chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Condition aggravated, Diarrhoea, Dizziness, Euphoric mood
Clinical narrative: After the normal low grade fever and sore arm went away (about 3 days) I felt fine and worked. Got vaccinated on Friday and felt ok by Tuesday. Then Wednesday started to get bad headaches again and congestion, low grade fever, gator fatigue,  runny nose, like head cold & flu. Sat I tested positive.  Had fever for about 4 days. Then went from head cold to diarrhea and nausea and dizziness and headache. That was about 10 days later. Missed week of work. Feel a little better but still dizzy and headaches. I feel drugged. The back half of my head feels constant dizzy/ headache and some nausea.  I?ve taken Tylenol and Tylenol pm , Tylenol headache & sinus for fever, allergy med-loratindine, aspirin, ibuprofen just recently for headaches and trying ginger now. Almost feel sea sick in a way. Tried mezacline. Tried NyQuil.  Green tea, chamomile tea. Coffee. Hot baths. Today I have only had ginger in my coffee. Has helped a little.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Impaired work ability, Influenza, Nasopharyngitis
Clinical narrative: After the normal low grade fever and sore arm went away (about 3 days) I felt fine and worked. Got vaccinated on Friday and felt ok by Tuesday. Then Wednesday started to get bad headaches again and congestion, low grade fever, gator fatigue,  runny nose, like head cold & flu. Sat I tested positive.  Had fever for about 4 days. Then went from head cold to diarrhea and nausea and dizziness and headache. That was about 10 days later. Missed week of work. Feel a little better but still dizzy and headaches. I feel drugged. The back half of my head feels constant dizzy/ headache and some nausea.  I?ve taken Tylenol and Tylenol pm , Tylenol headache & sinus for fever, allergy med-loratindine, aspirin, ibuprofen just recently for headaches and trying ginger now. Almost feel sea sick in a way. Tried mezacline. Tried NyQuil.  Green tea, chamomile tea. Coffee. Hot baths. Today I have only had ginger in my coffee. Has helped a little.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, Pain in extremity, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: After the normal low grade fever and sore arm went away (about 3 days) I felt fine and worked. Got vaccinated on Friday and felt ok by Tuesday. Then Wednesday started to get bad headaches again and congestion, low grade fever, gator fatigue,  runny nose, like head cold & flu. Sat I tested positive.  Had fever for about 4 days. Then went from head cold to diarrhea and nausea and dizziness and headache. That was about 10 days later. Missed week of work. Feel a little better but still dizzy and headaches. I feel drugged. The back half of my head feels constant dizzy/ headache and some nausea.  I?ve taken Tylenol and Tylenol pm , Tylenol headache & sinus for fever, allergy med-loratindine, aspirin, ibuprofen just recently for headaches and trying ginger now. Almost feel sea sick in a way. Tried mezacline. Tried NyQuil.  Green tea, chamomile tea. Coffee. Hot baths. Today I have only had ginger in my coffee. Has helped a little.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: After the normal low grade fever and sore arm went away (about 3 days) I felt fine and worked. Got vaccinated on Friday and felt ok by Tuesday. Then Wednesday started to get bad headaches again and congestion, low grade fever, gator fatigue,  runny nose, like head cold & flu. Sat I tested positive.  Had fever for about 4 days. Then went from head cold to diarrhea and nausea and dizziness and headache. That was about 10 days later. Missed week of work. Feel a little better but still dizzy and headaches. I feel drugged. The back half of my head feels constant dizzy/ headache and some nausea.  I?ve taken Tylenol and Tylenol pm , Tylenol headache & sinus for fever, allergy med-loratindine, aspirin, ibuprofen just recently for headaches and trying ginger now. Almost feel sea sick in a way. Tried mezacline. Tried NyQuil.  Green tea, chamomile tea. Coffee. Hot baths. Today I have only had ginger in my coffee. Has helped a little.
Age: 7.0
Sex: M
Vaccine: UNK
Symptoms: Incorrect dose administered, No adverse event, Product preparation error
Clinical narrative: Pfizer bivalent dose not diluted with 1.3mL of diluent as intended. Dose administered without being diluted first. Patient's family was notified day of event. No treatments were required or adverse outcomes noted.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 5 year old patient received COVID vaccine for 6 months to 4 years.
Age: 26.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site discharge, Injection site pain
Clinical narrative: Patient called 10/21/22 complaining of pain at the injection site that started at time of injection and was continuing that day. She stated that it was painful and she saw vaccine leakage at time of injection. Also stated that the injection site, to her, was too high.  As of 10/31/22, she was no longer experiencing active pain, but was concerned about residual nerve damage.
Age: 8.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Pfizer bivalent dose not diluted with 1.3mL of diluent as intended. Dose administered without being diluted first. Patient's family was notified day of event. No treatments were required or adverse outcomes noted.
