chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Throat tightness
Clinical narrative: Pt scheduled for 30min observation due to PCN allergy. After 20 mins post-vaccination pt c/o "tightening of throat". Pt had NO difficulty breathing. Serial VS begun. O2 saturation was 97% with room air.  Initial B/P = 162/112 P90 R20. EMS on site begun evaluation. Second B/P =158/99 P92 R 20. Pt states she feels :anxious". Pt defers transport via EMS. Pt discharged without complaints after 60 mins eval.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Feeling hot, Headache, Tremor
Clinical narrative: I was fine up until the 2/3/2021. About 7PM I started getting the chills, I covered with a blanket, and I was still shaking. So I turned the heater on and became hot. Yesterday I got the chills again about 1pm. Then when I got inside my car and it was hot in there, I started getting an headache. I it felt like my face was getting warm so I stopped by Walgreens and brought a thermometer. My temperature was 101.2. I took one Ibuprofen and 2 Tylenol and an hour later my temperature was 101.2. It took another hour to go down to 98. I continue to drink water, 7-up and some soup. I got up at 2AM this morning because I had a slight headache, so I took 2 more Tylenol and when I woke up this morning the headache was still there so at 8AM I took 2 more Tylenol. Right now I feel good. I started taking Vitamin D3 and Zinc and Aspirin Turmeric today.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Bartholin's cyst, Chills, Erythema, Headache
Clinical narrative: Headache/Neck & lower back pain since 1/15/21,  Fever/chills:1/13/2021-1/15/2021, Infected Bartholin Cyst- 1/14-1/21. Localized erythema/itching below injection site:1/20/21-1/27/21. Left neck-lymph node swelling & pain radiating to left ear-1/20-1/22. Baker's cyst Left knee 2/1/21-current.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Lymph node pain, Lymphadenopathy, Neck pain, Pyrexia
Clinical narrative: Headache/Neck & lower back pain since 1/15/21,  Fever/chills:1/13/2021-1/15/2021, Infected Bartholin Cyst- 1/14-1/21. Localized erythema/itching below injection site:1/20/21-1/27/21. Left neck-lymph node swelling & pain radiating to left ear-1/20-1/22. Baker's cyst Left knee 2/1/21-current.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Synovial cyst
Clinical narrative: Headache/Neck & lower back pain since 1/15/21,  Fever/chills:1/13/2021-1/15/2021, Infected Bartholin Cyst- 1/14-1/21. Localized erythema/itching below injection site:1/20/21-1/27/21. Left neck-lymph node swelling & pain radiating to left ear-1/20-1/22. Baker's cyst Left knee 2/1/21-current.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Red itchy rash area slightly below injection  site about 2 x 2"    Very slightly swollen.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Blister, Headache, Herpes zoster, Neck pain
Clinical narrative: Shingles.   Severe pain and blisters on right side shoulder neck and head
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blister, Herpes zoster, Pain
Clinical narrative: Shingles.   Severe pain and blisters on right side shoulder neck and head
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, HIBV, PNC13, RV5
Symptoms: Unevaluable event
Clinical narrative: Both ActHiB and Pentacel were given in one round of shots. No symptoms have been reported.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Arthralgia, Chills, Dizziness
Clinical narrative: On Saturday I felt chills, joint pain, fatigue, light headed. On Saturday checked my temperature, 99F. On Sunday I lost my sense of smell and taste. On Monday, Tuesday and Wednesday I felt so sick, my headache was horrible and I returned to the hospital to get tested. Negative. 7 days later I am still sick and then I decided to go back to get tested again and it was positive.  The symptoms lasted about 2 weeks, lost sense of smell and headache. Really bad headache.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, SARS-CoV-2 test positive
Clinical narrative: On Saturday I felt chills, joint pain, fatigue, light headed. On Saturday checked my temperature, 99F. On Sunday I lost my sense of smell and taste. On Monday, Tuesday and Wednesday I felt so sick, my headache was horrible and I returned to the hospital to get tested. Negative. 7 days later I am still sick and then I decided to go back to get tested again and it was positive.  The symptoms lasted about 2 weeks, lost sense of smell and headache. Really bad headache.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Pain, posterior head, BP 137/78, pulse 74, O2 sat 98%, given juice and rested.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Dyspnoea, Pyrexia, Respiratory distress, Tachycardia
Clinical narrative: Experienced dyspnea and tachycardia during strenuous activity multiple hours following immunization administration.  Evaluated by EMS and found to be in mild respiratory distress.  Workup in the local emergency department negative for pulmonary embolism, acute coronary syndrome, chest x-ray negative.  Responsive to albuterol.  Low-grade fever.  Thought to be reactive airway.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Left arm at injection site is still red, in a circle around site, hot to the touch and itchy. Moderna COVID-19 vaccine ELLA
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pain, Pruritus, Rash, Rash macular
Clinical narrative: 1/8 pain and palpable bump "malingering pain, constant burning sensation, point tenderness, red splotch on my arm 3in longx2in wide a bump(swelling) quite warm to touch and sometimes itchy"
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Swelling
Clinical narrative: 1/8 pain and palpable bump "malingering pain, constant burning sensation, point tenderness, red splotch on my arm 3in longx2in wide a bump(swelling) quite warm to touch and sometimes itchy"
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Chills; headache; body aches; fatigue
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Pain
