chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Axillary mass, Axillary pain, Injection site pain, Injection site swelling, Oedema peripheral
Clinical narrative: Following Dose 1,  Right Arm became sore at injection site for 4 days, at which time Right armpit became very tender touch and was swollen about size of silver dollar, approx. 1/2 inch thick.  Soreness at injection site subsided over the next 17 days, but tenderness in armpit only diminished slightly.  Following Dose 2, Right Arm was once again sore at injection site for about 4 days, but tenderness to the right armpit became more pronounced, with swelling increasing to the size of a hockey puck.  Size of swelling was easily visible to the eye.  Armpit became more tender to the touch, and has diminished only slightly in size,, as of this reporting.  Mass remains soft to the feel, but easily defined in size and location.  I have taken OTC pain killers to help with the discomfort.  Will continue to monitor its progress, unless notified otherwise.  Do not anticipate seeing my physician at this point.  Have consulted the Web, and have noted that this is a lesser side effect of this vaccine, if swelling remains localized to the injection site.  Thought I should report this side effect only because of the size of the swelling that occured.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tenderness
Clinical narrative: Following Dose 1,  Right Arm became sore at injection site for 4 days, at which time Right armpit became very tender touch and was swollen about size of silver dollar, approx. 1/2 inch thick.  Soreness at injection site subsided over the next 17 days, but tenderness in armpit only diminished slightly.  Following Dose 2, Right Arm was once again sore at injection site for about 4 days, but tenderness to the right armpit became more pronounced, with swelling increasing to the size of a hockey puck.  Size of swelling was easily visible to the eye.  Armpit became more tender to the touch, and has diminished only slightly in size,, as of this reporting.  Mass remains soft to the feel, but easily defined in size and location.  I have taken OTC pain killers to help with the discomfort.  Will continue to monitor its progress, unless notified otherwise.  Do not anticipate seeing my physician at this point.  Have consulted the Web, and have noted that this is a lesser side effect of this vaccine, if swelling remains localized to the injection site.  Thought I should report this side effect only because of the size of the swelling that occured.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Disturbance in attention, Feeling abnormal, Gait disturbance
Clinical narrative: On first shot, within 1 day I had all the symptons of Covid 19 (severe headache, sore throat, cough, loss of taste and smell, muscle pain, extreme fatigue).  Within 2 hours after the second shot, I became foggy brained.  I was not able to think properly or at times u was not sure where I was and what i was  doing.  I was also very unstable in walking.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Pyrexia, Tremor
Clinical narrative: Uncontrollable shaking as from chills, fever up to 101.6 (possibly was higher before checking), fatigue, no interest in food or drink. Symptoms came on quickly, and subsided in 8-9 hours. (Almost exactly 24 hours after the shot.)
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram, Diarrhoea, Electrocardiogram, Fatigue
Clinical narrative: pt states that the next day she had low grade fever, fatigue, nausea and malaise.   Pt had incontinence, diarrhea and fever never broke.  Pt contacted her PCP and he suggested she may have Covid so she got tested.  The results were negative.  Pt ended up getting worse so contacted her PCP and she was told to the ER hospital to get labs drawn, test for Covid again which was negative.  Fever was 102.3.  Chest XRAY showed she Pneumonia. Pt was admitted to hospital where she was given antibiotics and fluids.  She went into respiratory failure and her Pneumonia turned into bilateral infection.  She was unable eat and diarrhea.  After 5th day her fever broke and was released on the 6th day.  She was on O2 for two weeks after going home. On 3/8/2021 Pt is better now but still tired.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Feeding disorder, Incontinence, Laboratory test, Malaise, Nausea
Clinical narrative: pt states that the next day she had low grade fever, fatigue, nausea and malaise.   Pt had incontinence, diarrhea and fever never broke.  Pt contacted her PCP and he suggested she may have Covid so she got tested.  The results were negative.  Pt ended up getting worse so contacted her PCP and she was told to the ER hospital to get labs drawn, test for Covid again which was negative.  Fever was 102.3.  Chest XRAY showed she Pneumonia. Pt was admitted to hospital where she was given antibiotics and fluids.  She went into respiratory failure and her Pneumonia turned into bilateral infection.  She was unable eat and diarrhea.  After 5th day her fever broke and was released on the 6th day.  She was on O2 for two weeks after going home. On 3/8/2021 Pt is better now but still tired.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, Respiratory failure, SARS-CoV-2 test negative
Clinical narrative: pt states that the next day she had low grade fever, fatigue, nausea and malaise.   Pt had incontinence, diarrhea and fever never broke.  Pt contacted her PCP and he suggested she may have Covid so she got tested.  The results were negative.  Pt ended up getting worse so contacted her PCP and she was told to the ER hospital to get labs drawn, test for Covid again which was negative.  Fever was 102.3.  Chest XRAY showed she Pneumonia. Pt was admitted to hospital where she was given antibiotics and fluids.  She went into respiratory failure and her Pneumonia turned into bilateral infection.  She was unable eat and diarrhea.  After 5th day her fever broke and was released on the 6th day.  She was on O2 for two weeks after going home. On 3/8/2021 Pt is better now but still tired.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Erythema, Headache, Hypersomnia
