chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypersomnia, Nausea, Pallor, Throat tightness
Clinical narrative: Approx 10-15 minutes after the shot client started c/o severe nausea and did vomit. He was sweating, and c/o throat tightening, was pale and still nauseated. Benadryl 50 mg Im given. His brother in law was called to drive him home. After he was stable, and no longer c/o any symptoms he was release to his brother-in=law. He says he went home and slept 3 hours and then slept til noon the next day which is not  normal for him.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Approx 10-15 minutes after the shot client started c/o severe nausea and did vomit. He was sweating, and c/o throat tightening, was pale and still nauseated. Benadryl 50 mg Im given. His brother in law was called to drive him home. After he was stable, and no longer c/o any symptoms he was release to his brother-in=law. He says he went home and slept 3 hours and then slept til noon the next day which is not  normal for him.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain, Pyrexia
Clinical narrative: FEVER 101, BODY ACHES, CHILLS, AND NAUSEA X 24 HRS.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Dizziness, Injection site pain, Pyrexia
Clinical narrative: Loss of appetite, chills and fever, and the injection site is sore and painful. Dizziness.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Lymphadenopathy
Clinical narrative: Red oval (about 2-in in diameter) at injection site, slightly tender and warm to the touch. Swollen lymph nodes in armpit and neck on the same side as the vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pain in extremity
Clinical narrative: Extremely sore arm, chills with no fever, general body aches and tiredness that lasted 2 hours.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Peripheral swelling, Pruritus, Tenderness
Clinical narrative: Red bump on arm. Hard, tender, and itchy
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Ear pain, Fatigue, Headache
Clinical narrative: right arm was very sore and warm, along with my lymph nodes of that arm, my glands were swollen and I had chills starting at around 1239am after the shot and continued the entire day after the shot as well. I had a severe headache that lasted 3 days off and on and my glands were swollen. My left ear hurt and my throat was sore the entire day after getting the shot. I had severe muscle aches the day after the shot and the night of the shot. I had stomach cramps and threw up once. I was very tired and slept the entire day following my injection.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Lymph node pain, Lymphadenopathy, Myalgia, Oropharyngeal pain
Clinical narrative: right arm was very sore and warm, along with my lymph nodes of that arm, my glands were swollen and I had chills starting at around 1239am after the shot and continued the entire day after the shot as well. I had a severe headache that lasted 3 days off and on and my glands were swollen. My left ear hurt and my throat was sore the entire day after getting the shot. I had severe muscle aches the day after the shot and the night of the shot. I had stomach cramps and threw up once. I was very tired and slept the entire day following my injection.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Skin warm, Vomiting
Clinical narrative: right arm was very sore and warm, along with my lymph nodes of that arm, my glands were swollen and I had chills starting at around 1239am after the shot and continued the entire day after the shot as well. I had a severe headache that lasted 3 days off and on and my glands were swollen. My left ear hurt and my throat was sore the entire day after getting the shot. I had severe muscle aches the day after the shot and the night of the shot. I had stomach cramps and threw up once. I was very tired and slept the entire day following my injection.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nasopharyngitis, Pain, Pyrexia
Clinical narrative: Low grade fever (100.2), severe cold chills and body aches, head congestion,  and bad headache.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Upper respiratory tract congestion
Clinical narrative: Low grade fever (100.2), severe cold chills and body aches, head congestion,  and bad headache.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: APRESOLINE, DECADRON
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Skin discolouration, Skin warm
Clinical narrative: A red splotch developed about  30 hours after I had the vaccine. The red splotch was roughly  8cm x 4 cm , and it was warm to the touch and painful .  I took 25 mg of Benadryl at that time. The next day after it had been about 56 hours since their vaccine, I generously covered it with aloe vera gel. [It was fruit of the earth brand. ]About an hour later it felt significantly better. It feels better today, although I can still see the splotch, and it?s still warm.  When I had the vaccine and even 24 hours later although it was painful there was no visible red splotch. You cannot even really see where the vaccine was given. Splotch did not develop until sometime about 30 hours after I had had the vaccine. By the way, if you really want people to report adverse events, your website should be much more user-friendly.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Throat irritation
