chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Diarrhoea, Dyspnoea, Nasopharyngitis
Clinical narrative: ED for shorness of breath, nausea and diarrhea. Has had a cold for 1 week and not wanting to eat anything. Fever and cough with creamy sputum.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, SARS-CoV-2 test, Sputum abnormal
Clinical narrative: ED for shorness of breath, nausea and diarrhea. Has had a cold for 1 week and not wanting to eat anything. Fever and cough with creamy sputum.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear pain, Fatigue, Head discomfort, Headache
Clinical narrative: The initial reaction was severe headache and body aches, nausea, fatigue, sore throat, earaches, fever, chills.   The 6-24 hours after the vaccine was the worst, seeing some improvement today at almost 48 hours.  It seems my sinus infection from a week ago has returned since I have those reoccurring symptoms of head pressure, ear aches, sore throat. I do still have some body aches and fatigue.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Pain, Pyrexia, Sinusitis
Clinical narrative: The initial reaction was severe headache and body aches, nausea, fatigue, sore throat, earaches, fever, chills.   The 6-24 hours after the vaccine was the worst, seeing some improvement today at almost 48 hours.  It seems my sinus infection from a week ago has returned since I have those reoccurring symptoms of head pressure, ear aches, sore throat. I do still have some body aches and fatigue.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Patient complained that she has swelling under her arm at the lymph nodes. She experienced this about 4 to 6 hours after injection.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Extra dose administered, Pharyngeal paraesthesia
Clinical narrative: Patient was in office and receive his 3rd dose of Pfizer vaccine. patient started having  tingling in his throat and lightheaded 3 to 4 minutes after the vaccine was given. Patient was give 1 tablet of Allegra 60 mg .  Patient started feeling better after he took the Allegra. Patient was kept in observation for additional 30 min.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Herpes zoster, Pain, Rash erythematous, Skin reaction
Clinical narrative: 1 day after vaccine, development of Lt arm skin reaction - lesions 0.5-2cm in size distributed over arm that start as small erythematous vescicles and are painful, then over days develop into evolving blisters and resolve. Last provider recommended triamcinolone cream which doesn't prevent blisters but does help them resolve and become less painful. Highest suspicion for shingles, may be other nonspecific rash vaccine reaction.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Atrophy, Mitral valve incompetence, Pulmonary embolism
Clinical narrative: Multiple blood clots in right lung
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Respiratory tract congestion, Vision blurred
Clinical narrative: headache and head/face congestions within 12 hours (and still have three days later), blurred/wobbly vision (started two days after, continuous and still have)
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash pruritic, Urticaria
Clinical narrative: Itch Rash on chest and head. Patient still states having hives and itchiness flair ups has been sent to allergist.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Fatigue, Sleep disorder, Spirometry
Clinical narrative: July 2021 I just started waking up in the middle of night with extreme shortness of breath. I had difficulty with inspiration, difficulty exercising, and I had really bad fatigue. I also had chest tightness. October 31 2020 is when I had caught Covid before the vaccine. When I went to the doctor they prescribed me a dose of oral steroids, and I was put on 2 inhalers.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Brain operation, Computerised tomogram, Haematoma, Hydrocephalus
Clinical narrative: Pt.'s Wife states that after Pt. received the 2nd dose of Moderna 02/18/2021, started experiencing symptoms 03/2021 of Fluid on the Brain, 05/2021 Hematoma (Left Side). * Resulting in 3 Brain Surgeries.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Magnetic resonance imaging
Clinical narrative: Pt.'s Wife states that after Pt. received the 2nd dose of Moderna 02/18/2021, started experiencing symptoms 03/2021 of Fluid on the Brain, 05/2021 Hematoma (Left Side). * Resulting in 3 Brain Surgeries.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Patient fully vaccinated and died of Covid related causes
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: About 7 week's after my daughter received her second COVID-19 shot, she was diagnosed with Bell's Palsy.  I'm not sure if getting the shot is the cause but I thought it would be best to report this.  Thank you.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Swelling face, Weight increased
Clinical narrative: Patient reports swelling on the right side of face and left arm. Vaccine was administered in the left arm. No swelling of the tongue, no trouble breathing. Swelling  started about one week after vaccination and lasted for one week. Patient reports taking tylenol and feeling better. Patient also reports gaining weight.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular, Skin discolouration
Clinical narrative: My wrist is discolored and white with white spots. My fingers are turning white. Under my breasts is turning white. The back of my knees at the joints are completely white.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Blood creatinine increased
Clinical narrative: Cytokine release syndrome- Grade 4
