chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 13.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal pain upper, Anxiety, Crying, Feeling abnormal, Headache
Clinical narrative: The nurse came in to do the shot. I told her that he had a history of passing out (I told her he has passed out, but NEVER said with Vax. He has NEVER passed out when getting any shot) she suggested he lay down while she administered it. He did. She did the shot he said "that wasn't as bad as I thought" she asked him how he was feeling, he said fine. He sat up then moved to the bench. The nurse and I were talking about the app for a bit of troubleshooting. It was 5-10 minutes later that I looked over at him and asked him if he was ok. He did not respond to me and I knew he was going to pass out. When he has done this before, he has gone completely limp. This time his arms went to his sides and he was stiff as a board and began to convulse. We started to try to lay him down. The nurse asked if he usually convulses when this happens, I said NO. She told me to hold his head while she got the Dr. He then woke up, looked at me and began to cry. Dr. came in and he sat up. They gave him juice and crackers and took his bp. Dr. told me she thought he was fine and it must have been anxiety. On the way home he told that this felt different in his body. I asked him to tell me about it. He said that his stomach hurt really bad, his vision blurred and he heard a loud high pitched sound then everything went black. He was very shaken. He had a headache the rest of the day. He has passed out before, this was different.
Age: 13.0
Sex: M
Vaccine: UNK
Symptoms: Musculoskeletal stiffness, Unresponsive to stimuli, Vision blurred, Visual impairment
Clinical narrative: The nurse came in to do the shot. I told her that he had a history of passing out (I told her he has passed out, but NEVER said with Vax. He has NEVER passed out when getting any shot) she suggested he lay down while she administered it. He did. She did the shot he said "that wasn't as bad as I thought" she asked him how he was feeling, he said fine. He sat up then moved to the bench. The nurse and I were talking about the app for a bit of troubleshooting. It was 5-10 minutes later that I looked over at him and asked him if he was ok. He did not respond to me and I knew he was going to pass out. When he has done this before, he has gone completely limp. This time his arms went to his sides and he was stiff as a board and began to convulse. We started to try to lay him down. The nurse asked if he usually convulses when this happens, I said NO. She told me to hold his head while she got the Dr. He then woke up, looked at me and began to cry. Dr. came in and he sat up. They gave him juice and crackers and took his bp. Dr. told me she thought he was fine and it must have been anxiety. On the way home he told that this felt different in his body. I asked him to tell me about it. He said that his stomach hurt really bad, his vision blurred and he heard a loud high pitched sound then everything went black. He was very shaken. He had a headache the rest of the day. He has passed out before, this was different.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Sensory disturbance, Tremor
Clinical narrative: Tremors to fingers which started soon after injection.  Extreme pulsation to arms, from Elbows to hands.  Has not been treated but reactions continues even today 08/27/2022
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Nodule, Pyrexia
Clinical narrative: headache, knot on arm, fever, red cheeks.
Age: 61.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: JYNNEOS First few days were red, itchy injection site. Six days after injection, injection site is about a nickel sized, red, hard, and raised. It looks like a boil before the boil comes to head.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Hyperhidrosis, Leukocytosis, Myalgia
Clinical narrative: ER visit - tachy to 120's, fever, myalgias, short of breath, diaphoresis
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Tachycardia
Clinical narrative: ER visit - tachy to 120's, fever, myalgias, short of breath, diaphoresis
Age: 44.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Full blood count normal, Metabolic function test normal, Rash papular, Rash pruritic, Sexually transmitted disease test
Clinical narrative: I developed a systemic papular rash over the course of a few days covering my arms, legs, trunk, back.   It was sparse on my hands and feet but was present on both. It did not appear on my face or genitals.  It was extremely itchy and distressing.  The acute and widely disbursed rash is now gone but I'm still experiencing sporadic isolated appearance of rash in the same locations which are just as itchy and seem to come and go.  I have photos of the initial experience.  The rash was treated with 60MG of prednisone daily for 5 days and hydroxyzine as needed to help with the itching.  The worst of the rash began to recede after about day 3.  The current re-emergence of the rash is being managed with Clobex ointment as it appears.
Age: 44.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Viral test negative
Clinical narrative: I developed a systemic papular rash over the course of a few days covering my arms, legs, trunk, back.   It was sparse on my hands and feet but was present on both. It did not appear on my face or genitals.  It was extremely itchy and distressing.  The acute and widely disbursed rash is now gone but I'm still experiencing sporadic isolated appearance of rash in the same locations which are just as itchy and seem to come and go.  I have photos of the initial experience.  The rash was treated with 60MG of prednisone daily for 5 days and hydroxyzine as needed to help with the itching.  The worst of the rash began to recede after about day 3.  The current re-emergence of the rash is being managed with Clobex ointment as it appears.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Cyanosis, Dizziness, Pallor
Clinical narrative: Patient had dizziness and was looking pale few minutes after getting the vaccine. Her lips turned blue for few seconds. We gave her glass of water  and wiped her face and neck with wet napkin and within few seconds she was fine. She sat for 10 minutes and left.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient had an outbreak of what her physician said may either be shingles or herpetic whitlow on her hand.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Rehab inpatient was administered a second booster at age 48. No adverse event to report
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Rehab inpatient resident was administered second booster 6 days early. No adverse events to report
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Frontotemporal dementia
Clinical narrative: Narrative:  76yo male died in hospice care with Medical Diagnosis: Other Frontotemporal Dementia on 7/8/2022. Pt had received a covid J&J vaccine EUA on 4/28/2021. Likely this death is not related to the vaccine given hospice care at end of life and lont time between date of vaccine and date of death.
