chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Ear swelling, Erythema, Headache, Lip swelling
Clinical narrative: Patient (date of birth: 01/27/1974) received the 1st COVID vaccine (PFIZER, Lot #: EW0179, and expiration date: 08/2021) at 11:48AM. EMT made contact with the patient in the observation area around 1225. The patient complained of "right ear redness and swelling" and stated it was a "sign" to her of an impending allergic reaction. EMT visually assessed the patient's ear and saw no swelling, only light redness. Patient was advised to sit in the zero gravity chair for further evaluation. At 1227, baseline vital signs were taken, while patient was sitting: blood pressure: 114/68, heart rate: 77, respiratory rate: 12. Skin was cool, dry, and normal for ethnicity. Nurse then responded to EMT with patient. EMT asked the patient if she was taking any medications. She stated that she is taking WELLBUTRIN and has allergies to gluten and latex. At 1233, a second set of vitals were taken: blood pressure: 118/78, heart rate: 84, respiratory rate: 12. Skin was cool, dry, and normal for ethnicity. Patient was negative for orthostatic pressures. EMT advised the patient to continue to sit in the zero gravity chair for an additional 30 minutes, to observe for additional signs and symptoms. Patient was educated by EMT regarding the signs and symptoms to look out for and when the patient should contact her primary care provider. The patient was also given the information to sign up for V- safe as well as educated regarding the importance of doing so. After the observation time was completed, around 1: 00PM, the patient walked out of the site unassisted and with a steady gait.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Patient (date of birth: 01/27/1974) received the 1st COVID vaccine (PFIZER, Lot #: EW0179, and expiration date: 08/2021) at 11:48AM. EMT made contact with the patient in the observation area around 1225. The patient complained of "right ear redness and swelling" and stated it was a "sign" to her of an impending allergic reaction. EMT visually assessed the patient's ear and saw no swelling, only light redness. Patient was advised to sit in the zero gravity chair for further evaluation. At 1227, baseline vital signs were taken, while patient was sitting: blood pressure: 114/68, heart rate: 77, respiratory rate: 12. Skin was cool, dry, and normal for ethnicity. Nurse then responded to EMT with patient. EMT asked the patient if she was taking any medications. She stated that she is taking WELLBUTRIN and has allergies to gluten and latex. At 1233, a second set of vitals were taken: blood pressure: 118/78, heart rate: 84, respiratory rate: 12. Skin was cool, dry, and normal for ethnicity. Patient was negative for orthostatic pressures. EMT advised the patient to continue to sit in the zero gravity chair for an additional 30 minutes, to observe for additional signs and symptoms. Patient was educated by EMT regarding the signs and symptoms to look out for and when the patient should contact her primary care provider. The patient was also given the information to sign up for V- safe as well as educated regarding the importance of doing so. After the observation time was completed, around 1: 00PM, the patient walked out of the site unassisted and with a steady gait.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Pain in extremity
Clinical narrative: Continuous  Lt. arm shoulder ache/pain sometimes radiating  down arm to hand.  This is  the 3rd week since symptoms started.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Dizziness, Dysarthria, Hypoaesthesia, Ischaemic stroke
Clinical narrative: presented to ED on 4/4 with slurred speech and numbness since this am, but more than 24 hrs; diagnosed with CVA, ischemic stroke.   dizziness past 1-2 weeks
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Myalgia, Nausea, Pain
Clinical narrative: Fatigue  Muscle or body aches  Nausea or vomiting  Diarrhea
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Vomiting
Clinical narrative: Fatigue  Muscle or body aches  Nausea or vomiting  Diarrhea
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Concussion, Fall, Head injury, Syncope
Clinical narrative: Client had syncopal episode after vaccine, fell, and hit his head on floor. Due to signs and symptoms of concussion, he was transported via EMS to hospital
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Vomiting
Clinical narrative: I threw up in the morning of 4/19/21. I have experienced various degrees of severe headache, extreme fatigue and nausea everyday since I received the vaccine (10 days now). I am currently nursing/lactating.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Flank pain, Headache, Klebsiella infection, Pain
Clinical narrative: Client had first Pfizer injection on 3/24/2021. The client presented to the emergency department on 4/27 with a fever, generalized weakness, body aches, headache and right flank pain. She had lithotripsy and a right ureteral stent replacement the day before, 4/26. She is on ciprofloxacin. Urine Analysis was consistent with a UTI. Most recent positive urine culture grew out multidrug-resistant Klebsiella. The patient will be admitted to the hospital service for further evaluation and treatment.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Urine analysis
Clinical narrative: Client had first Pfizer injection on 3/24/2021. The client presented to the emergency department on 4/27 with a fever, generalized weakness, body aches, headache and right flank pain. She had lithotripsy and a right ureteral stent replacement the day before, 4/26. She is on ciprofloxacin. Urine Analysis was consistent with a UTI. Most recent positive urine culture grew out multidrug-resistant Klebsiella. The patient will be admitted to the hospital service for further evaluation and treatment.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Polymenorrhoea
Clinical narrative: Early menstrual period
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site inflammation, Injection site warmth, Pain
Clinical narrative: Headaches, body aches, and a red, hot, inflamed upper arm. This lasted for several days.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Musculoskeletal stiffness
Clinical narrative: Pfizer covid vaccine first dose given on 4/20/21 Tuesday. First sign/symptoms of right palm and finger numbness noticed on Saturday 4/24/21. This numbness sensation continue through 4/24 to 4/26, while frequency increased and also noted becoming more severe and noticeable. On 4/27 to 4/28, noticed also right thigh and right buttock numbness occurred, and right hand (arm) numbness noticed on top of right finger/palms.  On 4/28 and 4/29, noticed the numbness increased in severity. Noted a bit numbness or stiffness of neck, especially right side.  A bit concern if it's adverse event from covid vaccine, and if this is temporary. Will continue monitor and self assess, may need contact local health facility or emergency room if continue worsen.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Heart rate increased, Hyperhidrosis, Skin warm, Swollen tongue
Clinical narrative: Extreme sweating, flushed, hot diaphragm, rapid heart beat, swollen tongue.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Periorbital swelling, Photophobia, Photopsia, Vision blurred
