chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Injection site pain, Injection site pruritus, Injection site swelling, Muscle spasms
Clinical narrative: On yesterday I had my first dose of the vaccine Moderna for Covid 19 and within two hours I had an allergic reaction. I experienced itching at the site where I was injected and swelling and tenderness. Later, at night I experience severe myalgia my legs and joints were spasming and it hurt so bad.    Today, The site where I was injected has some swelling and tenderness.Do you recommend that I get the second dose?
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain
Clinical narrative: On yesterday I had my first dose of the vaccine Moderna for Covid 19 and within two hours I had an allergic reaction. I experienced itching at the site where I was injected and swelling and tenderness. Later, at night I experience severe myalgia my legs and joints were spasming and it hurt so bad.    Today, The site where I was injected has some swelling and tenderness.Do you recommend that I get the second dose?
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given expired vaccine
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Drainage, Dysgeusia, Muscle spasms, Pain in extremity, Taste disorder
Clinical narrative: Within 5min of the vaccine my mouth tasted like metal. It tasted like I was eating pennies and there was drainage in my mouth. It has been 1 week and nothing tastes normal, it is all metal tasting still. I also got a blood clot in my right calf. It was not a DVT but one closer to the skin. I have horrible calf pain and get Charlie horses nightly. Neither of these were an issue before the vaccine
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: Within 5min of the vaccine my mouth tasted like metal. It tasted like I was eating pennies and there was drainage in my mouth. It has been 1 week and nothing tastes normal, it is all metal tasting still. I also got a blood clot in my right calf. It was not a DVT but one closer to the skin. I have horrible calf pain and get Charlie horses nightly. Neither of these were an issue before the vaccine
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Atrioventricular block, Blood test, Cardiac stress test, Catheterisation cardiac abnormal
Clinical narrative: After the injection of the vaccine, I started with a headache and my L arm became so sore that by 8pm I could not move it up/down for over 3 days.  The Headache lasted for about 1 week.  I also felt a little sick to my stomach. What has me concern, is that back in October 16, 2020 I had a cardiac cath completed and was found to have only 1 blockage which a stent was immediately put in.  The remaining arties were cleared of any blockages.  I then had the 2 step Pfizer vaccine injections along with the symptoms above.  By March I was still not feeling to where I was having SOB, dizziness and light headed.  I knew something was brewing.  I went to see my cardiologist who in returned scheduled another cardiac cath.  On March 15, 2021 the cath was performed only to find out since the COVID shot, I now have "3" blockages!!  Only 2 stents could be inserted and I remain to this day with a 70% blockage.  I find it very strange that in this short amount of time, that I can become blocked and I believe it has to do with the COVID shot.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Electrocardiogram, Headache, Immediate post-injection reaction
Clinical narrative: After the injection of the vaccine, I started with a headache and my L arm became so sore that by 8pm I could not move it up/down for over 3 days.  The Headache lasted for about 1 week.  I also felt a little sick to my stomach. What has me concern, is that back in October 16, 2020 I had a cardiac cath completed and was found to have only 1 blockage which a stent was immediately put in.  The remaining arties were cleared of any blockages.  I then had the 2 step Pfizer vaccine injections along with the symptoms above.  By March I was still not feeling to where I was having SOB, dizziness and light headed.  I knew something was brewing.  I went to see my cardiologist who in returned scheduled another cardiac cath.  On March 15, 2021 the cath was performed only to find out since the COVID shot, I now have "3" blockages!!  Only 2 stents could be inserted and I remain to this day with a 70% blockage.  I find it very strange that in this short amount of time, that I can become blocked and I believe it has to do with the COVID shot.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: After the injection of the vaccine, I started with a headache and my L arm became so sore that by 8pm I could not move it up/down for over 3 days.  The Headache lasted for about 1 week.  I also felt a little sick to my stomach. What has me concern, is that back in October 16, 2020 I had a cardiac cath completed and was found to have only 1 blockage which a stent was immediately put in.  The remaining arties were cleared of any blockages.  I then had the 2 step Pfizer vaccine injections along with the symptoms above.  By March I was still not feeling to where I was having SOB, dizziness and light headed.  I knew something was brewing.  I went to see my cardiologist who in returned scheduled another cardiac cath.  On March 15, 2021 the cath was performed only to find out since the COVID shot, I now have "3" blockages!!  Only 2 stents could be inserted and I remain to this day with a 70% blockage.  I find it very strange that in this short amount of time, that I can become blocked and I believe it has to do with the COVID shot.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given expired covid vaccine
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Blood test, Cardiac imaging procedure, Central nervous system lesion, Feeling hot