Age: 34.0
Sex: F
Vaccine: ANTH
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Dementia
Clinical narrative: Narrative:  hospice consulted for severe dementia- death few days later
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Narrative:  Patient developed pulmonary embolism two days after receiving vaccine
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration, Pyrexia
Clinical narrative: Narrative:  67 year old male admitted on August 8 2022 with fever of 102.3F.. He had received Moderna vaccine x 4 on January 24 2021, March 1 2021, October 1 2021, July 11 2021. He was treated with remdesivir 200 mg x 1 then 100 mg IV daily x 4 days and dexamethasone 6 mg daily x 5 days.. He symptomatically improved and was discharged home on August 13 2022.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Delirium, Hypoxia, Pyrexia
Clinical narrative: Narrative:  77 year old male admitted on August 4 2022 with fever, delirium, and hypoxia.. He had received Moderna vaccine x 3 on January 28 2021, February 25 2021, September 28 2021. He was treated with remdesivir 200 mg x 1 then 100 mg IV daily x 3 days and dexamethasone 6 mg daily x 4 days.. He symptomatically improved and was discharged home on August 7 2022.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cardio-respiratory arrest, Cough, Death, Dysphagia
Clinical narrative: Narrative:  79 year old male admitted on July 19 2022 with low grade fever and hypoxia. He had received Moderna vaccine x 4 on December 28 2020, January 25 2021, October 29 2021, June 7 2022. He was treated with remdesivir 200 mg x 1 then 100 mg IV daily x 4 days and dexamethasone 6 mg daily x 9 days. Patient clinically improved and was transferred back to long term care isolation on 7/28. Patient passed away on the evening of 7/28 with immediate cause of death as dysphagia complicated by aspiration pneumonia and COVID-19. Appears that patient started cough after taking a sip of water and went into cardiopulmonary arrest.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypoxia, Pneumonia aspiration, Pyrexia
Clinical narrative: Narrative:  79 year old male admitted on July 19 2022 with low grade fever and hypoxia. He had received Moderna vaccine x 4 on December 28 2020, January 25 2021, October 29 2021, June 7 2022. He was treated with remdesivir 200 mg x 1 then 100 mg IV daily x 4 days and dexamethasone 6 mg daily x 9 days. Patient clinically improved and was transferred back to long term care isolation on 7/28. Patient passed away on the evening of 7/28 with immediate cause of death as dysphagia complicated by aspiration pneumonia and COVID-19. Appears that patient started cough after taking a sip of water and went into cardiopulmonary arrest.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Fatigue, Injected limb mobility decreased, Injection site pain
Clinical narrative: Narrative: Patient is an 80-year-old female who received the COVID-19 vaccination (Moderna) on 1/22/22. She reported experiencing pain at the injection site and difficulty raising the injected arm to her primary care provider. She also reported fatigue, nausea, abdominal cramping, and loose stools. She did not seek any medical treatment for these conditions, and symptoms were self-limited.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Narrative: Patient is an 80-year-old female who received the COVID-19 vaccination (Moderna) on 1/22/22. She reported experiencing pain at the injection site and difficulty raising the injected arm to her primary care provider. She also reported fatigue, nausea, abdominal cramping, and loose stools. She did not seek any medical treatment for these conditions, and symptoms were self-limited.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Paraesthesia, Rash
Clinical narrative: Narrative: Patient is a 34-year-old female who received her first Pfizer vaccine in 3/2021; around 45 minutes later, patient developed acute rash over her whole vaccinated arm (right) associated with tingling sensation over her toes, constant nausea, and dizziness. She took diphenhydramine with partial relief. The symptoms subsided after 4 days.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypoxia, Inappropriate schedule of product administration, Oropharyngeal pain
Clinical narrative: Narrative: 81 year old male admitted on July 19 2022 with sore throat. He was intially no hypoxic and started on Paxlovid, however developed hypoxia and was started on remdesivir and dexamethasone. He had received Moderna vaccine x 3 on Ferbruary 9 2021, March 18 2021, October 29 2021, June 7 2021. He was treated with Paxlovid x 1 dose  then changed to remdesivir 200 mg x 1 then 100 mg IV daily x 4 days and dexamethasone 6 mg daily x 5 days. He symptomatically improved and was transferred back to long term care on 7/27.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Confusional state, Cough, Encephalopathy, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Patient received two doses of Pfizer COVID 19 Vaccine in Mar/Apr 2021. The patient presented to the ED on 4 June 2022 with confusion and cough. The patient tested positive for COVID 19 and was admitted with COVID 19 encephalopathy. The patient was treated with supportive care. The patient was discharged in stable condition on 6 June 2022.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Bradycardia, Death, Device dislocation, Muscle spasms
Clinical narrative: Narrative:  74 yo male patient died on 8/3/2022 at home in full hospice care. Pt with feeding tube dislodged, abdominal pain, & cramping also with complications with bradycardia and decreased respirations when hospice care was initiated. Pt had received a covid EUA vaccine (J&J) on 5/13/2021. Death does not appear to be related to this vaccine given pt's age, in hospice care & long length of time between date of death & date patient received the vaccine. Patient did not receive the vaccine at this facility. He got vaccine from community pharmacy.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory depression
Clinical narrative: Narrative:  74 yo male patient died on 8/3/2022 at home in full hospice care. Pt with feeding tube dislodged, abdominal pain, & cramping also with complications with bradycardia and decreased respirations when hospice care was initiated. Pt had received a covid EUA vaccine (J&J) on 5/13/2021. Death does not appear to be related to this vaccine given pt's age, in hospice care & long length of time between date of death & date patient received the vaccine. Patient did not receive the vaccine at this facility. He got vaccine from community pharmacy.
