chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Urogram abnormal, Urostomy
Clinical narrative: Moderna shot 1  3/12/2021. Moderna shot 2 4/9/21.   Patient started on 5/10/2021 with hematuria.  CT scan abdomen 5/18/2021   Showing hyper attenuating mass within urinary bladder, suspicious for neoplasm; new mildly enlarged right pelvic sidewall lymph node (these findings were not present on CT in 2019).  cystoscopy 6/16/2021: Muscle invasive high-grade urothelial carcinoma. Referred to Urology at Medical Center.   Subsequently required bilateral nephrostomy tubes.  Radical cystectomy, pelvic lymph node dissection, ileal conduit on 11/5/2021.  Concern for disease progression on CT urogram 12/15/2021.
Age: 82.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Angiogram cerebral abnormal, Brain stem stroke, Dizziness, Fatigue, Feeling abnormal
Clinical narrative: This is a 83 y.o. right-handed white woman with an acute stroke of the left brainstem. On October 22 she got a COVID booster shot and a flu shot and felt worn our for a few days. On Monday she woke up and had trouble getting out of bed because she felt like she was being pulled to the left. She denies vertigo in the sense of seeing the room spin, but did feel dizzy. She went to a local ED and was sent out thinking she could not walk due to vertigo and was put on Meclizine. She was seen by her PCP who was concerned for a stroke, put her atorvastatin and added clopidogrel to her aspirin and ordered an MRI brain. There was DWI changes with ADC correlate in a small area on the left lateral medulla. She has had 4 PT sessions but still feels unstable on her feet. She states all three of her COVID shots were Moderna.  A CTA of her intracranial and extracranial vasculature ordered by myself (Neurologist) was without stenosis.
Age: 82.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Gait disturbance, Gait inability, Magnetic resonance imaging head abnormal, Mobility decreased, Vertigo
Clinical narrative: This is a 83 y.o. right-handed white woman with an acute stroke of the left brainstem. On October 22 she got a COVID booster shot and a flu shot and felt worn our for a few days. On Monday she woke up and had trouble getting out of bed because she felt like she was being pulled to the left. She denies vertigo in the sense of seeing the room spin, but did feel dizzy. She went to a local ED and was sent out thinking she could not walk due to vertigo and was put on Meclizine. She was seen by her PCP who was concerned for a stroke, put her atorvastatin and added clopidogrel to her aspirin and ordered an MRI brain. There was DWI changes with ADC correlate in a small area on the left lateral medulla. She has had 4 PT sessions but still feels unstable on her feet. She states all three of her COVID shots were Moderna.  A CTA of her intracranial and extracranial vasculature ordered by myself (Neurologist) was without stenosis.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Diarrhoea, Full blood count, Hypertension, Nausea
Clinical narrative: My blood pressure spiked. Severe nausea, diarrhea and high blood pressure. Presented to ER two days later. CBC done and need two normal saline while in the ER. Results of blood work was low blood platelets. Was prescribed propranolol and vitamin D. Was also prescribed Xanax but I never took it.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased
Clinical narrative: My blood pressure spiked. Severe nausea, diarrhea and high blood pressure. Presented to ER two days later. CBC done and need two normal saline while in the ER. Results of blood work was low blood platelets. Was prescribed propranolol and vitamin D. Was also prescribed Xanax but I never took it.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neck pain, Tinnitus
Clinical narrative: Severe tinnitus for 5 days. Headaches, neck pain and low level tinnitus still prevalent to this day.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Presyncope
Clinical narrative: Patient had a vasovagal episode post vaccination. Patient appeared with feeling of dizziness, no paleness, alert and oriented. Patient was by himself   Patient was instructed to lie down and elevate his leg. Patient was given  Water, crackers. Outcome: Patient recovered without difficulties Patient educated about ER precaution. Patient acknowledged understanding. Patient has recovered and was observed for additional 15 minuttes.  Patient left observation.  Vital Signs: @ 8:40 Blood Pressure: 100/ Pulse: 54 O2: 98% room air  Vital Signs: @ 8:43 Blood Pressure: 120/78 Pulse: 60 O2: 100% room air   Vital Signs: @ 8:45 Blood Pressure: 121/80 Pulse: 62 O2: 98% room air
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Dyspnoea, Gastrooesophageal reflux disease, Oropharyngeal pain, Peripheral swelling
