chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Abnormal faeces, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood fibrinogen increased, Blood lactate dehydrogenase increased
Clinical narrative: The patient developed low grade fevers 24 hours after his flu vaccine  and pfizer booster. Approx 48 hours after the vaccines, his fevers started spiking to tmax 103.7. He was treated at home until 12/26 with alternating ibuprofen and tylenol until 12/26 when, upon discussion with his primary care doc, me, he went to the ER. In ER noted to be hypotensive, tachycardic, and w fever. Also developed vomiting. Given fluids and ceftriaxone. Noted to have elevated troponin, crp, ldh. Normal chest xray. EKG with mild t wave abnormalities which resolved on second EKG. Normal bedside echo. Stabilized, sent to ICU for monitoring. Labs generally improved. Formal Echo normal. On 12/27 developed GI bleed w melanotic stool. sent for EGD and colonoscopy which showed possible mallory weiss tear/gastritis. Placed on protonix and received blood transfusion for drop of hemoglobin from 13 to 8. Advanced diet slowly.  Meanwhile ebv serology came back igm positive, heterophile neg. CMV igm also positive. NO EBV DNA found.  Patient stablized well with down trending troponins and inflammatory markers Hemoglobin stable able to eat and drink Discharged home on protonix and carafate on 12/30/21 Ultimately diagnosed with EBV and hyperinflammatory state. No Misc given self resolving fever and downtrending inflammation without treatement. No myocarditis given normal echo, ekgs, and normal cardiac MRI. It was felt that the elevated troponins were due to cross reactivity with EBV.
Age: 18.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Brain natriuretic peptide normal, C-reactive protein increased, Cardiac imaging procedure normal, Chest X-ray normal, Colonoscopy
Clinical narrative: The patient developed low grade fevers 24 hours after his flu vaccine  and pfizer booster. Approx 48 hours after the vaccines, his fevers started spiking to tmax 103.7. He was treated at home until 12/26 with alternating ibuprofen and tylenol until 12/26 when, upon discussion with his primary care doc, me, he went to the ER. In ER noted to be hypotensive, tachycardic, and w fever. Also developed vomiting. Given fluids and ceftriaxone. Noted to have elevated troponin, crp, ldh. Normal chest xray. EKG with mild t wave abnormalities which resolved on second EKG. Normal bedside echo. Stabilized, sent to ICU for monitoring. Labs generally improved. Formal Echo normal. On 12/27 developed GI bleed w melanotic stool. sent for EGD and colonoscopy which showed possible mallory weiss tear/gastritis. Placed on protonix and received blood transfusion for drop of hemoglobin from 13 to 8. Advanced diet slowly.  Meanwhile ebv serology came back igm positive, heterophile neg. CMV igm also positive. NO EBV DNA found.  Patient stablized well with down trending troponins and inflammatory markers Hemoglobin stable able to eat and drink Discharged home on protonix and carafate on 12/30/21 Ultimately diagnosed with EBV and hyperinflammatory state. No Misc given self resolving fever and downtrending inflammation without treatement. No myocarditis given normal echo, ekgs, and normal cardiac MRI. It was felt that the elevated troponins were due to cross reactivity with EBV.
Age: 18.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Cytomegalovirus test positive, Echocardiogram normal, Electrocardiogram T wave abnormal, Epstein-Barr virus antibody positive, Epstein-Barr virus infection
Clinical narrative: The patient developed low grade fevers 24 hours after his flu vaccine  and pfizer booster. Approx 48 hours after the vaccines, his fevers started spiking to tmax 103.7. He was treated at home until 12/26 with alternating ibuprofen and tylenol until 12/26 when, upon discussion with his primary care doc, me, he went to the ER. In ER noted to be hypotensive, tachycardic, and w fever. Also developed vomiting. Given fluids and ceftriaxone. Noted to have elevated troponin, crp, ldh. Normal chest xray. EKG with mild t wave abnormalities which resolved on second EKG. Normal bedside echo. Stabilized, sent to ICU for monitoring. Labs generally improved. Formal Echo normal. On 12/27 developed GI bleed w melanotic stool. sent for EGD and colonoscopy which showed possible mallory weiss tear/gastritis. Placed on protonix and received blood transfusion for drop of hemoglobin from 13 to 8. Advanced diet slowly.  Meanwhile ebv serology came back igm positive, heterophile neg. CMV igm also positive. NO EBV DNA found.  Patient stablized well with down trending troponins and inflammatory markers Hemoglobin stable able to eat and drink Discharged home on protonix and carafate on 12/30/21 Ultimately diagnosed with EBV and hyperinflammatory state. No Misc given self resolving fever and downtrending inflammation without treatement. No myocarditis given normal echo, ekgs, and normal cardiac MRI. It was felt that the elevated troponins were due to cross reactivity with EBV.