Age: 73.0
Sex: M
Vaccine: COVID19, FLUX
Symptoms: Death, General physical health deterioration, Small cell lung cancer
Clinical narrative: Narrative:  pt with significant decline a few weeks prior to death; pt with SCLC
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  pt died under hospice; vaccine administered approximately 4 months prior
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Headache, Rhinitis, SARS-CoV-2 test positive
Clinical narrative: Narrative: Pt tested positive for COVID 1/6/22 despite being fully vaccinated; pt with mild rhinitis and headache that resolved on its own; pt declined referral for monoclonal antibodies for treatment given he is asymptomatic.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  pt died at Hospice House;
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Rash
Clinical narrative: Narrative: Pt new to our system, reports a h/o throat swelling and rash after covid vaccine.
Age: 52.0
Sex: M
Vaccine: FLUX
Symptoms: Guillain-Barre syndrome
Clinical narrative: Narrative:  Patient developed Guillain Barre-syndrome
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Acidosis, Acute kidney injury, Acute respiratory failure, Anticoagulant therapy, Asthenia
Clinical narrative: Narrative:  Pt presented to ER 8/10/2022. He reports symptoms as early as 8/3/2022. Pt reports cold symptoms (cough, congestion, HA, stuffy nose, sore throat). Pt admitted 8/10/22 - 8/22/22. HOSPITAL COURSE: Pt was admitted to SDU w COVID-19 infection Pt presented with acute hypoxic respiratory failure, was weaned from O2 thru the course of this admission. He was Vaccinated with moderna x 2, no boosters given, was in isolation until 8/2/22. Pt recieved 2 doses Remdesivir then kidney function decreased. there was no indication for Decadron. Pt has a cough and weakness with infection. Is on RA w O2 sats >94%. He had Acute left lower lobe pulmonary embolism found by VQ scan elevated d dimer 2.85, Most likely due to COVID-19. Was transitioned from therapeutic lovenox to Eliquis. no over s/sx bleeding and pt does not need supplemental O2. Pt had a Large exudative left pleural effusion, Most likely due to COVID-19 and CHF. S/P pigtail placement on 08/11/2022 and discontinued on 08/14/2022, had a small pntx post removal, which resolved spontaneously, cytology negative for malignancy. Pts Acute on chronic diastolic congestive heart failure, related to CAD, was managed by diuressis, BB, he is now Compensated, w/o central or peripheral edema. Due to age and kidney function he is not on a statin, risks outweigh benefits. Patient had Acute kidney failure superimposed on chronic kidney disease, stage 3. Creatinine = 1.8 --> 2.6 --> 2.7 (2.8 on 03/01/2022), -Most likely due to COVID- 19 and aggressive diuresing. he had some acidosis and was treated with bicarb. Also still has higher potassium levlels, was hyperkalemic on admission K+ 5.9, was on patiormir and remains on low potassium diet. Also he has primary hypertension, BP meds were held due to AKI and gradually added back. BP this am high so home dose meds were increased and hydralazine tid was added. Patient lives alone and cooks own meals or has them brought in by family, he has Diabetes mellitus type 2. had some hypoglycemia this admission but his A1c = 8.8%. Is on glargine, will need to f/u closely w dietary and PCP as outpt Pt also has Chronic obstructive pulmonary disease, No acute exacerbation this admission. he remains on home dose bronchodilators. NO shortness of breath or wheezing at dc. Pt is afebrile, hemodynamically stable, and is ambulating w walker, had BM, and is working w PT/ bands. Will dc to STR today.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood potassium increased, COVID-19, Cardiac failure acute, Cardiac failure congestive
Clinical narrative: Narrative:  Pt presented to ER 8/10/2022. He reports symptoms as early as 8/3/2022. Pt reports cold symptoms (cough, congestion, HA, stuffy nose, sore throat). Pt admitted 8/10/22 - 8/22/22. HOSPITAL COURSE: Pt was admitted to SDU w COVID-19 infection Pt presented with acute hypoxic respiratory failure, was weaned from O2 thru the course of this admission. He was Vaccinated with moderna x 2, no boosters given, was in isolation until 8/2/22. Pt recieved 2 doses Remdesivir then kidney function decreased. there was no indication for Decadron. Pt has a cough and weakness with infection. Is on RA w O2 sats >94%. He had Acute left lower lobe pulmonary embolism found by VQ scan elevated d dimer 2.85, Most likely due to COVID-19. Was transitioned from therapeutic lovenox to Eliquis. no over s/sx bleeding and pt does not need supplemental O2. Pt had a Large exudative left pleural effusion, Most likely due to COVID-19 and CHF. S/P pigtail placement on 08/11/2022 and discontinued on 08/14/2022, had a small pntx post removal, which resolved spontaneously, cytology negative for malignancy. Pts Acute on chronic diastolic congestive heart failure, related to CAD, was managed by diuressis, BB, he is now Compensated, w/o central or peripheral edema. Due to age and kidney function he is not on a statin, risks