chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Neck mass
Clinical narrative: left neck mass.   CT neck showed: IMPRESSION: 1.  Left axillary and left supraclavicular lymphadenopathy, most likely related to recent ipsilateral COVID vaccination. The left supraclavicular lymph node corresponds to the finding on ultrasound. Recommend continued clinical follow-up for the palpable abnormality. If the palpable lymph node persists or enlarges, follow-up imaging may be considered. 2.  Hepatic steatosis.  3.  Mild paranasal sinus disease.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Broke in a severe case of hives all over my body (scalp down to legs).
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Ataxia, C-reactive protein, Condition aggravated, Fatigue, Full blood count
Clinical narrative: Severe, progressive worsening of MECFS/post covid syndrome.  Day 0-4 days standard vaccine side effects  5-9 increasing fatigue  10 + profound fatigue unresolved by rest, difficulty speaking due to fatigue, muscle weakness. No longer able to work on medical leave.  18+ additional neurological symptoms, ataxia
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Metabolic function test, Muscular weakness, Post viral fatigue syndrome, Rheumatoid arthritis
Clinical narrative: Severe, progressive worsening of MECFS/post covid syndrome.  Day 0-4 days standard vaccine side effects  5-9 increasing fatigue  10 + profound fatigue unresolved by rest, difficulty speaking due to fatigue, muscle weakness. No longer able to work on medical leave.  18+ additional neurological symptoms, ataxia
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Speech disorder
Clinical narrative: Severe, progressive worsening of MECFS/post covid syndrome.  Day 0-4 days standard vaccine side effects  5-9 increasing fatigue  10 + profound fatigue unresolved by rest, difficulty speaking due to fatigue, muscle weakness. No longer able to work on medical leave.  18+ additional neurological symptoms, ataxia
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site rash, Injection site swelling
Clinical narrative: Underarm sore after 6 days.  Swelling and rash at site of injection in left arm  developed 7 days after vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site inflammation, Injection site pain, Injection site warmth
Clinical narrative: Inflammation, hot and tender/sore near injection site
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Chills, body aches, headache, fatigue two days long
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site swelling, Rash erythematous
Clinical narrative: Red circular rash at injection site, raised edges, itchy. About 2" diameter
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bronchitis, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: Slight cough, cold symptoms before vaccine became EXTREME cold/flu/pneumonia symptoms less than 24 hours after being vaccinated,  including nausea, coughing, pain, body aches, weakness, fatigue, difficulty moving, difficulty breathing, lack of appetite, extreme headaches, 102 fever for 5+ days, etc.;  Emergency Room visit 03/08/2021, 4:00 AM - 36 hours after being vaccinated
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspnoea, Fatigue, Headache, Influenza like illness
Clinical narrative: Slight cough, cold symptoms before vaccine became EXTREME cold/flu/pneumonia symptoms less than 24 hours after being vaccinated,  including nausea, coughing, pain, body aches, weakness, fatigue, difficulty moving, difficulty breathing, lack of appetite, extreme headaches, 102 fever for 5+ days, etc.;  Emergency Room visit 03/08/2021, 4:00 AM - 36 hours after being vaccinated
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Nasopharyngitis, Nausea, Pain, Pyrexia
Clinical narrative: Slight cough, cold symptoms before vaccine became EXTREME cold/flu/pneumonia symptoms less than 24 hours after being vaccinated,  including nausea, coughing, pain, body aches, weakness, fatigue, difficulty moving, difficulty breathing, lack of appetite, extreme headaches, 102 fever for 5+ days, etc.;  Emergency Room visit 03/08/2021, 4:00 AM - 36 hours after being vaccinated
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Slight cough, cold symptoms before vaccine became EXTREME cold/flu/pneumonia symptoms less than 24 hours after being vaccinated,  including nausea, coughing, pain, body aches, weakness, fatigue, difficulty moving, difficulty breathing, lack of appetite, extreme headaches, 102 fever for 5+ days, etc.;  Emergency Room visit 03/08/2021, 4:00 AM - 36 hours after being vaccinated
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Visual impairment, Vitreous floaters
Clinical narrative: Within 48 hours of second Moderna vaccine but after 24 hours from time of shot, while casually sitting and noticing that my body was uniformly extremely cold to the touch, I experienced flashing colored dots in my right eye and for several days after a "floater" in my right eye.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Mobility decreased, Muscular weakness
Clinical narrative: I had very little soreness after receiving first vaccination shot. Then 9 days later, I noticed my arm was itchy at injection site. It is rather swollen but not red or hot to touch. My arm is very sore, feels like the muscle is sore & weak. Difficult to use arm and tender to the touch.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Tenderness
Clinical narrative: I had very little soreness after receiving first vaccination shot. Then 9 days later, I noticed my arm was itchy at injection site. It is rather swollen but not red or hot to touch. My arm is very sore, feels like the muscle is sore & weak. Difficult to use arm and tender to the touch.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Cholecystectomy, Computerised tomogram abnormal, Pyrexia, Sepsis