Age: 18.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Fibrin D dimer increased, Gastrointestinal haemorrhage, Haemoglobin decreased, Hypotension, Inflammation
Clinical narrative: The patient developed low grade fevers 24 hours after his flu vaccine  and pfizer booster. Approx 48 hours after the vaccines, his fevers started spiking to tmax 103.7. He was treated at home until 12/26 with alternating ibuprofen and tylenol until 12/26 when, upon discussion with his primary care doc, me, he went to the ER. In ER noted to be hypotensive, tachycardic, and w fever. Also developed vomiting. Given fluids and ceftriaxone. Noted to have elevated troponin, crp, ldh. Normal chest xray. EKG with mild t wave abnormalities which resolved on second EKG. Normal bedside echo. Stabilized, sent to ICU for monitoring. Labs generally improved. Formal Echo normal. On 12/27 developed GI bleed w melanotic stool. sent for EGD and colonoscopy which showed possible mallory weiss tear/gastritis. Placed on protonix and received blood transfusion for drop of hemoglobin from 13 to 8. Advanced diet slowly.  Meanwhile ebv serology came back igm positive, heterophile neg. CMV igm also positive. NO EBV DNA found.  Patient stablized well with down trending troponins and inflammatory markers Hemoglobin stable able to eat and drink Discharged home on protonix and carafate on 12/30/21 Ultimately diagnosed with EBV and hyperinflammatory state. No Misc given self resolving fever and downtrending inflammation without treatement. No myocarditis given normal echo, ekgs, and normal cardiac MRI. It was felt that the elevated troponins were due to cross reactivity with EBV.
Age: 18.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Inflammatory marker test, Intensive care, International normalised ratio decreased, Oesophagogastroduodenoscopy, Parvovirus B19 test positive
Clinical narrative: The patient developed low grade fevers 24 hours after his flu vaccine  and pfizer booster. Approx 48 hours after the vaccines, his fevers started spiking to tmax 103.7. He was treated at home until 12/26 with alternating ibuprofen and tylenol until 12/26 when, upon discussion with his primary care doc, me, he went to the ER. In ER noted to be hypotensive, tachycardic, and w fever. Also developed vomiting. Given fluids and ceftriaxone. Noted to have elevated troponin, crp, ldh. Normal chest xray. EKG with mild t wave abnormalities which resolved on second EKG. Normal bedside echo. Stabilized, sent to ICU for monitoring. Labs generally improved. Formal Echo normal. On 12/27 developed GI bleed w melanotic stool. sent for EGD and colonoscopy which showed possible mallory weiss tear/gastritis. Placed on protonix and received blood transfusion for drop of hemoglobin from 13 to 8. Advanced diet slowly.  Meanwhile ebv serology came back igm positive, heterophile neg. CMV igm also positive. NO EBV DNA found.  Patient stablized well with down trending troponins and inflammatory markers Hemoglobin stable able to eat and drink Discharged home on protonix and carafate on 12/30/21 Ultimately diagnosed with EBV and hyperinflammatory state. No Misc given self resolving fever and downtrending inflammation without treatement. No myocarditis given normal echo, ekgs, and normal cardiac MRI. It was felt that the elevated troponins were due to cross reactivity with EBV.
Age: 18.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Prothrombin time prolonged, Pyrexia, Tachycardia, Transfusion, Troponin increased
Clinical narrative: The patient developed low grade fevers 24 hours after his flu vaccine  and pfizer booster. Approx 48 hours after the vaccines, his fevers started spiking to tmax 103.7. He was treated at home until 12/26 with alternating ibuprofen and tylenol until 12/26 when, upon discussion with his primary care doc, me, he went to the ER. In ER noted to be hypotensive, tachycardic, and w fever. Also developed vomiting. Given fluids and ceftriaxone. Noted to have elevated troponin, crp, ldh. Normal chest xray. EKG with mild t wave abnormalities which resolved on second EKG. Normal bedside echo. Stabilized, sent to ICU for monitoring. Labs generally improved. Formal Echo normal. On 12/27 developed GI bleed w melanotic stool. sent for EGD and colonoscopy which showed possible mallory weiss tear/gastritis. Placed on protonix and received blood transfusion for drop of hemoglobin from 13 to 8. Advanced diet slowly.  Meanwhile ebv serology came back igm positive, heterophile neg. CMV igm also positive. NO EBV DNA found.  Patient stablized well with down trending troponins and inflammatory markers Hemoglobin stable able to eat and drink Discharged home on protonix and carafate on 12/30/21 Ultimately diagnosed with EBV and hyperinflammatory state. No Misc given self resolving fever and downtrending inflammation without treatement. No myocarditis given normal echo, ekgs, and normal cardiac MRI. It was felt that the elevated troponins were due to cross reactivity with EBV.