Clinical narrative: Moderate generalized headache and body aches 12 hours after 2nd dose of vaccination lasting one day. Managed with Acetaminophen at home. Left axillary lymphadenopathy 36 hours afer 2nd dose, currently subsiding. No care sought
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia
Clinical narrative: Muscle and joint soreness over entire body beginning approximately within an hour after injection and lasting approximately 12-24 hours in total duration.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Administration site pain, Erythema, Fatigue, Laboratory test, Nodule
Clinical narrative: The Moderna vaccine administration was painful at the time the shot was received. I experienced symptoms of fatigue and body aches for 24 hours after receiving the vaccine. My left arm was extremely sore and knotted for over a week after administration. The vaccine site was red and splotchy for the first 7 days after getting the shot. By the early morning of the 8th day (01/16/21), the splotches had joined together to make a large red area surrounding the vaccine site, that was raised and hot to the touch. During that entire day, pain was shooting down my left arm to my fingers (particularly the left middle finger) in a manner that felt like how severe arthritis pain is described. The pain became worse as the day went on. I texted a picture of my arm to my boss, who is a physician, to see what he thought I should do. He stated that from the photo, it looked like Cellulitis, and offered to send in an antibiotic to my pharmacy. Soon after, the pain was so intense (especially with movement of the arm) that I had someone drive me to  ER & Urgent Care around 8:30pm. The physician there marked my arm and prescribed 2 antibiotics to begin taking immediately (Bactrim & Amoxicillin) with the instructions to come back in 48 hours. By the next day, the redness was spreading by the hour, which was marked & tracked via photos that documented the progression. By Monday morning, the redness had continued to spread & take up most of my left upper arm. The skin was hot to the touch and swollen. I had my boss look at my arm in the morning and mark the redness, then I had another physician at my office look at it in the afternoon and do the same. Their analysis was that the antibiotics were not working, and I went back to  ER after I got off work at 5pm, which was around the 48-hour mark when I was supposed to return.  ER gave me several IV antibiotics and ordered an Ultrasound of the left arm to make sure there was no blood clot hidden beneath the swelling.  They also took several different lab and blood culture samples. I ended up having a reaction to one of the IV antibiotics (Vancomycin), where they had to counteract the reaction with IV steroids & antihistamines, and decided to hold off on giving me the third IV antibiotic that was initially planned. I was sent home with Clindamycin 900mg, a Medrol dosepack, and told to discontinue the Bactrim, but continue the Amoxicillin. I continued to check back over the following days, and ended up receiving another IV antibiotic (Clindamycin) and more lab tests. The provider that saw me on Monday said that she was close to admitting me to the hospital, and if I did not improve by the following day, she would proceed with sending me. By the 5th/6th day, the redness seemed to be improving and becoming smaller.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Ultrasound scan, Vaccination site rash, Vaccination site swelling
Clinical narrative: The Moderna vaccine administration was painful at the time the shot was received. I experienced symptoms of fatigue and body aches for 24 hours after receiving the vaccine. My left arm was extremely sore and knotted for over a week after administration. The vaccine site was red and splotchy for the first 7 days after getting the shot. By the early morning of the 8th day (01/16/21), the splotches had joined together to make a large red area surrounding the vaccine site, that was raised and hot to the touch. During that entire day, pain was shooting down my left arm to my fingers (particularly the left middle finger) in a manner that felt like how severe arthritis pain is described. The pain became worse as the day went on. I texted a picture of my arm to my boss, who is a physician, to see what he thought I should do. He stated that from the photo, it looked like Cellulitis, and offered to send in an antibiotic to my pharmacy. Soon after, the pain was so intense (especially with movement of the arm) that I had someone drive me to  ER & Urgent Care around 8:30pm. The physician there marked my arm and prescribed 2 antibiotics to begin taking immediately (Bactrim & Amoxicillin) with the instructions to come back in 48 hours. By the next day, the redness was spreading by the hour, which was marked & tracked via photos that documented the progression. By Monday morning, the redness had continued to spread & take up most of my left upper arm. The skin was hot to the touch and swollen. I had my boss look at my arm in the morning and mark the redness, then I had another physician at my office look at it in the afternoon and do the same. Their analysis was that the antibiotics were not working, and I went back to  ER after I got off work at 5pm, which was around the 48-hour mark when I was supposed to return.  ER gave me several IV antibiotics and ordered an Ultrasound of the left arm to make sure there was no blood clot hidden beneath the swelling.  They also took several different lab and blood culture samples. I ended up having a reaction to one of the IV antibiotics (Vancomycin), where they had to counteract the reaction with IV steroids & antihistamines, and decided to hold off on giving me the third IV antibiotic that was initially planned. I was sent home with Clindamycin 900mg, a Medrol dosepack, and told to discontinue the Bactrim, but continue the Amoxicillin. I continued to check back over the following days, and ended up receiving another IV antibiotic (Clindamycin) and more lab tests. The provider that saw me on Monday said that she was close to admitting me to the hospital, and if I did not improve by the following day, she would proceed with sending me. By the 5th/6th day, the redness seemed to be improving and becoming smaller.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site warmth
