chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: On 01/08/22, she developed a cough and fever then subsequently tested positive for COVID-19 on 01/10. She started improving and felt better until 01/13 at which time she developed high fevers 102-103F with Tmax 106F, nausea with multiple episodes of vomiting, diffuse myalgias with hand and foot edema, and malaise. Admitted on 01/16/22 for MIS-C, received 1 dose of IVIg on 01/17, and was discharged on Tuesday 01/18 on prednisone 40 mg PO and aspirin 81 mg. Readmitted on after resurgence of fever/102F, nausea, myalgias, and a mild headache. Mother noted she has been very fatigued. Likely secondary to refractory MIS-C, cannot rule out other source of infection. No fever since admission. Labs done on admission reassuring; showed continued downtrend of inflammatory markers. 1/20 Labs: WBC 12.8 (unchanged from 1/19) CK WLN, LD WLN, fibrinogen 618 (down from 782 on 1/18), D-dimer 2.38 WLN (slight increase from 1.69 on 1/16), CRP 30 (down from 56.1 on 1/19). Naproxen 375mg BID AMD Pepcid started on 1/21. Discharged 1/22 on prednisone 40 mg daily and ASA 81 mg ,
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia, Somnolence
Clinical narrative: The night I developed chills and I was up with chills and shivering and a low grade fever and body aches. I just ached all over. The next day I had fatigue, body aches and developed hives on the trunk of my body-my back, my stomach, groin and arm pits. I went to Urgent Care, I took topical Benadryl and slept most of the day. They hives went away the evening of the day after the shot. The fatigue lasted a long time. The hives were a surprise for me and made me suspect an allergic reaction because they lasted two days. Since then I've been okay, just really tired. When I spoke with someone at Urgent Care, he had prescribed prednisone and Claritin, and Pepcid, but I didn't take any of those. I just took Benadryl. I had been running a fever of about 2 degrees. He did say that I might want to be careful about another shot because i could have anaphylactic shock next time.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: The night I developed chills and I was up with chills and shivering and a low grade fever and body aches. I just ached all over. The next day I had fatigue, body aches and developed hives on the trunk of my body-my back, my stomach, groin and arm pits. I went to Urgent Care, I took topical Benadryl and slept most of the day. They hives went away the evening of the day after the shot. The fatigue lasted a long time. The hives were a surprise for me and made me suspect an allergic reaction because they lasted two days. Since then I've been okay, just really tired. When I spoke with someone at Urgent Care, he had prescribed prednisone and Claritin, and Pepcid, but I didn't take any of those. I just took Benadryl. I had been running a fever of about 2 degrees. He did say that I might want to be careful about another shot because i could have anaphylactic shock next time.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia, Urticaria
Clinical narrative: The night I developed chills and I was up with chills and shivering and a low grade fever and body aches. I just ached all over. The next day I had fatigue, body aches and developed hives on the trunk of my body-my back, my stomach, groin and arm pits. I went to Urgent Care, I took topical Benadryl and slept most of the day. They hives went away the evening of the day after the shot. The fatigue lasted a long time. The hives were a surprise for me and made me suspect an allergic reaction because they lasted two days. Since then I've been okay, just really tired. When I spoke with someone at Urgent Care, he had prescribed prednisone and Claritin, and Pepcid, but I didn't take any of those. I just took Benadryl. I had been running a fever of about 2 degrees. He did say that I might want to be careful about another shot because i could have anaphylactic shock next time.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Musculoskeletal discomfort, Neck pain, Pain
Clinical narrative: The next day following the booster shot, my shoulder above my left arm became tight and has continued to ache and radiate pain from my arm to my neck and back for the last 6 months. The pain has never gone away.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, X-ray
Clinical narrative: The next day following the booster shot, my shoulder above my left arm became tight and has continued to ache and radiate pain from my arm to my neck and back for the last 6 months. The pain has never gone away.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation error
Clinical narrative: Vaccine vial MAY have not been diluted prior to use, as a result the patient may have received a higher than approved dose. Parent/Caregiver was notified, no concerns or adverse effects noted.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Lymph node pain, Pain in extremity, Pyrexia
Clinical narrative: fever, sore arm, fatigue, sore lymphnodes in jaw and neck
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction to the vaccine. The vaccine is administered, after the deadline of 1/April/2022. Vaccine is not expired.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Acute respiratory failure, Blister, Blood culture negative, Blood fibrinogen increased
Clinical narrative: 01/13/2022 10-year-old male without significant past medical or surgical history presenting for evaluation of 6 days of fever, nausea/vomiting and decreased p.o. intake, diffuse abdominal pain, headache, fatigue, and migratory rash. Patient reportedly COVID-positive 12/6/2021, received initial COVID-vaccine in late November. Patient denying any chest pain, cough, or shortness of breath. Constellation of symptoms is concerning for Kawasaki versus MIS-C. Exam notable for diffuse rash with palmar involvement and early bullae/vesicles, straw berry tongue. There is no conjunctival injection, no perineal involvement. No focal neurologic deficits, diffuse abdominal tenderness without focality. Vital signs are stable hough notable for mild hypotension.  Laboratory studies overall consistent with MISC (elevations in ESR/CRP, ferritin, etc. with elevations in troponin and BNP consistent with myocarditis. Electrolyte abnormalities including hyponatremia, hypokalemia, hypocalcemia consistent with inadequate oral intake and diarrhea.  Hospital course: MIS-C associated with COVID-19, S/p CTX x2, negative blood cultures, S/p IVIG 1/14, Solumedrol 1/14-1/15, Transitioned to PO Prednisolone 1/16 Lovenox switched to ASA 1/1  Acute respiratory failure with hypoxia, Required HFNC on arrival to PICU, Stable on RA day of d/c.  Myocarditis,  LVEF 45-50% on 1/14  Discharge: Pt tolerating regular diet well. No N/V. Pt denies any pain. Rash to BLE and bilateral hands/arms improved. Follow up with PMD in one week, Rheumotology in one week, Cardiology in one month