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: SWELLING, REDNESS, PAIN, AND ITCHING OF INJECTION SITE. SWELLING AND REDNESS WERE APPROXIMATELY THE SIZE OF A SILVER DOLLAR
Age: 9.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Pfizer bivalent dose not diluted with 1.3mL of diluent as intended. Dose administered without being diluted first. Patient's family was notified day of event. No treatments were required or adverse outcomes noted.
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Pfizer bivalent dose not diluted with 1.3mL of diluent as intended. Dose administered without being diluted first. Patient's family was notified day of event. No treatments were required or adverse outcomes noted.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Injection site rash, Pain, Rash, Rash erythematous
Clinical narrative: Received Pfizer COVID Bivalent booster on 11/4/22. On 11/5/22 developed fatigue, body aches. On 11/5/22, also developed rash that started just above injection site at right deltoid. Over the next 48 hours the rash spread to right upper arm,  right side of neck, across upper back, and top portion of chest. The fatigue and body aches resolved within 24 hours. The rash was scattered red papules and was itchy.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash papular, Rash pruritic
Clinical narrative: Received Pfizer COVID Bivalent booster on 11/4/22. On 11/5/22 developed fatigue, body aches. On 11/5/22, also developed rash that started just above injection site at right deltoid. Over the next 48 hours the rash spread to right upper arm,  right side of neck, across upper back, and top portion of chest. The fatigue and body aches resolved within 24 hours. The rash was scattered red papules and was itchy.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Pfizer bivalent dose not diluted with 1.3mL of diluent as intended. Dose administered without being diluted first. Patient's family was notified day of event. No treatments were required or adverse outcomes noted.
Age: 6.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain, redness, swelling at injection site. Advised ice at site BID and Keflex x 5 days
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Pain, Pyrexia
Clinical narrative: Patient was given adult dose (0.3 mL) as opposed to pediatric dose recommended for age (0.1 mL). Followed up with mother over span of 3 days (11/4, 11/5, 11/7) - no serious side effects. Per mother, patient experienced "normal side effects" associated with vaccinations and previous doses (slight fever, achiness, etc. )
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: moderna covid vaccine administered to patient who was under 18. No adverse reaction to vaccine administration.
Age: 6.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient given Pfizer 5-11yo bivalent COVID vaccine but never completed the primary series.  No adverse effects noted.
Age: 14.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: At 09:30 am patient was ordered to be administered Pfizer SARSCOV2 Tri-Sucrose, 30mcg/0.3mL and patient was administered Pfizer SARSCOV2 bivalent booster 30mcg.0.3mL instead. Patient was monitor for 15 minutes with no adverse reactions.
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Interchange of vaccine products
Clinical narrative: Patient requested Pfizer Bivalent 12+; Moderna Bivalent 12+ was administered.  No symptoms or signs that were outside of normal for this patient were observed.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was injected with Boostrix that had expired 08/30/2022, no adverse event at time of reporting
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Bacterial infection, Biopsy skin, Rash
Clinical narrative: Pt. states "after getting my covid 19 booster on nov 9 2021 approx. 1 week alter I noticed a rash was developing on both of my thighs. The rash was getting bigger so in December 2021 I went to see a dermatologist at center for dermatology. The dr. had to treat the rash and a bacterial infection. it was determined that it was the result of the covid-19 booster vaccine. After 8 months of treatment and 3 biopsy's it was finally under control. I had a follow up exam on  10/27/2022 and everything looks good.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: Patient came in for Moderna bivalent booster. Was given 0.5mL of Moderna primary 6yr-11yr.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Decreased appetite, Fatigue, Influenza, Influenza A virus test positive
Clinical narrative: FLU, despite having had the flu vaccine.  Fever, sore throat, cough, loss of appetite, extreme fatigue.  Have had the seasonal flu vaccine every year since 2006 (16 years), and have never gotten the flu before.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: FLU, despite having had the flu vaccine.  Fever, sore throat, cough, loss of appetite, extreme fatigue.  Have had the seasonal flu vaccine every year since 2006 (16 years), and have never gotten the flu before.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Chills, fatigue and sensation of fever following injection. Still having daily sensation of fever with increased fatigue.