Age: 18.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Vomiting
Clinical narrative: The patient developed low grade fevers 24 hours after his flu vaccine  and pfizer booster. Approx 48 hours after the vaccines, his fevers started spiking to tmax 103.7. He was treated at home until 12/26 with alternating ibuprofen and tylenol until 12/26 when, upon discussion with his primary care doc, me, he went to the ER. In ER noted to be hypotensive, tachycardic, and w fever. Also developed vomiting. Given fluids and ceftriaxone. Noted to have elevated troponin, crp, ldh. Normal chest xray. EKG with mild t wave abnormalities which resolved on second EKG. Normal bedside echo. Stabilized, sent to ICU for monitoring. Labs generally improved. Formal Echo normal. On 12/27 developed GI bleed w melanotic stool. sent for EGD and colonoscopy which showed possible mallory weiss tear/gastritis. Placed on protonix and received blood transfusion for drop of hemoglobin from 13 to 8. Advanced diet slowly.  Meanwhile ebv serology came back igm positive, heterophile neg. CMV igm also positive. NO EBV DNA found.  Patient stablized well with down trending troponins and inflammatory markers Hemoglobin stable able to eat and drink Discharged home on protonix and carafate on 12/30/21 Ultimately diagnosed with EBV and hyperinflammatory state. No Misc given self resolving fever and downtrending inflammation without treatement. No myocarditis given normal echo, ekgs, and normal cardiac MRI. It was felt that the elevated troponins were due to cross reactivity with EBV.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Fatigue, Headache
Clinical narrative: Headache, dizziness, fatigue, extreme nausea, vomiting,  diarrhea, body aches,  chills - symptoms intensified 12/29/2021
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Vomiting
Clinical narrative: Headache, dizziness, fatigue, extreme nausea, vomiting,  diarrhea, body aches,  chills - symptoms intensified 12/29/2021
Age: 9.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Eye movement disorder, Feeling abnormal, Feeling hot, Syncope
Clinical narrative: Patient was sitting for observation and told father he did not feel good, his eyes rolled back and he fainted . Patient stated he felt hot .
Age: 9.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, Dyskinesia, Eye movement disorder, Loss of consciousness
Clinical narrative: Patient was sitting for observation and told father he did not feel good, his eyes rolled back and he fainted . Patient stated he felt hot .
Age: 9.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Eye movement disorder, Feeling abnormal, Feeling hot, Syncope
Clinical narrative: 10 minutes after shot eyes rolled back into head and arms drew up and went unconscious for 5 seconds.
Age: 9.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, Dyskinesia, Eye movement disorder, Loss of consciousness
Clinical narrative: 10 minutes after shot eyes rolled back into head and arms drew up and went unconscious for 5 seconds.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood test normal, Decreased appetite, Dizziness, Ear discomfort
Clinical narrative: Severe pain in left arm a few hours after vaccination.  Within 10 Hours, awoke in the middle of the night with body aches all over, severe pain in left arm, head pulsating, increased blood flow, head pounding, severe ringing in ears.  Within days, massive swelling of sinuses, head pressure, post nasal drip, feeling of 'hot ears', nausea, brain fog, no appetite, Massive ear ringing continues, cannot function properly due to severity of noise.  Severe anxiety, nervous system activated.  Tachycardia during the night for several weeks.  Dizziness and vertigo on occasion for several weeks
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Feeling abnormal, Feeling hot, Head discomfort, Headache
Clinical narrative: Severe pain in left arm a few hours after vaccination.  Within 10 Hours, awoke in the middle of the night with body aches all over, severe pain in left arm, head pulsating, increased blood flow, head pounding, severe ringing in ears.  Within days, massive swelling of sinuses, head pressure, post nasal drip, feeling of 'hot ears', nausea, brain fog, no appetite, Massive ear ringing continues, cannot function properly due to severity of noise.  Severe anxiety, nervous system activated.  Tachycardia during the night for several weeks.  Dizziness and vertigo on occasion for several weeks
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Nausea, Nervous system disorder, Pain, Pain in extremity
Clinical narrative: Severe pain in left arm a few hours after vaccination.  Within 10 Hours, awoke in the middle of the night with body aches all over, severe pain in left arm, head pulsating, increased blood flow, head pounding, severe ringing in ears.  Within days, massive swelling of sinuses, head pressure, post nasal drip, feeling of 'hot ears', nausea, brain fog, no appetite, Massive ear ringing continues, cannot function properly due to severity of noise.  Severe anxiety, nervous system activated.  Tachycardia during the night for several weeks.  Dizziness and vertigo on occasion for several weeks
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Sensation of blood flow, Sleep disorder, Swelling, Tachycardia, Tinnitus
Clinical narrative: Severe pain in left arm a few hours after vaccination.  Within 10 Hours, awoke in the middle of the night with body aches all over, severe pain in left arm, head pulsating, increased blood flow, head pounding, severe ringing in ears.  Within days, massive swelling of sinuses, head pressure, post nasal drip, feeling of 'hot ears', nausea, brain fog, no appetite, Massive ear ringing continues, cannot function properly due to severity of noise.  Severe anxiety, nervous system activated.  Tachycardia during the night for several weeks.  Dizziness and vertigo on occasion for several weeks