Clinical narrative: Having no previous history of ANY indigestion, or GI problems,  I had a sudden onset of acute epigastric pain beginning March 15th, 2021,  followed by frequent, unrelenting vomiting, eventual fever, and White Blood Cell count of 20,000. Saw internist, she sent me to an emergency room and then had a subsequent admission to a hospital on March 16. Cholecystectomy was done on March 17, 2021 after 24 hours IV antibiotics to control sepsis prior to surgery.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Having no previous history of ANY indigestion, or GI problems,  I had a sudden onset of acute epigastric pain beginning March 15th, 2021,  followed by frequent, unrelenting vomiting, eventual fever, and White Blood Cell count of 20,000. Saw internist, she sent me to an emergency room and then had a subsequent admission to a hospital on March 16. Cholecystectomy was done on March 17, 2021 after 24 hours IV antibiotics to control sepsis prior to surgery.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Myalgia, Pyrexia, Tinnitus
Clinical narrative: Tinnitus moderate to severe onset about 24 hours after vaccination.  High pitched ringing both ears. Occurred with a low grade fever, chills, and muscle aches.  One alleve (naproxen sodium) pill to address symptoms did not impact tinnitus.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Ear disorder, Ear pain, Headache, Pyrexia
Clinical narrative: Tinnitus moderate to severe onset about 24 hours after vaccination.  High pitched ringing both ears. Occurred with a low grade fever, chills, and muscle aches.  One alleve (naproxen sodium) pill to address symptoms did not impact tinnitus.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus moderate to severe onset about 24 hours after vaccination.  High pitched ringing both ears. Occurred with a low grade fever, chills, and muscle aches.  One alleve (naproxen sodium) pill to address symptoms did not impact tinnitus.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Nausea, Oropharyngeal pain
Clinical narrative: Nausea,  chills, fever, headache,  body fatigue sore throat and diarrhea.  Conditions lasted 2 days and resolved by day 3.  I tested positive for covid in December but the vaccine side effects were much worse than Covid.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Nausea,  chills, fever, headache,  body fatigue sore throat and diarrhea.  Conditions lasted 2 days and resolved by day 3.  I tested positive for covid in December but the vaccine side effects were much worse than Covid.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Diarrhea, vomiting within an hour of each other
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Large itchy rash on arm around injection site began around 9 days after first Covid vaccination. It is somewhat warm and swollen. It is currently the second day of rash and area continues to get larger.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Oropharyngeal pain, Pyrexia
Clinical narrative: Dry cough, sore throat, low grade fever, fatigue
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness, light-headed. Happened before with ear piercing. Given water. BP 86/50 (pulse 72), then 113/64 (pulse 80). O2 sat 99%.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Skin irritation, Swelling
Clinical narrative: Swollen/raised area about 3? diameter, red and irritated, persistently itchy like a cluster of mosquito bites.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Nausea
Clinical narrative: Muscle soreness at injection site, very tired, nausea
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Ear pain, Gait inability, Headache, Lymph node pain
Clinical narrative: 1 hour after shot severe back pain leaving patient unable to walk for 3 days, had to crawl. Day 5 developed a full severe body rash all over, requiring Benadryl, Pepcid around the clock, became so severe patient had to take a 3 day course of prednisone, rash resolved after 4 days. After rash, sore glands, earache, headache daily, light sensitivity, continuing back pain however not debilitating, symptoms still present 27 days post first shot .  Was advised not to get the second shot.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia, Rash
Clinical narrative: 1 hour after shot severe back pain leaving patient unable to walk for 3 days, had to crawl. Day 5 developed a full severe body rash all over, requiring Benadryl, Pepcid around the clock, became so severe patient had to take a 3 day course of prednisone, rash resolved after 4 days. After rash, sore glands, earache, headache daily, light sensitivity, continuing back pain however not debilitating, symptoms still present 27 days post first shot .  Was advised not to get the second shot.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Chills, Peripheral swelling, Pruritus, Pyrexia
Clinical narrative: 3/24/21 Fever and chills for most of the day. 3/25/21 Hands swollen, itchy started around 5 pm. 3/26/21 Thighs, Knees, Lower back, legs ,basically the whole lower body was swollen,  decent size blister developed on the left foot. 3/27/21 Symptoms are still the same as the day before
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: 3/24/21 Fever and chills for most of the day. 3/25/21 Hands swollen, itchy started around 5 pm. 3/26/21 Thighs, Knees, Lower back, legs ,basically the whole lower body was swollen,  decent size blister developed on the left foot. 3/27/21 Symptoms are still the same as the day before
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus
Clinical narrative: Painful, itchy lesion around vaccination site roughly 2 inches in diameter lasting 3 or more days.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Chills, Dry mouth, Dysarthria, Loss of consciousness
Clinical narrative: I woke up at 3 A.M. the following morning with a bad migraine and dry mouth. I was also very nauseous so I went to my kitchen to have a glass of water. On the way back to the bedroom I felt my blood pressure bottom out and lost consciousness briefly and regained consciousness lying on the floor and my wife helping me up. I was able to make it to the bathroom and lay against the toilet because I thought I was going to throw up. I had that same feeling of my blood pressure dropping and again lost consciousness and regained consciousness with my head laying on the toilet seat. I also had sever chills and body aches, particularly in the neck area. I also struggled talking and communicating with my wife. She tells me I wasn?t making sense and my words were slurred.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Nausea, Pain