outweigh benefits. Patient had Acute kidney failure superimposed on chronic kidney disease, stage 3. Creatinine = 1.8 --> 2.6 --> 2.7 (2.8 on 03/01/2022), -Most likely due to COVID- 19 and aggressive diuresing. he had some acidosis and was treated with bicarb. Also still has higher potassium levlels, was hyperkalemic on admission K+ 5.9, was on patiormir and remains on low potassium diet. Also he has primary hypertension, BP meds were held due to AKI and gradually added back. BP this am high so home dose meds were increased and hydralazine tid was added. Patient lives alone and cooks own meals or has them brought in by family, he has Diabetes mellitus type 2. had some hypoglycemia this admission but his A1c = 8.8%. Is on glargine, will need to f/u closely w dietary and PCP as outpt Pt also has Chronic obstructive pulmonary disease, No acute exacerbation this admission. he remains on home dose bronchodilators. NO shortness of breath or wheezing at dc. Pt is afebrile, hemodynamically stable, and is ambulating w walker, had BM, and is working w PT/ bands. Will dc to STR today.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Chest tube insertion, Chronic kidney disease, Coronary artery disease, Cough, Cytology normal
Clinical narrative: Narrative:  Pt presented to ER 8/10/2022. He reports symptoms as early as 8/3/2022. Pt reports cold symptoms (cough, congestion, HA, stuffy nose, sore throat). Pt admitted 8/10/22 - 8/22/22. HOSPITAL COURSE: Pt was admitted to SDU w COVID-19 infection Pt presented with acute hypoxic respiratory failure, was weaned from O2 thru the course of this admission. He was Vaccinated with moderna x 2, no boosters given, was in isolation until 8/2/22. Pt recieved 2 doses Remdesivir then kidney function decreased. there was no indication for Decadron. Pt has a cough and weakness with infection. Is on RA w O2 sats >94%. He had Acute left lower lobe pulmonary embolism found by VQ scan elevated d dimer 2.85, Most likely due to COVID-19. Was transitioned from therapeutic lovenox to Eliquis. no over s/sx bleeding and pt does not need supplemental O2. Pt had a Large exudative left pleural effusion, Most likely due to COVID-19 and CHF. S/P pigtail placement on 08/11/2022 and discontinued on 08/14/2022, had a small pntx post removal, which resolved spontaneously, cytology negative for malignancy. Pts Acute on chronic diastolic congestive heart failure, related to CAD, was managed by diuressis, BB, he is now Compensated, w/o central or peripheral edema. Due to age and kidney function he is not on a statin, risks outweigh benefits. Patient had Acute kidney failure superimposed on chronic kidney disease, stage 3. Creatinine = 1.8 --> 2.6 --> 2.7 (2.8 on 03/01/2022), -Most likely due to COVID- 19 and aggressive diuresing. he had some acidosis and was treated with bicarb. Also still has higher potassium levlels, was hyperkalemic on admission K+ 5.9, was on patiormir and remains on low potassium diet. Also he has primary hypertension, BP meds were held due to AKI and gradually added back. BP this am high so home dose meds were increased and hydralazine tid was added. Patient lives alone and cooks own meals or has them brought in by family, he has Diabetes mellitus type 2. had some hypoglycemia this admission but his A1c = 8.8%. Is on glargine, will need to f/u closely w dietary and PCP as outpt Pt also has Chronic obstructive pulmonary disease, No acute exacerbation this admission. he remains on home dose bronchodilators. NO shortness of breath or wheezing at dc. Pt is afebrile, hemodynamically stable, and is ambulating w walker, had BM, and is working w PT/ bands. Will dc to STR today.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Glycosylated haemoglobin increased, Headache, Hyperkalaemia, Hypertension
Clinical narrative: Narrative:  Pt presented to ER 8/10/2022. He reports symptoms as early as 8/3/2022. Pt reports cold symptoms (cough, congestion, HA, stuffy nose, sore throat). Pt admitted 8/10/22 - 8/22/22. HOSPITAL COURSE: Pt was admitted to SDU w COVID-19 infection Pt presented with acute hypoxic respiratory failure, was weaned from O2 thru the course of this admission. He was Vaccinated with moderna x 2, no boosters given, was in isolation until 8/2/22. Pt recieved 2 doses Remdesivir then kidney function decreased. there was no indication for Decadron. Pt has a cough and weakness with infection. Is on RA w O2 sats >94%. He had Acute left lower lobe pulmonary embolism found by VQ scan elevated d dimer 2.85, Most likely due to COVID-19. Was transitioned from therapeutic lovenox to Eliquis. no over s/sx bleeding and pt does not need supplemental O2. Pt had a Large exudative left pleural effusion, Most likely due to COVID-19 and CHF. S/P pigtail placement on 08/11/2022 and discontinued on 08/14/2022, had a small pntx post removal, which resolved spontaneously, cytology negative for malignancy. Pts Acute on chronic diastolic congestive heart failure, related to CAD, was managed by diuressis, BB, he is now Compensated, w/o central or peripheral edema. Due to age and kidney function he is not on a statin, risks