chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rhinitis allergic, Sleep disorder, Troponin I increased, Troponin T increased, Ventricular hypokinesia
Clinical narrative: Patient is a 16yo M with no sig PMH presenting with one day of severe chest pain and fever. USOH until around 3am this morning, when he developed 9-10/10 sharp, stabbing chest pain and HA that woke him up from sleep. Pain was constant and worsened over the next couple of hours. Pain improved with sitting forward and worse with deep inspiration, which caused him to have SOB. He also developed a fever to 101.5. Took tylenol and motrin that brought down the fever but did not help the pain. Endorses some nausea and lightheadedness prior to presenting to ED. Reports mild congestion and intermittent allergic rhinitis, but denies cough, emesis, diarrhea, rashes, recent illnesses or sick contacts. Received 2nd dose of Pfizer COVID vacc 3 days ago. Woke up the next day feeling fatigued and with some congestion and stayed home from school. Still fatigued the next day but went to school and ran track w/ no issues. Twin brother also got the vaccine at the same time and felt fatigued, but is back at baseline now. No prior history of COVID infection. Had a brief period of HA and emesis about one month ago w/ neg infectious w/u.    Presented to ED, where he received total 6mg of IV morphine with subsequent resolution of pain. Labs notable for elevated trop-I of 4, D dimer 0.5 w/ diffuse ST elevations on EKG. Pt was subsequently transferred by helicopter to for further management.   In the ED, BP 123/73  | Pulse 80  | Temp 36.6 °C (97.9 °F) (Temporal)  | Resp (!) 12  | Wt 68 kg  | SpO2 100%. Abdomen tender, though felt well and without pain at baseline. BNP 149, Trop T 0.66, CRP 15. Coags/procal/ESR wnl. No e/o PE on CTA. ECHO showed normal BV function and no effusion.    Hospital Course: Admitted to ICU in stable condition with the presumptive diagnosis of peri/myocarditis with ST elevations. Initial echocardiogram showed appropriate function. Treatment was initiated with IVIG and steroids per rheumatology tea. ID consult ordered and infectious workup sent including adenovirus PCRs, EBV/CMV and viral stool and respiratory studies which were unrevealing, although some studies are pending.. Monitored on continuous tele without notable arrhythia. Repeat echocardiogram and cardiac MRI completed on 5/14 which showed acute myocarditis with diffuse edema. There was mild hypokinesis of the basal inferior wall of the left ventricle. Troponins were followed and peaked at 0.66 before starting to plateau and downtrend. He tolerated mild exercise. He was discharged home with close cardiology follow up and exercise restriction. Will complete a steroid taper as outlined below.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Viral test
Clinical narrative: Patient is a 16yo M with no sig PMH presenting with one day of severe chest pain and fever. USOH until around 3am this morning, when he developed 9-10/10 sharp, stabbing chest pain and HA that woke him up from sleep. Pain was constant and worsened over the next couple of hours. Pain improved with sitting forward and worse with deep inspiration, which caused him to have SOB. He also developed a fever to 101.5. Took tylenol and motrin that brought down the fever but did not help the pain. Endorses some nausea and lightheadedness prior to presenting to ED. Reports mild congestion and intermittent allergic rhinitis, but denies cough, emesis, diarrhea, rashes, recent illnesses or sick contacts. Received 2nd dose of Pfizer COVID vacc 3 days ago. Woke up the next day feeling fatigued and with some congestion and stayed home from school. Still fatigued the next day but went to school and ran track w/ no issues. Twin brother also got the vaccine at the same time and felt fatigued, but is back at baseline now. No prior history of COVID infection. Had a brief period of HA and emesis about one month ago w/ neg infectious w/u.    Presented to ED, where he received total 6mg of IV morphine with subsequent resolution of pain. Labs notable for elevated trop-I of 4, D dimer 0.5 w/ diffuse ST elevations on EKG. Pt was subsequently transferred by helicopter to for further management.   In the ED, BP 123/73  | Pulse 80  | Temp 36.6 °C (97.9 °F) (Temporal)  | Resp (!) 12  | Wt 68 kg  | SpO2 100%. Abdomen tender, though felt well and without pain at baseline. BNP 149, Trop T 0.66, CRP 15. Coags/procal/ESR wnl. No e/o PE on CTA. ECHO showed normal BV function and no effusion.    Hospital Course: Admitted to ICU in stable condition with the presumptive diagnosis of peri/myocarditis with ST elevations. Initial echocardiogram showed appropriate function. Treatment was initiated with IVIG and steroids per rheumatology tea. ID consult ordered and infectious workup sent including adenovirus PCRs, EBV/CMV and viral stool and respiratory studies which were unrevealing, although some studies are pending.. Monitored on continuous tele without notable arrhythia. Repeat echocardiogram and cardiac MRI completed on 5/14 which showed acute myocarditis with diffuse edema. There was mild hypokinesis of the basal inferior wall of the left ventricle. Troponins were followed and peaked at 0.66 before starting to plateau and downtrend. He tolerated mild exercise. He was discharged home with close cardiology follow up and exercise restriction. Will complete a steroid taper as outlined below.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Community Member recieved second dose prior to 17 days of the first dose of Pfizer.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death, Dyspnoea, Resuscitation, Unresponsive to stimuli
