chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity
Clinical narrative: Received vaccine in left deltoid on day 1.  No immediate adverse reaction.  On day 3, woke up with moderate fatigue, spent most of the day sleeping.  On day 4, woke up with severe headache and severe fatigue.  Slept most of the day.   Woke up in afternoon/early evening of day 4 with sore left arm and shoulder.  Could not lift arm beyond 45 degrees.  By day 5, having joint pain all over, especially in shoulders, hips, and knees.  Severe fatigue continuing.  Mild muscle aches now present.  By day 7, fatigue is essentially resolved, muscle aches resolved, headache resolved, and joint pain resolved except for left shoulder.  Now on day 32, continue to have mild to moderate left shoulder pain with inability to raise arm.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chills, Cough, Dyspnoea, Full blood count
Clinical narrative: fever, chills, cough, shortness of breath
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, White blood cell count increased
Clinical narrative: fever, chills, cough, shortness of breath
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Vaccine Administration error.  It is suspected that a 1/2 " needle syringe was used instead of a 1" needle syringe.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: The injection site, 8 days  after the shot is a red/warm/hard oval lump about 3" long and 2" wide.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Severe muscle pain at site of injection. Severe muscle pain developed in leg calves 36 hours after injection. In layman terms my arm feels like It got punched in the same spot repeatedly And each of my legs feel like The after effects Pains of having had the most severe charley horse ever.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Headache, Pain, Pyrexia
Clinical narrative: She reports fever of 101.5, body aches, headache, sick to stomach
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride decreased, Blood electrolytes normal, Blood potassium decreased, Chest X-ray, Chest pain
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: One day after vaccination, patient presented to the emergency department with substernal chest pain and shortness of breath. History significant for COVID-19 "a few months ago".  Initialy patient felt fatigued with muscle aches and fevers that were "worse than COVID itself".  No cough, nausea, vomiting, abdominal pain, or rash reported. Initial vital signs: pulse 81 beats per minute, blood pressure 117/82 mmHg, temperature 36.7 degrees celsius, respiratory rate 18 breaths per minute, and oxygen saturation 97%.  Patient observed, administered potassium and ketorolac, and symptoms resolved. Vitals remained within normal ranges and patient discharged home ambulatory and stable.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram normal, Fatigue, Fibrin D dimer normal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: One day after vaccination, patient presented to the emergency department with substernal chest pain and shortness of breath. History significant for COVID-19 "a few months ago".  Initialy patient felt fatigued with muscle aches and fevers that were "worse than COVID itself".  No cough, nausea, vomiting, abdominal pain, or rash reported. Initial vital signs: pulse 81 beats per minute, blood pressure 117/82 mmHg, temperature 36.7 degrees celsius, respiratory rate 18 breaths per minute, and oxygen saturation 97%.  Patient observed, administered potassium and ketorolac, and symptoms resolved. Vitals remained within normal ranges and patient discharged home ambulatory and stable.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Myalgia, Pyrexia, Sinus rhythm, Troponin normal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: One day after vaccination, patient presented to the emergency department with substernal chest pain and shortness of breath. History significant for COVID-19 "a few months ago".  Initialy patient felt fatigued with muscle aches and fevers that were "worse than COVID itself".  No cough, nausea, vomiting, abdominal pain, or rash reported. Initial vital signs: pulse 81 beats per minute, blood pressure 117/82 mmHg, temperature 36.7 degrees celsius, respiratory rate 18 breaths per minute, and oxygen saturation 97%.  Patient observed, administered potassium and ketorolac, and symptoms resolved. Vitals remained within normal ranges and patient discharged home ambulatory and stable.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain
Clinical narrative: Abdominal pain for 3 days and then better
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Fever- 22:00- TX- NSAID Muscle aches- 19:00
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: Ears erythema and itching
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Skin swelling, Skin warm
Clinical narrative: Circled area of redness, warmth and slight swelling,  measures 6.25cm x 9 cm.  onset 1/20/21.  Area less red on 1/22/21 and more yellow reddish on 1/22/21 remains about the same size over the three days.  Treated with ice packs TID
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure abnormal, Dysgeusia, Headache
Clinical narrative: Severe H/A, metallic taste, BP 252/104, HR 104, Her BP returned to normal in a very short time.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: delayed reaction 8 days after receiving vaccine. Local erythema, swelling and itching without signs of infection. Pt has not taken any medications at this time, but we are going to have her take benadryl to see if helps. no systemic symptoms.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site erythema, Injection site pruritus, Injection site urticaria, Lymph node pain