Clinical narrative: The patient reported that she contracted Covid-19 on 01/14/2021 experiencing very mild symptoms of small cough and slight throat tickle. She stated that the symptoms subsided by the next day.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Hyperhidrosis, Malaise, Nausea
Clinical narrative: Resident stated she felt ill, she was sweating, fatigue, decreased appetite, complaints of nausea.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Sensation of foreign body, Throat irritation
Clinical narrative: 51 y/o F BIBA for throat swelling sensation after receiving COVID-19 vaccine today. After the injection, pt proceeded to wait for 15 minutes for observation. She felt well initially, but while walking back to her car, she developed a ?lump? in the throat with a scratchy sensation. She returned to the clinic where she was given 1x 0.3mg Epinephrine and 2x 25mg Benadryl. In the ED, she feels much improved. She denies any angioedema, CP, palpitations, rash, n/v/d. No PMHx. Medications reviewed. NKDA.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Discomfort, Energy increased, Headache
Clinical narrative: 2-7-21 IMMEDIATELY AFTER 2ND COVID VACCINNATION FELT GREAT LOADS OF ENERGY NO SORENESS AT SITE RT ARM. WOKE UP 2AM ON 2/8/21 WITH A RACEING POUNDING HEART WITH A HEART RATE OF 180 AND COLD 3 BLANKETS COULDNT KEEP ME WARM. COME 8AM HEART RATE STILL RACING WITH HEADACHE AND ACHES ALL OVER MY BODY FROM HEAD TO TOE INCLUDING JAW AND FACE. ARM EXTREMELY SORE AT SITE AND HEAVY. ENTIRE BODY ACHED, FELT HEAVY AND ZERO ENERGY. AT 6PM2/8/21 I FINALLY HAD LITTLE ENERGY BUT STILL HAD ACHES CHILLS WERE LESSONING. I TOOK IBUPROFEN 800MG IN THE AM AND IT DID NOTHING TOOK ANOTHER AT 8PM WOKE UP 5:30AM 2/9/21 WITH HEADACHE AND CONGESTION AND HEART RATE 140 DIZZY IN AM.  AT 10AM ON 2/9/21 HEART RATE IS 84.  SLIGHT HEADACHE REMAINS AND STARTING TO FEEL MYSELF A LITTLE.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Impaired work ability, Injection site pain, Limb discomfort, Nasopharyngitis
Clinical narrative: 2-7-21 IMMEDIATELY AFTER 2ND COVID VACCINNATION FELT GREAT LOADS OF ENERGY NO SORENESS AT SITE RT ARM. WOKE UP 2AM ON 2/8/21 WITH A RACEING POUNDING HEART WITH A HEART RATE OF 180 AND COLD 3 BLANKETS COULDNT KEEP ME WARM. COME 8AM HEART RATE STILL RACING WITH HEADACHE AND ACHES ALL OVER MY BODY FROM HEAD TO TOE INCLUDING JAW AND FACE. ARM EXTREMELY SORE AT SITE AND HEAVY. ENTIRE BODY ACHED, FELT HEAVY AND ZERO ENERGY. AT 6PM2/8/21 I FINALLY HAD LITTLE ENERGY BUT STILL HAD ACHES CHILLS WERE LESSONING. I TOOK IBUPROFEN 800MG IN THE AM AND IT DID NOTHING TOOK ANOTHER AT 8PM WOKE UP 5:30AM 2/9/21 WITH HEADACHE AND CONGESTION AND HEART RATE 140 DIZZY IN AM.  AT 10AM ON 2/9/21 HEART RATE IS 84.  SLIGHT HEADACHE REMAINS AND STARTING TO FEEL MYSELF A LITTLE.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpitations, Respiratory tract congestion
Clinical narrative: 2-7-21 IMMEDIATELY AFTER 2ND COVID VACCINNATION FELT GREAT LOADS OF ENERGY NO SORENESS AT SITE RT ARM. WOKE UP 2AM ON 2/8/21 WITH A RACEING POUNDING HEART WITH A HEART RATE OF 180 AND COLD 3 BLANKETS COULDNT KEEP ME WARM. COME 8AM HEART RATE STILL RACING WITH HEADACHE AND ACHES ALL OVER MY BODY FROM HEAD TO TOE INCLUDING JAW AND FACE. ARM EXTREMELY SORE AT SITE AND HEAVY. ENTIRE BODY ACHED, FELT HEAVY AND ZERO ENERGY. AT 6PM2/8/21 I FINALLY HAD LITTLE ENERGY BUT STILL HAD ACHES CHILLS WERE LESSONING. I TOOK IBUPROFEN 800MG IN THE AM AND IT DID NOTHING TOOK ANOTHER AT 8PM WOKE UP 5:30AM 2/9/21 WITH HEADACHE AND CONGESTION AND HEART RATE 140 DIZZY IN AM.  AT 10AM ON 2/9/21 HEART RATE IS 84.  SLIGHT HEADACHE REMAINS AND STARTING TO FEEL MYSELF A LITTLE.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Flushing, Rash
Clinical narrative: Redness, flushing, rash
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Hypertension, Muscle tightness, Paraesthesia
Clinical narrative: Within 15-minutes of vaccination, the patient reported that their "arm was getting tight and tingling". EMS evaluated patient on-site. Patient was hypertensive (160/86), but otherwise vitals were WNL. Patient refused transport to hospital.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling hot, Flushing, Heart rate increased
Clinical narrative: 2 - 5 minutes after receiving the shot, while in the observation area, I experienced dizziness, rapid heart beat, and warm flush that lasted several minutes.  After the first shot in January I became faint but this time, it did not progress that far, and I was able to control it with deep breathing etc.  The staff were on hand to assist as they were made aware of my reaction to the first shot.  I didn't need nurse assistance this time, and experienced normal side effects for the next few days (fatigue, nausea, pain at injection site, etc).