outweigh benefits. Patient had Acute kidney failure superimposed on chronic kidney disease, stage 3. Creatinine = 1.8 --> 2.6 --> 2.7 (2.8 on 03/01/2022), -Most likely due to COVID- 19 and aggressive diuresing. he had some acidosis and was treated with bicarb. Also still has higher potassium levlels, was hyperkalemic on admission K+ 5.9, was on patiormir and remains on low potassium diet. Also he has primary hypertension, BP meds were held due to AKI and gradually added back. BP this am high so home dose meds were increased and hydralazine tid was added. Patient lives alone and cooks own meals or has them brought in by family, he has Diabetes mellitus type 2. had some hypoglycemia this admission but his A1c = 8.8%. Is on glargine, will need to f/u closely w dietary and PCP as outpt Pt also has Chronic obstructive pulmonary disease, No acute exacerbation this admission. he remains on home dose bronchodilators. NO shortness of breath or wheezing at dc. Pt is afebrile, hemodynamically stable, and is ambulating w walker, had BM, and is working w PT/ bands. Will dc to STR today.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoglycaemia, Infection, Left ventricular failure, Nasal congestion, Nasopharyngitis
Clinical narrative: Narrative:  Pt presented to ER 8/10/2022. He reports symptoms as early as 8/3/2022. Pt reports cold symptoms (cough, congestion, HA, stuffy nose, sore throat). Pt admitted 8/10/22 - 8/22/22. HOSPITAL COURSE: Pt was admitted to SDU w COVID-19 infection Pt presented with acute hypoxic respiratory failure, was weaned from O2 thru the course of this admission. He was Vaccinated with moderna x 2, no boosters given, was in isolation until 8/2/22. Pt recieved 2 doses Remdesivir then kidney function decreased. there was no indication for Decadron. Pt has a cough and weakness with infection. Is on RA w O2 sats >94%. He had Acute left lower lobe pulmonary embolism found by VQ scan elevated d dimer 2.85, Most likely due to COVID-19. Was transitioned from therapeutic lovenox to Eliquis. no over s/sx bleeding and pt does not need supplemental O2. Pt had a Large exudative left pleural effusion, Most likely due to COVID-19 and CHF. S/P pigtail placement on 08/11/2022 and discontinued on 08/14/2022, had a small pntx post removal, which resolved spontaneously, cytology negative for malignancy. Pts Acute on chronic diastolic congestive heart failure, related to CAD, was managed by diuressis, BB, he is now Compensated, w/o central or peripheral edema. Due to age and kidney function he is not on a statin, risks outweigh benefits. Patient had Acute kidney failure superimposed on chronic kidney disease, stage 3. Creatinine = 1.8 --> 2.6 --> 2.7 (2.8 on 03/01/2022), -Most likely due to COVID- 19 and aggressive diuresing. he had some acidosis and was treated with bicarb. Also still has higher potassium levlels, was hyperkalemic on admission K+ 5.9, was on patiormir and remains on low potassium diet. Also he has primary hypertension, BP meds were held due to AKI and gradually added back. BP this am high so home dose meds were increased and hydralazine tid was added. Patient lives alone and cooks own meals or has them brought in by family, he has Diabetes mellitus type 2. had some hypoglycemia this admission but his A1c = 8.8%. Is on glargine, will need to f/u closely w dietary and PCP as outpt Pt also has Chronic obstructive pulmonary disease, No acute exacerbation this admission. he remains on home dose bronchodilators. NO shortness of breath or wheezing at dc. Pt is afebrile, hemodynamically stable, and is ambulating w walker, had BM, and is working w PT/ bands. Will dc to STR today.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pleural effusion, Pneumothorax, Polyuria, Pulmonary embolism
Clinical narrative: Narrative:  Pt presented to ER 8/10/2022. He reports symptoms as early as 8/3/2022. Pt reports cold symptoms (cough, congestion, HA, stuffy nose, sore throat). Pt admitted 8/10/22 - 8/22/22. HOSPITAL COURSE: Pt was admitted to SDU w COVID-19 infection Pt presented with acute hypoxic respiratory failure, was weaned from O2 thru the course of this admission. He was Vaccinated with moderna x 2, no boosters given, was in isolation until 8/2/22. Pt recieved 2 doses Remdesivir then kidney function decreased. there was no indication for Decadron. Pt has a cough and weakness with infection. Is on RA w O2 sats >94%. He had Acute left lower lobe pulmonary embolism found by VQ scan elevated d dimer 2.85, Most likely due to COVID-19. Was transitioned from therapeutic lovenox to Eliquis. no over s/sx bleeding and pt does not need supplemental O2. Pt had a Large exudative left pleural effusion, Most likely due to COVID-19 and CHF. S/P pigtail placement on 08/11/2022 and discontinued on 08/14/2022, had a small pntx post removal, which resolved spontaneously, cytology negative for malignancy. Pts Acute on chronic diastolic congestive heart failure, related to CAD, was managed by diuressis, BB, he is now Compensated, w/o central or peripheral edema. Due to age and kidney function he is not on a statin, risks outweigh benefits. Patient