chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: I developed  a bloody nose after both vaccine injections.  The first vaccine I received was on 3/4/21 and had a bloody nose in my left nostril around 3-4 hours after the injection.  It seemed odd as I do not typically have bloody noses.  When I got  my second dose today I received another bloody nose roughly 30 minutes after the vaccine.   Both times the bloody nose happened after lightly blowing my nose.  Again, I very rarely suffer bloody noses.  I currently am not bleeding anywhere else and the nose bleeds stopped after about 10 minutes.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Fever of 102°, ,chills, body aches and fatigue.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Dizziness, Electrocardiogram, Nausea
Clinical narrative: The patient was screened and was found to have multiple medical allergies but no allergies to any of the components to the Janssen vaccine.  As a precaution, the nurses advised a 30 minute observation.  She received the vaccine without complication and then was being observed and they called me over and the paramedics were also with the patient.  About 17 minutes into observation, the patient started developing chest pressure (4/10), lightheadedness, and nausea.  No shortness of breath, stridor, diaphoresis, back pain, abdominal pain, vomiting, neurologic changes, and any signs or symptoms of anaphylaxis.  She was very anxious.  Further history revealed that the patient had been discharged from the hospital 6 week prior.  She initially went in for an abdominal laproscopic surgery and woke up to having 32 staples closing an abdominal incision.  They had to change from a laproscopic approach to an open abdomen approach due to complications.  She ended up with sepsis and a colostomy and was hospitalized for 2 weeks getting antibiotics.  She lives by herself and was overwhelmed before coming into the clinic for her vaccine.   The paramedics did a 12-lead ECG that showed sinus rhythm.  Vital signs and blood glucose were within normal limits.  The paramedics recommended that she go to the hospital to be checked out but she was very resistant and was tearful because she was traumatized from her previous hospitalization.  After some time, the paramedics convinced her to go to the hospital.  The paramedics hung around the emergency department and then came back once they found out that she was fine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus rhythm
Clinical narrative: The patient was screened and was found to have multiple medical allergies but no allergies to any of the components to the Janssen vaccine.  As a precaution, the nurses advised a 30 minute observation.  She received the vaccine without complication and then was being observed and they called me over and the paramedics were also with the patient.  About 17 minutes into observation, the patient started developing chest pressure (4/10), lightheadedness, and nausea.  No shortness of breath, stridor, diaphoresis, back pain, abdominal pain, vomiting, neurologic changes, and any signs or symptoms of anaphylaxis.  She was very anxious.  Further history revealed that the patient had been discharged from the hospital 6 week prior.  She initially went in for an abdominal laproscopic surgery and woke up to having 32 staples closing an abdominal incision.  They had to change from a laproscopic approach to an open abdomen approach due to complications.  She ended up with sepsis and a colostomy and was hospitalized for 2 weeks getting antibiotics.  She lives by herself and was overwhelmed before coming into the clinic for her vaccine.   The paramedics did a 12-lead ECG that showed sinus rhythm.  Vital signs and blood glucose were within normal limits.  The paramedics recommended that she go to the hospital to be checked out but she was very resistant and was tearful because she was traumatized from her previous hospitalization.  After some time, the paramedics convinced her to go to the hospital.  The paramedics hung around the emergency department and then came back once they found out that she was fine.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Pain
Clinical narrative: Generalized itching, esp periumbilical . Circular rash around injection site noticed 1-2 days after itching started. Itching resolved after 2 days, rash took 2 days to resolve once noticed.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling cold, Heart rate increased
Clinical narrative: Really cold breath on exhale, light headedness, elevated heart rate.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Flushing, Myalgia, Pyrexia
Clinical narrative: Chills, fever (101.3), overall fatique and muscle soreness. Onset 14-16 hours after injection
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dysgeusia, Fatigue, Injection site pain, Injection site rash
Clinical narrative: 102.8 fever, chills, muscle aches, nausea, fatigue and soreness at injection site for 36 hours.  After symptoms ended, I developed a mild rash at the injection site and everything I ate or drank tasted like metal. This lasted for about 12 hours then improved.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: 102.8 fever, chills, muscle aches, nausea, fatigue and soreness at injection site for 36 hours.  After symptoms ended, I developed a mild rash at the injection site and everything I ate or drank tasted like metal. This lasted for about 12 hours then improved.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: fainting following day, muscle aches, headaches, nausea (no vomiting), tiredness, weakness
