chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased
Clinical narrative: I have pain in my left shoulder area on and around my deltoid muscle, especially when lifting my arm up (e.g., like when I am trying to put on  a T-shirt). This pain was severe for the first 3 days or so before becoming only moderate/mild pain.  The problem is that it has now been almost exactly TWO MONTHS since I had that injection, and I still have that same mild/moderate pain when lifting my arm.  I am surprised that it has not healed, and so I am reporting it.  I will note, if it matters, that I don't think they administered this second dose very correctly-- instead of the middle of my deltoid muscle, they placed the injection very high and posterior on my shoulder, almost on the acromion process(I am an RN myself, which is why I feel qualified to talk about proper IM injection technique).
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall
Clinical narrative: Dizzy and stumbled to floor, patient felt sizzy and after receiving vaccine and felt faint, and fell to floor but did not appear to lose consciousness.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Nausea
Clinical narrative: 5 days after the shot (April 6th) I had a swollen ball (lymph node?) near my left clavicle that was sore and I felt nauseous.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Dissociation, Disturbance in attention, Fatigue
Clinical narrative: Felt very disoriented. Could not complete simple tasks. Felt like I was delayed or on "pause". Very scary feeling. Was unable to concentrate.  Symptoms decreased by 5pm that day. Felt fatigue the next few days.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Fatigue, Headache, Mobility decreased
Clinical narrative: Started with extremely sore arm hard to move. And started getting a massive headache. And uncontrollable vomiting and diarrhea. Extremely weak and tired.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Vomiting
Clinical narrative: Started with extremely sore arm hard to move. And started getting a massive headache. And uncontrollable vomiting and diarrhea. Extremely weak and tired.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site rash, Peripheral swelling, Rash, Rash papular
Clinical narrative: Initial Side effect -only headache a few hours after vaccine and then for 48 hours following  Delayed effect - 1 week after vaccine a raised itchy and painful rash appeared at injection site  along with swelling of the arm.  This  lasted about 48 hours,
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Initial Side effect -only headache a few hours after vaccine and then for 48 hours following  Delayed effect - 1 week after vaccine a raised itchy and painful rash appeared at injection site  along with swelling of the arm.  This  lasted about 48 hours,
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Client began to notice redness and rash at site of injection.  Localized symptoms did not progress after further observation over 30 minutes.  Fire Rescue at scene to evaluate patient.  Per Fire Rescue, no further evaluation needed, patient released at 4:05pm.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Increase in intensity of tinnitus in left ear from mild to severe.
Age: 53.0
Sex: M
Vaccine: UNK
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Swollen red painfull toe on right foot
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pain
Clinical narrative: Extreme muscle aches and pain.  Not just muscle aches at location of injection but all over.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site dermatitis, Injection site erythema, Injection site pruritus
Clinical narrative: Site injection dermatitis with redness and itching. Provided Topical hydrocortisone cream and PO Benadryl. Patient states providing relief.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chills, Dry skin, Erythema, Fatigue
Clinical narrative: 3/10/21?first shot.  Felt fine.   3/19/21?started to get rash on upper left arm?shot arm.  3-20-21?rash spread to upper right arm and a few spots on my knees 3/23/21?blood draw.  Platelets almost doubled since my last count three weeks prior.  Increase anagrelide to two pills twice a day. 3/31/21?second dose. Shot again the left arm   Felt fine that day. 4/1/21?felt tired. 4/2/21?really feel tired and skin feel tingly like a rash coming on.  Had chills.  By evening upper arms were red, sore, swollen, rash covered and warm to the touch.    4/3/21---Slept a lot of the day and still in a fair amount of pain.  Upper arms and hands red, sore and swollen.  Took an over the counter antihistamine Zyrtec, which helped with the swelling. 4/4/21?Continued with Zyrtec 4/5/21?Continued with the Zyrtec.  Skin in my arms seems to be ?drying out? a bit and swelling down. 4/6/21?Arms and hand still red but swelling down.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site rash, Pain in extremity, Paraesthesia, Peripheral swelling, Rash
Clinical narrative: 3/10/21?first shot.  Felt fine.   3/19/21?started to get rash on upper left arm?shot arm.  3-20-21?rash spread to upper right arm and a few spots on my knees 3/23/21?blood draw.  Platelets almost doubled since my last count three weeks prior.  Increase anagrelide to two pills twice a day. 3/31/21?second dose. Shot again the left arm   Felt fine that day. 4/1/21?felt tired. 4/2/21?really feel tired and skin feel tingly like a rash coming on.  Had chills.  By evening upper arms were red, sore, swollen, rash covered and warm to the touch.    4/3/21---Slept a lot of the day and still in a fair amount of pain.  Upper arms and hands red, sore and swollen.  Took an over the counter antihistamine Zyrtec, which helped with the swelling. 4/4/21?Continued with Zyrtec 4/5/21?Continued with the Zyrtec.  Skin in my arms seems to be ?drying out? a bit and swelling down. 4/6/21?Arms and hand still red but swelling down.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin warm, Somnolence