had Acute kidney failure superimposed on chronic kidney disease, stage 3. Creatinine = 1.8 --> 2.6 --> 2.7 (2.8 on 03/01/2022), -Most likely due to COVID- 19 and aggressive diuresing. he had some acidosis and was treated with bicarb. Also still has higher potassium levlels, was hyperkalemic on admission K+ 5.9, was on patiormir and remains on low potassium diet. Also he has primary hypertension, BP meds were held due to AKI and gradually added back. BP this am high so home dose meds were increased and hydralazine tid was added. Patient lives alone and cooks own meals or has them brought in by family, he has Diabetes mellitus type 2. had some hypoglycemia this admission but his A1c = 8.8%. Is on glargine, will need to f/u closely w dietary and PCP as outpt Pt also has Chronic obstructive pulmonary disease, No acute exacerbation this admission. he remains on home dose bronchodilators. NO shortness of breath or wheezing at dc. Pt is afebrile, hemodynamically stable, and is ambulating w walker, had BM, and is working w PT/ bands. Will dc to STR today.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Renal impairment, Respiratory tract congestion, SARS-CoV-2 test positive, Ventilation/perfusion scan abnormal, Walking aid user
Clinical narrative: Narrative:  Pt presented to ER 8/10/2022. He reports symptoms as early as 8/3/2022. Pt reports cold symptoms (cough, congestion, HA, stuffy nose, sore throat). Pt admitted 8/10/22 - 8/22/22. HOSPITAL COURSE: Pt was admitted to SDU w COVID-19 infection Pt presented with acute hypoxic respiratory failure, was weaned from O2 thru the course of this admission. He was Vaccinated with moderna x 2, no boosters given, was in isolation until 8/2/22. Pt recieved 2 doses Remdesivir then kidney function decreased. there was no indication for Decadron. Pt has a cough and weakness with infection. Is on RA w O2 sats >94%. He had Acute left lower lobe pulmonary embolism found by VQ scan elevated d dimer 2.85, Most likely due to COVID-19. Was transitioned from therapeutic lovenox to Eliquis. no over s/sx bleeding and pt does not need supplemental O2. Pt had a Large exudative left pleural effusion, Most likely due to COVID-19 and CHF. S/P pigtail placement on 08/11/2022 and discontinued on 08/14/2022, had a small pntx post removal, which resolved spontaneously, cytology negative for malignancy. Pts Acute on chronic diastolic congestive heart failure, related to CAD, was managed by diuressis, BB, he is now Compensated, w/o central or peripheral edema. Due to age and kidney function he is not on a statin, risks outweigh benefits. Patient had Acute kidney failure superimposed on chronic kidney disease, stage 3. Creatinine = 1.8 --> 2.6 --> 2.7 (2.8 on 03/01/2022), -Most likely due to COVID- 19 and aggressive diuresing. he had some acidosis and was treated with bicarb. Also still has higher potassium levlels, was hyperkalemic on admission K+ 5.9, was on patiormir and remains on low potassium diet. Also he has primary hypertension, BP meds were held due to AKI and gradually added back. BP this am high so home dose meds were increased and hydralazine tid was added. Patient lives alone and cooks own meals or has them brought in by family, he has Diabetes mellitus type 2. had some hypoglycemia this admission but his A1c = 8.8%. Is on glargine, will need to f/u closely w dietary and PCP as outpt Pt also has Chronic obstructive pulmonary disease, No acute exacerbation this admission. he remains on home dose bronchodilators. NO shortness of breath or wheezing at dc. Pt is afebrile, hemodynamically stable, and is ambulating w walker, had BM, and is working w PT/ bands. Will dc to STR today.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Nightmare, Vision blurred
Clinical narrative: Narrative: Patient received the COVID 19 Vaccine Pfizer Vaccine and experienced nausea, blurred vision, and nightmares. This is reported per EUA
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, COVID-19 pneumonia, Cough, Decreased appetite
Clinical narrative: Narrative: Patient received three doses of Pfizer COVID 19 Vaccine. The patient tested positive for COVID 19 on 23 April 2022. The patient presented to the ED with cough, malaise, wheezing and decreased appetite. The patient was admitted to the hospital with acute kidney injury, covid pneumonia, and hyperglycemia. The patient was treated with supportive care, antitussives, and bronchodilators. The patient was discharged on 2 May 2022 in stable condition. Reported per EUA.
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hyperglycaemia, Malaise, SARS-CoV-2 test positive, Wheezing
Clinical narrative: Narrative: Patient received three doses of Pfizer COVID 19 Vaccine. The patient tested positive for COVID 19 on 23 April 2022. The patient presented to the ED with cough, malaise, wheezing and decreased appetite. The patient was admitted to the hospital with acute kidney injury, covid pneumonia, and hyperglycemia. The patient was treated with supportive care, antitussives, and bronchodilators. The patient was discharged on 2 May 2022 in stable condition. Reported per EUA.