Clinical narrative: The Moderna vaccine administration was painful at the time the shot was received. I experienced symptoms of fatigue and body aches for 24 hours after receiving the vaccine. My left arm was extremely sore and knotted for over a week after administration. The vaccine site was red and splotchy for the first 7 days after getting the shot. By the early morning of the 8th day (01/16/21), the splotches had joined together to make a large red area surrounding the vaccine site, that was raised and hot to the touch. During that entire day, pain was shooting down my left arm to my fingers (particularly the left middle finger) in a manner that felt like how severe arthritis pain is described. The pain became worse as the day went on. I texted a picture of my arm to my boss, who is a physician, to see what he thought I should do. He stated that from the photo, it looked like Cellulitis, and offered to send in an antibiotic to my pharmacy. Soon after, the pain was so intense (especially with movement of the arm) that I had someone drive me to  ER & Urgent Care around 8:30pm. The physician there marked my arm and prescribed 2 antibiotics to begin taking immediately (Bactrim & Amoxicillin) with the instructions to come back in 48 hours. By the next day, the redness was spreading by the hour, which was marked & tracked via photos that documented the progression. By Monday morning, the redness had continued to spread & take up most of my left upper arm. The skin was hot to the touch and swollen. I had my boss look at my arm in the morning and mark the redness, then I had another physician at my office look at it in the afternoon and do the same. Their analysis was that the antibiotics were not working, and I went back to  ER after I got off work at 5pm, which was around the 48-hour mark when I was supposed to return.  ER gave me several IV antibiotics and ordered an Ultrasound of the left arm to make sure there was no blood clot hidden beneath the swelling.  They also took several different lab and blood culture samples. I ended up having a reaction to one of the IV antibiotics (Vancomycin), where they had to counteract the reaction with IV steroids & antihistamines, and decided to hold off on giving me the third IV antibiotic that was initially planned. I was sent home with Clindamycin 900mg, a Medrol dosepack, and told to discontinue the Bactrim, but continue the Amoxicillin. I continued to check back over the following days, and ended up receiving another IV antibiotic (Clindamycin) and more lab tests. The provider that saw me on Monday said that she was close to admitting me to the hospital, and if I did not improve by the following day, she would proceed with sending me. By the 5th/6th day, the redness seemed to be improving and becoming smaller.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient showed a picture of injection area and was  large red and swollen. Patient stated it appeared approximately 1 week following 1st dose for Moderna. Redness lasted a few days and went away.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity, Pyrexia, Sleep disorder
Clinical narrative: Fever 99.7 degrees F for 24 hours; hamstrings painful enough I couldn?t sleep for 10 hours; ankles, knees and hips very tight and sore for 24 hours
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Chills, a fever of 100.4, and headache
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient arrived at our COVID vaccination site for her scheduled "first dose" appointment. A Pfizer assessment sheet was filled out, and the patient answered "No" to all assessment questions. When asked "Has the person to be vaccinated ever received a COVID-19 vaccine" the pt stated "no". The pt was also asked " has the person to be vaccinated received any vaccine in the past 14 days" and the pt stated "no". Based upon the pts responses to the standard questions asked on the assessment sheet, a Pfizer vaccine was administered to the pt. The pt never let on that she had previously received a COVID vaccine.  Upon entering the pt vaccination information into the system, it was discovered that the pt had in fact already received a dose of the Moderna vaccine on 1/06/2021.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Injection site pain, Myalgia
Clinical narrative: Fever, chills, headache, joint pain, muscle pain, pain at injection site  Fever lasted 2 days all other symptoms except pain at injection site lasted 3 days. Injection site pain is on going
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, chills, headache, joint pain, muscle pain, pain at injection site  Fever lasted 2 days all other symptoms except pain at injection site lasted 3 days. Injection site pain is on going
Age: 100.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Respiratory arrest
Clinical narrative: Notes of the checks/events with resident:  18:36 2/2/21  Resident had no complaint of pain, swelling, redness or warmth to vaccine site.  No signs and symptoms of fever, chills, tiredness or headache. T 97.2 02:50 2/3/2021  Resident received 2nd COVID vaccine.  No complaint of pain, swelling, redness or warmth to vaccine site.  No signs and symptoms of fever, chills, tiredness or headache. T 98.1 07:15 2/3/2021  Resident was observed not breathing.  911 was contacted along with the doctor.  Resident was confirmed having passed away.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Red rash that appeared on the back of her neck the evening after the vaccine.  The rash then expanded to the front of her neck as well.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pruritus, Injection site swelling, Injection site urticaria, Nausea
