chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Myalgia, Neck pain, Pain, Pain in extremity
Clinical narrative: @7pm on the evening of the vaccination, I developed weakness, severe chills, body aches, muscle pain and a severe headache. @7am on 3/26/21 severe chills subsided but weakness, severe chills, body aches, muscle pain and a severe headache remained. Left arm shot site pain started. @1pm on 3/26/21 muscle pain (left side of body neck, underarm, pectoral, lower back, and calf muscles) as well as shot site pain remained. 3/27/21 - 3/28/21 muscle pain subsided as shot site pain remained and redness of the area and below the area grew. @7am on 3/29/21 Shot site pain and redness of the area and below the area grew even larger.  the shape of a snowman:  the top (shot site) the size of a nickel. the bottom the size of a golf ball.  Area has a knot in the muscle and is hot and extremely tender.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pruritus, Rash
Clinical narrative: I've had serious reactions to flu vaccines and the stated that I should wait 30 minutes after taking the covid vaccine to see if any adverse effects would occur. Nothing happened. Early Saturday morning, three days after the first vaccine shot, I awoke with heavy itchy and burning sensation on both ankles, which I then noticed that I had broken out in a rash on my arms. I took Benadryl and then used some crème that I had from shingles and it helped by numbing the area. After calling the Dr. three days later, she prescribed Clobetasol cream for the affected areas.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dysphagia, Dyspnoea, Palpitations
Clinical narrative: Heart racing for 1 hour chest felt heavy 2 hours hard to swallow 15 minutes labored breathing 15 minutes weakness 2-3 hours severe headache for 3 days  I took extra Metoprolol for heart racing and tightness in chest I took Tylenol and Advil for headaches each day together
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Low grade fever (24 hours) , body aches (24 hours), joint pain (24 hours) , headache (3 days), nausea (only last about 1-2 hours) Took Advil with little relief.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: wrong age
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue
Clinical narrative: Dizzy and tired
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Nausea, Pruritus, Rash
Clinical narrative: Patient received 2nd vaccine. About 10 mins after administration she reported nausea, light headed, itching, rash, numbness. Patient requested to only have 25mg of Benadryl administered. Per Dr. ok to administer that amount. Benadryl 25mg IM in the left deltoid at 11:30 AM by RN
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Pain, Pyrexia
Clinical narrative: Body ache fever chills headache cough for 5 days.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Every time I take a sip of a drink my lips get a sense of pins and needles. Also, every time I move from a different position, for example, from seated to standing, or or seated to laying down, I get pins and needles in my left arm and in my legs for about a minute. It seems as though my body needs a minute to realize it moved. Once my body is used to that position (normally about a minute or less) that sensation goes away.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Delayed injection sight reaction.  Swelling, redness, soreness, and warm to the touch.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site reaction
Clinical narrative: Flu like symptoms for 24 hours and then a big reaction at the injection site
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cognitive disorder, Feeling hot, Head discomfort, Hypoaesthesia
Clinical narrative: Heat through body, Nausea, numbness in left hand, pressure in head, cognitive problems, pressure in head, memory problems, joint pain, right eye not focusing Have seen my primary, rheumatologist- received injection of steroid and put on oral steroids, chiropractor nerve stimulation, adjustment. Waiting to see a neurologist
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vision blurred
Clinical narrative: Heat through body, Nausea, numbness in left hand, pressure in head, cognitive problems, pressure in head, memory problems, joint pain, right eye not focusing Have seen my primary, rheumatologist- received injection of steroid and put on oral steroids, chiropractor nerve stimulation, adjustment. Waiting to see a neurologist
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood testosterone, Blood thyroid stimulating hormone, Fatigue, Thyroid function test
Clinical narrative: Extreme fatigue.  I become very exhausted and take long naps.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain
Clinical narrative: Soreness at injection site.  Fatigue.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Red ring around injection site
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Dizziness, Feeling abnormal, Headache
Clinical narrative: Fever, chills, arm soreness, nausea, headache, eyes hurt, back pain, dizziness, feel bad
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular discomfort, Pain in extremity, Pyrexia
Clinical narrative: Fever, chills, arm soreness, nausea, headache, eyes hurt, back pain, dizziness, feel bad
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nausea
Clinical narrative: Headache, nausea for next three days after vaccination. Treated with acetaminophen and cold compresses
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic, Vaccination site reaction
Clinical narrative: Red, erythematous rash on left arm (site of vaccine).  Per articles I've read, it is now called "COVID Arm".  The rash appeared 7 days post vaccine & lasted approx 5 days.  It was itchy for only 6-8 hrs on the first day.  No other redness.  No pain.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia, Retching, Vomiting
