chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fatigue, Fear, Full blood count normal, Headache
Clinical narrative: Patient woke up 3 am next morning and felt like she couldn't move limbs hardly at all and "felt like a boulder sitting on my chest".  She also felt nauseous, dizzy and a headache.   By 5 am the "heaviness" of her limbs and her chest and throat felt so heavy patient was scared and was transported to ED by her husband.  ED physician didn't think it was an anaphylactic reaction, but just thought it was an extreme adverse reaction. EKG, labs including Cardiac enzymes, and chest xray were all normal.  Given IV benadryl, IV zofran, Aspirin,  tylenol and norflex.  during ED visit.  Discharged from ED 10:30 am.   Took Benadryl and Solumedrol dose pack once home.  by Saturday patient felt 95% better, but as of this report, still says arms still feel heavy and she is fatigued.  Went back to work today.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Metabolic function test normal, Mobility decreased, Myocardial necrosis marker normal, Nausea
Clinical narrative: Patient woke up 3 am next morning and felt like she couldn't move limbs hardly at all and "felt like a boulder sitting on my chest".  She also felt nauseous, dizzy and a headache.   By 5 am the "heaviness" of her limbs and her chest and throat felt so heavy patient was scared and was transported to ED by her husband.  ED physician didn't think it was an anaphylactic reaction, but just thought it was an extreme adverse reaction. EKG, labs including Cardiac enzymes, and chest xray were all normal.  Given IV benadryl, IV zofran, Aspirin,  tylenol and norflex.  during ED visit.  Discharged from ED 10:30 am.   Took Benadryl and Solumedrol dose pack once home.  by Saturday patient felt 95% better, but as of this report, still says arms still feel heavy and she is fatigued.  Went back to work today.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal
Clinical narrative: Patient woke up 3 am next morning and felt like she couldn't move limbs hardly at all and "felt like a boulder sitting on my chest".  She also felt nauseous, dizzy and a headache.   By 5 am the "heaviness" of her limbs and her chest and throat felt so heavy patient was scared and was transported to ED by her husband.  ED physician didn't think it was an anaphylactic reaction, but just thought it was an extreme adverse reaction. EKG, labs including Cardiac enzymes, and chest xray were all normal.  Given IV benadryl, IV zofran, Aspirin,  tylenol and norflex.  during ED visit.  Discharged from ED 10:30 am.   Took Benadryl and Solumedrol dose pack once home.  by Saturday patient felt 95% better, but as of this report, still says arms still feel heavy and she is fatigued.  Went back to work today.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Injection site pain
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Feeling abnormal, Headache, Myalgia
Clinical narrative: Vaccine on Wednesday. Sneezing (allergies) around the time of injection. Sore arm for a day. Felt fine on Thursday and Friday. A little off on Saturday.  Myalgia, headache w temp of 99 on Sunday.  Took Tylenol at 2000 and went to bed. Did not sleep well. Temp at 0400 was 100. Took additional Tylenol.  Achínese returned at 1100 on Monday. No fever. Shaking chills but no fever from 1400-1500. Resolved but temp of 101.2.  This is where I am now.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Poor quality sleep, Sneezing
Clinical narrative: Vaccine on Wednesday. Sneezing (allergies) around the time of injection. Sore arm for a day. Felt fine on Thursday and Friday. A little off on Saturday.  Myalgia, headache w temp of 99 on Sunday.  Took Tylenol at 2000 and went to bed. Did not sleep well. Temp at 0400 was 100. Took additional Tylenol.  Achínese returned at 1100 on Monday. No fever. Shaking chills but no fever from 1400-1500. Resolved but temp of 101.2.  This is where I am now.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Flushing, Headache, Hyperhidrosis
Clinical narrative: 12/18/20 @1400 - light headache 12/18/20 @2100 - extreme soreness at injection site (right arm).  Difficulty sleeping on right arm during night. 12/19/20 @1030 - extreme fatigue.  Took a 1.5 hour nap and awoke with chills. 12/19/20 @ 1230 - extreme fatigue and chills.  Took a hot shower to help relieve chills.  After about 15 minutes in shower, began to sweat profusely and my face was flush.  *I did not take my temperature, therefore it is unknown whether or not I had fever, but I would assume so*  Finished shower and slept until 1830, but only because my daughter awoke me.  I was still tired when I awoke. 12/19/20 @ 2200 - Fell asleep and slept through the night.  Awoke at 0930 the following morning and felt better, feeling almost normal by 1200.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Sleep disorder, Somnolence
