chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, Nausea, Oxygen saturation decreased, Skin ulcer, Staring
Clinical narrative: Per clinical pharmacist internal report:   Adverse Drug Reaction Vaccine: COVID vaccine (unclear if 1st or 2nd and which manufacturer) Reaction: Unclear if associated with vaccine but wanted to report in case it is  Patient presented to hospital via EMS with a CC of dizziness and nausea. She was found to have increase O2 demands (4L O2, 3L O2 at home) but was ready for discharge when she developed aphasia, bilateral grip weakness, and staring into space. Oxygen was increased to 10L and a Code Stroke was called. Subsequent workup was negative for a stroke (MRI, CT). The following day, another episode occurred and MRI did show an acute left frontal stroke determined to be embolic in nature per neurology in a patient with a below goal INR and atrial fibrillation.  The patient has a past medical history of atrial fibrillation (CHADS VASC 5 prior to CVA this admission) and is on warfarin at home. INR at admission was 1.79 (previously stable with home regimen per hospital ACC notes, no missed doses were noted PTA). Due to NPO status, the patient was soon placed on full-dose enoxaparin at 0346 on 3/11 when admitted. This was continued and no doses were missed prior to CVA being diagnosed. The patient's husband states that she was in normal health until her COVID vaccine the morning of admission.  Unclear if COVID vaccine could have decreased INR or put patient at a higher clot risk. Of note she was found to have Ulceration and infection of left 2nd toe however systemically she was not exhibiting signs of infection.  Pfizer COVID-19 Vaccine - lot number: EN6199  Given at hospital on 03/10/2021
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: 2 days of fever, fatigue, chills
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Nausea, Pain in extremity, Urinary tract infection
Clinical narrative: Extremely sore arm. Fatigue and diarrhea and nausea. On the 13th, I started getting a UTI and had a Doctor's appointment for the UTI on the 18th of January. Put me on an antibiotic. The antibiotic didn't resolve the symptoms - I was having pains off and on for about 6 weeks.  I went to my  Dr  - my OB, Feb 3 - did another Urinalysis - and that came out okay
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: Extremely sore arm. Fatigue and diarrhea and nausea. On the 13th, I started getting a UTI and had a Doctor's appointment for the UTI on the 18th of January. Put me on an antibiotic. The antibiotic didn't resolve the symptoms - I was having pains off and on for about 6 weeks.  I went to my  Dr  - my OB, Feb 3 - did another Urinalysis - and that came out okay
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization within 6 weeks after receiving vaccine
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Nausea, Nervousness, Vomiting
Clinical narrative: sweating episodes started a couple hours after the shot, shaky feelings started that night, headache began late that first night and continued the following day through the overnight hours, nausea and vomiting started the next morning.  Things got better after a solid 48 - 50 hours post shot
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Feeling hot, Headache, Immediate post-injection reaction
Clinical narrative: immediately after vaccine felt unsteady. So stars when sat down and started getting hot and turning dark red. Felt like there was an elephant on her chest and couldn't breathe. States lungs felt like they wouldn't inflate to fill with air. Tingling in head and headache also noted.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: immediately after vaccine felt unsteady. So stars when sat down and started getting hot and turning dark red. Felt like there was an elephant on her chest and couldn't breathe. States lungs felt like they wouldn't inflate to fill with air. Tingling in head and headache also noted.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Patient reports itchy rash all over upper torso that started about 6 hours after receiving vaccine. Patient denies swelling, difficulty breathing, or signs/symptoms of anaphylaxis. Patient took an antihistamine (does not remember which one, but not Benadryl), and the condition began to improve, yet not fully resolved as of 4 days after vaccination. Patient was instructed to inform primary care physician of reaction and to sign up for the V-Safe program to report the reaction to the CDC as well.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram, Echocardiogram, Electrocardiogram, Headache
Clinical narrative: Vertigo, headache, nausea
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Nausea, Vertigo
Clinical narrative: Vertigo, headache, nausea
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cardiac failure acute, Chills, Clostridium difficile colitis
Clinical narrative: Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Death, Dialysis, Gastrointestinal haemorrhage, Hypoxia
Clinical narrative: Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Malaise, Renal failure, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: "COVID arm" - red rash ring about 2.5" in diameter around the injection site. Not raised. Not painful or itchy. Resolved after 7 days.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Hypoaesthesia, Neuropathy peripheral, Pain in extremity, Paraesthesia