Clinical narrative: Staff member received COVID vaccine on 1/9/21.  Initially post injection, noted swelling and itching at injection site which lasted approx. 48 hours.  Contacted manager today (1/22/21 with report of nausea and headache on 1/20/21 and return of swelling, itching, and hives at injection site on 1/21/21.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Lymphadenopathy, Ultrasound scan, X-ray
Clinical narrative: Swollen lymph nodes left side neck after 1st vaccine Swollen lymph nodes on right side neck   Continues to be enlarged & under going further testing as this has not been listed as a possible side effect.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood creatine phosphokinase, Blood culture, Blood fibrinogen, Blood lactate dehydrogenase
Clinical narrative: Pt from home via EMS. Pt reports increased weakness since getting the covid vaccine on the 24th. Pt is normally ambulatory at baseline, but has not been able to get around his house. Pt was found to be 83% on RA  and was audibly wheezing per EMS. No history of respiratory issues. Denies fever, but has had a productive cough. A&O x4. Pt received Duoneb treatment in route. Acute respiratory failure with hypoxia   , Pneumonia due to COVID-19 virus , Elevated LFTs. Patient admitted to hospital on 2/3 and is still inpatient
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, Blood test, C-reactive protein, COVID-19 pneumonia, Chest X-ray
Clinical narrative: Pt from home via EMS. Pt reports increased weakness since getting the covid vaccine on the 24th. Pt is normally ambulatory at baseline, but has not been able to get around his house. Pt was found to be 83% on RA  and was audibly wheezing per EMS. No history of respiratory issues. Denies fever, but has had a productive cough. A&O x4. Pt received Duoneb treatment in route. Acute respiratory failure with hypoxia   , Pneumonia due to COVID-19 virus , Elevated LFTs. Patient admitted to hospital on 2/3 and is still inpatient
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Differential white blood cell count, Fibrin D dimer, Full blood count, Liver function test increased
Clinical narrative: Pt from home via EMS. Pt reports increased weakness since getting the covid vaccine on the 24th. Pt is normally ambulatory at baseline, but has not been able to get around his house. Pt was found to be 83% on RA  and was audibly wheezing per EMS. No history of respiratory issues. Denies fever, but has had a productive cough. A&O x4. Pt received Duoneb treatment in route. Acute respiratory failure with hypoxia   , Pneumonia due to COVID-19 virus , Elevated LFTs. Patient admitted to hospital on 2/3 and is still inpatient
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Mobility decreased, N-terminal prohormone brain natriuretic peptide, Procalcitonin, Productive cough
Clinical narrative: Pt from home via EMS. Pt reports increased weakness since getting the covid vaccine on the 24th. Pt is normally ambulatory at baseline, but has not been able to get around his house. Pt was found to be 83% on RA  and was audibly wheezing per EMS. No history of respiratory issues. Denies fever, but has had a productive cough. A&O x4. Pt received Duoneb treatment in route. Acute respiratory failure with hypoxia   , Pneumonia due to COVID-19 virus , Elevated LFTs. Patient admitted to hospital on 2/3 and is still inpatient
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Prohormone brain natriuretic peptide, Respiratory failure, Respiratory viral panel, Serum ferritin, Troponin
Clinical narrative: Pt from home via EMS. Pt reports increased weakness since getting the covid vaccine on the 24th. Pt is normally ambulatory at baseline, but has not been able to get around his house. Pt was found to be 83% on RA  and was audibly wheezing per EMS. No history of respiratory issues. Denies fever, but has had a productive cough. A&O x4. Pt received Duoneb treatment in route. Acute respiratory failure with hypoxia   , Pneumonia due to COVID-19 virus , Elevated LFTs. Patient admitted to hospital on 2/3 and is still inpatient
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis, Wheezing
Clinical narrative: Pt from home via EMS. Pt reports increased weakness since getting the covid vaccine on the 24th. Pt is normally ambulatory at baseline, but has not been able to get around his house. Pt was found to be 83% on RA  and was audibly wheezing per EMS. No history of respiratory issues. Denies fever, but has had a productive cough. A&O x4. Pt received Duoneb treatment in route. Acute respiratory failure with hypoxia   , Pneumonia due to COVID-19 virus , Elevated LFTs. Patient admitted to hospital on 2/3 and is still inpatient
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling and warmth at injection site.  Lasted 4 days and then went away. No other reactions.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Throat clearing
Clinical narrative: 5:15P Received Moderna vaccine-2nd dose 5:30P-Developed "tickle in back of throat" and need to "clear throat.  Given Benadryl 25MG oral and Famotidine 40 mg oral by PA 5:35P Examined by Dr..  Patient did not want to go to ER 5:50P- Pt states symptoms resolved. Remains in  vaccine clinic 6:30P re-examined by Dr. . Remained asymptomatic.  Allowed to leave clinic
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Headache, Hypoaesthesia, Limb discomfort, Mobility decreased
Clinical narrative: Severe fever chills shakes numbness of face headache weakness left arm heaviness unable to get up for 2 hours. Took acetaminophen shaking improved, fever/chills persisted through the night with nausea, stomach cramps.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Nausea, Pyrexia, Tremor
Clinical narrative: Severe fever chills shakes numbness of face headache weakness left arm heaviness unable to get up for 2 hours. Took acetaminophen shaking improved, fever/chills persisted through the night with nausea, stomach cramps.