Clinical narrative: I woke up at 3 A.M. the following morning with a bad migraine and dry mouth. I was also very nauseous so I went to my kitchen to have a glass of water. On the way back to the bedroom I felt my blood pressure bottom out and lost consciousness briefly and regained consciousness lying on the floor and my wife helping me up. I was able to make it to the bathroom and lay against the toilet because I thought I was going to throw up. I had that same feeling of my blood pressure dropping and again lost consciousness and regained consciousness with my head laying on the toilet seat. I also had sever chills and body aches, particularly in the neck area. I also struggled talking and communicating with my wife. She tells me I wasn?t making sense and my words were slurred.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia oral, Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: 1) Within 10 minutes of the injection, my upper lip and area between lip and nose became numb. I took some benedryl and the numbness went away within 5 hours.  My arm was sore for 5 days.  2) During the evening of March 12, seven  days post-injection, an annoyingly itchy 2x2" red, bumpy rash appeared at the injection site. I used cortisone cream on it which relieved it but had to reapply it multiple times over the next couple of days when the itch  finally stopped. The redness/rash remained until 2 days ago on March 25. It has faded but is now a 2x2 inch brown spot on my arm. Will it go away?  3) I've suffered with headaches and neck pain (6 on the pain scale) ever since the vaccine until yesterday, March 26. I tried taking ibuprofen and Advil but nothing helped until  it  all just suddenly disappeared overnight,
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity
Clinical narrative: 1) Within 10 minutes of the injection, my upper lip and area between lip and nose became numb. I took some benedryl and the numbness went away within 5 hours.  My arm was sore for 5 days.  2) During the evening of March 12, seven  days post-injection, an annoyingly itchy 2x2" red, bumpy rash appeared at the injection site. I used cortisone cream on it which relieved it but had to reapply it multiple times over the next couple of days when the itch  finally stopped. The redness/rash remained until 2 days ago on March 25. It has faded but is now a 2x2 inch brown spot on my arm. Will it go away?  3) I've suffered with headaches and neck pain (6 on the pain scale) ever since the vaccine until yesterday, March 26. I tried taking ibuprofen and Advil but nothing helped until  it  all just suddenly disappeared overnight,
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Days 1 & 2 (as expected): Soreness, headache, fatigue. Days 10 to current: At injection site, itchiness, swelling, hard knot, hot, redness.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Pain
Clinical narrative: Days 1 & 2 (as expected): Soreness, headache, fatigue. Days 10 to current: At injection site, itchiness, swelling, hard knot, hot, redness.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth, Sensitive skin
Clinical narrative: Day 8 post vaccination noticed red, itchy, warm area (approximately 2.0 inch diameter) on left upper arm in the area where I received vaccine injection. Area was slightly sensitive to touch. The symptoms remained for about 2 days afterwhich the symptoms slowly subsided. By Day 12 post injection, the symptoms had resolved.  Also had sore arm for a few days sarting the afternoon of the injection in the same arm where I received the injection.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Diarrhoea, Erythema, Loss of consciousness
Clinical narrative: Started was a very cramped stomach and then the rest followed. Whole body turned red including eyes. Upset stomach with vomiting and diarrhea. Body was shaking and didn?t have a fever. Skin felt like it was burning whole body felt swollen. Started around 2:30am with the cramping. It woke me up. Once I got up everything came so fast. Was rushed to hospital where I was admitted very quickly. I was blacking out on the drive there and blacked out while in their care. This was from one dose of Pfizer vaccine for Covid. I was put on a GI, Allergy, and steroid medications. I was hooked up to an IV and 3 drugs were injected. I passed out numerous times but was discharged at 5am.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Ocular hyperaemia, Skin burning sensation, Sleep disorder, Swelling, Tremor
Clinical narrative: Started was a very cramped stomach and then the rest followed. Whole body turned red including eyes. Upset stomach with vomiting and diarrhea. Body was shaking and didn?t have a fever. Skin felt like it was burning whole body felt swollen. Started around 2:30am with the cramping. It woke me up. Once I got up everything came so fast. Was rushed to hospital where I was admitted very quickly. I was blacking out on the drive there and blacked out while in their care. This was from one dose of Pfizer vaccine for Covid. I was put on a GI, Allergy, and steroid medications. I was hooked up to an IV and 3 drugs were injected. I passed out numerous times but was discharged at 5am.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Started was a very cramped stomach and then the rest followed. Whole body turned red including eyes. Upset stomach with vomiting and diarrhea. Body was shaking and didn?t have a fever. Skin felt like it was burning whole body felt swollen. Started around 2:30am with the cramping. It woke me up. Once I got up everything came so fast. Was rushed to hospital where I was admitted very quickly. I was blacking out on the drive there and blacked out while in their care. This was from one dose of Pfizer vaccine for Covid. I was put on a GI, Allergy, and steroid medications. I was hooked up to an IV and 3 drugs were injected. I passed out numerous times but was discharged at 5am.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose increased, Chills, Dyskinesia, Dysstasia