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: fainting following day, muscle aches, headaches, nausea (no vomiting), tiredness, weakness
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Conjunctival haemorrhage
Clinical narrative: SCH (subconjunctival hemorrhage) starting within 2 hrs - left eye (no previous history) - ongoing after 52 hours. 100.5 deg temp after 18 hours. Took 2 Tylenol. Normal temp after 30 hours.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Fatigue, Feeling abnormal
Clinical narrative: At 24 hours after the shot, exhausted and ?loopy.? Then, intestinal pains for 36 hours.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pain
Clinical narrative: Sore arm, nausea, vomiting, diarrhea, body aches, chills, low grade fever, headache.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Sore arm, nausea, vomiting, diarrhea, body aches, chills, low grade fever, headache.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site bruising, Injection site pain, Injection site swelling, Musculoskeletal stiffness
Clinical narrative: Intense soreness, stiffness and pain from site of injection and down arm and shoulder for about 32hrs after injection. Bruising and slight swelling at site of injection. 99.5 temperature or slight fever with fatigue around the first 12hours.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Intense soreness, stiffness and pain from site of injection and down arm and shoulder for about 32hrs after injection. Bruising and slight swelling at site of injection. 99.5 temperature or slight fever with fatigue around the first 12hours.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Injection site pain, Muscular weakness, Night sweats
Clinical narrative: Headache, muscle aches, injection site pain, weakness in legs, dizziness. During the night of second day post-injection, I woke in a sweat and from then on my symptoms subsided and were completely gone by the next day. I never felt feverish before the sweats began.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Headache, muscle aches, injection site pain, weakness in legs, dizziness. During the night of second day post-injection, I woke in a sweat and from then on my symptoms subsided and were completely gone by the next day. I never felt feverish before the sweats began.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Loss of consciousness, Vital signs measurement
Clinical narrative: Patient waited the 15 minutes in front of the pharmacy and then started shopping in the store and passed out on one aisle in the store. I was called to look at patient and they had already placed him in a chair and he was alert but weak and was able to answer questions coherently. His son that was with him call EMS to come.  I called the son later in the day to see how everything was going and the son said that EMS told him all vitals were normal and he did not go with them.  He then told me that his dad and him were having dinner at the time I called and that he felt fine. He also said his dad did not have breakfast that morning which could have contributed to it since he had T2DM.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: Headaches all week and on 8 day, covid arm...swelling, redness, toughness, itchy at injection site
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: Headaches all week and on 8 day, covid arm...swelling, redness, toughness, itchy at injection site
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Fever, headache, chills, sore joints, tiredness for approximately 24 hours.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Lymphadenopathy, Myalgia
Clinical narrative: Fever of 102.5, severe aches throughout muscles and joints, exhaustion, nausea, headache. All that lasted for about 24 hours, fever broke on Friday. Aches persisted for another 24 hours. On Saturday I noticed my lymph nodes on my left side had swollen significantly. Specifically the ones in my armpit looked like a ping pong ball, and there was also swelling on my back and left shoulder blade. Fatigue and general soreness continued through Tuesday the following week. The lymph nodes stayed swollen for about 2 weeks.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Fever of 102.5, severe aches throughout muscles and joints, exhaustion, nausea, headache. All that lasted for about 24 hours, fever broke on Friday. Aches persisted for another 24 hours. On Saturday I noticed my lymph nodes on my left side had swollen significantly. Specifically the ones in my armpit looked like a ping pong ball, and there was also swelling on my back and left shoulder blade. Fatigue and general soreness continued through Tuesday the following week. The lymph nodes stayed swollen for about 2 weeks.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pallor, Injection site pruritus, Injection site swelling
Clinical narrative: On day 8 after first dose, I noticed a red, slightly raised and blanched, circular, mildly itchy rash that grew outward from vaccine site over about 7 more days before it began to fade.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Headache, muscle aches, fever of 101, chills, nausea, fatigue.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, muscle aches, fever of 101, chills, nausea, fatigue.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: fever, body aches, headache for more than 12 hours
