chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient began experiencing hives within 5 hours of receiving COVID vaccine #1.  Patient noticed hives on stomach, back, legs, and buttocks. Patient reported them being itchy.  Patient's PCP was notified and a telehealth visit was performed.  Patient's PCP recommended Benadryl every 4-6 hours.  Hives would wane and return for the next 4 days.  Hives were on arms, chest, back, buttocks, and legs throughout the five days.  Patient began Zyrtec on Monday morning and continued Zyrtec through Wednesday.  Allergy was e-consulted to discuss the second dose of the vaccine and if patient should receive it.  Allergy recommended Zyrtec one hour prior to second dose and have PCP prescribe epi-pen in case of more severe reaction.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pityriasis rosea, Pyrexia, Rash
Clinical narrative: Sore Arm, Fever for 3 days, Then at day four a full body rash developed. Sought medical attention from my primary physician, then went to a dermatologist for a second opinion. They both agreed the rash was pityriasis rosea and couldn't confirm whether it was from the vaccine or just a coincidence.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Epistaxis
Clinical narrative: Nose Bleeds
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Food intolerance, Headache, Tinnitus
Clinical narrative: The week after receiving the vaccination on my left arm I began to feel as if my right ear was plugged. I tried using drops thinking that it was ear wax. The plugged feeling continued for the rest of the day and morphed into ringing. The ringing in my ear has intensified through the week. It is worse when I am alone or when it is quiet. I also have a mild headache and have been experiencing food sensitivity. This is all new, I have never experienced anything like this before. I am generally healthy, and never have any physical issues.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding
Clinical narrative: I have severe menstrual problems. Excruciating cramps and heavy bleeding. It started the day after the jab. A lot of women been saying that they had reactions like this and it's not being study which is upsetting.
Age: 12.0
Sex: M
Vaccine: UNK
Symptoms: Dizziness, Nausea
Clinical narrative: Nausea, lightheadedness, no chest pain, no shortness of breath
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Pharmacy administered vaccine that had been refrigerated for over 30 days, max recommended by Moderna. The vaccine lot was placed in the refrigerator on April 13, 2021 and administered on 5/25/21, 42 days after 1st placed there. Pharmacy called Moderna but was given no further information about stability and no recommended course of action. Patient was notified of the event, and there has been no adverse reactions to the vaccine. Pharmacists on staff decided not necessary to revaccinate the patient for that 2nd dose.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: APPROXIMATELY 10 MINUTES OR SO AFTER RECEIVING SECOND DOSE OF MODERNA, PT EXPERIENCED A SEIZURE. PT'S MOTHER WAS NEXT TO THE PATIENT. THE PATIENT REMAINED SEATED IN HER CHAIR THROUGHOUT THE DURATION OF THE SEIZURE.  MOTHER STATED THAT THE PATIENT HAS A HISTORY OF SEIZURES AND IS ON MEDICATION FOR THEM. SHE HAD ALREADY HAD MORNING DOSE AND STILL NEEDED EVENING DOSE. MOTHER DECLINED EMS SERVICES AND TOOK THE PATIENT HOME AFTER A 30 MINUTE OBSERVATION PERIOD AT THE PHARMACY. THE PATIENT WAS CONSCIOUS AND MOVING A FEW MINUTES AFTER THE SEIZURE OCCURRED.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Hyperhidrosis, Skin discolouration
Clinical narrative: about 5 minutes after receiving the pfizer vaccine patient became sweaty and skin got clammy and he felt like he was going to faint. He lost all color to his face. Blood pressure was taken and it was 92/60. We gave him a cold pack on the back of his neck and had him lay down and elevate his feet  and legs. Also got him some cold water to drink. He started to feel better in about 15 minutes after that. We continued to monitor blood pressure about every 5 to 10 minutes and it got to 99/72 and last check was 120/65. He did not want the ambulance or to go to urgent care. We told him to take it easy the rest of day and to have somebody with him til next morning. And then he and his friend left to go to his parents house.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint range of motion decreased, Loss of personal independence in daily activities, Muscular weakness, Musculoskeletal stiffness
Clinical narrative: High fever (103.3) on 2/21/2021 that lasted for 6 hours and stopped with ibuprofen.  Left arm soreness persisted for 3 days and stiffness in the left shoulder became more prevalent.  During the last 3 months, range of motion in the left shoulder has decreased, general weakness in the left arm noted and now there is severe pain in the left shoulder when moved in certain positions.  Large decrease in range of motion.  Can no longer reach across my chest with severe pinching on the top of the left shoulder joint.  Can no longer swing a golf club without severe pain and swing limitations due to range of motion decrease.  I saw my primary care physician last week and he has referred me to an orthopedic doctor.  My appointment is for Monday, June 7th in Stephenville, Texas.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: High fever (103.3) on 2/21/2021 that lasted for 6 hours and stopped with ibuprofen.  Left arm soreness persisted for 3 days and stiffness in the left shoulder became more prevalent.  During the last 3 months, range of motion in the left shoulder has decreased, general weakness in the left arm noted and now there is severe pain in the left shoulder when moved in certain positions.  Large decrease in range of motion.  Can no longer reach across my chest with severe pinching on the top of the left shoulder joint.  Can no longer swing a golf club without severe pain and swing limitations due to range of motion decrease.  I saw my primary care physician last week and he has referred me to an orthopedic doctor.  My appointment is for Monday, June 7th in Stephenville, Texas.