Clinical narrative: I had a headache got progressively worse. I had blurred vision, I was hot. The headache never left. It was a terrible headache. I was light sensitive, I had big black spots in my vision, and I couldn't put sentences together. I went to a clinic here they said it was a mini stroke. An MRI was done and found a lesion in the brain. I have recovered but the headaches have resurfaced in a different area. I was only prescribed preventative measures. A heart scan was also done. I am taking Tylenol for the headache that is in a different spot than the TIA.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Magnetic resonance imaging head abnormal, Photophobia, Transient ischaemic attack, Vision blurred
Clinical narrative: I had a headache got progressively worse. I had blurred vision, I was hot. The headache never left. It was a terrible headache. I was light sensitive, I had big black spots in my vision, and I couldn't put sentences together. I went to a clinic here they said it was a mini stroke. An MRI was done and found a lesion in the brain. I have recovered but the headaches have resurfaced in a different area. I was only prescribed preventative measures. A heart scan was also done. I am taking Tylenol for the headache that is in a different spot than the TIA.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: I had a headache got progressively worse. I had blurred vision, I was hot. The headache never left. It was a terrible headache. I was light sensitive, I had big black spots in my vision, and I couldn't put sentences together. I went to a clinic here they said it was a mini stroke. An MRI was done and found a lesion in the brain. I have recovered but the headaches have resurfaced in a different area. I was only prescribed preventative measures. A heart scan was also done. I am taking Tylenol for the headache that is in a different spot than the TIA.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Extrasystoles, Fatigue, Headache
Clinical narrative: Day 0- Overnight I experienced chills, headache, generalized body aches Day 1- Very sore arm, nausea, headache, severe muscle aches, joint pain, palpitations (feeling of pounding heartbeat and skipped beat feeling) elevated resting heart rate in the 110s (baseline for me is upper 50s to mid 60s) Doctor made aware. Day 2- more mild headache, fatigue, improving palpitations.  Day 3- all symptoms seemed to have resolved
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Myalgia, Nausea, Pain, Pain in extremity
Clinical narrative: Day 0- Overnight I experienced chills, headache, generalized body aches Day 1- Very sore arm, nausea, headache, severe muscle aches, joint pain, palpitations (feeling of pounding heartbeat and skipped beat feeling) elevated resting heart rate in the 110s (baseline for me is upper 50s to mid 60s) Doctor made aware. Day 2- more mild headache, fatigue, improving palpitations.  Day 3- all symptoms seemed to have resolved
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Day 0- Overnight I experienced chills, headache, generalized body aches Day 1- Very sore arm, nausea, headache, severe muscle aches, joint pain, palpitations (feeling of pounding heartbeat and skipped beat feeling) elevated resting heart rate in the 110s (baseline for me is upper 50s to mid 60s) Doctor made aware. Day 2- more mild headache, fatigue, improving palpitations.  Day 3- all symptoms seemed to have resolved
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given expired covid vaccine
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: Unresolved arm pain: Per patient, approximately 6hrs after vaccine administration, she began experiencing left arm soreness and pain 5/10 at site of injection with difficulty lifting her arm above shoulder height, but this has not resolved and has been constant for over 5 weeks. There is mild intermittent relief with Tylenol, 500mg, 1 tablet, which reduces her pain to 2/10.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Pulmonary embolism
Clinical narrative: Patient developed extensive pulmonary embolism 3 months after vaccination
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Acute left ventricular failure, Fall, Fluid overload
Clinical narrative: Patient presented to the ED on 4/10/2021 for a fall. Patient hospitalized on 5/7/2021 for fluid overload. Patient hospitalized on 5/8/2021 for acute diastolic heart failure. These visits are within 6 weeks of receiving COVID vaccination.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Influenza A virus test negative, Influenza B virus test, Influenza like illness
Clinical narrative: 5 days after the administration of the vaccine I began to have a slight headache for 2 days. I then became ill with a flu like illness with chills and fever and had to go to bed for 4 or 5 days. I called my doctor and told him I had the flu he tested me for A and B flu and Covid 19 test and I was negative for them all. He suspected I had an adverse reaction to the vaccine. I was quite sick. I was bed bound. I didn't feel well for a total of 2 weeks.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Mobility decreased, Pyrexia, SARS-CoV-2 test negative, Vaccination complication
Clinical narrative: 5 days after the administration of the vaccine I began to have a slight headache for 2 days. I then became ill with a flu like illness with chills and fever and had to go to bed for 4 or 5 days. I called my doctor and told him I had the flu he tested me for A and B flu and Covid 19 test and I was negative for them all. He suspected I had an adverse reaction to the vaccine. I was quite sick. I was bed bound. I didn't feel well for a total of 2 weeks.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Dyspnoea, Headache, Mobility decreased, Muscle tightness