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Body aches, headache, chills, exhaustion over 48 hours.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Rash, Rash pruritic
Clinical narrative: Extensive pruritic rash on arms, legs abdomen Started immediately and has lasted into April.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea
Clinical narrative: Chills, headache, nausea
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: High fever in range of 101.5-102F, body ache and fatigue
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Fatigue, Feeling abnormal, Injection site erythema, Injection site induration
Clinical narrative: Immediately after the vaccine I had a sore arm. Within a week I had developed a hard lump under it, and a red ring near the injection site which was hot to the touch and extremely itchy. The rash went away after a few days, but ever since then I've suffered from extreme brain fog, dehydration, exhaustion, and just felt overall unwell.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site warmth, Malaise, Pain in extremity
Clinical narrative: Immediately after the vaccine I had a sore arm. Within a week I had developed a hard lump under it, and a red ring near the injection site which was hot to the touch and extremely itchy. The rash went away after a few days, but ever since then I've suffered from extreme brain fog, dehydration, exhaustion, and just felt overall unwell.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Red Rash at injection site, approx 4?x2? rectangular shape. No itch. No discomfort.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Body temperature fluctuation, Burning sensation, Hypoaesthesia, Injection site coldness
Clinical narrative: 1 hour after receiving the vaccine,  my face and neck on the side of the shot started to burn like a nerve issue and then went numb. My arm where I received the shot went cold and burned. A friend came over and took the temperature of my hand because it was cold and it was 15 degrees colder than my other hand. I took 1 Benadryl of 25mg and laid down for a few hours. At around 4 hours after the vaccine my neck went stiff as well as my upper back. I am reporting this because I don't believe the neck and face going numb is a normal thing and it was concerning and had it continued I would have went to the ER. I am not sure if the Benadryl helped but maybe.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Musculoskeletal stiffness, Skin burning sensation
Clinical narrative: 1 hour after receiving the vaccine,  my face and neck on the side of the shot started to burn like a nerve issue and then went numb. My arm where I received the shot went cold and burned. A friend came over and took the temperature of my hand because it was cold and it was 15 degrees colder than my other hand. I took 1 Benadryl of 25mg and laid down for a few hours. At around 4 hours after the vaccine my neck went stiff as well as my upper back. I am reporting this because I don't believe the neck and face going numb is a normal thing and it was concerning and had it continued I would have went to the ER. I am not sure if the Benadryl helped but maybe.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Syncope
Clinical narrative: Patient fainted. We sat her down. Offered to call an ambulance. gave her some orange juice to drink. We monitored blood pressure and made sure she was not driving home.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Migraine, Nausea, Pyrexia
Clinical narrative: High fever, chills, shortness of breath, headache/migraine, nausea, vomiting
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: High fever, chills, shortness of breath, headache/migraine, nausea, vomiting
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Muscle tightness, Throat tightness
Clinical narrative: as per notes of vaccinating nurse: 1:53pm 2nd vaccine, Pt mentioned she had swallowing and breathing issue at home after 1st dose. nurse asked Pt to stay f/30min post vaccine. RN educated Pt on anaphylaxis protocol care. RN reassured Pt to return to RN if breathing or swallowing issues occur. 225pm Pt returns to RN c/o tightness in neckand throat, problems swallowing and breathing. 911 called. epi administered. 3 min Pt states not better, 2nd epi administered. waited 2 min, 3rd epi administered.  245pm EMS arrived. 250pm Pt transported by EMS to hospital to higher level of care.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: red rash near injection site; itchiness in area; no treatment taken
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: Heavy chills, no fever - approx 12 hours after vaccine
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: My periods cycle has changed and it arrived 2 weeks in advance. I checked with a few neighbors and a lot of females complaining same side effects. Change in mensural cycle. This is not good, i hope this side effect is temporary and the vaccination will not play with our hormonal system. Very sacred to go for the second shot.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Common side effect occurred later in the day of vaccination date 3/29/21 which includes local redness, pain and swelling on vaccination site. It progressed to low grade fever, headache and body aches that evening.  Tylenol ES prn provided relief. However, around 5pm the next day, I started having nausea, vomiting, near syncope , weakness and headache.  My husband had to pick me up from work, drive me home. This lasted until midnight.  Day 4 still with nausea and localized pain and swelling on arm. No more redness on site.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Syncope, Vomiting