Clinical narrative: Dec 11: Started experiencing itching and hives. Started around my groin but spread all over my body during the next 24+ hours. Took Claritin, with little effect. Dec 12: Took Benadryl, with no effect. Itching and hives INTENSE and widespread. Minor sore throat for a couple days. Dec 13: Saw a doctor; prescribed prednisone 40 mg for 5 days. Hands and fingers swollen. Prednisone lessened but didn't eliminate the symptoms, and mostly wore off by the evening. Topical CBD + menthol cream provided good relief from itching. Topical cortisone cream provided moderate relief from itching. Dec 15: Started noticing minor respiratory symptom: when I take a deep breath, the last 5% of my breath feels spongy or a little harder to fill my lungs those last few degrees. Dec 17: All symptoms continued through Dec 17. Second doctor's visit; prescribed hydroxyzine (25 mg 4x daily for 7 days) and famotidine (20 mg twice daily for 3 days). Symptoms stopped within 2-3 hours of starting the new medications, and have not returned. Dec 18: Increased prednisone to 60 mg/day (for 4 days, then 40 mg x4 days, then 20 mg x4 days).  The itching was intense and caused me to break the skin and bruise myself in multiple places from so much scratching. I also have a tiny bit of acid reflux.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Respiratory symptom, Scratch, Skin disorder, Urticaria
Clinical narrative: Dec 11: Started experiencing itching and hives. Started around my groin but spread all over my body during the next 24+ hours. Took Claritin, with little effect. Dec 12: Took Benadryl, with no effect. Itching and hives INTENSE and widespread. Minor sore throat for a couple days. Dec 13: Saw a doctor; prescribed prednisone 40 mg for 5 days. Hands and fingers swollen. Prednisone lessened but didn't eliminate the symptoms, and mostly wore off by the evening. Topical CBD + menthol cream provided good relief from itching. Topical cortisone cream provided moderate relief from itching. Dec 15: Started noticing minor respiratory symptom: when I take a deep breath, the last 5% of my breath feels spongy or a little harder to fill my lungs those last few degrees. Dec 17: All symptoms continued through Dec 17. Second doctor's visit; prescribed hydroxyzine (25 mg 4x daily for 7 days) and famotidine (20 mg twice daily for 3 days). Symptoms stopped within 2-3 hours of starting the new medications, and have not returned. Dec 18: Increased prednisone to 60 mg/day (for 4 days, then 40 mg x4 days, then 20 mg x4 days).  The itching was intense and caused me to break the skin and bruise myself in multiple places from so much scratching. I also have a tiny bit of acid reflux.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Deep vein thrombosis.  Developed on 12/11 or 12/12, came to see me in office with it on 12/16. Ultrasound diagnosed DVT same day.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Covered in hives head to toe for since getting the booster
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Headache, Urticaria
Clinical narrative: Pt reports nosebleed, HA and hives after Janssen COVID vaccine when presenting for booster on 12/17.  Unknown time course of reaction.  Pt redirected to Pfizer booster.  No reaction noted after Pfizer booster.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Started shaking and feeling body vibrations  and tremors a couple of months after the 2nd Covid 19 shot/vaccine
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cardiac stress test, Chest pain, Cyanosis, Electrocardiogram abnormal
Clinical narrative: Ongoing substernal chest pain, fatigue, decreased stamina, cyanosis of hands (mostly left),  elevated D-Dimer, EKG changes, pericarditis with fibrin deposits noted on cardiac sonography.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer increased, Pericarditis, Ultrasound Doppler abnormal
Clinical narrative: Ongoing substernal chest pain, fatigue, decreased stamina, cyanosis of hands (mostly left),  elevated D-Dimer, EKG changes, pericarditis with fibrin deposits noted on cardiac sonography.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt is immunocompromised and was supposed to receive a 0.5 ml of Moderna booster (lot# 012H21B) but instead he was given a booster of 0.25 ml.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Sharp chest/hair pains
Age: 30.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Full dose vaccine administered for booster dose instead of recommended half dose.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood gases, Blood pH decreased, Blood potassium increased, Colon cancer stage IV, Death
Clinical narrative: Pt with stage IV colon cancer with mets to lung died on 12/18/21
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Klebsiella test positive, Metastases to lung, PCO2 increased, Sputum culture positive, Urine analysis normal
Clinical narrative: Pt with stage IV colon cancer with mets to lung died on 12/18/21
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Immediate post-injection reaction, Joint range of motion decreased, Mobility decreased, Pain
Clinical narrative: Shot was administered with immediate pain in left arm. Pain has progressively increased and now radiates from arm up to shoulder. Pain is regular, increasing and now impacting range of motion and use of left arm.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Shot was administered with immediate pain in left arm. Pain has progressively increased and now radiates from arm up to shoulder. Pain is regular, increasing and now impacting range of motion and use of left arm.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vision blurred
Clinical narrative: Blurry vision with lightheaded