Clinical narrative: SINCE COVID SHOT. RIGHT HAND HAS BECOME VERY PAINFUL., MORE NUMB AND TINGLEY.  I HAVE Neuropathy AND IT HAS MADE MY Neuropathy MORE PAINFUL. .  LEFT HAND WAS THE SAME AS RIGHT HAND BUT THAT HAS STAYED THE SAME.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Encephalitis, Lethargy, Pulmonary embolism, Pyrexia
Clinical narrative: Patient presented 8 days after her vaccine with fevers and lethargy. She subsequently developed DVT, PE, and severe thrombocytopenia consistent with ITP. She has also developed encephalitis.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombocytopenia
Clinical narrative: Patient presented 8 days after her vaccine with fevers and lethargy. She subsequently developed DVT, PE, and severe thrombocytopenia consistent with ITP. She has also developed encephalitis.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: On Monday 1/11 I noticed around my left collarbone swelling of the lymph node.It was very noticeable if someone was standing in from me of me could see it. I did follow up with my doctor stated it was from the vaccine. I had the vaccine for Dose 2 right arm per recommendation of my doctor. I exp slight headache which resolved about 45 mins. By 4:00 pm severe headache I layed down fever 100.1 to get comfort took 2 extra strength Tylenol and exp chills with 4 blankets on. The symptoms lasted until next day around 11:00 am and  fever came back 6:00-7:00 pm lasting til midnight.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Feeling hot, Flushing, Headache
Clinical narrative: 1204 pm  given 1st dose of Pfizer vaccine. at 1220  pt began to  complain of nausea, headache, feeling hot, flushed, & some dizziness.  Bp  150/84 , pulse 104,  pulse ox 98% on RA; denies shortness of breath. Pt offered some water.  At 1225 pm began having  tingling lips  &  throat feeling funny; no lip swelling noted;   pt offered EPI and declined; she  was offered &  took po Benadryl 25 mg.  1227 vitals bp 142/90 pulse ox 95%   p 104. At 1229 pt began to  state her throat  beginning to tighten and EPI pen 0.3mg  administered in L thigh by a different  RN assisting writer.  Stat call made at 1229 also.  1231 Oxygen given 2L per NC  as pt stated difficulty breathing.  1232 pt stated she starting to feel better but more nervous now than anything.  1233 pt able to  stand  & and escorted to the ED  with stat team staff.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Nervousness, Paraesthesia oral, Throat irritation, Throat tightness
Clinical narrative: 1204 pm  given 1st dose of Pfizer vaccine. at 1220  pt began to  complain of nausea, headache, feeling hot, flushed, & some dizziness.  Bp  150/84 , pulse 104,  pulse ox 98% on RA; denies shortness of breath. Pt offered some water.  At 1225 pm began having  tingling lips  &  throat feeling funny; no lip swelling noted;   pt offered EPI and declined; she  was offered &  took po Benadryl 25 mg.  1227 vitals bp 142/90 pulse ox 95%   p 104. At 1229 pt began to  state her throat  beginning to tighten and EPI pen 0.3mg  administered in L thigh by a different  RN assisting writer.  Stat call made at 1229 also.  1231 Oxygen given 2L per NC  as pt stated difficulty breathing.  1232 pt stated she starting to feel better but more nervous now than anything.  1233 pt able to  stand  & and escorted to the ED  with stat team staff.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Left axillary lymph node edema, followed 2 weeks later by left Epitochlear lymph node swelling.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Nausea
Clinical narrative: 1/14/2021-1/15/2021: moderate nausea - no treatment needed 1/22/2021: 3-inch severe rash distal to injection site noted overnight, topical treatment (antibiotic/steroid ointment) applied twice during day gave mild relief, diphenhydramine 50 mg taken PO that evening, rash gone within 24 hours
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: The first dose had arm pain; the second dose was given on 02/11/2021, cause 5 hours high fever; stay on the bed until the fever was gone; I took another day to completely recover to normal
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dizziness, Feeling hot, Hypoaesthesia, Nausea
Clinical narrative: 5-6 mins after injection c/o thick tongue, dizziness, hot feeling, nausea, numbness of chest that spontaneously resolved but recurred 10 mins later; no SOB, rash, itch. IMP: Impending anaphylactic/severe allergic reaction; pt given Benadryl 50mg/ml 1ml IM, Solumedrol 125 mg IM but no EPI since no SOB.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: 5-6 mins after injection c/o thick tongue, dizziness, hot feeling, nausea, numbness of chest that spontaneously resolved but recurred 10 mins later; no SOB, rash, itch. IMP: Impending anaphylactic/severe allergic reaction; pt given Benadryl 50mg/ml 1ml IM, Solumedrol 125 mg IM but no EPI since no SOB.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Induration, Pruritus, Skin warm, Swelling
Clinical narrative: Itchiness w/ in a few minutes of injection. Developed indurated lump of 3inches, hot to touch. As of 03-30-21 site still indurated 2 inches, warm to the touch and ongoing itchiness.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Syncope