Clinical narrative: Common side effect occurred later in the day of vaccination date 3/29/21 which includes local redness, pain and swelling on vaccination site. It progressed to low grade fever, headache and body aches that evening.  Tylenol ES prn provided relief. However, around 5pm the next day, I started having nausea, vomiting, near syncope , weakness and headache.  My husband had to pick me up from work, drive me home. This lasted until midnight.  Day 4 still with nausea and localized pain and swelling on arm. No more redness on site.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Extreme fatigue, body aches, chills, feverish
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Headache, Hypoaesthesia oral, Injection site pain, Neck pain
Clinical narrative: Severe headache, severe jaw pain, numbness in gums, tingling in tongue. Severe pain at injection site. Moderate abdomen and neck pain.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw, Paraesthesia oral
Clinical narrative: Severe headache, severe jaw pain, numbness in gums, tingling in tongue. Severe pain at injection site. Moderate abdomen and neck pain.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: I received it at the CVS store and it only gives me a clinic site
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Nausea, Pain, Pyrexia
Clinical narrative: 101 degree fever, body aches, fatigue, nausea, diarrhea.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site indentation
Clinical narrative: Indent in arm where injection was at
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia
Clinical narrative: 30 minutes post vaccination, numbness on entire right side of face. Resolved after about 3 hours, but all sensation has not returned.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia
Clinical narrative: 30 minutes post vaccination, numbness on entire right side of face. Resolved after about 3 hours, but all sensation has not returned.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: About a week after shot area for very itchy and a bit hard and swollen and warm. Light red patch about circular about 2 inches in diameter around shot site. A bit painful but mostly itchy and swollen very suddenly today.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was below the recommended age of 18years for this vaccination by 4 months.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anxiety, Chest pain, Cold sweat, Feeling hot
Clinical narrative: Patient is a 46-year-old woman with no known medical history who presents after receiving her 1 vaccine at the  Clinic on 4/1/21. She received her dose at 15:01. Patient drove to the second floor for post-injection observation. Around approximately, 1520, patient honked her car horn for assistance.  Subjective/Interval Events: - Upon arrival to patient's car, she was hyperventilating and appeared anxious, diaphoretic, warm, and clammy to touch on bilateral arms. She reported numbness and tingling in her bilateral hands, which radiated down to her lower extremities  - Within minutes, patient began hyperventilating more and crying out loud "what's going on?" We were able to calm patient down for a few minutes. Her resp rate decreased - Moments later, patient began reporting severe chest pain and left upper quadrant abdominal pain. - At this point, 911 was called at 1528. - Patient was transported out of her car into a gurney. - A second set of vitals was taken at that time. She was tachycardia to 180s. She attempted to vasovagal. This was unsuccessful as it was difficult for patient to follow commands given anxiety. - Shortly after lying on the gurney, EMS arrived. - Patient was placed on oxygen. Objective: Initial Vitals @ 1521; SBP 128/103; HR 129; RR 30s; Sat: 100% RA; VS @ 1528 136/110; HR 186; RR 32. Sat: 100% RA;  VS @1533 117/70; HR 130s; RR 40s; Sat: 100% RA; Initial assessment: Gen: Anxious, tearful, in acute distress, sitting in warm car with door propped open. Neuro: A/O x's 3; Cardiac: tachycardia ; HEENT: Airway clear, no angioedema, no oral swelling, no wheezing, no stridor. Speaking in short sentences with increased WOB, visibly using accessory muscles, hyperventilating. Bilateral upper extremities: bilateral arms warm to touch. Bilateral hands, cool, clammy, bilateral radial pulses present . Bilateral lower extremities: bilateral extremities warm to touch. MSK: MAE when transporting out of car into gurney. Sin: warm, pink, well perfused. No urticaria, not flushed. Plan: - Called 911 for cardiac workup, transported to local hospital for workup - Husband called and arrived on scene  - Charge RN notified. Patient was stable upon transfer to EMS.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hyperventilation, Hypoaesthesia, Paraesthesia, Presyncope