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Mobility decreased
Clinical narrative: Area shot received red, warm to touch, extremely swollen and extremely painful. Cannot lift arm more than halfway to shoulder. Worst vaccination ever received.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Dose wasted due to syringe malfunction. Patient received dose.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: PT RECEIVED DOSE TWO ON DAY 15 INSTEAD OF RECOMMENDED DAY OF 21.  NO SYMPTOMS REPORTED.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Lethargy, Pain, Pyrexia
Clinical narrative: Severe chills, looked like I was having seizures, extreme body aches, fever up to 101.7. Symptoms started within 10 hours of shot. Lasted 24 hours. Extremely lethargic, weak.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody negative, Fatigue, Full blood count abnormal, Headache, Iron deficiency
Clinical narrative: Headaches Persistent Low-Grade Fever (daily for over 4+ weeks) Fatigue Nausea
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Headaches Persistent Low-Grade Fever (daily for over 4+ weeks) Fatigue Nausea
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria, Vaccination site reaction
Clinical narrative: Large hives in the area of ??the vaccine and near the clavicle on the right side.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test, Computerised tomogram abnormal, Nausea, Nephrolithiasis
Clinical narrative: I got kidney stones. I had 2 on the right and one on the left kidney. I got a liter of IV fluid to try to help flush them out and they started me on a new medicine. I went the Emergency room and then had a follow up with my Doctor. It started on 5/27/2021 at 5:15am and I work up with extreme pain on my right side with nausea and vomiting.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Vomiting
Clinical narrative: I got kidney stones. I had 2 on the right and one on the left kidney. I got a liter of IV fluid to try to help flush them out and they started me on a new medicine. I went the Emergency room and then had a follow up with my Doctor. It started on 5/27/2021 at 5:15am and I work up with extreme pain on my right side with nausea and vomiting.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Dose two was on 05/15/2021 also at a covid vaccination site lot 026C21A My daughter has not had a period since right before her first vaccination on 17 Apr (second dose 15 May) and it is currently 2 June and she is NOT pregnant.  I am trying to find a GYN appt for here assap
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, UNK
Symptoms: Cardiac monitoring, Cerebral thrombosis, Computerised tomogram, Echocardiogram, Ischaemic stroke
Clinical narrative: Exactly 5 days after the second dose of the Pfizer covid-19 vaccine, I suffered an ischemic stroke.  There was a blood clot in my brain that was broken up after tPA was administered about 2 hours after the symptoms of the stroke set in. To date (May 30) I have had many tests, including 2 MRIs, CT scans, TEE, heart monitoring etc.    So far, it has been called a "cryptogenic stroke" because there is no cause.  The only thing different was the vaccine I received 5 days before the stroke.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, UNK
Symptoms: Magnetic resonance imaging
Clinical narrative: Exactly 5 days after the second dose of the Pfizer covid-19 vaccine, I suffered an ischemic stroke.  There was a blood clot in my brain that was broken up after tPA was administered about 2 hours after the symptoms of the stroke set in. To date (May 30) I have had many tests, including 2 MRIs, CT scans, TEE, heart monitoring etc.    So far, it has been called a "cryptogenic stroke" because there is no cause.  The only thing different was the vaccine I received 5 days before the stroke.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody negative, Blood thyroid stimulating hormone increased, Blood uric acid normal, Joint stiffness, Joint swelling
Clinical narrative: Her first dose was March 5th and 2nd dose was March 26th.  She developed sharp pain in bilateral hands that radiates up both arms. She has joint welling and stiffness in MCP joints of hands since the first vaccine.  This is new for patient.  Pain is intermittent and she is using naproxen for pain.  She has not followed up since her 5/6/2021 appointment.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity, Rheumatoid factor negative
Clinical narrative: Her first dose was March 5th and 2nd dose was March 26th.  She developed sharp pain in bilateral hands that radiates up both arms. She has joint welling and stiffness in MCP joints of hands since the first vaccine.  This is new for patient.  Pain is intermittent and she is using naproxen for pain.  She has not followed up since her 5/6/2021 appointment.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Discomfort, Headache, Nausea, Pain
Clinical narrative: Severe diarrhea , nausea , severe pain and soreness in left arm , discomfort and headache.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Severe diarrhea , nausea , severe pain and soreness in left arm , discomfort and headache.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Joint effusion, Joint swelling, Sluggishness
Clinical narrative: I was feeling sluggish and tired after the shot. The following week I started having joint pain and fluid on my knee. I went to work and noticed my knee was swollen.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: I was feeling sluggish and tired after the shot. The following week I started having joint pain and fluid on my knee. I went to work and noticed my knee was swollen.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear pain, Eye pain, Feeling of body temperature change, Headache