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea
Clinical narrative: 2 - 5 minutes after receiving the shot, while in the observation area, I experienced dizziness, rapid heart beat, and warm flush that lasted several minutes.  After the first shot in January I became faint but this time, it did not progress that far, and I was able to control it with deep breathing etc.  The staff were on hand to assist as they were made aware of my reaction to the first shot.  I didn't need nurse assistance this time, and experienced normal side effects for the next few days (fatigue, nausea, pain at injection site, etc).
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Dizziness, Tremor
Clinical narrative: dizzy, face heart beat, asthma attack, shaking has a history of allergies
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Nausea, Pain in extremity
Clinical narrative: Sore arm 4pm (2/8/2021) -12pm (2/9/2021) Muscle Aches 9pm (2/8/2021) -9am (2/9/2021) Chills and Fever 1030pm (2/8/2021) - 9am (2/9/2021) Headache 1am-9am (2/9/2021) Nausea 1030pm (2/8/2021) -9am (2/9/2021)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Sore arm 4pm (2/8/2021) -12pm (2/9/2021) Muscle Aches 9pm (2/8/2021) -9am (2/9/2021) Chills and Fever 1030pm (2/8/2021) - 9am (2/9/2021) Headache 1am-9am (2/9/2021) Nausea 1030pm (2/8/2021) -9am (2/9/2021)
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Severe body aches, fever, headache and chills starting 8 hrs. after vaccine and lasting for 2 days.  Could not get out of bed.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: On 2/5 developed a body rash originally around the waist line and it spread to my flanks, thighs, knees, and arms.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hemiparesis, Herpes zoster, Lymphadenopathy, Pain of skin, Rash
Clinical narrative: On January 29, I had Covid arm on the arm that the vaccination was given. Swollen lymph nodes on my armpit and a weakness feeling on the right side(arm and leg). On the evening of February 5, while taking a shower, I felt a stinging sensation on my right side and felt small bumps. I went to an Urgent Care the following day and was diagnosed with shingles. I was prescribed Valtrex for 7 days.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Muscle spasms, Rash
Clinical narrative: Severe Headache, Muscle cramping, Joint pain, and body chills for first 24 hours.  Then severe rash over torso, arms, buttocks, thighs, and back consistent with what I experienced during Lyme Disease this past summer.  Raised itchy rash in large red blotches over most of body.  I didn't realize it at the time but the same (but less severe) reaction took place after the first Moderna Vaccine shot as well.  I was prescribed Doxycycline by my local Urgent Care and stayed on it for 14 days following the first dose of Moderna.  I didn't put the two things together immediately because I has gone hunting in the woods and assumed that I was bitten by another tick.  Full body rash is what caused me to go seek attention at the Urgent Care.  The symptoms following the second dose were much more severe and uncomfortable.  The rash subsided in 4-5 days without medication.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic, Skin discolouration
Clinical narrative: Severe Headache, Muscle cramping, Joint pain, and body chills for first 24 hours.  Then severe rash over torso, arms, buttocks, thighs, and back consistent with what I experienced during Lyme Disease this past summer.  Raised itchy rash in large red blotches over most of body.  I didn't realize it at the time but the same (but less severe) reaction took place after the first Moderna Vaccine shot as well.  I was prescribed Doxycycline by my local Urgent Care and stayed on it for 14 days following the first dose of Moderna.  I didn't put the two things together immediately because I has gone hunting in the woods and assumed that I was bitten by another tick.  Full body rash is what caused me to go seek attention at the Urgent Care.  The symptoms following the second dose were much more severe and uncomfortable.  The rash subsided in 4-5 days without medication.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Eyelid disorder, Neck pain
Clinical narrative: On 2/6/2021 woke with neck pain and droopy eyelid on the left side of the face. Went to the ER and was diagnosed with Bell's Palsy.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Dysstasia, Headache, Loss of personal independence in daily activities
Clinical narrative: aches, chills, 103 fever, diarrhea, severe headache, photophobia, severe tinnitus. at about 1:30 am on the 29th severe lower back pain started: I was not able to get up normally and had to roll out of bed, then stand with all my strength clenching my butt muscles...this continued until sunday when it finally began to subside. I was taking tylenol for the pain which barely did anything for this. I also used other OTC muscle rub ointments. I still have lower back pain but I can walk without pain, however, still difficulty getting up from a sitting position; still have tinnitus but not severe. headaches on and off also. concerned about the back pain and will be calling MD about
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Photophobia, Pyrexia, Tinnitus
Clinical narrative: aches, chills, 103 fever, diarrhea, severe headache, photophobia, severe tinnitus. at about 1:30 am on the 29th severe lower back pain started: I was not able to get up normally and had to roll out of bed, then stand with all my strength clenching my butt muscles...this continued until sunday when it finally began to subside. I was taking tylenol for the pain which barely did anything for this. I also used other OTC muscle rub ointments. I still have lower back pain but I can walk without pain, however, still difficulty getting up from a sitting position; still have tinnitus but not severe. headaches on and off also. concerned about the back pain and will be calling MD about
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pain, Pruritus, Pyrexia
Clinical narrative: Patient did feel itchy all over and ached some after first shot, but didn't say anything about that.  Morning after 2nd shot became nauseated; ran fever and ached all over.  He felt this was for 2 -3 days, and also very tired.  Still very tired on 4th day after shot, but no fever or aching. Patient did take Tylenol, didn't help so also 1 dose of Ibuprofen.  Take Prasugrel, so Ibuprofen wasn't really an option for him.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: I administered 1 ml.  the correct dose is 0.5 ml.   Patient has no adverse event.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Death, Fatigue, Pyrexia, Unresponsive to stimuli