Clinical narrative: PT RECEIVED THE VACCINE AT 7:15PM APPROX ON 5/12/21.  THE PATIENT'S WIFE REPORTED THAT THE PT BEGAN TO EXPERIENCE CHEST PAIN THINKING HE HAD GAS, BY 2PM THE SAME DAY HE WAS EXPERIENCING A HEADACHE, AND BY 3PM HE WAS EXPERIENCING CONVULSIONS AND GASPING FOR BREATH PER THE PATIENT'S WIFE
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Headache, Seizure
Clinical narrative: PT RECEIVED THE VACCINE AT 7:15PM APPROX ON 5/12/21.  THE PATIENT'S WIFE REPORTED THAT THE PT BEGAN TO EXPERIENCE CHEST PAIN THINKING HE HAD GAS, BY 2PM THE SAME DAY HE WAS EXPERIENCING A HEADACHE, AND BY 3PM HE WAS EXPERIENCING CONVULSIONS AND GASPING FOR BREATH PER THE PATIENT'S WIFE
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cerebrovascular accident, Dyspnoea, Hemiparesis, Seizure, Tongue movement disturbance
Clinical narrative: PT RECEIVED THE VACCINE AT 7:15PM APPROX ON 5/12/21.  THE PATIENT'S WIFE REPORTED THAT THE PT BEGAN TO EXPERIENCE CHEST PAIN THINKING HE HAD GAS, BY 2PM THE SAME DAY HE WAS EXPERIENCING A HEADACHE, AND BY 3PM HE WAS EXPERIENCING CONVULSIONS AND GASPING FOR BREATH PER THE PATIENT'S WIFE
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram cerebral abnormal, Basal ganglia haemorrhage, Basal ganglia infarction, Cerebral artery thrombosis, Computerised tomogram head abnormal
Clinical narrative: Presented with acute onset right sided weakness 1 day after receiving J&J vaccine. CT brain concerning for bilateral ischemic strokes versus demyelination process. Patient had progressively worsening neurological status requiring intubation. On 5/17 patient had sudden hypotension and ST elevations on EKG. Bedside ultrasound significant for large left ventricle thrombus. He then acutely suffered cardiac arrest 5/17/21 at 1102am. He received aggressive resuscitation for >60 minutes including multiple rounds of epinephrine, calcium, bicarb, and administration of tPA for possible tPA all without return of spontaneous circulation. Patient died 5/17/21 at 1205.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Echocardiogram normal, Facial paralysis, Haemorrhagic stroke, Hemiparesis
Clinical narrative: Presented with acute onset right sided weakness 1 day after receiving J&J vaccine. CT brain concerning for bilateral ischemic strokes versus demyelination process. Patient had progressively worsening neurological status requiring intubation. On 5/17 patient had sudden hypotension and ST elevations on EKG. Bedside ultrasound significant for large left ventricle thrombus. He then acutely suffered cardiac arrest 5/17/21 at 1102am. He received aggressive resuscitation for >60 minutes including multiple rounds of epinephrine, calcium, bicarb, and administration of tPA for possible tPA all without return of spontaneous circulation. Patient died 5/17/21 at 1205.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ischaemic stroke, Muscular weakness, Subarachnoid haemorrhage
Clinical narrative: Presented with acute onset right sided weakness 1 day after receiving J&J vaccine. CT brain concerning for bilateral ischemic strokes versus demyelination process. Patient had progressively worsening neurological status requiring intubation. On 5/17 patient had sudden hypotension and ST elevations on EKG. Bedside ultrasound significant for large left ventricle thrombus. He then acutely suffered cardiac arrest 5/17/21 at 1102am. He received aggressive resuscitation for >60 minutes including multiple rounds of epinephrine, calcium, bicarb, and administration of tPA for possible tPA all without return of spontaneous circulation. Patient died 5/17/21 at 1205.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Antineutrophil cytoplasmic antibody negative, Antinuclear antibody negative, Antiphospholipid antibodies negative, Cardiac arrest, Cardiolipin antibody negative
Clinical narrative: Presented with acute onset right sided weakness 1 day after receiving J&J vaccine. CT brain concerning for bilateral ischemic strokes versus demyelination process. Patient had progressively worsening neurological status requiring intubation. On 5/17 patient had sudden hypotension and ST elevations on EKG. Bedside ultrasound significant for large left ventricle thrombus. He then acutely suffered cardiac arrest 5/17/21 at 1102am. He received aggressive resuscitation for >60 minutes including multiple rounds of epinephrine, calcium, bicarb, and administration of tPA for possible tPA all without return of spontaneous circulation. Patient died 5/17/21 at 1205.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Coagulation factor V level normal, Computerised tomogram head abnormal, Death, Drug screen negative, Electrocardiogram ST segment elevation
Clinical narrative: Presented with acute onset right sided weakness 1 day after receiving J&J vaccine. CT brain concerning for bilateral ischemic strokes versus demyelination process. Patient had progressively worsening neurological status requiring intubation. On 5/17 patient had sudden hypotension and ST elevations on EKG. Bedside ultrasound significant for large left ventricle thrombus. He then acutely suffered cardiac arrest 5/17/21 at 1102am. He received aggressive resuscitation for >60 minutes including multiple rounds of epinephrine, calcium, bicarb, and administration of tPA for possible tPA all without return of spontaneous circulation. Patient died 5/17/21 at 1205.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Hemiparesis, Hypotension, Ischaemic stroke, Left ventricular dysfunction