Clinical narrative: Shivering, shuffling of feet, trouble standing and walking, falling, fever, weakness, high blood sugar
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Gait disturbance, Pyrexia
Clinical narrative: Shivering, shuffling of feet, trouble standing and walking, falling, fever, weakness, high blood sugar
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Gait disturbance, Impaired work ability, Insomnia, Pain in extremity
Clinical narrative: On the evening of February 24th after the I received the vaccine, I had severe pain on my left lower back radiating all the way to my left foot with tingling. I didn't sleep for 4 nights and I had difficulty walking. On February 28th I went to Emergency Room and I was given a Toradol shot. On Monday, March 1st I went to my primary doctor and gave Prednisone, Gabapentin and Meloxicam tablets then I was given 9 days off from work. Up to the present, I'm under physical therapy  and I still have on and off pain on my left leg.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Physiotherapy
Clinical narrative: On the evening of February 24th after the I received the vaccine, I had severe pain on my left lower back radiating all the way to my left foot with tingling. I didn't sleep for 4 nights and I had difficulty walking. On February 28th I went to Emergency Room and I was given a Toradol shot. On Monday, March 1st I went to my primary doctor and gave Prednisone, Gabapentin and Meloxicam tablets then I was given 9 days off from work. Up to the present, I'm under physical therapy  and I still have on and off pain on my left leg.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Monoplegia, Peripheral swelling
Clinical narrative: pt states that 1 day after vaccine, she couldn't move her legs and couldn't get out of bed. swelling in legs, mostly right side. doctor gave her diuretics, and natural medicines. she is taking advil. she got some sort of electric shock? treatment. she is walking and talking to me today
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Arthralgia, Chills, Migraine, Myalgia
Clinical narrative: Starting 4 days later, migraine to where I couldn't work, muscle and joint pain, body aches, fever, chills,
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Starting 4 days later, migraine to where I couldn't work, muscle and joint pain, body aches, fever, chills,
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: HA
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Gait disturbance
Clinical narrative: Dizzy, unsteady gait. BP 149/94 (pulse 81), O2 sat 98%. Final BP 145/97 (pulse 75), O2 sat 97%. Crackers, juice given. Patient admitted to taking Norco 150 mg, Ativan, and Marijuana before arriving at stadium.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Arthralgia, Chills, Cough
Clinical narrative: Vaccine side effects included fever, headache, cough, dry throat, muscle pain, joint pain, gastrointestinal distress, abdominal pain, insomnia, arm pain, sweating, chills.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Dry throat, Headache, Hyperhidrosis, Insomnia, Myalgia
Clinical narrative: Vaccine side effects included fever, headache, cough, dry throat, muscle pain, joint pain, gastrointestinal distress, abdominal pain, insomnia, arm pain, sweating, chills.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Vaccine side effects included fever, headache, cough, dry throat, muscle pain, joint pain, gastrointestinal distress, abdominal pain, insomnia, arm pain, sweating, chills.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Headache, Nausea, Pyrexia
Clinical narrative: Mild fever noted at 99.2 degrees at approximately 6:30pm. The fever may have been higher earlier in the day at around 5-5:30pm. Some mild confusion and dizziness (though I have been experiencing cognitive issues for over a year now. I believe the fever is exasperating pre-existing symptoms). Some mild nausea and a mild headache. I am not completely back to normal yet (as of 7pm) but I do believe I will be fine as time goes on.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: About 6 hours after first dose, I had some tighness in my chest and was starting to have some trouble getting my chest to move to take a breath.   I nebulized with colloidial silver and felt fine within 5 minutes. Slept well all night.  I am concerned about 2d dose if this issue might be worse.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Condition aggravated, Dysmenorrhoea, Pain in extremity
Clinical narrative: Making my endmetrios worse.  I have never been in this much pain on a period.  It is also making my bone pains worse and spreading it.  They used to mainly happen in the arm and leg now it is everywhere.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Electrocardiogram, Hyperhidrosis, Presyncope
Clinical narrative: lightheaded, near syncope, sweating, HR = 45, BP 80s/50s, pt laid down, BP improved  EKG showed sinus rhythm, symptoms improved with , pt declined juice/rest, ED recommended
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Flushing, Headache, Skin warm, Tremor
Clinical narrative: Mild dull headache began  about 18 hours post-vax.   Unresponsive to OTC pain relief.   About 5 hours later, there was an episode of chills, accompanied by severe shaking.  Face and neck became very warm and flushed.  After about an hour, the episode ended, and even the long-lasting headache felt better.  Have not had any adverse effects that were not known to be occurring in some after the 2nd Pfizer vax.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Oxygen saturation decreased
Clinical narrative: My heart rate went high at resting and my oxygen went low for about 2 hours. It took 2 hours to come back down. My oxygen saturation was 92 and my heart rate was 159.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Paraesthesia
Clinical narrative: not feeling self, tingling
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Insomnia, Pain in extremity, Pyrexia
Clinical narrative: Trouble sleeping during night,  achey legs started around 6am and continued throughout day along with some chills, fever of 100.6, headache. Fully better by next morning.