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Upper-airway cough syndrome, Vertigo
Clinical narrative: Severe pain in left arm a few hours after vaccination.  Within 10 Hours, awoke in the middle of the night with body aches all over, severe pain in left arm, head pulsating, increased blood flow, head pounding, severe ringing in ears.  Within days, massive swelling of sinuses, head pressure, post nasal drip, feeling of 'hot ears', nausea, brain fog, no appetite, Massive ear ringing continues, cannot function properly due to severity of noise.  Severe anxiety, nervous system activated.  Tachycardia during the night for several weeks.  Dizziness and vertigo on occasion for several weeks
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Infection, Vaccine breakthrough infection
Clinical narrative: This patient was admitted to Hospital on 12/24/2021 for complications caused by COVID-19 infection. This is considered a breakthrough case.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Lip swelling, Swelling face, Throat irritation
Clinical narrative: Swelling of eyes, lips cheeks. Scratchy throat. Was told to take Benadryl every four hours for the next three days.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral
Clinical narrative: Swollen left armpit
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Vaccine breakthrough infection
Clinical narrative: Patient was admitted to Hospital  on 12/27/2021 for COVID pneumonia. This is considered a breakthrough case.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT RECEIVED A JANSSEN VACCINE BUT IS UNDER THE AGE OF 18.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Angiocardiogram, Cardioversion, Coronary arterial stent insertion, Coronary artery occlusion, Echocardiogram
Clinical narrative: November 23, 2021 MI 100% LAD occlusion proximal to previous stent.  New stent placed, accompanied by 7-8 defibrillations
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial infarction, Surgical procedure repeated
Clinical narrative: November 23, 2021 MI 100% LAD occlusion proximal to previous stent.  New stent placed, accompanied by 7-8 defibrillations
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Oesophageal spasm, Pain, Sleep disorder
Clinical narrative: experienced sharp chest pain on right side that woke me up 2:07 ish am Oct 25 2021 took ipuprofin at 2:40 am, pain subsided at 5:00 am, went back to sleep 10:00 AM noticed pain returned, went to walk in at health center they gave me a combo of antacid (over the counter) and antispasmic (need to be perscribed) and said it was most likely an esophagal spasm. Prescribed Dicyclomine HCl 10 MG CAPS, to be taken 30 min before eating because pain became worse while eating. Took this for about a week until pain subsided.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Skin warm, Vaccination complication
Clinical narrative: COVID ARM; RED, SWOLLEN, WARM TO THE TOUCH; LASTED 4 DAYS; PUT ICE ON IT, AND IT HAS GONE DOWN SIGNIFICANTLY
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: pt 4 years 362 days received pediatric pfizer vacc.  No adverse reactions
Age: 30.0
Sex: M
Vaccine: COVID19, FLUX
Symptoms: Arthralgia, Joint swelling
Clinical narrative: Painful and extreme swelling of my elbow.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Cold sweat, Decreased appetite, Fatigue
Clinical narrative: 12/28 - got chills two hours after. Took two Tylenol  12/29 - woke up with muscle pain focused in my back and legs but it traveled. Very fatigued. Constant headache.  Loss of appetite. Felt very cold in the morning. Took two Tylenol every 6 hours and used a heating pad.  12/30 - Constant headache and reduced appetite.  Took two Tylenol every 6 hours. Nausea came in waves. That night around 9:30 pm got very nauseous, bad headache and cold sweats.  12/31 - bad headache and took migraine medicine that afternoon. It helped some but headache was still there. Very tired. Not hungry.  1/1 - Around 12:30 a.m. got very nauseous and threw up. Bad headache. Laid down with a heating pad. As the day has progressed, I still have a headache but not as bad. Still fatigued. Nausea and feeling hot comes in waves.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Feeling hot, Headache, Myalgia, Nausea
Clinical narrative: 12/28 - got chills two hours after. Took two Tylenol  12/29 - woke up with muscle pain focused in my back and legs but it traveled. Very fatigued. Constant headache.  Loss of appetite. Felt very cold in the morning. Took two Tylenol every 6 hours and used a heating pad.  12/30 - Constant headache and reduced appetite.  Took two Tylenol every 6 hours. Nausea came in waves. That night around 9:30 pm got very nauseous, bad headache and cold sweats.  12/31 - bad headache and took migraine medicine that afternoon. It helped some but headache was still there. Very tired. Not hungry.  1/1 - Around 12:30 a.m. got very nauseous and threw up. Bad headache. Laid down with a heating pad. As the day has progressed, I still have a headache but not as bad. Still fatigued. Nausea and feeling hot comes in waves.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Vomiting
Clinical narrative: 12/28 - got chills two hours after. Took two Tylenol  12/29 - woke up with muscle pain focused in my back and legs but it traveled. Very fatigued. Constant headache.  Loss of appetite. Felt very cold in the morning. Took two Tylenol every 6 hours and used a heating pad.  12/30 - Constant headache and reduced appetite.  Took two Tylenol every 6 hours. Nausea came in waves. That night around 9:30 pm got very nauseous, bad headache and cold sweats.  12/31 - bad headache and took migraine medicine that afternoon. It helped some but headache was still there. Very tired. Not hungry.  1/1 - Around 12:30 a.m. got very nauseous and threw up. Bad headache. Laid down with a heating pad. As the day has progressed, I still have a headache but not as bad. Still fatigued. Nausea and feeling hot comes in waves.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Red rash on face