Age: 23.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Persistent pain and limited range of motion in arm where the vaccine was administered. Patient was advised on ice/Voltaren gel/range of motion exercises. She declined physical therapy
Age: 35.0
Sex: F
Vaccine: HPV9
Symptoms: Hypoaesthesia, Injection site bruising, Injection site pain, Musculoskeletal stiffness, Pain
Clinical narrative: Patient complained of bruise from the injection is at the top of shoulder,  arm is constantly numb and tingly with neck and shoulder stiffness and the shoulder is painful with movement
Age: 35.0
Sex: F
Vaccine: HPV9
Symptoms: Paraesthesia
Clinical narrative: Patient complained of bruise from the injection is at the top of shoulder,  arm is constantly numb and tingly with neck and shoulder stiffness and the shoulder is painful with movement
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Headache, Nausea, Oropharyngeal pain
Clinical narrative: Cough, chest congestion, sore throat,  runny nose.  This started Sunday night the 30th . Saw the PA on 11/1at 11:30 Am. Thought it was an upper respiratory infection. On 11/2 felt nauseous and  had a regular type headache. Took At home Covid test at 6:30 pm. Positive . 11/ 3, 6:30 AM  did second Covid at home test Positive.  Returned to the Walk in Clinic to see if I could get Paxlovid.  Saw medical again and he shared that too much time had passed to get Paxlovid.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Cough, chest congestion, sore throat,  runny nose.  This started Sunday night the 30th . Saw the PA on 11/1at 11:30 Am. Thought it was an upper respiratory infection. On 11/2 felt nauseous and  had a regular type headache. Took At home Covid test at 6:30 pm. Positive . 11/ 3, 6:30 AM  did second Covid at home test Positive.  Returned to the Walk in Clinic to see if I could get Paxlovid.  Saw medical again and he shared that too much time had passed to get Paxlovid.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I got COVID.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Injection site swelling, Neck pain
Clinical narrative: Swelling at injection site, pain in the shoulder/neck area on side where the injection was given
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Feeling abnormal, Headache, Hyperhidrosis, Pain
Clinical narrative: Fatigue, feverish, sweaty, headache, ached all over, felt like I was out of my mind/head. Had regular flu shot with bivaliant booster. Have never had any adverse symptoms following boosters.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia
Clinical narrative: Fatigue, feverish, sweaty, headache, ached all over, felt like I was out of my mind/head. Had regular flu shot with bivaliant booster. Have never had any adverse symptoms following boosters.
Age: 32.0
Sex: F
Vaccine: FLUC4
Symptoms: Injected limb mobility decreased, Insomnia, Pain, Product administered at inappropriate site, Shoulder injury related to vaccine administration
Clinical narrative: Patient states that the injection was placed too high and she felt it being injected into her bursa instead of her deltoid. She has been in pain since her injection, can't sleep, can't lift with that arm, pain 8-9 out of 10. She has been on rest and motrin, with no relief.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site mass, Syringe issue, Underdose
Clinical narrative: The evening of my vaccine I started getting a red lump at the injection sight. The next day (today) it continued to get bigger throughout the day.  It?s currently about half dollar size. The reason I?m mainly concerned is because my son (he?s 22) also got vaccinated at the same time and he has the same red lump, but his just popped up today. When we received the injection the woman who gave it made a comment that the syringes head been leaking after it started running down my arm. After we left the pharmacy my son said his also ran down his arm. Neither of us have ever had a reaction from a vaccine
Age: 92.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer COVID vaccine on 1/15/21 (lot # EJ1686), 1/31/21 (lot # EN5318), 10/20/21 (lot # FE3590), and Moderna COVID vaccine on 5/4/22 (lot # 057M21A), and 10/6/22 for bivalent formulation (lot # AS7162B). On 10/25/22, patient admitted to our inpatient facility (med/surg unit) with  acute hypoxemic respiratory failure due to COVID-19. He was discharged back to nursing home on 11/2/22 and re-admitted later in the evening. Patient was discharged to short-term rehab on 11/4/22.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Aphonia, Bronchitis, Cough, Influenza virus test negative, Pain
Clinical narrative: Oct 9-11: runny nose and cough begins and still continues today (Nov 7) Oct 12-14: cough continues; lost my voice completely during this period  Oct 15-23: cough continues runny nose returns Oct 24-26: I seemed to feel a bit better; symptoms lessen Oct 27-31: feel worse; cough, aches, fever Nov 1-5: antibiotic, steroid, cough med; dr thinks it is bronchitis  Nov 6 to nw: meds help a bit but still coughing; very rattly cough and chest when I exhale
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Oct 9-11: runny nose and cough begins and still continues today (Nov 7) Oct 12-14: cough continues; lost my voice completely during this period  Oct 15-23: cough continues runny nose returns Oct 24-26: I seemed to feel a bit better; symptoms lessen Oct 27-31: feel worse; cough, aches, fever Nov 1-5: antibiotic, steroid, cough med; dr thinks it is bronchitis  Nov 6 to nw: meds help a bit but still coughing; very rattly cough and chest when I exhale
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Blood thyroid stimulating hormone, Discomfort, Free prostate-specific antigen
Clinical narrative: Could not sleep the night after the shot.  Slept through an entire day that day after that.  The following day, sever pain in heels.  A week later pain moved to lower back.  Another week later the pain moved to knees.  A week later pain also arose in tops of hands, then up the forearms.  Then a week or two until pain added in balls of feet.  A week later the pain moved up into the shoulder and up into the hip.  A week later pain appeared in the muscles of the forearms (in addition to top surface).  I am now 3 months since the shot and still in discomfort daily, needing pain medication to sleep through the night.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Full blood count, Glomerular filtration rate, Haemoglobin, Insomnia, Lipids