Clinical narrative: SYNCOPE DAY AFTER VACCINE
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Gout, Joint swelling, Peripheral swelling, Vaccination site reaction
Clinical narrative: 2 of My knuckles on my right hand swelled within the 1st week after the vaccine, then within 1 week  my baby toe on my right foot swelled  Became very Red and was painful to touch and extremely painful to put a shoe on, within another week the swelling moved to my big toe on my right foot. I went to the Podiatrist on 3/29 and it appeared to the Dr as Gout, which I have never had. Blood test showed no elevated uric acid level and the Dr said it may be Covid Toe
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization within 6 weeks after receiving vaccine
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Chills, Gait disturbance, Headache
Clinical narrative: Saturday 3/27/2021 -After waiting 15 minutes after the shot, my leg and arm affected with my MS became heavy and not very responsive.  This only lasted for 2-3 hours and I was able to walk and hold things. Sunday 3/28/2021 - I experienced pain in my joints and body most of the day.  At about 5:00pm,  I had chills, headache and extreme pain everywhere.  I could no longer could use my leg and arm (MS limbs).   My chest felt heavy and tight when breathing.  I used Tylenol and Ibuprofen intermittently and drank lots of water.  Slept most of the day.   Monday 3/29/2021 Woke up  with a headache, some pain in my joints and not able walk without difficulty until 2:30pm, after that time I  was able to walk short distances slowly. Tuesday 3/30/2021 -At work, moving slow but feeling better.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Muscular weakness, Pain
Clinical narrative: Saturday 3/27/2021 -After waiting 15 minutes after the shot, my leg and arm affected with my MS became heavy and not very responsive.  This only lasted for 2-3 hours and I was able to walk and hold things. Sunday 3/28/2021 - I experienced pain in my joints and body most of the day.  At about 5:00pm,  I had chills, headache and extreme pain everywhere.  I could no longer could use my leg and arm (MS limbs).   My chest felt heavy and tight when breathing.  I used Tylenol and Ibuprofen intermittently and drank lots of water.  Slept most of the day.   Monday 3/29/2021 Woke up  with a headache, some pain in my joints and not able walk without difficulty until 2:30pm, after that time I  was able to walk short distances slowly. Tuesday 3/30/2021 -At work, moving slow but feeling better.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling, Injection site warmth
Clinical narrative: DELAYED REACTION STARTING ON 3/25/21 (VACCINE RECEIVED 3/19)- PATIENT HAD NO NOTICABLE SIDE EFFECTS/SYMPTOM UNTIL 3/25/21. SWOLLEN GOLF-BALL SIZED KNOB ON ARM 2 INCHES BELOW VACCINE SITE THAT WAS RED IN COLOR AND HOT TO THE TOUCH. AS THE DAY PROGRESSED KNOB SUBSIDED BUT AREA OF REDNESS INCREASED FOR 2INCH DIAMETER TO 3 INCHS. COLOR HAS ALSO PROGRESSED FROM RED TO A DULL PURPLE.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Influenza like illness, Pain
Clinical narrative: Four days after vaccination I noticed my Lymph node was protruding from my neck.  It is my left clavicular Lymph node. It was very painful. I saw a doctor multiple times and I was told that it may have been related to the vaccine. A week later it had gone down a little and the pain was a little better.  It is still enlarged but not painful. I got the second dose 013M20A (02/12/2021)of the vaccine and had chills, body aches and flu symptoms but my Lymph node did not swell up. I got second dose in the other arm. My left arm is still hurting since that first dose. It feels like a bruise.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall
Clinical narrative: PATIENT FELT DIZZY. EYES CLOSED AND FELL FORWARD FROM HER CHAIR ONTO THE FLOOR. BP MEASURED AT 141/90.  EMS WAS CALLED. THE PATIENT DID NOT WANT TO GO TO WITH THEM. EMS CLEARED HER AND THE PATIENT GOT A RIDE HOME
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Reporting a medication error - not an ADR   Patient arrived to vaccine clinic for scheduled appointment.  In the documentation system, patient does not appear to have any previous appointments.  Nurse gave vaccine, Pfizer.  After administration, patient informed nurse that his first dose was Moderna, not Pfizer.  His first vaccine was given at a retail pharmacy, which does not use the same documentation system.  Patient did provide vaccine card, but unsure at this time if this was before or after the vaccine was given.  Following up with the administering nurse for further details.   Per suggestion of staff, signs have been made for the front registration to alert clients that this is a Pfizer only location.  Will continue to look at dashboard to monitor for Moderna on the schedule, and will alert staff to be aware of retail pharmacy not being on our documentation system and the potential risks.   Pfizer lot # EN6198 Exp date 6/30/21
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Throat tightness