Clinical narrative: Started a couple hours after I got it Chills I got really hot and really cold and shacking uncontrollable Muscle spasms couldn't hold cup without help All over body and muscles ache. Right arm was sore at the injection site Aching and tingling down arm to hand lasted about 8 hours Second day the shacking had stopped headache and body ache throughout the weekend  A week later started with headaches persistent, still to this day having headache, mainly in back of head at the left side of head going into left ear a pinching and dull pain behind left eye felt like something was poking my eye. Made appt with doctor on the the 26 on muscle relaxers and a steroid  X-ray of cervical spine MRI of brain  taking migraine medication since yesterday 06/01/2021
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Magnetic resonance imaging head, Muscle spasms, Pain, Pain in extremity
Clinical narrative: Started a couple hours after I got it Chills I got really hot and really cold and shacking uncontrollable Muscle spasms couldn't hold cup without help All over body and muscles ache. Right arm was sore at the injection site Aching and tingling down arm to hand lasted about 8 hours Second day the shacking had stopped headache and body ache throughout the weekend  A week later started with headaches persistent, still to this day having headache, mainly in back of head at the left side of head going into left ear a pinching and dull pain behind left eye felt like something was poking my eye. Made appt with doctor on the the 26 on muscle relaxers and a steroid  X-ray of cervical spine MRI of brain  taking migraine medication since yesterday 06/01/2021
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Spinal X-ray, Tremor
Clinical narrative: Started a couple hours after I got it Chills I got really hot and really cold and shacking uncontrollable Muscle spasms couldn't hold cup without help All over body and muscles ache. Right arm was sore at the injection site Aching and tingling down arm to hand lasted about 8 hours Second day the shacking had stopped headache and body ache throughout the weekend  A week later started with headaches persistent, still to this day having headache, mainly in back of head at the left side of head going into left ear a pinching and dull pain behind left eye felt like something was poking my eye. Made appt with doctor on the the 26 on muscle relaxers and a steroid  X-ray of cervical spine MRI of brain  taking migraine medication since yesterday 06/01/2021
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received second dose of Covid vaccine while bedded as inpatient on 5/6/21. The first dose received was Moderna at outside facility on 4/7/21 Lot 044A21A  but the second dose received while bedded as inpatient was Pfizer. Lot EW0158.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient feeling dizzy. Vital signs obtained, offered a drink and snack. Patient declined. Monitored longer and dizziness resolved. Wife drove patient home.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Dyspnoea, Hyperhidrosis, Malaise
Clinical narrative: Within  20 minutes of leaving the clinic I became tachycardia  and diaphoretic.  I began to wheeze and have difficulty breathing. I  used my rescue inhaler immediately.  I began to vomit and have explosive diarrhea  shortly after that.  Later in the day, my temperature was 102.  I took Tylenol for the fever.   By evening, I had severe stomach pain.  I contemplated going to the emergency room but honestly felt too sick to drive.  I had almost the same reaction the 3 times I attempted to take the flu vaccine.  I did go to the ER  the first time I took the flu vaccine.  Following the COVID vaccine, I had diarrhea for approx. 3 days .  I had loose stools for a week.  I was unable to eat anything but crackers for 4 days and was only able to tolerate soda as a fluid..  It took my stomach 6 weeks to return to normal.  I did not take the second vaccine.  I was concerned it would require me to be hospitalized.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tachycardia, Vomiting, Wheezing
Clinical narrative: Within  20 minutes of leaving the clinic I became tachycardia  and diaphoretic.  I began to wheeze and have difficulty breathing. I  used my rescue inhaler immediately.  I began to vomit and have explosive diarrhea  shortly after that.  Later in the day, my temperature was 102.  I took Tylenol for the fever.   By evening, I had severe stomach pain.  I contemplated going to the emergency room but honestly felt too sick to drive.  I had almost the same reaction the 3 times I attempted to take the flu vaccine.  I did go to the ER  the first time I took the flu vaccine.  Following the COVID vaccine, I had diarrhea for approx. 3 days .  I had loose stools for a week.  I was unable to eat anything but crackers for 4 days and was only able to tolerate soda as a fluid..  It took my stomach 6 weeks to return to normal.  I did not take the second vaccine.  I was concerned it would require me to be hospitalized.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Post COVID vaccine the patient had nose itching and history of post allergy shot (shot unknown). Benadryl 25 mg was given which resolved the symptoms. The patient was observed for 30 min and then went home.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: After about 10 minutes of getting vaccine, throat started to swell. Nurses at the site administered Epi pen. Taken to ER via ambulance. Give Benadryl and other medicine that I cannot remember. kept for observation about 4 hours and released.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Paraesthesia, Pruritus