Clinical narrative: Could not sleep the night after the shot.  Slept through an entire day that day after that.  The following day, sever pain in heels.  A week later pain moved to lower back.  Another week later the pain moved to knees.  A week later pain also arose in tops of hands, then up the forearms.  Then a week or two until pain added in balls of feet.  A week later the pain moved up into the shoulder and up into the hip.  A week later pain appeared in the muscles of the forearms (in addition to top surface).  I am now 3 months since the shot and still in discomfort daily, needing pain medication to sleep through the night.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Metabolic function test, Myalgia, Pain in extremity, Somnolence, Vitamin B12
Clinical narrative: Could not sleep the night after the shot.  Slept through an entire day that day after that.  The following day, sever pain in heels.  A week later pain moved to lower back.  Another week later the pain moved to knees.  A week later pain also arose in tops of hands, then up the forearms.  Then a week or two until pain added in balls of feet.  A week later the pain moved up into the shoulder and up into the hip.  A week later pain appeared in the muscles of the forearms (in addition to top surface).  I am now 3 months since the shot and still in discomfort daily, needing pain medication to sleep through the night.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: X-ray limb, X-ray of pelvis and hip
Clinical narrative: Could not sleep the night after the shot.  Slept through an entire day that day after that.  The following day, sever pain in heels.  A week later pain moved to lower back.  Another week later the pain moved to knees.  A week later pain also arose in tops of hands, then up the forearms.  Then a week or two until pain added in balls of feet.  A week later the pain moved up into the shoulder and up into the hip.  A week later pain appeared in the muscles of the forearms (in addition to top surface).  I am now 3 months since the shot and still in discomfort daily, needing pain medication to sleep through the night.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Death, Fatigue, Headache, Loss of personal independence in daily activities
Clinical narrative: After each vaccine dose, the patient became weaker. He had more difficulty completing daily tasks. He complained of fatigue, nausea, weight loss, headaches, and weakness. He became sick often, without reason. Covid negative testing.  He was sick, respiratory virus, he thought he should get the booster since it was being recommended by the doctor on the news. He told me he got it on November 18, 2021. He felt worse, was trying to rest and sleep it off. He died in his sleep sometime on or about November 22, 2021.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Nausea, Respiratory tract infection viral, SARS-CoV-2 test negative, Weight decreased
Clinical narrative: After each vaccine dose, the patient became weaker. He had more difficulty completing daily tasks. He complained of fatigue, nausea, weight loss, headaches, and weakness. He became sick often, without reason. Covid negative testing.  He was sick, respiratory virus, he thought he should get the booster since it was being recommended by the doctor on the news. He told me he got it on November 18, 2021. He felt worse, was trying to rest and sleep it off. He died in his sleep sometime on or about November 22, 2021.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer COVID vaccine on 4/1/21 (lot # ER8737), 4/26/21 (lot # ER8736), 8/29/21 (lot # FF2588), 3/4/22 (lot # FK9894), and 8/24/22 (lot # FP7137). On 10/28/22, patient admitted to our inpatient facility (med/surg unit) with acute hypoxic respiratory failure secondary to COVID-19 pneumonia and AKI superimposed on CKD s/p renal transplant. As of today (11/7/22), patient is still admitted in our med/surg unit.
Age: 60.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Head injury, Joint injury, Loss of consciousness
Clinical narrative: Had the flu shot at the same time left arm at or around 11 at night got up and passed out can?t remember what happened hit head and right elbow went to hospital
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Headache, Nausea, Vertigo
Clinical narrative: Vertigo   nausea  lightheadness dizziness Headache
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: The patient stated that she developed a rash with swelling, redness and raised red bumps on her arm after the vaccine.  Stated the affected area was from her shoulder to her elbow and lasted about a week.  She stated the rash has mostly resolved.
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Body temperature increased
Clinical narrative: Woke up at 2:30 am with elevated temperature and a heart rate of approximately 130 bpm
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMRV, PNC13, VARCEL
Symptoms: Wrong product administered
Clinical narrative: While drawing up the vaccine patient, intended to give 1 Varicella and 1 MMR. Instead, she was given 1 Varicella and 1 Proquad. The patient's parent was called after the MA consulted with MD. It was determined that the patient should not have any adverse effects after data was researched.
Age: 22.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was given incorrect vaccine for primary series 10/17/22 at another location; Local Family Practice. Patient was given the bivalent at his first dose for the primary series. Presented 11/7/22 to our clinic (the little clinic) for second dose and noticed that incorrect primary series was given. Did give the second dose of the monovalent vaccine 11/7/22 per CDC guidelines at the little clinic. No adverse reactions were reported by patient.