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood fibrinogen, Blood lactate dehydrogenase increased, Blood lactic acid, Blood thyroid stimulating hormone decreased, Blood triglycerides increased
Clinical narrative: Cytokine release syndrome- Grade 4
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, Cytokine release syndrome, Haemoglobin decreased, Interleukin level, International normalised ratio increased
Clinical narrative: Cytokine release syndrome- Grade 4
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Prothrombin time shortened, Serum ferritin normal, Troponin, White blood cell count normal
Clinical narrative: Cytokine release syndrome- Grade 4
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Headache, Pain
Clinical narrative: Weakness, body/joint pain, chills, headache
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: SEIZURE LASTING APPROXIMATELY 30 MINUTES, MEDICAL PERSONNEL CALLED TO PATIENT LOCATION AND PATIENT WAS TREATED/OBSERVED UNTIL PATIENT WAS CONSIDERED STABLE  AND COHERENT.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough. The patient presented to the hospital on 9/30/21 with fatigue and possible COVID concern "for a few days". Tested positive on 9/30/21 at the hospital. He is on 12L of Oxygen as of 10/1/21
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, COVID-19 pneumonia, Chest pain
Clinical narrative: Patient completed Pfizer COVID-19 vaccine series on 2/9/21. Patient presented to reporting hospital ER on 9/19/21, 9/22/21, and 9/27/21 with worsening of symptoms of COVID.  Admitted 9/27/21 and currently inpatient at facility. Symptoms include diarrhea, cough, loss of taste and smell, vomiting, dizziness, chest pain, and shortness of breath.  Patient was ultimately admitted for COVID pneumonia with mild bilateral opacities.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Cough, Diarrhoea, Dizziness, Dyspnoea
Clinical narrative: Patient completed Pfizer COVID-19 vaccine series on 2/9/21. Patient presented to reporting hospital ER on 9/19/21, 9/22/21, and 9/27/21 with worsening of symptoms of COVID.  Admitted 9/27/21 and currently inpatient at facility. Symptoms include diarrhea, cough, loss of taste and smell, vomiting, dizziness, chest pain, and shortness of breath.  Patient was ultimately admitted for COVID pneumonia with mild bilateral opacities.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient completed Pfizer COVID-19 vaccine series on 2/9/21. Patient presented to reporting hospital ER on 9/19/21, 9/22/21, and 9/27/21 with worsening of symptoms of COVID.  Admitted 9/27/21 and currently inpatient at facility. Symptoms include diarrhea, cough, loss of taste and smell, vomiting, dizziness, chest pain, and shortness of breath.  Patient was ultimately admitted for COVID pneumonia with mild bilateral opacities.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia, Vision blurred
Clinical narrative: Light headed, dizzy, tingling in hands and feet, blurry vision
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Electromyogram normal, Impaired work ability, Magnetic resonance imaging head normal, Magnetic resonance imaging neck
Clinical narrative: 30 days after the 2nd shot I had sudden and constant paresthesia in all extremities. Intermittent joint pain in my right ankle. Now 5 moths later I have the same symptoms but occasional muscle twitching.  This is very disruptive and have caused me to quit my job.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, Paraesthesia, Spinal disorder
Clinical narrative: 30 days after the 2nd shot I had sudden and constant paresthesia in all extremities. Intermittent joint pain in my right ankle. Now 5 moths later I have the same symptoms but occasional muscle twitching.  This is very disruptive and have caused me to quit my job.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: I had no reaction at all to the shots, no swelling, no bruising, no sleepiness and I cant even see where the injection was made.  I had the second dose on 02/18/2021(lot number EL9267), and I had a third shot on 08/16/2021 (lot number FC3182), I had no reaction whatsoever to any of the three shots.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, Blood albumin decreased, Blood calcium decreased, Bradycardia
Clinical narrative: Hospitalized (9.25.21);  COVID-19 positive (9.25.21);  Fully Vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 72 y.o. male chronic obstructive pulmonary disease on nightly 2 L O2 nasal cannula, OSA on CPAP, chronic diastolic heart failure, permanent atrial fibrillation on Xarelto, history of B-cell lymphoma (2019), orthostatic hypotension, hyperlipidemia, hypothyroidism and depression who presents upper respiratory symptoms for the past 8 days and worsening dyspnea, subsequently found to be COVID-19 positive.  He was fully vaccinated with Pfizer in February 2021. Symptoms began 8 days ago with rhinorrhea, body aches, fatigue, few episodes of diarrhea, nausea and 1 episode vomiting.  Yesterday, he first noticed increasing shortness of breath and a mildly productive cough. Today, he came to the emergency department when feeling significant dizziness and noticing oxygen was 87% on 2 L nasal cannula.  He had a negative rapid COVID test on 9/20 and was seen at urgent care on 09/23 where he was diagnosed with chronic obstructive pulmonary disease exacerbation along with possible cellulitis due to new, bluish discoloration at the distal aspect of his left foot.  Discolored area is tender to palpation, but patient is unaware of any trauma to the region and is never had similar symptoms.  He was discharged with prednisone and Keflex which is taken for the last 3 days.  No fevers, rigors, chest pain, spreading rash, syncope or history of PE.  He has been compliant with all his medications including Xarelto during this time.  