Clinical narrative: 3.5 days after vaccine i experienced chills, fever, fatigue, and vomiting/dry heaves, which lasted 2 days.  i did not seek medical attention.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac failure congestive, Condition aggravated
Clinical narrative: After patient received 1st dose of COVID vaccine, voiced complaints of CHF exacerbation.  Was admitted for diuresis and symptom management.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Syncope
Clinical narrative: Pt syncopal, diaphoretic
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Raised red area, with itching and hot.  1 week post vaccine
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Deep vein thrombosis, Pulmonary embolism, Ultrasound Doppler abnormal
Clinical narrative: DVT of left lower extremity 2 weeks after first shot PE
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Tinnitus
Clinical narrative: Patient reported numbness and ringing in ears after recieving vaccine. She stated she felt like she was going to pass out. Onsite HR 53 BP 116/67 Patient stated she was a runner, she recovered fully and was free to go home.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Nausea, Vomiting
Clinical narrative: Nausea, vomiting, chills, no fever for about 12 hours that started about 4 hours after vaccination.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Anion gap, Aspartate aminotransferase decreased, Asthenia
Clinical narrative: complaints of generalized weakness.  Patient states she was sitting at home when she developed sudden weakness throughout her body.  She states she walked to the bathroom and felt as though she was going to fall down.  She reports feeling sweaty as if she was having a hot flash.  She states her symptoms lasted approximately 45 minutes and resolved after arriving to the ER. She denies feeling dizzy, lightheaded, no visual disturbances, paresthesia or headache.  She denies any chest pain or shortness of breath.  No recent fever, cough or chills.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Basophil percentage, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin decreased
Clinical narrative: complaints of generalized weakness.  Patient states she was sitting at home when she developed sudden weakness throughout her body.  She states she walked to the bathroom and felt as though she was going to fall down.  She reports feeling sweaty as if she was having a hot flash.  She states her symptoms lasted approximately 45 minutes and resolved after arriving to the ER. She denies feeling dizzy, lightheaded, no visual disturbances, paresthesia or headache.  She denies any chest pain or shortness of breath.  No recent fever, cough or chills.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose increased, Blood lactic acid
Clinical narrative: complaints of generalized weakness.  Patient states she was sitting at home when she developed sudden weakness throughout her body.  She states she walked to the bathroom and felt as though she was going to fall down.  She reports feeling sweaty as if she was having a hot flash.  She states her symptoms lasted approximately 45 minutes and resolved after arriving to the ER. She denies feeling dizzy, lightheaded, no visual disturbances, paresthesia or headache.  She denies any chest pain or shortness of breath.  No recent fever, cough or chills.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood osmolarity decreased, Blood potassium normal, Blood sodium normal, Blood urea nitrogen/creatinine ratio, Blood urea normal
Clinical narrative: complaints of generalized weakness.  Patient states she was sitting at home when she developed sudden weakness throughout her body.  She states she walked to the bathroom and felt as though she was going to fall down.  She reports feeling sweaty as if she was having a hot flash.  She states her symptoms lasted approximately 45 minutes and resolved after arriving to the ER. She denies feeling dizzy, lightheaded, no visual disturbances, paresthesia or headache.  She denies any chest pain or shortness of breath.  No recent fever, cough or chills.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Electrocardiogram abnormal, Eosinophil percentage decreased, Full blood count, Globulin
Clinical narrative: complaints of generalized weakness.  Patient states she was sitting at home when she developed sudden weakness throughout her body.  She states she walked to the bathroom and felt as though she was going to fall down.  She reports feeling sweaty as if she was having a hot flash.  She states her symptoms lasted approximately 45 minutes and resolved after arriving to the ER. She denies feeling dizzy, lightheaded, no visual disturbances, paresthesia or headache.  She denies any chest pain or shortness of breath.  No recent fever, cough or chills.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Hot flush, Hyperhidrosis, Immature granulocyte count
Clinical narrative: complaints of generalized weakness.  Patient states she was sitting at home when she developed sudden weakness throughout her body.  She states she walked to the bathroom and felt as though she was going to fall down.  She reports feeling sweaty as if she was having a hot flash.  She states her symptoms lasted approximately 45 minutes and resolved after arriving to the ER. She denies feeling dizzy, lightheaded, no visual disturbances, paresthesia or headache.  She denies any chest pain or shortness of breath.  No recent fever, cough or chills.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal