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Mobility decreased, Nausea
Clinical narrative: The evening of my vaccination I felt very light headed.  Also my joints were very achey and I was nauseous.  The next day I was not able to be out of bed for very long due to the same symptoms.  The symptoms eventually got better, but they have recurred every few days or so since that time.  I am still experiencing light headedness and joint aches on a regular basis to this day.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Nausea, Pain, Pyrexia
Clinical narrative: Fever 103 Aches Sweating Nauseous  Headache
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fungal test negative, Pityriasis rosea
Clinical narrative: Pityriasis Rosea
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Induration, Lymphadenopathy, Skin warm
Clinical narrative: Systemic: Lymph Node Swelling-Severe, Additional Details: under left arm pit softball size swollen lymph node, hard and hot to the touch
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Endotracheal intubation, SARS-CoV-2 test positive
Clinical narrative: Breakthrough Covid 19.  Received 1st dose 4/12/2021.  Pt with PMHX-AICD/Pacemaker, Heart failure, HTN, DM, CAD/MI.  Presented with increasing SOB/Cough.  Treated with IV Steroids/IV Abx and eventually required intubation.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid 19.  Received 1st dose 4/12/2021.  Pt with PMHX-AICD/Pacemaker, Heart failure, HTN, DM, CAD/MI.  Presented with increasing SOB/Cough.  Treated with IV Steroids/IV Abx and eventually required intubation.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Site: Swelling at Injection Site-Medium
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary mass, Injection site swelling, Lymphadenopathy, Oropharyngeal pain
Clinical narrative: Site: Swelling at Injection Site-Mild, Systemic: Lymph Node Swelling-Medium, Additional Details: pt states he has a large lump under left arm and sore throat
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Pain in extremity, Rheumatoid factor
Clinical narrative: Severe Foot pain in both feet that has gotten worse since onset.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia, Syncope
Clinical narrative: Patient states he began to experience chills, syncope, and fever reaching 102.8 at around 7pm on 12/23, and had to go to the ED on 12/24 where he had to remain overnight and was treated with IV fluids and acetaminophen. He was told his syncope was unrelated to the vaccine, and is not certain if he received any other medications.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Urticaria
Clinical narrative: Started developing diffuse urticaria and new-onset dermatographism 11 days after the vaccine. Treated with antihistamine Zyrtec up to 30 mg daily and as needed Benadryl for about 3 weeks and then as needed. Improved significantly after 3 weeks but has not yet fully resolved nearly 6 weeks later
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Blood potassium decreased, COVID-19, Condition aggravated, SARS-CoV-2 test positive
Clinical narrative: Covid 19 breakthrough.  1st Vaccine received 03/12/2021.  Pt presented to ED from SNF with Rapid Afib, low potassium and +Covid19 infection.  Treated with IV ABX/Steroids.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Covid 19 breakthrough.  1st Vaccine received 03/12/2021.  Pt presented to ED from SNF with Rapid Afib, low potassium and +Covid19 infection.  Treated with IV ABX/Steroids.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial flutter, Heart rate increased, Injection site pain, Resuscitation
Clinical narrative: Heart rate increase to 140-150 BPM A.Flutter had to be treated with shock to heart twice.  Arm still hurts from injection.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Lethargy, Malaise, Pain, Pain in extremity
Clinical narrative: Initially the following day after the vaccine patient experienced the expected s/s of fever, lethargy, malaise, and body aches. However, those systems ceased after approximately 4-5 days. Later he complained of pain in his left upper leg. I figured the previously reaction to the vaccine my have sent him into a Sickle Cell Crisis and treated him accordingly. However, the systems of upper thigh/hip pain has continued still to this day. He went to see his PCP and a Pelvis/Hip xray was performed and it was normal. However, his pain and limp continuous. I took him to his Hematologist and it was decided if the pain continues that we would obtain MRI. At this date, I have requested the MRI.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, X-ray of pelvis and hip normal
Clinical narrative: Initially the following day after the vaccine patient experienced the expected s/s of fever, lethargy, malaise, and body aches. However, those systems ceased after approximately 4-5 days. Later he complained of pain in his left upper leg. I figured the previously reaction to the vaccine my have sent him into a Sickle Cell Crisis and treated him accordingly. However, the systems of upper thigh/hip pain has continued still to this day. He went to see his PCP and a Pelvis/Hip xray was performed and it was normal. However, his pain and limp continuous. I took him to his Hematologist and it was decided if the pain continues that we would obtain MRI. At this date, I have requested the MRI.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Pain, Vertigo
Clinical narrative: Vertigo, fatigue, generalized aches and pain especially in joints
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Injury associated with device, Syringe issue
Clinical narrative: Needlestick injury to the healthcare provider, due to incorrect movement of the syringe and needle towards the sharps container.