Clinical narrative: Patient is a 46-year-old woman with no known medical history who presents after receiving her 1 vaccine at the  Clinic on 4/1/21. She received her dose at 15:01. Patient drove to the second floor for post-injection observation. Around approximately, 1520, patient honked her car horn for assistance.  Subjective/Interval Events: - Upon arrival to patient's car, she was hyperventilating and appeared anxious, diaphoretic, warm, and clammy to touch on bilateral arms. She reported numbness and tingling in her bilateral hands, which radiated down to her lower extremities  - Within minutes, patient began hyperventilating more and crying out loud "what's going on?" We were able to calm patient down for a few minutes. Her resp rate decreased - Moments later, patient began reporting severe chest pain and left upper quadrant abdominal pain. - At this point, 911 was called at 1528. - Patient was transported out of her car into a gurney. - A second set of vitals was taken at that time. She was tachycardia to 180s. She attempted to vasovagal. This was unsuccessful as it was difficult for patient to follow commands given anxiety. - Shortly after lying on the gurney, EMS arrived. - Patient was placed on oxygen. Objective: Initial Vitals @ 1521; SBP 128/103; HR 129; RR 30s; Sat: 100% RA; VS @ 1528 136/110; HR 186; RR 32. Sat: 100% RA;  VS @1533 117/70; HR 130s; RR 40s; Sat: 100% RA; Initial assessment: Gen: Anxious, tearful, in acute distress, sitting in warm car with door propped open. Neuro: A/O x's 3; Cardiac: tachycardia ; HEENT: Airway clear, no angioedema, no oral swelling, no wheezing, no stridor. Speaking in short sentences with increased WOB, visibly using accessory muscles, hyperventilating. Bilateral upper extremities: bilateral arms warm to touch. Bilateral hands, cool, clammy, bilateral radial pulses present . Bilateral lower extremities: bilateral extremities warm to touch. MSK: MAE when transporting out of car into gurney. Sin: warm, pink, well perfused. No urticaria, not flushed. Plan: - Called 911 for cardiac workup, transported to local hospital for workup - Husband called and arrived on scene  - Charge RN notified. Patient was stable upon transfer to EMS.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Patient is a 46-year-old woman with no known medical history who presents after receiving her 1 vaccine at the  Clinic on 4/1/21. She received her dose at 15:01. Patient drove to the second floor for post-injection observation. Around approximately, 1520, patient honked her car horn for assistance.  Subjective/Interval Events: - Upon arrival to patient's car, she was hyperventilating and appeared anxious, diaphoretic, warm, and clammy to touch on bilateral arms. She reported numbness and tingling in her bilateral hands, which radiated down to her lower extremities  - Within minutes, patient began hyperventilating more and crying out loud "what's going on?" We were able to calm patient down for a few minutes. Her resp rate decreased - Moments later, patient began reporting severe chest pain and left upper quadrant abdominal pain. - At this point, 911 was called at 1528. - Patient was transported out of her car into a gurney. - A second set of vitals was taken at that time. She was tachycardia to 180s. She attempted to vasovagal. This was unsuccessful as it was difficult for patient to follow commands given anxiety. - Shortly after lying on the gurney, EMS arrived. - Patient was placed on oxygen. Objective: Initial Vitals @ 1521; SBP 128/103; HR 129; RR 30s; Sat: 100% RA; VS @ 1528 136/110; HR 186; RR 32. Sat: 100% RA;  VS @1533 117/70; HR 130s; RR 40s; Sat: 100% RA; Initial assessment: Gen: Anxious, tearful, in acute distress, sitting in warm car with door propped open. Neuro: A/O x's 3; Cardiac: tachycardia ; HEENT: Airway clear, no angioedema, no oral swelling, no wheezing, no stridor. Speaking in short sentences with increased WOB, visibly using accessory muscles, hyperventilating. Bilateral upper extremities: bilateral arms warm to touch. Bilateral hands, cool, clammy, bilateral radial pulses present . Bilateral lower extremities: bilateral extremities warm to touch. MSK: MAE when transporting out of car into gurney. Sin: warm, pink, well perfused. No urticaria, not flushed. Plan: - Called 911 for cardiac workup, transported to local hospital for workup - Husband called and arrived on scene  - Charge RN notified. Patient was stable upon transfer to EMS.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Dizziness, Headache, Injection site pain
Clinical narrative: 03/30/21 09:35 AM - Vaccine administrated 05:00 PM - Uncontrollable shaking/shivering and dizzy 06:00 PM - Uncontrollable shaking/shivering, very dizzy, fever of 101 07:00 PM - Uncontrollable shaking/shivering, less dizzy but still, fever 102.5 08:00 PM - Shaking stopped, dizziness stopped, chills started, fever 103.5, nausea, very sore muscles in legs and lower back 09:00 PM - Chills, fever 103.9, worse nausea and vomited once, very sore muscles in legs and lower back, headache begins  03/31/21 08:00 AM - Chills gone, fever 101, nausea worse, headache much worse, sore muscles in legs and lower back 10:00 AM - Fever 101, nausea and vomiting, headache very bad, sore muscles in legs and lower back 10:30 AM - Took Imitrex (sumatriptan succinate) for the headache and fell asleep 2:00 PM - Fever gone, nausea and vomiting better, headache better, back and legs muscles feel better, arm soreness starts  04/01/21 - Light headache persists and arm soreness. All other side effects subsided.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pain in extremity, Pyrexia, Tremor