Clinical narrative: Driving home my eyes were sensitive to light and I couldn't see, very sensitive, and soon as I got home I experience flashes of light, then string of lights going off and on, by Thursday, the string of lights were wider and were everywhere.  There were flashes of light like being on the red carpet and you can t see because of the flash of lights.  I also had heart palpitations.  Now I have blurry eye vision and my eyes are puffy and feels like something is inside my eye.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Driving home my eyes were sensitive to light and I couldn't see, very sensitive, and soon as I got home I experience flashes of light, then string of lights going off and on, by Thursday, the string of lights were wider and were everywhere.  There were flashes of light like being on the red carpet and you can t see because of the flash of lights.  I also had heart palpitations.  Now I have blurry eye vision and my eyes are puffy and feels like something is inside my eye.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles presenting on V1 nerve.  Not experiencing stress or have a compromised immune system.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: PATIENT FAINTED
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide normal, C-reactive protein increased, Chest pain, Chills, Echocardiogram
Clinical narrative: Received COVID vaccine (Pfizer) 3 days prior to admission which was followed by subjective fevers and chills x 2 days but no longer endorses this. Had a headache one day prior to admission that resolved with tylenol. Reports that he has hx HTN but home BPs (which he takes infrequently) have been 140s-150s systolic in the past. Has never been on meds for blood pressure. Chest pain was substernal 5/10 lasted 2 hours and believes it relieved with his blood pressure coming down. Does not describe any other alleviating factors. It was nonradiating, just happens for have left arm pain after vaccine that was present prior to chest pain.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fibrin D dimer normal, Headache, Left ventricular dysfunction, Magnetic resonance imaging heart
Clinical narrative: Received COVID vaccine (Pfizer) 3 days prior to admission which was followed by subjective fevers and chills x 2 days but no longer endorses this. Had a headache one day prior to admission that resolved with tylenol. Reports that he has hx HTN but home BPs (which he takes infrequently) have been 140s-150s systolic in the past. Has never been on meds for blood pressure. Chest pain was substernal 5/10 lasted 2 hours and believes it relieved with his blood pressure coming down. Does not describe any other alleviating factors. It was nonradiating, just happens for have left arm pain after vaccine that was present prior to chest pain.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Respiratory syncytial virus test negative, Troponin abnormal, Ventricular hypertrophy
Clinical narrative: Received COVID vaccine (Pfizer) 3 days prior to admission which was followed by subjective fevers and chills x 2 days but no longer endorses this. Had a headache one day prior to admission that resolved with tylenol. Reports that he has hx HTN but home BPs (which he takes infrequently) have been 140s-150s systolic in the past. Has never been on meds for blood pressure. Chest pain was substernal 5/10 lasted 2 hours and believes it relieved with his blood pressure coming down. Does not describe any other alleviating factors. It was nonradiating, just happens for have left arm pain after vaccine that was present prior to chest pain.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID infection after vaccination
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Impaired work ability, Somnolence
Clinical narrative: patient stated that around 12 hours after vaccine administration she developed extreme fatigue and around 48 hours after receiving vaccine she developed a headache severe enough for her to miss work. The fatigue is still present and forces patient to nap for 2 hours which is unusual for her and she still gets headaches on and off which is unusual for her.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia
Clinical narrative: The day after her 2nd COVID vaccine, patient began experiencing intermittent episodes of tingling in her bilateral hands and feet.  The episodes last about 5 minutes at a time.  She has no associated weakness or other concerning symptoms.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Pyrexia
Clinical narrative: Fatigue Fever Chills Dizziness when standing
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Underdose
Clinical narrative: RPH on duty incorrectly mixed the vaccine incorrectly. Instead of using a new vial of vaccine and adding 1.8ml of Sodium Chloride 0.9%, he accidently used a used vial of little to no vaccine and added 1.8ml of NACL 0.9%  and drew up 6 shots of this.  Therefore, patient got Sodium Chloride instead of the actual vaccine. However, the mistake was caught early and patient was able to come back the same day to get revaccinated with the correct dose of the vaccine. No adverse reaction reported as of 4/29/21.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Eye movement disorder, Hyperhidrosis, Pallor, Syncope
Clinical narrative: Pale, lightheaded,faint, eyes rolled back, unresponsive and to after a few seconds. Pt. diaphoretic. EMS called. Patient placed in wheelchair. Vital signs: BP=108/68    HR=88       Sat.O2=99%        NSR on 3 Lead 15 minutes observation with EMS before release.  Discharged home at 16:00 p.m. Patient refused ER visit.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Pale, lightheaded,faint, eyes rolled back, unresponsive and to after a few seconds. Pt. diaphoretic. EMS called. Patient placed in wheelchair. Vital signs: BP=108/68    HR=88       Sat.O2=99%        NSR on 3 Lead 15 minutes observation with EMS before release.  Discharged home at 16:00 p.m. Patient refused ER visit.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Contusion, Lethargy, Oedema peripheral, Pyrexia
Clinical narrative: Lethargy, fever, swelling above my clavicle, Moderna arm, swelling below my underarm all the way to the side of my left breast. Extensive bruising after swelling went down below my armpit.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Lethargy, fever, swelling above my clavicle, Moderna arm, swelling below my underarm all the way to the side of my left breast. Extensive bruising after swelling went down below my armpit.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash all over body.  Current treatment: Topical antibiotic (mupirocin)
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Heart rate increased, Menstruation irregular, Migraine
Clinical narrative: Since my second dose, I've been experiencing migraines, shortness of breath, and an extremely increased heart rate. While attending my routine cycle class (been attending about 3 times a week for several months) I nearly passed out which is extremely unusual. I have also been experiencing a much lighter than usual menstrual cycle. A few days following my vaccination I was also experiencing pain in my left lung (this has since subsided).