During my exam, patient's heart rate is decreasing to the 30s- 40s briefly before returning to the high 50s.  He is asymptomatic during this.   On arrival to the emergency department, patient's vital signs were unremarkable with exception of SpO2 93% on 4 L nasal cannula.  Heart rate was intermittently dropped to 30s to 40s.  Labs remarkable for calcium 7.2 this, albumin 1.8, procalcitonin 0.07, normal WBC digoxin level 1.0.  COVID-19 a detected.  Chest x-ray shows mild bilateral patchy opacities in a reticular pattern which is mildly increased from prior along with chronic blunting of the left costophrenic angle.  Independent review of EKG shows atrial fibrillation with bradycardia and QTC 423 milliseconds.  He was given dexamethasone 6 mg. Admitted to hospital medicine for acute hypoxic respiratory failure secondary to COVID-19 pneumonia  Acute on chronic hypoxic respiratory failure  COVID-19 pneumonia COPD with baseline oxygen at 2L NC nightly, not exacerbated -Fully vaccinated Pfizer 2/2021 -Symptom onset 8 days ago -Positive test 9/25 -Procalcitonin 0.07, no leukocytosis  -CXR patchy opacities both lungs, only mildly increased from prior lung findings -Check film array -Monitor off antibiotics -Dexamethasone 6 mg daily -Out of window for remdesivir -Continue spiriva and albuterol prn -Maintain O2 sats 88-92%
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardioactive drug level, Chest X-ray abnormal, Chronic obstructive pulmonary disease
Clinical narrative: Hospitalized (9.25.21);  COVID-19 positive (9.25.21);  Fully Vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 72 y.o. male chronic obstructive pulmonary disease on nightly 2 L O2 nasal cannula, OSA on CPAP, chronic diastolic heart failure, permanent atrial fibrillation on Xarelto, history of B-cell lymphoma (2019), orthostatic hypotension, hyperlipidemia, hypothyroidism and depression who presents upper respiratory symptoms for the past 8 days and worsening dyspnea, subsequently found to be COVID-19 positive.  He was fully vaccinated with Pfizer in February 2021. Symptoms began 8 days ago with rhinorrhea, body aches, fatigue, few episodes of diarrhea, nausea and 1 episode vomiting.  Yesterday, he first noticed increasing shortness of breath and a mildly productive cough. Today, he came to the emergency department when feeling significant dizziness and noticing oxygen was 87% on 2 L nasal cannula.  He had a negative rapid COVID test on 9/20 and was seen at urgent care on 09/23 where he was diagnosed with chronic obstructive pulmonary disease exacerbation along with possible cellulitis due to new, bluish discoloration at the distal aspect of his left foot.  Discolored area is tender to palpation, but patient is unaware of any trauma to the region and is never had similar symptoms.  He was discharged with prednisone and Keflex which is taken for the last 3 days.  No fevers, rigors, chest pain, spreading rash, syncope or history of PE.  He has been compliant with all his medications including Xarelto during this time.  During my exam, patient's heart rate is decreasing to the 30s- 40s briefly before returning to the high 50s.  He is asymptomatic during this.   On arrival to the emergency department, patient's vital signs were unremarkable with exception of SpO2 93% on 4 L nasal cannula.  Heart rate was intermittently dropped to 30s to 40s.  Labs remarkable for calcium 7.2 this, albumin 1.8, procalcitonin 0.07, normal WBC digoxin level 1.0.  COVID-19 a detected.  Chest x-ray shows mild bilateral patchy opacities in a reticular pattern which is mildly increased from prior along with chronic blunting of the left costophrenic angle.  Independent review of EKG shows atrial fibrillation with bradycardia and QTC 423 milliseconds.  He was given dexamethasone 6 mg. Admitted to hospital medicine for acute hypoxic respiratory failure secondary to COVID-19 pneumonia  Acute on chronic hypoxic respiratory failure  COVID-19 pneumonia COPD with baseline oxygen at 2L NC nightly, not exacerbated -Fully vaccinated Pfizer 2/2021 -Symptom onset 8 days ago -Positive test 9/25 -Procalcitonin 0.07, no leukocytosis  -CXR patchy opacities both lungs, only mildly increased from prior lung findings -Check film array -Monitor off antibiotics -Dexamethasone 6 mg daily -Out of window for remdesivir -Continue spiriva and albuterol prn -Maintain O2 sats 88-92%
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Cyanosis, Diarrhoea, Dizziness, Dyspnoea
Clinical narrative: Hospitalized (9.25.21);  COVID-19 positive (9.25.21);  Fully Vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 72 y.o. male chronic obstructive pulmonary disease on nightly 2 L O2 nasal cannula, OSA on CPAP, chronic diastolic heart failure, permanent atrial fibrillation on Xarelto, history of B-cell lymphoma (2019), orthostatic hypotension, hyperlipidemia, hypothyroidism and depression who presents upper respiratory symptoms for the past 8 days and worsening dyspnea, subsequently found to be COVID-19 positive.  He was fully vaccinated with Pfizer in February 2021. Symptoms began 8 days ago with rhinorrhea, body aches, fatigue, few episodes of diarrhea, nausea and 1 episode vomiting.  Yesterday, he first noticed increasing shortness of breath and a mildly productive cough. Today, he came to the emergency department when feeling significant dizziness and noticing oxygen was 87% on 2 L nasal cannula.  He had a negative rapid COVID test on 9/20 and was seen at urgent care on 09/23 where he was diagnosed with chronic obstructive pulmonary disease exacerbation along with possible cellulitis due to new, bluish discoloration at the distal aspect of his left foot.  Discolored area is tender to palpation, but patient is unaware of any trauma to the region and is never had similar symptoms.  