Age: 64.0
Sex: M
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 72.0
Sex: M
Vaccine: BCG, BCG, BCG
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Narrative:
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain of skin, Skin warm, Swelling
Clinical narrative: Narrative: Patient received COVID 19 Vaccine (Moderna) on 4/13/22. The patient complained of redness, swelling, and warmth and tenderness to the touch on 16 April 2022. The patient was treated with a warm compress. Reported per EUA.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, Pneumothorax
Clinical narrative: Narrative: Patient received three doses of Pfizer COVID 19 Vaccine. The patient tested positive for COVID 19 on 26 April 2022. The patient presented to the ED with chest pain, shortness of breath, and cough. The patient was admitted to the hospital with respiratory failure with hypoxia, and chest pain. The patient was treated with IV antibiotics, steroids, and bronchodilators. The patient was discharged from the hospital on 27 April 2022 and then re-admitted to another hospital on 7 May 2022 with continued respiratory failure and pneumothorax. The patient was still in the hospital as of 17 May 2022. Reported per EUA.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Narrative: Patient received three doses of Pfizer COVID 19 Vaccine. The patient tested positive for COVID 19 on 26 April 2022. The patient presented to the ED with chest pain, shortness of breath, and cough. The patient was admitted to the hospital with respiratory failure with hypoxia, and chest pain. The patient was treated with IV antibiotics, steroids, and bronchodilators. The patient was discharged from the hospital on 27 April 2022 and then re-admitted to another hospital on 7 May 2022 with continued respiratory failure and pneumothorax. The patient was still in the hospital as of 17 May 2022. Reported per EUA.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Arthralgia, Asthenia, COVID-19, COVID-19 pneumonia, Chest pain
Clinical narrative: Narrative:  Patient received four doses of Pfizer COVID 19 Vaccine. Pt had his 4th shot booster for COVID 19 with the Pfizer vaccine in April 2022 at an outside facility. About 1-2 days after that, he started developing some generalized weakness, cough with white phlegm, runny nose/congestion, myalgias and arthralgias. The patient tested positive for COVID 19 on 27 April 2022. The patient presented to the ED with symptoms above and was admitted with COVID pneumonia, cough, and chest pain. The patient was treated with iv antibiotics. The patient was discharged on 29 April 2022 in stable condition. Reported per EUA.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Myalgia, Productive cough, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Narrative:  Patient received four doses of Pfizer COVID 19 Vaccine. Pt had his 4th shot booster for COVID 19 with the Pfizer vaccine in April 2022 at an outside facility. About 1-2 days after that, he started developing some generalized weakness, cough with white phlegm, runny nose/congestion, myalgias and arthralgias. The patient tested positive for COVID 19 on 27 April 2022. The patient presented to the ED with symptoms above and was admitted with COVID pneumonia, cough, and chest pain. The patient was treated with iv antibiotics. The patient was discharged on 29 April 2022 in stable condition. Reported per EUA.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Narrative:  Patient received four doses of Pfizer COVID 19 Vaccine. Pt had his 4th shot booster for COVID 19 with the Pfizer vaccine in April 2022 at an outside facility. About 1-2 days after that, he started developing some generalized weakness, cough with white phlegm, runny nose/congestion, myalgias and arthralgias. The patient tested positive for COVID 19 on 27 April 2022. The patient presented to the ED with symptoms above and was admitted with COVID pneumonia, cough, and chest pain. The patient was treated with iv antibiotics. The patient was discharged on 29 April 2022 in stable condition. Reported per EUA.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute coronary syndrome, Acute kidney injury, Acute myocardial infarction, COVID-19, Chest pain
Clinical narrative: Narrative: Patient received two doses of Pfizer COVID 19 Vaccine and one dose Moderna COVID 19 vaccine on 26 March 2022. The patient tested positive for COVID 19 on 27 April 2022. The patient presented to the ED on 27 April 2022 with chest pain and shortness of breath for one month. The patient was admitted to the hospital with elevated troponins (NSTEMI), acute kidney injury, pericarditis, and myocarditis. The patient was treated with steroids, antibiotics, and electrolyte replacement. The patient was intubated on 28 April 2022 due to respiratory failure and acute coronary syndrome. The patient started CRRT (dialysis) on 2 May 2022. The patent died on 12 May 2022. Reported per EUA.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death, Dyspnoea, Electrolyte substitution therapy, Endotracheal intubation, Haemofiltration
Clinical narrative: Narrative: Patient received two doses of Pfizer COVID 19 Vaccine and one dose Moderna COVID 19 vaccine on 26 March 2022. The patient tested positive for COVID 19 on 27 April 2022. The patient presented to the ED on 27 April 2022 with chest pain and shortness of breath for one month. The patient was admitted to the hospital with elevated troponins (NSTEMI), acute kidney injury, pericarditis, and myocarditis. The patient was treated with steroids, antibiotics, and electrolyte replacement. The patient was intubated on 28 April 2022 due to respiratory failure and acute coronary syndrome. The patient started CRRT (dialysis) on 2 May 2022. The patent died on 12 May 2022. Reported per EUA.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myocarditis, Pericarditis, Respiratory failure, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Narrative: Patient received two doses of Pfizer COVID 19 Vaccine and one dose Moderna COVID 19 vaccine on 26 March 2022. The patient tested positive for COVID 19 on 27 April 2022. The patient presented to the ED on 27 April 2022 with chest pain and shortness of breath for one month. The patient was admitted to the hospital with elevated troponins (NSTEMI), acute kidney injury, pericarditis, and myocarditis. The patient was treated with steroids, antibiotics, and electrolyte replacement. The patient was intubated on 28 April 2022 due to respiratory failure and acute coronary syndrome. The patient started CRRT (dialysis) on 2 May 2022. The patent died on 12 May 2022. Reported per EUA.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Chest pain, Diarrhoea, Pancreatitis
Clinical narrative: Narrative: Patient received two doses of Pfizer COVI 19 Vaccine in Jun and Dec 2021. The patient tested positive for COVID 19 on 30 March 2022. The patient presented to the ED on 10 April 2022 with chest pain and diarrhea. The patient was admitted with COVDI 19, acute kidney injury, and pancreatitis. The patient was discharged on 15 April 2022 in stable condition. Reported per EUA.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Narrative: Patient received two doses of Pfizer COVI 19 Vaccine in Jun and Dec 2021. The patient tested positive for COVID 19 on 30 March 2022. The patient presented to the ED on 10 April 2022 with chest pain and diarrhea. The patient was admitted with COVDI 19, acute kidney injury, and pancreatitis. The patient was discharged on 15 April 2022 in stable condition. Reported per EUA.