Age: 54.0
Sex: F
Vaccine: HEP
Symptoms: Biopsy, Blood test, Genital herpes
Clinical narrative: Severe genital herpes outbreaks.  Severe and frequent, every two weeks.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: On day 9 after first dose, I developed an itchy red patch at the injection site. On day 10 it is still there; it is itchy around the edge of the red patch, but the red patch itself is now sore to the touch and warm to the touch.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Injection site reaction, Injection site swelling, Injection site warmth, Rash erythematous
Clinical narrative: Red rash near injection site, slightly raised, warm to the touch
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Vision blurred
Clinical narrative: blurry vision, anxiousness
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Bradykinesia, Burning sensation, Cough, Dizziness
Clinical narrative: Patient arrived to clinic for Covid immunization, received vaccine at 9:39 am in right Deltoid.  Called to observation area 9:56 am by clinic case manager for patient report of "feeling funny" post immunization.  Patient sitting upright with eye closed at table.  Responsive to verbal stimuli and oriented to place and time. Patient complained of the following symptoms: trouble swallowing and "head rush" sensation. Patient was assisted back to exam room with bilateral two person support due to unsteady and slow gait. Eyes remained closed and patient required assistance to lay supine on the exam table. Speech slow and reported extreme feeling of fatigued.  Vital signs at 9:58 B/P 118/72 left arm laying, HR 80. Blood Glucose 218. Patient is diabetic and reports she did take morning medications: Victoza 1.8mg, Lantus 60 units and Metformin 1 tab. Pulse ox 96%.  10:03 vital sign recheck 120/70 right arm (supine) with regular pulse in the 90's  Complaints of feeling a burning sensation in body and reports very dry mouth with and jaw feeling strange (sensation much like before she has a seizure).  10:15 12-Lead EKG completed and reviewed by Dr who was present in room, no acute changes noted. Dr discussed need for patient to be sent to ER via EMS for further evaluation of vaccine reaction. EMS notified.  10:24 resting with eyes closed, reports ongoing fatigue and dry mouth. States that her "kidney's feel warm" and it "feels like my head is on fire", also states that her  tongue has a burning sensation. Reports feeling like throat is "thick"    10:25 clear bilateral lung sounds,oral pharynx with no evidence of swelling.    10:32  Mild non-productive cough, remains with clear lung sounds bilaterally throughout, oral pharynx without swelling.  10:37: continues to report "burning sensation to back of head and neck", lips moistened with wash cloth for ongoing complaints of extremely dry mouth.   10:41:  Resting with eyes closed, recheck vital signs, 116/72 right arm (supine), HR 95, 96%.  EMS arrival, transported to hospital via EMS for further evaluation.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Dysphagia, Electrocardiogram normal, Fatigue, Feeling abnormal
Clinical narrative: Patient arrived to clinic for Covid immunization, received vaccine at 9:39 am in right Deltoid.  Called to observation area 9:56 am by clinic case manager for patient report of "feeling funny" post immunization.  Patient sitting upright with eye closed at table.  Responsive to verbal stimuli and oriented to place and time. Patient complained of the following symptoms: trouble swallowing and "head rush" sensation. Patient was assisted back to exam room with bilateral two person support due to unsteady and slow gait. Eyes remained closed and patient required assistance to lay supine on the exam table. Speech slow and reported extreme feeling of fatigued.  Vital signs at 9:58 B/P 118/72 left arm laying, HR 80. Blood Glucose 218. Patient is diabetic and reports she did take morning medications: Victoza 1.8mg, Lantus 60 units and Metformin 1 tab. Pulse ox 96%.  10:03 vital sign recheck 120/70 right arm (supine) with regular pulse in the 90's  Complaints of feeling a burning sensation in body and reports very dry mouth with and jaw feeling strange (sensation much like before she has a seizure).  10:15 12-Lead EKG completed and reviewed by Dr who was present in room, no acute changes noted. Dr discussed need for patient to be sent to ER via EMS for further evaluation of vaccine reaction. EMS notified.  10:24 resting with eyes closed, reports ongoing fatigue and dry mouth. States that her "kidney's feel warm" and it "feels like my head is on fire", also states that her  tongue has a burning sensation. Reports feeling like throat is "thick"    10:25 clear bilateral lung sounds,oral pharynx with no evidence of swelling.    10:32  Mild non-productive cough, remains with clear lung sounds bilaterally throughout, oral pharynx without swelling.  10:37: continues to report "burning sensation to back of head and neck", lips moistened with wash cloth for ongoing complaints of extremely dry mouth.   10:41:  Resting with eyes closed, recheck vital signs, 116/72 right arm (supine), HR 95, 96%.  EMS arrival, transported to hospital via EMS for further evaluation.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Muscle tightness, Musculoskeletal discomfort, Slow speech, Throat tightness