He was discharged with prednisone and Keflex which is taken for the last 3 days.  No fevers, rigors, chest pain, spreading rash, syncope or history of PE.  He has been compliant with all his medications including Xarelto during this time.  During my exam, patient's heart rate is decreasing to the 30s- 40s briefly before returning to the high 50s.  He is asymptomatic during this.   On arrival to the emergency department, patient's vital signs were unremarkable with exception of SpO2 93% on 4 L nasal cannula.  Heart rate was intermittently dropped to 30s to 40s.  Labs remarkable for calcium 7.2 this, albumin 1.8, procalcitonin 0.07, normal WBC digoxin level 1.0.  COVID-19 a detected.  Chest x-ray shows mild bilateral patchy opacities in a reticular pattern which is mildly increased from prior along with chronic blunting of the left costophrenic angle.  Independent review of EKG shows atrial fibrillation with bradycardia and QTC 423 milliseconds.  He was given dexamethasone 6 mg. Admitted to hospital medicine for acute hypoxic respiratory failure secondary to COVID-19 pneumonia  Acute on chronic hypoxic respiratory failure  COVID-19 pneumonia COPD with baseline oxygen at 2L NC nightly, not exacerbated -Fully vaccinated Pfizer 2/2021 -Symptom onset 8 days ago -Positive test 9/25 -Procalcitonin 0.07, no leukocytosis  -CXR patchy opacities both lungs, only mildly increased from prior lung findings -Check film array -Monitor off antibiotics -Dexamethasone 6 mg daily -Out of window for remdesivir -Continue spiriva and albuterol prn -Maintain O2 sats 88-92%
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Fatigue, Heart rate decreased, Lung opacity, Nausea
Clinical narrative: Hospitalized (9.25.21);  COVID-19 positive (9.25.21);  Fully Vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 72 y.o. male chronic obstructive pulmonary disease on nightly 2 L O2 nasal cannula, OSA on CPAP, chronic diastolic heart failure, permanent atrial fibrillation on Xarelto, history of B-cell lymphoma (2019), orthostatic hypotension, hyperlipidemia, hypothyroidism and depression who presents upper respiratory symptoms for the past 8 days and worsening dyspnea, subsequently found to be COVID-19 positive.  He was fully vaccinated with Pfizer in February 2021. Symptoms began 8 days ago with rhinorrhea, body aches, fatigue, few episodes of diarrhea, nausea and 1 episode vomiting.  Yesterday, he first noticed increasing shortness of breath and a mildly productive cough. Today, he came to the emergency department when feeling significant dizziness and noticing oxygen was 87% on 2 L nasal cannula.  He had a negative rapid COVID test on 9/20 and was seen at urgent care on 09/23 where he was diagnosed with chronic obstructive pulmonary disease exacerbation along with possible cellulitis due to new, bluish discoloration at the distal aspect of his left foot.  Discolored area is tender to palpation, but patient is unaware of any trauma to the region and is never had similar symptoms.  He was discharged with prednisone and Keflex which is taken for the last 3 days.  No fevers, rigors, chest pain, spreading rash, syncope or history of PE.  He has been compliant with all his medications including Xarelto during this time.  During my exam, patient's heart rate is decreasing to the 30s- 40s briefly before returning to the high 50s.  He is asymptomatic during this.   On arrival to the emergency department, patient's vital signs were unremarkable with exception of SpO2 93% on 4 L nasal cannula.  Heart rate was intermittently dropped to 30s to 40s.  Labs remarkable for calcium 7.2 this, albumin 1.8, procalcitonin 0.07, normal WBC digoxin level 1.0.  COVID-19 a detected.  Chest x-ray shows mild bilateral patchy opacities in a reticular pattern which is mildly increased from prior along with chronic blunting of the left costophrenic angle.  Independent review of EKG shows atrial fibrillation with bradycardia and QTC 423 milliseconds.  He was given dexamethasone 6 mg. Admitted to hospital medicine for acute hypoxic respiratory failure secondary to COVID-19 pneumonia  Acute on chronic hypoxic respiratory failure  COVID-19 pneumonia COPD with baseline oxygen at 2L NC nightly, not exacerbated -Fully vaccinated Pfizer 2/2021 -Symptom onset 8 days ago -Positive test 9/25 -Procalcitonin 0.07, no leukocytosis  -CXR patchy opacities both lungs, only mildly increased from prior lung findings -Check film array -Monitor off antibiotics -Dexamethasone 6 mg daily -Out of window for remdesivir -Continue spiriva and albuterol prn -Maintain O2 sats 88-92%
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Procalcitonin, Productive cough, Respiratory symptom, Rhinorrhoea
Clinical narrative: Hospitalized (9.25.21);  COVID-19 positive (9.25.21);  Fully Vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 72 y.o. male chronic obstructive pulmonary disease on nightly 2 L O2 nasal cannula, OSA on CPAP, chronic diastolic heart failure, permanent atrial fibrillation on Xarelto, history of B-cell lymphoma (2019), orthostatic hypotension, hyperlipidemia, hypothyroidism and depression who presents upper respiratory symptoms for the past 8 days and worsening dyspnea, subsequently found to be COVID-19 positive.  He was fully vaccinated with Pfizer in February 2021. Symptoms began 8 days ago with rhinorrhea, body aches, fatigue, few episodes of diarrhea, nausea and 1 episode vomiting.  Yesterday, he first noticed increasing shortness of breath and a mildly productive cough. Today, he came to the emergency department when feeling significant dizziness and noticing oxygen was 87% on 2 L nasal cannula.  He had a negative rapid COVID test on 9/20 and was seen at urgent care on 09/23 where he was diagnosed with chronic obstructive pulmonary disease exacerbation along with possible cellulitis due to new, bluish discoloration at the distal aspect of his left foot.  