Clinical narrative: Headache, Arm swollen with heat and redness, chills, sleeping, diarrhea.  Not feeling well for 3 days. Arm still painful  with redness on day 4.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Peripheral swelling, Skin warm
Clinical narrative: Headache, Arm swollen with heat and redness, chills, sleeping, diarrhea.  Not feeling well for 3 days. Arm still painful  with redness on day 4.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Feeling hot, Gingival discomfort, Hypertension, Nausea
Clinical narrative: During post vaccination observation period reported feeling hot and nauseous. Was hypertensive 214/102 and couldn't recall if she took her antihypertension medicine that day. BP decreased to 187/86, pt anxious and felt tingling sensation and tightness in face and gums. Transported to ED, no difficulty breathing, no facial swelling and no hives. Given diphenhydramine and d/c to home.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Skin tightness
Clinical narrative: During post vaccination observation period reported feeling hot and nauseous. Was hypertensive 214/102 and couldn't recall if she took her antihypertension medicine that day. BP decreased to 187/86, pt anxious and felt tingling sensation and tightness in face and gums. Transported to ED, no difficulty breathing, no facial swelling and no hives. Given diphenhydramine and d/c to home.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Erythema, Fatigue, Pain
Clinical narrative: Red splotch on arm morning after vaccine,  still apparent three days later, sore Temperature day after vaccine of 101.1 degrees, two days later 99.9 degrees High level buzzing sound in ears Tiredness Achiness, especially in joints
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Red splotch on arm morning after vaccine,  still apparent three days later, sore Temperature day after vaccine of 101.1 degrees, two days later 99.9 degrees High level buzzing sound in ears Tiredness Achiness, especially in joints
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Pain in extremity
Clinical narrative: Fatigue, sore arm redness around injection, heat/ice packs.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Delirium, Fatigue, Formication, Injection site swelling
Clinical narrative: My right shoulder, where the shot was injected, swelled up about the size of a softball.  It turned the skin read and blotchy.  This did not start going down until today.  I am not intending on seeking medical attention.    I ran very high fevers that were not able to be taken down by Tylenol right away.    I was out of my head with a little confusion and delirium for a few hours.  I experienced muscle aches and fatigue. I experienced itchy and crawly feelings on my skin.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pruritus, Pyrexia, Rash macular
Clinical narrative: My right shoulder, where the shot was injected, swelled up about the size of a softball.  It turned the skin read and blotchy.  This did not start going down until today.  I am not intending on seeking medical attention.    I ran very high fevers that were not able to be taken down by Tylenol right away.    I was out of my head with a little confusion and delirium for a few hours.  I experienced muscle aches and fatigue. I experienced itchy and crawly feelings on my skin.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dry mouth, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: chills, dry mouth, sore throat, high fever 102F, body ache
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site swelling, Pain
Clinical narrative: Fatigue, fever, swelling injection site chills, HEADACHES, hurting all over
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fatigue, fever, swelling injection site chills, HEADACHES, hurting all over
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Minor syncope without head trauma: pt slumped in chair and the chief pharmacist (myself) was alerted. Pt was assisted to another room and laid on the floor until symptoms passed (roughly 15 minutes). Pt was monitored for an additional 30 minutes before leaving the vaccination site.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Myalgia, SARS-CoV-2 test negative
Clinical narrative: Muscle aches and chills, cold sweats
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pruritus
Clinical narrative: Patient was told by allergist ok to get vaccine even though she had a shellfish allergy. Patient received vaccine and about 10 minutes later started to report itchiness.  She was given 50mg diphenhydramine by mouth and felt better afterwards, just woozy.  She had someone come pick her up after her 30 minutes.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: pt called in 13 days post-vaccination to report her left arm injection site is red, warm to touch and itching, pt denies edema or red streaks, denies fever, pt advised to contact PCP is site s/s worsen or if patient develops a fever or site worsens, aware verbalized understanding.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Contusion, Injection site pain, Pyrexia, Rash erythematous
Clinical narrative: Pt reports received 1st dose of moderna vaccine on 3/5 to R arm. On Saturday 3/6 he noted red rash to R side of his neck and black/blue dot rash on L side of neck. Also had mild fever, pain and injection site, chills. Denies any issues with breathing or swallowing. Reports today 3/8 that rash is about 90% resolved. He will continue to monitor.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Musculoskeletal discomfort, Ultrasound thyroid