Clinical narrative: Presented with acute onset right sided weakness 1 day after receiving J&J vaccine. CT brain concerning for bilateral ischemic strokes versus demyelination process. Patient had progressively worsening neurological status requiring intubation. On 5/17 patient had sudden hypotension and ST elevations on EKG. Bedside ultrasound significant for large left ventricle thrombus. He then acutely suffered cardiac arrest 5/17/21 at 1102am. He received aggressive resuscitation for >60 minutes including multiple rounds of epinephrine, calcium, bicarb, and administration of tPA for possible tPA all without return of spontaneous circulation. Patient died 5/17/21 at 1205.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neurological symptom, Respiratory viral panel, Resuscitation, SARS-CoV-2 test negative, Troponin normal
Clinical narrative: Presented with acute onset right sided weakness 1 day after receiving J&J vaccine. CT brain concerning for bilateral ischemic strokes versus demyelination process. Patient had progressively worsening neurological status requiring intubation. On 5/17 patient had sudden hypotension and ST elevations on EKG. Bedside ultrasound significant for large left ventricle thrombus. He then acutely suffered cardiac arrest 5/17/21 at 1102am. He received aggressive resuscitation for >60 minutes including multiple rounds of epinephrine, calcium, bicarb, and administration of tPA for possible tPA all without return of spontaneous circulation. Patient died 5/17/21 at 1205.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Cough, Ear pain, Erythema, Feeling cold
Clinical narrative: Benadlyl tab; Benadlyl injection 25 mg; famotidine (Pepcid) injection 20 mg; methylIPREDNISOlone sod suc(PF) (SoluMedrol) injection 125 mg  Dischrge meds - Epinephrine 0.15 /0.3 ml injection; predniSONE (Deltasone) 20 mg - take 3 tablets (60 mg) 5 days
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count normal, Hyperhidrosis, Metabolic function test, Oedema, Oropharyngeal pain
Clinical narrative: Benadlyl tab; Benadlyl injection 25 mg; famotidine (Pepcid) injection 20 mg; methylIPREDNISOlone sod suc(PF) (SoluMedrol) injection 125 mg  Dischrge meds - Epinephrine 0.15 /0.3 ml injection; predniSONE (Deltasone) 20 mg - take 3 tablets (60 mg) 5 days
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pallor, Paraesthesia, Peripheral swelling, Radiculopathy, Rash
Clinical narrative: Benadlyl tab; Benadlyl injection 25 mg; famotidine (Pepcid) injection 20 mg; methylIPREDNISOlone sod suc(PF) (SoluMedrol) injection 125 mg  Dischrge meds - Epinephrine 0.15 /0.3 ml injection; predniSONE (Deltasone) 20 mg - take 3 tablets (60 mg) 5 days
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Erythema, Oropharyngeal pain, Peripheral swelling, Rash
Clinical narrative: Benadlyl tab; Benadlyl injection 25 mg; famotidine (Pepcid) injection 20 mg; methylIPREDNISOlone sod suc(PF) (SoluMedrol) injection 125 mg  Dischrge meds - Epinephrine 0.15 /0.3 ml injection; predniSONE (Deltasone) 20 mg - take 3 tablets (60 mg) 5 days
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Benadlyl tab; Benadlyl injection 25 mg; famotidine (Pepcid) injection 20 mg; methylIPREDNISOlone sod suc(PF) (SoluMedrol) injection 125 mg  Dischrge meds - Epinephrine 0.15 /0.3 ml injection; predniSONE (Deltasone) 20 mg - take 3 tablets (60 mg) 5 days
Age: 16.0
Sex: M
Vaccine: MENB, MNQ, MENB
Symptoms: Electroencephalogram, Muscle spasms
Clinical narrative: Injection induced motor tics No treatment available  Ongoing
Age: 16.0
Sex: M
Vaccine: MENB, MNQ, MENB
Symptoms: Electroencephalogram, Injection related reaction, Tic
Clinical narrative: Injection induced motor tics No treatment available  Ongoing
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site pain, Product dispensing error
Clinical narrative: Pharmacist gave my daughter all six doses. She used an undiluted bottle and shot her full of it.  She has fever chills aches headaches green poop nausea
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Electrocardiogram, Faeces discoloured, Headache, Incorrect dose administered
Clinical narrative: Pharmacist gave my daughter all six doses. She used an undiluted bottle and shot her full of it.  She has fever chills aches headaches green poop nausea
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Pharmacist gave my daughter all six doses. She used an undiluted bottle and shot her full of it.  She has fever chills aches headaches green poop nausea
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Accidental overdose, Cardiac monitoring, Chills, Diarrhoea, Faeces discoloured
Clinical narrative: Pharmacist gave my daughter all six doses. She used an undiluted bottle and shot her full of it.  She has fever chills aches headaches green poop nausea
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fear, Illness, Influenza, Malaise, Nausea
Clinical narrative: Pharmacist gave my daughter all six doses. She used an undiluted bottle and shot her full of it.  She has fever chills aches headaches green poop nausea
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Off label use, Pain in extremity, Product preparation error, Product use issue, Pyrexia
Clinical narrative: Pharmacist gave my daughter all six doses. She used an undiluted bottle and shot her full of it.  She has fever chills aches headaches green poop nausea