Clinical narrative: 20 minutes s/p vaccination, patient began experiencing dizziness and stated that her throat felt "tight". She stated that she had not eaten anything yet that morning. This RN administered 25 mg PO Benadryl and gave patient water and a granola bar. Patient was observed for an additional 20 minutes. No further reactions or symptoms were observed or reported. Patient was AxOx4 and ambulatory. She left the clinic with a friend.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives on arm, chest and forehead started soon after injection.  BP was taken 20 minutes later and it was 171/72.  Stayed for monitoring and hives started to subside about 45 minutes later.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt verbalized prior history of dizziness with vaccinations. Pt felt dizzy upon vaccination. BP: 92/66 Pulse: 51 O2Sat: 99 No temp was taken. Nurse on Site, and doctor were made aware of the incident. Pt was released and left under no distress.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Palpitations
Clinical narrative: PT is a 53 y.o. female who received the Moderna Covid-19 Vaccine, mRNA-1273 (PF) 100 mcg/0.5 mL IM Susp, Lot 016B21A on 3/30/2021. The patient experienced the following reaction(s) during the immediate  of observation: 10:48am Patient sitting in observation and c/o "feeling faint and heart racing." Patient was treated/managed as follows:  10:49am VS BP 132/78, HR 84, RR 18, O2 sat 99% on room air. Patient instructed to take deep breaths and water offered. Patient reports symptoms resolving. 10:59am VS BP 118/82, HR 68, RR 18, O2 sat 100% on room air. Patient reports feeling better and symptoms subsided. Patient given educational material regarding vaccine and advised to continue to self-monitor per the CDC guidance. 11:03am Patient escorted to car by significant other and. RN.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous
Clinical narrative: After my vaccine, I developed itchiness sensation to my calves. One week later I developed red bumps the size of a dime. I went to see m PCP who prescribed a cortisone cream along with steroids. My red bumps are still present but slowly going away.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Skin warm
Clinical narrative: Swollen, hot, red, raised patch of skin at site of injection (in left arm)
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pruritus, Swelling
Clinical narrative: Patient describes "covid arm" swelling (hardness), redness and itching.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Facial spasm, Injection site pain, Injection site swelling, Muscle spasms
Clinical narrative: pain / swollen area where injection given. joint pain in every joint in my body - never had this before vaccine.  Facial muscel spasms; both eyes and left side of cheek area. Never had this before.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Injection site pain, Injection site warmth
Clinical narrative: 3/29/21 - Approximately 10 pm , soreness, achy at injection site on arm 3/30/21 - middle of night, more soreness, felt hot, severe headache 3/30/21 - got up approximately 7 am, fever and dripping sweats, then chills, lasted about a half hour, continued severe headache, took one, 500 mg Tylenol, took a second Tylenol around 10 am as the headache persisted but was mild.  Rested. Felt better by 2 pm with just a slight headache.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 3/29/21 - Approximately 10 pm , soreness, achy at injection site on arm 3/30/21 - middle of night, more soreness, felt hot, severe headache 3/30/21 - got up approximately 7 am, fever and dripping sweats, then chills, lasted about a half hour, continued severe headache, took one, 500 mg Tylenol, took a second Tylenol around 10 am as the headache persisted but was mild.  Rested. Felt better by 2 pm with just a slight headache.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: SOB 3 mins after vaccine Denies chest pain, nausea, swelling , rash, itchy eyes. Patient describes it as if he went for air. Patient given water. v/s 136/76, 72,98% o2 RA, Alert and oriented x4. Patient felt s/s resolve after given water. 126/75
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Hot flush, Migraine, Pain
Clinical narrative: Sore arm, chills and hot flashes, headache/migraine, body aches. Fully recovered.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm, chills and hot flashes, headache/migraine, body aches. Fully recovered.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Mydriasis, Vision blurred
Clinical narrative: Eyes dilated, blurring within 5 mins. of vaccine administration. 12:45pm 12:46pm End of 15 min med administration 12:55pm Patient report of feeling better-left site.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test, Dyskinesia, Muscle spasms
Clinical narrative: Muscle spasms, involuntary movements, acute back pain
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chills, Fatigue, Influenza like illness, Insomnia
Clinical narrative: The following day, the 6th, I had a fever, body aches and chills - like a flu. That lasted for about 6 hours. I had general fatigue. I took Aleve and I was fine. Then I had insomnia, and heart  palpitations  - I got those two weeks after the vaccine. This was almost like anxiety - it was like my heart was racing. I had to get up and walk around the room because of it. I don't have anxiety ever so this was a huge difference in me.   I took homeopathic stuff and drank cherry tart juice.  Those symptoms lasted from week 2 to weak three.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpitations, Pyrexia