Clinical narrative: 3/10/21?first shot.  Felt fine.   3/19/21?started to get rash on upper left arm?shot arm.  3-20-21?rash spread to upper right arm and a few spots on my knees 3/23/21?blood draw.  Platelets almost doubled since my last count three weeks prior.  Increase anagrelide to two pills twice a day. 3/31/21?second dose. Shot again the left arm   Felt fine that day. 4/1/21?felt tired. 4/2/21?really feel tired and skin feel tingly like a rash coming on.  Had chills.  By evening upper arms were red, sore, swollen, rash covered and warm to the touch.    4/3/21---Slept a lot of the day and still in a fair amount of pain.  Upper arms and hands red, sore and swollen.  Took an over the counter antihistamine Zyrtec, which helped with the swelling. 4/4/21?Continued with Zyrtec 4/5/21?Continued with the Zyrtec.  Skin in my arms seems to be ?drying out? a bit and swelling down. 4/6/21?Arms and hand still red but swelling down.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Platelet count increased, Rash
Clinical narrative: 3/10/21?first shot.  Felt fine.   3/19/21?started to get rash on upper left arm?shot arm.  3-20-21?rash spread to upper right arm and a few spots on my knees 3/23/21?blood draw.  Platelets almost doubled since my last count three weeks prior.  Increase anagrelide to two pills twice a day. 3/31/21?second dose. Shot again the left arm   Felt fine that day. 4/1/21?felt tired. 4/2/21?really feel tired and skin feel tingly like a rash coming on.  Had chills.  By evening upper arms were red, sore, swollen, rash covered and warm to the touch.    4/3/21---Slept a lot of the day and still in a fair amount of pain.  Upper arms and hands red, sore and swollen.  Took an over the counter antihistamine Zyrtec, which helped with the swelling. 4/4/21?Continued with Zyrtec 4/5/21?Continued with the Zyrtec.  Skin in my arms seems to be ?drying out? a bit and swelling down. 4/6/21?Arms and hand still red but swelling down.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Dysgeusia, Tongue rough
Clinical narrative: Patient has been experiencing metallic taste, tongue feeling like sandpaper, and upset stomach. Patient still has upset stomach but the metallic taste has disappeared and the tongue feeling like sandpaper is not as severe as it was initially. Patient has tried Prilosec to relieve upset stomach with no relief and has contacted MD with no new orders. Suggested for patient to take Mylanta, will follow up on 4/4/21. Patient feeling much better, has taken Mylanta as requested, no longer has upset stomach.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial test, Dizziness, Fatigue, Headache, Hypertension
Clinical narrative: IMMEDIATELY AFTER VACCINATION I HAD DIZZINESS, VOMITING, MENTAL BLACKOUT, HIGH BLOOD PRESSURE, TOTAL FATIGUE, HEADACHE. THAT WAS SEEN BY PARAMEDICS
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Loss of consciousness, Vaccination complication, Vomiting
Clinical narrative: IMMEDIATELY AFTER VACCINATION I HAD DIZZINESS, VOMITING, MENTAL BLACKOUT, HIGH BLOOD PRESSURE, TOTAL FATIGUE, HEADACHE. THAT WAS SEEN BY PARAMEDICS
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Decreased appetite, Fatigue, Malaise, Nausea
Clinical narrative: She got the vaccine and started out with nausea below the vomiting point, and she could not eat much and had stomach upset.  She did not feel well.  She went to bed for a whole day and then slept the following day.  It is still going on but not quite as bad, very tired.  The arm was a little sore the night of the vaccine, but when she started using the arm the feeling left.  Did have some soreness for a couple of nights.  She can still hardly eat, but her stomach feels better.  She has the bad feeling where she cannot eat but a few bites as she gets nauseated then.  She has not taken anything for her symptoms.  She is just not feeling well at all as if you don't want to be out of bed.  It's a big struggle for her to get up and get her something to eat.  Something that she doesn't have to cook.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: She got the vaccine and started out with nausea below the vomiting point, and she could not eat much and had stomach upset.  She did not feel well.  She went to bed for a whole day and then slept the following day.  It is still going on but not quite as bad, very tired.  The arm was a little sore the night of the vaccine, but when she started using the arm the feeling left.  Did have some soreness for a couple of nights.  She can still hardly eat, but her stomach feels better.  She has the bad feeling where she cannot eat but a few bites as she gets nauseated then.  She has not taken anything for her symptoms.  She is just not feeling well at all as if you don't want to be out of bed.  It's a big struggle for her to get up and get her something to eat.  Something that she doesn't have to cook.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Pruritus, Skin warm
Clinical narrative: flushed, hot, itchy Benadryl 50mg IM given in car observed in medical tent for 30-60 minutes patient left in POV feeling much better
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Blood test abnormal, Diplopia, Magnetic resonance imaging head
Clinical narrative: About one week after first vaccine shot, blood test showed very high level of inflammation (Crp) that led to Double Vision.  I was put on Prednisone (60  mg/day) .  In the past few weeks, I've had several more blood tests, a brain MRI, surgery to perform biopsies on both eyes (biopsies tested positive for both eyes), and a current plan to involve a Rheumatologist.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Ear pain, Headache, Hypopnoea, Sinus operation