Clinical narrative: Resident was weak, fatigued and had a fever of 101. F the following morning after receiving the 2nd dose of vaccine. Later in the day she was feeling better and vital signs were WNL. The next morning, she was found unresponsive and pronounced dead by paramedics.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Developed a rash erythematous and mildly painful and pruritic on right upper arm. Discomfort noted on 2/5/21 and noticed on 2/8/21
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Injection site pain (for 2 days following shot), swelling (hardness), redness, and itchiness (for week after shot). Headaches on and off during the week following.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discolouration, Injection site erythema, Lymphadenopathy
Clinical narrative: Red, blotchy are at injection site. Swollen lymph nodes on left neck area
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Eight days after the first vaccine, I woke up and my left arm was itchy and sore again. My arm was also visibly swollen. I developed a rash throughout the day that spread to approximately 3-4 inches in diameter where I received the vaccine. The rash lasted 48 hours and gradually faded. The injection site still itches and is sore to the touch.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Eight days after the first vaccine, I woke up and my left arm was itchy and sore again. My arm was also visibly swollen. I developed a rash throughout the day that spread to approximately 3-4 inches in diameter where I received the vaccine. The rash lasted 48 hours and gradually faded. The injection site still itches and is sore to the touch.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: itching  and redness around injection site
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Bradykinesia, Condition aggravated, Flatulence, Headache, Impaired work ability
Clinical narrative: 4 hours after I received the vaccine, my muscles began to hurt.  Within an hour, they were so tight and sore that I could only shuffle and move slowly. The muscles in my neck became rock hard.  Horrid headache set in.  Fever started.  During the night, I had to shift my position over 30 times, due to the muscles supporting my mere 120lbs complaining.  The next morning, all continued.  Fever 99.9 degrees F.  Horrible flatulence.  Allergic rhynitis notched up a little.   Urgent care center told me this was not really a problem.  It IS a problem, because I am missing my second day of work, and do not know whether I should take the second does.  Forgot to mention on previous screen that I am notorious for delayed allergic reactions, systemic allergic reactions, and have had anaphylaxis twice
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza virus test negative, Muscle tightness, Myalgia, Myosclerosis, Pyrexia
Clinical narrative: 4 hours after I received the vaccine, my muscles began to hurt.  Within an hour, they were so tight and sore that I could only shuffle and move slowly. The muscles in my neck became rock hard.  Horrid headache set in.  Fever started.  During the night, I had to shift my position over 30 times, due to the muscles supporting my mere 120lbs complaining.  The next morning, all continued.  Fever 99.9 degrees F.  Horrible flatulence.  Allergic rhynitis notched up a little.   Urgent care center told me this was not really a problem.  It IS a problem, because I am missing my second day of work, and do not know whether I should take the second does.  Forgot to mention on previous screen that I am notorious for delayed allergic reactions, systemic allergic reactions, and have had anaphylaxis twice
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Rhinitis allergic, SARS-CoV-2 test, SARS-CoV-2 test negative, Sleep disorder
Clinical narrative: 4 hours after I received the vaccine, my muscles began to hurt.  Within an hour, they were so tight and sore that I could only shuffle and move slowly. The muscles in my neck became rock hard.  Horrid headache set in.  Fever started.  During the night, I had to shift my position over 30 times, due to the muscles supporting my mere 120lbs complaining.  The next morning, all continued.  Fever 99.9 degrees F.  Horrible flatulence.  Allergic rhynitis notched up a little.   Urgent care center told me this was not really a problem.  It IS a problem, because I am missing my second day of work, and do not know whether I should take the second does.  Forgot to mention on previous screen that I am notorious for delayed allergic reactions, systemic allergic reactions, and have had anaphylaxis twice
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site mass, Pruritus, Rash
Clinical narrative: Subcutaneous grape sized lump at the injection site, with baseball sized rash and intense itching.   Lump has subsided, rash and itching remain.  Treated with Hydro-cortizone cream for itch, and Aquaphor skin  care.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site warmth
Clinical narrative: Ten days after my injection, I now have a large circle and rash at the injection site. The circle is warm to the touch. My doctor recommended Arnica cream to sooth the infection.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Low grade fever and headache. Startin on day two redness, warmth, and itching at injection site. Growing erythema  at the injection site.  C/o swelling and pain at site. As of today (02/09/2021) erythema is about 70 mm.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Low grade fever and headache. Startin on day two redness, warmth, and itching at injection site. Growing erythema  at the injection site.  C/o swelling and pain at site. As of today (02/09/2021) erythema is about 70 mm.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Pt had Moderna Covid vaccine on 1/31/21.  She reported injection site pain and no other side effects for the 2 days after receiving the vaccine.  Yesterday 2/8/21 she began noticing itching and a red rash developing at the injection site and surrounding area of the arm which is continuing to today. Pt took OTC Zyrtec, contacted primary care provider, and is monitoring for changes.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: nausea for 10 minutes
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain
Clinical narrative: I?m nauseous, I have a headache and my body ache and I have the chills!