Clinical narrative: 3 days after receiving my second dose of the Covid vaccine I started to have right sided neck discomfort. No interventions were taken for the first week. I continued to have discomfort so went to see Dr for my right sided neck pain. He ordered an ultrasound of my neck and labs. Report on ultrasound revealed I had  3 thyroid nodules.  I am now waiting to have a fine needle aspiration biopsy to what these nodules are. In the past I have never had any thyroid problems or  was i aware that i had thyroid nodules. I?m writing this as an adverse event because I?m not sure if the vaccine cause the nodules to become inflamed causing me to have neck pain.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Eye pain, Fatigue, Peripheral swelling
Clinical narrative: Extreme  fatigue, lightheaded and dizziness,  extreme joint pain, vision blurryness and sore eyes,  starting Wednesday March 3rd and continuing through today Monday, March 8th.   Also beginning Friday, March  5th woke up with right arm swollen just below the elbow.  Not sure if any of this is related to the Covid shot or having other problems. Just noticed that my vaccine card shows Lot #EN6202 but the letter sent says Lot #EL9263, for the 2nd dose.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Extreme  fatigue, lightheaded and dizziness,  extreme joint pain, vision blurryness and sore eyes,  starting Wednesday March 3rd and continuing through today Monday, March 8th.   Also beginning Friday, March  5th woke up with right arm swollen just below the elbow.  Not sure if any of this is related to the Covid shot or having other problems. Just noticed that my vaccine card shows Lot #EN6202 but the letter sent says Lot #EL9263, for the 2nd dose.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site pruritus, Pain in extremity
Clinical narrative: Painful arm, swollen, red, rash developed the next day.  Pain and swelling/rash continued the following day as well.  I was vaccinated on a Friday, today is Monday and the area is still red and itchy.  It is not quite as painful but it is sore and there is a now hardness near the injection site when the area is touched.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling
Clinical narrative: Painful arm, swollen, red, rash developed the next day.  Pain and swelling/rash continued the following day as well.  I was vaccinated on a Friday, today is Monday and the area is still red and itchy.  It is not quite as painful but it is sore and there is a now hardness near the injection site when the area is touched.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Pyrexia
Clinical narrative: Fever, tired and cough
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema of eyelid, Eyelids pruritus, Swelling of eyelid
Clinical narrative: Red, very itchy, swollen eyelids 3 days after receiving the vaccine. Right eyelid was worse than left eyelid.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Accidental exposure to product, Syringe issue
Clinical narrative: During vaccine administration, the vaccine leaked out of the syringe at the site where the needle connects to the hub.  The vaccinator reported the entire dose leaked out of the syringe and she believed none of the medication was administered to the patient. Another dose was drawn up & administered without incident
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Injection site pain
Clinical narrative: Severe chills and fever beginning approximately 8 hours after injection and lasting for 8 hours.  The  next day extreme fatigue.  Day after that moderate fatigue.  Third day  still fatigued.  Mild headache all three days. Soreness at injection site.  Diminished appetite.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Severe chills and fever beginning approximately 8 hours after injection and lasting for 8 hours.  The  next day extreme fatigue.  Day after that moderate fatigue.  Third day  still fatigued.  Mild headache all three days. Soreness at injection site.  Diminished appetite.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Mobility decreased, Musculoskeletal stiffness, Periarthritis
Clinical narrative: First 24 hours I experienced soreness which I expected - where I received the shot.  It seemed like the soreness was getting better, but then during the second night, it turned into excruciating pain. I had bursitis after shoulder surgery in 2018 on my other arm - and this pain was very similar.  I experienced 10 out of 10 pain for 2 weeks after getting the shot. During this time, I could not sleep well...and developed a frozen shoulder. I did not want to take any paid meds initially because I was afraid it would reduce the effectiveness of the vaccine. I began taking pain meds on the Thursday after getting my shot (4 days after) because I could not take the pain anymore. After taking Advil, Tylenol and icing my arm for 2 weeks it began to feel somewhat better. Week 3 was more of a soreness. It's now week 4 and I am trying to move my arm to increase mobility. It is still stiff and I cannot sleep on that arm.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: First 24 hours I experienced soreness which I expected - where I received the shot.  It seemed like the soreness was getting better, but then during the second night, it turned into excruciating pain. I had bursitis after shoulder surgery in 2018 on my other arm - and this pain was very similar.  I experienced 10 out of 10 pain for 2 weeks after getting the shot. During this time, I could not sleep well...and developed a frozen shoulder. I did not want to take any paid meds initially because I was afraid it would reduce the effectiveness of the vaccine. I began taking pain meds on the Thursday after getting my shot (4 days after) because I could not take the pain anymore. After taking Advil, Tylenol and icing my arm for 2 weeks it began to feel somewhat better. Week 3 was more of a soreness. It's now week 4 and I am trying to move my arm to increase mobility. It is still stiff and I cannot sleep on that arm.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth, Urticaria