Clinical narrative: 04/07/2021 5:25 am woke up with tight chest and shallow breathing.  Immediately took asthma medication.  I usually take 2 puffs of Advair and 2 puffs Xopenex an hour or two after waking (daily treatment. I don't wake up with a tight chest.  6:30 a.m. breathing has normalized.  Have headache, earache and some nasal drainage.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia oral
Clinical narrative: upper lip tingling " upper inner lip feels full"   no swelling, no dysphagia, no dyspnea, no tongue swelling.   took own diphenhydramine 25mg po prior to vaccine.  - mask removal - fresh air- emotional support;  increased wait time; advised to pull over to safety & activate 911 if symptoms recur on drive home.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis allergic, HIV antibody negative, Hypoaesthesia, Sneezing
Clinical narrative: Hives and allergic rash on face and neck with feelings of numbness and acute sneezing. 50mg of oral diphenhydramine given at 11:30 am. Hives on neck responded to oral diphenhydramine within 15 minutes. Client remained in observation area for another 15 minutes and was then discharged with her spouse driving the vehicle. Advised that 2nd dose should only be given upon review and approval of her physician, in a medical environment.  Assessment: mild/moderate allergic reaction to COVID 19 Pfizer vaccine in a client with a history of allergic reactions to other things. MD.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Migraine, Nausea, Pain
Clinical narrative: Migrane, full body aches, nausea, chills, fatigue. All went away within 24 hours
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 4-6-21 PT GOT COVID 19 VACCINE AT AGE 15. TC TO MOTHER PER RN: D.O.B. VERIFIED AND MOM INFORMED THAT PT CAN NOT GET DOSE #2 AS SHE IS UNDER AGE LIMIT.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Tongue pruritus
Clinical narrative: Fifteen minutes post vaccine patient to feel itchy on her face & tongue. Given  PO diphenhydramine 25 mg once
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Influenza like illness, Myalgia
Clinical narrative: Symptoms:  (All typical viral flu symptoms, very intense) - Headache (unusually strong) - Fever (37.5C) - Chills - Tiredness - Muscle pain Treatment:   - Excedrin (worked well for headache) - Ibuprofen (probably reduced other side effects) Time course: - All symptoms lasted 12 hours and then abruptly were gone, not like typical flu. I was windsurfing next day as usual.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Symptoms:  (All typical viral flu symptoms, very intense) - Headache (unusually strong) - Fever (37.5C) - Chills - Tiredness - Muscle pain Treatment:   - Excedrin (worked well for headache) - Ibuprofen (probably reduced other side effects) Time course: - All symptoms lasted 12 hours and then abruptly were gone, not like typical flu. I was windsurfing next day as usual.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hemiplegia, Muscle twitching
Clinical narrative: I have had Bell?s palsy twice in the past. About ten days after I got the vaccine I started with sores and similar symptoms to Bell?s palsy including twitching and paralysis on my right side. I had some valtrex  on hand and started taking them.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness unilateral, Sudden hearing loss
Clinical narrative: Pfizer vaccinated on 3/1/2021. On 4/4/2021, I suddenly found hearing loss of left ear. When listening to music with headphones, the sound in the left ear is so weak that almost no sound can be herd. I am really frightened and worried it's going to be permanent.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: Strange taste in mouth, sweetish at first,  several weeks later metallic.  Now (4-7-2021) it's sweet again.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient age 17 was vaccinated on 04/06/2021 at 2:45pm with Moderna vaccine. Patient at the time was under the recommended age by Moderna to receive the vaccine.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site mass, Injection site pruritus, Lymph node pain
Clinical narrative: Night of vaccine, minor headache and sore. Day 2 lump at the injection site and more sore. Day 3 and 4 lump lessened and some pain in the lymph nodes but did not appear swollen. All symptoms seemed to subside by day 5. On day 9 woke up to a lump, abnormal shaped redness at the injection site and extremely itchy. Day 10 the area of redness doubled. Went to the doctor. He said to take Benadryl and ice it.  Said to follow up in a couple days if worsened. Two days later it appeared to be clearing a bit and the redness had lightened. That was Friday April 2nd.  By Monday morning, April 5th, the redness had come back and the area seemed to be growing again. Went back to the doctor, seeing a different doctor in the same office. She put me on a 1% steroid cream twice a day. I am following up today because it seems to not be improving.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Night of vaccine, minor headache and sore. Day 2 lump at the injection site and more sore. Day 3 and 4 lump lessened and some pain in the lymph nodes but did not appear swollen. All symptoms seemed to subside by day 5. On day 9 woke up to a lump, abnormal shaped redness at the injection site and extremely itchy. Day 10 the area of redness doubled. Went to the doctor. He said to take Benadryl and ice it.  Said to follow up in a couple days if worsened. Two days later it appeared to be clearing a bit and the redness had lightened. That was Friday April 2nd.  