented to ED on 8/18/21. Family was concerned about patient's increasing confusion and generalized weakness, urinary frequency, incontinence, and fever. In the ED, the patient was found to have WBC count 16.9,  Cr 1.38, urine is hazy with amorphous crystals, blood pos 1+, trace protein, CRP 11.3,  Cr 1.38 which was up from 0.8 from July 2021, CT chest shows ground glass opacities in bilateral lungs. Patient was experiencing respiratory failure and was placed on Airvo at 80%. He experienced low saturations in low 80s and was tachypneic in 40s. Patient voiced he did not want to be intubated. Patient received Solumedrol, Ceftriaxone, Doxycycline, Remdesivir. Pt removed his oxygen and restated he did not want it. The patient expired on 8/28/21.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Nucleic acid test, Oxygen saturation decreased, Pollakiuria, Protein urine present
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 1/14/2021 and 2/12/2021. Presented to ED on 8/18/21. Family was concerned about patient's increasing confusion and generalized weakness, urinary frequency, incontinence, and fever. In the ED, the patient was found to have WBC count 16.9,  Cr 1.38, urine is hazy with amorphous crystals, blood pos 1+, trace protein, CRP 11.3,  Cr 1.38 which was up from 0.8 from July 2021, CT chest shows ground glass opacities in bilateral lungs. Patient was experiencing respiratory failure and was placed on Airvo at 80%. He experienced low saturations in low 80s and was tachypneic in 40s. Patient voiced he did not want to be intubated. Patient received Solumedrol, Ceftriaxone, Doxycycline, Remdesivir. Pt removed his oxygen and restated he did not want it. The patient expired on 8/28/21.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Respiratory failure, SARS-CoV-2 test positive, Tachypnoea, Urine abnormality
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 1/14/2021 and 2/12/2021. Presented to ED on 8/18/21. Family was concerned about patient's increasing confusion and generalized weakness, urinary frequency, incontinence, and fever. In the ED, the patient was found to have WBC count 16.9,  Cr 1.38, urine is hazy with amorphous crystals, blood pos 1+, trace protein, CRP 11.3,  Cr 1.38 which was up from 0.8 from July 2021, CT chest shows ground glass opacities in bilateral lungs. Patient was experiencing respiratory failure and was placed on Airvo at 80%. He experienced low saturations in low 80s and was tachypneic in 40s. Patient voiced he did not want to be intubated. Patient received Solumedrol, Ceftriaxone, Doxycycline, Remdesivir. Pt removed his oxygen and restated he did not want it. The patient expired on 8/28/21.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 1/14/2021 and 2/12/2021. Presented to ED on 8/18/21. Family was concerned about patient's increasing confusion and generalized weakness, urinary frequency, incontinence, and fever. In the ED, the patient was found to have WBC count 16.9,  Cr 1.38, urine is hazy with amorphous crystals, blood pos 1+, trace protein, CRP 11.3,  Cr 1.38 which was up from 0.8 from July 2021, CT chest shows ground glass opacities in bilateral lungs. Patient was experiencing respiratory failure and was placed on Airvo at 80%. He experienced low saturations in low 80s and was tachypneic in 40s. Patient voiced he did not want to be intubated. Patient received Solumedrol, Ceftriaxone, Doxycycline, Remdesivir. Pt removed his oxygen and restated he did not want it. The patient expired on 8/28/21.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oligomenorrhoea, Polymenorrhoea
Clinical narrative: Headache for 6 weeks, didn't respond to ibuprofen, Tylenol, Excedrin, or Tylenol migrane. Missed 3 months of my period, followed by 4 back-to-back periods with only 10 days in between (and the associated fatigue and discomfort that comes with this type of period cycle).
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Deep vein thrombosis, Malaise, Pulmonary thrombosis
Clinical narrative: PUI onset of symptoms was 7/24/21 she had all symptoms and went into the hospital 8/3/21 she had covid pneumonia and has a blood clot in her right leg and several in each lung.