Clinical narrative: The following day, the 6th, I had a fever, body aches and chills - like a flu. That lasted for about 6 hours. I had general fatigue. I took Aleve and I was fine. Then I had insomnia, and heart  palpitations  - I got those two weeks after the vaccine. This was almost like anxiety - it was like my heart was racing. I had to get up and walk around the room because of it. I don't have anxiety ever so this was a huge difference in me.   I took homeopathic stuff and drank cherry tart juice.  Those symptoms lasted from week 2 to weak three.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: C/o light headedness, declined option to lay down with feet up, sat and drank water, vitals stable, pt opted to leave after 5 min of "feeling better"
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Rash, Rash pruritic
Clinical narrative: Moderna COVID-19 EUA  redness and itching at vaccination site March 25;  March 27 rash developed on left arm on inner side of the arm near the antecubital fossa; Mach 29 similar rash located on upper interior arm.   Vaccination site is still red and growing larger however it does not itch, however both of the new rashes itchy
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: severe dizziness lasting from Thursday to Tuesday.  Also some nausea related to dizziness
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Mononucleosis heterophile test negative, Oropharyngeal pain, Pyrexia, Rash, SARS-CoV-2 test negative
Clinical narrative: Head to toe rash 4 hours after receiving vaccination. Also complained of sore throat and fever which in combination with rash lead patient to be evaluated in ED on 3/28
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Streptococcus test negative
Clinical narrative: Head to toe rash 4 hours after receiving vaccination. Also complained of sore throat and fever which in combination with rash lead patient to be evaluated in ED on 3/28
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram normal, Hyperhidrosis, Pallor
Clinical narrative: Per EMS,  patient stated he was light-headed. HR 46, BP 90/48, SPO2 93%, pale and diaphoretic at initial assessment, 5-lead EKG all sinus rhythm. Patient rested in his own car, reassessed in 15 minutes. BP 130/80, HR 68, SPO2 100%, color WNL. He declined transportation. EMS recommended followup with his primary doctor.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Twelve Moderna vaccines were given in office. Only 11 were drawn up this morning and the 12th dose was, most likely, a left over dose from yesterday. After incident was discovered, Moderna manufacturer was contacted per CDC recommendation. (Case #). Employee in Quality was also notified.   Communication to patient: The Moderna Vaccine the patient received may have been outside of the 6 hour thaw recommendation. We contacted the Moderna manufacturer and CDC. At this time, there are no recommendations for revaccination. Patient will still receive your 2nd dose as previously scheduled. Titers will be available at no cost in 2-3 months after your second vaccine.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Memory impairment
Clinical narrative: Foginess and forgetfullness. At times couldn't think clearly
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Decreased appetite, Dialysis, Dysstasia
Clinical narrative: No appetite for days. The smell of food made patient sick. On week two after vaccine, oxygen stayed at 84%, patient couldn?t stand as he had no energy. Patient began to eat after lots of convincing and seemed to be doing at least 20% by week 3, but oxygen was still in mid 80%. On day 20 after vaccine patient had to be rushed to the ER due to sepsis. All vital organs  began to fail and on transport patient suffered a mild heart attack.   Patient was a healthy 78 year old male that lived alone and drove and had no major health issues before the date of the vaccine.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatic failure, Mechanical ventilation, Multiple organ dysfunction syndrome, Myocardial infarction, Parosmia
Clinical narrative: No appetite for days. The smell of food made patient sick. On week two after vaccine, oxygen stayed at 84%, patient couldn?t stand as he had no energy. Patient began to eat after lots of convincing and seemed to be doing at least 20% by week 3, but oxygen was still in mid 80%. On day 20 after vaccine patient had to be rushed to the ER due to sepsis. All vital organs  began to fail and on transport patient suffered a mild heart attack.   Patient was a healthy 78 year old male that lived alone and drove and had no major health issues before the date of the vaccine.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Staphylococcal infection, Staphylococcus test positive
Clinical narrative: No appetite for days. The smell of food made patient sick. On week two after vaccine, oxygen stayed at 84%, patient couldn?t stand as he had no energy. Patient began to eat after lots of convincing and seemed to be doing at least 20% by week 3, but oxygen was still in mid 80%. On day 20 after vaccine patient had to be rushed to the ER due to sepsis. All vital organs  began to fail and on transport patient suffered a mild heart attack.   Patient was a healthy 78 year old male that lived alone and drove and had no major health issues before the date of the vaccine.