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: I do not know which flu vaccine was administered as the patient is never told this information. Approximately an hour and a half after injection, there was swelling, pain, redness and heat at the injection site? I have had a flu vaccine for over 20 years, ever year and NEVER experienced this. Something is wrong with this vaccine!
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: She was given a high dose of the flu shot and she was not age 65+
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer Bivalent booster inadvertently administered instead of Pfizer primary dose 1
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Limb discomfort, Mobility decreased, Musculoskeletal stiffness, Myosclerosis, Peripheral swelling
Clinical narrative: Thirty-six hours after receiving the Covid (Moderna Booster) vaccine, patient stated that she could not raise her left arm above her head while at yoga class. Her arm was stiff, and her muscle was hard as a rock. Then her left arm was swollen all the way down to just below her elbow. The swelling did go down, but it is still swollen as of 11/07/22. Then at one point her arm felt like it was filled with fluid and was very itchy. (She is on an allergy medication, Allegra, which helped her).
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pruritus
Clinical narrative: Thirty-six hours after receiving the Covid (Moderna Booster) vaccine, patient stated that she could not raise her left arm above her head while at yoga class. Her arm was stiff, and her muscle was hard as a rock. Then her left arm was swollen all the way down to just below her elbow. The swelling did go down, but it is still swollen as of 11/07/22. Then at one point her arm felt like it was filled with fluid and was very itchy. (She is on an allergy medication, Allegra, which helped her).
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer Bivalent booster inadvertently administered instead of Pfizer primary dose 1
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer Bivalent booster inadvertently administered instead of Pfizer primary dose 1
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site discomfort, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: swelling of arm at injection site, redness, tenderness, discomfort itching, fever
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: swelling of arm at injection site, redness, tenderness, discomfort itching, fever
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pruritus
Clinical narrative: pt states that she had itching on her palm the next morning after the vaccine
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19 pneumonia
Clinical narrative: Patient received Moderna COVID vaccine on 3/5/21 (lot # 029A21A), 4/5/21 (lot # 026B21A), 11/17/21 (lot # 066F21A), and 4/27/22 (lot # 065K21A). On 10/29/22, patient admitted to our inpatient facility (med/surg unit) with acute hypoxic respiratory failure secondary to COVID-19 pneumonia and generalized weakness. On 11/3/22, patient discharged back to ALF.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Failure to thrive, SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer COVID vaccine on 2/4/21 (lot # EL9264), 2/25/21 (lot # EL9266), and 11/11/21 (lot # 33026BD). On 10/31/22, patient admitted to our inpatient facility (med/surg unit) with COVID-19 infection, failure to thrive (generalized weakness), and chronic cough. As of today (11/7/22), patient is still admitted in the med/surg unit.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea exertional, Hyperglycaemia, Hypertension, Pneumonia bacterial
Clinical narrative: Patient received Moderna COVID vaccine on 4/22/21 and 5/21/21. On 11/3/22, patient admitted to our inpatient facility (med/surg unit) with COVID19 pneumonia, sepsis with superimposed bacterial pneumonia, dyspnea on exertion, uncontrolled hyperglycemia (newly diagnosed DM2), and uncontrolled HTN. As of today (11/7/22), patient is still admitted in the med/surg unit.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Superinfection, Type 2 diabetes mellitus
Clinical narrative: Patient received Moderna COVID vaccine on 4/22/21 and 5/21/21. On 11/3/22, patient admitted to our inpatient facility (med/surg unit) with COVID19 pneumonia, sepsis with superimposed bacterial pneumonia, dyspnea on exertion, uncontrolled hyperglycemia (newly diagnosed DM2), and uncontrolled HTN. As of today (11/7/22), patient is still admitted in the med/surg unit.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: ADULT DOSE PFIZER WAS PROVIDED INSTEAD OF PEDIATRIC PFIZER (PATIENT IS 11 YEARS OLD)
Age: 0.83
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: 3rd dose of initial Pfizer Covid-19 vaccine was given 6.5 weeks after 2nd dose instead of 8 weeks. No adverse events occurred with the early administration of this 3rd dose.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Dysgeusia, Tinnitus
Clinical narrative: Onset of persistent tinnitus Minty mouth
Age: 2.0
Sex: M
Vaccine: COVID19, DTAP, FLU4, HEPA