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dysuria, Prostatomegaly
Clinical narrative: Cold chills and Enlarged prostate, had trouble peeing. 4:30 till about 9:00 pm on 02/07/21.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Heart rate increased
Clinical narrative: Chills, shivers, elevated pulse rate.  Started about 12 hours after vaccination, lasted about three hours.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Nausea, Sinus rhythm, Syncope
Clinical narrative: About 5 minutes post vaccine, reports vasovagal syncope. Was taken to ED and treated with Zofran for nausea. EKG showed HR of 30's but sinus rhythm. Hydrated with PO fluids and discharged home.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: Within 15-minutes of vaccination, the patient reported an "odd" metallic taste in their mouth. EMS monitored the patient's condition on-site.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus, Rash, Swelling
Clinical narrative: ?Covid arm?. Slight swelling and mottled rash. that I noticed about 3  or 4 days after the injection. Very little itching; moderate soreness.  It has lasted about a week and is still visible though very faint.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Mobility decreased
Clinical narrative: Patient given vaccination at pharmacy around 11am Thursday 2/4/21. No problems at time of administration or 15 minutes following. Spouse reports patient experienced generalized weakness and joint pain at around 3am 2/5/21. She could "hardly get out of bed." They brought her to the ED and she was admitted to the hospital for observation. She was discharged on Sat 2/6/21 and sent home with Rx for prednisone.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Hypersensitivity, Rash, Rash pruritic, Urticaria
Clinical narrative: Experienced a delayed type hypersensitivity reaction. She first noticed the onset of a rash and hives on her bilateral hands and wrists anywhere from 1/29/21- 2/01/21. The rash did move up her arms and she noticed it had moved to her abdomen and thighs on 2/06/21. The rash is very itchy, not painful, and was dry. She noticed a similar reaction when she got the zostavax immunization in October of 2014.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Gingivitis, Pain in jaw, Tooth infection
Clinical narrative: Morning after vaccine, woke up with left jaw pain, which worsened in discomfort & pain over the next 5 days. Seen by dentist on 1/27/21, diagnosed with jam, gum, tooth infection. Treated with antibiotics.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Erythema, Hypokinesia, Loss of personal independence in daily activities, Muscle disorder
Clinical narrative: Same night tried to to to bathroom and couldn't get out of bed. Upper arms and thigh muscles would not work. Weakness lasted for 4 days. Gradually got better. Still a little weak. 5th day arm got really red and itchy. Lasted for a week.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Same night tried to to to bathroom and couldn't get out of bed. Upper arms and thigh muscles would not work. Weakness lasted for 4 days. Gradually got better. Still a little weak. 5th day arm got really red and itchy. Lasted for a week.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Aggression, Blood test, Cognitive disorder, Computerised tomogram, Confusional state
Clinical narrative: I became dehydrate and confused. This was noticeable in the hours leaving for the hospital at about 8:00 p.m. Once at the hospital, I was combatant and didn't recognize family. I continued in this state while the Dr's at the hospital ran tests.  Around the 16th and/or 17th, after 2-3 days of steroids, I could answer Dr's questions and recognized family.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Electroencephalogram, Lumbar puncture, Magnetic resonance imaging
Clinical narrative: I became dehydrate and confused. This was noticeable in the hours leaving for the hospital at about 8:00 p.m. Once at the hospital, I was combatant and didn't recognize family. I continued in this state while the Dr's at the hospital ran tests.  Around the 16th and/or 17th, after 2-3 days of steroids, I could answer Dr's questions and recognized family.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia, Sensitive skin
Clinical narrative: Expected systemic immune response with fever, chills, skin sensitivity starting 12 hours post-vaccination and fully resolved by 48 hours after (this is not the adverse event). at 72 hours after vaccination, development of Lipschutz vulvar ulcers. Pt has a remote history of this but not since adolescence. She had no other ongoing symptoms post-vaccination aside from the ulcers. These are still present at the time of reporting (1 week post vaccination).  Unlikely to be a vaccine adverse event per se, but a result of the intense immune response mounted as an expected response to the vaccine.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Dizziness, Heart rate increased
Clinical narrative: 1:30 pm EE felt woozy "doesn't feel right" HR 120 1:35 pm Throat felt ? HR 140 BP 130/60 SPO2 99% 1:40 pm Chest tightness HR 118 BP 146/67 SPO2 100% 1:48 pm Benadryl given po at 1:45pm HR 100 BP 127/68 SPO2 100% 1:55 pm HR 100 BP 125/68 SPO2 100% 2:00 pm HR 102 BP 122/67 SPO2 100% 2:05 pm "Feeling OK" HR 96 BP 125/66 SPO2 98% 2:15 pm HR 99 BP 121/64 SPO2 100%
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Head discomfort, Headache