Age: 30.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Joint swelling, Peripheral swelling, Pruritus, Urticaria
Clinical narrative: Almost two weeks after receiving moderna booster along with flu shot I woke up itchy and broke out in hives. Later that day swelling began in my fingers, feet, and knees. Hives and swelling still persist.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Intensive care, Near death experience, Pulmonary embolism
Clinical narrative: I had massive bilateral pulmonary emboli and I almost died.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast, Ultrasound Doppler
Clinical narrative: I had massive bilateral pulmonary emboli and I almost died.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever of 100F, chills, body ache and headache. Took 2 Tylenol every 4 hours. Felt better by 1:00pm 06/18/2021 but tired until next day.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Condition aggravated, Diabetic ketoacidosis, Fatigue
Clinical narrative: Covid 19 breakthrough infection.  Vaccinated with Janssen on 04/12/2021.  Pt presented to the ER with c/o nausea and vomiting, Fatigue and back pain that began 12/28/2021.  Pt found to be in DKA and Covid +   Treated with glucommander, HGA1C 9.0.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin, Nausea, SARS-CoV-2 test positive, Vaccine breakthrough infection, Vomiting
Clinical narrative: Covid 19 breakthrough infection.  Vaccinated with Janssen on 04/12/2021.  Pt presented to the ER with c/o nausea and vomiting, Fatigue and back pain that began 12/28/2021.  Pt found to be in DKA and Covid +   Treated with glucommander, HGA1C 9.0.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac monitoring abnormal, Palpitations
Clinical narrative: Severe and frequent heart palpitations
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives on outside elbows, back of thighs, and chin
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever, fatigue, headache, body aches, chills
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Malaise, Mobility decreased
Clinical narrative: Chest heaviness (felt like he had a heavy weight on his chest) diffuse weakness, was unable to get out of bed except for bathroom for several days. Still does not feel he is completely over the side effect
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysgeusia, Pruritus
Clinical narrative: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Additional Details: patient reported a benign metallic taste in mouth
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dysgeusia, Immunisation
Clinical narrative: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Additional Details: patient reported a benign metallic taste in mouth
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Blood test normal, Dizziness, Exercise tolerance decreased, Fatigue
Clinical narrative: Lightheaded, headaches, extreme fatigue, insomnia, exercise intolerance, inability to tolerate heat, excessive sweating, tachycardia, blurry vision, heavy legs and intermittent anxiety starting about 1-2 weeks after 2nd dose of vaccine; and increasing in severity over summer. Diagnosed with POTS via tilt table test from a cardiologist. No history of above symptoms before vaccine. No concomitant infections.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Insomnia, Limb discomfort, Postural orthostatic tachycardia syndrome
Clinical narrative: Lightheaded, headaches, extreme fatigue, insomnia, exercise intolerance, inability to tolerate heat, excessive sweating, tachycardia, blurry vision, heavy legs and intermittent anxiety starting about 1-2 weeks after 2nd dose of vaccine; and increasing in severity over summer. Diagnosed with POTS via tilt table test from a cardiologist. No history of above symptoms before vaccine. No concomitant infections.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia, Temperature intolerance, Tilt table test positive, Vision blurred
Clinical narrative: Lightheaded, headaches, extreme fatigue, insomnia, exercise intolerance, inability to tolerate heat, excessive sweating, tachycardia, blurry vision, heavy legs and intermittent anxiety starting about 1-2 weeks after 2nd dose of vaccine; and increasing in severity over summer. Diagnosed with POTS via tilt table test from a cardiologist. No history of above symptoms before vaccine. No concomitant infections.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fall, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough infection.  1st vaccine 01/27/2021.  Pt presents with multiple falls and increasing generalized weakness over the past 3 days from SNF.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site nodule, Injection site pain
Clinical narrative: Muscle soreness at injection site. Feels like a knot in the muscle - can ?probe? area with my finger and find find specific location within the muscle.  Not joint pain.  Soreness became noticeable and bothersome about 6 months after the second dose. Unable to raise my arm above shoulder without significant pain.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular, Thrombosis
Clinical narrative: Missed mentrual cycle - my cycle is normal every month 28-30 days long. My cycle was 67 days following the vaccine. I then Am experiencing heavy bleeding and clotting. I am Bleeding through súper plus tampons and pads while wearing them simultaneously for 2 hours. I  wake up in blood. The bleeding is unlike anything I?ve ever experienced
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Diarrhoea, Herpes zoster, Stool DNA test negative, Weight decreased
Clinical narrative: Persistent diarrhea after each intacke of food.  Started apporx 1 wk after 1st dose and became increasingly severe after 2nd dose.  Weight loss.  Developed Shingles several months later.  Symptoms eventually resolved by June 2022.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Hypoaesthesia, Paraesthesia
Clinical narrative: Burning on the right side of my body 10:45  Tingling, then numbness 11:05
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Back pain, COVID-19, Chromaturia, Colon cancer
Clinical narrative: Covid19 breakthrough infection.  1st Vaccine given 05/25/2021.  Pt presents to hospital with one month hx of abdominal/ back pain and constant fatigue to where he is unable to work.  Alos with progressively darker urine, decreased appetite.  Pt found to have likely colon CA with mets to liver and lungs.  On IV abx.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Fatigue, Impaired work ability, Metastases to liver, Metastases to lung