By Monday morning, April 5th, the redness had come back and the area seemed to be growing again. Went back to the doctor, seeing a different doctor in the same office. She put me on a 1% steroid cream twice a day. I am following up today because it seems to not be improving.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient had checked "yes" to the question about fainting, light-headedness, dizziness from previous immunizations so healthcare worker was aware of the situation. Healthcare worker told her to remain seated in her chair and to wave if she felt any issues arise. Right after the immunization she was fine, able to walk to the chair directly outside of pharmacy for observation. Approximately 5 minutes into observation, she waved healthcare worker down, healthcare worker immediately went to talk to her about her symptoms, healthcare worker grabbed an ice pack, while breaking the ice pack, patient fainted while she was sitting in the chair, healthcare worker held her head up to ensure proper breathing and spoke to patient, she came back after about 30 seconds, which is when healthcare worker assisted the patient in moving to the ground and putting her feet up. Healthcare worker or a pharmacy technician remained with the patient until her husband arrived. It took her husband approximately 25 minutes to get to the pharmacy, during that time healthcare worker did ask the patient if she wanted medical attention and she declined, knowing the feeling would subside. It did take her approximately 30 minutes to feel comfortable enough to sit up. Her husband took her out in a wheel chair.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral
Clinical narrative: nose and tip of tongue tingly
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia
Clinical narrative: Patient described difficulty swallowing. Post shot, first pfizer patient flagged down medical staff with difficulty swallowing. Evaluated by EMT. Dr advised 50 mg PO Benadryl for reaction.  Walked to friends vehicle after fiven 50 mg Benadryl per Dr
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Fatigue, Malaise, Peripheral swelling, Pyrexia
Clinical narrative: The morning after the injection: I woke up with a very sore swelled arm that lasted several days; each day less soreness.   I felt very fatigued and feverish for the first day at least. About 2 days after the injection,  I had a stomach disorder.  I had stopped at a restaurant after the injection.  Don't know if the stomach problem is connected to the vaccination or eating out. I did not feel well for 3-4 days, which is very unusual for me. I have had a flu shot annually for probably 30 years, and have never had a reaction other than one instance of very slight soreness at the injection site.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Rash
Clinical narrative: Numbness of tongue, lips, body rash away from injection site (trunk - stomach and back).  Numbness started within an hour, rash developed within two hours.  Treated with over-the-counter antihistamine (Benadryl)
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: On day #8, developed a hot, red, itchy patch near the injection site.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema multiforme, Laboratory test, Lip erythema, Oral mucosal erythema
Clinical narrative: Patient went to School 4/1/21 to receive J&J vaccine.  Patient came to see Dr. on 4/7/21 claiming his symptoms started on 4/2/21. His symptoms included erythema multiforme on lips and in oral cavity.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Dyspnoea, Eye discharge, Fatigue
Clinical narrative: Difficulty taking deep breaths, dizziness that felt more like vertigo (the floor and ceiling spinning whenever I stood or sat up), exhausted to the point that I could not sit up without falling asleep.  I slept 14hrs straight for two days after the shot.  Tired after walking down the driveway and back.  Entire body aching with excruciating pain but not the left arm where the shot was taken.  Headaches were bad as well.  No appetite.  The 3rd day afterwards I felt better but still very tired.  The 4th day still tired but better.  Tylenol, caffeinated coffee and lots of water seem to help me get through this.  The fifth day afterward, I am almost 100%  but dealing with running nose and eyes which may not be related to the shot.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypersomnia, Pain, Rhinorrhoea, Vertigo
Clinical narrative: Difficulty taking deep breaths, dizziness that felt more like vertigo (the floor and ceiling spinning whenever I stood or sat up), exhausted to the point that I could not sit up without falling asleep.  I slept 14hrs straight for two days after the shot.  Tired after walking down the driveway and back.  Entire body aching with excruciating pain but not the left arm where the shot was taken.  Headaches were bad as well.  No appetite.  The 3rd day afterwards I felt better but still very tired.  The 4th day still tired but better.  Tylenol, caffeinated coffee and lots of water seem to help me get through this.  The fifth day afterward, I am almost 100%  but dealing with running nose and eyes which may not be related to the shot.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Colitis ischaemic, Diarrhoea, Haematochezia, Muscle spasms
Clinical narrative: had severe onset diarrhea with bright red blood shortly after taking Vicks sinus medication - have taken that medication with no effects prior to having had the vaccine. ischemic colitis seemed like what I was experiencing  with sever cramping
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Peripheral swelling
Clinical narrative: joint pain and swelling on right hand wrist.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Head discomfort