Clinical narrative: Severe pain on entire left side of body (same side as injection)-felt like I was in a car accident and badly bruised.  Full body aches and joint pain (remainder of body) Headache and constant pressure Fatigue-could not stay awake Chills-Freezing could not get warm  Called out of work for 2 days (First and second day after the vaccine) Experienced exact same side effects with the first dose of the vaccine and it lasted about 3 full days after the vaccine (not including the day I received the vaccine)
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Nasopharyngitis, Pain
Clinical narrative: Severe pain on entire left side of body (same side as injection)-felt like I was in a car accident and badly bruised.  Full body aches and joint pain (remainder of body) Headache and constant pressure Fatigue-could not stay awake Chills-Freezing could not get warm  Called out of work for 2 days (First and second day after the vaccine) Experienced exact same side effects with the first dose of the vaccine and it lasted about 3 full days after the vaccine (not including the day I received the vaccine)
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Acne, Pruritus, Rash macular
Clinical narrative: I have a circular red blotch,  about three inches in diameter on my upper right arm that itches. The skin has pimples on it and I've had it for almost a week. I am putting cortisone cream on it to relieve the itching but so far it has done much to do so.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient died 02/08/21
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Awoke with itching and large redness at the vaccine shot site  Lasted for 2 days.  Applied Triamcinolone Acetonide Cream to site to relieve itching
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Asthenia, Confusional state, Pain in extremity
Clinical narrative: Patient receives home health, the home health nurse came to patient's home and gave the vaccine. By the next morning he had sore arm and minor weakness. The Sunday 1/31/2021 he was fine till that evening around 6PM he became confused and experienced memory loss. That lasted all evening until he went to bed. The morning when he woke up he seemed okay.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site hypoaesthesia, Injection site paraesthesia, Paraesthesia
Clinical narrative: Tingling and numbness around nose. Pins and needles on both arms and some numbness... especially around the injection site.  Symptoms began around 18 minutes after injection and lasted an hour.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: I administered 1 ml, the correct dose is 0.5 ml.  Patient has no adverse event.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pyrexia, Vomiting
Clinical narrative: Violent shivers, brutal headache, nausea, vomiting, fever
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache
Clinical narrative: dizziness within first 20 min of administration resting heart rate in the 100's all night while trying to go to sleep. Started about 30 min after  vaccination and lasted 5-6 hours. extreme exhaustion headache
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Movement disorder, Nausea, Vomiting
Clinical narrative: Patient states she received the Moderna second vaccine around noon.  Around 2 am she sent and drank some warm milk.  As she walked up the stairs, she felt like vomiting and also felt like she could not move.  Tried to crawl to the bathroom when she passed out.  woke up with clothes full of vomit.  Feeling better today.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Moderna Vaccine 3:30am, chills, fatigue, muscle aches, low grade fever, slight headache lasting for 24 hours post-dose
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Blood test, COVID-19, Chest X-ray
Clinical narrative: Developed fever, chills, loss of taste and smell, severe headaches, and body aches beginning 31 December.  Went to urgent care on 3 January and tested positive for COVID-19.  Cough developed and worsened.  Scheduled an appointment with primary care on 6 January, pneumonia developed and course of treatment was given (Ivermectin, Doxycycline, Hydroxycholoroquine, and prednisone was prescribed).  Low grade fever still present even after treatment was completed.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Pain, Pneumonia
Clinical narrative: Developed fever, chills, loss of taste and smell, severe headaches, and body aches beginning 31 December.  Went to urgent care on 3 January and tested positive for COVID-19.  Cough developed and worsened.  Scheduled an appointment with primary care on 6 January, pneumonia developed and course of treatment was given (Ivermectin, Doxycycline, Hydroxycholoroquine, and prednisone was prescribed).  Low grade fever still present even after treatment was completed.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Developed fever, chills, loss of taste and smell, severe headaches, and body aches beginning 31 December.  Went to urgent care on 3 January and tested positive for COVID-19.  Cough developed and worsened.  Scheduled an appointment with primary care on 6 January, pneumonia developed and course of treatment was given (Ivermectin, Doxycycline, Hydroxycholoroquine, and prednisone was prescribed).  Low grade fever still present even after treatment was completed.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Lymphadenopathy, Pain, Pain in extremity
Clinical narrative: Right arm pain, right axillary lymphadenopathy, arm swelling, body aches, chills, temp 99.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Right arm pain, right axillary lymphadenopathy, arm swelling, body aches, chills, temp 99.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Confusional state, Dyspnoea, Flushing, Gait disturbance