Clinical narrative: 12/18/20 @1400 - light headache 12/18/20 @2100 - extreme soreness at injection site (right arm).  Difficulty sleeping on right arm during night. 12/19/20 @1030 - extreme fatigue.  Took a 1.5 hour nap and awoke with chills. 12/19/20 @ 1230 - extreme fatigue and chills.  Took a hot shower to help relieve chills.  After about 15 minutes in shower, began to sweat profusely and my face was flush.  *I did not take my temperature, therefore it is unknown whether or not I had fever, but I would assume so*  Finished shower and slept until 1830, but only because my daughter awoke me.  I was still tired when I awoke. 12/19/20 @ 2200 - Fell asleep and slept through the night.  Awoke at 0930 the following morning and felt better, feeling almost normal by 1200.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Hypoaesthesia oral, Injection site pain, Pain
Clinical narrative: Began to feel slight pain at injection site Friday, 12/18/2020,  evening and was experiencing significant pain when trying to raise left arm above shoulder height.  This sensation subsided by Sunday, 12/20/2020, morning  Began to have a numbing sensation in both cheeks, nose, and throat on Saturday, 12/19/2020, early evening.  The sensation was similar to that feeling of getting Novocaine at the dentist.  There was no facial swelling, no difficulty breathing, no facial drooping, or slurred speech.  Began to feel dizzy  on Saturday, 12/19/2020, evening and this lasted until Sunday, 12/20/2020, morning.  No sensation of nausea or vomiting.  I contacted my Director and Occ Health dept as instructed.  Occ Health felt that these symptoms may be an inflammatory response to the vaccine, I was advised to take Motrin to see if any relief could be obtained.  Minimal numbness noted in mouth and nose on Monday, 12/21/2020.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pharyngeal hypoaesthesia
Clinical narrative: Began to feel slight pain at injection site Friday, 12/18/2020,  evening and was experiencing significant pain when trying to raise left arm above shoulder height.  This sensation subsided by Sunday, 12/20/2020, morning  Began to have a numbing sensation in both cheeks, nose, and throat on Saturday, 12/19/2020, early evening.  The sensation was similar to that feeling of getting Novocaine at the dentist.  There was no facial swelling, no difficulty breathing, no facial drooping, or slurred speech.  Began to feel dizzy  on Saturday, 12/19/2020, evening and this lasted until Sunday, 12/20/2020, morning.  No sensation of nausea or vomiting.  I contacted my Director and Occ Health dept as instructed.  Occ Health felt that these symptoms may be an inflammatory response to the vaccine, I was advised to take Motrin to see if any relief could be obtained.  Minimal numbness noted in mouth and nose on Monday, 12/21/2020.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Injection site pain, Night sweats, Pain
Clinical narrative: Injection site pain. No redness or swelling.  Fatigue, dizziness, lightheadedness, night sweats, body aches.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein, Herpes virus test, Herpes zoster, Metabolic function test, Red blood cell sedimentation rate
Clinical narrative: Shingles right arm 2 days after COVID 19 vaccination.  Evaluated 12/21 and prescribed topical acyclovir and oral vatrex 1g TID x 7 days.  Labs obtained and pending (CMP, CMP, ESR, CRP, Zoster IgG,M, viral swab)
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Tachycardia
Clinical narrative: Within two minutes of receiving the vaccine I experienced tachycardia and dizziness that were severe for approximately five minutes and improved over the subsequent ten minutes. Beginning approximately twenty minutes after receiving the vaccine I experienced another bout of dizziness accompanied by chest tightness. This resolved within approximately ten minutes.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: I had nausea starting about 2 hours post vaccine and 7 hours later I was vomiting, I had Zophran I was taking and was still unable to keep anything down tuesday in the AM. I had a Teledoc appointment and was prescribed  2mg of sinofren, I was still vomiting with both meds until saturday morning and since then I've had nausuea that have been getting lighter everyday since. I am back to being able to eat solid food with light use of the Zophran
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dyspnoea, Injection site pain, Pain in extremity