Age: 43.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Full dose vaccine administered for booster dose instead of recommended half dose.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: There was a covid vaccine clinic at the weekly showers available to unhoused people. Pt stated he would like to receive a covid vaccine. Pt completed screening form and marked that he had never received a covid vaccine before. We confirmed this verbally. The vaccine was administered. When I entered the vaccine into the database after the clinic, I noticed the pt had received two doses of Moderna (2/23/21 and 3/23/21) and a booster dose of Pfizer on 11/9/21. Pt is homeless and I have no way of contacting him to inform him he received an extra covid vaccine dose.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Differential white blood cell count, Dyspnoea, Fibrin D dimer
Clinical narrative: 12/18/2021 vaccine administered 12/19/2021 I was feeling my arm, the injection site was hard, itching. Little, fine welts started to appear, scratching. I put some ice on it, it stopped. It was intermittent. I started to experience SOB Sunday evening. 12/20/2021 I contacted the pharmacy. I explained to pharmacist. She stated the body was making antibodies, reaction to the medication. You can take Motrin, Tylenol, Benadryl for the itching, and Ice 3 times a day. Call if it gets worse. 12/21/2021 I went to the ER at 03:00PM ET. I didn't leave till 11:45PM ET. Hands swelling, red thick rash / bumps near armpit area on the edge, fluid lower part of the legs, facial swelling, Ran blood work and cat scan on lungs / chest. Blood panel showed elevation and possible signs of blood clot. Medication prescribed; Omnipaque (iohexol), Prednisone 12/22/2021 Circle rash, itching. Applied cortisone. At 04:00PM, having CAT scan on legs. Joints swelling.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fluid retention, Full blood count, Injection site induration, Injection site pruritus, Joint swelling
Clinical narrative: 12/18/2021 vaccine administered 12/19/2021 I was feeling my arm, the injection site was hard, itching. Little, fine welts started to appear, scratching. I put some ice on it, it stopped. It was intermittent. I started to experience SOB Sunday evening. 12/20/2021 I contacted the pharmacy. I explained to pharmacist. She stated the body was making antibodies, reaction to the medication. You can take Motrin, Tylenol, Benadryl for the itching, and Ice 3 times a day. Call if it gets worse. 12/21/2021 I went to the ER at 03:00PM ET. I didn't leave till 11:45PM ET. Hands swelling, red thick rash / bumps near armpit area on the edge, fluid lower part of the legs, facial swelling, Ran blood work and cat scan on lungs / chest. Blood panel showed elevation and possible signs of blood clot. Medication prescribed; Omnipaque (iohexol), Prednisone 12/22/2021 Circle rash, itching. Applied cortisone. At 04:00PM, having CAT scan on legs. Joints swelling.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Peripheral swelling, Rash, Rash erythematous, Swelling face
Clinical narrative: 12/18/2021 vaccine administered 12/19/2021 I was feeling my arm, the injection site was hard, itching. Little, fine welts started to appear, scratching. I put some ice on it, it stopped. It was intermittent. I started to experience SOB Sunday evening. 12/20/2021 I contacted the pharmacy. I explained to pharmacist. She stated the body was making antibodies, reaction to the medication. You can take Motrin, Tylenol, Benadryl for the itching, and Ice 3 times a day. Call if it gets worse. 12/21/2021 I went to the ER at 03:00PM ET. I didn't leave till 11:45PM ET. Hands swelling, red thick rash / bumps near armpit area on the edge, fluid lower part of the legs, facial swelling, Ran blood work and cat scan on lungs / chest. Blood panel showed elevation and possible signs of blood clot. Medication prescribed; Omnipaque (iohexol), Prednisone 12/22/2021 Circle rash, itching. Applied cortisone. At 04:00PM, having CAT scan on legs. Joints swelling.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 12/18/2021 vaccine administered 12/19/2021 I was feeling my arm, the injection site was hard, itching. Little, fine welts started to appear, scratching. I put some ice on it, it stopped. It was intermittent. I started to experience SOB Sunday evening. 12/20/2021 I contacted the pharmacy. I explained to pharmacist. She stated the body was making antibodies, reaction to the medication. You can take Motrin, Tylenol, Benadryl for the itching, and Ice 3 times a day. Call if it gets worse. 12/21/2021 I went to the ER at 03:00PM ET. I didn't leave till 11:45PM ET. Hands swelling, red thick rash / bumps near armpit area on the edge, fluid lower part of the legs, facial swelling, Ran blood work and cat scan on lungs / chest. Blood panel showed elevation and possible signs of blood clot. Medication prescribed; Omnipaque (iohexol), Prednisone 12/22/2021 Circle rash, itching. Applied cortisone. At 04:00PM, having CAT scan on legs. Joints swelling.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Death, Gastrointestinal haemorrhage, Hyperkalaemia
Clinical narrative: pt presented from assisted living home with hypoxia (87% on RA); tested positive 6 days prior for COVID and tested positive again in the ED; hyponatremic; started on remdesivir and Decadron; A Fib and GI bleed occurred during hospitalization; increased renal insufficiency and hyperkalemia; pt died in the hospital