Clinical narrative: Moderna COVID-19 Vaccine EUA. 01/21/21: Patient called to report adverse side effects following receipt of Moderna COVID-19 vaccine on January 13, 2021, 15:15. 01/18/21, evening: Patient reported left under arm pain ("armpit"), and lymph node pain. 01/20/21: Pain continued of the left underarm, vaccination site redness , inflammation, itchy hives and skin hot to touch (vaccination site). 01/21/21: late am-early pm, symptoms continued (01/18, and 01/20/21), and patient noted shooting pain down the left arm and called to report and seek further guidance. Patient advised to call primary care physician for evaluation, and use cool compress 10-15 minutes per hour (vaccination site on the arm).  01/22/21: called patient to obtain follow-up information and status of vaccine side effects. Patient went to Urgent Care on 1/21/21, pm, prescribed Zyrtec, Ibuprofen, and use ice at vaccine site.  Return if symptoms worsen. Patient reported redness and itching have decreased, still has pain under the arm and skin is hot to touch. No additional side effects or adverse events reported. Patient also shared that she has experienced similar symptoms following bee stings.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Vaccination site inflammation, Vaccination site warmth
Clinical narrative: Moderna COVID-19 Vaccine EUA. 01/21/21: Patient called to report adverse side effects following receipt of Moderna COVID-19 vaccine on January 13, 2021, 15:15. 01/18/21, evening: Patient reported left under arm pain ("armpit"), and lymph node pain. 01/20/21: Pain continued of the left underarm, vaccination site redness , inflammation, itchy hives and skin hot to touch (vaccination site). 01/21/21: late am-early pm, symptoms continued (01/18, and 01/20/21), and patient noted shooting pain down the left arm and called to report and seek further guidance. Patient advised to call primary care physician for evaluation, and use cool compress 10-15 minutes per hour (vaccination site on the arm).  01/22/21: called patient to obtain follow-up information and status of vaccine side effects. Patient went to Urgent Care on 1/21/21, pm, prescribed Zyrtec, Ibuprofen, and use ice at vaccine site.  Return if symptoms worsen. Patient reported redness and itching have decreased, still has pain under the arm and skin is hot to touch. No additional side effects or adverse events reported. Patient also shared that she has experienced similar symptoms following bee stings.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Delayed reaction of a Rash at injection site.  Itchy and hot to touch.  About four inches by four inches circular.
Age: 18.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Exposure during pregnancy, No adverse event
Clinical narrative: Patient is pregnant at 33 weeks and 2 days, this is her first pregnancy.  Estimated date of delivery
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth, Rash papular
Clinical narrative: Day 9 - itchy spot on injection site Day 10 - large area on arm red and hot to touch, no pain, took Benadryl Day 11 - red spot getting larger and darker, no pain, took Benadryl Day 12 - red spot redder than previously with raised edges, hot to touch, took Benadryl  Day 13 - adding slightly Day 14 - faded overnight
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Eye pruritus, No adverse event, Pruritus, Urticaria
Clinical narrative: The Patient is a 34 year old female.  The patient is a 34 yo female with a history of hypothyroidism who received Pfizer Covid vaccine on 16 DEC (lot #EK5730) after work. She experienced no immediate adverse effects other than about 5 minutes after vaccine receipt she experienced a sensation of ' blood rushed to my ears.' No dizziness or syncope occurred. She had no oral/face/throat/tongue swelling, no urticaria, pruritis, SOB, Wheezing, dypsnea, cough, CP, n/v/d. The following morning she awoke with pruritus to eyes, face, and urticaria to arms, thighs, chest, face and head. She was treated with 8 mgs of decadron and a dose pack. The symptoms abated. The following morning she experienced recurrence which improved with next steroid dose. She took benadryl that night. Symptoms have continued to recur as steroid wanes.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: 12/24 Vaccination Thursday after, 12/30th, I woke up. Felt arm was itchy. Large, oval shaped, size of a baseball red mark. Slightly raised, warm, very itchy. The redness spread when itching, spread with welts on upper torso. Lasted for 4days. I tried anticortisone cream but didn't help.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 12/24 Vaccination Thursday after, 12/30th, I woke up. Felt arm was itchy. Large, oval shaped, size of a baseball red mark. Slightly raised, warm, very itchy. The redness spread when itching, spread with welts on upper torso. Lasted for 4days. I tried anticortisone cream but didn't help.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Feeling abnormal, Feeling hot, Heart rate increased
Clinical narrative: Pt sat down after vaccination and within about 5 minutes she alerted the observer that she felt like she was "floating," dizzy, hot, racing pulse, light headed. EMS and paramedic alerted. took pt's VS. HR 80 BP 111/65 96% RR 18 . EMS arrived, they did their evaluation. Pt reported she was feeling better, wanted a coca cola. Pt waited in observation for an addition 30 minutes with no other symptoms noted. Pt signed refusal with EMS to be transported to the ED. Pt's daughter was present and suspects the pt had not felt well due to wearing a mask. Pt was given precautions to return to the ED by EMS.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Left arm around injection site became sore morning of 1/21/21, small (approx 1 inch) area became red shortly after, which expanded to approx 6 inches in length and 4 inches in width appearing as a red rash on the left arm. Arm became increasingly sore throughout the day. Morning of 1/22/21, redness had spread less than 1 inch bigger, still sore and itchy.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dysgeusia, Pyrexia, Tongue blistering