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Flushing, Hypotension
Clinical narrative: "Patient received first COVID vaccine dose (Pfizer, Lot # EL1283, exp. 4/30/2021). Two minutes after administration, patient reported feeling dizzy, flushed, and short of breath.  VS: BP 67/49 HR 83 100% oxygenation on room air.  Patient felt like her throat was closing and had heaviness on her chest, EPI available but not given, a rapid response was called as her BP remained at 64/36, then RR team here, BP came up to 100/67. Patient maintained 100% oxygenation throughout, she taken to ED for further evaluation and monitoring.  Patient leader was contacted to let them know she would not be returning to work at this time.  In ED... patient receiving fluids, being worked up for hypotension and elevated WBC's.  Disposition has not been determined as of 1615.
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Throat tightness, White blood cell count increased
Clinical narrative: "Patient received first COVID vaccine dose (Pfizer, Lot # EL1283, exp. 4/30/2021). Two minutes after administration, patient reported feeling dizzy, flushed, and short of breath.  VS: BP 67/49 HR 83 100% oxygenation on room air.  Patient felt like her throat was closing and had heaviness on her chest, EPI available but not given, a rapid response was called as her BP remained at 64/36, then RR team here, BP came up to 100/67. Patient maintained 100% oxygenation throughout, she taken to ED for further evaluation and monitoring.  Patient leader was contacted to let them know she would not be returning to work at this time.  In ED... patient receiving fluids, being worked up for hypotension and elevated WBC's.  Disposition has not been determined as of 1615.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site rash, Swelling face, Swollen tongue
Clinical narrative: Almost immediately a bright red rash appeared from injection site to the wrist.  Also left side of tongue swollen.  It was suggested that my husband purchase and administer benadryl which we did - 2 tablets.  After 30 minutes we went to the car.  My face was bright red (cheeks) and swollen.  Within 20 minutes of taking the benadryl symptoms subsided.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Loss of consciousness
Clinical narrative: Head ache; sweaty; Got into elevator to go back to work and passed out. Assessed by physicians assistant and was released, sent home for the day.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Muscle spasms, Nausea
Clinical narrative: Patient reported dizziness, nausea and cramping 30 minutes after vaccination administration.  Pt reports that dizziness was gone after 30 minutes, but continued to have intermittent nausea. Site of injection site clear, no redness or swelling.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, Blood culture, Blood pressure decreased, Chest X-ray abnormal, Death
Clinical narrative: 2/2/21-1000-patient presented to the local emergency room with complains of fever, shortness of breath and decreased oxygen sats. temp 101.7, pulse 102, respirations 36, BP 141/92, oxygen 94%. Lung sounds crackles bilaterally with rhonchi on the left. patient worked up for sepsis, CXR shows mild atelectasis. blood pressure dropped, and continued to drop through treatment requiring levophed drop to be initiated. Patient POA determined that this would not be her sister's wishes and made the decision to make patient comfort care status.  2/3/21- patient lethargic throughout night. 0640-patient demise.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Haematology test, Laboratory test, Lethargy, Oxygen saturation decreased
Clinical narrative: 2/2/21-1000-patient presented to the local emergency room with complains of fever, shortness of breath and decreased oxygen sats. temp 101.7, pulse 102, respirations 36, BP 141/92, oxygen 94%. Lung sounds crackles bilaterally with rhonchi on the left. patient worked up for sepsis, CXR shows mild atelectasis. blood pressure dropped, and continued to drop through treatment requiring levophed drop to be initiated. Patient POA determined that this would not be her sister's wishes and made the decision to make patient comfort care status.  2/3/21- patient lethargic throughout night. 0640-patient demise.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rales, Rhonchi, Urine analysis
Clinical narrative: 2/2/21-1000-patient presented to the local emergency room with complains of fever, shortness of breath and decreased oxygen sats. temp 101.7, pulse 102, respirations 36, BP 141/92, oxygen 94%. Lung sounds crackles bilaterally with rhonchi on the left. patient worked up for sepsis, CXR shows mild atelectasis. blood pressure dropped, and continued to drop through treatment requiring levophed drop to be initiated. Patient POA determined that this would not be her sister's wishes and made the decision to make patient comfort care status.  2/3/21- patient lethargic throughout night. 0640-patient demise.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Blood culture, Full blood count, Gait disturbance, Joint swelling, Metabolic function test
Clinical narrative: Above vaccines received 2/2/21.  Woke on 2/3/21 holding left leg and crying in pain.  Refusing to walk or move left leg--mostly in external rotation at the hip.  Very swollen and warm, no redness or bruising.   Afebrile.  Not sleeping well due to pain.  Symptoms began to worsen the evening of 2/4/21 with increased swelling and child was taken to Emergency Department for eval.  Left leg and pelvis x-ray's and CBC, CMP and Blood culture done.  All results normal, with the exception of the pending blood culture which shows no growth at this time.  Morphine administered at ER for pain.   Prescribed Children's Ibuprofen and Lidocaine patch for home at discharge.  Child doing well today, sleeping better and moving a little more than past days, but still not walking or bearing weight.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Pain in extremity, Skin warm, Sleep disorder, X-ray limb, X-ray of pelvis and hip
Clinical narrative: Above vaccines received 2/2/21.  Woke on 2/3/21 holding left leg and crying in pain.  Refusing to walk or move left leg--mostly in external rotation at the hip.  Very swollen and warm, no redness or bruising.   Afebrile.  Not sleeping well due to pain.  Symptoms began to worsen the evening of 2/4/21 with increased swelling and child was taken to Emergency Department for eval.  Left leg and pelvis x-ray's and CBC, CMP and Blood culture done.  All results normal, with the exception of the pending blood culture which shows no growth at this time.  Morphine administered at ER for pain.   Prescribed Children's Ibuprofen and Lidocaine patch for home at discharge.  Child doing well today, sleeping better and moving a little more than past days, but still not walking or bearing weight.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: injection site was red and itchy.  Benadryl was given
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia
Clinical narrative: Severe headache; chills; fatigue; muscle aches. These symptoms lasted through the following day but abated within 48 hours.