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary pain
Clinical narrative: Since my second dose, I've been experiencing migraines, shortness of breath, and an extremely increased heart rate. While attending my routine cycle class (been attending about 3 times a week for several months) I nearly passed out which is extremely unusual. I have also been experiencing a much lighter than usual menstrual cycle. A few days following my vaccination I was also experiencing pain in my left lung (this has since subsided).
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Dose was not drawn up in syringe and nothing was administered though patient received the IM injection
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hyperacusis, Visual impairment
Clinical narrative: Client received first dose of COVID vaccine at 11:00 am in zero-gravity chair due to history of fainting with injections.  Client complained of feeling faint and vison and hearing going out @ 11:05am.  Client provided with water and cold pack, reported feeling better, also reports not eating prior to vaccination.  Client complained of headache @ 11:30am.  Vital signs within normal limits.  Client reports feeling better, headache only symptom @ 11:40am.  Client able to leave observation area with steady gait, her friend present to drive home @ 11:45am.  Client advised to follow up with primary care.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Feeling abnormal, Pain
Clinical narrative: 1. Starting around 6 pm, I felt like I got the flu. Violent shivers, fever of 102.5, intense body aches. Lasted about 24 hours.  2. I had noticeable "brain fog" for about a week following the injection.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Chills, Hyperhidrosis, Hypotension
Clinical narrative: Cc :Chills ,weakness, sweating, anxiousness, low blood pressure and pulse rate intervention: patient was taken to medical tent for observation, and vital signs are as follow: BP86/40  PR62  TEMP 98.7  OXG SAT 96%   Patient was offered water and vital signs were retaken: BP 94/58  PR 62 OXYG SAT 96% Patient was laid Trendelenburg position, BP improved and he felt better. Patient walked back to car in stable a condition
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Pt has history of passing out when dealing with medical situations. Pt passed out but immediately was about to come to. Checked by ems and was monitored for 30 mins. Pt was stable at the time of release.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Appendix disorder
Clinical narrative: 3/12/2021 vaccination  3/13 I started having increase pain R abd side. Knew something wasnt right.  3/14 ER determined I had a 'very angry appendix'.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Dizziness, Fatigue, Headache
Clinical narrative: Extreme exhaustion, body aches, spine and joint pain, throbbing headaches, numbness & tingling in hands and arms,  nausea, lightheadedness
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging, Nausea, Pain, Paraesthesia
Clinical narrative: Extreme exhaustion, body aches, spine and joint pain, throbbing headaches, numbness & tingling in hands and arms,  nausea, lightheadedness
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal pain
Clinical narrative: Extreme exhaustion, body aches, spine and joint pain, throbbing headaches, numbness & tingling in hands and arms,  nausea, lightheadedness
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Mobility decreased, Periarthritis, X-ray
Clinical narrative: Limited mobility and pain in right shoulder and upper arm. PCP diagnosed as frozen shoulder
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID infection s/p vaccination
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Syncope
Clinical narrative: Client had syncopal episode after receiving vaccination. Recovered after 15 minutes with juice and rest. Reported he had not eaten anything in the morning and had too much caffeine. No injuries resulted from the fall to the floor.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death within 60 days of vaccination
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Computerised tomogram, Computerised tomogram normal, Confusional state, Eye swelling
Clinical narrative: No Sid effects until about 21 days after first dose. Severe head pain from base of neck wrapping around head, Facial dropping on one side, rash spider web like, swelling of face of eyes, nose, and lips, neck swelling, inability to turn head, SEVERE confusion, photophobia,  impaired motor skills, blurred vision, ringing in ear. Neurologist dx with meningitis---had CT scan at ED clear, no lumbar puncture to confirm meg dx. On 2/25/2021 admitted to hospital.  Full work up of lots of testing.  All was fine except MRI showed edema on c1-c7 and noted new in appearance from a MRI completed 2/5/2021, slightly elevated WBC, and platelets however improved over 24 hrs. My symptoms continued to improve each day. On 3/26 approx 25 days after second dose same symptoms occurred----sudden acute head pain, facial sores, swelling of face, confusion etc. Today, 4/29/2021 I am much better however my memory recall in not 100%, motor skills not 100% and still have some fatigue compared normal functioning  to prior to first onset. I have two neurologist, eye doc, PCP, and had doctors from the clinic involved in my case.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Facial paralysis, Fatigue, Headache, Joint range of motion decreased, Lip swelling