Clinical narrative: Ran a fever for 24 hours, joint pain, metallic taste in mouth x 4 days and blisters on tongue.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Pain at site of injection on the day following.  The pain only lasted 1 day
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Rash macular
Clinical narrative: red blotch at injection site, sore,  hot to touch ongoing through 01/21/2021 Date of Onset: 01/11/2021
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Pain, Pain in extremity
Clinical narrative: -Pain in arm occurred day after 1st dose. Pain so bad that was unable to touch arm or lift water cup without some pain. ~95% resolved by second day -Headache day after first dose. Still occurring at day 2 after vaccine -Diarrhea day of first dose to today. Still occurring
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site pruritus
Clinical narrative: Extremely Fatigued, Muscle aches all over, fever, chills, headache, runny nose, injection site red, swollen and itchy
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Myalgia, Pyrexia, Rhinorrhoea
Clinical narrative: Extremely Fatigued, Muscle aches all over, fever, chills, headache, runny nose, injection site red, swollen and itchy
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Hypoaesthesia, Peripheral swelling
Clinical narrative: Bilateral swollen forearms, numbness on left fingers, chest tightness; seen & cleared by EMS. Due to past medical history of asbestos lungs, client instructed to go to emergency room
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site urticaria
Clinical narrative: 1 week after injection, developed hives and severe itchiness at the site of injection.  Treated with OTC cortisone creme, resolved after 48  hours
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Bilevel positive airway pressure, Chest discomfort, Condition aggravated, Cough, Dyspnoea
Clinical narrative: HPI from ED: 57-year-old male with history of reactive airway disease, T2DM, OSA presenting with shortness of breath.  Patient states 2 days ago, he had to take his dog to the vet, and they accidentally ran away; he had to run "full tilt" to catch it, which caused him to become acutely short of breath.  Since then, he has had worsening difficulty breathing with any type of exertion, progressing today to dyspnea at rest.  He has been using albuterol several times per day (3-4 times today), as well as his BiPAP machine that he uses for OSA, during the day without relief.  Denies chest pain, though he has chest tightness associated with difficulty breathing.  History of similar difficulty breathing with exertion during the winter, but never this bad; has not been hospitalized or intubated for RAD.  Got his second COVID vaccine 3 days ago, after which he had fevers, now resolved.  Denies recent antibiotics; no history of COPD, slight cough today, not productive of sputum, no hemoptysis.  Reports a month of right leg swelling; has a history of prior right knee surgeries; no posterior calf pain, no acute changes; no history of VTE, no history of cancer, no hemoptysis, no recent procedures/surgeries/immobilizations.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea at rest, Dyspnoea exertional, Pyrexia
Clinical narrative: HPI from ED: 57-year-old male with history of reactive airway disease, T2DM, OSA presenting with shortness of breath.  Patient states 2 days ago, he had to take his dog to the vet, and they accidentally ran away; he had to run "full tilt" to catch it, which caused him to become acutely short of breath.  Since then, he has had worsening difficulty breathing with any type of exertion, progressing today to dyspnea at rest.  He has been using albuterol several times per day (3-4 times today), as well as his BiPAP machine that he uses for OSA, during the day without relief.  Denies chest pain, though he has chest tightness associated with difficulty breathing.  History of similar difficulty breathing with exertion during the winter, but never this bad; has not been hospitalized or intubated for RAD.  Got his second COVID vaccine 3 days ago, after which he had fevers, now resolved.  Denies recent antibiotics; no history of COPD, slight cough today, not productive of sputum, no hemoptysis.  Reports a month of right leg swelling; has a history of prior right knee surgeries; no posterior calf pain, no acute changes; no history of VTE, no history of cancer, no hemoptysis, no recent procedures/surgeries/immobilizations.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Developed Itching 20  minutes post-vaccination. Administered 50mg PO Diphenhydramine Capsule. Observed for additional 30 minutes. Symptoms improved.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Chills, headache, bodyaches, fever
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: HEADACHES AND FEVER T 101
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Sore injection site began 24 hours after injection.  Swelling and redness at injection site. Also began then.  Sore shoulders developed on that day as well. 36 to 40 hours after injection I developed swollen lymph nodes under left arm.  They diminished after 24 hours.  Injection site began itching about 4 days after injection.  All have gone away by 7 days with the exception of the injection site.  9 days after injection it is still slightly tender.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Sore injection site began 24 hours after injection.  Swelling and redness at injection site. Also began then.  Sore shoulders developed on that day as well. 36 to 40 hours after injection I developed swollen lymph nodes under left arm.  They diminished after 24 hours.  Injection site began itching about 4 days after injection.  All have gone away by 7 days with the exception of the injection site.  9 days after injection it is still slightly tender.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Eye pruritus, Oedema