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Skin discolouration, Vomiting
Clinical narrative: Pharmacist gave my daughter all six doses. She used an undiluted bottle and shot her full of it.  She has fever chills aches headaches green poop nausea
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Thrombocytopenia
Clinical narrative: My father's blood platelets dropped Dizziness and Weakness Severe and Persistent Headaches Easy bruising
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, Dizziness, Headache, Increased tendency to bruise, Platelet count decreased
Clinical narrative: My father's blood platelets dropped Dizziness and Weakness Severe and Persistent Headaches Easy bruising
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Acute promyelocytic leukaemia, Biopsy bone marrow abnormal, Contusion, Gingival bleeding, Immunoglobulin therapy
Clinical narrative: My father's blood platelets dropped Dizziness and Weakness Severe and Persistent Headaches Easy bruising
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Leukocytosis, Platelet count decreased, Thrombocytopenia, White blood cell count increased
Clinical narrative: My father's blood platelets dropped Dizziness and Weakness Severe and Persistent Headaches Easy bruising
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Cardiac arrest, Gingival bleeding, Hypoxia, Leukocytosis, Petechiae
Clinical narrative: My father's blood platelets dropped Dizziness and Weakness Severe and Persistent Headaches Easy bruising
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Platelet count decreased, Respiratory failure, Shock, Thrombocytopenia, White blood cell count increased
Clinical narrative: My father's blood platelets dropped Dizziness and Weakness Severe and Persistent Headaches Easy bruising
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Acute leukaemia, Condition aggravated, Thrombocytopenia
Clinical narrative: My father's blood platelets dropped Dizziness and Weakness Severe and Persistent Headaches Easy bruising
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Death, Thrombocytopenia
Clinical narrative: My father's blood platelets dropped Dizziness and Weakness Severe and Persistent Headaches Easy bruising
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Thrombocytopenia
Clinical narrative: thrombocytopenia (plt 8), bruising, bleeding gums, on presentation 4/22/21 Given steroids and  IVIG. Pt left AMA on 4/26/21 Readmitted 4/29/21 with thrombocytopenia(plt 7) and leukocytosis (WBC 109)
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, Dizziness, Headache, Increased tendency to bruise, Platelet count decreased
Clinical narrative: thrombocytopenia (plt 8), bruising, bleeding gums, on presentation 4/22/21 Given steroids and  IVIG. Pt left AMA on 4/26/21 Readmitted 4/29/21 with thrombocytopenia(plt 7) and leukocytosis (WBC 109)
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Acute promyelocytic leukaemia, Biopsy bone marrow abnormal, Contusion, Gingival bleeding, Immunoglobulin therapy
Clinical narrative: thrombocytopenia (plt 8), bruising, bleeding gums, on presentation 4/22/21 Given steroids and  IVIG. Pt left AMA on 4/26/21 Readmitted 4/29/21 with thrombocytopenia(plt 7) and leukocytosis (WBC 109)
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Leukocytosis, Platelet count decreased, Thrombocytopenia, White blood cell count increased
Clinical narrative: thrombocytopenia (plt 8), bruising, bleeding gums, on presentation 4/22/21 Given steroids and  IVIG. Pt left AMA on 4/26/21 Readmitted 4/29/21 with thrombocytopenia(plt 7) and leukocytosis (WBC 109)
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Cardiac arrest, Gingival bleeding, Hypoxia, Leukocytosis, Petechiae
Clinical narrative: thrombocytopenia (plt 8), bruising, bleeding gums, on presentation 4/22/21 Given steroids and  IVIG. Pt left AMA on 4/26/21 Readmitted 4/29/21 with thrombocytopenia(plt 7) and leukocytosis (WBC 109)
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Platelet count decreased, Respiratory failure, Shock, Thrombocytopenia, White blood cell count increased
Clinical narrative: thrombocytopenia (plt 8), bruising, bleeding gums, on presentation 4/22/21 Given steroids and  IVIG. Pt left AMA on 4/26/21 Readmitted 4/29/21 with thrombocytopenia(plt 7) and leukocytosis (WBC 109)
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Acute leukaemia, Condition aggravated, Thrombocytopenia
Clinical narrative: thrombocytopenia (plt 8), bruising, bleeding gums, on presentation 4/22/21 Given steroids and  IVIG. Pt left AMA on 4/26/21 Readmitted 4/29/21 with thrombocytopenia(plt 7) and leukocytosis (WBC 109)
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Death, Thrombocytopenia
Clinical narrative: thrombocytopenia (plt 8), bruising, bleeding gums, on presentation 4/22/21 Given steroids and  IVIG. Pt left AMA on 4/26/21 Readmitted 4/29/21 with thrombocytopenia(plt 7) and leukocytosis (WBC 109)
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Thrombocytopenia
Clinical narrative: Gingival bleeding, petechial rash Presented w/ severe thrombocytopenia (8k) on 4/21 Started having leukocytosis 4/24 (22k) that rapidly reached over 100k by 4/29 Developed hypoxemic respiratory failure, shock and ultimately cardiac arrest on 5/4/21
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, Dizziness, Headache, Increased tendency to bruise, Platelet count decreased