Clinical narrative: No Sid effects until about 21 days after first dose. Severe head pain from base of neck wrapping around head, Facial dropping on one side, rash spider web like, swelling of face of eyes, nose, and lips, neck swelling, inability to turn head, SEVERE confusion, photophobia,  impaired motor skills, blurred vision, ringing in ear. Neurologist dx with meningitis---had CT scan at ED clear, no lumbar puncture to confirm meg dx. On 2/25/2021 admitted to hospital.  Full work up of lots of testing.  All was fine except MRI showed edema on c1-c7 and noted new in appearance from a MRI completed 2/5/2021, slightly elevated WBC, and platelets however improved over 24 hrs. My symptoms continued to improve each day. On 3/26 approx 25 days after second dose same symptoms occurred----sudden acute head pain, facial sores, swelling of face, confusion etc. Today, 4/29/2021 I am much better however my memory recall in not 100%, motor skills not 100% and still have some fatigue compared normal functioning  to prior to first onset. I have two neurologist, eye doc, PCP, and had doctors from the clinic involved in my case.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging spinal abnormal, Memory impairment, Meningitis, Motor dysfunction, Neck pain
Clinical narrative: No Sid effects until about 21 days after first dose. Severe head pain from base of neck wrapping around head, Facial dropping on one side, rash spider web like, swelling of face of eyes, nose, and lips, neck swelling, inability to turn head, SEVERE confusion, photophobia,  impaired motor skills, blurred vision, ringing in ear. Neurologist dx with meningitis---had CT scan at ED clear, no lumbar puncture to confirm meg dx. On 2/25/2021 admitted to hospital.  Full work up of lots of testing.  All was fine except MRI showed edema on c1-c7 and noted new in appearance from a MRI completed 2/5/2021, slightly elevated WBC, and platelets however improved over 24 hrs. My symptoms continued to improve each day. On 3/26 approx 25 days after second dose same symptoms occurred----sudden acute head pain, facial sores, swelling of face, confusion etc. Today, 4/29/2021 I am much better however my memory recall in not 100%, motor skills not 100% and still have some fatigue compared normal functioning  to prior to first onset. I have two neurologist, eye doc, PCP, and had doctors from the clinic involved in my case.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Oedema, Photophobia, Rash, Swelling, Swelling face
Clinical narrative: No Sid effects until about 21 days after first dose. Severe head pain from base of neck wrapping around head, Facial dropping on one side, rash spider web like, swelling of face of eyes, nose, and lips, neck swelling, inability to turn head, SEVERE confusion, photophobia,  impaired motor skills, blurred vision, ringing in ear. Neurologist dx with meningitis---had CT scan at ED clear, no lumbar puncture to confirm meg dx. On 2/25/2021 admitted to hospital.  Full work up of lots of testing.  All was fine except MRI showed edema on c1-c7 and noted new in appearance from a MRI completed 2/5/2021, slightly elevated WBC, and platelets however improved over 24 hrs. My symptoms continued to improve each day. On 3/26 approx 25 days after second dose same symptoms occurred----sudden acute head pain, facial sores, swelling of face, confusion etc. Today, 4/29/2021 I am much better however my memory recall in not 100%, motor skills not 100% and still have some fatigue compared normal functioning  to prior to first onset. I have two neurologist, eye doc, PCP, and had doctors from the clinic involved in my case.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vision blurred, White blood cell count increased
Clinical narrative: No Sid effects until about 21 days after first dose. Severe head pain from base of neck wrapping around head, Facial dropping on one side, rash spider web like, swelling of face of eyes, nose, and lips, neck swelling, inability to turn head, SEVERE confusion, photophobia,  impaired motor skills, blurred vision, ringing in ear. Neurologist dx with meningitis---had CT scan at ED clear, no lumbar puncture to confirm meg dx. On 2/25/2021 admitted to hospital.  Full work up of lots of testing.  All was fine except MRI showed edema on c1-c7 and noted new in appearance from a MRI completed 2/5/2021, slightly elevated WBC, and platelets however improved over 24 hrs. My symptoms continued to improve each day. On 3/26 approx 25 days after second dose same symptoms occurred----sudden acute head pain, facial sores, swelling of face, confusion etc. Today, 4/29/2021 I am much better however my memory recall in not 100%, motor skills not 100% and still have some fatigue compared normal functioning  to prior to first onset. I have two neurologist, eye doc, PCP, and had doctors from the clinic involved in my case.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram, Electroencephalogram, Epilepsy, Inflammation, Laboratory test
Clinical narrative: No Sid effects until about 21 days after first dose. Severe head pain from base of neck wrapping around head, Facial dropping on one side, rash spider web like, swelling of face of eyes, nose, and lips, neck swelling, inability to turn head, SEVERE confusion, photophobia,  impaired motor skills, blurred vision, ringing in ear. Neurologist dx with meningitis---had CT scan at ED clear, no lumbar puncture to confirm meg dx. On 2/25/2021 admitted to hospital.  Full work up of lots of testing.  All was fine except MRI showed edema on c1-c7 and noted new in appearance from a MRI completed 2/5/2021, slightly elevated WBC, and platelets however improved over 24 hrs. My symptoms continued to improve each day. On 3/26 approx 25 days after second dose same symptoms occurred----sudden acute head pain, facial sores, swelling of face, confusion etc. Today, 4/29/2021 I am much better however my memory recall in not 100%, motor skills not 100% and still have some fatigue compared normal functioning  to prior to first onset. I have two neurologist, eye doc, PCP, and had doctors from the clinic involved in my case.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Migraine, Seizure