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium decreased, Brain natriuretic peptide increased, C-reactive protein increased, COVID-19, Diarrhoea
Clinical narrative: 01/13/2022 10-year-old male without significant past medical or surgical history presenting for evaluation of 6 days of fever, nausea/vomiting and decreased p.o. intake, diffuse abdominal pain, headache, fatigue, and migratory rash. Patient reportedly COVID-positive 12/6/2021, received initial COVID-vaccine in late November. Patient denying any chest pain, cough, or shortness of breath. Constellation of symptoms is concerning for Kawasaki versus MIS-C. Exam notable for diffuse rash with palmar involvement and early bullae/vesicles, straw berry tongue. There is no conjunctival injection, no perineal involvement. No focal neurologic deficits, diffuse abdominal tenderness without focality. Vital signs are stable hough notable for mild hypotension.  Laboratory studies overall consistent with MISC (elevations in ESR/CRP, ferritin, etc. with elevations in troponin and BNP consistent with myocarditis. Electrolyte abnormalities including hyponatremia, hypokalemia, hypocalcemia consistent with inadequate oral intake and diarrhea.  Hospital course: MIS-C associated with COVID-19, S/p CTX x2, negative blood cultures, S/p IVIG 1/14, Solumedrol 1/14-1/15, Transitioned to PO Prednisolone 1/16 Lovenox switched to ASA 1/1  Acute respiratory failure with hypoxia, Required HFNC on arrival to PICU, Stable on RA day of d/c.  Myocarditis,  LVEF 45-50% on 1/14  Discharge: Pt tolerating regular diet well. No N/V. Pt denies any pain. Rash to BLE and bilateral hands/arms improved. Follow up with PMD in one week, Rheumotology in one week, Cardiology in one month
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Electrolyte imbalance, Fatigue, Fibrin D dimer increased, Headache
Clinical narrative: 01/13/2022 10-year-old male without significant past medical or surgical history presenting for evaluation of 6 days of fever, nausea/vomiting and decreased p.o. intake, diffuse abdominal pain, headache, fatigue, and migratory rash. Patient reportedly COVID-positive 12/6/2021, received initial COVID-vaccine in late November. Patient denying any chest pain, cough, or shortness of breath. Constellation of symptoms is concerning for Kawasaki versus MIS-C. Exam notable for diffuse rash with palmar involvement and early bullae/vesicles, straw berry tongue. There is no conjunctival injection, no perineal involvement. No focal neurologic deficits, diffuse abdominal tenderness without focality. Vital signs are stable hough notable for mild hypotension.  Laboratory studies overall consistent with MISC (elevations in ESR/CRP, ferritin, etc. with elevations in troponin and BNP consistent with myocarditis. Electrolyte abnormalities including hyponatremia, hypokalemia, hypocalcemia consistent with inadequate oral intake and diarrhea.  Hospital course: MIS-C associated with COVID-19, S/p CTX x2, negative blood cultures, S/p IVIG 1/14, Solumedrol 1/14-1/15, Transitioned to PO Prednisolone 1/16 Lovenox switched to ASA 1/1  Acute respiratory failure with hypoxia, Required HFNC on arrival to PICU, Stable on RA day of d/c.  Myocarditis,  LVEF 45-50% on 1/14  Discharge: Pt tolerating regular diet well. No N/V. Pt denies any pain. Rash to BLE and bilateral hands/arms improved. Follow up with PMD in one week, Rheumotology in one week, Cardiology in one month
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Hypocalcaemia, Hypokalaemia, Hyponatraemia, Hypophagia, Hypotension
Clinical narrative: 01/13/2022 10-year-old male without significant past medical or surgical history presenting for evaluation of 6 days of fever, nausea/vomiting and decreased p.o. intake, diffuse abdominal pain, headache, fatigue, and migratory rash. Patient reportedly COVID-positive 12/6/2021, received initial COVID-vaccine in late November. Patient denying any chest pain, cough, or shortness of breath. Constellation of symptoms is concerning for Kawasaki versus MIS-C. Exam notable for diffuse rash with palmar involvement and early bullae/vesicles, straw berry tongue. There is no conjunctival injection, no perineal involvement. No focal neurologic deficits, diffuse abdominal tenderness without focality. Vital signs are stable hough notable for mild hypotension.  Laboratory studies overall consistent with MISC (elevations in ESR/CRP, ferritin, etc. with elevations in troponin and BNP consistent with myocarditis. Electrolyte abnormalities including hyponatremia, hypokalemia, hypocalcemia consistent with inadequate oral intake and diarrhea.  Hospital course: MIS-C associated with COVID-19, S/p CTX x2, negative blood cultures, S/p IVIG 1/14, Solumedrol 1/14-1/15, Transitioned to PO Prednisolone 1/16 Lovenox switched to ASA 1/1  Acute respiratory failure with hypoxia, Required HFNC on arrival to PICU, Stable on RA day of d/c.  Myocarditis,  LVEF 45-50% on 1/14  Discharge: Pt tolerating regular diet well. No N/V. Pt denies any pain. Rash to BLE and bilateral hands/arms improved. Follow up with PMD in one week, Rheumotology in one week, Cardiology in one month
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Immunoglobulin therapy, Intensive care, International normalised ratio increased, Multisystem inflammatory syndrome in children, Myocarditis
Clinical narrative: 01/13/2022 10-year-old male without significant past medical or surgical history presenting for evaluation of 6 days of fever, nausea/vomiting and decreased p.o. intake, diffuse abdominal pain, headache, fatigue, and migratory rash. Patient reportedly COVID-positive 12/6/2021, received initial COVID-vaccine in late November. Patient denying any chest pain, cough, or shortness of breath. Constellation of symptoms is concerning for Kawasaki versus MIS-C. Exam notable for diffuse rash with palmar involvement and early bullae/vesicles, straw berry tongue. There is no conjunctival injection, no perineal involvement. No focal neurologic deficits, diffuse abdominal tenderness without focality. Vital signs are stable hough notable for mild hypotension.  Laboratory studies overall consistent with MISC (elevations in ESR/CRP, ferritin, etc. with elevations in troponin and BNP consistent with myocarditis. Electrolyte abnormalities including hyponatremia, hypokalemia, hypocalcemia consistent with inadequate oral intake and diarrhea.  Hospital course: MIS-C associated with COVID-19, S/p CTX x2, negative blood cultures, S/p IVIG 1/14, Solumedrol 1/14-1/15, Transitioned to PO Prednisolone 1/16 Lovenox switched to ASA 1/1  Acute respiratory failure with hypoxia, Required HFNC on arrival to PICU, Stable on RA day of d/c.  Myocarditis,  LVEF 45-50% on 1/14  Discharge: Pt tolerating regular diet well. No N/V. Pt denies any pain. Rash to BLE and bilateral hands/arms improved. Follow up with PMD in one week, Rheumotology in one week, Cardiology in one month