Clinical narrative: Resident woke up flushed appearing, he had the chills, pale looking. His gait was unsteady, lethargic,  confusion, and complaints of shortness of breath.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Pallor
Clinical narrative: Resident woke up flushed appearing, he had the chills, pale looking. His gait was unsteady, lethargic,  confusion, and complaints of shortness of breath.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Death, Pain in extremity
Clinical narrative: her arm was sore but no other adverse reactions until Saturday, Feburary 6th 2021 she had stroke between 4 and 6pm.  She died within 6 to 7 hours later.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Cold sweat, Dizziness, Nervousness, Palpitations
Clinical narrative: Approx 14 minutes after receiving the vaccine, client felt like his heart was racing and his blood pressure elevated, and dizzy. vital signs monitored, his BP was 150/108. He was clammy and shaky He was taken behind the white curtain and took his mask off, which he said helped tremendously. He was monitored. BP down to 140/100. He recently started BP medication. Told to discuss this episode with his PCP.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Pruritus
Clinical narrative: On 11/25/20 had a physical and they took him off of Atenolol, and put him on Metoprolol, one a day at bedtime.  He took those for almost 2 months without any problem until he got his shot.  He took his pill at 10:00 when he went to bed, woke him up around 12:30 AM and had severe itching all over his back, and his mouth, tooth area felt like they fell asleep.  Got some water and rinsed his mouth and felt that it was something he ate.  Again for the next 2 nights after taking his blood pressure medicine he was woken up with the same feeling (like it was asleep).  It did not affect his swallowing.  He then called his doctor and he put him back on his other medicine, and not having any trouble since switching back to Atenolol.  He is scheduled for the 2nd vaccine on 2/25/21.   Has an APT with his PCP 2/16/21.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: *Fever of 103 beginning the night of the vaccination (approximately 7 hours later on Friday 2/5) through the early morning of Sunday 2/7. *Chills during entire time of fever. *Body aches during entire time of fever. *Extreme headache 2 days after vaccine on Sunday 2/7 until Monday 2/8 (24 hours). *"Covid arm"- large red patch at site of injection approximately 2.5-3 inches in diameter; red patch was itchy and sore
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: *Fever of 103 beginning the night of the vaccination (approximately 7 hours later on Friday 2/5) through the early morning of Sunday 2/7. *Chills during entire time of fever. *Body aches during entire time of fever. *Extreme headache 2 days after vaccine on Sunday 2/7 until Monday 2/8 (24 hours). *"Covid arm"- large red patch at site of injection approximately 2.5-3 inches in diameter; red patch was itchy and sore
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pain in extremity, Rash pruritic, Vaccination site erythema, Vaccination site rash
Clinical narrative: pt reported sore arm days 1-4. lethargy days 5-8. itchy erythematous rash at site of vaccination days 9-12, approx 2 inches in diameter that expanded to 5 in diameter before reducing day 12.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin swelling
Clinical narrative: Itchy, red patch of swollen skin appeared a exactly 1 week after I had the 1st injection.  The area was approximately 2 inches in diameter.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Decreased appetite, Dyspnoea, Fatigue
Clinical narrative: Started to get muscle aches and INTENSE chills at 11:30 pm. Arm was also quite painful around this time. Woke up at 0300 with nausea and a fever of 100.9. Also had a mild cough, SOB, fatigue, and low appetite.  I called out of work that morning due to illness. I was instructed to get a COVID test that day. Results were negative. All symptoms resolved the following day with the exception of malaise which lasted until 2/5/21.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Malaise, Myalgia, Nausea, Pain in extremity
Clinical narrative: Started to get muscle aches and INTENSE chills at 11:30 pm. Arm was also quite painful around this time. Woke up at 0300 with nausea and a fever of 100.9. Also had a mild cough, SOB, fatigue, and low appetite.  I called out of work that morning due to illness. I was instructed to get a COVID test that day. Results were negative. All symptoms resolved the following day with the exception of malaise which lasted until 2/5/21.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Started to get muscle aches and INTENSE chills at 11:30 pm. Arm was also quite painful around this time. Woke up at 0300 with nausea and a fever of 100.9. Also had a mild cough, SOB, fatigue, and low appetite.  I called out of work that morning due to illness. I was instructed to get a COVID test that day. Results were negative. All symptoms resolved the following day with the exception of malaise which lasted until 2/5/21.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Injection site erythema, Injection site swelling, Paraesthesia