Age: 14.0
Sex: M
Vaccine: HEPA
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: the client was given Adult Hep A instead of Pediatric Hep A.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Depression, Headache, Nausea, Pain in extremity
Clinical narrative: Nausea, headache , chills, depression, paint on right arm
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Computerised tomogram, Fatigue, Hip arthroplasty, Loss of consciousness
Clinical narrative: I was very fatigued. I started having major joint and muscle pain in my lower back down to my legs. I developed a pain in my hip that I could not stand. I had to use a walker to go to the bathroom. I passed out twice. I lost control of my bladder while I was passed out. I have to got see a neurologist for that. I went to the ortho specialist. I had a x-ray, that did not show nothing. I have several CT scans, it shows back and leg muscle issues. They said I demand in my tendons of my right hip joint. I had a surgical procedure for it. I said I have a panacea legion and renal access. Last week I had a endoscopy ultrasound biopsies on it.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Tendon disorder, Urinary incontinence, X-ray
Clinical narrative: I was very fatigued. I started having major joint and muscle pain in my lower back down to my legs. I developed a pain in my hip that I could not stand. I had to use a walker to go to the bathroom. I passed out twice. I lost control of my bladder while I was passed out. I have to got see a neurologist for that. I went to the ortho specialist. I had a x-ray, that did not show nothing. I have several CT scans, it shows back and leg muscle issues. They said I demand in my tendons of my right hip joint. I had a surgical procedure for it. I said I have a panacea legion and renal access. Last week I had a endoscopy ultrasound biopsies on it.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalized
Age: 16.0
Sex: F
Vaccine: TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Tdap was given when it was not due. Was supposed to be given Meningitis B. No adverse symptoms to Tdap. Dad was called and Pt is scheduled to receive correct vaccine at upcoming appt.1
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Pain, Pain in extremity, Paraesthesia, Rash
Clinical narrative: Developed arm tingling/pain of Right arm. Pain increased for a few days and then small blister rashes began on 8/25.21. Diagnosed with varicella zoster (shingles) on 8.26.21. Given acyclovir PO for 7 days, gabapentin for 20 days. Rash progressed to encompass Right arm from shoulder to middle fingertip with ~100 blisters. Rash dried/crusted on day 10. Pain remains at date of filing.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Rash vesicular, Varicella zoster virus infection
Clinical narrative: Developed arm tingling/pain of Right arm. Pain increased for a few days and then small blister rashes began on 8/25.21. Diagnosed with varicella zoster (shingles) on 8.26.21. Given acyclovir PO for 7 days, gabapentin for 20 days. Rash progressed to encompass Right arm from shoulder to middle fingertip with ~100 blisters. Rash dried/crusted on day 10. Pain remains at date of filing.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Malaise, Syncope
Clinical narrative: About 2 minutes after vaccination, patient started feeling unwell and was given alcohol to smell. About 5 minutes after vaccination, patient fainted for about 40 seconds. She did not have any other symptoms during or after fainting. 911 was called and they took her to the hospital.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test abnormal, Pain in extremity, Thrombosis, Ultrasound scan abnormal
Clinical narrative: developed left leg pain and went to hospital on 5/27/2021. Testing revealed he had a blood clot in his left leg.
Sex: U
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Menstruation delayed, Menstruation irregular
Clinical narrative: missed my period for 3 months, which never happened to me. still experiencing irregular periods and when i get them i have the worst cramps.  this was never the case before. my periods were always on time and never experienced painful cramps like i do not.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Computerised tomogram normal, X-ray normal
Clinical narrative: I tried to lay down and go to sleep that night and my stomach started cramping really bad the pain was excruciating like there was an issue with my gall, bladder. I couldn't ignore the pain and at that point I went to the emergency room at  Hospital. While I was in the ER they ran tests. The doctor pressed my abdomen. and I had some pain. The gave me fluids and medication but I did not take the medicine. I was given morpheme for pain but it did not help with the pain. I was in the ER for 4-5 hours and then was released. The pain lasted for two days.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Breast tenderness, Exposure during pregnancy, Injection site warmth, Lymphadenopathy, Menstrual disorder
Clinical narrative: Swollen nodes in left armpit and breast. Noticed the next day after the shot. Day of the shot, only had heat at injection site.  Nodes remained slightly swollen for 14 days. Subsequently, premenstrual phase, from 7 days before menstruation onset, noticed the left breast was significantly more tender and swollen than the right. This persisted for all cycles after vaccination up until pregnancy onset, (date of last menstrual is April 14th 2021). During pregnancy, significantly more tenderness in left breast than right for the majority of the pregnancy to date.  In addition, all cycles since first COVID vaccination presented with lighter bleeding of longer duration. In January, bleeding duration was 4 days longer than usual. In March, bleeding duration was 8 days longer than usual. In April, bleeding duration was 7 days longer than usual (stopped after acupuncture aimed at stopping the bleeding). Implantation bleeding lasted 5 days. No bleeding since May 8th, 2021.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Oropharyngeal pain
Clinical narrative: Fatigue, muscle pain, sore throat,  and tired