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Prothrombin time prolonged, Pyrexia, Rash, Red blood cell sedimentation rate increased
Clinical narrative: 01/13/2022 10-year-old male without significant past medical or surgical history presenting for evaluation of 6 days of fever, nausea/vomiting and decreased p.o. intake, diffuse abdominal pain, headache, fatigue, and migratory rash. Patient reportedly COVID-positive 12/6/2021, received initial COVID-vaccine in late November. Patient denying any chest pain, cough, or shortness of breath. Constellation of symptoms is concerning for Kawasaki versus MIS-C. Exam notable for diffuse rash with palmar involvement and early bullae/vesicles, straw berry tongue. There is no conjunctival injection, no perineal involvement. No focal neurologic deficits, diffuse abdominal tenderness without focality. Vital signs are stable hough notable for mild hypotension.  Laboratory studies overall consistent with MISC (elevations in ESR/CRP, ferritin, etc. with elevations in troponin and BNP consistent with myocarditis. Electrolyte abnormalities including hyponatremia, hypokalemia, hypocalcemia consistent with inadequate oral intake and diarrhea.  Hospital course: MIS-C associated with COVID-19, S/p CTX x2, negative blood cultures, S/p IVIG 1/14, Solumedrol 1/14-1/15, Transitioned to PO Prednisolone 1/16 Lovenox switched to ASA 1/1  Acute respiratory failure with hypoxia, Required HFNC on arrival to PICU, Stable on RA day of d/c.  Myocarditis,  LVEF 45-50% on 1/14  Discharge: Pt tolerating regular diet well. No N/V. Pt denies any pain. Rash to BLE and bilateral hands/arms improved. Follow up with PMD in one week, Rheumotology in one week, Cardiology in one month
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Serum ferritin increased, Strawberry tongue, Troponin I increased, Troponin increased
Clinical narrative: 01/13/2022 10-year-old male without significant past medical or surgical history presenting for evaluation of 6 days of fever, nausea/vomiting and decreased p.o. intake, diffuse abdominal pain, headache, fatigue, and migratory rash. Patient reportedly COVID-positive 12/6/2021, received initial COVID-vaccine in late November. Patient denying any chest pain, cough, or shortness of breath. Constellation of symptoms is concerning for Kawasaki versus MIS-C. Exam notable for diffuse rash with palmar involvement and early bullae/vesicles, straw berry tongue. There is no conjunctival injection, no perineal involvement. No focal neurologic deficits, diffuse abdominal tenderness without focality. Vital signs are stable hough notable for mild hypotension.  Laboratory studies overall consistent with MISC (elevations in ESR/CRP, ferritin, etc. with elevations in troponin and BNP consistent with myocarditis. Electrolyte abnormalities including hyponatremia, hypokalemia, hypocalcemia consistent with inadequate oral intake and diarrhea.  Hospital course: MIS-C associated with COVID-19, S/p CTX x2, negative blood cultures, S/p IVIG 1/14, Solumedrol 1/14-1/15, Transitioned to PO Prednisolone 1/16 Lovenox switched to ASA 1/1  Acute respiratory failure with hypoxia, Required HFNC on arrival to PICU, Stable on RA day of d/c.  Myocarditis,  LVEF 45-50% on 1/14  Discharge: Pt tolerating regular diet well. No N/V. Pt denies any pain. Rash to BLE and bilateral hands/arms improved. Follow up with PMD in one week, Rheumotology in one week, Cardiology in one month
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 01/13/2022 10-year-old male without significant past medical or surgical history presenting for evaluation of 6 days of fever, nausea/vomiting and decreased p.o. intake, diffuse abdominal pain, headache, fatigue, and migratory rash. Patient reportedly COVID-positive 12/6/2021, received initial COVID-vaccine in late November. Patient denying any chest pain, cough, or shortness of breath. Constellation of symptoms is concerning for Kawasaki versus MIS-C. Exam notable for diffuse rash with palmar involvement and early bullae/vesicles, straw berry tongue. There is no conjunctival injection, no perineal involvement. No focal neurologic deficits, diffuse abdominal tenderness without focality. Vital signs are stable hough notable for mild hypotension.  Laboratory studies overall consistent with MISC (elevations in ESR/CRP, ferritin, etc. with elevations in troponin and BNP consistent with myocarditis. Electrolyte abnormalities including hyponatremia, hypokalemia, hypocalcemia consistent with inadequate oral intake and diarrhea.  Hospital course: MIS-C associated with COVID-19, S/p CTX x2, negative blood cultures, S/p IVIG 1/14, Solumedrol 1/14-1/15, Transitioned to PO Prednisolone 1/16 Lovenox switched to ASA 1/1  Acute respiratory failure with hypoxia, Required HFNC on arrival to PICU, Stable on RA day of d/c.  Myocarditis,  LVEF 45-50% on 1/14  Discharge: Pt tolerating regular diet well. No N/V. Pt denies any pain. Rash to BLE and bilateral hands/arms improved. Follow up with PMD in one week, Rheumotology in one week, Cardiology in one month
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Atrial flutter, Cardiac ablation, Echocardiogram, Electrocardiogram abnormal
Clinical narrative: Approximately a month after the vaccine, I experienced an A-Fib episode everyday of 110/120. Sometimes it would do this for one hour and sometimes two hours. In January I noticed this happening more frequently and all the time. I went to my cardiologist and was referred to an electrocardiologist. I had an EKG and showed an A-fib flutter. I was prescribed a medication Flecainide. I went back a week later and it indicated again the A-Fib flutter. I then went to get an Cardiac ablation 04/20/2022 . I also took  Pantoprazole for 30 days then stopped.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction to the vaccine. The vaccine is administered, after the deadline of 1/April/2022. Vaccine is not expired.