Clinical narrative: systemic itching burning tingling throughout body
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Malaise, Nausea, Pain in extremity, Pyrexia
Clinical narrative: I had a metal taste in my mouth. I did not feel well. I was nauseous. When I came home, I was running a fever. I had a sore arm and my legs hurt. I did not feel good the next few days. Then I had a seizure on that Thursday or Friday. My husband called the ambulance and I went to the emergency room. I've had on and off seizures ever since.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: I had a metal taste in my mouth. I did not feel well. I was nauseous. When I came home, I was running a fever. I had a sore arm and my legs hurt. I did not feel good the next few days. Then I had a seizure on that Thursday or Friday. My husband called the ambulance and I went to the emergency room. I've had on and off seizures ever since.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: GAVE MODERNA VACCINE TO PATIENT UNDER 18.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Groin pain, Pain in extremity, Urine analysis normal
Clinical narrative: That evening  he called me and told me his groin area was hurting and I went over to his house. He said he was having a hard time standing up. His groin and down his leg. He never had complained about it before. I took him to ER Hospital and they checked him out and verbally talked to him. The doctor told him to take Tylenol and told him to go home. He had that pain for about two hours.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: under age
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal stiffness, Pyrexia
Clinical narrative: Stiff arm, current low grade fever 99.7
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Galactostasis, Headache, Nausea, Nipple pain
Clinical narrative: Fever 101.3° (~12 hours), chills and body aches (4 days), nausea (2 days), vomiting (18 hours after vaccination) and  headache (4 days). I am currently breastfeeding. At the same time of the onset of symptoms, I began to experience nipple pain. Within 24 hours, I had 3 large clogged ducts in top side of my left breast. I did not treat the clogs (just nursed the baby normally) and the clogs completely disappeared when the other vaccine side effects disappeared.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Fever 101.3° (~12 hours), chills and body aches (4 days), nausea (2 days), vomiting (18 hours after vaccination) and  headache (4 days). I am currently breastfeeding. At the same time of the onset of symptoms, I began to experience nipple pain. Within 24 hours, I had 3 large clogged ducts in top side of my left breast. I did not treat the clogs (just nursed the baby normally) and the clogs completely disappeared when the other vaccine side effects disappeared.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was under the age of 18 at time of admininstration.  No  vaccine related symptoms experienced
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: GAVE MODERNA VACCINE TO PATIENT UNDER 18.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Injection site pain, Nausea
Clinical narrative: Scale of 1-10. 10 being severe. 1:30 am joint pain, 5; site tenderness, 4; nausea, 3. Joint pain lessened by 12 pm on 06/02. Nausea worsened all day on 06/02. Loose stools 11 times that same day.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular hyperaemia, Photophobia, Vision blurred
Clinical narrative: My eyes became very blood shot, blurry vision, light sensitive for a couple weeks now.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Intermenstrual bleeding, Pregnancy test negative, Sexually transmitted disease test
Clinical narrative: Been receiving severe abdominal pain, lower back pain and spotting exactly 1 week prior to when my period is supposed to start.   This started when I received my first COVID vaccine, and has continued for two period cycles.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Dyspnoea, Headache, Heart rate increased
Clinical narrative: 11:55am-10 minutes after receiving the vaccine patient complained of "heart beating a little fast, SOB and feeling woozy".  Ambulance was called.  BP-115/72, pulse 88, pulse ox 99%, resp 14.  11:59am- LPN administered one 81 mg chewable aspirin per Dr's request.  BP 124/72, pulse 83, pulse ox 99%, resp 14.  11:58am-IV started with NS at KVO per RN.  O2 per NC at 2L.  Patient c/o neck, left shoulder and head pain.  12:10pm-81 mg chewable aspirin given per Dr's orders.  Ambulance arrived and patient transported to Hospital.  Husband notified to meet patient at hospital.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: 11:55am-10 minutes after receiving the vaccine patient complained of "heart beating a little fast, SOB and feeling woozy".  Ambulance was called.  BP-115/72, pulse 88, pulse ox 99%, resp 14.  11:59am- LPN administered one 81 mg chewable aspirin per Dr's request.  BP 124/72, pulse 83, pulse ox 99%, resp 14.  11:58am-IV started with NS at KVO per RN.  O2 per NC at 2L.  Patient c/o neck, left shoulder and head pain.  12:10pm-81 mg chewable aspirin given per Dr's orders.  Ambulance arrived and patient transported to Hospital.  Husband notified to meet patient at hospital.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness, Seizure, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild, Additional Details: Patient appeared to have short (<1min) seizure approximately 5 minutes after having COVID vaccine administered. She woke up, eventually alert and oriented. EMS was called and responded to call. She refused ER visit stating she was feeling fine, just a little shook up.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure measurement, Blood test, Cardiomegaly, Chest pain, Dyspnoea