Clinical narrative: No Sid effects until about 21 days after first dose. Severe head pain from base of neck wrapping around head, Facial dropping on one side, rash spider web like, swelling of face of eyes, nose, and lips, neck swelling, inability to turn head, SEVERE confusion, photophobia,  impaired motor skills, blurred vision, ringing in ear. Neurologist dx with meningitis---had CT scan at ED clear, no lumbar puncture to confirm meg dx. On 2/25/2021 admitted to hospital.  Full work up of lots of testing.  All was fine except MRI showed edema on c1-c7 and noted new in appearance from a MRI completed 2/5/2021, slightly elevated WBC, and platelets however improved over 24 hrs. My symptoms continued to improve each day. On 3/26 approx 25 days after second dose same symptoms occurred----sudden acute head pain, facial sores, swelling of face, confusion etc. Today, 4/29/2021 I am much better however my memory recall in not 100%, motor skills not 100% and still have some fatigue compared normal functioning  to prior to first onset. I have two neurologist, eye doc, PCP, and had doctors from the clinic involved in my case.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Hospitalisation, Hypoxia, Pyrexia
Clinical narrative: Patient presented to the ED and subsequently hospitalized on 2/18/2021 with fever. Again she presented to the ED and subsequently hospitalized on 2/24/2021 with hypoxia. These visits were within 6 weeks of receiving COVID vaccination.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic, Skin swelling
Clinical narrative: Large ITCHY rash about a week after.  Still there 2 weeks out and is now "puffy" as if it has fluid
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Adenovirus test, Attention deficit hyperactivity disorder, Blood culture negative, COVID-19, CSF culture negative
Clinical narrative: Hepatitis / Encephalopathy (seizures, ADEM, MISC/A)  PRESENTING PROBLEM: Fever and chills [R50.9] Hepatitis [K75.9] Febrile illness, acute [R50.9] Acute nonintractable headache, unspecified headache type [R51.9] Seizure (HCC) [R56.9] MIS-C associated with COVID-19 (HCC) [M35.81]     Active Issues Requiring Follow-up   MIS-C/A - 2/2 COVID-19 infection vs idiosyncratic reaction to  J&J vaccine  -prednisone taper over 16 days as above -ID will be arranging follow up serial labs (CBC with diff, CMP, Ferritin level, CRP, LDH) -Bactrim prophylaxis while on steroids -Acyclovir 400 mg BID for prophylaxis (hx of recurrent HSV infection of eyelid) - duration to be clarified by ID at follow up -ASA 81 mg daily -TTE w/ normal coronaries. She will need cardiac MRI, to be arranged by adult congenital cardiology   Generalized tonic-clonic seizures - witnessed and captured on EEG 4/9. No further events. Continue Keppra 1500 mg BID. outaptient f/u with neurology   Abnormal MRI brain - diffuse T2 white matter hyperintensities - non-specific. She will need follow up MRI brain w/ and w/o contrast in 1 month and follow up with neurology clinic   ADHD - given insomnia, Senthuri was recommended to avoid vyvanse for now. She will discuss with her outpatient prescriber Anxiety and depression - zoloft increased to 125 mg daily Insomnia - 2/2 trauma from critical illness. Improved with trazodone HS.    Elevated EBV PCR - ID will continue to monitor.    Nausea/vomiting - resolved. Likey 2/2 gastritis in setting of steroid use. PPI BID x 4 weeks   DISCHARGE DISPOSITION: Home without services
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram abdomen abnormal, Computerised tomogram head normal, Computerised tomogram pelvis abnormal, Condition aggravated
Clinical narrative: Hepatitis / Encephalopathy (seizures, ADEM, MISC/A)  PRESENTING PROBLEM: Fever and chills [R50.9] Hepatitis [K75.9] Febrile illness, acute [R50.9] Acute nonintractable headache, unspecified headache type [R51.9] Seizure (HCC) [R56.9] MIS-C associated with COVID-19 (HCC) [M35.81]     Active Issues Requiring Follow-up   MIS-C/A - 2/2 COVID-19 infection vs idiosyncratic reaction to  J&J vaccine  -prednisone taper over 16 days as above -ID will be arranging follow up serial labs (CBC with diff, CMP, Ferritin level, CRP, LDH) -Bactrim prophylaxis while on steroids -Acyclovir 400 mg BID for prophylaxis (hx of recurrent HSV infection of eyelid) - duration to be clarified by ID at follow up -ASA 81 mg daily -TTE w/ normal coronaries. She will need cardiac MRI, to be arranged by adult congenital cardiology   Generalized tonic-clonic seizures - witnessed and captured on EEG 4/9. No further events. Continue Keppra 1500 mg BID. outaptient f/u with neurology   Abnormal MRI brain - diffuse T2 white matter hyperintensities - non-specific. She will need follow up MRI brain w/ and w/o contrast in 1 month and follow up with neurology clinic   ADHD - given insomnia, Senthuri was recommended to avoid vyvanse for now. She will discuss with her outpatient prescriber Anxiety and depression - zoloft increased to 125 mg daily Insomnia - 2/2 trauma from critical illness. Improved with trazodone HS.    Elevated EBV PCR - ID will continue to monitor.    Nausea/vomiting - resolved. Likey 2/2 gastritis in setting of steroid use. PPI BID x 4 weeks   DISCHARGE DISPOSITION: Home without services