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Hypoxia, Renal failure, SARS-CoV-2 test positive
Clinical narrative: pt presented from assisted living home with hypoxia (87% on RA); tested positive 6 days prior for COVID and tested positive again in the ED; hyponatremic; started on remdesivir and Decadron; A Fib and GI bleed occurred during hospitalization; increased renal insufficiency and hyperkalemia; pt died in the hospital
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Diarrhoea, Dizziness, Nausea
Clinical narrative: Chills onset 5 hours after injection.  Fever gradually increased.  Took Tylenol to reduce fever.  Nausea began 12 hours after injection.  Fever broke approximately 15 hours after.   Vomiting.  Diarrhea began 24 hours after.   Tightness in chest.  Light-headedness.  At 36 hours, awoke with vertigo (room spinning) and nausea.  Would lessen to dizziness upon laying still in dark room.  Chest still feels strange.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vertigo, Vomiting
Clinical narrative: Chills onset 5 hours after injection.  Fever gradually increased.  Took Tylenol to reduce fever.  Nausea began 12 hours after injection.  Fever broke approximately 15 hours after.   Vomiting.  Diarrhea began 24 hours after.   Tightness in chest.  Light-headedness.  At 36 hours, awoke with vertigo (room spinning) and nausea.  Would lessen to dizziness upon laying still in dark room.  Chest still feels strange.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Musculoskeletal stiffness, Pruritus, Tinnitus
Clinical narrative: I have persistent ringing in my ears, horrible headaches, stiff neck, itching.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever, nauseas, body aches , headache, upper back pressure
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was administered booster vaccine of the Pfizer COVID vaccine. Patient was 15 years old and was to turn 16 in Feb 2022. The event was discussed with the patient and her mother. The patient's mother was made aware of the report to be made and was educated on warning signs for adverse effects in which to present to the emergency room. The patient was monitored for 15 minutes after administration and no adverse effects were seen. The patient was discharged with no signs of distress.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Pt developed zoster outbreak in T11 dermatome on the right, symptoms began within 48 h of vaccine dose.
Age: 38.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Full dose vaccine administered for booster dose instead of recommended half dose.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Gastrointestinal pain, Vertigo
Clinical narrative: I had experienced a severe vertigo episode the first night of DOSE 1 of Pfizer at approximately 11:30 PM the day of vaccination.  Approximately 48 hours after DOSE 2 of Pfizer vaccine I experienced a similar vertiginous episode which lasted for three days. For the next 2.5 months I continued to experience daily, brief, often debilitating episodes of vertigo. In addition I experienced gastrointestinal pain, sometimes severe. I still experience brief episodes of vertigo as an aftermath of this shot.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Herpes zoster, Nausea
Clinical narrative: I have the Shingles virus with facial outbreak along with fatigue, headache and prior nausea.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Severe chest pain for 3-4 hours.  Occasional chest pain for 1-2 weeks after.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was inadvertently given a Moderna Booster when she should have had Pfizer based on age. No adverse reaction noted.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient had vaccine and while sitting in waiting area , patient complained of feeling light headed.  Patient soon had an episode of passing out while sitting in chair that lasted 15-20 seconds.  Patient lowered to floor.  Patient awake and alert after being lowered to floor.  Responds appropriately and able to verbalize surroundings.  Patient vitals taken 97.8-55-18, BP 103/68 right arm lying.  Patient assisted up into sitting position after a few minutes.  Then to standing to have a seat in chair.   Patient monitored for an additional 30 minutes.  She stated she felt better and may have been nervous about taking vaccine.  Patient left clinic at 1125 am
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Urticaria
Clinical narrative: 03/13/2021, 10 days post vaccine I broke out in hives on my feet, ankles, legs, trunk, and arms. It was itchy and red. I took Benadryl and I also put Aloe Vera gel. On Sunday, I called the clinic. The doctor prescribed me 3, 10 mg Prednisone pills, after I described the hives where towards my neck. The onset was Friday, Saturday I was itchy, and on Sunday when it was towards my neck, the doctor felt it was best to take Prednisone and that did the trick. I have never broken out in a hives in my whole life, but I do have a family that has a lot of allergies. I have never had hives from anything but from going into cold to hot water, like a change in temperature. I received the booster of Pfizer because of the rash with the Moderna.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenitis
Clinical narrative: Left supraclavicular lymph node tenderness and inflammation.