Clinical narrative: Went to the ER experiencing chest pain 2 weeks after my second shot. Was told my heart is enlarged and was diagnosed with pericarditis. I am experiencing shortness of breath and exhaustion.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Heart rate, Pericarditis, Thyroid function test
Clinical narrative: Went to the ER experiencing chest pain 2 weeks after my second shot. Was told my heart is enlarged and was diagnosed with pericarditis. I am experiencing shortness of breath and exhaustion.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Went to the ER experiencing chest pain 2 weeks after my second shot. Was told my heart is enlarged and was diagnosed with pericarditis. I am experiencing shortness of breath and exhaustion.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Electrocardiogram abnormal, Laboratory test, Myocardial infarction
Clinical narrative: Massive Heart Attack resulting in death.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Mouth ulceration, Nausea
Clinical narrative: At 12 Hours Post-Vaccination the following adverse effects were experienced for approximately 48 hours: Moderate Fever, Severe Fatigue, Moderate Chills, Moderate Body Aches, Mild Nausea, Mild Headache  Onset 3 Days Post-Vaccination: Mouth and Tongue Ulcers
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Tongue ulceration
Clinical narrative: At 12 Hours Post-Vaccination the following adverse effects were experienced for approximately 48 hours: Moderate Fever, Severe Fatigue, Moderate Chills, Moderate Body Aches, Mild Nausea, Mild Headache  Onset 3 Days Post-Vaccination: Mouth and Tongue Ulcers
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Immediate post-injection reaction
Clinical narrative: Felt dizzy immediately post vaccination (same thing happened after the first dose) Patient stated she felt anxious  about vaccine, felt dizzy and wanted blood pressure checked. Patient was given water, symptoms resolved within several minutes Discharged to home with son
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Confusional state, Dizziness, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Chills-Mild, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Chills-Mild, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient presented at the pharmacy asking to receive his Moderna Covid-19 immunization.  Patient stated it was his first shot.  Moderna vaccine administration was billed through Medicare.  Vaccine was administered to patient.  Patient was monitored for 15 minutes with no apparent reaction.  When pharmacy technician attempted to add the vaccination information, it was discovered that patient had 2 previous Moderna Covid-19 vaccines reported on 2/11/2021 and 3/11/2021.   Dr. was notified of the 3rd dose administered.  Nurse stated she would report it.  Called and left a message with the patient to call.  No return call has been received at this time.
Age: 60.0
Sex: M
Vaccine: UNK
Symptoms: Cardiomyopathy
Clinical narrative: cardiomyopathy
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient was given 0.5mL of Janssen vaccine IM into her right deltoid muscle.  Post vaccine patient, fainted during the 15 minute wait period.  She was promptly attended to, and did not exhibit signs of anaphylaxis.  EMS came to assess patient even though she felt "completely normal" after she fainted.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Echocardiogram, Hemiparesis, Ischaemic stroke, Magnetic resonance imaging head abnormal
Clinical narrative: Approximately 24 hours after receiving second Moderna vaccine patient developed right sided weakness which prompted a trip to the emergency room. There a head CT was performed and was negative. Patient was then admitted for further testing and a MRI of the brain performed the following day reveled a acute ischemic stroke.  Patient was discharged to acute patient rehab and symptoms improved but have not resolved.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging neck
Clinical narrative: Approximately 24 hours after receiving second Moderna vaccine patient developed right sided weakness which prompted a trip to the emergency room. There a head CT was performed and was negative. Patient was then admitted for further testing and a MRI of the brain performed the following day reveled a acute ischemic stroke.  Patient was discharged to acute patient rehab and symptoms improved but have not resolved.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Nervousness
Clinical narrative: Patient slumped over in waiting chair shortly after vaccination. Felt like he was going to pass out he said, he got really sweaty and a little shaky. He slumped over twice for about 3 seconds each time, but he was easily woken up and was able to tell me his name. His  symptoms lasted about 15 minutes after his vaccination. He drank some water and had some candy. He felt much improved.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, Asthenia, Blood electrolytes normal, Blood lactic acid, COVID-19
Clinical narrative: 4/28/21 Pt presented to the ED with complaints of a cough that started 2 weeks ago and was getting worse and weakness with several falls. She also admitted to intermittent diarrhea. She was found to be febrile with a temp to 101.1, tachypneic w/RR of 20. Sats were in the low 90's. NP was was positive for SARS-CoV-2. CXR showed bilateral opacities and she was admitted for PNA and sepsi. She was given Rocephin and Z-max in ED and both were discontinued upon admission. She was started on Decadron in ED  4/30 she had increasing hypoxemia and was placed on a non rebreather. She was transferred to critical care and given tocilizumab. Her respiratory status continued to worsen and she was intubated. She subsequently developed a pneumothorax that persisted despite 2 chest tubes. She developed a large air leak and she was not a surgical candidate. Family ultimately decided to w/draw care on 5/15/21