Clinical narrative: I spiked a 104 fever and violent shaking. That made my muscles tense up so badly I had trouble breathing. I also had the worst headache I?ve ever experienced along with nausea and vomiting. The worst part was my bones all felt like someone was trying to crush them all at one time. The pain had me on the floor unable to move and I couldn?t rest.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Tremor, Vomiting
Clinical narrative: I spiked a 104 fever and violent shaking. That made my muscles tense up so badly I had trouble breathing. I also had the worst headache I?ve ever experienced along with nausea and vomiting. The worst part was my bones all felt like someone was trying to crush them all at one time. The pain had me on the floor unable to move and I couldn?t rest.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Adnexa uteri pain, Arthralgia, Axillary pain, Back pain, Chills
Clinical narrative: Pain and swelling at the injection site, lymphatic pain in both armpits, ovarian pain, joint pain (knees, ankles, back, arms),  chills, sweating, and malaise.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Injection site pain, Injection site swelling, Lymph node pain, Malaise
Clinical narrative: Pain and swelling at the injection site, lymphatic pain in both armpits, ovarian pain, joint pain (knees, ankles, back, arms),  chills, sweating, and malaise.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Pain and swelling at the injection site, lymphatic pain in both armpits, ovarian pain, joint pain (knees, ankles, back, arms),  chills, sweating, and malaise.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Drug hypersensitivity
Clinical narrative: Patient was given expired covid vaccine
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Dyspnoea, Pneumonia
Clinical narrative: Pfizer-BioNTECH COVID-19 Vaccine EUA Patient received Pfizer COVID Vaccines on 1/29/2021 and 2/22/2021. Patient presented to ED on 7/16/2021 with worsening shortness of breath for the last few days. Admit diagnosis of Pneumonia due to COVID-19. Patient was treated with remdesivir daily (7/16 - 7/20), IV steroids, and Tocilizumab 800 mg x2 doses (7/20&21). Patient expired on 7/29/2021.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Blood test, Computerised tomogram, Electrocardiogram, Investigation
Clinical narrative: Heart/chest pain. Admitted to hospital, stay for 3+ days, blood tests completed, EkG, CT Scan, x-rays, ultrasound, other tests. Diagnosis of Pericarditis. Recurrent chest pain late July 2021.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pericarditis, Ultrasound scan, X-ray
Clinical narrative: Heart/chest pain. Admitted to hospital, stay for 3+ days, blood tests completed, EkG, CT Scan, x-rays, ultrasound, other tests. Diagnosis of Pericarditis. Recurrent chest pain late July 2021.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Cardiac failure congestive, Haemorrhagic stroke
Clinical narrative: Possible interaction with Coumadin and Vimpat May 17th HFH  with AFIB June 1st HFH with Congestive Heart Failure July 10th with hemorrhagic stroke
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Cardiac failure, Haemorrhagic stroke, SARS-CoV-2 test
Clinical narrative: Possible interaction with Coumadin and Vimpat May 17th HFH  with AFIB June 1st HFH with Congestive Heart Failure July 10th with hemorrhagic stroke
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Full blood count, Hypoaesthesia, Injection site erythema, Injection site swelling
Clinical narrative: red swollen hot rt upper arm, 15 cmx 12.5 cm in size, started day 11 after injection, low grade fever (100 deg  F), numbness in rt arm 1st day of reaction , each day area of redness worsening
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pyrexia, Red blood cell sedimentation rate
Clinical narrative: red swollen hot rt upper arm, 15 cmx 12.5 cm in size, started day 11 after injection, low grade fever (100 deg  F), numbness in rt arm 1st day of reaction , each day area of redness worsening
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient was found dead in his home on 07/27/2021.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given expired covid vaccine
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Cardioversion, Echocardiogram, Electrocardiogram abnormal
Clinical narrative: Atrial fibrillation diagnosed on 4/14/2021; asymptomatic; treated with electrical cardioversion on 06/24/2021;  verified normal rhythm on 07/22/2021
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Syncope
Clinical narrative: Minutes after vaccine, Felt nauseous and shortly fainted afterwards. Regained consciousness after a couple minutes.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Muscle tightness, Skin tightness, Swollen tongue
Clinical narrative: Swelling in eyes,  tongue.  Tightness in face and neck
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: PATIENT RECEIVED THREE DOSES OF MODERNA (COVID-19) VACCINE.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Immediate post-injection reaction, Injection site erythema
Clinical narrative: Left deltoid injection site erythema extending to mid-shaft of humerus. Localized warmth.  Occurred immediately after injection per patient.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given expired covid vaccine
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Intensive care, Mechanical ventilation, Multiple organ dysfunction syndrome
Clinical narrative: Hospitalized on 8/4/2021 with sepsis, multisystem organ dysfunction, cardiac arrest, found COVID-19 Antigen +  In CCU on ventilator.   Appears Sepsis is the primary factor
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Hospitalized on 8/4/2021 with sepsis, multisystem organ dysfunction, cardiac arrest, found COVID-19 Antigen +  In CCU on ventilator.   Appears Sepsis is the primary factor