Discolored area is tender to palpation, but patient is unaware of any trauma to the region and is never had similar symptoms.  He was discharged with prednisone and Keflex which is taken for the last 3 days.  No fevers, rigors, chest pain, spreading rash, syncope or history of PE.  He has been compliant with all his medications including Xarelto during this time.  During my exam, patient's heart rate is decreasing to the 30s- 40s briefly before returning to the high 50s.  He is asymptomatic during this.   On arrival to the emergency department, patient's vital signs were unremarkable with exception of SpO2 93% on 4 L nasal cannula.  Heart rate was intermittently dropped to 30s to 40s.  Labs remarkable for calcium 7.2 this, albumin 1.8, procalcitonin 0.07, normal WBC digoxin level 1.0.  COVID-19 a detected.  Chest x-ray shows mild bilateral patchy opacities in a reticular pattern which is mildly increased from prior along with chronic blunting of the left costophrenic angle.  Independent review of EKG shows atrial fibrillation with bradycardia and QTC 423 milliseconds.  He was given dexamethasone 6 mg. Admitted to hospital medicine for acute hypoxic respiratory failure secondary to COVID-19 pneumonia  Acute on chronic hypoxic respiratory failure  COVID-19 pneumonia COPD with baseline oxygen at 2L NC nightly, not exacerbated -Fully vaccinated Pfizer 2/2021 -Symptom onset 8 days ago -Positive test 9/25 -Procalcitonin 0.07, no leukocytosis  -CXR patchy opacities both lungs, only mildly increased from prior lung findings -Check film array -Monitor off antibiotics -Dexamethasone 6 mg daily -Out of window for remdesivir -Continue spiriva and albuterol prn -Maintain O2 sats 88-92%
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive, Tenderness, Vomiting
Clinical narrative: Hospitalized (9.25.21);  COVID-19 positive (9.25.21);  Fully Vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 72 y.o. male chronic obstructive pulmonary disease on nightly 2 L O2 nasal cannula, OSA on CPAP, chronic diastolic heart failure, permanent atrial fibrillation on Xarelto, history of B-cell lymphoma (2019), orthostatic hypotension, hyperlipidemia, hypothyroidism and depression who presents upper respiratory symptoms for the past 8 days and worsening dyspnea, subsequently found to be COVID-19 positive.  He was fully vaccinated with Pfizer in February 2021. Symptoms began 8 days ago with rhinorrhea, body aches, fatigue, few episodes of diarrhea, nausea and 1 episode vomiting.  Yesterday, he first noticed increasing shortness of breath and a mildly productive cough. Today, he came to the emergency department when feeling significant dizziness and noticing oxygen was 87% on 2 L nasal cannula.  He had a negative rapid COVID test on 9/20 and was seen at urgent care on 09/23 where he was diagnosed with chronic obstructive pulmonary disease exacerbation along with possible cellulitis due to new, bluish discoloration at the distal aspect of his left foot.  Discolored area is tender to palpation, but patient is unaware of any trauma to the region and is never had similar symptoms.  He was discharged with prednisone and Keflex which is taken for the last 3 days.  No fevers, rigors, chest pain, spreading rash, syncope or history of PE.  He has been compliant with all his medications including Xarelto during this time.  During my exam, patient's heart rate is decreasing to the 30s- 40s briefly before returning to the high 50s.  He is asymptomatic during this.   On arrival to the emergency department, patient's vital signs were unremarkable with exception of SpO2 93% on 4 L nasal cannula.  Heart rate was intermittently dropped to 30s to 40s.  Labs remarkable for calcium 7.2 this, albumin 1.8, procalcitonin 0.07, normal WBC digoxin level 1.0.  COVID-19 a detected.  Chest x-ray shows mild bilateral patchy opacities in a reticular pattern which is mildly increased from prior along with chronic blunting of the left costophrenic angle.  Independent review of EKG shows atrial fibrillation with bradycardia and QTC 423 milliseconds.  He was given dexamethasone 6 mg. Admitted to hospital medicine for acute hypoxic respiratory failure secondary to COVID-19 pneumonia  Acute on chronic hypoxic respiratory failure  COVID-19 pneumonia COPD with baseline oxygen at 2L NC nightly, not exacerbated -Fully vaccinated Pfizer 2/2021 -Symptom onset 8 days ago -Positive test 9/25 -Procalcitonin 0.07, no leukocytosis  -CXR patchy opacities both lungs, only mildly increased from prior lung findings -Check film array -Monitor off antibiotics -Dexamethasone 6 mg daily -Out of window for remdesivir -Continue spiriva and albuterol prn -Maintain O2 sats 88-92%
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Ear discomfort, Electrocardiogram, Flushing
Clinical narrative: Immediate flushing, high heart rate, high blood pressure, lightheadedness and dizziness (within 5 minutes of shot). Was kept at the site for 1 hour to monitor.   Continued episodes of flushing, high heart rate, palpitations, high blood pressure, dizziness, and ear fullness for six months after vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypertension, Immediate post-injection reaction, Magnetic resonance imaging head, Palpitations
Clinical narrative: Immediate flushing, high heart rate, high blood pressure, lightheadedness and dizziness (within 5 minutes of shot). Was kept at the site for 1 hour to monitor.   Continued episodes of flushing, high heart rate, palpitations, high blood pressure, dizziness, and ear fullness for six months after vaccine.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Paraesthesia, Peripheral swelling, Rash