Age: 8.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal X-ray, Abdominal pain, Anticoagulant therapy, Blood culture negative, C-reactive protein increased
Clinical narrative: 1/6 - 8 YR OLD PRESENTED TO THE ER AFTER 4 DAYS OF FEVER/MAX 103, GENERALIZED RASH, HA, SORE THROAT, ABDOMINAL PAIN, MALAISE, REDNESS OF HANDS. POSSIBLE COVID EXP 12/24/21, STREP/ COVID/FLU NEG AT DR OFFICE 1/3.   SYMPTOMS PROGRESSED, SENT TO ER-PRIMARY MD CONCERNED FOR MIS-C. UPON EVAL PT WAS ILL APPEARING, FEBRILE, TACHYCARDIC, HYPOTENSIVE 90/40. CONCERN FOR MIS-C VS. KAWASASKI VS. VIRAL EXANTHEM VS. TICK BORNE ILLNESS. ADMITTED TO UNIT FLOOR. REC'D IV FLUIDS, EMPIRIC CEFTRIAXONE, IVIG AND LOW DOSE ASPIRIN PER MIS-C PROTOCOL. 1/7 ADDED IV STEROIDS & LOVENOX.  Blood and urine cx NG >36 hours and at 5 days. Hospital course:  Blood and urine cx NG >36 hours & at 5 days, - Tick studies negative, Pancytopenia improving -Received 2nd dose of IVIG due to being febrile and symptomatic within 36 hours after 1st infusion -Kept on mIVF for hydration -Appetite improved over time -Developed Abdominal pain; abd XR showed prominent liver, inc LFTS; abd US showed diffuse inflammation in the abdomen involving multiple organs -Abdomen pain and LFTs improved over following days, no N/V, constipation or diarrhea  Discharge:  -Follow up with physician within 48 hours of discharge -follow up with cardiology and rheumatology in the outaptient setting -continue with aspirin once a day, steroids once a day and famotidine for belly protection - rheumatology will help taper the steroids, for now continue taking them once a day.
Age: 8.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Culture urine negative, Decreased appetite, Erythema, Fibrin D dimer increased, General physical condition abnormal
Clinical narrative: 1/6 - 8 YR OLD PRESENTED TO THE ER AFTER 4 DAYS OF FEVER/MAX 103, GENERALIZED RASH, HA, SORE THROAT, ABDOMINAL PAIN, MALAISE, REDNESS OF HANDS. POSSIBLE COVID EXP 12/24/21, STREP/ COVID/FLU NEG AT DR OFFICE 1/3.   SYMPTOMS PROGRESSED, SENT TO ER-PRIMARY MD CONCERNED FOR MIS-C. UPON EVAL PT WAS ILL APPEARING, FEBRILE, TACHYCARDIC, HYPOTENSIVE 90/40. CONCERN FOR MIS-C VS. KAWASASKI VS. VIRAL EXANTHEM VS. TICK BORNE ILLNESS. ADMITTED TO UNIT FLOOR. REC'D IV FLUIDS, EMPIRIC CEFTRIAXONE, IVIG AND LOW DOSE ASPIRIN PER MIS-C PROTOCOL. 1/7 ADDED IV STEROIDS & LOVENOX.  Blood and urine cx NG >36 hours and at 5 days. Hospital course:  Blood and urine cx NG >36 hours & at 5 days, - Tick studies negative, Pancytopenia improving -Received 2nd dose of IVIG due to being febrile and symptomatic within 36 hours after 1st infusion -Kept on mIVF for hydration -Appetite improved over time -Developed Abdominal pain; abd XR showed prominent liver, inc LFTS; abd US showed diffuse inflammation in the abdomen involving multiple organs -Abdomen pain and LFTs improved over following days, no N/V, constipation or diarrhea  Discharge:  -Follow up with physician within 48 hours of discharge -follow up with cardiology and rheumatology in the outaptient setting -continue with aspirin once a day, steroids once a day and famotidine for belly protection - rheumatology will help taper the steroids, for now continue taking them once a day.