Clinical narrative: Received Pfizer COVID-19 vaccine on the afternoon of 1/21/2021 at 2:12 pm. Patient was monitored for 15 minutes at Center and went home. A few hours after going home the individual started to experience edema and itching of the skin at  his inner left eye. The individual treated himself at home with hydrocortisone cream, Benadryl and ice. The individuals symptoms improved later on that day.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Urticaria
Clinical narrative: Two to three hours after receiving the second dose of COVID-19 Pfizer-BioNTech vaccine, the patient began to have generalized rash erythematosus with hives.  The patient was transferred to the Emergency Room and following the evaluation the patients was treated with Solu-medrol 125 mg IV single dose and Benadryl 25 mg IV. single dose.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: arrived at the post vaccination section with her EpiPen, stating she has a history of allergies; she was under observation for 30 minutes. About 25 minutes into her observation time, she complained of dizziness that lasted less than 15 seconds?no shortness of breath or breathing difficulties. After 30 minutes, the client verbalized not having any sign of vaccine reaction.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest X-ray normal, Chest pain, Electrocardiogram normal, Laboratory test normal
Clinical narrative: Intermittent chest pain ~5 hours after injection, lasting overnight and throughout following morning. Chest pain became severe ~ 27 hours after initial injection, requiring visit to ED.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dysphagia, Dyspnoea, Electrocardiogram, Headache
Clinical narrative: Right arm numbness that radiated to right side of the neck.  Weakness headache and shortness of breath, difficulty swallowing.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Right arm numbness that radiated to right side of the neck.  Weakness headache and shortness of breath, difficulty swallowing.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: Body aches, fever, fatigue, chills, sweats for 2 days following vaccine.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pruritus, Pain in extremity, Swelling
Clinical narrative: Day after vaccine, left arm pain and swelling and fatigue ? this lasted for about 2 days and a week later itchy and redness around the injection site. Itchiness has gone away.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Vaccination site induration, Vaccination site pain, Vaccination site swelling
Clinical narrative: Patient came in to clinic on 1/22/21 with complaint of pain, swelling in arm that was vaccinated.  Per provider there was some induration (~6mm in diameter), redness/swelling.   Differential diagnosis of cellulitis vs. allergy.  Per patient she gets this with some influenza vaccines as well.  Patient treated with cephalexin.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Dehydration, Diarrhoea, Nausea, SARS-CoV-2 test negative
Clinical narrative: 4 days after 12-18-2020 vaccine, I became sick with Gi symptoms such as nausea, severe diaherra, dehydration, and anorexia which lasted for 6 days causing me to loose 5 lbs. The symptoms improved but with mild return following 2nd dose on 1-8-2021. Symptoms have continued but are improving.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chills, Dizziness, Fatigue, Headache
Clinical narrative: chills began at 9:40 pm 01/19 by 2am on 01/20 temp was 103.8, extreme dizziness, fatigue, severe pain to both feet with burning sensation to both, slight headache- symptoms continued until 11:45pm on 01/20 when fever finally broke
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: chills began at 9:40 pm 01/19 by 2am on 01/20 temp was 103.8, extreme dizziness, fatigue, severe pain to both feet with burning sensation to both, slight headache- symptoms continued until 11:45pm on 01/20 when fever finally broke
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Dizziness, Laboratory test normal, Nausea
Clinical narrative: Patient began to experience nausea, dizziness, generalized weakness, and an elevated blood pressure (209/101) approximately 5 minutes after receiving the 2nd dose of the COVID-19 vaccine.  The patient was taken to the emergency department for further workup. In the ED, the patient was given acetaminophen and ondansetron. Workup was negative, and the patient was discharged home.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Feeling of body temperature change, Headache, Impaired work ability
Clinical narrative: I received the vaccine at 11am on Wednesday morning, and by about 830pm Wednesday night, I could sense something was off.  I couldn't focus on work, and I felt my eyesight starting to get fuzzy.  I realized there was an issue, and decided to go to bed.  As soon as I laid in bed, the chills started, and for the next hour I couldn't stop shaking.  I couldn't get comfortable, hot/cold, hot/cold, the chills were incessant and I couldn't will myself to sleep.  I finally fell asleep and proceeded to toss and turn.  I woke up at 5am on Thursday and could barely move.  My body was so sore and my head was pounding with a migraine.  I was trying to take care of the kids, unsuccessfully, while battling all the symptoms.  The day progressed slowly, and I started to feel better mid day after a few more hours of sleep.  Around 6pm is when the fever kicked in, hovering right about 99.5.  I drank Pedialyte and went to bed not long after I got the kids in bed.  At 2am I woke up with another headache and took more Tylenol.  By 6am today, Friday, the fever broke and I am back to normal.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Migraine, Movement disorder, Pain, Pyrexia