Clinical narrative: reports vague symptoms of feeling " lightheaded, foggy- changing to a heavy feeling in her occipital region."   no other associated S&S.   A&O x 3, conversant; following commands.  Symptoms improved but not resolved after 15 mins.   TX:  mask removal; fresh air; seat reclined X 10 mins; Sat upright & given bottle of water; will allow to relax & recheck after 15 mins.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Hypoxia
Clinical narrative: Patient presented to our emergency department on 3/21 with COVID  pneumonia.  Patient was treated with antibiotics and dexamethasone but was not a candidate for remdesivir.  Hospital course was prolonged due to hypoxia requiring oxygen.  Patient discharged to home with oxygen to use during exertion.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Tinnitus
Clinical narrative: Extreme body aches, body chills, throbbing headache, ringing in ears, fever
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Heart rate decreased, Hyperhidrosis, Pallor
Clinical narrative: I gave client his vaccine. I gave one other vaccine and noticed that he was pale and putting his head down. I asked if he felt alright. He said he was dizzy. He was at this point dizzy, pale, sweating, low heart rate in the 30's. We put a cold wet rag on the back of his neck and monitored. We gave him some cold water also. Slowly over the next 5-10 minutes his stats got better, color returned, and was not sweating anymore. He did not feel dizzy anymore.  We monitored for an additional 30 minutes. Gave instructions. Sent home with spouse.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Lethargy, Myalgia, Pyrexia
Clinical narrative: Pain at injection site, lethargy, chills, fever, muscle soreness
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Fifteen minutes post vaccine patient started to feel itchy on her arms, with noted erythema.  Given PO diphenhydramine x 1 dose
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Palpitations, Sleep disorder
Clinical narrative: Woke up at 3:00am after going to sleep at 11:00pm with a racing heartbeat. My heart rate was 140 bpm for 2 hours and then finally slowed to 100bpm. I did have a fever 99.6 during this time.  I took 800mg of Motrin at 4:30am which broke my fever.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Mobility decreased
Clinical narrative: Felt burning sensation to area in her spine starting @ 2200 on date of vaccine that appears worse today and having a hard time lifting both arms to do things secondary to pain, she denies numbness
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Dyspnoea, Electrocardiogram
Clinical narrative: 15 minutes after vaccination the room started spinning, felt fine after aprx 30 minutes. About an hour and a half after vaccination I had shortness of breath and chest pain. (went to ER). Had nausea at ER was given medicine. Aprx 8pm had the feeling of something hot and cold being injected into my right wrist that went through my entire body. Called 911. Paramedic stated it was the vaccine running it course and to breath through it. Next day. Little groggy, low grade fever, slight headache and shortness of breath, Saturday morning had another episode of feeling like something was being injected into my wrist. It settled at my chest. Was very painful for about 3-5 minutes. Slept rest of day. Shortness of breath. Woke up Sunday and felt 100% fine.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Feeling hot, Headache, Nausea, Pyrexia
Clinical narrative: 15 minutes after vaccination the room started spinning, felt fine after aprx 30 minutes. About an hour and a half after vaccination I had shortness of breath and chest pain. (went to ER). Had nausea at ER was given medicine. Aprx 8pm had the feeling of something hot and cold being injected into my right wrist that went through my entire body. Called 911. Paramedic stated it was the vaccine running it course and to breath through it. Next day. Little groggy, low grade fever, slight headache and shortness of breath, Saturday morning had another episode of feeling like something was being injected into my wrist. It settled at my chest. Was very painful for about 3-5 minutes. Slept rest of day. Shortness of breath. Woke up Sunday and felt 100% fine.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Vertigo
Clinical narrative: 15 minutes after vaccination the room started spinning, felt fine after aprx 30 minutes. About an hour and a half after vaccination I had shortness of breath and chest pain. (went to ER). Had nausea at ER was given medicine. Aprx 8pm had the feeling of something hot and cold being injected into my right wrist that went through my entire body. Called 911. Paramedic stated it was the vaccine running it course and to breath through it. Next day. Little groggy, low grade fever, slight headache and shortness of breath, Saturday morning had another episode of feeling like something was being injected into my wrist. It settled at my chest. Was very painful for about 3-5 minutes. Slept rest of day. Shortness of breath. Woke up Sunday and felt 100% fine.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: lightheaded, nausea,
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: r 1356  Pt c/o lips swelling, denies SOB or other s/s reaction. Benadryl given po. BP 130/76 P92 r185a029. Released Lungs clear, mild edema iulips. MM pink. Normal respiratory effort  p  1409 Pt states feels fine and needs to go to her doctor's appt. BP 120//80 p 88 r 18 1411 released stable condition go directly to pcp office
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia
Clinical narrative: Low grade fever and Fatigue. Treated with Ibuprofen and rest. Lasted 12 hours
Age: 20.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Felt exactly like I did when I had the virus