Clinical narrative: Patient arrived to clinic for Covid immunization, received vaccine at 9:39 am in right Deltoid.  Called to observation area 9:56 am by clinic case manager for patient report of "feeling funny" post immunization.  Patient sitting upright with eye closed at table.  Responsive to verbal stimuli and oriented to place and time. Patient complained of the following symptoms: trouble swallowing and "head rush" sensation. Patient was assisted back to exam room with bilateral two person support due to unsteady and slow gait. Eyes remained closed and patient required assistance to lay supine on the exam table. Speech slow and reported extreme feeling of fatigued.  Vital signs at 9:58 B/P 118/72 left arm laying, HR 80. Blood Glucose 218. Patient is diabetic and reports she did take morning medications: Victoza 1.8mg, Lantus 60 units and Metformin 1 tab. Pulse ox 96%.  10:03 vital sign recheck 120/70 right arm (supine) with regular pulse in the 90's  Complaints of feeling a burning sensation in body and reports very dry mouth with and jaw feeling strange (sensation much like before she has a seizure).  10:15 12-Lead EKG completed and reviewed by Dr who was present in room, no acute changes noted. Dr discussed need for patient to be sent to ER via EMS for further evaluation of vaccine reaction. EMS notified.  10:24 resting with eyes closed, reports ongoing fatigue and dry mouth. States that her "kidney's feel warm" and it "feels like my head is on fire", also states that her  tongue has a burning sensation. Reports feeling like throat is "thick"    10:25 clear bilateral lung sounds,oral pharynx with no evidence of swelling.    10:32  Mild non-productive cough, remains with clear lung sounds bilaterally throughout, oral pharynx without swelling.  10:37: continues to report "burning sensation to back of head and neck", lips moistened with wash cloth for ongoing complaints of extremely dry mouth.   10:41:  Resting with eyes closed, recheck vital signs, 116/72 right arm (supine), HR 95, 96%.  EMS arrival, transported to hospital via EMS for further evaluation.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue discomfort
Clinical narrative: Patient arrived to clinic for Covid immunization, received vaccine at 9:39 am in right Deltoid.  Called to observation area 9:56 am by clinic case manager for patient report of "feeling funny" post immunization.  Patient sitting upright with eye closed at table.  Responsive to verbal stimuli and oriented to place and time. Patient complained of the following symptoms: trouble swallowing and "head rush" sensation. Patient was assisted back to exam room with bilateral two person support due to unsteady and slow gait. Eyes remained closed and patient required assistance to lay supine on the exam table. Speech slow and reported extreme feeling of fatigued.  Vital signs at 9:58 B/P 118/72 left arm laying, HR 80. Blood Glucose 218. Patient is diabetic and reports she did take morning medications: Victoza 1.8mg, Lantus 60 units and Metformin 1 tab. Pulse ox 96%.  10:03 vital sign recheck 120/70 right arm (supine) with regular pulse in the 90's  Complaints of feeling a burning sensation in body and reports very dry mouth with and jaw feeling strange (sensation much like before she has a seizure).  10:15 12-Lead EKG completed and reviewed by Dr who was present in room, no acute changes noted. Dr discussed need for patient to be sent to ER via EMS for further evaluation of vaccine reaction. EMS notified.  10:24 resting with eyes closed, reports ongoing fatigue and dry mouth. States that her "kidney's feel warm" and it "feels like my head is on fire", also states that her  tongue has a burning sensation. Reports feeling like throat is "thick"    10:25 clear bilateral lung sounds,oral pharynx with no evidence of swelling.    10:32  Mild non-productive cough, remains with clear lung sounds bilaterally throughout, oral pharynx without swelling.  10:37: continues to report "burning sensation to back of head and neck", lips moistened with wash cloth for ongoing complaints of extremely dry mouth.   10:41:  Resting with eyes closed, recheck vital signs, 116/72 right arm (supine), HR 95, 96%.  EMS arrival, transported to hospital via EMS for further evaluation.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Head injury, Loss of consciousness, Syncope
Clinical narrative: lightheaded with fainting episode from seated position hitting head on ground, unconscious about 10 seconds, evaluated by EMS, recommended transport but refused
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Pain in extremity
Clinical narrative: Very itchy, red, swollen, and sore arm with rash at injection site starting 8 days after shot. It feels like there is a hard bump under my skin at the injection site.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Very itchy, red, swollen, and sore arm with rash at injection site starting 8 days after shot. It feels like there is a hard bump under my skin at the injection site.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Contusion, Fatigue, Influenza like illness, Injection site erythema
Clinical narrative: Fatigue, nausea, chills, flu symptoms, arm red and swollen at sight of injection, black-and-blue bruise on underside of upper arm opposite side of arm from injection site
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Nausea
Clinical narrative: Fatigue, nausea, chills, flu symptoms, arm red and swollen at sight of injection, black-and-blue bruise on underside of upper arm opposite side of arm from injection site