Clinical narrative: I received the vaccine at 11am on Wednesday morning, and by about 830pm Wednesday night, I could sense something was off.  I couldn't focus on work, and I felt my eyesight starting to get fuzzy.  I realized there was an issue, and decided to go to bed.  As soon as I laid in bed, the chills started, and for the next hour I couldn't stop shaking.  I couldn't get comfortable, hot/cold, hot/cold, the chills were incessant and I couldn't will myself to sleep.  I finally fell asleep and proceeded to toss and turn.  I woke up at 5am on Thursday and could barely move.  My body was so sore and my head was pounding with a migraine.  I was trying to take care of the kids, unsuccessfully, while battling all the symptoms.  The day progressed slowly, and I started to feel better mid day after a few more hours of sleep.  Around 6pm is when the fever kicked in, hovering right about 99.5.  I drank Pedialyte and went to bed not long after I got the kids in bed.  At 2am I woke up with another headache and took more Tylenol.  By 6am today, Friday, the fever broke and I am back to normal.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: I received the vaccine at 11am on Wednesday morning, and by about 830pm Wednesday night, I could sense something was off.  I couldn't focus on work, and I felt my eyesight starting to get fuzzy.  I realized there was an issue, and decided to go to bed.  As soon as I laid in bed, the chills started, and for the next hour I couldn't stop shaking.  I couldn't get comfortable, hot/cold, hot/cold, the chills were incessant and I couldn't will myself to sleep.  I finally fell asleep and proceeded to toss and turn.  I woke up at 5am on Thursday and could barely move.  My body was so sore and my head was pounding with a migraine.  I was trying to take care of the kids, unsuccessfully, while battling all the symptoms.  The day progressed slowly, and I started to feel better mid day after a few more hours of sleep.  Around 6pm is when the fever kicked in, hovering right about 99.5.  I drank Pedialyte and went to bed not long after I got the kids in bed.  At 2am I woke up with another headache and took more Tylenol.  By 6am today, Friday, the fever broke and I am back to normal.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Myalgia
Clinical narrative: Felt mild chills and somewhat low energy that night and following morning. Nothing more than that and the muscle soreness.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: PATIENT REPORTED HIVES ON LEFT ARM
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Head titubation, Impaired self-care, Malaise, Postictal state, Tremor
Clinical narrative: Very sudden severe tremors of face and limbs. I hesitate to refer to it as chills, it was closer to a seizure (of which I have no history). It ended as suddenly as it began, approx 5-10 minutes later. I fell asleep for 12 hours. Today have severe malaise and mild confusion consistent with post-ictal response. Had difficulty organizing  routine task  (how to  make coffee) then slept 4 hrs afterwards from the effort (despite it being caffeinated).
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Migraine, Pain
Clinical narrative: Terrible migraines, body aches, malaise for several days following vaccine
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Feeling hot
Clinical narrative: Feeling of warmth on head and face at 9:00pm  on 1/19/21 Woke with fever (99.6F), shaking chills, headache at 4:00am on 1/20/21 Fever (100.6) joint pain, muscle pain at 9:00am Fever 101.0 at 1:00pm with intense headache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise. Fever 101.0 at4:00pm. Accompanied by symptoms listed above.Took 1,000mg Tylenol. Fever 101.0 at10pm. Accompanied by symptoms listed above. Took 1,000mg Tylenol. Insomnia. 1/21/21: Fever 99.0 degrees 4am. 1,000mg Tylenol.  Intense headache and neck ache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise 1/21/21: Fever resolved at 6pm.  Intense headache and neck ache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise 1/22/21: Body aches, headache, fatigue, malaise, fatigue, dizziness, nausea
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Insomnia, Malaise, Myalgia, Nausea
Clinical narrative: Feeling of warmth on head and face at 9:00pm  on 1/19/21 Woke with fever (99.6F), shaking chills, headache at 4:00am on 1/20/21 Fever (100.6) joint pain, muscle pain at 9:00am Fever 101.0 at 1:00pm with intense headache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise. Fever 101.0 at4:00pm. Accompanied by symptoms listed above.Took 1,000mg Tylenol. Fever 101.0 at10pm. Accompanied by symptoms listed above. Took 1,000mg Tylenol. Insomnia. 1/21/21: Fever 99.0 degrees 4am. 1,000mg Tylenol.  Intense headache and neck ache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise 1/21/21: Fever resolved at 6pm.  Intense headache and neck ache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise 1/22/21: Body aches, headache, fatigue, malaise, fatigue, dizziness, nausea
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia, Tremor