Clinical narrative: Patient is a 72 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination.    She denied any history of previous adverse reactions to vaccines.   She was given the Pfizer vaccination in the right deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience lightheadedness and tingling to right upper and lower arm.  Also c/o pain to mid forearm.  She denied hives, difficulty breathing, difficulty swallowing, wheezing, throat tightness, itching and tongue swelling. When walking to the emergency bay reports some lightheadedness and generalized weakness Denies facial drooping or weakness.  No loss of strength and normal ROM to hand and arms   This provider was notified of patient reaction and she was then assessed in the emergency bay area.     Monitored patient for severe reaction symptoms, including: rapid progression of symptoms, respiratory distress with dyspnea and increased work of breathing, hypotension and chest pain   Review of Systems     Objective   Vitals Vitals:   12/18/20 1023 12/18/20 1025 BP: (!) 175/93 (!) 182/85 BP Location: Left arm Left arm Pulse: (!) 115 (!) 112       Physical Exam Constitutional:      General: She is not in acute distress.    Appearance: She is not ill-appearing.  HENT:     Head: Normocephalic.     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear.  Cardiovascular:     Rate and Rhythm: Normal rate.     Pulses: Normal pulses.  Pulmonary:     Effort: Pulmonary effort is normal.     Comments: Initially with slight shortness of breath After 3-4 min was able to return to normal rate of breathing SpO2 remained 99-100% for duration of observation Musculoskeletal:     Right shoulder: She exhibits tenderness (where identified). She exhibits normal range of motion, no swelling, no effusion, no deformity and normal strength.       Arms:     Comments: C/o generalized tingling and mild weakness to right arm. Point tenderness where identified. Grip strength equal bilaterally Full ROM Injection site to right deltoid covered with bandaid  Skin:    General: Skin is warm.     Capillary Refill: Capillary refill takes less than 2 seconds.  Neurological:     Mental Status: She is alert.       Assessment/Plan    Treatment included antihistamines.  Zyrtec given po at 1025 Follow up response to treatment:no change Patient discharge:  Transported by ambulance   Report provided for Medical Record Patient reports some improvement in arm tingling, but pain to forearm and weakness remains   APRN Electronically Signed 12/18/2020 11:31 AM
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Patient is a 72 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination.    She denied any history of previous adverse reactions to vaccines.   She was given the Pfizer vaccination in the right deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience lightheadedness and tingling to right upper and lower arm.  Also c/o pain to mid forearm.  She denied hives, difficulty breathing, difficulty swallowing, wheezing, throat tightness, itching and tongue swelling. When walking to the emergency bay reports some lightheadedness and generalized weakness Denies facial drooping or weakness.  No loss of strength and normal ROM to hand and arms   This provider was notified of patient reaction and she was then assessed in the emergency bay area.     Monitored patient for severe reaction symptoms, including: rapid progression of symptoms, respiratory distress with dyspnea and increased work of breathing, hypotension and chest pain   Review of Systems     Objective   Vitals Vitals:   12/18/20 1023 12/18/20 1025 BP: (!) 175/93 (!) 182/85 BP Location: Left arm Left arm Pulse: (!) 115 (!) 112       Physical Exam Constitutional:      General: She is not in acute distress.    Appearance: She is not ill-appearing.  HENT:     Head: Normocephalic.     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear.  Cardiovascular:     Rate and Rhythm: Normal rate.     Pulses: Normal pulses.  Pulmonary:     Effort: Pulmonary effort is normal.     Comments: Initially with slight shortness of breath After 3-4 min was able to return to normal rate of breathing SpO2 remained 99-100% for duration of observation Musculoskeletal:     Right shoulder: She exhibits tenderness (where identified). She exhibits normal range of motion, no swelling, no effusion, no deformity and normal strength.       Arms:     Comments: C/o generalized tingling and mild weakness to right arm. Point tenderness where identified. Grip strength equal bilaterally Full ROM Injection site to right deltoid covered with bandaid  Skin:    General: Skin is warm.     Capillary Refill: Capillary refill takes less than 2 seconds.  Neurological:     Mental Status: She is alert.       Assessment/Plan    Treatment included antihistamines.  Zyrtec given po at 1025 Follow up response to treatment:no change Patient discharge:  Transported by ambulance   Report provided for Medical Record Patient reports some improvement in arm tingling, but pain to forearm and weakness remains   APRN Electronically Signed 12/18/2020 11:31 AM
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Influenza like illness
Clinical narrative: Flu like systems, chills, headache , fatigue . Next morning I had a headache for the rest of the day .