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dengue fever, Dengue virus test negative, Depression, Echocardiogram, Ehrlichia test
Clinical narrative: Hepatitis / Encephalopathy (seizures, ADEM, MISC/A)  PRESENTING PROBLEM: Fever and chills [R50.9] Hepatitis [K75.9] Febrile illness, acute [R50.9] Acute nonintractable headache, unspecified headache type [R51.9] Seizure (HCC) [R56.9] MIS-C associated with COVID-19 (HCC) [M35.81]     Active Issues Requiring Follow-up   MIS-C/A - 2/2 COVID-19 infection vs idiosyncratic reaction to  J&J vaccine  -prednisone taper over 16 days as above -ID will be arranging follow up serial labs (CBC with diff, CMP, Ferritin level, CRP, LDH) -Bactrim prophylaxis while on steroids -Acyclovir 400 mg BID for prophylaxis (hx of recurrent HSV infection of eyelid) - duration to be clarified by ID at follow up -ASA 81 mg daily -TTE w/ normal coronaries. She will need cardiac MRI, to be arranged by adult congenital cardiology   Generalized tonic-clonic seizures - witnessed and captured on EEG 4/9. No further events. Continue Keppra 1500 mg BID. outaptient f/u with neurology   Abnormal MRI brain - diffuse T2 white matter hyperintensities - non-specific. She will need follow up MRI brain w/ and w/o contrast in 1 month and follow up with neurology clinic   ADHD - given insomnia, Senthuri was recommended to avoid vyvanse for now. She will discuss with her outpatient prescriber Anxiety and depression - zoloft increased to 125 mg daily Insomnia - 2/2 trauma from critical illness. Improved with trazodone HS.    Elevated EBV PCR - ID will continue to monitor.    Nausea/vomiting - resolved. Likey 2/2 gastritis in setting of steroid use. PPI BID x 4 weeks   DISCHARGE DISPOSITION: Home without services
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Electroencephalogram abnormal, Encephalopathy, Epstein-Barr virus test negative, Eyelid infection, Gastritis
Clinical narrative: Hepatitis / Encephalopathy (seizures, ADEM, MISC/A)  PRESENTING PROBLEM: Fever and chills [R50.9] Hepatitis [K75.9] Febrile illness, acute [R50.9] Acute nonintractable headache, unspecified headache type [R51.9] Seizure (HCC) [R56.9] MIS-C associated with COVID-19 (HCC) [M35.81]     Active Issues Requiring Follow-up   MIS-C/A - 2/2 COVID-19 infection vs idiosyncratic reaction to  J&J vaccine  -prednisone taper over 16 days as above -ID will be arranging follow up serial labs (CBC with diff, CMP, Ferritin level, CRP, LDH) -Bactrim prophylaxis while on steroids -Acyclovir 400 mg BID for prophylaxis (hx of recurrent HSV infection of eyelid) - duration to be clarified by ID at follow up -ASA 81 mg daily -TTE w/ normal coronaries. She will need cardiac MRI, to be arranged by adult congenital cardiology   Generalized tonic-clonic seizures - witnessed and captured on EEG 4/9. No further events. Continue Keppra 1500 mg BID. outaptient f/u with neurology   Abnormal MRI brain - diffuse T2 white matter hyperintensities - non-specific. She will need follow up MRI brain w/ and w/o contrast in 1 month and follow up with neurology clinic   ADHD - given insomnia, Senthuri was recommended to avoid vyvanse for now. She will discuss with her outpatient prescriber Anxiety and depression - zoloft increased to 125 mg daily Insomnia - 2/2 trauma from critical illness. Improved with trazodone HS.    Elevated EBV PCR - ID will continue to monitor.    Nausea/vomiting - resolved. Likey 2/2 gastritis in setting of steroid use. PPI BID x 4 weeks   DISCHARGE DISPOSITION: Home without services
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Generalised tonic-clonic seizure, HIV test negative, Headache, Hepatic enzyme increased, Hepatitis
Clinical narrative: Hepatitis / Encephalopathy (seizures, ADEM, MISC/A)  PRESENTING PROBLEM: Fever and chills [R50.9] Hepatitis [K75.9] Febrile illness, acute [R50.9] Acute nonintractable headache, unspecified headache type [R51.9] Seizure (HCC) [R56.9] MIS-C associated with COVID-19 (HCC) [M35.81]     Active Issues Requiring Follow-up   MIS-C/A - 2/2 COVID-19 infection vs idiosyncratic reaction to  J&J vaccine  -prednisone taper over 16 days as above -ID will be arranging follow up serial labs (CBC with diff, CMP, Ferritin level, CRP, LDH) -Bactrim prophylaxis while on steroids -Acyclovir 400 mg BID for prophylaxis (hx of recurrent HSV infection of eyelid) - duration to be clarified by ID at follow up -ASA 81 mg daily -TTE w/ normal coronaries. She will need cardiac MRI, to be arranged by adult congenital cardiology   Generalized tonic-clonic seizures - witnessed and captured on EEG 4/9. No further events. Continue Keppra 1500 mg BID. outaptient f/u with neurology   Abnormal MRI brain - diffuse T2 white matter hyperintensities - non-specific. She will need follow up MRI brain w/ and w/o contrast in 1 month and follow up with neurology clinic   ADHD - given insomnia, Senthuri was recommended to avoid vyvanse for now. She will discuss with her outpatient prescriber Anxiety and depression - zoloft increased to 125 mg daily Insomnia - 2/2 trauma from critical illness. Improved with trazodone HS.    Elevated EBV PCR - ID will continue to monitor.    Nausea/vomiting - resolved. Likey 2/2 gastritis in setting of steroid use. PPI BID x 4 weeks   DISCHARGE DISPOSITION: Home without services
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatitis A virus test, Hepatitis B virus test, Hepatitis C virus test, Hepatitis viral test negative, Herpes simplex