Clinical narrative: Feeling of warmth on head and face at 9:00pm  on 1/19/21 Woke with fever (99.6F), shaking chills, headache at 4:00am on 1/20/21 Fever (100.6) joint pain, muscle pain at 9:00am Fever 101.0 at 1:00pm with intense headache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise. Fever 101.0 at4:00pm. Accompanied by symptoms listed above.Took 1,000mg Tylenol. Fever 101.0 at10pm. Accompanied by symptoms listed above. Took 1,000mg Tylenol. Insomnia. 1/21/21: Fever 99.0 degrees 4am. 1,000mg Tylenol.  Intense headache and neck ache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise 1/21/21: Fever resolved at 6pm.  Intense headache and neck ache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise 1/22/21: Body aches, headache, fatigue, malaise, fatigue, dizziness, nausea
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Headache
Clinical narrative: Feeling of warmth on head and face at 9:00pm  on 1/19/21 Woke with fever (99.6F), shaking chills, headache at 4:00am on 1/20/21 Fever (100.6) joint pain, muscle pain at 9:00am Fever 101.0 at 1:00pm with intense headache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise. Fever 101.0 at4:00pm. Accompanied by symptoms listed above.Took 1,000mg Tylenol. Fever 101.0 at10pm. Accompanied by symptoms listed above. Took 1,000mg Tylenol. Insomnia. 1/21/21: Fever 99.0 degrees 4am. 1,000mg Tylenol.  Intense headache and neck ache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise 1/21/21: Fever resolved at 6pm.  Intense headache and neck ache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise 1/22/21: Body aches, headache, fatigue, malaise, fatigue, dizziness, nausea
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Insomnia, Malaise, Myalgia, Nausea, Neck pain
Clinical narrative: Feeling of warmth on head and face at 9:00pm  on 1/19/21 Woke with fever (99.6F), shaking chills, headache at 4:00am on 1/20/21 Fever (100.6) joint pain, muscle pain at 9:00am Fever 101.0 at 1:00pm with intense headache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise. Fever 101.0 at4:00pm. Accompanied by symptoms listed above.Took 1,000mg Tylenol. Fever 101.0 at10pm. Accompanied by symptoms listed above. Took 1,000mg Tylenol. Insomnia. 1/21/21: Fever 99.0 degrees 4am. 1,000mg Tylenol.  Intense headache and neck ache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise 1/21/21: Fever resolved at 6pm.  Intense headache and neck ache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise 1/22/21: Body aches, headache, fatigue, malaise, fatigue, dizziness, nausea
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Feeling of warmth on head and face at 9:00pm  on 1/19/21 Woke with fever (99.6F), shaking chills, headache at 4:00am on 1/20/21 Fever (100.6) joint pain, muscle pain at 9:00am Fever 101.0 at 1:00pm with intense headache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise. Fever 101.0 at4:00pm. Accompanied by symptoms listed above.Took 1,000mg Tylenol. Fever 101.0 at10pm. Accompanied by symptoms listed above. Took 1,000mg Tylenol. Insomnia. 1/21/21: Fever 99.0 degrees 4am. 1,000mg Tylenol.  Intense headache and neck ache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise 1/21/21: Fever resolved at 6pm.  Intense headache and neck ache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise 1/22/21: Body aches, headache, fatigue, malaise, fatigue, dizziness, nausea
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Injection site pain, Lethargy, Lymphadenopathy, Myalgia
Clinical narrative: Severe right axillary adenopathy (same as inj site arm) within 48 hrs of injection 3" diameter painful (7/10) initially causing moderately severe pain that felt muscular while expanding chest or inhaling. Fever up to 102.5F, lethargy, muscle pain, dyspnea, nausea, rash (look like hives)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Painful respiration, Pyrexia, Rash
Clinical narrative: Severe right axillary adenopathy (same as inj site arm) within 48 hrs of injection 3" diameter painful (7/10) initially causing moderately severe pain that felt muscular while expanding chest or inhaling. Fever up to 102.5F, lethargy, muscle pain, dyspnea, nausea, rash (look like hives)
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient began feeling dizzy immediately after receiving 1st dose of Pfizer Covid-19 Vaccine. Patient ambulated steadily to EMS table. Vital signs checked and stable. Pt with history of type 1 DM, wears a continuous blood glucose monitor. BS within normal limits. Pt observed for extended period of time. Vitals rechecked 30 minutes later, remained stable. Patient eventually reported symptoms resolved and patient exited vaccination clinic in stable condition. No medications given.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: The patient received a Covid vaccine on 1/17/2021  and a couple of days later she developed shingles.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Developed H/A 30 minutes after Vaccine. Took tylenol  and felt better in 30 minutes.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Lethargy, Nasal congestion, Oropharyngeal pain
Clinical narrative: 14 days after vaccination, lethargy, diarrhea, headache, sore throat and congestion. Persisting for 3 days now.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paresis, Fatigue, Hypoaesthesia, Myalgia, Speech disorder
Clinical narrative: Fatigue, Myalgias, Speech Difficulty, and Numbness, left facial weakness
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Pt called son to let him know he couldn't breath around 2 AM.  Pts son showed up at his house 10 minutes later and ambulance arrived with in 20 minutes at 2:15
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Headache, Pain, Pyrexia