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus, Injection site swelling
Clinical narrative: Discovered a vaccine site reaction. Site is red, swollen, and itches, with hard lump about 6 cm in diameter. Self-treatment: Taking ibuprofen every six hours and using hydrocortisone 1% cream for itching.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Paraesthesia oral
Clinical narrative: Shortness of Breath, Tingling of Tongue
Age: 58.0
Sex: M
Vaccine: HEP
Symptoms: Diarrhoea, Fatigue, Headache, Impaired work ability, Lethargy
Clinical narrative: States that he started to feel "sick" that evening, continued to the following day, 2/3-unable to work. Lethargy, fatigue, diarrhea, body aches, headache. Arm soreness. 2/5/21 it was reported to me and pt states that he is feeling 75% better now.
Age: 58.0
Sex: M
Vaccine: HEP
Symptoms: Malaise, Pain, Pain in extremity
Clinical narrative: States that he started to feel "sick" that evening, continued to the following day, 2/3-unable to work. Lethargy, fatigue, diarrhea, body aches, headache. Arm soreness. 2/5/21 it was reported to me and pt states that he is feeling 75% better now.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Fatigue, Headache
Clinical narrative: Muscle and joint aches, shot site ache, headache, chills, fatigue, no appetite Treating with Tylenol. No abatement yet (9 hours later)
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia
Clinical narrative: Muscle and joint aches, shot site ache, headache, chills, fatigue, no appetite Treating with Tylenol. No abatement yet (9 hours later)
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Pain
Clinical narrative: With the second dose I had chills, body aches and felt light headed. After 24 hours I woke up fine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site pruritus, Injection site swelling, Pallor
Clinical narrative: Starting on the 4th day, itchy in the injection site and pale small light pinkish area was noted; light swelling also behind the injection site. On the 7th day, very very itchy and Benedryl cream helped; Redness area got bigger and color intensity increased. Today is the 8th day and still itching and red.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Eye pain, Pain, Pyrexia
Clinical narrative: High fever of 102.4, severe chills, aches, stomach pain, pain in left eye and testicles.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Testicular pain
Clinical narrative: High fever of 102.4, severe chills, aches, stomach pain, pain in left eye and testicles.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Mobility decreased, Musculoskeletal stiffness, Tension
Clinical narrative: Pt became lightheaded 15 min after dose that was better upon lying down. BP 156/82, 99% o2sat, 92 HR. Attempted several times to sit up but became lightheaded again. Reported headache 5/10 at back of the head at 09:45am and tension in the neck (stiff). At 10am, pt vomited and vomited several times more afterwards.  At 10:07am, pt was cleared for d/c home by NP. Pt told to take rest of day off and at 10:30am, pt was escorted via WC to car, husband driving. Pt still was lightheaded, nausea was improved, still had HA and stiff neck.  Pt and husband given ER precautions.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Pt became lightheaded 15 min after dose that was better upon lying down. BP 156/82, 99% o2sat, 92 HR. Attempted several times to sit up but became lightheaded again. Reported headache 5/10 at back of the head at 09:45am and tension in the neck (stiff). At 10am, pt vomited and vomited several times more afterwards.  At 10:07am, pt was cleared for d/c home by NP. Pt told to take rest of day off and at 10:30am, pt was escorted via WC to car, husband driving. Pt still was lightheaded, nausea was improved, still had HA and stiff neck.  Pt and husband given ER precautions.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Electrocardiogram, Hypertension, Pacemaker generated rhythm, Pyrexia
Clinical narrative: presented to healthcare alert with mild confusion and hypotensive.  Temp 100.4  IV fluids started and sent to ER for further evaluation.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received moderna vaccine at 17 years of age.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Loss of consciousness, Nausea
Clinical narrative: 12 hr post - chills and fatigue, 24 hrs  - fatigue, generalized aches preceded syncopal event while seated with sweating , blurred vision then loss on consciousness  for 15 seconds. Revived on floor with tachycardia, sweating  then nausea and vomiting x 1.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Syncope, Tachycardia, Vision blurred, Vomiting
Clinical narrative: 12 hr post - chills and fatigue, 24 hrs  - fatigue, generalized aches preceded syncopal event while seated with sweating , blurred vision then loss on consciousness  for 15 seconds. Revived on floor with tachycardia, sweating  then nausea and vomiting x 1.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: chills, fever, body aches and headache
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia
Clinical narrative: Starting 30 minutes after receiving the Moderna vaccine, I experienced fatigue, achy muscles, and chills.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Pruritus, Swelling, Tenderness
Clinical narrative: Had initial redness, pain and swelling that mostly went away within 24-48 hrs. Am reporting return of redness, swelling, tenderness and itchiness 8 days after vaccination administration. Then that also went away within 48 hours of reappearing.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Rash maculo-papular