Clinical narrative: On day 6 after first dose I started getting welts and a burning itch at injection site.  It 's the fourth day now and I still have the same issues.  Otherwise I feel fine.  Just intense redness, heat, itching and welts.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain in extremity, Pyrexia
Clinical narrative: sore arm, chills, feverish  The sore arm developed around 5 o'clock on Feb. 27 and lasted until March 1.  Chills started and ended on Feb. 28. Slight fever started and ended on Mar. 1. I took Tylenol.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Fatigue, Headache
Clinical narrative: Mild lingering headache, fatigue on and off four days after 2nd shot.  Lasted for about 5-6 days
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Dizziness, Dyspepsia, Headache
Clinical narrative: Fine the day of the shot (5/6/2021), woke up the next day (5/7/2021) with headache, joint pain, muscle aches, fever, nausea, dizziness and what felt like severe heartburn, frequent urination and stomach pain. As of 5/8/2021 all symptoms have subsided except for let arm still being a little tender, a little sore in left neck and that's it. Everything seems to be fine now
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Neck pain, Pain in extremity, Pollakiuria
Clinical narrative: Fine the day of the shot (5/6/2021), woke up the next day (5/7/2021) with headache, joint pain, muscle aches, fever, nausea, dizziness and what felt like severe heartburn, frequent urination and stomach pain. As of 5/8/2021 all symptoms have subsided except for let arm still being a little tender, a little sore in left neck and that's it. Everything seems to be fine now
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fine the day of the shot (5/6/2021), woke up the next day (5/7/2021) with headache, joint pain, muscle aches, fever, nausea, dizziness and what felt like severe heartburn, frequent urination and stomach pain. As of 5/8/2021 all symptoms have subsided except for let arm still being a little tender, a little sore in left neck and that's it. Everything seems to be fine now
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site pain, Injection site swelling, Lymphadenopathy, Musculoskeletal stiffness
Clinical narrative: pain, swelling, and bruising local reaction to right deltoid; bilateral supraclavicular lymphadenopathy, bilateral neck pain and stiffness
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: pain, swelling, and bruising local reaction to right deltoid; bilateral supraclavicular lymphadenopathy, bilateral neck pain and stiffness
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Immediate post-injection reaction, Laboratory test normal, Rash, Swelling face
Clinical narrative: Facial swelling, Diffuse facial rash- 24 hours after vaccine administation Extreme fatigue- immediately following vaccine  x2 days  Evaluated by PCP and given IM Benadryl and Decadron
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Facial swelling, Diffuse facial rash- 24 hours after vaccine administation Extreme fatigue- immediately following vaccine  x2 days  Evaluated by PCP and given IM Benadryl and Decadron
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Pyrexia
Clinical narrative: Fever from 99.7 as high as 101.1 for 36 hours s/p vaccine - Treated with acetaminophen and ibuprofen Clogged ears. - treated with Mucinex
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood bilirubin increased, Blood lactic acid decreased, Chills, Dehydration
Clinical narrative: 1600 day after vaccine presented with N/V and chills.    Small bowel obstr-partial.  NG tube, fluids.  resolved.  Admit 3/3 DC 3/8
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Enteral nutrition, Nausea, Neutrophil count decreased, Procalcitonin increased, Small intestinal obstruction
Clinical narrative: 1600 day after vaccine presented with N/V and chills.    Small bowel obstr-partial.  NG tube, fluids.  resolved.  Admit 3/3 DC 3/8
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count increased, X-ray normal
Clinical narrative: 1600 day after vaccine presented with N/V and chills.    Small bowel obstr-partial.  NG tube, fluids.  resolved.  Admit 3/3 DC 3/8
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dyspnoea, Injection site pain, Nausea
Clinical narrative: At approximately, 9:30PM on 03/05/2021 patient reported having injection site/arm pain, dizziness, muscle spasms that alternated between shoulder blades, neck, thighs, nausea, chills, "heart racing and shortness of breath after climbing stairs to bedroom" . Patient stated symptoms lasted through 03/06/2021 and started to improve on 03/07/2021. Injection site continues to be sore.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Palpitations
Clinical narrative: At approximately, 9:30PM on 03/05/2021 patient reported having injection site/arm pain, dizziness, muscle spasms that alternated between shoulder blades, neck, thighs, nausea, chills, "heart racing and shortness of breath after climbing stairs to bedroom" . Patient stated symptoms lasted through 03/06/2021 and started to improve on 03/07/2021. Injection site continues to be sore.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: pt called in 10 days post-vaccination to report her right arm injection site is red, warm to touch and itching, pt denies edema or red streaks, denies fever, pt advised to contact PCP is site s/s worsen or if patient develops a fever or site worsens, aware verbalized understanding- jrw