Age: 28.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site rash, Pruritus, Skin warm, Tenderness
Clinical narrative: Local injection site rash on right arm with mild tenderness, mild pruritus, and warmth to the touch beginning 4 days after vaccine administration.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Malaise, Renal infarct
Clinical narrative: Reporting feeling ill the day after receiving second dose of Pfizer COVID vaccine, which lasted approximately 48 hours. Four days after vaccine, she presented to ER with acute onset right sided abdominal pain and was found to have right anterior inferior kidney infarction (1.9 cm) extending through cortex
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Full dose vaccine administered for booster dose instead of recommended half dose.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Heart rate increased, Nausea, Pain
Clinical narrative: Dizziness, nausea, always feeling like he is falling down. He stated he has to urine alot and his heart pounding and beating abnormally fast. Stabbing pain in his hands.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Palpitations, Pollakiuria
Clinical narrative: Dizziness, nausea, always feeling like he is falling down. He stated he has to urine alot and his heart pounding and beating abnormally fast. Stabbing pain in his hands.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Magnetic resonance imaging head abnormal, Optic neuritis, Vision blurred
Clinical narrative: Patient was a transfer from hospital with CC of blurry vision. Ophthalmology team MRI findings revealed  findings consistent with bilateral optic neuritis possibly induced by the influenza vaccination.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospital, received steroids,
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Heart rate increased, Swelling, Urticaria
Clinical narrative: Had hives all over her body, difficulty breathing, neck swelling and not able to swallow, rapid heartrate  Went to ER and then saw an allergist at a later time.   on a lot of new medications because of this
Age: 28.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Full dose vaccine administered for booster dose instead of recommended half dose.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Electrocardiogram, Palpitations
Clinical narrative: I thought I was having a heart attack. My heart was racing and I had pain in my chest.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient reported that she had a severe reaction to the second dose of Moderna when presenting for Moderna Booster on 12/18/21. She says she had hives. Her doctor recommended the booster with benadryl premedication.  No reaction to booster noted in medical record.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: An adult presented as a walk-in client for a Pfizer second dose. Vaccinator gave Pfizer (5-11) pediatric dose instead of the adult Pfizer second dose. CDC guidelines were reviewed. A second dose of Pfizer pediatric vaccine was given per CDC guidelines. Upon further review it was determined that the second dose should have been the Pfizer adult dose. CDC guidelines were vague regarding this point. The patient was immediately notified. She waited the appropriate amount of time after receiving the vaccine. No treatment was necessary. No adverse effects were noted.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PT WAS GIVEN "BOOSTER" DOSE OF PFIZER UNDER THE AGE OF 16.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling hot, Headache, Hypoaesthesia, Influenza like illness
Clinical narrative: It was drive through and within 15 mins got a minor full headache and my arm right arm felt warm and somewhat felt swollen but wasn't swollen. My pinkie and ring finger went numb, I drink cold water and  took Benadryl, waited one hour and felt better. That night my legs ached and feverish by the next morning I ached all over like I had the flu and low grade fever. This lasted 24- 36hrs. The symptoms increase and all of a sudden it went away and felt better. On day 2 - woke up and my arm was itchy and took a shower and saw a red rectangular shaped rash 3 inches by 5 inches in length on right arm. I applied cortinoised cream and took Benadryl to help with itching. Telehealth was starting to take the dupixent for skin allergies even before the vaccine in March 2021. Doctor gave the go ahead with booster. booster shot - low grade fever and achy 36-48 hours and tiredness till to date tired and swelling at the injection site - round in size quarter coin and itchy and hurt a lot and applied ice pack and disappeared about 3 days.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pruritus, Pyrexia, Rash
Clinical narrative: It was drive through and within 15 mins got a minor full headache and my arm right arm felt warm and somewhat felt swollen but wasn't swollen. My pinkie and ring finger went numb, I drink cold water and  took Benadryl, waited one hour and felt better. That night my legs ached and feverish by the next morning I ached all over like I had the flu and low grade fever. This lasted 24- 36hrs. The symptoms increase and all of a sudden it went away and felt better. On day 2 - woke up and my arm was itchy and took a shower and saw a red rectangular shaped rash 3 inches by 5 inches in length on right arm. I applied cortinoised cream and took Benadryl to help with itching. Telehealth was starting to take the dupixent for skin allergies even before the vaccine in March 2021. Doctor gave the go ahead with booster. booster shot - low grade fever and achy 36-48 hours and tiredness till to date tired and swelling at the injection site - round in size quarter coin and itchy and hurt a lot and applied ice pack and disappeared about 3 days.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: It was drive through and within 15 mins got a minor full headache and my arm right arm felt warm and somewhat felt swollen but wasn't swollen. My pinkie and ring finger went numb, I drink cold water and  took Benadryl, waited one hour and felt better. That night my legs ached and feverish by the next morning I ached all over like I had the flu and low grade fever. This lasted 24- 36hrs. The symptoms increase and all of a sudden it went away and felt better. On day 2 - woke up and my arm was itchy and took a shower and saw a red rectangular shaped rash 3 inches by 5 inches in length on right arm. I applied cortinoised cream and took Benadryl to help with itching. Telehealth was starting to take the dupixent for skin allergies even before the vaccine in March 2021. Doctor gave the go ahead with booster. booster shot - low grade fever and achy 36-48 hours and tiredness till to date tired and swelling at the injection site - round in size quarter coin and itchy and hurt a lot and applied ice pack and disappeared about 3 days.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Photosensitivity reaction, Rash, Thermal burn