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given expired covid vaccine
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hot flush, Hyperhidrosis
Clinical narrative: Patient had sweating, chills, and hot flashes for approximately 5 minutes. Self-resolved with sips of water. Monitored patient for over 15 additional minutes and patient felt well enough to leave on his own.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given expired covid vaccine
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Pulmonary embolism
Clinical narrative: Pulmonary embolism dx 1 week after 2nd shot-Symptoms started soon after 2nd shot
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Migraine, Pallor, Speech disorder
Clinical narrative: Pt experienced headache/migraine and difficulty speaking after receiving 2nd dose.   Medical response was called.  Doctor assessed pt requested further monitoring.  Pt was able to speak when doctor arrived.  No swelling, SOB or hives seen.  Lung sounds clear.  Pt was pale and c/o headache.  Apple juice and crackers given as pt had not eaten breakfast prior to vaccine.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received a vaccine has was beyond the BUD. The vaccine was punctured at 8:50 am on 8/3/2021. The vaccine expired at 8:50 pm on 8/3/21.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Provider received notification from "NIGHT NURSE: Pediatric After Hours Triage Service"  that Patient had hives develop on her ABDOMEN / ARMS / and THIGH appearing 48 -72 hours after Pfizer COVID Vaccine Administration @ an outside facility.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Injection site pruritus, Muscle tightness, Sensory disturbance
Clinical narrative: chronic itch to left arm at injection sight. He reports that it feels like something is moving around inside his left arm he  notes intermittently he exp's muscles tightness to left arm that radiates almost to his neck.   pt has applied triamcinolone 0.1% cream to his arm that did stop itch but caused a blister to the area that healed after he stopped using it.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site pain, Neck pain, Pain in extremity
Clinical narrative: Patient went to urgent Care with pain at injection site, pain radiating down through right leg and up through the right side of her neck
Age: 13.0
Sex: F
Vaccine: COVID19, HPV9
Symptoms: Dizziness, Loss of consciousness, Tinnitus
Clinical narrative: Patient received HPV vaccine and was doing fine after receiving that. She walked to the nurse who was going to do her COVID vaccine and gave the patient the COVID vaccine. After receiving the COVD vaccine, the patient passed out while she was sitting down about 30 seconds after receiving the COVID vaccine. Patient was unconscious for about 15 to 20 seconds and then came back to being alert. Patient was offered crackers and water and we had her lie down for about 5 to 10 minutes. Patient stated she felt light headed and dizzy before passing out but does not recall actually being passed out. Patient also stated that she had ringing in her ears, which patient states the ringing in her ear has happened multiple times before.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient just got vaccinated with 1st dose of Moderna one week ago.  developed fever and body ache 5-6 days later.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pain, Paraesthesia
Clinical narrative: Pt. states that after receiving the 2nd dose of Moderna 03/15/2021, started to experience symptoms 03/17/2021 of right arm soreness radiating down to the elbow, still experiencing pain currently. Tingling and numbness of the (outside) fingers on/off, thumb feeling of tingling traveling up through the hand. Primary visit 03/24/2021 recommendations to see a Neurologist regarding the numbness.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hiatus hernia
Clinical narrative: Patient hospitalized for hiatal hernia within 6 weeks of receiving COVID vaccination.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Pain in extremity, Ultrasound Doppler abnormal
Clinical narrative: Deep vein thrombosis,  extensive, left leg.  Pain started within  a week? of  2nd Moderna shot. Was at first misdiagnosed as muscle injury, but then with acute worsening, was seen at ER, 7/2/21, where US was done.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Chest X-ray abnormal, Clostridium test, Diarrhoea
Clinical narrative: 8/3/2021- patient to ED with SOB, nausea,vomit and abd cramping, diarrhea. Held in ED and admitted on 8/4/2021
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Myocardial necrosis marker, Nausea, SARS-CoV-2 test positive, Stool analysis
Clinical narrative: 8/3/2021- patient to ED with SOB, nausea,vomit and abd cramping, diarrhea. Held in ED and admitted on 8/4/2021
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: 8/3/2021- patient to ED with SOB, nausea,vomit and abd cramping, diarrhea. Held in ED and admitted on 8/4/2021
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood test normal, Chest X-ray normal, Chest discomfort, Electrocardiogram normal
Clinical narrative: The first thing I noticed was some tightness in my chest and fatigue. That has persisted since the middle of January. I then started having upset stomach and nausea daily. I have had blood work, chest xray, EKG. I have been able to manage the upset stomach and nausea with acid reducing medication recently. If I don?t take the acid reducing medication, I still experience the nausea.  The fatigue persists. My rheumatologist did blood work and discovered I had no antibodies from the vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea
Clinical narrative: The first thing I noticed was some tightness in my chest and fatigue. That has persisted since the middle of January. I then started having upset stomach and nausea daily. I have had blood work, chest xray, EKG. I have been able to manage the upset stomach and nausea with acid reducing medication recently. If I don?t take the acid reducing medication, I still experience the nausea.  The fatigue persists. My rheumatologist did blood work and discovered I had no antibodies from the vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chest X-ray abnormal, Chest pain, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: Developed Pericarditis.  Severe chest pain, trouble breathing, shoulder and arm pain, extreme fatigue.  Went to a 24-hour medical clinic and they thought it was muscular and prescribed Prednisone.  The chest pain continued to be severe and I began to have trouble breathing.  At this point I went to the Emergency Room, where I was diagnosed with Pericarditis. **My first Covid Vaccine's LOT # was changed: someone crossed out the last number on the lot number (that was stamped on my card) and hand wrote a different number on top of it.  The original lot number was: EW0169, but when I received the card, a 2 was hand-written over the 9.  This was my first Covid vaccine, given on 04/17/2021
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Magnetic resonance imaging heart, Pain in extremity, Pericarditis
Clinical narrative: Developed Pericarditis.  Severe chest pain, trouble breathing, shoulder and arm pain, extreme fatigue.  Went to a 24-hour medical clinic and they thought it was muscular and prescribed Prednisone.  The chest pain continued to be severe and I began to have trouble breathing.  At this point I went to the Emergency Room, where I was diagnosed with Pericarditis. **My first Covid Vaccine's LOT # was changed: someone crossed out the last number on the lot number (that was stamped on my card) and hand wrote a different number on top of it.  The original lot number was: EW0169, but when I received the card, a 2 was hand-written over the 9.  This was my first Covid vaccine, given on 04/17/2021
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Was diagnosed with shingles within 4 weeks of 2nd Covid vaccine and still haven?t been able to get rid of the shingles or stop the flare ups months later.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Dizziness, Myalgia, Nausea
Clinical narrative: From May 15th until today. Extreme joint and muscle paint throughout body. Nausea, dizziness.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Asthenia, Cold sweat, Gait inability
Clinical narrative: PATIENT LEFT OFFICE AFTER VISIT. MOM RE-ENTERED OFFICE CARRYING PATIENT STATED PATIENT JUST HAD HER VACCINES AND CAN'T WALK. UPON ARRIVAL TO ROOM PATIENT WAS CONCIOUS, OXYGEN 97% RA, 49 HR, BP 90/50. PATIENT HAD BREAKFAST PRIOR TO APPOINTMENT. PATIENT STATES SHE FELT WEAK, WAS CLAMMY, AND PALE. AFTER MINUTES OF OBSERVATION, PATIENT'S VITAL SIGNS 99% RA, 97 HR, 82/62 BP, PATIENT ALERT, SITTING UP, STATES SHE FEELS BETTER, EATING CRACKERS AND DRINKING JUICS
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Extra dose administered
Clinical narrative: Patient was given an extra dose of Meningococcal B vaccine. No adverse symptoms were found.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 12/23/2020 Pfizer Covid vaccine 1/12/2021 Pfizer Covid vaccine 8/2/2021 tested positive for Covid with PCR test 8/13/21 potential to return to work
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID positivity in hospital (admitted for CHF)
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: experiencing symptoms of covid.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dehydration, Hypoaesthesia oral, Lip pruritus, Pruritus
Clinical narrative: Itchy, numb lips Itchy, swollen tongue.  The swelling was noticed the morning after and could have been caused by dehydration, since I slept for 12 hours after taking a couple of Benadryl. Very sore left shoulder the day after.  I realize that this is not abnormal.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: Itchy, numb lips Itchy, swollen tongue.  The swelling was noticed the morning after and could have been caused by dehydration, since I slept for 12 hours after taking a couple of Benadryl. Very sore left shoulder the day after.  I realize that this is not abnormal.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: Blood clot in left leg
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Upon arriving at pharmacy, patient was asked by the pharmacy technician, if she had received any covid vaccine previously. The patient said "no, this is my first dose." Prior to administration, I verified that the patient was here for her first dose of Pfizer vaccine and asked if the system allowed her to make her second dose appointment. The patient verified that this was her first dose and the second dose was scheduled for 3 weeks out. The patient also checked "No" on her consent form on the question "Have you had the vaccine(s) you are receiving today before?". After administration, I went to log her dose into system, which is when I saw that she got 2 doses of Pfizer in January/February of 2021. When I asked the patient if that was correct, she said "Yes, I received both doses, but after reading about it and seeing that other countries are allowing booster doses, I wanted to get a booster dose. I'm sorry I lied to you." I told the patient that this was not currently recommended by the CDC and that she would not be receiving a fourth dose from us. I also cancelled her 2nd dose appointment in system.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: DVT of right leg
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pruritus
Clinical narrative: Stated felt "itchy", sweating.  Gave 25mg PO benadryl
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule
Clinical narrative: Large knot developed in the right arm pit area.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, C-reactive protein increased, Gait disturbance, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Began to experience muscular pain and stiffness primarily in the gluteus maximus, lower back, and both shoulders.  At the time believed it was due to osteoarthritis in left knee causing a change in my gait but after further evaluation and a closer look at the timing involved believe it to have had an onset after the covid vaccine.  The pain and stiffness was gradual beginning after the vaccine.  Eventually, the pain and stiffness increased affecting even simple daily tasks like putting on a shirt, bending over, anything that involved lifting my arms.  Eventually, had to start prednisone treatment to allow me to function.  The pain in my shoulders prior to prednisone would  keep my up at night and often I would have to sleep sitting upright in a chair.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal stiffness, Myalgia, Red blood cell sedimentation rate increased, Sleep disorder
Clinical narrative: Began to experience muscular pain and stiffness primarily in the gluteus maximus, lower back, and both shoulders.  At the time believed it was due to osteoarthritis in left knee causing a change in my gait but after further evaluation and a closer look at the timing involved believe it to have had an onset after the covid vaccine.  The pain and stiffness was gradual beginning after the vaccine.  Eventually, the pain and stiffness increased affecting even simple daily tasks like putting on a shirt, bending over, anything that involved lifting my arms.  Eventually, had to start prednisone treatment to allow me to function.  The pain in my shoulders prior to prednisone would  keep my up at night and often I would have to sleep sitting upright in a chair.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Borrelia test, C-reactive protein increased, Fatigue
Clinical narrative: For 3 weeks I had an afternoon fever that would start between 3 to 7pm, Low grade fever, it was accompainied by fatigue, headache, neck and shoulder pain and fever would go away by the morning.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphocyte count increased, Lymphocyte morphology abnormal, Neck pain, Pyrexia
Clinical narrative: For 3 weeks I had an afternoon fever that would start between 3 to 7pm, Low grade fever, it was accompainied by fatigue, headache, neck and shoulder pain and fever would go away by the morning.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Urine analysis
Clinical narrative: For 3 weeks I had an afternoon fever that would start between 3 to 7pm, Low grade fever, it was accompainied by fatigue, headache, neck and shoulder pain and fever would go away by the morning.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eye swelling, Musculoskeletal stiffness, Rash erythematous, Rhinitis, Swelling
Clinical narrative: Same day of receiving vaccine: forehead becoming stiff and right eyebrow raised around 7 PM; by 10 PM both eyes were with red ithing rash along with rhinitis. 8/6/21 - awoke with swollen eyes and face rash and neck "discoid" that had resolved earlier inweek had returned. Throat tight but no difficulty breathing at time.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling face, Throat tightness
Clinical narrative: Same day of receiving vaccine: forehead becoming stiff and right eyebrow raised around 7 PM; by 10 PM both eyes were with red ithing rash along with rhinitis. 8/6/21 - awoke with swollen eyes and face rash and neck "discoid" that had resolved earlier inweek had returned. Throat tight but no difficulty breathing at time.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chest discomfort, Chest pain, Dyspnoea, Fatigue
Clinical narrative: Chest pain, shortness of breath, Headache, gastrointestinal distress, malaise. One week after the injection I am still having continuous chest pain/discomfort and shortness of breath, tired.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Inflammation, Malaise
Clinical narrative: Chest pain, shortness of breath, Headache, gastrointestinal distress, malaise. One week after the injection I am still having continuous chest pain/discomfort and shortness of breath, tired.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Headache, Hyperhidrosis
Clinical narrative: Complained of sudden onset headache, sweating. Offered water and peanut butter crackers. Stated not better.  Moved to stretcher.  BP 122/80.  25 mg Benadryl PO given at 0820.  0827 BP 200/120 and c/o chest pain.  RRT called and patient taken to emergency department for further evaluation and treatment.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Aplasia pure red cell, Dyspnoea exertional, Fatigue, Haemoglobin decreased, Laboratory test normal
Clinical narrative: The patient had been in her usual state of health until late March/early April when pt began to experience extreme fatigue and dyspnea on exertion.  Pt was admitted to the hospital on April 3rd with a hemoglobin of 4.9 and transfused.   Patient received Pfizer vaccine on 2/1/21 & 2/22/21. Presented with acquired red cell aplasia on 4/3 with hgb of 4.9. Workup to date for aplasia has been negative, including viral panel and alternative drug causes. Myelodysplastic causes cannot be ruled out, but seem less likely given the abrupt onset of symptoms. Bone marrow biopsy was not pursued due to patient preference.   Given temporal relationship to the COVID vaccine, reporting this possible association to the Health Authority.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Myelodysplastic syndrome, Transfusion, Viral test negative