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest tube insertion, Cough, Diarrhoea, Endotracheal intubation
Clinical narrative: 4/28/21 Pt presented to the ED with complaints of a cough that started 2 weeks ago and was getting worse and weakness with several falls. She also admitted to intermittent diarrhea. She was found to be febrile with a temp to 101.1, tachypneic w/RR of 20. Sats were in the low 90's. NP was was positive for SARS-CoV-2. CXR showed bilateral opacities and she was admitted for PNA and sepsi. She was given Rocephin and Z-max in ED and both were discontinued upon admission. She was started on Decadron in ED  4/30 she had increasing hypoxemia and was placed on a non rebreather. She was transferred to critical care and given tocilizumab. Her respiratory status continued to worsen and she was intubated. She subsequently developed a pneumothorax that persisted despite 2 chest tubes. She developed a large air leak and she was not a surgical candidate. Family ultimately decided to w/draw care on 5/15/21
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Full blood count normal, Glycosylated haemoglobin increased, Hypoxia, Influenza A virus test negative
Clinical narrative: 4/28/21 Pt presented to the ED with complaints of a cough that started 2 weeks ago and was getting worse and weakness with several falls. She also admitted to intermittent diarrhea. She was found to be febrile with a temp to 101.1, tachypneic w/RR of 20. Sats were in the low 90's. NP was was positive for SARS-CoV-2. CXR showed bilateral opacities and she was admitted for PNA and sepsi. She was given Rocephin and Z-max in ED and both were discontinued upon admission. She was started on Decadron in ED  4/30 she had increasing hypoxemia and was placed on a non rebreather. She was transferred to critical care and given tocilizumab. Her respiratory status continued to worsen and she was intubated. She subsequently developed a pneumothorax that persisted despite 2 chest tubes. She developed a large air leak and she was not a surgical candidate. Family ultimately decided to w/draw care on 5/15/21
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Intensive care, Lung infiltration, Lung opacity, Oxygen saturation decreased
Clinical narrative: 4/28/21 Pt presented to the ED with complaints of a cough that started 2 weeks ago and was getting worse and weakness with several falls. She also admitted to intermittent diarrhea. She was found to be febrile with a temp to 101.1, tachypneic w/RR of 20. Sats were in the low 90's. NP was was positive for SARS-CoV-2. CXR showed bilateral opacities and she was admitted for PNA and sepsi. She was given Rocephin and Z-max in ED and both were discontinued upon admission. She was started on Decadron in ED  4/30 she had increasing hypoxemia and was placed on a non rebreather. She was transferred to critical care and given tocilizumab. Her respiratory status continued to worsen and she was intubated. She subsequently developed a pneumothorax that persisted despite 2 chest tubes. She developed a large air leak and she was not a surgical candidate. Family ultimately decided to w/draw care on 5/15/21
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pneumothorax, Procalcitonin increased, Pulmonary air leakage, Pulmonary oedema
Clinical narrative: 4/28/21 Pt presented to the ED with complaints of a cough that started 2 weeks ago and was getting worse and weakness with several falls. She also admitted to intermittent diarrhea. She was found to be febrile with a temp to 101.1, tachypneic w/RR of 20. Sats were in the low 90's. NP was was positive for SARS-CoV-2. CXR showed bilateral opacities and she was admitted for PNA and sepsi. She was given Rocephin and Z-max in ED and both were discontinued upon admission. She was started on Decadron in ED  4/30 she had increasing hypoxemia and was placed on a non rebreather. She was transferred to critical care and given tocilizumab. Her respiratory status continued to worsen and she was intubated. She subsequently developed a pneumothorax that persisted despite 2 chest tubes. She developed a large air leak and she was not a surgical candidate. Family ultimately decided to w/draw care on 5/15/21
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sepsis, Tachypnoea
Clinical narrative: 4/28/21 Pt presented to the ED with complaints of a cough that started 2 weeks ago and was getting worse and weakness with several falls. She also admitted to intermittent diarrhea. She was found to be febrile with a temp to 101.1, tachypneic w/RR of 20. Sats were in the low 90's. NP was was positive for SARS-CoV-2. CXR showed bilateral opacities and she was admitted for PNA and sepsi. She was given Rocephin and Z-max in ED and both were discontinued upon admission. She was started on Decadron in ED  4/30 she had increasing hypoxemia and was placed on a non rebreather. She was transferred to critical care and given tocilizumab. Her respiratory status continued to worsen and she was intubated. She subsequently developed a pneumothorax that persisted despite 2 chest tubes. She developed a large air leak and she was not a surgical candidate. Family ultimately decided to w/draw care on 5/15/21
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Dyspnoea, Lower respiratory tract infection, Lung disorder, Nasal mucosal discolouration