Clinical narrative: Wheezing, red and rash by the injection site, facial swelling , arm swelling right arm,  and tingling down my arm and right side and rash throughout body.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Wheezing
Clinical narrative: Wheezing, red and rash by the injection site, facial swelling , arm swelling right arm,  and tingling down my arm and right side and rash throughout body.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthropod bite, Asthenia, Dysgeusia, Fatigue
Clinical narrative: 03/30/2021- 6:41 Vaccine; 07:01 PM weird taste in my mouth , 07:02PM arm soreness, 10:15PM immune system activation, a weird feeling in my body that I started feeling sick, feeling like my immune system was revving up, sickening in my throat and a slight headache. On 03/31 occipital headache, inferior frontal headache, run down arm soreness was 2 x2 inches of swelling in the deltoid area. Later that day the swelling went from 2 x 4 inches. I was having joint pain , one joint pain going to another joint. 04/01 my energy was returning to normal, but I was having sweats for no clear reason, arm soreness. One 04/02 arm soreness, headache and sweats . On 04/03 arm soreness. 04/05 arm swelling  was down and not swollen any more . 04/05 and 04/06 unusual headaches. 04/07 still having sweats.  I started alternating my thyroid medication on 03/ 12/2021.  In August, I had headache and nausea when I woke up , stomach problems, not clearly defined no diarrhea, bloating, just nausea , 08/04/2021 skin sensitivity to touch on forehead and scalp. and stomach problems 08/04 nausea, headache, skin sensitivity was still on my scalp and moved to my right arm 08/06 decreased energy, 08/7 more area of skin sensitivity like on the buttocks. 08/08 decreased energy headache skin sensitivity, migraine pain. 08/09 I did not feel good 08/10 fleeting sharp pains, fatigue  08/11 skins sensitivity  and low energy. 08/11 I got a COVID AND flu test-both negative 08/12 started feeling little better. 08/13 I was having a little bit of tremors. 08/14  getting better and skin still sensitive. The skin sensitivity is gone. I am clearly back to normal.  I got a lot of mosquito bites and ticks in my yard. I don't know if the symptoms were from  a tick, mosquito bite, or a virus.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Gastrointestinal disorder, Headache, Hyperhidrosis, Malaise
Clinical narrative: 03/30/2021- 6:41 Vaccine; 07:01 PM weird taste in my mouth , 07:02PM arm soreness, 10:15PM immune system activation, a weird feeling in my body that I started feeling sick, feeling like my immune system was revving up, sickening in my throat and a slight headache. On 03/31 occipital headache, inferior frontal headache, run down arm soreness was 2 x2 inches of swelling in the deltoid area. Later that day the swelling went from 2 x 4 inches. I was having joint pain , one joint pain going to another joint. 04/01 my energy was returning to normal, but I was having sweats for no clear reason, arm soreness. One 04/02 arm soreness, headache and sweats . On 04/03 arm soreness. 04/05 arm swelling  was down and not swollen any more . 04/05 and 04/06 unusual headaches. 04/07 still having sweats.  I started alternating my thyroid medication on 03/ 12/2021.  In August, I had headache and nausea when I woke up , stomach problems, not clearly defined no diarrhea, bloating, just nausea , 08/04/2021 skin sensitivity to touch on forehead and scalp. and stomach problems 08/04 nausea, headache, skin sensitivity was still on my scalp and moved to my right arm 08/06 decreased energy, 08/7 more area of skin sensitivity like on the buttocks. 08/08 decreased energy headache skin sensitivity, migraine pain. 08/09 I did not feel good 08/10 fleeting sharp pains, fatigue  08/11 skins sensitivity  and low energy. 08/11 I got a COVID AND flu test-both negative 08/12 started feeling little better. 08/13 I was having a little bit of tremors. 08/14  getting better and skin still sensitive. The skin sensitivity is gone. I am clearly back to normal.  I got a lot of mosquito bites and ticks in my yard. I don't know if the symptoms were from  a tick, mosquito bite, or a virus.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nausea, Oropharyngeal discomfort, Pain, Pain in extremity
Clinical narrative: 03/30/2021- 6:41 Vaccine; 07:01 PM weird taste in my mouth , 07:02PM arm soreness, 10:15PM immune system activation, a weird feeling in my body that I started feeling sick, feeling like my immune system was revving up, sickening in my throat and a slight headache. On 03/31 occipital headache, inferior frontal headache, run down arm soreness was 2 x2 inches of swelling in the deltoid area. Later that day the swelling went from 2 x 4 inches. I was having joint pain , one joint pain going to another joint. 04/01 my energy was returning to normal, but I was having sweats for no clear reason, arm soreness. One 04/02 arm soreness, headache and sweats . On 04/03 arm soreness. 04/05 arm swelling  was down and not swollen any more . 04/05 and 04/06 unusual headaches. 04/07 still having sweats.  I started alternating my thyroid medication on 03/ 12/2021.  In August, I had headache and nausea when I woke up , stomach problems, not clearly defined no diarrhea, bloating, just nausea , 08/04/2021 skin sensitivity to touch on forehead and scalp. and stomach problems 08/04 nausea, headache, skin sensitivity was still on my scalp and moved to my right arm 08/06 decreased energy, 08/7 more area of skin sensitivity like on the buttocks. 08/08 decreased energy headache skin sensitivity, migraine pain. 08/09 I did not feel good 08/10 fleeting sharp pains, fatigue  08/11 skins sensitivity  and low energy. 08/11 I got a COVID AND flu test-both negative 08/12 started feeling little better. 08/13 I was having a little bit of tremors. 08/14  getting better and skin still sensitive. The skin sensitivity is gone. I am clearly back to normal.  I got a lot of mosquito bites and ticks in my yard. I don't know if the symptoms were from  a tick, mosquito bite, or a virus.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Sensitive skin, Sensory disturbance, Tremor