Clinical narrative: The patient had been in her usual state of health until late March/early April when pt began to experience extreme fatigue and dyspnea on exertion.  Pt was admitted to the hospital on April 3rd with a hemoglobin of 4.9 and transfused.   Patient received Pfizer vaccine on 2/1/21 & 2/22/21. Presented with acquired red cell aplasia on 4/3 with hgb of 4.9. Workup to date for aplasia has been negative, including viral panel and alternative drug causes. Myelodysplastic causes cannot be ruled out, but seem less likely given the abrupt onset of symptoms. Bone marrow biopsy was not pursued due to patient preference.   Given temporal relationship to the COVID vaccine, reporting this possible association to the Health Authority.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: vaccinated with johnson and johnson- has fever and body ache.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast cyst, Breast discomfort, Breast pain, Mammogram abnormal
Clinical narrative: Two weeks after went for prescheduled mammogram. When the results came, hospital called and needed follow up due to right breast area. Ultrasound of right breast. Did not find anything but cyst. Still having discomfort and soreness on same side, lateral side of right breast and under arm. Already had pain before vaccine. Due for follow up.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound breast
Clinical narrative: Two weeks after went for prescheduled mammogram. When the results came, hospital called and needed follow up due to right breast area. Ultrasound of right breast. Did not find anything but cyst. Still having discomfort and soreness on same side, lateral side of right breast and under arm. Already had pain before vaccine. Due for follow up.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Incomplete course of vaccination, Palpitations, Rash, Vaccination complication
Clinical narrative: Employee stated that she developed a rash on neck, chest, arm, and back.  Had palpations. Was told to take Benadryl which resolved symptoms.  @ weeks later had a repeat of the rash and again took Benadryl.   Employee advised that she could not have second vaccine due to the reaction
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Menstruation irregular, Migraine, Neck pain
Clinical narrative: Loss of menstrual cycle for 100 days, Migraines with most severe  migraine ( lasting  4 days) at 3 weeks  post vaccine. Left side neck and shoulder pain
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Eye irritation, Herpes zoster, Joint swelling, Laboratory test, Pulmonary congestion
Clinical narrative: Got Shingles and congestion around his heart, swelling in the joints and eye irritation
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Facial pain, Hyperhidrosis, Malaise, Pain in extremity
Clinical narrative: Wife and husband went on Sunday for 1st Covid shot.. Following day wife was fine husband came home from work very sick, fever, sweating, chest pain, arm pain, facial pain, hands and thumbs in pain. Can't sleep been happening every day, comes and goes with pain medication (ibuprofen) pain is unbearable,  going on day 6.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: Wife and husband went on Sunday for 1st Covid shot.. Following day wife was fine husband came home from work very sick, fever, sweating, chest pain, arm pain, facial pain, hands and thumbs in pain. Can't sleep been happening every day, comes and goes with pain medication (ibuprofen) pain is unbearable,  going on day 6.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Discoloured vomit, Dry mouth, Hypertensive crisis, Oliguria
Clinical narrative: Patient presents with hypertensive crisis, pain in left knee, elbow and fingers and toes. Dry mouth. Vomit is colored green. Oliguria.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Patient presents with hypertensive crisis, pain in left knee, elbow and fingers and toes. Dry mouth. Vomit is colored green. Oliguria.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Immediate post-injection reaction, Injected limb mobility decreased, Insomnia, Joint range of motion decreased
Clinical narrative: Since the shot was administered on 1/26/21, I still have pain in that shoulder. Immediately that day, I could barely move my arm to the side. Bringing my arm up to my shoulder, I was only able to bring it halfway. The pain is very localized to the head of the deltoid. There is still a dot where the shot was administered. If I had a 5lb weight, I cannot maintain it. My arms would shake, and I cannot lift it. The muscle always feels tired. Even sleeping is difficult, I cannot sleep on it or even on the other side. It has affected my quality of life tremendously. I had seen an orthopedic surgeon who gave a cortisone shot which did nothing. I feel like it definitely a muscle/nerve issue
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle fatigue, Tremor
Clinical narrative: Since the shot was administered on 1/26/21, I still have pain in that shoulder. Immediately that day, I could barely move my arm to the side. Bringing my arm up to my shoulder, I was only able to bring it halfway. The pain is very localized to the head of the deltoid. There is still a dot where the shot was administered. If I had a 5lb weight, I cannot maintain it. My arms would shake, and I cannot lift it. The muscle always feels tired. Even sleeping is difficult, I cannot sleep on it or even on the other side. It has affected my quality of life tremendously. I had seen an orthopedic surgeon who gave a cortisone shot which did nothing. I feel like it definitely a muscle/nerve issue
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received Janssen Covid-19 vaccine 3/30/31. After discussion with her PCP it was decided that she receive the Pfizer Covid-19 vaccine. Vaccine administered 08/06/2021
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Dizziness, Fall