Clinical narrative: After we drove 2 hours to go to a wedding, the next day I woke up with a rash on my face and chest, and I also  felt tired. Could have been from the sun. Then every time I would drive and get exposure to the sun the rash turned  into a burn.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: I started breaking out in hives in different areas of my body a couple weeks after the booster shot.  The hives are worse in the evening but I do feel itchy at different times throughout the day.  Benadryl and Zyrtec do help but the hives are still appearing on a daily basis.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest discomfort, Computerised tomogram thorax abnormal, Dizziness, Dyspnoea
Clinical narrative: short of breath, extreme fatigue, hypoxic, heart palpitations, chest pressure,  light-headedness
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Fatigue, Hypoxia, Palpitations
Clinical narrative: short of breath, extreme fatigue, hypoxic, heart palpitations, chest pressure,  light-headedness
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness, Hyperhidrosis
Clinical narrative: patient complained of dizziness after vaccination. AT 9:40 AM 02 was 92 at first and blood pressure 64/44. Patient sweating profusely , ice pack was applied and patient was advised to take deep breath and reassured patient. patient denied shortness of breath . re evaluation vital: BP102/70    02:99
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient developed rash on face and neck day after receiving vaccine.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Urticarial rash, large diffuse; treated with Prednisone PO and PO Benadryl, No improvement
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: came to the ED 12/18 with chest pain and SOB. Came to the hospital ~10 days after testing positive. Type 2 DM, CAD, HTN. Placed on 4L NC. bilateral pnuemo. admitted for care - currently still in hospital
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Computerised tomogram abnormal, Deep vein thrombosis, Dyspnoea, Ultrasound Doppler abnormal
Clinical narrative: Within 2 weeks of shot, patient developed acute shortness of breath and chest discomfort.  Ultimately diagnosed with PE/DVT
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival ulceration, Pain, Stomatitis, Tongue ulceration
Clinical narrative: Painful sores in mouth, on tongue, cheek, gums. Has been there got worse on day 5 after vaccine
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Interchange of vaccine products, Lymph node pain, Lymphadenopathy
Clinical narrative: Very swollen and painful lymph nodes on right side of torso
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient is immunocompromised and was supposed to be getting 0.5 ml of Moderna (lot# 012H21B) but instead she was given a booster of 0.25 ml  Pt also indicted that he had an allergic reaction to PEG, previous dose of COVID-19 vaccine, and that he was allergic to other vaccine and polysorbate.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Body temperature, Bone pain, Gait inability
Clinical narrative: Pt states day after vax she had temp of 101 and her bones were aching. This lasted for two days. On 11/5 her left knee was swollen and she couldn't walk. Swelling and pain has been between right and left knee and hip. Saw a DR and DR gave steroids', they didnt work. PT got an MRI and the results were PT has severe degenerative arthritis. PT did had mild arthritis for at least one year before this episode/vax .
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Magnetic resonance imaging, Osteoarthritis
Clinical narrative: Pt states day after vax she had temp of 101 and her bones were aching. This lasted for two days. On 11/5 her left knee was swollen and she couldn't walk. Swelling and pain has been between right and left knee and hip. Saw a DR and DR gave steroids', they didnt work. PT got an MRI and the results were PT has severe degenerative arthritis. PT did had mild arthritis for at least one year before this episode/vax .
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products, No adverse event
Clinical narrative: Patient received first dose of Moderna covid vaccine 8/19/21. Came in for appointment 12/22/21 for second dose in series and received pfizer vaccine. patient waited in store and did not have any adverse reaction after shot for 20 minutes. consulted cdc website and let patient know she will not have to revaccinate
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Noticed hives on the back of my neck two hours after the vaccine. Took benadryl. Woke up the next day with hives covering my chest, back, and throat. Went to urgent care and got a steroid. Hives still covering my body 3 days post vaccine
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Swelling, Urticaria
Clinical narrative: Middle of the night on  (early hours of 12/11/21) Saturday started having itchy palms and scalp. Woke up with red marks on my chest, arms, armpits. Raised skin everywhere I scratched. Made worse with shower. Called PCP who instructed me to take Zyrtec twice daily. Helped some but symptoms continued. Went to the immediate care on Tuesday (12/14/21) and was told it was hives. Prescribed Prednisone 40mg for 5 days. PCP then ordered 7 days of 40mg. Still having hives if doses of medication are missed. No prior history of hives.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dyspnoea, Fatigue, Injection site pain, Movement disorder