Age: 0.08
Sex: M
Vaccine: HEP
Symptoms: Erythema, Lip swelling, Swelling face, Swelling of eyelid
Clinical narrative: He had facial swelling , lip swelling, eyelid swelling, and redness of forehead that started around 12 hours after receiving vaccine. He went to Hospital ER for an evaluation on 03/30/2021 around 1 am. Swelling reduced over the course of 3 hours without any treatment. He followed at doctor's office on 03/30/2021 around 10:15 am.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acquired dysfibrinogenaemia, Coagulopathy, Haemorrhage
Clinical narrative: Patient currently hospitalized with profound bleeding and clotting, suspect dysfibrinogenemia, otherwise healthy without history of dysfibrinogenmeia
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time prolonged, Anaemia, Angiogram, Blood fibrinogen, Blood smear test
Clinical narrative: Patient currently hospitalized with profound bleeding and clotting, suspect dysfibrinogenemia, otherwise healthy without history of dysfibrinogenmeia
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebral venous sinus thrombosis, Computerised tomogram, Computerised tomogram head, Disseminated intravascular coagulation, Fibrin D dimer
Clinical narrative: Patient currently hospitalized with profound bleeding and clotting, suspect dysfibrinogenemia, otherwise healthy without history of dysfibrinogenmeia
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemorrhagic stroke, Hepatic vein thrombosis, Immunology test, Investigation, Magnetic resonance imaging
Clinical narrative: Patient currently hospitalized with profound bleeding and clotting, suspect dysfibrinogenemia, otherwise healthy without history of dysfibrinogenmeia
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count, SARS-CoV-2 test, Splenic vein thrombosis, Thrombocytopenia, Visceral venous thrombosis
Clinical narrative: Patient currently hospitalized with profound bleeding and clotting, suspect dysfibrinogenemia, otherwise healthy without history of dysfibrinogenmeia
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Depressed level of consciousness, Fatigue, Myalgia, Pyrexia
Clinical narrative: MUSCLE ACHES AND FATIGUE WITHIN 8 HOURS OF RECEIVING VACCINE. LOW GRADE FEVER 99.5-100.4 BETWEEN 1AM AND 8AM 3/30. EXTREME FATIGUE, BLOATING AND CLOUDINESS 24 HOURS +.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: bells palsy seen at ER on 03-26-21; treated by ER physician with prednisone, valtrex
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Nausea
Clinical narrative: Symptoms began (72 hours) 3 days after injection: Chills--lasted for 6 hours or so; aches; headache; fever lasted 17 hours; day 4--nausea, vomiting; day 5--extremely tired; day 6 diarrhea. day 7--morning headache. day 8--fine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Symptoms began (72 hours) 3 days after injection: Chills--lasted for 6 hours or so; aches; headache; fever lasted 17 hours; day 4--nausea, vomiting; day 5--extremely tired; day 6 diarrhea. day 7--morning headache. day 8--fine.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Confusional state
Clinical narrative: Day 1 after vaccine, patient experienced extreme weakness and confusion. Found on the floor. Admitted to hospital that day for two day admission. Day 2 after vaccine mild weakness persisted and confusion started to resolve. Day 3 after vaccine- confusion resolved, mild weakness persisted. Patient still in PT. Discharged from hospital.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal X-ray, Blood test, Colitis ulcerative
Clinical narrative: Ulcerative Colitis flare after 8 years of remission from the disease.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: intense headache, nausea, vomitting - currently 8th day post 2md vaccine
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Diarrhoea, Disturbance in attention, Feeling hot, Heavy menstrual bleeding
Clinical narrative: I got my period out of the blue the following morning. It was the worst period / PMS of my life. I was having full blown contractions, waves of pain and heat so much that I was throwing up. I also had diarrhea and very heavy bleeding. Once I was able to keep ibuprofen down I was absolutely fine and the symptoms dissipated. In total this pain, vomiting and diarrhea, unable to think or drink water or communicate lasted about 2 hours.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Pain, Uterine contractions abnormal, Vomiting
Clinical narrative: I got my period out of the blue the following morning. It was the worst period / PMS of my life. I was having full blown contractions, waves of pain and heat so much that I was throwing up. I also had diarrhea and very heavy bleeding. Once I was able to keep ibuprofen down I was absolutely fine and the symptoms dissipated. In total this pain, vomiting and diarrhea, unable to think or drink water or communicate lasted about 2 hours.