Clinical narrative: Patient reports that the evening immediately following his vaccine administration he began experiencing fever, chills, fatigue, headache, body aches,  These symptoms continued  9 days and counting He tested negative for COVID -19 on 1/18/2021 His physician contacted  a specialist and  suggested that this case should get the 2nd dose  as scheduled
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Patient reports that the evening immediately following his vaccine administration he began experiencing fever, chills, fatigue, headache, body aches,  These symptoms continued  9 days and counting He tested negative for COVID -19 on 1/18/2021 His physician contacted  a specialist and  suggested that this case should get the 2nd dose  as scheduled
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Eye swelling, Lip swelling, Pharyngeal swelling
Clinical narrative: Got the covid 19 vaccine January 19th (Tuedsay) at 1:00pm. Started having lip and eye swelling around 6pm and by 9pm she went to the ER after her throat started swelling and she was having difficulty breathing. Says the ER MD gave her a shot benadryl. Also got a prescription of prednisone 20mg 2 tablets daily for 5 days which she has been taking. Swelling resolved but then her eye started to swell last night as well as her lips so she went to the Instacare. Said the doctor told her to stop all her medications but the metformin.  reports the last dose of humira was Sunday January 17th and she gets a dose every 3 weeks. Also had covid disease in November the week of Thanksgiving.  Spanish speaker. Had an official translator for this infomation.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Injection site pain, Sleep disorder
Clinical narrative: Minor soreness the day of the vaccine but have had continued are pain at the injection site and surrounding muscles for almost three weeks.  Saw my primary and she said it could be they gave it too high and irritated the shoulder joint.  She is concerned about "frozen shoulder".  It wakes me in the night and no position lasts without pain after 30-45 seconds.  Take one extra strength Tylenol before bed and administer Sagely 250 mg. BD cream on upper arm and part of neck where pain exits.  Last night I drank 3 glasses of red wine so I could sleep a few hours and today I have had no pain!   little weakness and I'm trying not to aggravate it, but hopefully the site pain is resolving.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: 3x2, red, hard, swollen, painful, itchy patch in arm
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Injection site pain, Insomnia
Clinical narrative: I received the vaccine on 1/19/2021 at my place of employment. Upon getting the vaccine approx 30 minutes after receiving i became very itcy, and my lips were burning/tingling. The itching continued to get worse, forming red rash on my chest. I called my MD at this point. I was told to take benadryl and to go to er if it became worse. I took benadryl. the itching continued for 2 days. i also experienced pain at injection site, headache, nausea, diarrhea, extreme fatigue, muscle soreness. on 2nd day after vaccine i woke up and my muscles continued to be very sore. like i had just completed a marathon. I also have this sensation that started with the increased muscle pain. The only way i can explain it is that it feels like how a TENS unit feels, but its coming from the inside. especially in my back and thighs. this continues. i feel like i could just start shaking at any time. i cannot sleep but i am so tired. i was seen at dr today and i was told to report this to you guys. this sensation has not went away and has actually cause my muscles to spasming. MD said the vaccine effected my muscles and possibly neurologically as well.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Myalgia, Nausea, Oral discomfort, Paraesthesia oral
Clinical narrative: I received the vaccine on 1/19/2021 at my place of employment. Upon getting the vaccine approx 30 minutes after receiving i became very itcy, and my lips were burning/tingling. The itching continued to get worse, forming red rash on my chest. I called my MD at this point. I was told to take benadryl and to go to er if it became worse. I took benadryl. the itching continued for 2 days. i also experienced pain at injection site, headache, nausea, diarrhea, extreme fatigue, muscle soreness. on 2nd day after vaccine i woke up and my muscles continued to be very sore. like i had just completed a marathon. I also have this sensation that started with the increased muscle pain. The only way i can explain it is that it feels like how a TENS unit feels, but its coming from the inside. especially in my back and thighs. this continues. i feel like i could just start shaking at any time. i cannot sleep but i am so tired. i was seen at dr today and i was told to report this to you guys. this sensation has not went away and has actually cause my muscles to spasming. MD said the vaccine effected my muscles and possibly neurologically as well.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash erythematous, Sensory disturbance
Clinical narrative: I received the vaccine on 1/19/2021 at my place of employment. Upon getting the vaccine approx 30 minutes after receiving i became very itcy, and my lips were burning/tingling. The itching continued to get worse, forming red rash on my chest. I called my MD at this point. I was told to take benadryl and to go to er if it became worse. I took benadryl. the itching continued for 2 days. i also experienced pain at injection site, headache, nausea, diarrhea, extreme fatigue, muscle soreness. on 2nd day after vaccine i woke up and my muscles continued to be very sore. like i had just completed a marathon. I also have this sensation that started with the increased muscle pain. The only way i can explain it is that it feels like how a TENS unit feels, but its coming from the inside. especially in my back and thighs. this continues. i feel like i could just start shaking at any time. i cannot sleep but i am so tired. i was seen at dr today and i was told to report this to you guys. this sensation has not went away and has actually cause my muscles to spasming. MD said the vaccine effected my muscles and possibly neurologically as well.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Tongue disorder, Urticaria