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Feeling hot
Clinical narrative: Hot, clammy, light-headed. 31 weeks pregnant. Vitals wnl.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: I felt itching right after taking the vaccine. I stayed for 30 min and it was not getting worse. The next day, when I waked up, my left arm is swelling and itching. Redness appears as an allergy symptom. The itching, swelling,  redness did not go off until today, which has been a week after the vaccine. The symptom is only limited to the left arm, near the injection site.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Oropharyngeal pain, Pruritus
Clinical narrative: Lip swelling, throat pain, itching
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Gait inability, Headache, Hyperhidrosis, Magnetic resonance imaging normal
Clinical narrative: Rapid onset, acute vertigo - unable to stand or walk, opening eyes brought on severe nausea and vomiting, sweating, headache
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vertigo, Vomiting
Clinical narrative: Rapid onset, acute vertigo - unable to stand or walk, opening eyes brought on severe nausea and vomiting, sweating, headache
Age: 38.0
Sex: U
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Oropharyngeal pain
Clinical narrative: upper lip numbness similar to shellfish in past, superficial throat pain, given 25mg Benadryl, symptoms resolved
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: A day after had severe chills, body aches all over, fatigue, headaches, nausea, vomiting. Two days ago started having bumps on skin on the arms, back, and legs, and few on belly with red dots. It itches not a lot. I want to know if it?s ok to take 2nd dose of Pfizer vaccine.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic, Vomiting
Clinical narrative: A day after had severe chills, body aches all over, fatigue, headaches, nausea, vomiting. Two days ago started having bumps on skin on the arms, back, and legs, and few on belly with red dots. It itches not a lot. I want to know if it?s ok to take 2nd dose of Pfizer vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site swelling, Lymphadenopathy, Pruritus
Clinical narrative: Painful lymphadenopathy under arm where vaccine was administered. Erythema, pruritus, local ecchymosis, swelling at injection site. This occurred on day 7-8. treatment: tylenol, CBD clinic ointment, water
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot
Clinical narrative: lightheaded, warm cheeks, declined transfer to observation tent, symptoms resolved
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Eye pruritus, Gastrooesophageal reflux disease, Rash
Clinical narrative: Dizziness, body rash, difficulty breathing, itchy eyes, acid reflux
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: chest tightness, pt thought anxiety related
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dry mouth, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Runny nose and sneezing started on 3/25/2021 and continued through 3/26 to present, started taking Pseudoephedrine HCI 30 mg on 3/27/2021.  Dry mouth started from 3/25/2021 continuing to present.  Slight cough from 3/26 to present, Slight fever present on both 3/26 and 3/27.  Some fatigue.  Aching in left arm with fever around injection site.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, Sneezing
Clinical narrative: Runny nose and sneezing started on 3/25/2021 and continued through 3/26 to present, started taking Pseudoephedrine HCI 30 mg on 3/27/2021.  Dry mouth started from 3/25/2021 continuing to present.  Slight cough from 3/26 to present, Slight fever present on both 3/26 and 3/27.  Some fatigue.  Aching in left arm with fever around injection site.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: tongue tingling, observed an extra 30 minutes, denied Benadryl
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Days after the vaccine, arm is hurting, it feels swollen and is very warm/hot locally
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Middle ear effusion, Paraesthesia, Pyrexia
Clinical narrative: Chills, headache, vomiting and fever during the first 18 hours.  Tingling hands and feet from  3/16-3/26.   Fluid behind eardrums 3/24 & 3/25.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Chills, headache, vomiting and fever during the first 18 hours.  Tingling hands and feet from  3/16-3/26.   Fluid behind eardrums 3/24 & 3/25.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Keratitis, Muscle fatigue, Vision blurred
Clinical narrative: Blurriness in the left eye and muscle fatigue continuing for more than 2 weeks after the vaccine. Reduced muscle recovery after physical activities, even 2 weeks after the vaccine.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea
Clinical narrative: diaphoretic, lightheaded, nausea, taken to medical observation, pt improved
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Pain
Clinical narrative: Chills Extreme headache Extreme body ache Fatigue Loss of appetite Soreness @ vaccine site
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness
Clinical narrative: lightheaded, dizzy, chest pain
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itchy on upper body
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Dizziness, Nausea, Pain