Age: 84.0
Sex: F
Vaccine: UNK
Symptoms: Pain in extremity
Clinical narrative: Painful upper right arm beginning 18 days after shot and still present
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: 3/16/21 at 3 a.m.; fever.  9 a.m. 100.9 fever and body aches, took 1-200mg ibuprofen. Felt good enough to carry on with my daily activities.  Took one more 200mg ibuprofen at 12:30 because of spiking fever and aches.  Another dose at 9 p.m.  Slept good that night.  Took one more 200mg dose at 9 a.m. on 3/17.  Had intermittent mild headaches throughout 3/16 through 3/19 with occasional semi-sharp flashes of pain in right frontal lobe.  I don't get headaches, so this drew my attention.  Soreness at injection site.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Paraesthesia
Clinical narrative: Immediately felt a scary  tingling working its way from my head to my toes and felt like I would be unsteady to walk at the time. lasted about 20 mins.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Pain in extremity, Rash erythematous, Rash pruritic
Clinical narrative: On the eighth day after receiving the first dose of the Moderna Covid vaccine, I developed a 4x5" red itchy rash just below where I got the shot on my arm. It continues to persist three days afterwards, and that arm and elbow ache as well.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Flushing, Hypoaesthesia, Paraesthesia
Clinical narrative: 6AM morning after vaccine face flushed red numbness tingling all over head and forearms were red and burning sensation
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Headache, Herpes zoster
Clinical narrative: I had fatigue for 10 days plus. I started with pain in my upper right back about 2.5 weeks after the 2nd Pfizer injection.  Thinking it was a pulled muscle, I used heat, ice, took Ibuprofen, it has gotten worse each day. I noticed a scabbed over rash on the area and called my Dr. he never returned my call, so I called telehealth and sent a picture as the pain became tingling and moved up my neck and to the base of my head. He diagnosed it as Shingles. Today I have chills & a headache. After reading reports of some adverse reaction from the Covid -19 vaccine, I thought I should report this.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Rash
Clinical narrative: I had fatigue for 10 days plus. I started with pain in my upper right back about 2.5 weeks after the 2nd Pfizer injection.  Thinking it was a pulled muscle, I used heat, ice, took Ibuprofen, it has gotten worse each day. I noticed a scabbed over rash on the area and called my Dr. he never returned my call, so I called telehealth and sent a picture as the pain became tingling and moved up my neck and to the base of my head. He diagnosed it as Shingles. Today I have chills & a headache. After reading reports of some adverse reaction from the Covid -19 vaccine, I thought I should report this.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Twelve Moderna vaccines were given in office. Only 11 were drawn up this morning and the 12th dose was, most likely, a left over dose from yesterday. After incident was discovered, Moderna manufacturer was contacted per CDC recommendation.   Communication to patient: The Moderna Vaccine patient received may have been outside of the 6 hour thaw recommendation. We contacted the Moderna manufacturer and CDC. At this time, there are no recommendations for revaccination. Pt will still receive your 2nd dose as previously scheduled. Titers will be available at no cost in 2-3 months after your second vaccine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Eye movement disorder, Hyperhidrosis
Clinical narrative: After vaccination patient felt dizzy, diaphoretic  Nurse stated patients ?eyes  rolled back? Patient stated he was still awake during episode Patient given water and stated he felt ?shaky? Patient denied medical transport or evaluation and signed AMA form
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature decreased, Dizziness, Fatigue, Pain in extremity, Vertigo
Clinical narrative: Arm pain began by 6pm on March 19, about two hours after receiving the vaccine. I woke up the next morning (March 20) feeling very run-down, moderate-to-severe fatigue, dizziness bordering on vertigo (historically this is part of severe fatigue for me), and my core temperature dropped from my normal of 96.8 to 95.5 (my core temp historically drops instead of rising for mild illness--I'm either chilled and mildly ill or have a fever of around 103 and am severely ill) and rose no higher until symptoms abated on the 22nd.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Red  oval shape rash that feel warm to the touch and is soar, hardened skin next to injection site.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Memory impairment, Pain in extremity
Clinical narrative: states that approximately a week after her 2nd covid vaccine she has been having sudden episodes of fatigue, brain fog, aches in arms and memory changes where she cannot remember specific details in the afternoon that she knew in the morning such as what she paid for something. She states she has always been good with numbers, the next morning she can remember again and the next afternoon won't be able to.   Family h/o dementia. She had no difficulty answering questions for this form.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: headache, chills, fever, fatigue and body aches
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization within 6 weeks after receiving vaccine
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Patient became lightheaded and had a sycopal episode shortly after. Events began 5 minutes after vaccine was administered
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Lymph node pain, Lymphadenopathy, Nausea, Rash erythematous
Clinical narrative: Nausea - resolved within 36hrs post-dose Swollen, painful lymph nodes in injection arm/neck - started about day 2 and is ongoing (now a week later) Large red rash at injection site occurred today (one week later)  - painless
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Fatigue, Malaise, Pyrexia
Clinical narrative: Within 8 hours - Tiredness/generally un-well; Burning/pain in chest;  Within 24 hours - In addition to side effects listed above, periodic chills and feeling feverish
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Malaise, Pain, Pain in extremity
Clinical narrative: (Day 1 was day of vaccination). Sore arm started around the end of the day that was vaccinated. Sore arm got worse on day 2 and became extremely painful, especially if bumped. At 6pm on day 2 I started to feel ill and had aches and chills. I felt better the morning of day 3. Sore arm took a few days to get better.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pruritus
Clinical narrative: Client received Moderna Vaccine at 1:15 pm.at 1:25pm she stated she was itching and note scratches on left upper anterolateral arm was red from client scratching.  She stated that she takes allergy medication (Zyrtec) daily and wanted to take some when she gets home. Client left at 2:00 pm. This nurse called her at 2:15pm, she answered the telephone and stated she was still itching and had a slight headache. She was getting ready to take Zyrtec. Checked on client again at 2:30 .  She stated she was still itching and the injection site was a little red. Client was told to report to emergency room if itching continues or to call her doctor. Also told her to report to her doctor before getting second vaccine.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Implant site induration, Pleuritic pain
Clinical narrative: pain in breast, made implant grow hard, pleurisy pain
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation
Clinical narrative: inflamation of the left hand tendons
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture negative, Blood sodium decreased, Chest X-ray normal, Computerised tomogram head normal, Culture urine negative
Clinical narrative: Patient admitted to hospital with altered mental status and fever. Found to meet SIRS criteria by recurrent fever and tachycardia, but no white count and otherwise hemodynamically stable. Urine cultures and blood cultures were drawn and did not demonstrate growth. Body imaging was done without e/o of infection. Patient started improving 1 day after admission (2 days after the second Pfizer COVID vaccine) without much intervention save for supportive care (antipyretics, antiemetics, etc.)