Clinical narrative: Gingival bleeding, petechial rash Presented w/ severe thrombocytopenia (8k) on 4/21 Started having leukocytosis 4/24 (22k) that rapidly reached over 100k by 4/29 Developed hypoxemic respiratory failure, shock and ultimately cardiac arrest on 5/4/21
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Acute promyelocytic leukaemia, Biopsy bone marrow abnormal, Contusion, Gingival bleeding, Immunoglobulin therapy
Clinical narrative: Gingival bleeding, petechial rash Presented w/ severe thrombocytopenia (8k) on 4/21 Started having leukocytosis 4/24 (22k) that rapidly reached over 100k by 4/29 Developed hypoxemic respiratory failure, shock and ultimately cardiac arrest on 5/4/21
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Leukocytosis, Platelet count decreased, Thrombocytopenia, White blood cell count increased
Clinical narrative: Gingival bleeding, petechial rash Presented w/ severe thrombocytopenia (8k) on 4/21 Started having leukocytosis 4/24 (22k) that rapidly reached over 100k by 4/29 Developed hypoxemic respiratory failure, shock and ultimately cardiac arrest on 5/4/21
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Cardiac arrest, Gingival bleeding, Hypoxia, Leukocytosis, Petechiae
Clinical narrative: Gingival bleeding, petechial rash Presented w/ severe thrombocytopenia (8k) on 4/21 Started having leukocytosis 4/24 (22k) that rapidly reached over 100k by 4/29 Developed hypoxemic respiratory failure, shock and ultimately cardiac arrest on 5/4/21
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Platelet count decreased, Respiratory failure, Shock, Thrombocytopenia, White blood cell count increased
Clinical narrative: Gingival bleeding, petechial rash Presented w/ severe thrombocytopenia (8k) on 4/21 Started having leukocytosis 4/24 (22k) that rapidly reached over 100k by 4/29 Developed hypoxemic respiratory failure, shock and ultimately cardiac arrest on 5/4/21
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Acute leukaemia, Condition aggravated, Thrombocytopenia
Clinical narrative: Gingival bleeding, petechial rash Presented w/ severe thrombocytopenia (8k) on 4/21 Started having leukocytosis 4/24 (22k) that rapidly reached over 100k by 4/29 Developed hypoxemic respiratory failure, shock and ultimately cardiac arrest on 5/4/21
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Death, Thrombocytopenia
Clinical narrative: Gingival bleeding, petechial rash Presented w/ severe thrombocytopenia (8k) on 4/21 Started having leukocytosis 4/24 (22k) that rapidly reached over 100k by 4/29 Developed hypoxemic respiratory failure, shock and ultimately cardiac arrest on 5/4/21
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Seizure, Syncope
Clinical narrative: After injection pt felt light headed.  Syncopal episode with seizure activity, was placed on floor and pt regained consciousness within 30 seconds.  Patient was given water and sx resolved.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Ocular hyperaemia, Pruritus
Clinical narrative: Swollen eyes. Bloodshot eyes, and extremely itchy.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Cyst, Lymphadenopathy
Clinical narrative: Appears to be a cyst has appeared just above right groin.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Injection site swelling, Nausea
Clinical narrative: Fever, chills, arm soreness, arm itching, swelling at injection site,  diarrhea, headache, fatigue, nausea . Symptoms maintained for 36 hours.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Pyrexia
Clinical narrative: Fever, chills, arm soreness, arm itching, swelling at injection site,  diarrhea, headache, fatigue, nausea . Symptoms maintained for 36 hours.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Feeling abnormal, Insomnia, Pain, Pain in extremity
Clinical narrative: 102.3 temp that lasted more than 4 hours; it responded well to Advil but still took about 1 day to get below 99.  Strangest side effect was a chirping sound.  It felt a bit hallucinatory and went away once the fever came down. Overall felt poorly - aches, pains, insomnia, skin hurt, sore arm for about 30 hours.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin, Tinnitus
Clinical narrative: 102.3 temp that lasted more than 4 hours; it responded well to Advil but still took about 1 day to get below 99.  Strangest side effect was a chirping sound.  It felt a bit hallucinatory and went away once the fever came down. Overall felt poorly - aches, pains, insomnia, skin hurt, sore arm for about 30 hours.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Lethargy, Menstrual disorder
Clinical narrative: I have had my period twice in the three weeks after my first dose. The first was early on 30 April last for two days and the second beginning on 15 May for three days. This is a disruption in my period cycle and the symptoms I  have during my period are worse than usual - lethargy, abdominal pain.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Premature labour
Clinical narrative: G5P3 mother had moderna vaccine 1 week prior to going into preterm labor.   Pregnancy was complicated by gestational diabetes.  Mom also intermittently takes atenolol for heart palpitations.  Preterm labor and delivery occurred at 33 0/7 weeks (previous children were not delivered preterm).  Infant's weight at birth was 1670g.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Frequent bowel movements
Clinical narrative: Frequent bowel movements for four Plus days
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Pain, X-ray