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Fatigue
Clinical narrative: patient is reporting elevated body temperature of 100.3, and extreme fatigue lasting the entire day
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia
Clinical narrative: Tingling  in the back of throat with possible decreased ability to breathe and swallow.  She was given oral Benadryl, 2 doses of IM Epi.  Reaction improved.  She was sent to the ER to be evaluated.  Received IV Decadron.  Clinically improved.  Discharged home on Decadron, Zyrtec and Pepcid as well as an Epi pen. Discussed to follow up with primary care physician.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Conjunctival haemorrhage, Headache
Clinical narrative: 4 hours after injection, got right medial subconjunctival hemorrhage, 14 hours after injection, experienced chills, headaches x 2 days
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Feeling abnormal, Gait disturbance, Nausea, Pain
Clinical narrative: On 12/19/20 Woke up at 4:30 , 3 hours after going to bed (9.5 hrs after receiving vaccination) with left arm throbbing. Was nauseated, whole body violently shaking, feverish (never took temperature).  States he could not control shaking. Lasted about 30 minutes, could barely walk. Afterwards felt achy and very weak.  Felt better on awakening, but whole body aching and weakness returned around 600PM and again at 1000PM.  Took Tylenol/Ibuprofen for relief. On 12/20 at 600PM also experienced whole body aching and felt generally poorly.  12/21/2020 Doing well today.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Tremor
Clinical narrative: On 12/19/20 Woke up at 4:30 , 3 hours after going to bed (9.5 hrs after receiving vaccination) with left arm throbbing. Was nauseated, whole body violently shaking, feverish (never took temperature).  States he could not control shaking. Lasted about 30 minutes, could barely walk. Afterwards felt achy and very weak.  Felt better on awakening, but whole body aching and weakness returned around 600PM and again at 1000PM.  Took Tylenol/Ibuprofen for relief. On 12/20 at 600PM also experienced whole body aching and felt generally poorly.  12/21/2020 Doing well today.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram normal, Chest X-ray normal, Hypoaesthesia, Laboratory test, Magnetic resonance imaging normal
Clinical narrative: She c/o of numbness and tingling on left side of entire body.  98.8, 92,142/84, o2 sat 99, rr 16. denied other compliant. emerenccy response team called.  taken to ED
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: She c/o of numbness and tingling on left side of entire body.  98.8, 92,142/84, o2 sat 99, rr 16. denied other compliant. emerenccy response team called.  taken to ED
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Flushing, Headache, Hyperhidrosis, Hypoaesthesia oral
Clinical narrative: Associate immediately felt flushed; about 15 minutes later; associate felt numb feeling in her lips; cheeks; tongue - those sx subsided following administration of 25mg IM Benadryl.  Associate also developed red rash on her chest and bilateral arms.  Pt. reports was also feeling diaphoretic.  At this time, the pt. reports feeling warmth chest/neck area.  Pt. is speaking in complete sentences.  Pt. reports slight headache in back of her head.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Paraesthesia oral, Rash, Rash erythematous
Clinical narrative: Associate immediately felt flushed; about 15 minutes later; associate felt numb feeling in her lips; cheeks; tongue - those sx subsided following administration of 25mg IM Benadryl.  Associate also developed red rash on her chest and bilateral arms.  Pt. reports was also feeling diaphoretic.  At this time, the pt. reports feeling warmth chest/neck area.  Pt. is speaking in complete sentences.  Pt. reports slight headache in back of her head.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Minor pain and swelling at injection site, mild fever responsive to tylenol, fatigue. Fully recovered from all side effects at 48 hrs.  Reporting only due to the fact that this is a new vaccine for tracking purposes.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Bone pain, Pain in extremity
Clinical narrative: Patient stating arm is hurting down in the bone. States that it comes and goes but is deep pain. She didn't want to treat it with over the counter NSAID or Tylenol. She stated that the pain is bearable but an annoyance. Patient states that the pain goes away when she lays on her arm.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dysgeusia, Injection site pruritus, Pain in extremity, Pruritus