Clinical narrative: Hepatitis / Encephalopathy (seizures, ADEM, MISC/A)  PRESENTING PROBLEM: Fever and chills [R50.9] Hepatitis [K75.9] Febrile illness, acute [R50.9] Acute nonintractable headache, unspecified headache type [R51.9] Seizure (HCC) [R56.9] MIS-C associated with COVID-19 (HCC) [M35.81]     Active Issues Requiring Follow-up   MIS-C/A - 2/2 COVID-19 infection vs idiosyncratic reaction to  J&J vaccine  -prednisone taper over 16 days as above -ID will be arranging follow up serial labs (CBC with diff, CMP, Ferritin level, CRP, LDH) -Bactrim prophylaxis while on steroids -Acyclovir 400 mg BID for prophylaxis (hx of recurrent HSV infection of eyelid) - duration to be clarified by ID at follow up -ASA 81 mg daily -TTE w/ normal coronaries. She will need cardiac MRI, to be arranged by adult congenital cardiology   Generalized tonic-clonic seizures - witnessed and captured on EEG 4/9. No further events. Continue Keppra 1500 mg BID. outaptient f/u with neurology   Abnormal MRI brain - diffuse T2 white matter hyperintensities - non-specific. She will need follow up MRI brain w/ and w/o contrast in 1 month and follow up with neurology clinic   ADHD - given insomnia, Senthuri was recommended to avoid vyvanse for now. She will discuss with her outpatient prescriber Anxiety and depression - zoloft increased to 125 mg daily Insomnia - 2/2 trauma from critical illness. Improved with trazodone HS.    Elevated EBV PCR - ID will continue to monitor.    Nausea/vomiting - resolved. Likey 2/2 gastritis in setting of steroid use. PPI BID x 4 weeks   DISCHARGE DISPOSITION: Home without services
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes simplex test negative, Hydronephrosis, Hydroureter, Idiosyncratic drug reaction, Insomnia
Clinical narrative: Hepatitis / Encephalopathy (seizures, ADEM, MISC/A)  PRESENTING PROBLEM: Fever and chills [R50.9] Hepatitis [K75.9] Febrile illness, acute [R50.9] Acute nonintractable headache, unspecified headache type [R51.9] Seizure (HCC) [R56.9] MIS-C associated with COVID-19 (HCC) [M35.81]     Active Issues Requiring Follow-up   MIS-C/A - 2/2 COVID-19 infection vs idiosyncratic reaction to  J&J vaccine  -prednisone taper over 16 days as above -ID will be arranging follow up serial labs (CBC with diff, CMP, Ferritin level, CRP, LDH) -Bactrim prophylaxis while on steroids -Acyclovir 400 mg BID for prophylaxis (hx of recurrent HSV infection of eyelid) - duration to be clarified by ID at follow up -ASA 81 mg daily -TTE w/ normal coronaries. She will need cardiac MRI, to be arranged by adult congenital cardiology   Generalized tonic-clonic seizures - witnessed and captured on EEG 4/9. No further events. Continue Keppra 1500 mg BID. outaptient f/u with neurology   Abnormal MRI brain - diffuse T2 white matter hyperintensities - non-specific. She will need follow up MRI brain w/ and w/o contrast in 1 month and follow up with neurology clinic   ADHD - given insomnia, Senthuri was recommended to avoid vyvanse for now. She will discuss with her outpatient prescriber Anxiety and depression - zoloft increased to 125 mg daily Insomnia - 2/2 trauma from critical illness. Improved with trazodone HS.    Elevated EBV PCR - ID will continue to monitor.    Nausea/vomiting - resolved. Likey 2/2 gastritis in setting of steroid use. PPI BID x 4 weeks   DISCHARGE DISPOSITION: Home without services
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Leukopenia, Lumbar puncture normal, Magnetic resonance imaging head abnormal, Nausea
Clinical narrative: Hepatitis / Encephalopathy (seizures, ADEM, MISC/A)  PRESENTING PROBLEM: Fever and chills [R50.9] Hepatitis [K75.9] Febrile illness, acute [R50.9] Acute nonintractable headache, unspecified headache type [R51.9] Seizure (HCC) [R56.9] MIS-C associated with COVID-19 (HCC) [M35.81]     Active Issues Requiring Follow-up   MIS-C/A - 2/2 COVID-19 infection vs idiosyncratic reaction to  J&J vaccine  -prednisone taper over 16 days as above -ID will be arranging follow up serial labs (CBC with diff, CMP, Ferritin level, CRP, LDH) -Bactrim prophylaxis while on steroids -Acyclovir 400 mg BID for prophylaxis (hx of recurrent HSV infection of eyelid) - duration to be clarified by ID at follow up -ASA 81 mg daily -TTE w/ normal coronaries. She will need cardiac MRI, to be arranged by adult congenital cardiology   Generalized tonic-clonic seizures - witnessed and captured on EEG 4/9. No further events. Continue Keppra 1500 mg BID. outaptient f/u with neurology   Abnormal MRI brain - diffuse T2 white matter hyperintensities - non-specific. She will need follow up MRI brain w/ and w/o contrast in 1 month and follow up with neurology clinic   ADHD - given insomnia, Senthuri was recommended to avoid vyvanse for now. She will discuss with her outpatient prescriber Anxiety and depression - zoloft increased to 125 mg daily Insomnia - 2/2 trauma from critical illness. Improved with trazodone HS.    Elevated EBV PCR - ID will continue to monitor.    Nausea/vomiting - resolved. Likey 2/2 gastritis in setting of steroid use. PPI BID x 4 weeks   DISCHARGE DISPOSITION: Home without services
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Seizure, Toxoplasma serology negative, Ureteritis