Clinical narrative: About 2 hours after administration, developed hives, a thick tongue, found it hard to swallow and had lightheadedness.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pruritus, Injection site swelling, Myalgia, Oropharyngeal pain
Clinical narrative: second immunization for COVID on Wednesday and has developed symptoms of fever, sore joints and muscles, fever, itching at the injection sight, and she said swelling. In addition to the symptoms she complained of a sore throat.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: second immunization for COVID on Wednesday and has developed symptoms of fever, sore joints and muscles, fever, itching at the injection sight, and she said swelling. In addition to the symptoms she complained of a sore throat.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Syncope
Clinical narrative: Fever, nausea, syncopal episode - collapsed and lost consciousness for approximately 15 seconds.  No treatment aside from bed rest. All symptoms resolved 24 hours later.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Musculoskeletal stiffness, Paraesthesia, Rash, Skin burning sensation
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Developed rash that spread over chest, back and left arm after vaccine given.  Patient also noticed stiffness in neck, feeling of pins and needles and some skin burning.  Additionally endorses feeling a dry mouth sensation.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Urticaria
Clinical narrative: Hives started 22 hours, still having an occasional breakout and scratchy throat into the 48 hours. Started benadryl every 4 hours at the time of hives and still taking 2 days later.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: facial numbness to right side of face, crossing midline at chin and across upper lip, spreading from jaw line to periorbital area
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cough, Diarrhoea, Myalgia, Oropharyngeal pain
Clinical narrative: sore throat,  myalgia,  subjective fevers, weakness, diarrhea for one day, and cough.  Sore throat and weakness and cough persists after one week.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: sore throat,  myalgia,  subjective fevers, weakness, diarrhea for one day, and cough.  Sore throat and weakness and cough persists after one week.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Autoscopy, Chills, Fatigue, Hallucination
Clinical narrative: HALLUCINATION: FOR ONE DAY PATIENT COMPLAINED OF HAVING AN OUT OF BODY EXPERIENCE. CHILLS, FEVER, MUSCLE ACHES,  HEADACHE, FATIGUE, GI EFFECTS, SWELLING/REDNESS AT SIGN OF INJECTION
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site swelling, Myalgia, Pyrexia
Clinical narrative: HALLUCINATION: FOR ONE DAY PATIENT COMPLAINED OF HAVING AN OUT OF BODY EXPERIENCE. CHILLS, FEVER, MUSCLE ACHES,  HEADACHE, FATIGUE, GI EFFECTS, SWELLING/REDNESS AT SIGN OF INJECTION
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Acute motor-sensory axonal neuropathy, Electromyogram abnormal, Gait inability, Guillain-Barre syndrome, Intervertebral disc degeneration
Clinical narrative: Patient admitted to hospital for progressive bilateral lower extremity weakness, sensory changes and inability to ambulate. Neuroimaging with significant degenerative disc disease with disc protrusions throughout the lumbar spine, greatest L3-L4, and with severe central stenosis. Question of radiculopathy vs peripheral neuropathy at admission, but no acute findings such as cauda equina syndrome. EMG consistent with atypical variant of GBS--acute motor sensory axonal neuropathy.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Intervertebral disc protrusion, Lumbar spinal stenosis, Magnetic resonance imaging spinal abnormal, Muscular weakness, Sensory disturbance
Clinical narrative: Patient admitted to hospital for progressive bilateral lower extremity weakness, sensory changes and inability to ambulate. Neuroimaging with significant degenerative disc disease with disc protrusions throughout the lumbar spine, greatest L3-L4, and with severe central stenosis. Question of radiculopathy vs peripheral neuropathy at admission, but no acute findings such as cauda equina syndrome. EMG consistent with atypical variant of GBS--acute motor sensory axonal neuropathy.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Arm soreness developed morning after vaccine, still present on D2
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Skin induration, Skin swelling, Skin warm
Clinical narrative: I felt fine immediately after and the days following.  I had slight soreness in my arm but nothing terrible until a week later. I woke up with my arm red and swollen and hot to the touch. It got worse over the next two days. The swelling started to become hard and started traveling down my arm almost to my elbow.  At this point, I was becoming more concerned because of adverse reactions similar to mine. On 1/21/21 I made an appointment to video conference with a doctor. This doctor recommended I take Benadryl and ice my arm. I was informed if it got worse, I should contact my PCP or go to an urgent care. I did ice my arm several times a day, applied a topical Benadryl and I took Benadryl before going to bed. Today, 1/22/21, I can see a lot of improvement.