Clinical narrative: Metallic taste in her mouth Itchiness to site, then progressed to whole body and back pain  Arm pain
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Pruritus, Rash, Rash erythematous, Swollen tongue
Clinical narrative: 10 minutes after vaccine, leg itching, checked for redness. Between 2200-2330 swelling of tongue, and lips swelling, administered epipen  and prednisone. No 911 or did not notify her PCP. Today she feels fine but still has fine pink rash over body.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Following vaccine, pt became nauseated and lightheaded.  Offered water.  Refused need to lie down
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient reports redness and swelling around the injection site the size of an egg in terms of shape. She also reported red fingerlike projections that wrap partially around the arm.  Offered patient acetaminophen and patient declined. She would prefer to ice injection site. She is to follow up with provider if issue persists or worsens
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose decreased, Chest discomfort, Muscular weakness
Clinical narrative: Right arm weakness; heavy chest. Given Orange juice due to low blood sugar, transported to ED.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia oral, Rash, Urticaria
Clinical narrative: Hives, rash, and tingling to lips 14 minutes post injection
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypersensitivity, Lip swelling, Pruritus, Swollen tongue, Urticaria
Clinical narrative: Hives, rash, and tingling to lips 14 minutes post injection
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Pain in extremity
Clinical narrative: Injection site / l arm soreness - 2-3days Headache - 2 days, treated with Tylenol
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: 12/17/2020 deep sharp pain in my arm and not just at the injection site it was the entire upper arm where I couldn't pick up my daughter. I took tylenol 12/18/2020 and within an hour later I had no pain in my arm and I was fine
Age: 65.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site pain, Injection site scab
Clinical narrative: patient reported pain at injection site, soreness, and scab that is not healing.
Age: 82.0
Sex: F
Vaccine: FLUA4, PNC13
Symptoms: Computerised tomogram, Dyspepsia, Hyperhidrosis, Insomnia, Magnetic resonance imaging
Clinical narrative: Patient states that she started experiencing severe heartburn, profuse sweating, and was unable to sleep.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling hot, Palpitations
Clinical narrative: palpitations, shortness of breath, warmth in throat
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Rash, Rash pruritic, Vaccination site irritation
Clinical narrative: Rash with itch to the extremities (upper and lower) as well as itch/ irritation to the vaccination site (right upper arm/ deltoid
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Condition aggravated, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia
Clinical narrative: 45 minutes after receiving injection I got generalized large hives all over my body, my chest started to feel tight, and under my chin up to my bottom lip felt numb and tingly. Took 50mg Benadryl, Zyrtec, and Pepcid, symptoms subsided. Went to ER for follow up and they prescribed me 18 days of tapering prednisone and an epi pen, advised me to not get 2nd dose.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Urticaria
Clinical narrative: 45 minutes after receiving injection I got generalized large hives all over my body, my chest started to feel tight, and under my chin up to my bottom lip felt numb and tingly. Took 50mg Benadryl, Zyrtec, and Pepcid, symptoms subsided. Went to ER for follow up and they prescribed me 18 days of tapering prednisone and an epi pen, advised me to not get 2nd dose.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Palpitations
Clinical narrative: Patient returned back to clinic after her observation time stating she had some heart palpitations and slight chest tightness.  Declines medical attention at this time.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Dizziness, Dry throat, Fatigue, Feeling hot