Age: 8.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Headache, Hepatomegaly, Hypotension
Clinical narrative: 1/6 - 8 YR OLD PRESENTED TO THE ER AFTER 4 DAYS OF FEVER/MAX 103, GENERALIZED RASH, HA, SORE THROAT, ABDOMINAL PAIN, MALAISE, REDNESS OF HANDS. POSSIBLE COVID EXP 12/24/21, STREP/ COVID/FLU NEG AT DR OFFICE 1/3.   SYMPTOMS PROGRESSED, SENT TO ER-PRIMARY MD CONCERNED FOR MIS-C. UPON EVAL PT WAS ILL APPEARING, FEBRILE, TACHYCARDIC, HYPOTENSIVE 90/40. CONCERN FOR MIS-C VS. KAWASASKI VS. VIRAL EXANTHEM VS. TICK BORNE ILLNESS. ADMITTED TO UNIT FLOOR. REC'D IV FLUIDS, EMPIRIC CEFTRIAXONE, IVIG AND LOW DOSE ASPIRIN PER MIS-C PROTOCOL. 1/7 ADDED IV STEROIDS & LOVENOX.  Blood and urine cx NG >36 hours and at 5 days. Hospital course:  Blood and urine cx NG >36 hours & at 5 days, - Tick studies negative, Pancytopenia improving -Received 2nd dose of IVIG due to being febrile and symptomatic within 36 hours after 1st infusion -Kept on mIVF for hydration -Appetite improved over time -Developed Abdominal pain; abd XR showed prominent liver, inc LFTS; abd US showed diffuse inflammation in the abdomen involving multiple organs -Abdomen pain and LFTs improved over following days, no N/V, constipation or diarrhea  Discharge:  -Follow up with physician within 48 hours of discharge -follow up with cardiology and rheumatology in the outaptient setting -continue with aspirin once a day, steroids once a day and famotidine for belly protection - rheumatology will help taper the steroids, for now continue taking them once a day.
Age: 8.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immunoglobulin therapy, Inflammation, Influenza virus test negative, Laboratory test normal, Liver function test increased
Clinical narrative: 1/6 - 8 YR OLD PRESENTED TO THE ER AFTER 4 DAYS OF FEVER/MAX 103, GENERALIZED RASH, HA, SORE THROAT, ABDOMINAL PAIN, MALAISE, REDNESS OF HANDS. POSSIBLE COVID EXP 12/24/21, STREP/ COVID/FLU NEG AT DR OFFICE 1/3.   SYMPTOMS PROGRESSED, SENT TO ER-PRIMARY MD CONCERNED FOR MIS-C. UPON EVAL PT WAS ILL APPEARING, FEBRILE, TACHYCARDIC, HYPOTENSIVE 90/40. CONCERN FOR MIS-C VS. KAWASASKI VS. VIRAL EXANTHEM VS. TICK BORNE ILLNESS. ADMITTED TO UNIT FLOOR. REC'D IV FLUIDS, EMPIRIC CEFTRIAXONE, IVIG AND LOW DOSE ASPIRIN PER MIS-C PROTOCOL. 1/7 ADDED IV STEROIDS & LOVENOX.  Blood and urine cx NG >36 hours and at 5 days. Hospital course:  Blood and urine cx NG >36 hours & at 5 days, - Tick studies negative, Pancytopenia improving -Received 2nd dose of IVIG due to being febrile and symptomatic within 36 hours after 1st infusion -Kept on mIVF for hydration -Appetite improved over time -Developed Abdominal pain; abd XR showed prominent liver, inc LFTS; abd US showed diffuse inflammation in the abdomen involving multiple organs -Abdomen pain and LFTs improved over following days, no N/V, constipation or diarrhea  Discharge:  -Follow up with physician within 48 hours of discharge -follow up with cardiology and rheumatology in the outaptient setting -continue with aspirin once a day, steroids once a day and famotidine for belly protection - rheumatology will help taper the steroids, for now continue taking them once a day.
Age: 8.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Multi-organ disorder, Oropharyngeal pain, Pancytopenia, Platelet count decreased
Clinical narrative: 1/6 - 8 YR OLD PRESENTED TO THE ER AFTER 4 DAYS OF FEVER/MAX 103, GENERALIZED RASH, HA, SORE THROAT, ABDOMINAL PAIN, MALAISE, REDNESS OF HANDS. POSSIBLE COVID EXP 12/24/21, STREP/ COVID/FLU NEG AT DR OFFICE 1/3.   SYMPTOMS PROGRESSED, SENT TO ER-PRIMARY MD CONCERNED FOR MIS-C. UPON EVAL PT WAS ILL APPEARING, FEBRILE, TACHYCARDIC, HYPOTENSIVE 90/40. CONCERN FOR MIS-C VS. KAWASASKI VS. VIRAL EXANTHEM VS. TICK BORNE ILLNESS. ADMITTED TO UNIT FLOOR. REC'D IV FLUIDS, EMPIRIC CEFTRIAXONE, IVIG AND LOW DOSE ASPIRIN PER MIS-C PROTOCOL. 1/7 ADDED IV STEROIDS & LOVENOX.  Blood and urine cx NG >36 hours and at 5 days. Hospital course:  Blood and urine cx NG >36 hours & at 5 days, - Tick studies negative, Pancytopenia improving -Received 2nd dose of IVIG due to being febrile and symptomatic within 36 hours after 1st infusion -Kept on mIVF for hydration -Appetite improved over time -Developed Abdominal pain; abd XR showed prominent liver, inc LFTS; abd US showed diffuse inflammation in the abdomen involving multiple organs -Abdomen pain and LFTs improved over following days, no N/V, constipation or diarrhea  Discharge:  -Follow up with physician within 48 hours of discharge -follow up with cardiology and rheumatology in the outaptient setting -continue with aspirin once a day, steroids once a day and famotidine for belly protection - rheumatology will help taper the steroids, for now continue taking them once a day.