Symptoms: Erythema, Gait disturbance, Joint swelling, Peripheral swelling, Rash
Clinical narrative: acute onset of redness to his neck and trunk, including swelling and tenderness to knees L>R, L thigh particularly and has been less active/willing to bear weight/walk with diffuse patchy erythematous, urticarial rash to upper torso, neck, arms, diaper area and mild erythema to face,
Age: 2.0
Sex: M
Vaccine: COVID19, DTAP, FLU4, HEPA
Symptoms: Rash erythematous, Red blood cell sedimentation rate, Tenderness, Urticaria, Weight bearing difficulty
Clinical narrative: acute onset of redness to his neck and trunk, including swelling and tenderness to knees L>R, L thigh particularly and has been less active/willing to bear weight/walk with diffuse patchy erythematous, urticarial rash to upper torso, neck, arms, diaper area and mild erythema to face,
Age: 2.0
Sex: M
Vaccine: COVID19, DTAP, FLU4, HEPA
Symptoms: X-ray limb
Clinical narrative: acute onset of redness to his neck and trunk, including swelling and tenderness to knees L>R, L thigh particularly and has been less active/willing to bear weight/walk with diffuse patchy erythematous, urticarial rash to upper torso, neck, arms, diaper area and mild erythema to face,
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac monitoring, Chest discomfort, Dizziness, Dyspnoea, Echocardiogram
Clinical narrative: Heart palpitations,. Irregular heartbeat. Shortness of breath. Dizziness. Tightness in chest
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate irregular, Palpitations, Ventricular extrasystoles
Clinical narrative: Heart palpitations,. Irregular heartbeat. Shortness of breath. Dizziness. Tightness in chest
Age: 6.0
Sex: M
Vaccine: COVID19-2
Symptoms: Immunisation reaction, Infection, Inflammation, Injection site inflammation, Peripheral swelling
Clinical narrative: Patient states the injection site was inflamed the day after getting vaccine. Patient states the arm started swelling and getting bigger and moved from injection site to shoulder. Since the inflammation was getting bigger the patient was advised to go to the ER. The doctor states it could be an adverse reaction to vaccine or infection. If gotten worse then patient was prescribed an antibiotic to take.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site mass, Pyrexia, Rash
Clinical narrative: fever 102.5, extreme joint pain, large rash on upper right arm from shoulder to elbow, large mass at injection site
Age: 36.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: C-reactive protein increased, Computerised tomogram abdomen abnormal, Diverticulitis, Red blood cell sedimentation rate increased
Clinical narrative: Diverticulitis confirmed by CT scan, crp 72.91 Esr  95
Age: 68.0
Sex: F
Vaccine: FLUA4
Symptoms: Urticaria
Clinical narrative: 24 hours after vaccine hives on right and left firearms and on right and left feet. Took 2 25mg Benadryl. Hives subsided. Next day, 11/7/22 hives noted under left eye.  Went to Urgent Care Clinic. Doctor gave. Steroid shot and prescribed prednisone for 5 days
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Wrong product administered
Clinical narrative: Provider ordered TD. Tdap was administered instead of TD. Ordering provider notified of vaccine immediately after wrong vaccine was administered
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal discomfort, Abdominal pain upper, Chills, Headache, Myalgia
Clinical narrative: Chills, muscle aches and pain, headache, stomach cramps/upset stomach . Went away with Tylenol.  Lasted about 12 hours
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain
Clinical narrative: Chills, muscle aches and pain, headache, stomach cramps/upset stomach . Went away with Tylenol.  Lasted about 12 hours
Age: 60.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Chills, Injection site pain, Pain, Pain in extremity
Clinical narrative: Extreme pain in the right arm radiating to the shoulder; chills, but no fever.
Age: 50.0
Sex: F
Vaccine: FLU4, VARZOS, VARZOS
Symptoms: Chills, Pain
Clinical narrative: Chills body aches
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Limb mass, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Started as very swollen lump on arm. Swelling lessened over the following couple of days but raised red area remained, about 4.5 inches wide. Itchy and hot.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pruritus, Injection site swelling, Nausea
Clinical narrative: Fever, Nausea, extreme redness, bruising, swelling, and itching in arm at injection site.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, Nausea, extreme redness, bruising, swelling, and itching in arm at injection site.
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Axillary pain, Lymphadenopathy, Neck pain, Pain in extremity
Clinical narrative: Sore arm and shoulder neck started 5 hours after vaccine and continued all of next day. However about 2am armpit seem very sore. At 6am noted visiable swelling g of tissue and lymph  nodes that did not improve throughout the day. Shoulder and arm pain had imporved  but not dissipated completely. Used Tylenol, celebrex, and ice.