Clinical narrative: complaints of generalized weakness.  Patient states she was sitting at home when she developed sudden weakness throughout her body.  She states she walked to the bathroom and felt as though she was going to fall down.  She reports feeling sweaty as if she was having a hot flash.  She states her symptoms lasted approximately 45 minutes and resolved after arriving to the ER. She denies feeling dizzy, lightheaded, no visual disturbances, paresthesia or headache.  She denies any chest pain or shortness of breath.  No recent fever, cough or chills.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Monocyte count, Monocyte percentage increased, Neutrophil count, Neutrophil percentage
Clinical narrative: complaints of generalized weakness.  Patient states she was sitting at home when she developed sudden weakness throughout her body.  She states she walked to the bathroom and felt as though she was going to fall down.  She reports feeling sweaty as if she was having a hot flash.  She states her symptoms lasted approximately 45 minutes and resolved after arriving to the ER. She denies feeling dizzy, lightheaded, no visual disturbances, paresthesia or headache.  She denies any chest pain or shortness of breath.  No recent fever, cough or chills.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Protein total normal, Red blood cell count normal, Red cell distribution width normal, Troponin T
Clinical narrative: complaints of generalized weakness.  Patient states she was sitting at home when she developed sudden weakness throughout her body.  She states she walked to the bathroom and felt as though she was going to fall down.  She reports feeling sweaty as if she was having a hot flash.  She states her symptoms lasted approximately 45 minutes and resolved after arriving to the ER. She denies feeling dizzy, lightheaded, no visual disturbances, paresthesia or headache.  She denies any chest pain or shortness of breath.  No recent fever, cough or chills.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis normal, White blood cell count normal
Clinical narrative: complaints of generalized weakness.  Patient states she was sitting at home when she developed sudden weakness throughout her body.  She states she walked to the bathroom and felt as though she was going to fall down.  She reports feeling sweaty as if she was having a hot flash.  She states her symptoms lasted approximately 45 minutes and resolved after arriving to the ER. She denies feeling dizzy, lightheaded, no visual disturbances, paresthesia or headache.  She denies any chest pain or shortness of breath.  No recent fever, cough or chills.
Age: 61.0
Sex: U
Vaccine: COVID19
Symptoms: Burning sensation, Lymphadenopathy, Rash, Rash pruritic, Swelling
Clinical narrative: I have a severe rash on my neck after the COVID 19 vaccine shot my neck swelled during the night and lymph nodes in my neck swelled/but went to normal after the next day, but a rash occurred and it itches and burns and is still there two weeks later - I'm so scared to get the second dose on April 9th Any suggestions?
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Client had painful arm starting Sat evening it continued to hurt Sunday and Monday very stiff at the shoulder  dr thinks he has bursitis and the shot could have been given to high.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immune thrombocytopenia, Laboratory test abnormal, Thrombocytopenia
Clinical narrative: Thrombocytopenia Immune thrombocytopenic purpura abnormal lab
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient completed Covid 19 vaccine series 03/09/2021
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Inappropriate schedule of product administration, Injection site pain, SARS-CoV-2 test positive
Clinical narrative: Employee reports after second dose onset on chills, and soreness to injection site. sxs resolved on own.  Employee reports having both Pfizer vaccines 1st dose 12/23/20, 2nd dose 1/12/21. Employee became symptomatic and tested Covid positive 3/25/21. BWH Infection contact tracing team has identified the employee as contracting Covid by a Community Contact.  Employee quarantining at this time.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea
Clinical narrative: At approximately 3:30AM on the 26th extreme headache, then nausea, then diarrhea, and chills. Fever continued to rise. When my temperature reached 100.2, I drank an Alka Seltzer.  This helped, with the nausea and fever but fever remained high. I drank another Alka Seltzer 4 hours later.  My fever continued to improve but did not go back to normal until 9:30PM on the Sunday, 28th.  I take my temp everyday at the office, I am consistently 97.5
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Feeling jittery
Clinical narrative: Anxiety and jittery feeling: Started 03/19/2021 - Still occurring Pt did not take any medication or seek any medical care to relieve symptoms Pt was advised to schedule an appointment with primary doctor. SPI was consulted and Dr. was notified.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive on PCR test for COVID 19 > 2weeks after receiving 2nd Moderna dose.  currently asymptomatic
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: On day five in the evening I noted itching in upper right arm, however, ignored it.  Day six noted red circle about size of tennis bell, deepened redness. Day seven much heat at injection site, swelling deepened. Day eight Rash developed below swollen, red site, intense itching.  There was a considerable difference in temperature at the injection and the arm below the site. I am anemic and am usually pretty cool. Today is Monday 3/29/21, and as I have an appointment with my endocrinologist, I will ask her opinion. I only felt fatigued for about 3-4 days following initial injection.  I am feeling fairly normal at this time, but am wondering if this heat and swelling and redness, now spreading to a generalized rash on entire upper arm, is a normal event.