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Erythema, Gait disturbance, Injection site discomfort
Clinical narrative: 3/21/2021 Husband , reported that wife attended the Covid clinic 2/13/2021 and received #1 covid vaccine about 11:30 AM  Soon after she complained of Discomfort at site on right arm with area from shoulder to elbow swollen extremely tight, red, and had rash by evening.  Generalized side effects of nausea and weakness with the inability to ambulate unassisted.  She did have Covid #2 3/13/2021 with somewhat similar response but not as severe.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Peripheral swelling, Rash, Ultrasound scan
Clinical narrative: 3/21/2021 Husband , reported that wife attended the Covid clinic 2/13/2021 and received #1 covid vaccine about 11:30 AM  Soon after she complained of Discomfort at site on right arm with area from shoulder to elbow swollen extremely tight, red, and had rash by evening.  Generalized side effects of nausea and weakness with the inability to ambulate unassisted.  She did have Covid #2 3/13/2021 with somewhat similar response but not as severe.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hypoaesthesia, Paraesthesia, Pyrexia
Clinical narrative: Initial reaction was noted on 1. Tuesday afternoon 4/6 had fever and chills and middle finger in right hand felt numb also some numbness and tingling on left thumb.  Fever resolved with Advil. Numbness and tingling went away yesterday and then came back today in am  on 4/7. There is some sensation but feels tingly. No other symptoms.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Syncope
Clinical narrative: Vasovagal syncope, painful/inflamed lymph nodes on right side of neck/clavicle
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity
Clinical narrative: patient called on 4-7-21  and stated she had redness and arm pain on 4-5-21 and lasted one day, and wanted to make sure it was ok, or if normal that this occurred
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Passed out. Patient approached me and said she didn't feel well and might pass out. Patient took two steps with me and passed out. Assisted patient down to the ground. When patient regained consciousnesses, moved patient to wheelchair and brought her to recovery cot. Vitals remained stable. Assisted patient onto cot, obtained vitals and gave her two Hi C beverages. Patient had no oral intake today. Patient sat for 17 minutes and felt better. Patient sat in general recover for 10 minutes and then left.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash macular, Skin warm
Clinical narrative: After a few days my left upper arm was blothchy with red warmer areas, this morning 4/7/21 I have a 4 diameter circle of redness that is warm to the touch and slightly itchy.  No ID'd swollen lymph nodes, no fever.  Two weeks seems a bit long after the injection to now have this.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue, Injection site pain
Clinical narrative: Sore arm at injection site Elevated Temperature Very Tired Effects lasted 24 hrs
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope
Clinical narrative: Patient received the vaccination and was waiting 15 minutes while we monitored her. she began to faint after 10 minutes. shortlyafter she regained concsciousness. paramedics were called and patient was taken to the hospital .
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood test, Chills, Electrocardiogram, Feeling cold
Clinical narrative: Patient received the vaccination and was waiting 15 minutes while we monitored her. she began to faint after 10 minutes. shortlyafter she regained concsciousness. paramedics were called and patient was taken to the hospital .
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling hot, Hyperhidrosis, Hypotension, Immediate post-injection reaction, Injection site pain
Clinical narrative: Patient received the vaccination and was waiting 15 minutes while we monitored her. she began to faint after 10 minutes. shortlyafter she regained concsciousness. paramedics were called and patient was taken to the hospital .
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness, Malaise, Pyrexia, Skin discolouration, Syncope
Clinical narrative: Patient received the vaccination and was waiting 15 minutes while we monitored her. she began to faint after 10 minutes. shortlyafter she regained concsciousness. paramedics were called and patient was taken to the hospital .
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unresponsive to stimuli, Urine analysis
Clinical narrative: Patient received the vaccination and was waiting 15 minutes while we monitored her. she began to faint after 10 minutes. shortlyafter she regained concsciousness. paramedics were called and patient was taken to the hospital .
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased
Clinical narrative: Blood Pressure increased to  185/105 Doctor had to increase Losartin and add additional  blood pressure medicine
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Myalgia, Pain
Clinical narrative: THE NEXT DAY I HAD A FEVER OF 102 WHICH WENT AWAY THE SAME DAY  MY RIGHT ARM AT INJECTION SITE STAYED VERY RED AND SWOLLEN FOR OVER 5 DAYS -  RIGHT ARM PAINFUL IN MUSCLE AND JOINT FOR A MONTH AND A HALF - (COULDNT LIFT ARM WITHOUT PAIN) MUSCLE/JOINT IS BETTER BUT STILL CAN FEEL ITS NOT BACK TO NORMAL  TWO MONTHS LATER - CAN THIS BE PERMANENT?
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: THE NEXT DAY I HAD A FEVER OF 102 WHICH WENT AWAY THE SAME DAY  MY RIGHT ARM AT INJECTION SITE STAYED VERY RED AND SWOLLEN FOR OVER 5 DAYS -  RIGHT ARM PAINFUL IN MUSCLE AND JOINT FOR A MONTH AND A HALF - (COULDNT LIFT ARM WITHOUT PAIN) MUSCLE/JOINT IS BETTER BUT STILL CAN FEEL ITS NOT BACK TO NORMAL  TWO MONTHS LATER - CAN THIS BE PERMANENT?