Age: 8.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rash, Red blood cell sedimentation rate increased, SARS-CoV-2 antibody test, SARS-CoV-2 antibody test positive
Clinical narrative: 1/6 - 8 YR OLD PRESENTED TO THE ER AFTER 4 DAYS OF FEVER/MAX 103, GENERALIZED RASH, HA, SORE THROAT, ABDOMINAL PAIN, MALAISE, REDNESS OF HANDS. POSSIBLE COVID EXP 12/24/21, STREP/ COVID/FLU NEG AT DR OFFICE 1/3.   SYMPTOMS PROGRESSED, SENT TO ER-PRIMARY MD CONCERNED FOR MIS-C. UPON EVAL PT WAS ILL APPEARING, FEBRILE, TACHYCARDIC, HYPOTENSIVE 90/40. CONCERN FOR MIS-C VS. KAWASASKI VS. VIRAL EXANTHEM VS. TICK BORNE ILLNESS. ADMITTED TO UNIT FLOOR. REC'D IV FLUIDS, EMPIRIC CEFTRIAXONE, IVIG AND LOW DOSE ASPIRIN PER MIS-C PROTOCOL. 1/7 ADDED IV STEROIDS & LOVENOX.  Blood and urine cx NG >36 hours and at 5 days. Hospital course:  Blood and urine cx NG >36 hours & at 5 days, - Tick studies negative, Pancytopenia improving -Received 2nd dose of IVIG due to being febrile and symptomatic within 36 hours after 1st infusion -Kept on mIVF for hydration -Appetite improved over time -Developed Abdominal pain; abd XR showed prominent liver, inc LFTS; abd US showed diffuse inflammation in the abdomen involving multiple organs -Abdomen pain and LFTs improved over following days, no N/V, constipation or diarrhea  Discharge:  -Follow up with physician within 48 hours of discharge -follow up with cardiology and rheumatology in the outaptient setting -continue with aspirin once a day, steroids once a day and famotidine for belly protection - rheumatology will help taper the steroids, for now continue taking them once a day.
Age: 8.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, Serum ferritin increased, Streptococcus test negative, Tachycardia, Ultrasound abdomen abnormal
Clinical narrative: 1/6 - 8 YR OLD PRESENTED TO THE ER AFTER 4 DAYS OF FEVER/MAX 103, GENERALIZED RASH, HA, SORE THROAT, ABDOMINAL PAIN, MALAISE, REDNESS OF HANDS. POSSIBLE COVID EXP 12/24/21, STREP/ COVID/FLU NEG AT DR OFFICE 1/3.   SYMPTOMS PROGRESSED, SENT TO ER-PRIMARY MD CONCERNED FOR MIS-C. UPON EVAL PT WAS ILL APPEARING, FEBRILE, TACHYCARDIC, HYPOTENSIVE 90/40. CONCERN FOR MIS-C VS. KAWASASKI VS. VIRAL EXANTHEM VS. TICK BORNE ILLNESS. ADMITTED TO UNIT FLOOR. REC'D IV FLUIDS, EMPIRIC CEFTRIAXONE, IVIG AND LOW DOSE ASPIRIN PER MIS-C PROTOCOL. 1/7 ADDED IV STEROIDS & LOVENOX.  Blood and urine cx NG >36 hours and at 5 days. Hospital course:  Blood and urine cx NG >36 hours & at 5 days, - Tick studies negative, Pancytopenia improving -Received 2nd dose of IVIG due to being febrile and symptomatic within 36 hours after 1st infusion -Kept on mIVF for hydration -Appetite improved over time -Developed Abdominal pain; abd XR showed prominent liver, inc LFTS; abd US showed diffuse inflammation in the abdomen involving multiple organs -Abdomen pain and LFTs improved over following days, no N/V, constipation or diarrhea  Discharge:  -Follow up with physician within 48 hours of discharge -follow up with cardiology and rheumatology in the outaptient setting -continue with aspirin once a day, steroids once a day and famotidine for belly protection - rheumatology will help taper the steroids, for now continue taking them once a day.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Vaccine vial MAY have not been diluted prior to use, as a result the patient may have received a higher than approved dose. Parent/Caregiver was notified, no concerns or adverse effects noted.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Computerised tomogram normal, Condition aggravated, Dizziness, Dyspepsia
Clinical narrative: On May 3rd, I got up from dinner. I was staggering from room to room and was feeling indigestion, so I sat down and later went to bed. The next morning, I woke up and exercised as well as taking a 4 mile walk and then had another episode of staggering and indigestion. At the encouragement of my family, I went to the local hospital where they did a cat scan and EKG and blood work. I was seen by a cardiologist and a neurologist. They were thinking of releasing me but that night I woke up and sat up but felt very dizzy and requested to stay longer. I also have tinnitus in one ear and use a hearing aide so they brought in an ENT doctor who said that there is a possibility of Meniere's disease. The doctors did not suspect a heart attack or stroke and were not concerned about my heart, so they released me on the 6th. They did change my blood pressure medication when I was hospitalized due to my blood pressure being too low. I have not been feeling quite well since then and have been having issues in my neck. I have experienced neck issues in the past due to a car accident, but it has been worse than normal.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Gait disturbance, Hearing aid user, Hypotension, Malaise
Clinical narrative: On May 3rd, I got up from dinner. I was staggering from room to room and was feeling indigestion, so I sat down and later went to bed. The next morning, I woke up and exercised as well as taking a 4 mile walk and then had another episode of staggering and indigestion. At the encouragement of my family, I went to the local hospital where they did a cat scan and EKG and blood work. I was seen by a cardiologist and a neurologist. They were thinking of releasing me but that night I woke up and sat up but felt very dizzy and requested to stay longer. I also have tinnitus in one ear and use a hearing aide so they brought in an ENT doctor who said that there is a possibility of Meniere's disease. The doctors did not suspect a heart attack or stroke and were not concerned about my heart, so they released me on the 6th. They did change my blood pressure medication when I was hospitalized due to my blood pressure being too low. I have not been feeling quite well since then and have been having issues in my neck. I have experienced neck issues in the past due to a car accident, but it has been worse than normal.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal discomfort, Tinnitus
Clinical narrative: On May 3rd, I got up from dinner. I was staggering from room to room and was feeling indigestion, so I sat down and later went to bed. The next morning, I woke up and exercised as well as taking a 4 mile walk and then had another episode of staggering and indigestion. At the encouragement of my family, I went to the local hospital where they did a cat scan and EKG and blood work. I was seen by a cardiologist and a neurologist. They were thinking of releasing me but that night I woke up and sat up but felt very dizzy and requested to stay longer. I also have tinnitus in one ear and use a hearing aide so they brought in an ENT doctor who said that there is a possibility of Meniere's disease. The doctors did not suspect a heart attack or stroke and were not concerned about my heart, so they released me on the 6th. They did change my blood pressure medication when I was hospitalized due to my blood pressure being too low. I have not been feeling quite well since then and have been having issues in my neck. I have experienced neck issues in the past due to a car accident, but it has been worse than normal.