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Rash
Clinical narrative: On day five in the evening I noted itching in upper right arm, however, ignored it.  Day six noted red circle about size of tennis bell, deepened redness. Day seven much heat at injection site, swelling deepened. Day eight Rash developed below swollen, red site, intense itching.  There was a considerable difference in temperature at the injection and the arm below the site. I am anemic and am usually pretty cool. Today is Monday 3/29/21, and as I have an appointment with my endocrinologist, I will ask her opinion. I only felt fatigued for about 3-4 days following initial injection.  I am feeling fairly normal at this time, but am wondering if this heat and swelling and redness, now spreading to a generalized rash on entire upper arm, is a normal event.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Pain
Clinical narrative: Employee c/o pain like she had just gotten the vaccine. Difficult to lift arm vertical. Most pain happens at night with movement.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Chills, Fever, 104, Body Aches, Sweating, Headache, Nausea, Tired, no appetite, Large rash under the injection site
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Nausea, Pain, Pyrexia
Clinical narrative: Chills, Fever, 104, Body Aches, Sweating, Headache, Nausea, Tired, no appetite, Large rash under the injection site
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: PAIN AND FEVER
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pain in extremity
Clinical narrative: Extreme nerve -like pain up and down left arm, elbow, wrist, hand, fingers, shoulder, upper left back.  Pain started a few minutes after injection. Pain continues. It has been 4 days.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Chills, Fever chills, stiff legs urinating.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immune thrombocytopenia, Platelet count decreased
Clinical narrative: ? Caused ITP  Severe drop in platelets to 24 over 2 months
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Chills, Fever (103 degrees), body aches, exhaustion, intense headache
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous, Rash papular
Clinical narrative: During the 15 minute observation period post vaccination,  developed itching, small red bumps on both upper arms, slight redness across chest.  Vital Signs stable, no shortness of breath.  Advised to obtain an antihistamine such as Benadryl and take according to package directions.  Was with grandfather who was driving.  Kept at observation site and additional 15 minutes.  Advised to call primary physician or go to emergency room is symptoms do not resolve or become worse.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: tiredness, and headache
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombophlebitis
Clinical narrative: superficial thrombophlebitis in left axilla
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: About one week after receiving my first dose of Moderna, my arm became very itchy at the injection site for about a day. One week from that day (so 14 days after my vaccine) I noticed I had a hard, swollen, bump like circle/rash -like ring around the injection site.  It lasted less than 24 hours and then was completely gone.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Eye pain, Mouth ulceration, Pyrexia
Clinical narrative: it took about 24 hours for: oral ulcers /sores, stye in right eye, 3.5 above normal degree fever. It took 36 hours for: diarrhea
Age: 74.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Dehydration, Epistaxis, Gastrointestinal haemorrhage, Lower gastrointestinal haemorrhage, Neutropenia
Clinical narrative: Thrombocytopenia  Rectal Bleeding Gastrointestinal hemorrhage Dehydration Pancreatic cancer (CMS/HCC)  Lower GI bleed Current use of long term anticoagulation Recurrent epistaxis Neutropenia (CMS/HCC)
Age: 74.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Pancreatic carcinoma, Rectal haemorrhage, Thrombocytopenia
Clinical narrative: Thrombocytopenia  Rectal Bleeding Gastrointestinal hemorrhage Dehydration Pancreatic cancer (CMS/HCC)  Lower GI bleed Current use of long term anticoagulation Recurrent epistaxis Neutropenia (CMS/HCC)
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pyrexia, Respiratory tract congestion
Clinical narrative: Fever of 101 degrees F, nausea and vomiting, headache, congestion, fatigue
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Fever of 101 degrees F, nausea and vomiting, headache, congestion, fatigue
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizzy
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain
Clinical narrative: Could only bend over and walk. After laying down and then getting up, could not even move. After a 30-minute massage, the patient is now able to move, but is still experiencing symptoms. Addendum to initial note from 3/26/21 at 15:02  Patient took four Advil's. Patient inquired if the steroids she takes could interact with the vaccine. Advised patient that there is not an interaction between the vaccine and her steroids. Patient inquired if she should stop taking her steroids. Advised that she should not discontinue her steroids without getting approval from her doctor or without oversight by her doctor. Time of call: 10:07 3/27/21  Spoke with the patient, who stated that they are 99% back to themselves now. They are able to walk now and can sit in a chair, but that there is still some pain. Per the patient, yesterday, their side was burning and they could not hold their urine. Patient reported that the day when the symptoms started (yesterday), the morning of she went to the gym and did hip presses. Patient reported that she has never had backaches before. Patient did report that she asked her doctor if she can stop her steroids, and per the patient, the doctor advised the patient that she can go off steroids for a week.  