Clinical narrative: 10 weeks after 2nd dose, vaccination arm got sore and achy, tendonitis like pain.  Still lasting 2 weeks later until today.  It has immobilized my right arm where I got both shots.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Fatigue, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Hard firm red spot on and around injection site. Feel hot and painful to touch. Seems to be spreading outwards. Also in general just feel pain and fatigue. Chest pains. Itchy all over body and back pain.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pain, Pruritus
Clinical narrative: Hard firm red spot on and around injection site. Feel hot and painful to touch. Seems to be spreading outwards. Also in general just feel pain and fatigue. Chest pains. Itchy all over body and back pain.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Nausea, Pyrexia
Clinical narrative: Severe chills, headache, joints aching, fever, nausea. Lasted for about 24 hours.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Parosmia
Clinical narrative: Shortly after having my Covid Vax I started smelling cigarette smoke where there should be none. I am a none smoker and have been my whole life. Also, no one in my house is a smoker. I smell it now often in bed, in my car...places there is no way it is coming from another person.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Discomfort, Fatigue, Head discomfort, Pyrexia
Clinical narrative: Chills, tiredness, fever and mild discomfort in the head and the body in general
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Dyspnoea
Clinical narrative: Coughing, shortness of breath, chest pain
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Mobility decreased, Paraesthesia
Clinical narrative: Numbness, decreased sensation, tingling, loss of mobility in hands and feet
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Tinnitus
Clinical narrative: Since Day 8 after the vaccine, started tinnitus and headache . Tinnitus is non-stop 24 hours, headache come everyday, sometimes  morning A little less
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Chills, Dizziness, Headache, Limb discomfort
Clinical narrative: Immediately after the shot she had a bad headache and approximately 30 to 35 minutes later dizness, chills, and throat restriction (anaphlaxis), extreme muscle soarness(  any sort of touch was extremely painful, and she couldn't move her neck, it hurt to move from side to side. Her legs began to feel extremely heavy and hard to move.  These symptoms seemed to last for approx 30 minutes. Headache didn't subside until later in the day, it did lighten up.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Myalgia
Clinical narrative: Immediately after the shot she had a bad headache and approximately 30 to 35 minutes later dizness, chills, and throat restriction (anaphlaxis), extreme muscle soarness(  any sort of touch was extremely painful, and she couldn't move her neck, it hurt to move from side to side. Her legs began to feel extremely heavy and hard to move.  These symptoms seemed to last for approx 30 minutes. Headache didn't subside until later in the day, it did lighten up.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Nausea, Tinnitus
Clinical narrative: Tinnitus, dizzy, nausia, brain fog
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Nausea, Pyrexia
Clinical narrative: I developed a fever, nausea, joint and muscle pain so I held off on breastfeeding my baby until I started feeling better but I did not pump. My baby developed a fever and vomiting after I resumed breastfeeding her. She has been sick for over 24 hours.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: Delayed period (5+ days) ? currently day 33 of very consistent 28 day cycle
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary, Computerised tomogram thorax, Pulmonary embolism
Clinical narrative: pulmonary embolism 10 days later.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: After first shot I started my period early and bled heavy for about 16 days.  I was off for about 2 weeks and which I had the second dose between there. A week  or so after my second dose on the 24 of April I started again, again very heavy and still ok it as of 5/16/21. At 45 yrs old I have been regular my whole life. Usually 4 days and very light bleeding. I don?t even wear pads just liners.  Not sure how much longer this is going to go on but it shows no signs of easing up any.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Fatigue, Feeling cold, Headache
Clinical narrative: Headache, Fatigue, joint pain and cold-like feeling.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased, Immediate post-injection reaction
Clinical narrative: Immediate reaction post injection. Rapid heart rate along with dizziness. Lasted 30-45 minutes.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Severe arm pain  near injection site ans ahouls/ shoulder blade on and off since injection. Arm still sore now.   The pain seems to go away for a while and I resume normal activity and then comes back again.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure during pregnancy, Foetal death
Clinical narrative: EDD=11/8/2021, IUFD diagnosed 5/12/2021
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Chills, Death, Hyperhidrosis, Injection site erythema