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Haematocrit normal, Haemoglobin normal, Liver function test normal, Mental status changes
Clinical narrative: Patient admitted to hospital with altered mental status and fever. Found to meet SIRS criteria by recurrent fever and tachycardia, but no white count and otherwise hemodynamically stable. Urine cultures and blood cultures were drawn and did not demonstrate growth. Body imaging was done without e/o of infection. Patient started improving 1 day after admission (2 days after the second Pfizer COVID vaccine) without much intervention save for supportive care (antipyretics, antiemetics, etc.)
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Platelet count normal, Pyrexia, Systemic inflammatory response syndrome, Tachycardia
Clinical narrative: Patient admitted to hospital with altered mental status and fever. Found to meet SIRS criteria by recurrent fever and tachycardia, but no white count and otherwise hemodynamically stable. Urine cultures and blood cultures were drawn and did not demonstrate growth. Body imaging was done without e/o of infection. Patient started improving 1 day after admission (2 days after the second Pfizer COVID vaccine) without much intervention save for supportive care (antipyretics, antiemetics, etc.)
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Patient admitted to hospital with altered mental status and fever. Found to meet SIRS criteria by recurrent fever and tachycardia, but no white count and otherwise hemodynamically stable. Urine cultures and blood cultures were drawn and did not demonstrate growth. Body imaging was done without e/o of infection. Patient started improving 1 day after admission (2 days after the second Pfizer COVID vaccine) without much intervention save for supportive care (antipyretics, antiemetics, etc.)
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Twelve Moderna vaccines were given in office. Only 11 were drawn up this morning and the 12th dose was, most likely, a left over dose from yesterday. After incident was discovered, Moderna manufacturer was contacted per CDC recommendation. (Case #: MOD21-060693). Employee in Quality was also notified.  Communication to patient: The Moderna Vaccine you received may have been outside of the 6 hour thaw recommendation. We contacted the Moderna manufacturer and CDC. At this time, there are no recommendations for revaccination. You will still receive your 2nd dose as previously scheduled. Titers will be available at no cost in 2-3 months after your second vaccine.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Vision blurred
Clinical narrative: Received her first dose of Moderna Vaccine 3/30/2021. About 10 minutes post vaccination patient begin to feel dizzy, experienced blurred vision, and cold sweats.  Temp 98.6 BP 108/68 Emergency medical response was called. Patient was given a bottle of water and replaced face mask with a face shield. I continued to monitor patient until EMS arrived. Second BP 128/98 About 20 minutes post vaccination patient stated she was no longer having sweats and vision was returning to normal. EMS arrived and triaged patient. Patient was able to stand and take a few steps. Patient decided she was OK to go home. I walked with patient and EMS to the car (her husband was driving). Patient seemed alert, aware and in good spirit.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I have tinnitus.  My ears are ringing constantly and loudly.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular, Thrombosis
Clinical narrative: Off-cycle menstrual/vaginal bleeding. Today is 7th day of heavy bleeding, about twice as heavy as a heavy flow day for a normal menses. Many large blood clots through the day and night.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Fatigue, Feeling abnormal, Headache, Memory impairment
Clinical narrative: Adverse event started the morning of 3/10/21 around 08:00 am. Symptoms included headache, fatigue, brain fog, memory issues, feeling feverish, and itching on torso, arms, and legs . Symptoms seemed to improve over the next week or two before worsening again on 3/27/21 around 10:00 am. On the day of 3/27 /21 I experienced headaches, fatigue, brain fog, memory issues, muscle aches, diarrhea, and vision problems. Currently on 3/30/21 symptoms have improved but I am still experiencing dull headaches and brain fog, as well as itching on torso, arms and legs and some vision problems.   I have not seen a provider  for these issues but have an appointment scheduled for 3/31/21. Treatment includes ibuprofen as needed.