Patient inquired if side effects to the vaccine can show up 48 hours of receiving the vaccine, as well as that she was wondering how much protection/efficacy is provided by one vaccination/one round of the Moderna COVID-19 vaccine.  Advised patient that it is a possibility that the side effects to/of the vaccine did not/may not show up until 48 hours after receiving the vaccine. Advised the patient that per the CDC, the efficacy of only one round/one dose of the Moderna vaccine has not been evaluated/studied. Advised patient that she should receive the second dose of the Moderna COVID-19 vaccine, if she is able/willing to, to ensure that she is protected.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Pruritus
Clinical narrative: Had a 1 degree increase in temperature around 3:00pm Felt tired and achy starting at 6:00pm Around 8:00 pm, I had moderate to severe chills and shivering  for about 1/2 hour.  I could not type on a keyboard because I was shaking too badly.  I spent the rest of the evening under blankets but was fine the next morning.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Headache, Nausea, Pain
Clinical narrative: Headache, body aches, extreme fatigue, slight nausea, runny nose, body rashes and lack of appetite
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rhinorrhoea
Clinical narrative: Headache, body aches, extreme fatigue, slight nausea, runny nose, body rashes and lack of appetite
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Chills, joint aches, fever, headache, muscle pain, fatigue for 2 days following 2nd injection
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills, joint aches, fever, headache, muscle pain, fatigue for 2 days following 2nd injection
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site reaction
Clinical narrative: rash at injection site, much milder than reaction to first vaccine but still noticeable. I saw Dr following the first injection but not this one.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: new onset atrial fibrillation
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Pruritus, Pyrexia, Rash, Urticaria
Clinical narrative: Took Moderna Shot first thing Wednesday, March 24,2021 9:00 am.  I was OK until about 7:00 pm when I started feeling chilly. I started running a fever at 8:30 pm of 100.4.  Went to bed and next morning, I had a temperature of 101.2 .  Laid in bed all day.  I started itching all over and have a bad rash that looks like hives or 3 day measles like I had as a child.  I felt bad on Thursday, Friday, Saturday.  No fever on Saturday.  Highest temp was 102.1. but have extreme rashes everywhere, on both arms, legs, torso.  I have used Benadryl, caladryl clear and vitamin e oil.  The itch is terrible, I have scratched until many of the places are raw.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza, Vomiting
Clinical narrative: 3/27/21 @ 01:00 AM, severe vomiting, the same effects as very severe flu. Vomiting continued around 12:10 PM
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood test, Feeling abnormal, Migraine, Mobility decreased
Clinical narrative: Migraine 10 hours? Headache and foggy head on and off for four weeks? Muscle pain and weakness upper arms, thighs to pelvis, sometimes buttox    Most difficulties with muscles are during the night and upon arising in a.m. At least four days I was unable to function. Tylenol helped for short periods.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Myalgia
Clinical narrative: Migraine 10 hours? Headache and foggy head on and off for four weeks? Muscle pain and weakness upper arms, thighs to pelvis, sometimes buttox    Most difficulties with muscles are during the night and upon arising in a.m. At least four days I was unable to function. Tylenol helped for short periods.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Dizziness, Fatigue, Gait disturbance, Migraine
Clinical narrative: Migraine 10 hours? Headache and foggy head on and off for four weeks? Muscle pain and weakness upper arms, thighs to pelvis, sometimes buttox    Most difficulties with muscles are during the night and upon arising in a.m. At least four days I was unable to function. Tylenol helped for short periods.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Swelling
Clinical narrative: Migraine 10 hours? Headache and foggy head on and off for four weeks? Muscle pain and weakness upper arms, thighs to pelvis, sometimes buttox    Most difficulties with muscles are during the night and upon arising in a.m. At least four days I was unable to function. Tylenol helped for short periods.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pustule, Injection site reaction, Injection site warmth
Clinical narrative: On /3/26/21 the resident developed redness, warmth and small pustules in left upper arm about 2-3 inches below the injection site.  The APRN assessed the area while in the facility on 3/26/21 and placed the resident on Doxycycline 100mg po BID x 5 days and Hydrocortisone cream to area QID x 3 days.  She dx the area as a COVID vaccine reaction.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Bad itchiness on my face, neck and torso with rash.  No relief with Benadryl.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Headache, Hyperhidrosis