Clinical narrative: 03/30/21 09:35 AM - Vaccine administrated 05:00 PM - Uncontrollable shaking/shivering and dizzy 06:00 PM - Uncontrollable shaking/shivering, very dizzy, fever of 101 07:00 PM - Uncontrollable shaking/shivering, less dizzy but still, fever 102.5 08:00 PM - Shaking stopped, dizziness stopped, chills started, fever 103.5, nausea, very sore muscles in legs and lower back 09:00 PM - Chills, fever 103.9, worse nausea and vomited once, very sore muscles in legs and lower back, headache begins  03/31/21 08:00 AM - Chills gone, fever 101, nausea worse, headache much worse, sore muscles in legs and lower back 10:00 AM - Fever 101, nausea and vomiting, headache very bad, sore muscles in legs and lower back 10:30 AM - Took Imitrex (sumatriptan succinate) for the headache and fell asleep 2:00 PM - Fever gone, nausea and vomiting better, headache better, back and legs muscles feel better, arm soreness starts  04/01/21 - Light headache persists and arm soreness. All other side effects subsided.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 03/30/21 09:35 AM - Vaccine administrated 05:00 PM - Uncontrollable shaking/shivering and dizzy 06:00 PM - Uncontrollable shaking/shivering, very dizzy, fever of 101 07:00 PM - Uncontrollable shaking/shivering, less dizzy but still, fever 102.5 08:00 PM - Shaking stopped, dizziness stopped, chills started, fever 103.5, nausea, very sore muscles in legs and lower back 09:00 PM - Chills, fever 103.9, worse nausea and vomited once, very sore muscles in legs and lower back, headache begins  03/31/21 08:00 AM - Chills gone, fever 101, nausea worse, headache much worse, sore muscles in legs and lower back 10:00 AM - Fever 101, nausea and vomiting, headache very bad, sore muscles in legs and lower back 10:30 AM - Took Imitrex (sumatriptan succinate) for the headache and fell asleep 2:00 PM - Fever gone, nausea and vomiting better, headache better, back and legs muscles feel better, arm soreness starts  04/01/21 - Light headache persists and arm soreness. All other side effects subsided.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Rash (horseshoe) appeared near, not on, the injection site  about a week after the vaccine. Still present a week later but less itchy and starting to fade.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Hypoaesthesia
Clinical narrative: Face numbness (left side, same side of vaccine administration), starting 5-7 minutes after injection. Lasted for about 10 minutes. Mild contraction of periocular muscles (right eye) started about 1 hour after shot and have lasted  for at least 48 hours after dose.
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Back pain, Dysmenorrhoea, Headache, Injection site pain, Insomnia
Clinical narrative: Headache for several days, menstrual cycle came on 8 days early with terrible cramps, soreness at site of injection and upper back, inability to sleep
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Menstrual disorder
Clinical narrative: Headache for several days, menstrual cycle came on 8 days early with terrible cramps, soreness at site of injection and upper back, inability to sleep
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling, Vaccination complication
Clinical narrative: COVID arm. Swollen red, hard nodule 1 inch below injection site.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dysgeusia, Fatigue, Lethargy, Nausea
Clinical narrative: Day 2,  arm soreness, fatigue, chills half day, metallic taste in mouth, exhaustion, lethargy. Day 3, slight nausea half day, metallic taste in mouth, tiredness.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Day 2,  arm soreness, fatigue, chills half day, metallic taste in mouth, exhaustion, lethargy. Day 3, slight nausea half day, metallic taste in mouth, tiredness.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Discouragement, Dizziness, Fatigue, Pain, Peripheral swelling
Clinical narrative: Dizziness Fever Pain all over the body Fatigue Discouragement Left arm swelling
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Dizziness Fever Pain all over the body Fatigue Discouragement Left arm swelling
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Feeling abnormal
Clinical narrative: After receiving the vaccine and after his observation period Client was walking up to the pharmacy counter and he fell and dropped to the ground.  He never lost consciousness, EMT was called and they evaluated Client.  Client left the pharmacy with his family member who was contacted after he fell.  Client said he felt funny , dizzy and lightheaded.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Vaccination complication
Clinical narrative: "Covid Arm"  appeared 9 days after initial injection.  Measured 6 inches across and 2 inches down.  First 2 days was burning and sore.  After that time, no pain just red rash that faded completely 1 week later.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Mouth swelling
Clinical narrative: Tongue swelling, mouth swelling, throat itching and swelling started almost immediately...two hours later nausea, vomiting, sweating, body aches, fever, chills. Extreme fatigue, slept for over 6 hours. Extreme, intense headache 12 hours later. Fever, chills, body aches for next 4 days. 24 hours after vaccine, hard red lump at injection site, sore and hot to touch. Still swollen and painful 5 days later. Hives and intense itching all over body.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pharyngeal swelling, Pyrexia, Somnolence
Clinical narrative: Tongue swelling, mouth swelling, throat itching and swelling started almost immediately...two hours later nausea, vomiting, sweating, body aches, fever, chills. Extreme fatigue, slept for over 6 hours. Extreme, intense headache 12 hours later. Fever, chills, body aches for next 4 days. 24 hours after vaccine, hard red lump at injection site, sore and hot to touch. Still swollen and painful 5 days later. Hives and intense itching all over body.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue, Throat irritation, Vomiting