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Soft tissue swelling
Clinical narrative: Sore arm and shoulder neck started 5 hours after vaccine and continued all of next day. However about 2am armpit seem very sore. At 6am noted visiable swelling g of tissue and lymph  nodes that did not improve throughout the day. Shoulder and arm pain had imporved  but not dissipated completely. Used Tylenol, celebrex, and ice.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Narrative:  Patient was administered a 0.25 mL dose on 10/28/22 when the patient told the RN that she was immunocompromised. The nurse and nursing manager was advised to have the patient come back and administer a 0.5 mL dose, per the CDC recommendations on incorrect vaccine doses. The patient came back in to the clinic on 11/3/22 and the patient was again administered a 0.25 mL dose, instead of the 0.5 mL dose which should have been given. The nursing staff and nurse manager were made aware of this by pharmacy. The CDC does not have recommendations about what to do if the incorrect half dose is administered twice. Due to the patient being immunocompromised from chronic oral corticosteroid use pharmacy recommended the patient coming back for a full 0.5 mL dose. We also told the nursing staff at the clinic that the provider and the patient will need to have a discussion about whether they will want to repeat a bivalent booster dose.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19-2, COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Narrative:
Age: 30.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Expired product administered, Injection site erythema, Injection site swelling
Clinical narrative: Narrative:  Patient received Dose 2 of JYNNEOS Vaccine series on 11/1/22 and dose was drawn from an expired vial. Patient received 0.1 mL Intradermal Dose of JYNNEOS authorized under Emergency Use Authorization. JYNNEOS is available as a 0.5 mL vial, which contains up to 5 doses for patients receiving the intradermal EUA regimen. Stability information available from the CDC instructs sites to draw up each dose on demand at the time of use, so JYNNEOS vials are loaded into the Pyxis medication refrigerator for use at the beginning of each vaccination clinic day. A vial that was initial punctured on 10/25/22 was left in the fridge and the dose was inadvertently pulled from this vial and administered to the patient. The provider was made aware on 11/2/22 and notified the patient. Both are monitoring for signs of infection. There is erythema and swelling around the injection site but per the manufacturer local reactions are more likely with the intradermal dosing regimen than with subcutaneous. Writer reached out to manufacturer to obtain stability data and determine if patient requires re-dosing of second dose. Manufacturer instructed to re-dose Dose 2 as soon as possible. Writer submitted report.
Age: 39.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Rash erythematous, Rash papular, Rash pruritic, Skin lesion
Clinical narrative: Narrative:  Patient received first vaccination with JYNNEOS series on 09/27/22 and returned to clinic for second dose in series on 10/25/22. At this time, patient reported about 3 days after vaccination he developed raised, itchy, non-painful red lesions on arms, legs, and back. At time of second dose, still had some lesions popping up. Denied ulceration, fevers, shortness of breath, or throat swelling. Second dose of vaccine series was delayed until Allergy could consult. on 10/26/22, allergy completed a thorough consult concluding that the rash is likely to represent an immune response to the vaccine (not an IgE mediated response). Allergy states if there is no disseminated features to suggest general vaccinia, the rash described is general not considered to be a contraindication and administration of the second dose should be made in discussion with the patient. As the rash was delayed, increased acute monitoring will not change the outcome for the patient. If the patient decides to receive the second dose, steroids or antihistamines may be administered. No decision has been made at this time on second dose administration.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomyopathy, Condition aggravated, Cough, Dyspnoea, Heart rate increased
Clinical narrative: Narrative:
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation reaction, Urine output decreased
Clinical narrative: Narrative:
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Allergy to vaccine, Angioedema, Hypersensitivity, Immunisation reaction
Clinical narrative: Narrative:  Pt is a 51-year-old male with history of diabetes and bell's palsy who was admitted after ED presentation for evaluation and monitoring of an allergic reaction to COVID-19 booster vaccination. Patient presented with angioedema. He was given methylprednisolone 125 mg IV, diphenhydramine 50mg IV, famotidine 20mg IV, and epinephrine 0.3mg IV in the ED and then admitted overnight to Medicine for observation and monitoring. Patient's angioedema improved with no acute events. He was discharged and COVID-19 vaccine was added to his Allergies/Adverse Reactions on electronic medical record. Patient was referred to the Allergy Clinic after follow up with primary care physician.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Narrative:  Patient stated to the RN that she was immunocompromised, and a 0.25 mL dose of the booster was administered to the patient. RN was educated on the appropriate dose and patient is being contacted by the Health Authority to administer a 0.5 mL dose.
Age: 76.0
Sex: M
Vaccine: FLUA4
Symptoms: Cerebral haemorrhage, Headache
Clinical narrative: Patient said he got a headache after receiving the vaccine. He eventually sought medical care and was diagnosed with a brain bleed(patient's words)
Age: 5.0
Sex: F
Vaccine: COVID19-2, DTAPIPV, FLU4
Symptoms: No adverse event
Clinical narrative: No adverse events
Age: 19.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Expired product administered
Clinical narrative: expired Menveo given on 11/7/22. Vaccine expired 10/31/22.
Age: 15.0
Sex: F
Vaccine: FLUC4, HEPA, HPV9
Symptoms: Pruritus, Skin discolouration, Skin warm
Clinical narrative: Itchy pink, warm to touch start 11/1/22 small - today 11/4/22 itch pink Large about 60mm pt was told to take Zyrtec in AM & Let us know on Monday how she is doing, (Back)
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Memory impairment
Clinical narrative: Narrative:  Patient received covid 19 vaccine(J&J) 4/10/2021 about 3 weeks later experienced loss of balance/weakness/memory changes/possible stroke
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Inflammatory marker test, SARS-CoV-2 test positive
Clinical narrative: Narrative:  82yoM admitted to the floor from nursing home on 10/26/2022 due to testing positive for COVID. Upon presentation, only symptom was a slight cough. Developed mild temp of 100.3 overnight, which has since improved. Baseline inflammatory markers continue to be unremarkable. Currently only receiving supportive care. This includes guaifenesin PRN. Plan is to repeat BINAX test in 5 days.