Clinical narrative: She got her vaccine, and an hour afterwards started with dizziness and nausea, which progressively got worse and still has.  On 3/27/21 woke up with severe chills and a high fever of 102.3, which lasted all day.  Yesterday had temp of 99.4 and 98.8.  Has had decreased urination, little urinary output, dizziness, has taken Zofran, Antivert and the headache is unrelenting and feels like somebody took a bat to her head, and the migraine is the worst one she has had and feels so weak that she cannot function at all.  She has taken Emitrex once, and Toradol IM.  She almost fell on Saturday at home due to the dizziness and none of her medications have helped any of the symptoms.    She has been drinking water, just sips at a time, tried Gatorade yesterday but it made her sick to her stomach.   She is having soaking sweats, and possibly fevers as well.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nausea, Pyrexia, Urine output decreased
Clinical narrative: She got her vaccine, and an hour afterwards started with dizziness and nausea, which progressively got worse and still has.  On 3/27/21 woke up with severe chills and a high fever of 102.3, which lasted all day.  Yesterday had temp of 99.4 and 98.8.  Has had decreased urination, little urinary output, dizziness, has taken Zofran, Antivert and the headache is unrelenting and feels like somebody took a bat to her head, and the migraine is the worst one she has had and feels so weak that she cannot function at all.  She has taken Emitrex once, and Toradol IM.  She almost fell on Saturday at home due to the dizziness and none of her medications have helped any of the symptoms.    She has been drinking water, just sips at a time, tried Gatorade yesterday but it made her sick to her stomach.   She is having soaking sweats, and possibly fevers as well.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient came in for Shingrix vaccination and was given COVID19 vaccination on accident. Patient had completed 2 doses of COVID19 with the second dose being on 3/6/21. Patient stayed for 15 minutes after and was monitored. Patient's doctor was contacted and made aware of the situation.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pain, Pain in extremity
Clinical narrative: Sore arm not only at shot site but entire upper arm was sore and challenging to move. That started on the day of the shot (3/27). Fatigue started in the evening on 3/27. Nausea started around 6p the following day on 3/28. Nausea improved upon waking on 3/29 but is still coming in waves. Arm is still store.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Acute myocardial infarction, Diarrhoea, Thrombocytopenia
Clinical narrative: Thrombocytopenia Abdominal pain diarrhea
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Fatigue, Nasal congestion, Pyrexia
Clinical narrative: Temporary loss of taste a day and a half after receiving the first dose, fever, extreme fatigue, congestion. Tested for Covid-19 on the first day of symptoms and came back negative. Day 5 after the dose and still having congestion. Fever only lasted for one day, on the 27th.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Incomplete course of vaccination
Clinical narrative: denies having any adverse reactions. Medication Administration Error:  received her first dose of Moderna on 3/12/21 and was told that she would receive an email from the to register for her second dose that was due on 4/9/21. A colleague  who is on a different vaccinating schedule than the subject of this report, was due for a second dose of Moderna on 3/26/21. This colleague shared the link to the 3/26 clinic with Pt. Pt DID NOT receive an email registration invite from the clinic held 3/26/21. However, when she received an email invitation to register for the clinic to be held on 4/9/21 (the date her actual dose 2 was scheduled), Pt notified the clinic via email that she had already received a second dose. Upon further investigation the clinic verified that Pt did not receive an email invitation from the clinic for the scheduled 3/26 dose. Also noted: Pt responded "NO" to Screening question "Have you had any vaccines in the past 14 days (2 weeks) including flu shot?", By answering No, the screening form did not get flagged.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever, body aches, significant fatigue, lack of appetite, and a headache.    Headache persist 3 days after the shot.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Pallor, Presyncope
Clinical narrative: Vasovagal reaction.  Lightheadedness, pale, clammy. Resolved with lying down in passenger seat, elevating legs, juice/water/crackers, and additional monitoring time   Advised to go to ED if symptoms arise later in the day or call PCP
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Injection site reaction, Rash, Urticaria
Clinical narrative: Client became very dizzy, rash with welts at 6pm on 02/026/2021 Client went to hospital ED that same day and received Benadryl and other medications that she could not remember   Then on 03/01/2021 visited Dr who prescribed prednisone for her rash which she began the next day on Tuesday and completed the course of treatment  The rash was resolved on 03/02/2021 Then she was prescribed prednisone for 03/24/2021 to take the day before the 2nd dose which was on 03/25/2021
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Injection site muscle weakness, Injection site paraesthesia
Clinical narrative: Numbness, tingling and weakness in right arm from injection site to wrist.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Menstrual disorder
Clinical narrative: My menstrual period ended about two days before the vaccination; however, it began again the night of the vaccination. Heavy bleeding. Fatigue. Still experiencing period - as if having a second period only two days after my last period ended.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Headache, Muscle spasms