Clinical narrative: Persistent chest infection, difficulty breathing, (started two weeks after vaccine), given antibiotic (refused to take), 3 weeks of orange mass of stringy mucus (very unusual and severe), symptoms almost exclusively left side, steroid inhalants, inhaled iodine spray (seemed to help significantly)
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Supraventricular tachycardia
Clinical narrative: Went for a light run about 3 hours after the vaccine. Had heart palpitations while running. Upon walking the rest of the way home, sat down and had a bout of SVT where heart rate went to 210 for about a minute.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: under age
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Dyspnoea, Productive cough, SARS-CoV-2 test negative, Vaccine positive rechallenge
Clinical narrative: Pt was advised by extenral PCP to call call center and report side effects experienced after both doses of Pfizer vaccine. Pfizer 1st dose 3/26 (Pfizer ER8730) only slight cough Pfizer 2nd dose 4/16: now intensified, chronic productive cough, light yellow sputum and ""SOB from coughing so much."" Pt reached out  To PCP, was given abx and codeine. Pt reports no improvement. Pt had chest xray & COVID testing, all negative. Pt denied emergency symptoms at time of call. Pt has appt to f/u with PCP
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blister, Herpes zoster, Neck pain
Clinical narrative: Developed shingles on left hand near palm one week after second dose of Moderna vaccine.  Sharp pain (like a pinched nerve) in left shoulder, neck and hip.  Blisters partially scabbed by the time treatment was sought at urgent care center a week later.  No treatment provided but self-diagnosis confirmed.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on torso and legs
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Blood pressure increased, Chest pain, Dizziness, Presyncope
Clinical narrative: Patient reports sharp pain in left upper chest area and into the under arm area and reports she may pass out. Patient had a vasovagal syncope episode followed by vomiting. After 30 mins of resting, she reports she was no longer lightheaded or nauseous. Chest pain resolved. Patient does report headache at departure. 12:53 - BP 152/82, P-73, R-20, Pulse Ox-97%. 13:00 - BP 140/80, P-87, R-20, Pulse Ox-100%. 13:10 - 122/78.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient reports sharp pain in left upper chest area and into the under arm area and reports she may pass out. Patient had a vasovagal syncope episode followed by vomiting. After 30 mins of resting, she reports she was no longer lightheaded or nauseous. Chest pain resolved. Patient does report headache at departure. 12:53 - BP 152/82, P-73, R-20, Pulse Ox-97%. 13:00 - BP 140/80, P-87, R-20, Pulse Ox-100%. 13:10 - 122/78.
Age: 39.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Urticaria
Clinical narrative: Hives on face
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Coordination abnormal, Electric shock sensation, Energy increased, Fatigue
Clinical narrative: Same day as vaccine, felt adrenaline rush, heightened level of energy the rest of the afternoon and evening. Two days following vaccine, I experienced some muscle coordination issues, dropping things, neurologically felt out of balance and slightly intoxicated. Explained to friends and family that I felt weird and not right in the head. Tiredness followed through next week, followed by extreme sensitivity to loud or high pitched noise. Started having multiple "brain zaps" or "brain fades" where I temporarily felt a rush of brief black, tunnel vision space, followed by panic attack ... left ear ringing at immediate onset. 10 days post vaccine, I had 6 hour episode of intense ringing in left ear. It subsided some and I slept well, very tired the next day. Scheduled appointments with my neurologist and ENT. Episodes resulted in tiredness/fatigue.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Hyperacusis, Panic attack, Tinnitus, Tunnel vision
Clinical narrative: Same day as vaccine, felt adrenaline rush, heightened level of energy the rest of the afternoon and evening. Two days following vaccine, I experienced some muscle coordination issues, dropping things, neurologically felt out of balance and slightly intoxicated. Explained to friends and family that I felt weird and not right in the head. Tiredness followed through next week, followed by extreme sensitivity to loud or high pitched noise. Started having multiple "brain zaps" or "brain fades" where I temporarily felt a rush of brief black, tunnel vision space, followed by panic attack ... left ear ringing at immediate onset. 10 days post vaccine, I had 6 hour episode of intense ringing in left ear. It subsided some and I slept well, very tired the next day. Scheduled appointments with my neurologist and ENT. Episodes resulted in tiredness/fatigue.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Same day as vaccine, felt adrenaline rush, heightened level of energy the rest of the afternoon and evening. Two days following vaccine, I experienced some muscle coordination issues, dropping things, neurologically felt out of balance and slightly intoxicated. Explained to friends and family that I felt weird and not right in the head. Tiredness followed through next week, followed by extreme sensitivity to loud or high pitched noise. Started having multiple "brain zaps" or "brain fades" where I temporarily felt a rush of brief black, tunnel vision space, followed by panic attack ... left ear ringing at immediate onset. 10 days post vaccine, I had 6 hour episode of intense ringing in left ear. It subsided some and I slept well, very tired the next day. Scheduled appointments with my neurologist and ENT. Episodes resulted in tiredness/fatigue.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hip arthroplasty, Influenza, Malaise