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Lymphadenopathy
Clinical narrative: Complained of swollen glands, difficulty swallowing and had pursed lip breathing. Vitals= 140/83, Pulse= 69, no O2 obtained. 2nd set of vitals= 136/71, P 67. Gave 50 mg of Benadryl, IM, right deltoid by S. Lisman, RN. Pt took one dose of albuterol inhaler (RX'd to her by PMD). EMS was called and arrived on scene to assess patient. Patient refused transport. Observed patient in observation area of an additional 30 minutes. 1:30-1:45 pm. S. Lisman educated patient on signs and symptoms of worsening condition and when to call 911. Pt advised to accept transport if,  signs and symptoms return post Benadryl is no longer in her system.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Day 1 headache, fatigue  Day 2 fatigue, pain at injection site Day 7 bruise at injection site Day 8 swelling redness itching heat at injection site and itching/rash on front of the neck
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Rash
Clinical narrative: Day 1 headache, fatigue  Day 2 fatigue, pain at injection site Day 7 bruise at injection site Day 8 swelling redness itching heat at injection site and itching/rash on front of the neck
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Headache, Neck pain
Clinical narrative: Severe chills beginning at midnight, stopped at 1:30am.  Developed headache.  3:30 am fever developed of 100.9, took tylenol.  8:00 am developed neck and back aches.  Fatigued from not sleeping through the night.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: Severe chills beginning at midnight, stopped at 1:30am.  Developed headache.  3:30 am fever developed of 100.9, took tylenol.  8:00 am developed neck and back aches.  Fatigued from not sleeping through the night.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Patient received vaccine around 3PM CST and proceeded to waiting area for the recommended waiting time. Within a few minutes of receiving the vaccination, around 3:05PM CST, patient complained of feeling dizzy. Patient was carefully laid down on the floor, given a pillow to protect his head, and feet were elevated. Patient was extremely sweaty and lightheaded/dizzy. Patient maintained consciousness and expressed that he was beginning to feel a bit better once he was lying down. He was provided a cold bottle of water if needed. Patient refused dispatching an ambulance, which I believed to be an acceptable option as he was already improving and never lost consciousness. A blood pressure cuff was obtained and his blood pressure was 138/94 pulse 69 at approximately 3:15PM EST. He did not know what his BP typically is, but I felt comfortable that he wouldn't likely pass out with this BP. He wanted to set up due to feeling better, so we cautiously helped him do so. After having him remain seated on the ground out of caution, he requested to stand up. He stated he was feeling much better and expressed at that point he wanted to leave. His girlfriend was with him and would be driving him home. It seemed that his symptoms had fully resolved by the time he left the waiting area and assured me he felt okay.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Hyperhidrosis, Pharyngeal swelling, Throat irritation
Clinical narrative: Rec'd first covid vaccine at 11:04 am on 4/6/21. At 11:18am, experienced itchy throat, throat swelling, difficulty swallowing, dizziness and diaphoresis. Rec'd epipen 0.3mg in R thigh at 11:19am with positive effect. Transferred to ED for follow-up.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Muscle spasms
Clinical narrative: Dull headache 6:00 pm on. Sever lower back cramps, 9:00 pm start Chills, 9:00 pm start
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Fatigue, Influenza like illness
Clinical narrative: Flu type feeling a few hours after injecting but went away within two hours. Exhaustion following morning. Swelling of armpit area of injection arm feeling like there was a tennis ball in armpit, along with moderate to severe tenderness, still continuing.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage, Menstrual disorder
Clinical narrative: Patient experienced off-cycle menstrual bleeding lasting 5 days
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Day after had following symptoms : Severe chills Weakness Fever as high as 100.6 for 4 days Headache and dizziness Severe fatique Loose movements and frequent  Constant need to urinate but did not need to go  (was tested for UTI but it came back negative).   Started to feel better on 6th day.   Went to urgent care and they advised it was from the Covid vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oral herpes, Urine analysis normal
Clinical narrative: Day after had following symptoms : Severe chills Weakness Fever as high as 100.6 for 4 days Headache and dizziness Severe fatique Loose movements and frequent  Constant need to urinate but did not need to go  (was tested for UTI but it came back negative).   Started to feel better on 6th day.   Went to urgent care and they advised it was from the Covid vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Nausea, Paraesthesia, Vital signs measurement
Clinical narrative: Patient presented to COVID vaccine site for COVID vaccine #2. Upon arrival patient reported having a history of vasovagal effect post injection. Patient scheduled for 30 minutes observation post injection.   During monitoring patient complained tingling going down right arm, nausea, dizziness, and chest "heaviness". Patient denied loss of sensation, headache, fatigue, shortness of breath, radiating pain, and palpitations.  Vital signs: 138/82, 22, 70, 97% on room air. 11:13 am- 126/88, 66, 21, 98% on room air. 11:17- 118/76, 20. Staffed called 911 who evaluated patient and transported to the hospital.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Raised rash, similar in appearance to measles, covering trunk of body. Does not itch. Rash has become less pronounced but is still present. It did not flare up with second dose of Moderna Lot # 036A21A given 03/03/2021.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Loss of consciousness, Nasopharyngitis, Pallor