Clinical narrative: After receiving my booster dose?Normal symptoms such as injection site soreness, sore arm, fatigue. But at 4AM next morning I awoke paralyzed, couldn?t move, couldn?t feel my arms or legs, could barely breathe.  Took short breaths and kept trying to move. Finally got feeling and then I could feel EVERY a joint in my body. Intense joint and muscle pain. Kept taking deep breaths until I got enough feeling to walk. Took Ibuprofen and Tylenol, symptoms subsided over the next few hours. Fatigue and muscle soreness the next 24-36 hours. Did not go to hospital or doctor.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, Paralysis
Clinical narrative: After receiving my booster dose?Normal symptoms such as injection site soreness, sore arm, fatigue. But at 4AM next morning I awoke paralyzed, couldn?t move, couldn?t feel my arms or legs, could barely breathe.  Took short breaths and kept trying to move. Finally got feeling and then I could feel EVERY a joint in my body. Intense joint and muscle pain. Kept taking deep breaths until I got enough feeling to walk. Took Ibuprofen and Tylenol, symptoms subsided over the next few hours. Fatigue and muscle soreness the next 24-36 hours. Did not go to hospital or doctor.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Pruritus, Urticaria
Clinical narrative: I broke out in hives all over about 10 days after. I have never broken out before or been allergic to anything.  My doctor prescribed a steroid but it didn?t not go away after I finished the pack. I take Zyrtec each night which helps keep the hives very manageable but if I forget to take it then I am very itchy.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Delivery, Exposure during pregnancy
Clinical narrative: asymptomatic testing of patient admitted for maternal delivery
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: Patient contracted COVID after being fully vaccinated.  No booster "Cold Like Symptoms"
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Grip strength decreased, Monoplegia, Pain in extremity, Skin discolouration
Clinical narrative: Physician called condition "Covid arm". Upper arm sore and paralysis, lower arm purple and sore. Could not hold onto things. MD prescribed a steroid for patient.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Pt developed urticaria/hives 11 days after vaccine
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Pain, Pain in extremity
Clinical narrative: 12:00pm - immunization  6:00pm - aching in arm 8:00pm - fever and body aches, improved with Tylenol Next morning (12/21/2021) - all over body aches, felt feverish, took 1000 mg of Tylenol every 4 hours with some improvement 7pm - fever of 102.5 F with chills lasting about 2 hrs. Later I woke up covered with sweat.  Next morning (12/22/2021) - currently, low fever (99.4), body aches in arms and torso, severe headache.   The above reflects my CURRENT symptoms.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 12:00pm - immunization  6:00pm - aching in arm 8:00pm - fever and body aches, improved with Tylenol Next morning (12/21/2021) - all over body aches, felt feverish, took 1000 mg of Tylenol every 4 hours with some improvement 7pm - fever of 102.5 F with chills lasting about 2 hrs. Later I woke up covered with sweat.  Next morning (12/22/2021) - currently, low fever (99.4), body aches in arms and torso, severe headache.   The above reflects my CURRENT symptoms.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain
Clinical narrative: Severe hip and lower back pain
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Computerised tomogram
Clinical narrative: Bell's Palsy
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: COVID 19 Vaccine, Pfizer BioNTech is administered after its useful life. Shelf Life Date 11/17/2021 7:00 am.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Swelling, Urticaria
Clinical narrative: My neck started getting swollen and I was having mild difficulty of breathing and it started after 35 mins after receiving the vaccine. About an hour after the vaccine and not being able to breath, I started breaking out in hives all over the body, even in my ears and along my hairline. Felt like I was baking all over. It lasts for about 35 mins and then I went back to normal. I been having this hive breakout weekly and now in the last couple of weeks it has been two till three times a week. I never had this problem before taking the vaccine. I haven't seen my doctor as of yet. My appointment is January 14, 2022.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Alopecia, Anxiety, Asthenia, Blood test
Clinical narrative: chronic inflammation, neuromuscular pain, neurological symptoms, weakness. vision changes, EBV and HHV reactivation, burning in tissues, burning around breast implants, gout type pain n fingers, cognitive dysfunction, high anxiety, hair loss, heavy acid reflux and stomach problems, cough, sinus pain, swollen lymph nodes, pelvic/vaginal cysts, post exertional malaise, arm pain resulting in frozen shoulder and cortisone injection, headaches, some hearing loss, swelling in calves, ankles and feet.  These began slowly after second injection on 2/6/21 and still continue to this date.   Was hospitalized Sept. 8-12 with colitis and sepsis and diagnosed with C-diff after taking antibiotic to treat vaginal cysts.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Cognitive disorder, Colitis, Condition aggravated, Cough
Clinical narrative: chronic inflammation, neuromuscular pain, neurological symptoms, weakness. vision changes, EBV and HHV reactivation, burning in tissues, burning around breast implants, gout type pain n fingers, cognitive dysfunction, high anxiety, hair loss, heavy acid reflux and stomach problems, cough, sinus pain, swollen lymph nodes, pelvic/vaginal cysts, post exertional malaise, arm pain resulting in frozen shoulder and cortisone injection, headaches, some hearing loss, swelling in calves, ankles and feet.  These began slowly after second injection on 2/6/21 and still continue to this date.   Was hospitalized Sept. 8-12 with colitis and sepsis and diagnosed with C-diff after taking antibiotic to treat vaginal cysts.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Epstein-Barr virus infection, Gastrooesophageal reflux disease, Headache, Herpes virus infection