Clinical narrative: SEVERE FLU SYMPTOMS; HEADACHE, DIZZY, HIP/MUSCLE PAIN , NAUSEA, AND MALAISE X 2.5 WKS. DID CONTACT PCP AND WAS TOLD SHE WOULD HAVE TO 'RIDE IT OUT'.  HAS MEDS FOR PAIN, DIZZYNESS AND NAUSEA. STATES SHE DOES FEEL A LITTLE BETTER NOW.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea
Clinical narrative: SEVERE FLU SYMPTOMS; HEADACHE, DIZZY, HIP/MUSCLE PAIN , NAUSEA, AND MALAISE X 2.5 WKS. DID CONTACT PCP AND WAS TOLD SHE WOULD HAVE TO 'RIDE IT OUT'.  HAS MEDS FOR PAIN, DIZZYNESS AND NAUSEA. STATES SHE DOES FEEL A LITTLE BETTER NOW.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 4 inches x 3.5 inches x 0.8 inch high swelling of thigh with surrounding erythema on vaccine site
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram, Facial paralysis, Headache, Hypoaesthesia oral
Clinical narrative: Headaches started the following day (1 May 21) treated with Advil. On May 18th developed numbness in the left side of mouth. On May 19th developed paralysis on the left side of face. Went to ER, where they diagnosed it as Bell's Palsy. Treatment given Valacyclovir 1 gram tablet 3 times per day for 7 days. Prednisone 20mg 3 tablets once a day for 7 days. After those next treatment was methylprednisolone 4 MG DSPK pack with 40mg Pepcid twice a day and Benadryl at night
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Body temperature increased, Cough, Fatigue, Pain
Clinical narrative: patient called health system call center. pt c/o generalized body pain,feling tired started 5/1/2021(saturday) midnight after she got ist dose covid vaccine on 05/01 morning time. Pt denies emergency sx at this time. Noted temp 100.7F stated by pt. Also c/o slight dry cough,runny nose,sore throat and loss of taste. Scheduled earliest available UC MD telephone appt  for further consult and evaluation. told pt to go to nearest ED/call 911 if any medical emergency arises,pt verbalized understanding.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: patient called health system call center. pt c/o generalized body pain,feling tired started 5/1/2021(saturday) midnight after she got ist dose covid vaccine on 05/01 morning time. Pt denies emergency sx at this time. Noted temp 100.7F stated by pt. Also c/o slight dry cough,runny nose,sore throat and loss of taste. Scheduled earliest available UC MD telephone appt  for further consult and evaluation. told pt to go to nearest ED/call 911 if any medical emergency arises,pt verbalized understanding.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: VACCINE ADMINISTRATION WAS GIVEN WITH A 5/8" NEEDLE.  A 1" NEEDLE SHOULD HAVE BEEN USED.   PATIENT WAS CONTACTED TWO DAYS LATER.  PATIENT HAD NO ADVERSE EFFECTS FROM THE SHORTER NEEDLE.   PATIENT FELT WELL AND HAD NO COMPLAINTS.
Age: 89.0
Sex: F
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: Patient has not reported any signs or symptoms of side effects since vaccine was given.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Cough, Diarrhoea, Dyspnoea, Fatigue
Clinical narrative: Shortness of Breath, cough, no taste, symptoms started Sunday afternoon, had send out covid on Monday was neg, (rapid was positive) pt has had both covid shots ? Nausea ? Fever ? Fatigue ? Headache ? Diarrhea Patient is on Rituximab and received doses on 5/12 and 5/29. which was 5 weeks after finishing vaccine.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nausea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Shortness of Breath, cough, no taste, symptoms started Sunday afternoon, had send out covid on Monday was neg, (rapid was positive) pt has had both covid shots ? Nausea ? Fever ? Fatigue ? Headache ? Diarrhea Patient is on Rituximab and received doses on 5/12 and 5/29. which was 5 weeks after finishing vaccine.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Pyrexia
Clinical narrative: 100.2 fever, body aches, sore injection site.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Hypoaesthesia, Pain in extremity
Clinical narrative: On 5/3/2021, patient called hospital call center to report side effects experienced 4/17 from 1st dose Pfizer vaccine. Patient denied emergency symptoms at time of call. Patient only wanted to report symptoms experienced in the past. Advised by PCP to report side effects. 3 days after 1st dose Pfizer vaccine on 4/13, patient reported having pain and numbness in both arms and hands, pain in legs after walking and chest pain. Patient states he did not seek emergency attention on 4/17, but later scheduled an appointment with his outside PCP. Patient underwent blood tests and reports being prescribed a stronger dose of Ibuprofen for 2 weeks.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Injection site pain, Joint range of motion decreased, Pain, Sleep disorder
Clinical narrative: My left arm was sore after the injection, which was to be expected. I drank plenty of fluids and engaged in gentle stretching exercises to help mitigate the soreness. However, as time has progressed, my left arm is in constant pain. I have limited ROM secondary to this. My strength has greatly diminished in this arm because it hurts to lift things or move things like I used to do. The constant pain is dull and achy by the injection site. If I try to lift my arm up, work out, lift anything? The pain turns into a sharp pain that radiates from the injection site and shoots up my arm into my neck. Some nights, if I roll over onto my left side while sleeping, the pain will wake me up. It never goes away and it is quite annoying. If I try to rub or massage the area, it feels bruised and is extremely painful. It makes it difficult to perform my job at times (RN).  It feels like muscle or nerve damage.