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Was given second dose as Moderna instead of Pfizer
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash papular, Rash pruritic, Skin warm
Clinical narrative: Raised, hot, red, itchy rash started on evening of 6th post shot. Rash spread to approx 6 inches across.  No treatment.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Blood glucose decreased, Blood test, Mastication disorder, Somnolence
Clinical narrative: She had not eaten but 15 minutes after injection, she felt as if her blood sugar dropping. She purchased a candy bar and ate it on the way. Her husband was driving. She does not remember trip. She was still feeling bad and they got a shake, she was not able to chew. They went straight home and checked blood sugar which was 62. This was approximately 1 hour after she ate candy bar. She started to feel better after another hour and ate a hamburger. She proceeded to sleep a lot the rest of the day. She stated she has never had a low blood sugar episode that severe before.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Flushing, Wheezing
Clinical narrative: IMMUNIZATION CLINIC NOTES:  77 y.o. female presented to Elementary School for second dose of COVID-19 vaccine. No known allergies. Patient reports history of hypertension, being treated with amlodipine. No history of asthma, COPD, use of inhaler for any conditions, or recent respiratory illness. Patient is a non-smoker. First dose of vaccine, Lot # 039K20A, administered on 2/6/2021 and patient reported no immediate symptoms during observation period after first dose. Second dose of vaccine, Lot# 013A21A, was administered on 3/5/2021 at 10:52AM to the left deltoid. Approximately 5 minutes after receiving second dose, patient reported feeling anxious and feeling like her blood pressure was increasing. Patient taken to EMS observation area. Patient observed by EMS.  Nurse assessed patient at 11:23AM. Patient was alert and oriented x 4. Manual blood pressure was 196/86. Pulse, manually palpated, was 86 and strong. SpO2 99% on room air.  Patient with flushing. No generalized hives. No itching. No swelling of face, lips, or eyes. Left deltoid injection site without erythema or swelling. Skin warm and dry. Lungs auscultated and inspiratory wheeze noted in all lung fields. No shortness of breath. No cough. No nasal congestion. No change in voice. No sensation of throat closing. No stridor.  No dizziness or syncope.  No GI symptoms.   Patient experiencing skin and respiratory symptoms. RN was asked to assess patient?s respiratory symptoms and also noted bilateral wheeze.  Patient?s symptoms post-vaccination involved more than one body system, skin and respiratory. Reviewed symptoms and standing order procedures with patient. Standing order for Medical Management of Vaccine Reactions in Adults in a Community Setting was followed. Patient was assisted to stretcher by EMS. 0.3mg epinephrine auto injector, Lot # G191202X Exp. 4/2021, was administered to the right outer thigh on 3/5/2021 at 11:39AM by RN. Patient was then transported by EMS to Medical Center.   EMERGENCY DEPARTMENT COURSE AND TREATMENT NOTE: Patient's condition remained stable during Emergency Department evaluation. Decision made to obtain prior medical records. (+)Prior records reviewed. There is low suspicion for an allergic reaction given symptoms. Patient is well appearing with a normal exam. Plan to monitor.  03/05/2021 13:13 Patient remains well appearing will discharge home.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Nausea
Clinical narrative: At approx 24 hours after the injection, I had extreme chills, fatigue , body aches, headache, nausea and temp of 101. This lasted  approx. 15 hours. The nausea and headache lasted another 24 hours. Sore arm lasted about 4 days. Did not contact PCP.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: At approx 24 hours after the injection, I had extreme chills, fatigue , body aches, headache, nausea and temp of 101. This lasted  approx. 15 hours. The nausea and headache lasted another 24 hours. Sore arm lasted about 4 days. Did not contact PCP.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, Skin warm
Clinical narrative: After about 15-20 minutes, patient developed left facial twitch and she felt warm on her left side.  VS: BP 154/88, HR 88, O2 sat 98, BS WNL. Symptoms resolved in about 15 minutes without any intervention.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea, Dyspnoea exertional, Nausea
Clinical narrative: patient presented to ED with chest pain, gone upon arrival to ED, dyspnea on exertion, shortness of breath. no congestion, no cough. Nausea present. patient tested for covid and found to be positive. Received 2nd covid vaccine on 2/3/21
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: patient presented to ED with chest pain, gone upon arrival to ED, dyspnea on exertion, shortness of breath. no congestion, no cough. Nausea present. patient tested for covid and found to be positive. Received 2nd covid vaccine on 2/3/21
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Palpitations
Clinical narrative: Apprehension, palpitations, BP 147/65, P 68, observed and d/c from medical.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient started to slump in chair - RN observers attended to patient and alerted Lead to situation - STAT team called overhead.  Pt appeared distressed and SOB, leaning over - coarse LS were audible - VS taken 142/82 HR103 SpO2 98%,  as EpiPen administered into L thigh upon rapid assessment followed by 25mg IM Benadryl per protocol. ED STAT team arrived approximately 2 minutes later - who immediately transported patient to the ED for evaluation and treatment.   Chart review indicates patient further treated with Solu-Medrol, fluids and pepcid.  And released after 1400 with no further s/sx.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Body aches yet unexplained by other condition.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Paraesthesia