Clinical narrative: Covid19 breakthrough infection.  1st Vaccine given 05/25/2021.  Pt presents to hospital with one month hx of abdominal/ back pain and constant fatigue to where he is unable to work.  Alos with progressively darker urine, decreased appetite.  Pt found to have likely colon CA with mets to liver and lungs.  On IV abx.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough infection.  1st Vaccine given 05/25/2021.  Pt presents to hospital with one month hx of abdominal/ back pain and constant fatigue to where he is unable to work.  Alos with progressively darker urine, decreased appetite.  Pt found to have likely colon CA with mets to liver and lungs.  On IV abx.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Sensitive skin
Clinical narrative: PATIENT SAID RIGHT EAR WAS HURTING AND SENSITIVE. SHE SAID IBUPROFEN HELPED WITH PAIN. I ADVISED HER TO SEEK URGENT CARE IF PAIN WORSENED AND TO KEEP TREATING HER SYMPTOMS WITH OVER THE COUNTER PAIN THEARPY.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Deep vein thrombosis, Heart rate decreased, Hypokinesia
Clinical narrative: pain, followed by swelling,loss of arm movement, shrinking muscle in arm, discoloration of digits and hand and arm. final diagnoses 2 bloodclots in left arm, dimished pulse. diagnosed dec 28. ER visit dec 30 for severe swelling, pain, radiating pain to chest and shoulder
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle atrophy, Pain, Peripheral artery thrombosis, Skin discolouration, Swelling
Clinical narrative: pain, followed by swelling,loss of arm movement, shrinking muscle in arm, discoloration of digits and hand and arm. final diagnoses 2 bloodclots in left arm, dimished pulse. diagnosed dec 28. ER visit dec 30 for severe swelling, pain, radiating pain to chest and shoulder
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: pain, followed by swelling,loss of arm movement, shrinking muscle in arm, discoloration of digits and hand and arm. final diagnoses 2 bloodclots in left arm, dimished pulse. diagnosed dec 28. ER visit dec 30 for severe swelling, pain, radiating pain to chest and shoulder
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Joint lock, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: I've now had 3 Pfizer vaccinations, the booster was 12/28/21  and pain, stiffness and locking of my hands has been more progressed with each dose. I've never had any issues with this, very healthy, prior to the 1st dose of Pfizer. I have co-workers who are also experiencing the same thing
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Tachycardia
Clinical narrative: Tachycardia (heart rate 130), lightheadedness, shortness of breath for about one hour morning after vaccination. Symptoms resolved after about one hour followed by extreme fatigue.  I did not end up seeking medical care due to resolution of tachycardia and accompanying symptoms.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient returned to pharmacy after her vaccine stating  that is was laboring to take a full breath in.  She was still getting enough oxygen to stand, walk and talk; however, she felt like it was difficult for her to fully fill her lungs.  Patient denied any mouth/throat swelling, nausea, dizziness, or itching.  Patient presented with out a rash or fever.  Patient sat by the pharmacy for over 20 minutes as we watched her.  Patient's condition was not getting any worse but was not getting any better.  The mother, who was with the patient, took the patient to a clinic setting so that she could get a full exam workup.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Received a call from the pharmacy that the dose I received had not been diluted. I was given 6 doses.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Eye swelling, Pruritus, Rash, Sleep disorder
Clinical narrative: Rash/hives all over body, swollen eyes, trouble sleeping due to the itching/discomfort. Began ~10 days post booster shot, started course of Prednisone on 12/25/21 as well as 40mg Pepcid AC 2x day and Zyrtec 1x day, benadryl at night (50mg) - itchiness/hives continue as of 1/1/22 but decreased in severity - mostly hives and itchiness occurs at night. Still taking Benadryl at night and Zyrtec in the morning.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Rash/hives all over body, swollen eyes, trouble sleeping due to the itching/discomfort. Began ~10 days post booster shot, started course of Prednisone on 12/25/21 as well as 40mg Pepcid AC 2x day and Zyrtec 1x day, benadryl at night (50mg) - itchiness/hives continue as of 1/1/22 but decreased in severity - mostly hives and itchiness occurs at night. Still taking Benadryl at night and Zyrtec in the morning.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Pain, Rash erythematous, Rash papular
Clinical narrative: Warm to touch and sore beginning at almost immediately.  Swelling of area (and body chills) by 24 hour post vaccine. At 48 hours: pink raised rash present; very warm and sensitive  to touch. By 72 hours: rash has turned redder and is warmer to touch. It has also grown larger and is more swollen. Also now sensitive into the armpit; limited motion.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration, Skin warm, Swelling, Tenderness
Clinical narrative: Warm to touch and sore beginning at almost immediately.  Swelling of area (and body chills) by 24 hour post vaccine. At 48 hours: pink raised rash present; very warm and sensitive  to touch. By 72 hours: rash has turned redder and is warmer to touch. It has also grown larger and is more swollen. Also now sensitive into the armpit; limited motion.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: 2 missed periods so far. Negative for pregnancy. I take the pill so I am usually regular but I have not had a period since  taking the vaccine.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient given a booster even though he is only 13 years old
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cheilitis, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Patient came in on 01/01/2022 and reported that he had Moderna vaccine on 12/30/2021 and feels like after 4 hours later he developed rashes to his both underarms , and lips first. than it went away after 36 hours. pts than developed rashes around waist area which was red rashes and itching no pain. pts had no rashes at injection sites all these time. pts been advised see doctor as soon as possible.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Cough, Decreased appetite, Discomfort, Feeling cold