Clinical narrative: had sudden worsening of sinus congestion for about an hour, also tightness of throat for about 3 hours, then rash on upper body for about 3 days, head felt tingly and dizzy.  some redness and swelling of the injection site.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Throat tightness
Clinical narrative: had sudden worsening of sinus congestion for about an hour, also tightness of throat for about 3 hours, then rash on upper body for about 3 days, head felt tingly and dizzy.  some redness and swelling of the injection site.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokinesia, Injection site pain, Pain
Clinical narrative: When injected in the shoulder it was very painful.  Went home and laid down.  When I got up I could not move my arm without severe pain.  I believe the shot was injected too high on my shoulder.  Pain was severe for 3 days and I took maximum Tylenol.  The arm is usuable now, pain is less, still have trouble raising the arm up or back.  I have had no other ill effects from the vaccine.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine administered to a patient younger than minimum age range. No adverse event was observed following vaccine administration.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated
Clinical narrative: My Parkinson?s tremor increased on the left side where I had the Parkinson?s and a little bit on the right side where I don?t have it. My doctor indicated that this could be a temporary result of the vaccine which is what I?m hoping but she said to report it & To definitely get the second shot.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Resident had complaints of pain at injection site, left deltoid.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Epistaxis, Fatigue
Clinical narrative: Day after (2/8/21): Severe chills, tiredness, body aches, headache, loss of appetite, fever (101.4), bloody nose w/blood clots (left nostril only). 2 days after (2/9/21): Intermittent headache, aches in joints, bloody nose w/blood clots (left nostril only), hive around injection site.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site urticaria, Pain, Pyrexia, Thrombosis
Clinical narrative: Day after (2/8/21): Severe chills, tiredness, body aches, headache, loss of appetite, fever (101.4), bloody nose w/blood clots (left nostril only). 2 days after (2/9/21): Intermittent headache, aches in joints, bloody nose w/blood clots (left nostril only), hive around injection site.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Asthenia, Bone pain, Chills, Dizziness
Clinical narrative: First day weak and kept forgetting what he was doing. Next day doesn't remember the day real hazy and slept. Following day fever, body aches, chills, shaky. Today fever, bones aching dizzy very tired. Body still weak and dizzy.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Memory impairment, Pain, Pyrexia, Tremor
Clinical narrative: First day weak and kept forgetting what he was doing. Next day doesn't remember the day real hazy and slept. Following day fever, body aches, chills, shaky. Today fever, bones aching dizzy very tired. Body still weak and dizzy.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: COVID arm . I developed a rash on the left arm a week after the injection. It turned red and and there was itching, not terrible but some. It's fading, not as red, still itching.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: Arm tenderness at the sight of injection, VERY BAD HEADACHE
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein normal, Fall, Red blood cell sedimentation rate increased, Transient global amnesia
Clinical narrative: Transient global amnesia and fall  the day after vaccination Elevated ESR 51 and CRP 3 Symptoms resolved spontaneously except for labs, still monitoring
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Nausea, Pyrexia
Clinical narrative: fever, fatigue, nausea, muscle aches
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis at injection site Received IV antibiotics  and rx for oral antibiotics from another provider
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Red rash on left arm from point of shot about 2/3 down left arm covering width of arm.  Occurred approximately a week after shot.  Area itches.  Have been using cortizone-10 cream to ease itching.  Area is fading.  2nd dose is scheduled for 2/18/21.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: I administered 1 ml.  The correct dose is 0.5 ml.  Patient has no adverse event.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Hypokinesia, Injection site bruising, Neuralgia, Paraesthesia
Clinical narrative: Vaccine given too high in the arm.  Being an immunizer myself for a different company  I expressed concern immediately before vaccination, but was told that that was ?where it goes? and she injected me anyway.   Experienced burning 2 minutes following vaccination.  The following day I started experiencing shooting nerve pain in my affected arm and tingling in my fingertips.  My range of motion was considerably decreased in the affected arm as well.  Symptoms worsened after returning to work and trying to use the arm all day.  I contacted facility via email on Tuesday, February 2nd, via phone Saturday, February 6th, and again via email yesterday, February 8th.   I have not received any response.  I found a provider who was able to see me and was covered by my insurance and was seen this morning at 9:20 am by the physician?s PA.  Following physical exam and observation of the small bruise indicating the injection site,  she stated she believed my immunizer hit a nerve with the needle and prescribed a rapid prednisone taper.