Age: 25.0
Sex: F
Vaccine: HPV9
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Pt did not have an adverse reaction or outcome however she was dosed with Gardasil 4 on 2/9/2012, 4/17/2012, 9/10/2012 and then dosed with Gardasil 9 on 2/6/2020, 4/6/2020, 4/13/2022
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Neuralgia, Pain in extremity
Clinical narrative: Strong nerve pain on left side, particularly left foot, that has continued off and on through present date. I did not seek any treatment for this. However,for the booster I chose J&J on 11/05/2021
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation reaction, Oral herpes, Vaccination site pain
Clinical narrative: He got his vaccine, had some soreness where he got his vaccine, nothing dramatic other than the soreness.  About a week later he started getting cold sores which he had with the 3rd vaccine.  He went to his dentist who informed him that she had had other patient's who had the vaccine and also developed cold sores from the vaccine.  He used Abreva for the cold sores and he still has some, but they are getting better.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, Productive cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: The morning of May 3 I woke up with a sever sore throat and a fever of 101.3 and normally I would just treat a sore throat and I would normally just write it off as sinus or allergies. The fever indicated something else so we tested and I tested positive but my husband was negative. I then called my doctor I  sent them a positive test picture and they talked about infusion or medication. I really didn't want to be in the infusion center around other COVID Positive people. They prescribed me Paxlovid they gave me 2 pills instead of 3 because of the Gilbert syndrome. I isolated in the lower part of my house and cleaned everything upstairs to keep my spouse from getting ill. I kept record of my fever for 3 days and I don't have a fever now. I then came up with a productive cough. At first it seemed like it would be triggered and now I just have a cough with some mucus. Today was the first day I had a negative test and I'm now having just sinus issues because I have been working outside for the past few days. I have not taken my Atorvastatin per the pharmacist they didn't want the two medications to be taken around the same time. Not for at least three days after taking the Paxlovid.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus disorder, Vaccine breakthrough infection
Clinical narrative: The morning of May 3 I woke up with a sever sore throat and a fever of 101.3 and normally I would just treat a sore throat and I would normally just write it off as sinus or allergies. The fever indicated something else so we tested and I tested positive but my husband was negative. I then called my doctor I  sent them a positive test picture and they talked about infusion or medication. I really didn't want to be in the infusion center around other COVID Positive people. They prescribed me Paxlovid they gave me 2 pills instead of 3 because of the Gilbert syndrome. I isolated in the lower part of my house and cleaned everything upstairs to keep my spouse from getting ill. I kept record of my fever for 3 days and I don't have a fever now. I then came up with a productive cough. At first it seemed like it would be triggered and now I just have a cough with some mucus. Today was the first day I had a negative test and I'm now having just sinus issues because I have been working outside for the past few days. I have not taken my Atorvastatin per the pharmacist they didn't want the two medications to be taken around the same time. Not for at least three days after taking the Paxlovid.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Vaccine vial MAY have not been diluted prior to use, as a result the patient may have received a higher than approved dose. Parent/Caregiver was notified, no concerns or adverse effects noted.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Death of relative, Electrocardiogram ambulatory normal, Heart rate increased, Palpitations
Clinical narrative: Prior to my vaccines February 2021 I began to have heart palpitations I had issues with getting into a doctors office. I had to wait to see my cardiologist in March 2021, They did blood tests and Holter monitors showing everything was fine except my thyroid levels. I then met with cardiologists in May 2021 and I was originally taking the generic brand of Synthroid  and I was then after meeting my cardiologist, given name brand Synthroid and my thyroid level stabilized however the heart palpitations continued. The palpitations continued and are still continuing today. Metoprolol was given and it seems to help a lot with my palpitations. I had another Holter monitor test in April 2022. I have had two major life events. My husband had a stroke June 4th 2021, we had caregivers,  on April 13th, 2022 he had a heart attack and passed away. During this time however my Holter monitor never showed any issues. I am still experiencing higher heart rates still to this day.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid function test abnormal
Clinical narrative: Prior to my vaccines February 2021 I began to have heart palpitations I had issues with getting into a doctors office. I had to wait to see my cardiologist in March 2021, They did blood tests and Holter monitors showing everything was fine except my thyroid levels. I then met with cardiologists in May 2021 and I was originally taking the generic brand of Synthroid  and I was then after meeting my cardiologist, given name brand Synthroid and my thyroid level stabilized however the heart palpitations continued. The palpitations continued and are still continuing today. Metoprolol was given and it seems to help a lot with my palpitations. I had another Holter monitor test in April 2022. I have had two major life events. My husband had a stroke June 4th 2021, we had caregivers,  on April 13th, 2022 he had a heart attack and passed away. During this time however my Holter monitor never showed any issues. I am still experiencing higher heart rates still to this day.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction to the vaccine. The vaccine is administered, after the deadline of April 1, 2022. Vaccine is not expired.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Sensory disturbance, Swollen tongue