Clinical narrative: Received the Moderna booster at 2:30PM on Tuesday 12/28/21. Took the shot in y left arm because I have a rotator cuff injury in my right arm. About 10pm started getting heart flutters/palpitations. Felt jittery. Took a aspirin. On Wednesday I felt fluish and knew I had temperature and my arm was very sore but taking my temperature would require me lifting either of my arms to reach where I keep the thermometer and that was not happening. I couldn't let or raise the jabbed arm and my right arm was not doing so well as I had gone to physical therapy right before I took the booster. If I had to guess I had about 100 fever. I was lethargic all day and could not warm up. I was very achy and uncomfortable. My arm was getting worse. I was documenting it on social media. Did not eat much, was not hungry. By Thursday, I had a redial headache and body ache, and was nasal and the jabbed shoulder was hurting even to ice. The shoulder pain was radiating to the right shoulder which was hurting more than usual. I had night sweats overnight on Wednesday and felt a sore throat and dry cough. After midnight on Thursday (Friday morning really) the jabbed arm was getting worse with sharp  jabbing pain in that rotator cuff..it was too sore to touch and felt swollen...at 3am I had heart palpitations ...By Friday morning (New Year's Eve ) Iw as able to move around around enough to do some chores and keep my arm close to my body ..the jabbed arm had pangs of ache, very sore to the touch, and I had night sweats overnight...at 12:30pm I had heart flutters... By 11:30pm New Years Eve ..the jabbed arm was still very sore with very sharp pangas of pain radiant down the arn to the lower arm and the upper arm too sore to touch and felt swollen. I found a 1:1 CBD vape pen in my house and started smoking it and rubbed a CBD balm on my upper arm... I could not sleep till 4am as the arm would not stop throbbing...at 2:12 am I recorded in my journal that the pains were awful.. I finally fell asleep and woke at 10am on New Years Day feeling slightly better and decided to to this on this this site.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling jittery, Headache, Influenza like illness, Injected limb mobility decreased, Injection site pain
Clinical narrative: Received the Moderna booster at 2:30PM on Tuesday 12/28/21. Took the shot in y left arm because I have a rotator cuff injury in my right arm. About 10pm started getting heart flutters/palpitations. Felt jittery. Took a aspirin. On Wednesday I felt fluish and knew I had temperature and my arm was very sore but taking my temperature would require me lifting either of my arms to reach where I keep the thermometer and that was not happening. I couldn't let or raise the jabbed arm and my right arm was not doing so well as I had gone to physical therapy right before I took the booster. If I had to guess I had about 100 fever. I was lethargic all day and could not warm up. I was very achy and uncomfortable. My arm was getting worse. I was documenting it on social media. Did not eat much, was not hungry. By Thursday, I had a redial headache and body ache, and was nasal and the jabbed shoulder was hurting even to ice. The shoulder pain was radiating to the right shoulder which was hurting more than usual. I had night sweats overnight on Wednesday and felt a sore throat and dry cough. After midnight on Thursday (Friday morning really) the jabbed arm was getting worse with sharp  jabbing pain in that rotator cuff..it was too sore to touch and felt swollen...at 3am I had heart palpitations ...By Friday morning (New Year's Eve ) Iw as able to move around around enough to do some chores and keep my arm close to my body ..the jabbed arm had pangs of ache, very sore to the touch, and I had night sweats overnight...at 12:30pm I had heart flutters... By 11:30pm New Years Eve ..the jabbed arm was still very sore with very sharp pangas of pain radiant down the arn to the lower arm and the upper arm too sore to touch and felt swollen. I found a 1:1 CBD vape pen in my house and started smoking it and rubbed a CBD balm on my upper arm... I could not sleep till 4am as the arm would not stop throbbing...at 2:12 am I recorded in my journal that the pains were awful.. I finally fell asleep and woke at 10am on New Years Day feeling slightly better and decided to to this on this this site.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Insomnia, Lethargy, Nasal discomfort, Night sweats
Clinical narrative: Received the Moderna booster at 2:30PM on Tuesday 12/28/21. Took the shot in y left arm because I have a rotator cuff injury in my right arm. About 10pm started getting heart flutters/palpitations. Felt jittery. Took a aspirin. On Wednesday I felt fluish and knew I had temperature and my arm was very sore but taking my temperature would require me lifting either of my arms to reach where I keep the thermometer and that was not happening. I couldn't let or raise the jabbed arm and my right arm was not doing so well as I had gone to physical therapy right before I took the booster. If I had to guess I had about 100 fever. I was lethargic all day and could not warm up. I was very achy and uncomfortable. My arm was getting worse. I was documenting it on social media. Did not eat much, was not hungry. By Thursday, I had a redial headache and body ache, and was nasal and the jabbed shoulder was hurting even to ice. The shoulder pain was radiating to the right shoulder which was hurting more than usual. I had night sweats overnight on Wednesday and felt a sore throat and dry cough. After midnight on Thursday (Friday morning really) the jabbed arm was getting worse with sharp  jabbing pain in that rotator cuff..it was too sore to touch and felt swollen...at 3am I had heart palpitations ...By Friday morning (New Year's Eve ) Iw as able to move around around enough to do some chores and keep my arm close to my body ..the jabbed arm had pangs of ache, very sore to the touch, and I had night sweats overnight...at 12:30pm I had heart flutters... By 11:30pm New Years Eve ..the jabbed arm was still very sore with very sharp pangas of pain radiant down the arn to the lower arm and the upper arm too sore to touch and felt swollen. I found a 1:1 CBD vape pen in my house and started smoking it and rubbed a CBD balm on my upper arm... I could not sleep till 4am as the arm would not stop throbbing...at 2:12 am I recorded in my journal that the pains were awful.. I finally fell asleep and woke at 10am on New Years Day feeling slightly better and decided to to this on this this site.