Clinical narrative: 03/30/2021- 6:41 Vaccine; 07:01 PM weird taste in my mouth , 07:02PM arm soreness, 10:15PM immune system activation, a weird feeling in my body that I started feeling sick, feeling like my immune system was revving up, sickening in my throat and a slight headache. On 03/31 occipital headache, inferior frontal headache, run down arm soreness was 2 x2 inches of swelling in the deltoid area. Later that day the swelling went from 2 x 4 inches. I was having joint pain , one joint pain going to another joint. 04/01 my energy was returning to normal, but I was having sweats for no clear reason, arm soreness. One 04/02 arm soreness, headache and sweats . On 04/03 arm soreness. 04/05 arm swelling  was down and not swollen any more . 04/05 and 04/06 unusual headaches. 04/07 still having sweats.  I started alternating my thyroid medication on 03/ 12/2021.  In August, I had headache and nausea when I woke up , stomach problems, not clearly defined no diarrhea, bloating, just nausea , 08/04/2021 skin sensitivity to touch on forehead and scalp. and stomach problems 08/04 nausea, headache, skin sensitivity was still on my scalp and moved to my right arm 08/06 decreased energy, 08/7 more area of skin sensitivity like on the buttocks. 08/08 decreased energy headache skin sensitivity, migraine pain. 08/09 I did not feel good 08/10 fleeting sharp pains, fatigue  08/11 skins sensitivity  and low energy. 08/11 I got a COVID AND flu test-both negative 08/12 started feeling little better. 08/13 I was having a little bit of tremors. 08/14  getting better and skin still sensitive. The skin sensitivity is gone. I am clearly back to normal.  I got a lot of mosquito bites and ticks in my yard. I don't know if the symptoms were from  a tick, mosquito bite, or a virus.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Eye swelling, Lacrimation increased, Ophthalmological examination, Periorbital swelling
Clinical narrative: Right eye became sore underneath and a little puffy on Thursday morning, 9/30/21. Friday morning (10/1/21) woke up and eye was nearly swollen shut. Has increased tear production, both under and over eye are swollen. No redness around area.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dyspnoea, Productive cough, Pyrexia
Clinical narrative: Cough productive of white sputum, SOB and diarrhea, fevers and chills.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Cough productive of white sputum, SOB and diarrhea, fevers and chills.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Injection site warmth
Clinical narrative: All day 1 day post vaccination:Fatigue, mild headache, joint and muscle pain, fever 100.4, warmth at injection site, pain at injection site
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: All day 1 day post vaccination:Fatigue, mild headache, joint and muscle pain, fever 100.4, warmth at injection site, pain at injection site
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Urinary incontinence
Clinical narrative: Urinary incontinence; headache; unusual fatigue
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Patient fully vaccinated and hospitalized then later died due to Covid related causes.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: 9/29/21- to ER for treatment.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death due to COVID-19. Details unknown
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19 pneumonia, Death, Dialysis, Diarrhoea
Clinical narrative: Admitted on 9/21 with  syncope spell and sense of weakness with 2 day history of nausea and diarrhea. Revealed COVID-19 pneumonia requiring 8L O2 with severe stenosis with regurgitation (not candidate for TAVR). Underwent dialysis with several episodes of hypotension. Initiated CRRT but continued to decline. Patient and family agreed to palliative care but continued to deteriorate and passing on 9/30.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Hypotension, Nausea, Regurgitation, Stenosis
Clinical narrative: Admitted on 9/21 with  syncope spell and sense of weakness with 2 day history of nausea and diarrhea. Revealed COVID-19 pneumonia requiring 8L O2 with severe stenosis with regurgitation (not candidate for TAVR). Underwent dialysis with several episodes of hypotension. Initiated CRRT but continued to decline. Patient and family agreed to palliative care but continued to deteriorate and passing on 9/30.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Admitted on 9/21 with  syncope spell and sense of weakness with 2 day history of nausea and diarrhea. Revealed COVID-19 pneumonia requiring 8L O2 with severe stenosis with regurgitation (not candidate for TAVR). Underwent dialysis with several episodes of hypotension. Initiated CRRT but continued to decline. Patient and family agreed to palliative care but continued to deteriorate and passing on 9/30.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pruritus, Tenderness
Clinical narrative: redness, itchiness and tenderness near injection site on left arm
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site warmth, Swelling
Clinical narrative: - Injection site became warm 10 minutes after shot - Underarm became sore 24 hours after shot - Underarm became swollen 40 hours after shot
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Hyperhidrosis