Clinical narrative: Tongue numb, prickly a bit swollen, face felt off. Tingling and numbness all the way down arm and into fingers, also tingling and numbness from underarm to halfway down waist.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria
Clinical narrative: I broke out in Hives only around site of injection. I took Benadryl and put Hydrocortisone Benadryl cream on it.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, Pyrexia, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: Breakthrough case of COVID-19: I was not feeling well, I took a rapid test and my results were positive. I had a slight fever and a tingle in my throat.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID-19: I was not feeling well, I took a rapid test and my results were positive. I had a slight fever and a tingle in my throat.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Vaccine vial MAY have not been diluted prior to use, as a result the patient may have received a higher than approved dose. Parent/Caregiver was notified, no concerns or adverse effects noted.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Erythema, Fatigue, Pain in extremity
Clinical narrative: Chills, redness, sore arm, fatigue, low energy.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Vaccine vial MAY have not been diluted prior to use, as a result the patient may have received a higher than approved dose. Parent/Caregiver was notified, no concerns or adverse effects noted.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Patient presented to mobile vaccine clinic with Covid card and ID, No indication of booster dose noted on card.  Primary Series documented completed on 8/26/21 and 11/5/21.  Patient indicated he was there for "Booster #1".  Given booster by Nurse, documented as Booster #1.  Upon entering information into agency, found that patient had Booster #1 on 4/22/22 at pharmacy.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chemotherapy, Computerised tomogram abdomen normal, Diarrhoea, Nausea
Clinical narrative: COVID 19 BREAKTHROUGH: 93 y/o female presents to the ED at a HCF with the CC of N/V/D x 1-2 months. Patient with PMH of Uterine/Cervical CA w/ mets to Peritoneum cavity and Malignant ascites last Chemo 4/4/22, Advance age, HLD, Dementia, HTN presented to the ED due to N/V/D x 1-2months. I called and spoke w/ daughter and husband. Pt lives w/ her daughter and husband. Daughter states that pt has not had a EGD or C scope in 15+ years. States that pt recently had a "clean CT abd 4/27" hence decided to stop Chemo; last Chemo was 4/4. BOOSTER 11-13-21
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vaccine breakthrough infection, Vomiting
Clinical narrative: COVID 19 BREAKTHROUGH: 93 y/o female presents to the ED at a HCF with the CC of N/V/D x 1-2 months. Patient with PMH of Uterine/Cervical CA w/ mets to Peritoneum cavity and Malignant ascites last Chemo 4/4/22, Advance age, HLD, Dementia, HTN presented to the ED due to N/V/D x 1-2months. I called and spoke w/ daughter and husband. Pt lives w/ her daughter and husband. Daughter states that pt has not had a EGD or C scope in 15+ years. States that pt recently had a "clean CT abd 4/27" hence decided to stop Chemo; last Chemo was 4/4. BOOSTER 11-13-21
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: diluted 0.3ml normal saline with grey top
Age: 5.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product preparation issue
Clinical narrative: Vaccine vial MAY have not been diluted prior to use, as a result the patient may have received a higher than approved dose. Parent/Caregiver was notified, no concerns or adverse effects noted. 2nd dose 04/27/22 may also have been affected.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The product wasn't stored according to the labeling and was kept in the refrigerator longer than what the manufacturer requires.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Fever, diarrhea and intermittent vomiting for  every 6-7 days for a month
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Dizziness, Fatigue, Mobility decreased, Nausea
Clinical narrative: About 9 pm, 11 hours after booster, high fever of 101 which lasted all night., upset stomach. About 14 hours after booster, severe nausea, dry heaving, some throwing up, light headed, didn't want to move because of nausea.  Lasted several hours. No sleep. Next morning, nausea almost gone, very tired.  Fever abated by mid morning. Fatigue the two days after booster.  I had no symptoms with first three shots except for sore arm.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Retching, Sleep disorder, Vomiting
Clinical narrative: About 9 pm, 11 hours after booster, high fever of 101 which lasted all night., upset stomach. About 14 hours after booster, severe nausea, dry heaving, some throwing up, light headed, didn't want to move because of nausea.  Lasted several hours. No sleep. Next morning, nausea almost gone, very tired.  Fever abated by mid morning. Fatigue the two days after booster.  I had no symptoms with first three shots except for sore arm.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Breast pain, Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain
Clinical narrative: Immediately after the vaccine, I felt pain at the injection site. The pain went all the way to my breast. It is so painful that I can not lift arms up and limited range of motion. It is very weak and is worse at nights. It is painful to the touch. Eventually the pain went away from breast area. I went to my doctor and waiting for approval from my insurance to get x-rays. The pain still continues to this day.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Mobility decreased, Tenderness
Clinical narrative: Immediately after the vaccine, I felt pain at the injection site. The pain went all the way to my breast. It is so painful that I can not lift arms up and limited range of motion. It is very weak and is worse at nights. It is painful to the touch. Eventually the pain went away from breast area. I went to my doctor and waiting for approval from my insurance to get x-rays. The pain still continues to this day.