Clinical narrative: chronic inflammation, neuromuscular pain, neurological symptoms, weakness. vision changes, EBV and HHV reactivation, burning in tissues, burning around breast implants, gout type pain n fingers, cognitive dysfunction, high anxiety, hair loss, heavy acid reflux and stomach problems, cough, sinus pain, swollen lymph nodes, pelvic/vaginal cysts, post exertional malaise, arm pain resulting in frozen shoulder and cortisone injection, headaches, some hearing loss, swelling in calves, ankles and feet.  These began slowly after second injection on 2/6/21 and still continue to this date.   Was hospitalized Sept. 8-12 with colitis and sepsis and diagnosed with C-diff after taking antibiotic to treat vaginal cysts.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Joint swelling, Lymphadenopathy, Malaise, Neurological symptom
Clinical narrative: chronic inflammation, neuromuscular pain, neurological symptoms, weakness. vision changes, EBV and HHV reactivation, burning in tissues, burning around breast implants, gout type pain n fingers, cognitive dysfunction, high anxiety, hair loss, heavy acid reflux and stomach problems, cough, sinus pain, swollen lymph nodes, pelvic/vaginal cysts, post exertional malaise, arm pain resulting in frozen shoulder and cortisone injection, headaches, some hearing loss, swelling in calves, ankles and feet.  These began slowly after second injection on 2/6/21 and still continue to this date.   Was hospitalized Sept. 8-12 with colitis and sepsis and diagnosed with C-diff after taking antibiotic to treat vaginal cysts.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Neuromuscular pain, Pain in extremity, Pelvic cyst, Periarthritis, Peripheral swelling
Clinical narrative: chronic inflammation, neuromuscular pain, neurological symptoms, weakness. vision changes, EBV and HHV reactivation, burning in tissues, burning around breast implants, gout type pain n fingers, cognitive dysfunction, high anxiety, hair loss, heavy acid reflux and stomach problems, cough, sinus pain, swollen lymph nodes, pelvic/vaginal cysts, post exertional malaise, arm pain resulting in frozen shoulder and cortisone injection, headaches, some hearing loss, swelling in calves, ankles and feet.  These began slowly after second injection on 2/6/21 and still continue to this date.   Was hospitalized Sept. 8-12 with colitis and sepsis and diagnosed with C-diff after taking antibiotic to treat vaginal cysts.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Sinus pain, Skin burning sensation, Vaginal cyst, Visual impairment
Clinical narrative: chronic inflammation, neuromuscular pain, neurological symptoms, weakness. vision changes, EBV and HHV reactivation, burning in tissues, burning around breast implants, gout type pain n fingers, cognitive dysfunction, high anxiety, hair loss, heavy acid reflux and stomach problems, cough, sinus pain, swollen lymph nodes, pelvic/vaginal cysts, post exertional malaise, arm pain resulting in frozen shoulder and cortisone injection, headaches, some hearing loss, swelling in calves, ankles and feet.  These began slowly after second injection on 2/6/21 and still continue to this date.   Was hospitalized Sept. 8-12 with colitis and sepsis and diagnosed with C-diff after taking antibiotic to treat vaginal cysts.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap increased, Blood glucose increased, Dehydration, Fall, Full blood count normal
Clinical narrative: After getting vaccine patient was escorted over to the post-vaccine monitoring area. During walk over patient briefly lost consciousness and had seizure like activity. Lasted <30 seconds. Patient was supported during fall so no trauma resulted. Patient recovered back to full consciousness <1 minute after episode. Mother reports no breakfast. Patient was monitored for additional 1.5 hours. Labs as below.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Metabolic function test, Seizure like phenomena
Clinical narrative: After getting vaccine patient was escorted over to the post-vaccine monitoring area. During walk over patient briefly lost consciousness and had seizure like activity. Lasted <30 seconds. Patient was supported during fall so no trauma resulted. Patient recovered back to full consciousness <1 minute after episode. Mother reports no breakfast. Patient was monitored for additional 1.5 hours. Labs as below.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Fatigue, Hypoaesthesia, Pain
Clinical narrative: 19Dec2021 - arm pain and chest tightness 20Dec2021 - arm pain, chest pain, chest numbness, icy feeling on chest, chills, body ache, fatigue 21Dec2021 - chest pain when stressed mostly, chest numbness 22Dec2022 - chest tightness now shifting from right to left (prior to now was only on left side)
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: 19Dec2021 - arm pain and chest tightness 20Dec2021 - arm pain, chest pain, chest numbness, icy feeling on chest, chills, body ache, fatigue 21Dec2021 - chest pain when stressed mostly, chest numbness 22Dec2022 - chest tightness now shifting from right to left (prior to now was only on left side)
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic, Urticaria
Clinical narrative: Developed hives with raised bumps that itched. Used topical cream that helped some. The itching subsided overnight but sometimes returned the next evening.  Also, the hives presented themselves on different parts of body. Some days I had no hives but the they returned another day. Contacted doctors office. They prescribed over the counter Benadryl.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Bone pain, Pain in extremity, Sleep disorder
Clinical narrative: Client reported pain to the arm that he states has increased in the six months since receiving his second dose.  The client describes the pain as in his bone and in the last week is keeping him up at night.