Clinical narrative: Tongue swelling, mouth swelling, throat itching and swelling started almost immediately...two hours later nausea, vomiting, sweating, body aches, fever, chills. Extreme fatigue, slept for over 6 hours. Extreme, intense headache 12 hours later. Fever, chills, body aches for next 4 days. 24 hours after vaccine, hard red lump at injection site, sore and hot to touch. Still swollen and painful 5 days later. Hives and intense itching all over body.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Pyrexia
Clinical narrative: Fatigue, chill, fever, cough
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Body temperature increased, Condition aggravated, Fatigue, Headache
Clinical narrative: I woke up throughout the night first night with left arm very sore feeling like an elephant trunk. In AM I woke up and felt ill. Throughout the day my temperature went up to 102 by the afternoon. I had headache, bad muscle pain and aches and generally felt miserable. Also, the gland under my arm pit was extremely swollen for 3 full days the size of a baseball. It hurt to rest my arm to my side. That second night, I took fever reducer before I went to bed. Fever broke and I soaked through 3 pairs of pjs. The next day my fever went up to 100.7. I didn't take any more fever reducer.  Third day it went up to 99.7. Fourth day normal temp but then I had extreme fatigue starting fourth day to where I barely had energy to sit up or even walk to the bathroom. I tried to do my online remote work that week but only worked 1/3 my schedule due to extreme fatigue. One day I was in the kitchen and had to drop to the floor and rest to get enough energy to walk back to my bedroom. The extreme fatigue lasted a good 5-6 days then the following week I pushed through my online work without reducing my hours but would go straight to bed right afterwards due to fatigue. I have struggled with Epstein Barr virus since I was 23 and get fatigued after getting strep or exercising too much or other illnesses so chalked it up to the EBV. I still had minor stabbing pain under my armpit until the past couple of days. My energy is now back to normal.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Malaise, Pain, Pain in extremity, Pyrexia
Clinical narrative: I woke up throughout the night first night with left arm very sore feeling like an elephant trunk. In AM I woke up and felt ill. Throughout the day my temperature went up to 102 by the afternoon. I had headache, bad muscle pain and aches and generally felt miserable. Also, the gland under my arm pit was extremely swollen for 3 full days the size of a baseball. It hurt to rest my arm to my side. That second night, I took fever reducer before I went to bed. Fever broke and I soaked through 3 pairs of pjs. The next day my fever went up to 100.7. I didn't take any more fever reducer.  Third day it went up to 99.7. Fourth day normal temp but then I had extreme fatigue starting fourth day to where I barely had energy to sit up or even walk to the bathroom. I tried to do my online remote work that week but only worked 1/3 my schedule due to extreme fatigue. One day I was in the kitchen and had to drop to the floor and rest to get enough energy to walk back to my bedroom. The extreme fatigue lasted a good 5-6 days then the following week I pushed through my online work without reducing my hours but would go straight to bed right afterwards due to fatigue. I have struggled with Epstein Barr virus since I was 23 and get fatigued after getting strep or exercising too much or other illnesses so chalked it up to the EBV. I still had minor stabbing pain under my armpit until the past couple of days. My energy is now back to normal.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Dizziness, Nausea
Clinical narrative: Dizziness; Lightheaded; Feeling faint; Chills; Nausea; Back pain.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Fatigue, Headache, Migraine
Clinical narrative: Within 12-18 hours of receiving my 1st dose of the Moderna vaccine, I experienced a severe migraine; fever & chills; nausea; vomiting episodes; GI/upset stomach episodes & fatigue. These side effects subsided after 4 hours, except for the migraine which lasted the remainder of the day. I also experienced intermittent headaches 72-96 hours after my 1st vaccine but the headaches were far less severe & painful.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Within 12-18 hours of receiving my 1st dose of the Moderna vaccine, I experienced a severe migraine; fever & chills; nausea; vomiting episodes; GI/upset stomach episodes & fatigue. These side effects subsided after 4 hours, except for the migraine which lasted the remainder of the day. I also experienced intermittent headaches 72-96 hours after my 1st vaccine but the headaches were far less severe & painful.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Headache, Hypersomnia, Pain
Clinical narrative: Headache for 3 days (3/12-3/14) & muscle aches & lower back pain 3/14-3/20 & major fatigue 3/13-3/20.  I took Extra strength Tylenol for the headache. I took Tylenol during the day for muscle aches & lower back;  & Tizanidine muscle relaxer each night. By 3/18 I was exhausted & slept from 6:30 pm 3/18 to 9:45pm on 3/19. Was awake 1.5 hrs & was back to bed sleeping until 8:45am on 3/20/21.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Headache for 3 days (3/12-3/14) & muscle aches & lower back pain 3/14-3/20 & major fatigue 3/13-3/20.  I took Extra strength Tylenol for the headache. I took Tylenol during the day for muscle aches & lower back;  & Tizanidine muscle relaxer each night. By 3/18 I was exhausted & slept from 6:30 pm 3/18 to 9:45pm on 3/19. Was awake 1.5 hrs & was back to bed sleeping until 8:45am on 3/20/21.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Extreme tiredness the day of. Headache beginning  the following day and still ongoing.  Subsides with a dose of Tylenol but then returns. Early menstrual cycle - three weeks early  - on day three post vaccination.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Fever, fatigue, and arm soreness