Clinical narrative: About a week after his first dose he developed a skin reaction at the injection site. Redness, swelling, itching. The affected area was about 10 inches by 6 inches.   The day following the second dose of the vaccine he developed chills, sweats, aches, and a low grade fever. He also developed the same skin reaction. He had these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was even better, Monday evening he died. He was 37 with no known medical issues. He just died out of nowhere.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site swelling, Pain, Pyrexia
Clinical narrative: About a week after his first dose he developed a skin reaction at the injection site. Redness, swelling, itching. The affected area was about 10 inches by 6 inches.   The day following the second dose of the vaccine he developed chills, sweats, aches, and a low grade fever. He also developed the same skin reaction. He had these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was even better, Monday evening he died. He was 37 with no known medical issues. He just died out of nowhere.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Skin reaction
Clinical narrative: About a week after his first dose he developed a skin reaction at the injection site. Redness, swelling, itching. The affected area was about 10 inches by 6 inches.   The day following the second dose of the vaccine he developed chills, sweats, aches, and a low grade fever. He also developed the same skin reaction. He had these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was even better, Monday evening he died. He was 37 with no known medical issues. He just died out of nowhere.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Pruritus, Rash
Clinical narrative: Patient reports presenting with flushing and itchiness/rash within several hours of receiving the vaccination. Patient denies angioedema, trouble breathing, nausea/vomiting.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysstasia, Fatigue, Gait disturbance, Musculoskeletal stiffness, Neuralgia
Clinical narrative: 2 1/2 hours after receiving 2nd shot, I developed total stiffness in back could barely stand up straight and had a stabbing, electric nerve pain down the L leg that was causing me to walk with a cane and take pain pills.  I am still with pain, can walk only short distances and feel fatigue and L leg shakes .  My gait is unsteady.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Walking aid user, X-ray of pelvis and hip
Clinical narrative: 2 1/2 hours after receiving 2nd shot, I developed total stiffness in back could barely stand up straight and had a stabbing, electric nerve pain down the L leg that was causing me to walk with a cane and take pain pills.  I am still with pain, can walk only short distances and feel fatigue and L leg shakes .  My gait is unsteady.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Decreased appetite, Dizziness postural, Dysstasia, Feeling abnormal
Clinical narrative: 2 1/2 hours after receiving 2nd shot, I developed total stiffness in back could barely stand up straight and had a stabbing, electric nerve pain down the L leg that was causing me to walk with a cane and take pain pills.  I am still with pain, can walk only short distances and feel fatigue and L leg shakes .  My gait is unsteady.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Groin pain, Hypoaesthesia, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: 2 1/2 hours after receiving 2nd shot, I developed total stiffness in back could barely stand up straight and had a stabbing, electric nerve pain down the L leg that was causing me to walk with a cane and take pain pills.  I am still with pain, can walk only short distances and feel fatigue and L leg shakes .  My gait is unsteady.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives on right arm only. No SOB, no tachypnea, no mental status changes, no abd pain, no emesis. Hives limited to right arm only. Mildly itchy. Given Benadryl 25mg PO
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient is a 27 year old female who presents to ED with left arm redness and swelling at the injection site of her J&J COVAX from last Tuesday. No fever, no chills, no other symptoms.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Thirst
Clinical narrative: "No significant PMH. She reported that she tolerated Pfizer dose #1.   20 minutes post vaccination, on her way walking out of the clinic with her father, she felt dizziness and very thirsty. She was alert and oriented x 4.  Did not pass out and was able to walked to the Medical facility for further observation."
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash vesicular
Clinical narrative: Pt c/o rash with vesicles in three spots on face (R forehead, upper cheek, and lower cheek) Pt state he had the J&J vaccine on Tuesday and on Thursday the rash started to appear.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Migraine, Musculoskeletal stiffness, Swelling
Clinical narrative: Severe migraines and stiffness in the back of the neck after receiving Botox injections for migraines 8 days after 2nd dose of Pfizer. The back of the neck where the injection site of the Botox occurred, locked up for for several days and swelling occurred. Shortness of breath also occurred over a four day period.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Noted on 5/11/21: Patient reported hives in response to the 1st covid vaccination- within a few hours. Recommend patient speak with her PCP about an allergy referral or return in 28 days for a J&J vaccination
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: This vaccine is not indicated for a 14 year old.  It was given in error.