Clinical narrative: 10 minutes after patient received the vaccine she walking around the store with her mother became lightheaded and fell to the floor. Patient was transferred to a wheelchair by a store employee and was brought to TLC for further evaluation. No injuries or bruised noted, patient's mother declined EMS services, patient was able to walk out without difficulties
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: she has been diagnosed with bell's palsy. she was told that it would be temporoary.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Chills, Dyspnoea, Headache
Clinical narrative: I started to begin feeling tingling sensation in both muscles and joints around 3:00PM (~6.5 hrs post-vaccination). Upon returning home after 6pm, I began experiencing fever and chills. By this time, the joint pain had worsened and I was experiencing bouts/waves of chills with chest pain and shortness of breath. I then experienced extreme sensations of nausea with a compounded headache centralized to the occipital lobe region which lasted throughout the night and into the next day. I had vomited 7 times during the evening due to nausea and had difficulty trying to rest. I have not experienced anything like this before.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Nausea, Paraesthesia, Pyrexia, Vomiting
Clinical narrative: I started to begin feeling tingling sensation in both muscles and joints around 3:00PM (~6.5 hrs post-vaccination). Upon returning home after 6pm, I began experiencing fever and chills. By this time, the joint pain had worsened and I was experiencing bouts/waves of chills with chest pain and shortness of breath. I then experienced extreme sensations of nausea with a compounded headache centralized to the occipital lobe region which lasted throughout the night and into the next day. I had vomited 7 times during the evening due to nausea and had difficulty trying to rest. I have not experienced anything like this before.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Neuralgia
Clinical narrative: Daily joint pain and severe nerve pain the bottom of my feet
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Blood test, Chillblains
Clinical narrative: Chilblain lesions  Chilblains affecting fingers and toes
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Cyanosis, Feeling cold, Seizure
Clinical narrative: PCP reported that the patient was sitting in the waiting room after the vaccine and begin to have a seizer... Lips were blue and she was cold to the touch....
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time, Angiogram, Anticoagulant therapy, Arteriogram carotid, Arthralgia
Clinical narrative: Joint pain and weakness, muscle pain 8/6/21 presented to emergency department with right sided weakness, confusion and slurred speech Received TpA for CVA
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Cerebrovascular accident, Computerised tomogram head, Confusional state, Dysarthria
Clinical narrative: Joint pain and weakness, muscle pain 8/6/21 presented to emergency department with right sided weakness, confusion and slurred speech Received TpA for CVA
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Full blood count, Hemiparesis, International normalised ratio, Magnetic resonance imaging
Clinical narrative: Joint pain and weakness, muscle pain 8/6/21 presented to emergency department with right sided weakness, confusion and slurred speech Received TpA for CVA
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Myalgia, Prothrombin time
Clinical narrative: Joint pain and weakness, muscle pain 8/6/21 presented to emergency department with right sided weakness, confusion and slurred speech Received TpA for CVA
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Magnetic resonance imaging, Neck pain, Scan
Clinical narrative: Joint pain and weakness, muscle pain 8/6/21 presented to emergency department with right sided weakness, confusion and slurred speech Received TpA for CVA
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram abnormal, Arthralgia, Chest X-ray abnormal, Cough, Deep vein thrombosis
Clinical narrative: She had a L knee injury on 7/8/21 and was seeking medical care for that.  She presented to this clinic for evaluation of L knee pain and was given Covid vaccine at that visit per her request.  She was observed for 30 minutes after due to allergy history without incident.  Pt presented to ER on 7/31/21 with complaints of cough, bloody sputum, L sided rib pain.  She was diagnosed with L popliteal DVT, positive D-dimer with suspected PE.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Haemoptysis, Musculoskeletal chest pain, Pulmonary embolism, Ultrasound Doppler abnormal
Clinical narrative: She had a L knee injury on 7/8/21 and was seeking medical care for that.  She presented to this clinic for evaluation of L knee pain and was given Covid vaccine at that visit per her request.  She was observed for 30 minutes after due to allergy history without incident.  Pt presented to ER on 7/31/21 with complaints of cough, bloody sputum, L sided rib pain.  She was diagnosed with L popliteal DVT, positive D-dimer with suspected PE.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound chest
Clinical narrative: She had a L knee injury on 7/8/21 and was seeking medical care for that.  She presented to this clinic for evaluation of L knee pain and was given Covid vaccine at that visit per her request.  She was observed for 30 minutes after due to allergy history without incident.  Pt presented to ER on 7/31/21 with complaints of cough, bloody sputum, L sided rib pain.  She was diagnosed with L popliteal DVT, positive D-dimer with suspected PE.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Mobility decreased, Pyrexia
Clinical narrative: 4/16/2021 had Pfizer Covid vaccine #1 4/17 Employee has hx of MS, was not able to get out of bed, unable to walk, had low grade fever.  MS was exacerbated, was started on 8 days of Prednisone