Clinical narrative: Maculopapular rash involving entire trunk front and back,  neck,  and arms.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Chronic and debilitating head ache for 3 days (still continuing). Taking ibprofin (400 mg) every 4 hours.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: left lateral thigh with a large area of redness around injection site, extends to upper medial thigh. Redness and warmth noted 2/4, stable today. No fever. No drainage, no trouble walking, no pain.  Recommend cool compress and ibuprofen
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Pyrexia
Clinical narrative: CHILLS, FEVER UP TO 105.5, FATIGUE, ANOREXIA,
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain
Clinical narrative: Fatigued, body aches, chills,
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Dyspnoea
Clinical narrative: Cough , shortness of breath and dizziness. Personal albuterol inhaler used without relief of symptoms so was taken to the emergency room.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Arm, numb and tingling radiating into the L jaw, 50mg Benadryl given
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Loss of consciousness, Vomiting
Clinical narrative: 5 minutes after shot, patient passed out for 10-15 seconds. Nurse woke up patient. Patient reports vomiting about 1 minutes later. Patient states they had a migraine before getting the vaccine today. Patient reports a history of getting  anxious and passing out with shots or blood draws.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypoaesthesia, Induration, Neck pain
Clinical narrative: I'm having a terrible reaction to my first covid shot that I got on 1/28.  It's itchy, hot to the touch, hard, the swelling is the size of a baseball.  I have headache, I'm super tired, my pinky finger is hot and numb And my neck hurts.  I saw the dr this morning and she says it's called "covid arm" it will most likely spread down my arm and up to my neck.  I have to be careful that it doesn't turn into cellulitis
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin warm, Swelling
Clinical narrative: I'm having a terrible reaction to my first covid shot that I got on 1/28.  It's itchy, hot to the touch, hard, the swelling is the size of a baseball.  I have headache, I'm super tired, my pinky finger is hot and numb And my neck hurts.  I saw the dr this morning and she says it's called "covid arm" it will most likely spread down my arm and up to my neck.  I have to be careful that it doesn't turn into cellulitis
Sex: M
Vaccine: UNK
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Caller was belligerent stating his arm began to get sore after he received the vaccine on 1/19/21 now he "cannot move his arm". Seeing his PMD. He asks if he can apply cold or hot compresses. Advised him he can try warm compresses but at this point it hw needs to be evaluated by a Dr. Caller is angry and hangs up since no "home remedies" No info obtained since he hung up, no caller ID available since he was transferred to this line.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Pruritus, Rash, Skin warm
Clinical narrative: rash on arm, site of vaccination, itchy, red,  swollen, hot to touch, painful, lasted 3 days, then residual redness for 3 more days
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Vaccination site rash
Clinical narrative: rash on arm, site of vaccination, itchy, red,  swollen, hot to touch, painful, lasted 3 days, then residual redness for 3 more days
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: @ 10:10 patient reports feeling nauseated, she reports that it lasted for 10 minutes. She was monitored for 30 minutes and was asked to return to clinic if any changes occur.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: went 2d ago for covid vaccine #1 (Moderna) at 5:30pm; LT upper arm - no rash around injection site - yesterday at noon felt feverish, then rash on torso in the evening ~5pm
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray abnormal, Eosinophil count decreased, Lung opacity, Malaise
Clinical narrative: Fever to 103.4, malaise,weakness; treatment tylenol supportive care, O2 to 3L
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Procalcitonin normal, Pyrexia, Respiratory viral panel, White blood cell count decreased
Clinical narrative: Fever to 103.4, malaise,weakness; treatment tylenol supportive care, O2 to 3L
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Paraesthesia oral, Swelling face
Clinical narrative: Severe swelling of face around eyes nose and cheek area.  Tingling of tongue, pressure at lymp node areas.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine, Eye swelling, Lymphadenopathy, Nausea, Swelling face
Clinical narrative: Severe swelling of face around eyes nose and cheek area.  Tingling of tongue, pressure at lymp node areas.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Dose #2 of Moderna given 6 days prior to due date 1st Moderna Vaccine given (1/15/2021)
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Gastrointestinal pain, Malaise
Clinical narrative: Intestinal pain, chills, generally feeling unwell
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Joint swelling, Skin warm, Synovitis
Clinical narrative: Onset day 11 of synovitis, 4th right PIP joint, with marked swelling, heat, and redness. No other joints currently involved. No rashes.