Clinical narrative: Hepatitis / Encephalopathy (seizures, ADEM, MISC/A)  PRESENTING PROBLEM: Fever and chills [R50.9] Hepatitis [K75.9] Febrile illness, acute [R50.9] Acute nonintractable headache, unspecified headache type [R51.9] Seizure (HCC) [R56.9] MIS-C associated with COVID-19 (HCC) [M35.81]     Active Issues Requiring Follow-up   MIS-C/A - 2/2 COVID-19 infection vs idiosyncratic reaction to  J&J vaccine  -prednisone taper over 16 days as above -ID will be arranging follow up serial labs (CBC with diff, CMP, Ferritin level, CRP, LDH) -Bactrim prophylaxis while on steroids -Acyclovir 400 mg BID for prophylaxis (hx of recurrent HSV infection of eyelid) - duration to be clarified by ID at follow up -ASA 81 mg daily -TTE w/ normal coronaries. She will need cardiac MRI, to be arranged by adult congenital cardiology   Generalized tonic-clonic seizures - witnessed and captured on EEG 4/9. No further events. Continue Keppra 1500 mg BID. outaptient f/u with neurology   Abnormal MRI brain - diffuse T2 white matter hyperintensities - non-specific. She will need follow up MRI brain w/ and w/o contrast in 1 month and follow up with neurology clinic   ADHD - given insomnia, Senthuri was recommended to avoid vyvanse for now. She will discuss with her outpatient prescriber Anxiety and depression - zoloft increased to 125 mg daily Insomnia - 2/2 trauma from critical illness. Improved with trazodone HS.    Elevated EBV PCR - ID will continue to monitor.    Nausea/vomiting - resolved. Likey 2/2 gastritis in setting of steroid use. PPI BID x 4 weeks   DISCHARGE DISPOSITION: Home without services
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis normal, Varicella virus test negative, Vomiting, White matter lesion
Clinical narrative: Hepatitis / Encephalopathy (seizures, ADEM, MISC/A)  PRESENTING PROBLEM: Fever and chills [R50.9] Hepatitis [K75.9] Febrile illness, acute [R50.9] Acute nonintractable headache, unspecified headache type [R51.9] Seizure (HCC) [R56.9] MIS-C associated with COVID-19 (HCC) [M35.81]     Active Issues Requiring Follow-up   MIS-C/A - 2/2 COVID-19 infection vs idiosyncratic reaction to  J&J vaccine  -prednisone taper over 16 days as above -ID will be arranging follow up serial labs (CBC with diff, CMP, Ferritin level, CRP, LDH) -Bactrim prophylaxis while on steroids -Acyclovir 400 mg BID for prophylaxis (hx of recurrent HSV infection of eyelid) - duration to be clarified by ID at follow up -ASA 81 mg daily -TTE w/ normal coronaries. She will need cardiac MRI, to be arranged by adult congenital cardiology   Generalized tonic-clonic seizures - witnessed and captured on EEG 4/9. No further events. Continue Keppra 1500 mg BID. outaptient f/u with neurology   Abnormal MRI brain - diffuse T2 white matter hyperintensities - non-specific. She will need follow up MRI brain w/ and w/o contrast in 1 month and follow up with neurology clinic   ADHD - given insomnia, Senthuri was recommended to avoid vyvanse for now. She will discuss with her outpatient prescriber Anxiety and depression - zoloft increased to 125 mg daily Insomnia - 2/2 trauma from critical illness. Improved with trazodone HS.    Elevated EBV PCR - ID will continue to monitor.    Nausea/vomiting - resolved. Likey 2/2 gastritis in setting of steroid use. PPI BID x 4 weeks   DISCHARGE DISPOSITION: Home without services
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling cold, Headache, Hyperhidrosis, Nausea
Clinical narrative: Evening of 4/2 starting feeling like I had UTI. 4/3/21 Itching hives on face, neck, arms, back, stomach.  Headache.     On 4/4 ER shot, steriod fast acting and slow acting then had pill to take for 7 day.   Had headache and nausea for more than week after steriod, then developed scratchy throat, sinus.  sweaty and chilling went to doctor .
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Pruritus, SARS-CoV-2 test negative, Sinus disorder, Urticaria
Clinical narrative: Evening of 4/2 starting feeling like I had UTI. 4/3/21 Itching hives on face, neck, arms, back, stomach.  Headache.     On 4/4 ER shot, steriod fast acting and slow acting then had pill to take for 7 day.   Had headache and nausea for more than week after steriod, then developed scratchy throat, sinus.  sweaty and chilling went to doctor .
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Disturbance in attention, Fatigue, Feeling abnormal, Swelling
Clinical narrative: 3 hours after injection, felt like hands, arms, and legs were swelling (but they weren't), and had a total brain fog, felt like I was either on drugs or had alzheimers. Paced around my house and backyard in a fog, confused, not clear of thought. Had a hard time spelling words in emails. Symptoms went away within 45-60 minutes and did not return. Since that time felt a little tired but nothing serious. Today I feel completely normal.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Thinking abnormal
Clinical narrative: 3 hours after injection, felt like hands, arms, and legs were swelling (but they weren't), and had a total brain fog, felt like I was either on drugs or had alzheimers. Paced around my house and backyard in a fog, confused, not clear of thought. Had a hard time spelling words in emails. Symptoms went away within 45-60 minutes and did not return. Since that time felt a little tired but nothing serious. Today I feel completely normal.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast pain
Clinical narrative: Severe breast first left breast the most the right right half as much and arm pit pain on both equally very painful Maybe a week before period but these are symptoms I?ve never had before during or after period ever  I used both heat and Ice on my breast and arm pits to ease the pain very temporarily but the symptoms lasted 1-2 weeks  After second shot and around the same time I have the same symptoms but so far much less still too early to see