Age: 75.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Injection site pruritus, Pruritus, Sensory disturbance
Clinical narrative: Narrative:  10/13 COVID vaccine dose #5 and Influenza, quadrivalent dose 10/25 Pt contacts team to report "an itch is going below the skin. He said he received the booster shot and the flu shot. And don't know if that has anything to do with it." 10/26 Pt reports he remains with itchiness mainly to his left arm and back. No rash per patient. He has tried taking OTC Benadryl with no relief." 10/28 Pt reports "my Left arm where they put started itching and now from the neck down to my waist and towards the back." Denies rash, no skin redness, no swelling on affected areas. "There's nothing to see but I feel the itching inside!" Took diphenhydramine every 4 hours, applied Calamine lotion with no effect. 11/01 PCP contacts pt who reports "since the day after vaccinations he started with itching down his left arm then the itching has progressed to his entire back and at present itching has moved to his right arm. He reports in the interim he has used benadryl cream, benadryl oral medications, calamine lotion and OTC cortisone cream all with minimal improvement. Patient describes the itch as "under the skin, not painful, it's more of an annoyance". At present, patient reports he is not having difficulty breathing, denies any pain/swelling at injection site. Patient reports he did not experience any feelings of faintness, swelling of tongue, wheezing/cough, feelings of impending doom." Prescribed prednisone dose pack.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19-2, COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Narrative:  This was given at an outside facility. Limited information regarding reaction. Pruritus noted with the reaction.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Patient admitted from nursing home to hospital floor due to COVID+ PCR. Patient presents with mild sore throat. Treatment includes throat lozenge PRN sore throat.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Patient admitted from nursing home to the floor due to testing COVID+ on BINAX and PCR. Patient was asymptomatic at the time of admission.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Feeling abnormal, Gait disturbance
Clinical narrative: exertional dyspnea, hypoxemia with oxygen saturation 85% with exertion
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram normal, Atelectasis, Cardiac stress test normal, Chest X-ray normal, Computerised tomogram thorax abnormal
Clinical narrative: exertional dyspnea, hypoxemia with oxygen saturation 85% with exertion
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea exertional, Echocardiogram, Electrocardiogram normal, Eosinophilia, Exercise test normal
Clinical narrative: exertional dyspnea, hypoxemia with oxygen saturation 85% with exertion
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoxia, Laboratory test abnormal, Lymphadenopathy, Obstructive airways disorder, Pulmonary fibrosis
Clinical narrative: exertional dyspnea, hypoxemia with oxygen saturation 85% with exertion
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pulmonary function test abnormal, Pulmonary mass, Spirometry abnormal
Clinical narrative: exertional dyspnea, hypoxemia with oxygen saturation 85% with exertion
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Blood test, Chest X-ray, Computerised tomogram, Dyspnoea exertional
Clinical narrative: exertional dyspnea, hypoxemia with oxygen saturation 85% with exertion
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Exercise electrocardiogram, Gait disturbance, Pulmonary function test, SARS-CoV-2 test
Clinical narrative: exertional dyspnea, hypoxemia with oxygen saturation 85% with exertion
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Arthritis, COVID-19, Chest X-ray normal, Computerised tomogram spine
Clinical narrative: Admitted to hospital.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Deep vein thrombosis, Dyspnoea, Hypoaesthesia, Hypoxia
Clinical narrative: Admitted to hospital.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Imaging procedure abnormal, SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 47.0
Sex: F
Vaccine: COVID19, FLU4, COVID19
Symptoms: Wrong product administered
Clinical narrative: I was supposed to receive the Moderna Bivalent booster, but was given the Pfizer original formulation.
Age: 47.0
Sex: F
Vaccine: COVID19, FLU4, COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: I was supposed to receive the Moderna Bivalent booster, but was given the Pfizer original formulation.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pain in extremity
Clinical narrative: Severe left arm pain with numbness/tingling lasting at least 8 weeks after vaccine administration requiring multiple medical visits, with pain starting 4-5 days after injection. 9/21/22 Urgent care visit: Provider noted injection seemed low on left arm. Negative left arm venous duplex ultrasound. Tylenol/naproxen for pain. 9/30/22 PCP visit: Empiric treatment for cellulitis with keflex. Trialed oxycodone but intolerable side effects, switched to gabapentin for pain management. 10/5/22 PCP visit: Reviewed labs, discontinued tylenol/naproxen based on labs, titrated gabapentin dose. 10/12/22 PCP visit: MRI ordered. Consideration of referral to rehabilitation medicine.