Clinical narrative: During post vaccination observation period  c/o lightheadedness and "tingling flushed sensation" BP 165/79. Transported to ED, vital signs and lab work within normal limits. Symptoms had resolved by the time she arrived in ED, discharged to home
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash full body
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Myalgia, Nausea, Pain in extremity
Clinical narrative: Slight fever, tired, diarrhea,, slight nausea, sore spot on arm, muscle aches, heart racing.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: Slight fever, tired, diarrhea,, slight nausea, sore spot on arm, muscle aches, heart racing.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardioversion, Echocardiogram, Magnetic resonance imaging head, X-ray
Clinical narrative: Had A-Fib event requiring hospitalization on 2/16/21.  Received TEE and heartversion
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Retinal vein occlusion
Clinical narrative: Central Retinal Vein occlusion, right eye
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Blood creatinine normal, Dry skin, Eosinophil percentage increased
Clinical narrative: After getting the vaccine had some injection site pain and fatigue for a few days. About 1 week after receiving the vaccine he developed an itchy, dry, flaky, red rash on his arms, chest, back, legs, and waist. No face or genital involvement. No mucosal involvement. Starting using topical Benadryl, hydrocortisone, and topical lotion which helped with itching. Seen by PCP 1 week ago who started him on medrol dose pack. In clinic today (4 weeks post vaccine) he continues to have areas of superficial skin peeling on upper/lower extremities and trunk.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Full blood count abnormal, Injection site pain, Pruritus, Rash
Clinical narrative: After getting the vaccine had some injection site pain and fatigue for a few days. About 1 week after receiving the vaccine he developed an itchy, dry, flaky, red rash on his arms, chest, back, legs, and waist. No face or genital involvement. No mucosal involvement. Starting using topical Benadryl, hydrocortisone, and topical lotion which helped with itching. Seen by PCP 1 week ago who started him on medrol dose pack. In clinic today (4 weeks post vaccine) he continues to have areas of superficial skin peeling on upper/lower extremities and trunk.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Rash erythematous, Skin exfoliation
Clinical narrative: After getting the vaccine had some injection site pain and fatigue for a few days. About 1 week after receiving the vaccine he developed an itchy, dry, flaky, red rash on his arms, chest, back, legs, and waist. No face or genital involvement. No mucosal involvement. Starting using topical Benadryl, hydrocortisone, and topical lotion which helped with itching. Seen by PCP 1 week ago who started him on medrol dose pack. In clinic today (4 weeks post vaccine) he continues to have areas of superficial skin peeling on upper/lower extremities and trunk.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Feeling abnormal, Impaired work ability, Memory impairment, Tinnitus
Clinical narrative: Double vision (specifically seeing multiple lines of text above and below each other) Extreme "brain fog", suddenly unable to remember words or how to spell them, difficulty doing work related tasks due to such ringing in ear
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: shingles
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Anxiety, Arachnoiditis, Asthenia, Bursitis
Clinical narrative: No rxn to dose 1. Dose 2: @10 min had tingling of lips; at 12 min had tingling of tongue [and anxiety from the tingling]; @ 15 min had some SOB and knew this was not just anxiety. Had zero intention of being taken to ER as I could easily tx myself. Took inhalers, extra cetirizine.  Did not take epi, though have several pens.  @4 hour started feeling weak, severe arm pain.  At 6 hours, unbearable arm pain, extreme weakness [did not take BP or pulse ox--though I can and wish I had]. Exceeding thirst, could not get water down fast enough. Reactivation of arachnoiditis symptoms. Started unusual muscle fasciculations in arms, leg, and face [face not normal for me]-took valium and baclofen. Next 36 hours  unable  Additional information for Item 18:  next 48 hours, unable to get out of bed other than to get water. Severe HA upon waking  [@16 H post injection].  Severe myalgias, but in areas of known arachnoiditis that have been quiescent for quite some time.  Forgot to mention, as I find this strange: prior to going to sleep I had left eye conjunctivitis.  Left eye only that still is slightly persistent and doesn't require any care [for me at least]  I am currently 72 hours post. Still with HA and some fatigue, though worked today [I WAH for a population health company].   L arm is not as painful as the excruciating pain @ hour  4-16, and no need for additional acetaminophen. I have an exceedingly high pain tolerance due to the arachnoiditis,  but this was the first time I took a narcotic in 5 years. 2 .5 mg oxycodone x1, then 600 mg ibuprofen x1, then 1 gm acetaminophen  2 over next 24 hours and nothing since, but it is still quite painful today. Different today than yesterday is the development of what feels like left shoulder bursitis.  We'll have to see how this goes over time.  There is extensive edema at the site, but not clear erythema [I'm dark skinned].  Still just can't seem to get enough water.  Had my first meal last night [made chicken soup].    It's still pretty early on. I'm not even at the 72 hour mark yet, so hopefully things will settle down over the next weeks.  I checked the box as life threatening because that was likely early anaphylaxis -- though at first I seriously thought at first I was just anxious because of the lip tingling.  This is in defense of the fact I did not self administer epi when I became SOB.  I likely should have, but know myself well and did fine without it and with asthma and allergy care. I didn't need extra albuterol after the first 24 hours [though writing this makes me feel SOB just from reliving it].   This second dose is a doozy.  Hope this was helpful. I provided you guys with my cell but if you want to follow up, I use my phone for work so if you text first I cant tell you availability.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Conjunctivitis, Dyspnoea, Fatigue, Headache