Clinical narrative: Over night, "calf muscles were contracting really tight over and over.  Every time the muscle would stop, it would start again over and over.  I also woke up feeling weak and a headache"
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Anaemia, Diabetic ketoacidosis, Hypercalcaemia, Thrombocytopenia
Clinical narrative: Thrombocytopenia (CMS/HCC) Hypercalcemia Chronic anemia AKI (acute kidney injury) (CMS/HCC) DKA, type 2 (CMS/HCC)
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Type 2 diabetes mellitus
Clinical narrative: Thrombocytopenia (CMS/HCC) Hypercalcemia Chronic anemia AKI (acute kidney injury) (CMS/HCC) DKA, type 2 (CMS/HCC)
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Nausea, Pyrexia, Vomiting
Clinical narrative: Chills, nausea, vomiting, fever, head fog, all treated just with rest
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Erythema, Fatigue, Genital swelling, Swelling face, Urticaria
Clinical narrative: Thurs: Shot 7pm, no adverse effects Friday: Face very red, allergic/histamine type reaction; begin OTC antihistamines Saturday: Massive facial and genital swelling Sunday: Same, PCP prescribed 4mg Prednisolone; symptoms lessen after 4 hours, most symptoms unnoticeable by 7pm Monday 7am; Less intense, but significant facial swelling, no genital swelling  Fatigue during entire episode Antihistamines seem to yield little to no improvement Steroids help but it is now a tennis match overnight
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Allergy to vaccine, Angioedema, Erythema, Fatigue, Lip exfoliation
Clinical narrative: Thurs: Shot 7pm, no adverse effects Friday: Face very red, allergic/histamine type reaction; begin OTC antihistamines Saturday: Massive facial and genital swelling Sunday: Same, PCP prescribed 4mg Prednisolone; symptoms lessen after 4 hours, most symptoms unnoticeable by 7pm Monday 7am; Less intense, but significant facial swelling, no genital swelling  Fatigue during entire episode Antihistamines seem to yield little to no improvement Steroids help but it is now a tennis match overnight
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lip swelling, Penile erythema, Penile swelling, Pruritus, Skin exfoliation
Clinical narrative: Thurs: Shot 7pm, no adverse effects Friday: Face very red, allergic/histamine type reaction; begin OTC antihistamines Saturday: Massive facial and genital swelling Sunday: Same, PCP prescribed 4mg Prednisolone; symptoms lessen after 4 hours, most symptoms unnoticeable by 7pm Monday 7am; Less intense, but significant facial swelling, no genital swelling  Fatigue during entire episode Antihistamines seem to yield little to no improvement Steroids help but it is now a tennis match overnight
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: White blood cell count
Clinical narrative: Thurs: Shot 7pm, no adverse effects Friday: Face very red, allergic/histamine type reaction; begin OTC antihistamines Saturday: Massive facial and genital swelling Sunday: Same, PCP prescribed 4mg Prednisolone; symptoms lessen after 4 hours, most symptoms unnoticeable by 7pm Monday 7am; Less intense, but significant facial swelling, no genital swelling  Fatigue during entire episode Antihistamines seem to yield little to no improvement Steroids help but it is now a tennis match overnight
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal sensation in eye, Asthenia, Chest discomfort, Disturbance in attention, Dizziness
Clinical narrative: She received the Moderna COVID-19 vaccine and was seen in our office on 3/1/2021. It was administered in her right arm. She said later that day she had itching on her arm, tachycardia, short of breath with wheezing, felt like she could pass out, muscles felt like jelly. She had to use her husband's supplemental oxygen. Later that night she felt pressure behind her left eye as if it was ready to explode. She felt dizzy When she would try to walk, she would feel so weak that she felt like she could pass out. She then developed a feeling of pressure like an elephant sitting on her neck and her chest. It was hard for her to take a deep breath. Her pulse would sometimes go up to 114. She had headaches. She has felt like she cannot focus or concentrate. She has been using Benadryl 25mg every 4-6 hours since the reaction started. When she goes about 12 hours without the Benadryl she starts to feel short of breath and the chest heaviness again. She was given Depo-Medrol 80mg injection in the office that day. She will continue taking the Benadryl until she is no longer having a reaction.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate increased, Hypotonia, Pruritus, Tachycardia
Clinical narrative: She received the Moderna COVID-19 vaccine and was seen in our office on 3/1/2021. It was administered in her right arm. She said later that day she had itching on her arm, tachycardia, short of breath with wheezing, felt like she could pass out, muscles felt like jelly. She had to use her husband's supplemental oxygen. Later that night she felt pressure behind her left eye as if it was ready to explode. She felt dizzy When she would try to walk, she would feel so weak that she felt like she could pass out. She then developed a feeling of pressure like an elephant sitting on her neck and her chest. It was hard for her to take a deep breath. Her pulse would sometimes go up to 114. She had headaches. She has felt like she cannot focus or concentrate. She has been using Benadryl 25mg every 4-6 hours since the reaction started. When she goes about 12 hours without the Benadryl she starts to feel short of breath and the chest heaviness again. She was given Depo-Medrol 80mg injection in the office that day. She will continue taking the Benadryl until she is no longer having a reaction.