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Myalgia
Clinical narrative: Fever, chills, headaches, muscle aches, body aches, nausea, diarrhea, vomiting,  fatigue, racing heartbeat up 118 according to fitbit peaking at 12:30 am 2/1/2021.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain, Palpitations, Pyrexia, Vomiting
Clinical narrative: Fever, chills, headaches, muscle aches, body aches, nausea, diarrhea, vomiting,  fatigue, racing heartbeat up 118 according to fitbit peaking at 12:30 am 2/1/2021.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain, Pyrexia
Clinical narrative: Sore arm at the injection site. Low grade fever. Fatigue. Chills. Several joint aches. Took Advil. Felt better the third day.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Condition aggravated, Erythema, Fatigue, Headache
Clinical narrative: Extreme redness of face and neck starting within 30 min of injection.  Some tiredness , then with a few days some headache (mild ) and upset stomach (also mild). About 5 days after I noticed 2 purple spots on my right arm, they have not went away and there are now 2 more.  All symptoms are gone but the spots are getting worse and continue to multiply.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration
Clinical narrative: Extreme redness of face and neck starting within 30 min of injection.  Some tiredness , then with a few days some headache (mild ) and upset stomach (also mild). About 5 days after I noticed 2 purple spots on my right arm, they have not went away and there are now 2 more.  All symptoms are gone but the spots are getting worse and continue to multiply.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Heart sounds normal, Lip pruritus, Pruritus
Clinical narrative: Patient complained of itching of lips 8 minutes after receiving vaccine. No rash noted on lip or inside mouth. 25mg PO Benadryl given. 20 minutes later patient stated she is itchy on stomach, back and legs. No rash noted. Additional 25mg PO benadryl given. Patient monitored additional 30 minutes. Patient did not have any sign of respiratory distress. Sitting in chair speaking in clear sentences.  Patient able to walk without assistance. Patient got a family friend to take her home she did not drive home. Patient walked out of building on her own.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Confusional state, Fatigue, Headache
Clinical narrative: Approximately 13 hours after receiving the vaccination, I started to experience a bit of confusion and then uncontrollable  chills for about a half hour. I then started to experience a low grade fever. After sleeping through the night I woke up with a strong headache and nausea and continuation of the fever. Symptoms continued for the rest of the day including exhaustion. The symptoms eventually subsided in the late afternoon.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Approximately 13 hours after receiving the vaccination, I started to experience a bit of confusion and then uncontrollable  chills for about a half hour. I then started to experience a low grade fever. After sleeping through the night I woke up with a strong headache and nausea and continuation of the fever. Symptoms continued for the rest of the day including exhaustion. The symptoms eventually subsided in the late afternoon.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash macular
Clinical narrative: Red splotches on right leg and foot with numerous thru out body.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Malaise
Clinical narrative: Headache, fatigue, joint pain (major joints), malaise lasting 36 hours post, diminishing to no s/s 48-72 hours post.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Left deep cervical lymph node Left submandibular lymph node
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Eye swelling, Paraesthesia, Rash macular
Clinical narrative: Patient came in this evening from visit with her doctor with a prednisone dospak, 6 day... loratadine tabs and a albuterol inhaler.  Stated  her right side of her face went numb and her right eye began to swell.  also stated her skin was blotchy all over and later in the evening (3/31)  had very labored breathing.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Eye swelling, Fatigue, Feeling abnormal, Rash macular
Clinical narrative: Patient came in this evening from visit with her doctor with a prednisone dospak, 6 day... loratadine tabs and a albuterol inhaler.  Stated  her right side of her face went numb and her right eye began to swell.  also stated her skin was blotchy all over and later in the evening (3/31)  had very labored breathing.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling face
Clinical narrative: Patient came in this evening from visit with her doctor with a prednisone dospak, 6 day... loratadine tabs and a albuterol inhaler.  Stated  her right side of her face went numb and her right eye began to swell.  also stated her skin was blotchy all over and later in the evening (3/31)  had very labored breathing.