Clinical narrative: 1:32pm - Pt became disoriented for brief moment, diaphoretic. no difficulty breathing , no pain . Transfered to cot , Vitals E/N.  Pt given 2 juice boxes , power bar to eat . Initial symptoms resolved in 5 minutes. Patient remained on cot for 30 min . No facial droop , no arm drift , Neg speech . 1:40 B/ P 120/80, P58 ,RR14 spO2 98%. 2:10 Patient assymptomatic . Sat up with no symptoms . Significant other present to drive patient home . Encouraged to call 911 if symptoms return.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Idiopathic urticaria, Urticaria
Clinical narrative: Severe hives/raised welts on body trunk (stomach, back, sides). Began 6/4/21. Dissipated with Benadryl. Hives continued as moderate to severe from June through August. Saw primary care doctor twice. Went to an allergist in August. The allergist determined there was no correlation of hives to food/contact allergy.  Diagnosed as Idiopathic Urticaria. Currently taking 24 hr Claritin in morning and 24 hr Zyrtec in evening. Hives mostly under control.  Occasional break through hives while on both doses of Claritin and Zyrtec. The allergist's advice is to continue 90 days of allergy medication in hopes hives disappear long term.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Injection site induration, Injection site pruritus
Clinical narrative: The patient felt that the location site of where the vacation was actually given was too low.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer on 4/11 and 5/2. Positive on 9/25
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Fever, chills, extreme muscle aches, headaches, nausea, extreme fatigue and a 12 day period, and inner body trimmer.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: Fever, chills, extreme muscle aches, headaches, nausea, extreme fatigue and a 12 day period, and inner body trimmer.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Hemiparesis, Hypoacusis, Hypoaesthesia, Inappropriate schedule of product administration
Clinical narrative: Vaccinated 1/25/2021 and 2/8/2021.  Diagnosed with Multiple Sclerosis on August 16, 2021.  Never before had experienced symptoms or a relapse.  First-time event.  Spent one week in the hospital when my entire body went numb, weak (predominantly on left), my speech and hearing was impaired.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging, Multiple sclerosis relapse, Scan with contrast, Speech disorder
Clinical narrative: Vaccinated 1/25/2021 and 2/8/2021.  Diagnosed with Multiple Sclerosis on August 16, 2021.  Never before had experienced symptoms or a relapse.  First-time event.  Spent one week in the hospital when my entire body went numb, weak (predominantly on left), my speech and hearing was impaired.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Gave Fluzone HD vaccine to patient who is under 65 years of age. Patient was fine with no adverse events noted.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: sore arm at injection site (minor)
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vial was expired when given.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test, Computerised tomogram, Fall, Renal failure
Clinical narrative: Fell on 07/04/2021. Fell again on 07/05/2021. Fell again on 7/06/2021 eight time. Extreme back pain, thought it was kidney stones.Taken to ER. Admitted to hospital. Diagnosed for kidney failure and septis. After hospital, transfered to in-patient rehab. Now in out patient rehab.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: Fell on 07/04/2021. Fell again on 07/05/2021. Fell again on 7/06/2021 eight time. Extreme back pain, thought it was kidney stones.Taken to ER. Admitted to hospital. Diagnosed for kidney failure and septis. After hospital, transfered to in-patient rehab. Now in out patient rehab.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Myocardial injury
Clinical narrative: Suggestive of Myocardial Damage per ED Provider note,  intubated,  Hospitalization.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal distension, Arthralgia, Diarrhoea, Drainage
Clinical narrative: 03/02/2021- the day of the vaccine-07:28pm arm was sore, minimal headache, 07:34pm weird taste in my mouth, Later in the evening migrating joint pains. 03/03 headaches, occipital headache. 03/04 occipital headache and nasal nasopharynx felt swollen, fatigue. 03/05 nasopharynx still felt weird and clear drainage, more than usual. 03/06 the headaches spread to the front of my head. 03/07 sudden abdominal discomfort, diarrhea, it was just a one time episode and then I was fine. 03/10 headaches on and off all day, seemed worse, and bloating 03/11. Headaches and nausea. 03/16 first day without headaches since the vaccine. I probably got 2 weeks of headaches after that shot. 03/19 weird pressure in the back of my head when I bend forward. After that I stopped getting headaches.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Headache, Nausea, Pain in extremity, Pharyngeal swelling
Clinical narrative: 03/02/2021- the day of the vaccine-07:28pm arm was sore, minimal headache, 07:34pm weird taste in my mouth, Later in the evening migrating joint pains. 03/03 headaches, occipital headache. 03/04 occipital headache and nasal nasopharynx felt swollen, fatigue. 03/05 nasopharynx still felt weird and clear drainage, more than usual. 03/06 the headaches spread to the front of my head. 03/07 sudden abdominal discomfort, diarrhea, it was just a one time episode and then I was fine. 03/10 headaches on and off all day, seemed worse, and bloating 03/11. Headaches and nausea. 03/16 first day without headaches since the vaccine. I probably got 2 weeks of headaches after that shot. 03/19 weird pressure in the back of my head when I bend forward. After that I stopped getting headaches.