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: She received the Moderna COVID-19 vaccine and was seen in our office on 3/1/2021. It was administered in her right arm. She said later that day she had itching on her arm, tachycardia, short of breath with wheezing, felt like she could pass out, muscles felt like jelly. She had to use her husband's supplemental oxygen. Later that night she felt pressure behind her left eye as if it was ready to explode. She felt dizzy When she would try to walk, she would feel so weak that she felt like she could pass out. She then developed a feeling of pressure like an elephant sitting on her neck and her chest. It was hard for her to take a deep breath. Her pulse would sometimes go up to 114. She had headaches. She has felt like she cannot focus or concentrate. She has been using Benadryl 25mg every 4-6 hours since the reaction started. When she goes about 12 hours without the Benadryl she starts to feel short of breath and the chest heaviness again. She was given Depo-Medrol 80mg injection in the office that day. She will continue taking the Benadryl until she is no longer having a reaction.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Gingival pain, Migraine, Pain
Clinical narrative: High fever 105, chills, shaking, pain through body, pain when moving, migraine, fatigue, gums were hurting. Took a moltrin.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: High fever 105, chills, shaking, pain through body, pain when moving, migraine, fatigue, gums were hurting. Took a moltrin.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Insomnia, Lethargy, Myalgia
Clinical narrative: Intense fatigue combined with strong muscle aches throughout, leading to sleeplessness combined with severe lethargy. Did not seem to have a fever, though didn't check it. Some site-injection pain, though not nearly as severe as with the first dose (2/26/21, COVID19 (Moderna) 001 A21 A).   The symptoms had abated by late afternoon on Saturday, 3/27/21. Acetominophen helped.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: Intense fatigue combined with strong muscle aches throughout, leading to sleeplessness combined with severe lethargy. Did not seem to have a fever, though didn't check it. Some site-injection pain, though not nearly as severe as with the first dose (2/26/21, COVID19 (Moderna) 001 A21 A).   The symptoms had abated by late afternoon on Saturday, 3/27/21. Acetominophen helped.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: Although vaccinated on Friday 12 March (14 days ago and did not experience adverse event), since Friday 26 March I am experiencing persistent, deep, and dull ache in my vaccinated arm (left) around the cite of injection.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Tylenol given, recommended to continue tylenol every 6 hours as recommended, in addition advised to apply cold compress to forehead and axilla. If symptoms worsen, recommended for her to see primary provider.   3/28-Per mother, patient feeling much better, temperature has decreased from 101.4 to a low grade fever. Has taken Tylenol as prescribed. If symptoms worsen, recommended for her to see primary provider.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Influenza, Loss of personal independence in daily activities
Clinical narrative: On going flu symptoms since the 2nd vaccination. It is going on 8 days and I still have flu symptoms. I feel weak, sometimes low level headache, mostly feel weak and tired. Don't feel like I have a temp. On scale of 1-10, I would say it's around 2-3. It does affect my work ability. Not overly hungry(which can be good).
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Refusal of treatment by patient
Clinical narrative: Dizzy, refused EMS, Gave water, symptoms resolved. Observed for 30   minutes
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dry skin, Dyspnoea, Injection site rash, Peripheral coldness
Clinical narrative: Rash to vaccinated left arm- mild- below vaccination site to elbow, and SOB Vitals:  B/P: 156/82, HR: 60, Resp: 12 02Sat: 99, Skin signs: Cool, dry. Denies itching c/o cold fingers, Circulation: Cap refill <2 sec, Resp.: Breathing sounds clear bilaterally. Treatment: observed for 30 mins and assess breathing 30 mins. Reassessment: 13:00 Vitals: B/P: 138/88, HR:60 Resp.: 12, O2Sat: 98, Treatment; Rash is lighter but still present denies SOB c/o left shoulder aching. Moved from triage to observation area to be observed by Dr. for 30 mins. Walked to restroom a steady. denies dizziness and SOB. Gave patient bottled water. Discharged home by self
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: pt. was sitting and passed out about 7-10 minutes after recieving the vaccine, monitored and took blood pressure, called ambulance
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Myalgia, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: after vaccine pt started having diarrhea, myalgias, fevers, fatigue. All symptoms improving except persistent fevers
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Appetite disorder, Chills, Fatigue, Headache, Influenza like illness
Clinical narrative: pt states she woke up w/ flu like symptoms.  Fatigue, chills, achy, loss of appetite arm left arm is sore.  Pt urinated more than usual and had a bad headache.  Pt took Tylenol for her symptoms and is slowly feeling better.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: pt states she woke up w/ flu like symptoms.  Fatigue, chills, achy, loss of appetite arm left arm is sore.  Pt urinated more than usual and had a bad headache.  Pt took Tylenol for her symptoms and is slowly feeling better.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Vomited after getting the vaccine