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal discomfort, Headache, Injection site pain, Off label use, Product administered to patient of inappropriate age
Clinical narrative: This vaccine is not indicated for a 14 year old.  It was given in error.
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Daughter aged 14 was mistakenly given the J&J vaccine which was not yet approved for her age.
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal discomfort, Headache, Injection site pain, Off label use, Product administered to patient of inappropriate age
Clinical narrative: Daughter aged 14 was mistakenly given the J&J vaccine which was not yet approved for her age.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Diarrhoea, Feeling hot, Injection site swelling, Tenderness
Clinical narrative: Large hard bump at injection site, like all of the dose stayed there, arm is tender around that spot. Also, diarrhea starting 24 hours after injection . General warming/ clammyness (not sure if it was a fever, 18 hours after injection
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: I had a normal menstrual period on April 19 (27 days after the previous one) but then I started bleeding again on May 1, only 11 days later. The bleeding has been light on some days, then it switched to medium, then back to light, then medium again... and  it continued for 17 days now. I searched for possible explanations for this, and found that other women are noticing this after their covid vaccine, so I decided to report it. I will see my ObGyn in three days for this issue. This type of long, 2+ week vaginal bleeding has never happened to me before.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Dizziness, Myalgia, Nausea
Clinical narrative: 103.4-104.1°F for two days, nausea, vomiting, muscle pains, dizziness, shivering
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 103.4-104.1°F for two days, nausea, vomiting, muscle pains, dizziness, shivering
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Herpes zoster, Pruritus, Rash, Urticaria
Clinical narrative: Approximately 6 weeks after 2nd vaccine dose:  Outbreak of Shingles on left shoulder/neck  Outbreak of unknown rash, very itchy, small blisters on left forearm and upper arm, right arm (small amount) and small spots on rest of body.   Hives on face
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Musculoskeletal stiffness, Pain
Clinical narrative: Right arm is itchy at injection site, and circular rash has developed at injection site. Arm is also stiff and there is discomfort when raising arm above head.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Mobility decreased, Neck pain, Pain, Peripheral swelling
Clinical narrative: My whole upper arm has swelled up and I've had throbbing pain for 2 days. The pain extends all the way into my neck and arm pit. I've been having difficulty using that arm because of the pain. It is also hot to the touch. I have been using Tylenol and ice with little improvement.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: My whole upper arm has swelled up and I've had throbbing pain for 2 days. The pain extends all the way into my neck and arm pit. I've been having difficulty using that arm because of the pain. It is also hot to the touch. I have been using Tylenol and ice with little improvement.
Age: 26.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Hypoaesthesia, Injection site erythema, Injection site swelling, Pain in extremity, Paraesthesia
Clinical narrative: Very red swollen at injection site its been getting worse not better very painful tingling in my hand fingers and arm losing sensation to finger tips at time
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza like illness, Nausea, Pain, Pyrexia
Clinical narrative: Flu like symptoms the day of the injection and a day after (nausea, body aches, fever, headaches)
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Cough, Disturbance in attention, Dizziness
Clinical narrative: Had pain in my shoulder (and  neck on my left side) as soon as the shot went in. At roughly three hours after the shot, I felt I was slurring my speech (I had to make a very concerted effort to make proper sentences and not slur) and was very dizzy. I also was having a hard time with lights. For example, I was unable to look in the mirror in my bathroom as the lights above the mirror were too bright for me. At three hours after the shot, I had severe pain in my left shoulder. Overall, I felt as I had been sedated or drugged. I tried walking to the nearest convenience store to get some food and I felt I was experiencing vertigo. Several days after the vaccine I had a slight cough and sore throat. I am still experiencing a slight cough on some day sand a slight sore throat.   I had a subtle red patch in the left shoulder area a couple days after the shot. Eight or nine days after the shot, I had covid arm and had a very visible red patch on my left shoulder. I have pictures of this.  I have been feeling very tired and dizzy ever since the first shot. My glands in my neck under my jaw line are also swollen. I do not know if it is either  wise or safe for me to get the second shot, which is scheduled for this Friday as it seems that I still have not recovered from the first shot. Can my immune system really take another round of this?  There are a couple other things that I have noticed. I don't seem to be thinking very clearly and I have noticed a remarkable number of type-os and poor syntax in emails that I send at work; this is not normal for me.   Finally, after the shot, I noticed that my muscles, when doing a little exertion such as pushups, would build lactic acid quicker and more blood seemed to be delivered to my working muscles. I still have not regained my strength and tire more easierly when playing tennis or hitting against the tennis wall, for example. This is also not normal and not how I felt before the first injection.