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: Injection site reaction, Rash erythematous, Tenderness
Clinical narrative: Red rash at vaccination site started  approx. 8 days after vaccination. Red rash, not itchy. Slightly tender. Rash started losing color day 9 and 10.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Racing heart off and on for several days beginning 7 minutes after administration
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea haemorrhagic
Clinical narrative: Bloody diarrhea times one episode approximately 24 hours after receiving the shot.
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Feeling abnormal, Pharyngeal swelling, Rash, Tongue disorder
Clinical narrative: "No previous allergic reactions, no medical hx  administration time 1315,  1325-patient reported that she noted slight rash on bilateral arms 1330 reported rash to clinic staff, denied other symptoms; moved closer to staff for closer monitoring; rash observed to be from upper arms to wrist 1335- patient went to restroom 1340- patient to obs area, rash spread to trunk/flank; patient reports feeling ""fuzzy"" 1345- 175/96 HR 68 98% continued report of fuzzy feeling, additional report of tongue ""thickness"" 1350- 170/82 63 100% report of difficulty swallowing, tongue thickness and continued rash to BUE, trunk and flank 1400 -med w/ benedry 50 mg PO 179/111 64 100%  1405- 178/103 69 100%- reported increased throat swelling, rapid response called 1410- 193/100 69 100%  transported to ED
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site erythema, Injection site pruritus, Injection site warmth, Paraesthesia
Clinical narrative: *2 DAYS AFTER VACCINATION I HAVE NUMBNESS AND TINGLING IN MY FEET/TOES/ANKLES, BUT MOSTLY ON MY LEFT FOOT AND ANKLE. I ALSO HAVE NUMBNESS AND TINGLING IN MY LEFT ARM AND FINGERS.  *ON DAY 3 AFTER MY VACCINE, I HAD SCIATICA PAIN IN MY LEFT LEG/THIGH.  *ON DAY 9, I HAD AN INCREASED REDNESS, WARMTH, ADN ITCHING TO THE INJECTION SITE ON MY LEFT DELTOID *ON DAY 15, I HAVE AGAIN, NUMBNESS AND TINGLING TO MY LEFT FOOT AND ANKLE AND LEFT HAND/ARM.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Sciatica
Clinical narrative: *2 DAYS AFTER VACCINATION I HAVE NUMBNESS AND TINGLING IN MY FEET/TOES/ANKLES, BUT MOSTLY ON MY LEFT FOOT AND ANKLE. I ALSO HAVE NUMBNESS AND TINGLING IN MY LEFT ARM AND FINGERS.  *ON DAY 3 AFTER MY VACCINE, I HAD SCIATICA PAIN IN MY LEFT LEG/THIGH.  *ON DAY 9, I HAD AN INCREASED REDNESS, WARMTH, ADN ITCHING TO THE INJECTION SITE ON MY LEFT DELTOID *ON DAY 15, I HAVE AGAIN, NUMBNESS AND TINGLING TO MY LEFT FOOT AND ANKLE AND LEFT HAND/ARM.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Oral discomfort, Throat irritation
Clinical narrative: Patient reported throat itching ~30 minutes post-vaccination. Given cetirizine 10 mg orally x 1 dose. Itching/burning spread to oral mucosa (throat, roof of mouth), denies other symptoms. Given epinephrine 0.3 mg IM x 1, IV line started w/ NS at 125 mL/hour, diphenhydramine 50 mg IV x 1 dose all 5 minutes after cetirizine. EMS called, patient transported to ED for further evaluation.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Immediate post-injection reaction, Limb discomfort, Rash, Skin warm
Clinical narrative: started out immediately has a circle diameter of a Nickle. It got bigger through the day and that night it was size of half dollar and then the next day it was the size  of the palm of my hand then the 3rd day it was even bigger and wraps around my triceps . It is hot, bright  red, each day it gets redder and bigger and misshaping my arm from the swelling, arm feels really heavy,  It melts an ice pack within minutes.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: started out immediately has a circle diameter of a Nickle. It got bigger through the day and that night it was size of half dollar and then the next day it was the size  of the palm of my hand then the 3rd day it was even bigger and wraps around my triceps . It is hot, bright  red, each day it gets redder and bigger and misshaping my arm from the swelling, arm feels really heavy,  It melts an ice pack within minutes.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: fatigue 4 days
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Hyperhidrosis
Clinical narrative: 36 HOURS,  SEVERE HEADACHE, SWEATS,  DIZZINESS, FATIGUED AND CHILLS.   TYLENOL.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis
Clinical narrative: cellulitis in  left arm