Clinical narrative: No rxn to dose 1. Dose 2: @10 min had tingling of lips; at 12 min had tingling of tongue [and anxiety from the tingling]; @ 15 min had some SOB and knew this was not just anxiety. Had zero intention of being taken to ER as I could easily tx myself. Took inhalers, extra cetirizine.  Did not take epi, though have several pens.  @4 hour started feeling weak, severe arm pain.  At 6 hours, unbearable arm pain, extreme weakness [did not take BP or pulse ox--though I can and wish I had]. Exceeding thirst, could not get water down fast enough. Reactivation of arachnoiditis symptoms. Started unusual muscle fasciculations in arms, leg, and face [face not normal for me]-took valium and baclofen. Next 36 hours  unable  Additional information for Item 18:  next 48 hours, unable to get out of bed other than to get water. Severe HA upon waking  [@16 H post injection].  Severe myalgias, but in areas of known arachnoiditis that have been quiescent for quite some time.  Forgot to mention, as I find this strange: prior to going to sleep I had left eye conjunctivitis.  Left eye only that still is slightly persistent and doesn't require any care [for me at least]  I am currently 72 hours post. Still with HA and some fatigue, though worked today [I WAH for a population health company].   L arm is not as painful as the excruciating pain @ hour  4-16, and no need for additional acetaminophen. I have an exceedingly high pain tolerance due to the arachnoiditis,  but this was the first time I took a narcotic in 5 years. 2 .5 mg oxycodone x1, then 600 mg ibuprofen x1, then 1 gm acetaminophen  2 over next 24 hours and nothing since, but it is still quite painful today. Different today than yesterday is the development of what feels like left shoulder bursitis.  We'll have to see how this goes over time.  There is extensive edema at the site, but not clear erythema [I'm dark skinned].  Still just can't seem to get enough water.  Had my first meal last night [made chicken soup].    It's still pretty early on. I'm not even at the 72 hour mark yet, so hopefully things will settle down over the next weeks.  I checked the box as life threatening because that was likely early anaphylaxis -- though at first I seriously thought at first I was just anxious because of the lip tingling.  This is in defense of the fact I did not self administer epi when I became SOB.  I likely should have, but know myself well and did fine without it and with asthma and allergy care. I didn't need extra albuterol after the first 24 hours [though writing this makes me feel SOB just from reliving it].   This second dose is a doozy.  Hope this was helpful. I provided you guys with my cell but if you want to follow up, I use my phone for work so if you text first I cant tell you availability.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site oedema, Mobility decreased, Muscle contractions involuntary, Myalgia, Pain in extremity
Clinical narrative: No rxn to dose 1. Dose 2: @10 min had tingling of lips; at 12 min had tingling of tongue [and anxiety from the tingling]; @ 15 min had some SOB and knew this was not just anxiety. Had zero intention of being taken to ER as I could easily tx myself. Took inhalers, extra cetirizine.  Did not take epi, though have several pens.  @4 hour started feeling weak, severe arm pain.  At 6 hours, unbearable arm pain, extreme weakness [did not take BP or pulse ox--though I can and wish I had]. Exceeding thirst, could not get water down fast enough. Reactivation of arachnoiditis symptoms. Started unusual muscle fasciculations in arms, leg, and face [face not normal for me]-took valium and baclofen. Next 36 hours  unable  Additional information for Item 18:  next 48 hours, unable to get out of bed other than to get water. Severe HA upon waking  [@16 H post injection].  Severe myalgias, but in areas of known arachnoiditis that have been quiescent for quite some time.  Forgot to mention, as I find this strange: prior to going to sleep I had left eye conjunctivitis.  Left eye only that still is slightly persistent and doesn't require any care [for me at least]  I am currently 72 hours post. Still with HA and some fatigue, though worked today [I WAH for a population health company].   L arm is not as painful as the excruciating pain @ hour  4-16, and no need for additional acetaminophen. I have an exceedingly high pain tolerance due to the arachnoiditis,  but this was the first time I took a narcotic in 5 years. 2 .5 mg oxycodone x1, then 600 mg ibuprofen x1, then 1 gm acetaminophen  2 over next 24 hours and nothing since, but it is still quite painful today. Different today than yesterday is the development of what feels like left shoulder bursitis.  We'll have to see how this goes over time.  There is extensive edema at the site, but not clear erythema [I'm dark skinned].  Still just can't seem to get enough water.  Had my first meal last night [made chicken soup].    It's still pretty early on. I'm not even at the 72 hour mark yet, so hopefully things will settle down over the next weeks.  I checked the box as life threatening because that was likely early anaphylaxis -- though at first I seriously thought at first I was just anxious because of the lip tingling.  This is in defense of the fact I did not self administer epi when I became SOB.  I likely should have, but know myself well and did fine without it and with asthma and allergy care. I didn't need extra albuterol after the first 24 hours [though writing this makes me feel SOB just from reliving it].   This second dose is a doozy.  Hope this was helpful. I provided you guys with my cell but if you want to follow up, I use my phone for work so if you text first I cant tell you availability.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia oral, Thirst