Age: 52.0
Sex: M
Vaccine: UNK
Symptoms: Arthralgia, Fatigue, Feeling cold, Headache, Myalgia
Clinical narrative: Muscle pain, joint pain, fever, chills, nausea, fatigue, headache.
Age: 52.0
Sex: M
Vaccine: UNK
Symptoms: Nausea, Pyrexia
Clinical narrative: Muscle pain, joint pain, fever, chills, nausea, fatigue, headache.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest X-ray normal, Chest discomfort, Chest pain, Electrocardiogram normal, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: pt described felt like heart attack-Severe, Additional Details: vaccine given on sat. felt symptoms on sun. went to ER. EKG and chest xray normal. gave hydroxyzine and nitroglycerin SL. Followed up with pcp and cardiologist. all normal
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: pt described felt like heart attack-Severe, Additional Details: vaccine given on sat. felt symptoms on sun. went to ER. EKG and chest xray normal. gave hydroxyzine and nitroglycerin SL. Followed up with pcp and cardiologist. all normal
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Loss of consciousness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient had received 2 shots from us.  She got up & went to drop off window & said she was a little lightheaded then passed out walking to the chairs.  She said she had not eaten anything that day.  Her mother came & picked her up.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Dizziness, Fall, Flushing
Clinical narrative: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Shakiness-Severe, Systemic: Weakness-Severe, Additional Details: Pt came into the pharmacy looking to get his first covid-19 vaccine.He filled out paperwork that had all "Nos" to the questions. Pharmacist gave shot at 9:24am, pt sat down in waiting area 9:25am, he felt faint and got up from the chair 9:27am, he fell into the front registers while fainting/blacking out at 9:27:34am where he fell to the ground, pharmacist ran to his assistance, he was unconcious for 24 seconds,called 911, kept patient on ground till he came to, sat back in chair till EMS arrive.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypotension, Loss of consciousness, Syncope, Tremor
Clinical narrative: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Shakiness-Severe, Systemic: Weakness-Severe, Additional Details: Pt came into the pharmacy looking to get his first covid-19 vaccine.He filled out paperwork that had all "Nos" to the questions. Pharmacist gave shot at 9:24am, pt sat down in waiting area 9:25am, he felt faint and got up from the chair 9:27am, he fell into the front registers while fainting/blacking out at 9:27:34am where he fell to the ground, pharmacist ran to his assistance, he was unconcious for 24 seconds,called 911, kept patient on ground till he came to, sat back in chair till EMS arrive.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Shakiness-Severe, Systemic: Weakness-Severe, Additional Details: Pt came into the pharmacy looking to get his first covid-19 vaccine.He filled out paperwork that had all "Nos" to the questions. Pharmacist gave shot at 9:24am, pt sat down in waiting area 9:25am, he felt faint and got up from the chair 9:27am, he fell into the front registers while fainting/blacking out at 9:27:34am where he fell to the ground, pharmacist ran to his assistance, he was unconcious for 24 seconds,called 911, kept patient on ground till he came to, sat back in chair till EMS arrive.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Error: Leaking from Syringe-
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Arteriogram carotid, Cerebellar haemorrhage, Laboratory test
Clinical narrative: Cerebellar hemorrhage
Age: 26.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Erythema, Pain, Pain in extremity, Pain of skin, Pruritus
Clinical narrative: Left forearm red, swollen Stinging/burning pain in the entire arm. Intense itching feeling in forearm.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Muscle spasms, Neck pain
Clinical narrative: SORENESS AND PAIN IN THE INJECTION AREA. SORENESS AND PAIN RADIATE DOWN TO ELBOW THEN UP TO SHOLDER AND UP SIDE OF NECK. MUSCLE SPASM AT TIME. PAIN NOW MAINLY IN UPPER ARM AND SHOLDER. CAN NOT LIFT ARM OVER HEAD AND WHEN I CAN THE PAIN IS SO BAD. MUSCLES HURT IN THE UPPER ARM AND SHOLDER AND SOMETIMES ON SIDE OF NECK.IT HAS BEEN ALMOST 7 MONTHS AND STILL IN PAIN
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Ultrasound scan normal, X-ray normal
Clinical narrative: SORENESS AND PAIN IN THE INJECTION AREA. SORENESS AND PAIN RADIATE DOWN TO ELBOW THEN UP TO SHOLDER AND UP SIDE OF NECK. MUSCLE SPASM AT TIME. PAIN NOW MAINLY IN UPPER ARM AND SHOLDER. CAN NOT LIFT ARM OVER HEAD AND WHEN I CAN THE PAIN IS SO BAD. MUSCLES HURT IN THE UPPER ARM AND SHOLDER AND SOMETIMES ON SIDE OF NECK.IT HAS BEEN ALMOST 7 MONTHS AND STILL IN PAIN