Clinical narrative: Dizziness body aches chills temperature to 104.0 nausea. 3/26/202- and 3/27/2021
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: lightheaded, nausea, improved in 15 minutes
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: Chills, fever, nausea, muscle aches, Head ache
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Injection site pain, Malaise
Clinical narrative: Pain at the injection site, feeling tired, a little bit unwell, chills, loss of appetite
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Muscle tightness
Clinical narrative: Headaches daily throughout day  Out of body experience Muscle tension daily throughout day
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dysgeusia, Dyspnoea, Fatigue, Heart rate increased
Clinical narrative: 10 minutes after receiving covid vaccine, rapid  heart rate, hard to breathe, and metallic taste in mouth. Advised to go to emergency after been checked out by allergist on site. At emergency, was given Pepcid, steroids, IV fluids, Benadryl intravenously. Also, did bloodwork and chest X-ray. After bloodwork came back, doctor felt okay to release me. Over the week, still felt heavy chested and I could not return to work until a week later. The emergency doctor, sent me home with steroids, Pepcid, and Benadryl to take for the next 3 days. I only took the steroids and Pepcid because the Benadryl made me feel so out of it. I also started to get fatigued couple days after with some body aches. On Saturday morning,  I woke up at 4:00 am to vomit. Had an appointment with my PCP that Monday, told me to take Claritin and Albuetrol inhaler.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: 10 minutes after receiving covid vaccine, rapid  heart rate, hard to breathe, and metallic taste in mouth. Advised to go to emergency after been checked out by allergist on site. At emergency, was given Pepcid, steroids, IV fluids, Benadryl intravenously. Also, did bloodwork and chest X-ray. After bloodwork came back, doctor felt okay to release me. Over the week, still felt heavy chested and I could not return to work until a week later. The emergency doctor, sent me home with steroids, Pepcid, and Benadryl to take for the next 3 days. I only took the steroids and Pepcid because the Benadryl made me feel so out of it. I also started to get fatigued couple days after with some body aches. On Saturday morning,  I woke up at 4:00 am to vomit. Had an appointment with my PCP that Monday, told me to take Claritin and Albuetrol inhaler.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Gait disturbance, Hyperaesthesia, Pain in extremity
Clinical narrative: Severe pain right foot at base of big toe - same as possible gout attack for past two years. Could not walk on foot and very sensitive to touch. Took Mitigare and was nauseous all day. Next morning pain subsided but nausea stayed with me  by Saturday morning everything was back to normal
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain
Clinical narrative: Severe pain at injection site does not go away so far(10 days after injection). I were taking Tylenol, not help much.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination site pain
Clinical narrative: Severe pain at injection site does not go away so far(10 days after injection). I were taking Tylenol, not help much.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever after 24 hrs, aches and pains after 6 hours, headache, naseua after 12 hrs
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Insomnia, Pain
Clinical narrative: Severe chills, head and body aches, and lack of energy. Started the evening. They lasted all night making it difficult to sleep. Head and body aches continues past 24 hours after.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Impaired work ability, Injection site pain
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA The area received vaccination was sore, about two hours later became drowsy, had to leave work and go home,  woke up around 5 p.m. body ached on left and right side, took Aleve for pain..  Overnight had chills, headache, next morning, took Aleve for pain. Whole body ached for about a week, headaches, lethargic, tiredness. About week and half later only ache in right arm, sore like I sprained it, still tender today.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pain, Somnolence, Tenderness
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA The area received vaccination was sore, about two hours later became drowsy, had to leave work and go home,  woke up around 5 p.m. body ached on left and right side, took Aleve for pain..  Overnight had chills, headache, next morning, took Aleve for pain. Whole body ached for about a week, headaches, lethargic, tiredness. About week and half later only ache in right arm, sore like I sprained it, still tender today.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Headache, Monoplegia, Pain in extremity
Clinical narrative: Paralysis of arm and hand on side (L) where vaccine was administered. Extreme pain (Fire -like) shooting up and down the leg on the opposite side (R) with very bad joint pain. This went off & on through the night/early morning  in the first 22 hrs after vaccination. Woke with most pain gone, L hand red and sore, minor headache. Through out the following week I have experienced difficult pain and instability of some joints.