Clinical narrative: No rxn to dose 1. Dose 2: @10 min had tingling of lips; at 12 min had tingling of tongue [and anxiety from the tingling]; @ 15 min had some SOB and knew this was not just anxiety. Had zero intention of being taken to ER as I could easily tx myself. Took inhalers, extra cetirizine.  Did not take epi, though have several pens.  @4 hour started feeling weak, severe arm pain.  At 6 hours, unbearable arm pain, extreme weakness [did not take BP or pulse ox--though I can and wish I had]. Exceeding thirst, could not get water down fast enough. Reactivation of arachnoiditis symptoms. Started unusual muscle fasciculations in arms, leg, and face [face not normal for me]-took valium and baclofen. Next 36 hours  unable  Additional information for Item 18:  next 48 hours, unable to get out of bed other than to get water. Severe HA upon waking  [@16 H post injection].  Severe myalgias, but in areas of known arachnoiditis that have been quiescent for quite some time.  Forgot to mention, as I find this strange: prior to going to sleep I had left eye conjunctivitis.  Left eye only that still is slightly persistent and doesn't require any care [for me at least]  I am currently 72 hours post. Still with HA and some fatigue, though worked today [I WAH for a population health company].   L arm is not as painful as the excruciating pain @ hour  4-16, and no need for additional acetaminophen. I have an exceedingly high pain tolerance due to the arachnoiditis,  but this was the first time I took a narcotic in 5 years. 2 .5 mg oxycodone x1, then 600 mg ibuprofen x1, then 1 gm acetaminophen  2 over next 24 hours and nothing since, but it is still quite painful today. Different today than yesterday is the development of what feels like left shoulder bursitis.  We'll have to see how this goes over time.  There is extensive edema at the site, but not clear erythema [I'm dark skinned].  Still just can't seem to get enough water.  Had my first meal last night [made chicken soup].    It's still pretty early on. I'm not even at the 72 hour mark yet, so hopefully things will settle down over the next weeks.  I checked the box as life threatening because that was likely early anaphylaxis -- though at first I seriously thought at first I was just anxious because of the lip tingling.  This is in defense of the fact I did not self administer epi when I became SOB.  I likely should have, but know myself well and did fine without it and with asthma and allergy care. I didn't need extra albuterol after the first 24 hours [though writing this makes me feel SOB just from reliving it].   This second dose is a doozy.  Hope this was helpful. I provided you guys with my cell but if you want to follow up, I use my phone for work so if you text first I cant tell you availability.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological symptom
Clinical narrative: Patient seen at the ER  for symptoms of stroke.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: It was the Johnson and Johnson shot. Both my husband and I felt mild flu-like symptoms on the same day and yesterday. Today the site where the shot was on my arm is very red, puffy and hot. My flu like symptoms are still here, very mild
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Injection site is raised, red, itchy and warm. Painful when pressed on.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Hiccups
Clinical narrative: Non stop Hiccups since the evening after the shot that still persist 3 days later
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Electrocardiogram, Headache
Clinical narrative: During post vaccination observation period c/o dizziness,, feeling weak, requesting to lay down.  C/o mild acute headache.  History of chronic Atrial fibrillation on Coumadin, allergic to IV dye. Transported to ED, EKG in atrial fibrillation, lab work within normal limits, Given Benadryl and Pepcid, symptoms resolved and discharged to home.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Lymph node pain, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: I had adverse event to both vaccines, The second was and second dose EL 8982  Both times I had a slight fever. Painful enlarged lymph node in left armpit. Body aches that kept me up at night. And feeling mentally cloudy. Symptoms lasted for 203 days. I called my oncologist on the phone.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: I had adverse event to both vaccines, The second was and second dose EL 8982  Both times I had a slight fever. Painful enlarged lymph node in left armpit. Body aches that kept me up at night. And feeling mentally cloudy. Symptoms lasted for 203 days. I called my oncologist on the phone.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA  Symptoms started to occur approximately 10 min after injection. Symptoms included tingling sensation in face and brief period of lip numbness. I did not have any rash or respiratory issues. All noted symptoms resolved within 1 hour without any medication. I initially did not report these issues to the pharmacy where I received the shot.