Clinical narrative: Patient got light-headed, pale with  clammy, cold skin and passed out. EMT's were called.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Malaise, Pain, Pyrexia
Clinical narrative: Flushed Low grade fever (99.3) Malaise  Aches
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity, Pyrexia
Clinical narrative: Right arm pain and fever up to  102 degrees x 2 days.  Pain to right upper arm and unable to move her upper arm, causing pain with rotation of forearm  Can move fingers with no complication  No shoulder pain
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site scab
Clinical narrative: There was a local reaction at the vaccination site. A scabby area of about 4x8 mm appeared right at the injection site needle mark. There was no pain, no oozing. I contacted my doctor and he said not to worry about it. It seems to be healing like any ordinary scabby area. It looked like I had scraped it. But with something this size I would have remembered doing this. I have a photo but you don't have any way to upload it.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Extreme soreness in left arm; No treatment; Diminished after 72 hours.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Cough, Dyspnoea, Headache
Clinical narrative: Severe chills, shivering, headache, elevated heart rate, short of breath, joint pain, coughing
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Severe chills, shivering, headache, elevated heart rate, short of breath, joint pain, coughing
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Mild fever, fatigue, headache, muscle pain, injection site soreness, chills, joint pain for 2 full days.  I started to feel normal after 3 days. I still have unexplained headaches at least once a day. Usually they get resolved after taking Aspirin or Ibuprofen.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Mild fever, fatigue, headache, muscle pain, injection site soreness, chills, joint pain for 2 full days.  I started to feel normal after 3 days. I still have unexplained headaches at least once a day. Usually they get resolved after taking Aspirin or Ibuprofen.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Full menstrual cycle began 4 days after regular cycle had completed.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Menstruation irregular
Clinical narrative: Menstruation began approximately one week early, and menstrual cramps are stronger/more painful than usual.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: Fever, chills, sweat, fatigue, body aches.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: The following morning at 6am I started to vomit and vomited a total of 8 times that day.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncopal episode. HR 76; RR 20; BP 122/78; O2 saturation 98%. No medications given.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Moderna COVID-19 Vaccine EUA: Rash on upper arm around the injection site. Very warm to the touch and itchy.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dysphagia, Dysstasia, Headache
Clinical narrative: - About 20 min after the shot (after I had already sat in the parking lot for 15 min and then left) my throat started to close up and I had a hard time swallowing. Went away after about an hour.  - Around 2 am, I woke up shaking violently with chills that didn't go away until around 6 am (had gotten my shot around 9:30 am the day before) Had a 100.3 fever, pounding headache, complete body ache, and flu/cold like symptoms.  - All day the next day (Tues) I was dizzy, could barely stand, same headache, complete body aches, and ran a 101-101.5 fever most of the day.  - 48 hrs later and still running a small fever (99.5), but most other side effects other than headache and cold symptoms have subsided.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Pain, Pharyngeal swelling, Pyrexia, Tremor
Clinical narrative: - About 20 min after the shot (after I had already sat in the parking lot for 15 min and then left) my throat started to close up and I had a hard time swallowing. Went away after about an hour.  - Around 2 am, I woke up shaking violently with chills that didn't go away until around 6 am (had gotten my shot around 9:30 am the day before) Had a 100.3 fever, pounding headache, complete body ache, and flu/cold like symptoms.  - All day the next day (Tues) I was dizzy, could barely stand, same headache, complete body aches, and ran a 101-101.5 fever most of the day.  - 48 hrs later and still running a small fever (99.5), but most other side effects other than headache and cold symptoms have subsided.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Headache, Pain in extremity
Clinical narrative: headache weakness no energy confusion very sore arm where shot was given Lasted 1 1/2 days
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash papular, Skin swelling
Clinical narrative: 4 days after vaccination #1, a red, raised, swollen rash, appeared  on my chest  (over the manubrium ). It was oval shaped , 3 inches X 2 inches.   The rash itself, disappeared within 3 days, but the swelling has remained for 6 weeks.  After shot #2, the  swelling seemed unaffected, but a pink itchy rash did develop on my bicep (left arm).  This disappeared, but tends to temporarily resurface after hot showers.  The chest swelling still remains.  I had telemedicine visit with the  Dr who suggests I see a surgeon (seriously??)
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Insomnia, Myalgia, Pain in extremity
Clinical narrative: Sever muscle aching, intense back pain unrelieved with Advil and Tylenol.  Irritability in trying to sleep.  Also, less severe was deltoid pain L arm.