Clinical narrative: About 10 minutes after the injection I started feeling dizzy and hot. Then the headache started with pain moving up my head. Throat became dry. Started feeling nauseous. RN's started to check my vitals. Temperature was at 99.4. O2 was at 99%. Blood pressure was 135-92. Symptoms were not getting better and I started feeling worse. RN (House Supervisor) encouraged going to the ER. Was checked into ER where they gave me Benadryl, Tylenol, Zofran & steroids. Symptoms stayed about the same. Received second dose of Benadryl. Started to feel a little better about 30 minutes after. Spent about 3 hours total in ER. We home to sleep for about 7.5 hours. Woke up the next morning feeling very fatigued with a terrible headache. Continued to dose with Benadryl and Tylenol as needed.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Nausea
Clinical narrative: About 10 minutes after the injection I started feeling dizzy and hot. Then the headache started with pain moving up my head. Throat became dry. Started feeling nauseous. RN's started to check my vitals. Temperature was at 99.4. O2 was at 99%. Blood pressure was 135-92. Symptoms were not getting better and I started feeling worse. RN (House Supervisor) encouraged going to the ER. Was checked into ER where they gave me Benadryl, Tylenol, Zofran & steroids. Symptoms stayed about the same. Received second dose of Benadryl. Started to feel a little better about 30 minutes after. Spent about 3 hours total in ER. We home to sleep for about 7.5 hours. Woke up the next morning feeling very fatigued with a terrible headache. Continued to dose with Benadryl and Tylenol as needed.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Tenderness
Clinical narrative: All day Saturday the right side of my face felt tingly and when pressed hurt. Was able to smile, talk and move my face. Tongue tingled a little, and lips (right edge of mouth) off and on until it finally stopped Sunday morning. Haven?t had any issues with it since then.  Never had that happen before, so was a bit concerning.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Extreme dizziness
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Paresthesia of part of tongue starting about 5 min. after injection; no swelling or airway problem.  No other signs of allergic reaction.  Observed x 30 min. w/o worsening.  Given 25 mg diphenhydramine as precaution.
Age: 10.0
Sex: M
Vaccine: HPV9
Symptoms: Dizziness, Syncope
Clinical narrative: After vaccine became dizzy and had a brief episode of syncope
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Pharyngeal swelling, Throat irritation
Clinical narrative: Employee complained of metallic taste in mouth.  Then complained of scratchy throat and a feeling of "throat swollen on the inside"
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Hyperaesthesia, Hypersensitivity
Clinical narrative: Hypersensitivity to touch all over body and joint pain, headache fatigue the day after vaccine administered. No medical intervention warranted
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Dizziness, Erythema, Laboratory test normal, Memory impairment
Clinical narrative: felt nausea, lightheaded and dizzy.  developed itching and redness on chest.  25mg benedryl IM administered.  Called emergency response.  Patient taken to ED.  Reports in ED not remembering the events.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pruritus
Clinical narrative: felt nausea, lightheaded and dizzy.  developed itching and redness on chest.  25mg benedryl IM administered.  Called emergency response.  Patient taken to ED.  Reports in ED not remembering the events.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hot flush
Clinical narrative: Dizziness, Hot flash. Laid supine for 30 minutes, while repeatedly checking blood pressure.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Head discomfort, Headache, Hyperhidrosis, Hypertonia
Clinical narrative: Patient observed for over an hour due to symptom development including complaints of pressure in head, diaphoretic, swelling and increase muscle tone/rigidity in her left arm, tongue feeling thick. Brought to ED for care after an hour of observation.  In the ED, left arm rigidity/spasm worsened.    Here is the physician note: Patient's headache is improved.  She has no neurological deficits or subjective complaints or objective exam consistent with a recurrent CVA.  She has no evidence of significant anaphylaxis related to the immunization.  May be a recurrence of her underlying medical problems that she has been seen by neurology for something similar.  Possible unmasking of this is related to the Covid vaccine is difficult to determine.  We will have her work individually with our pharmacy, infectious disease team to determine whether she is a candidate for a second vaccination.  She would like to return home right now her CT labs are otherwise unremarkable I think this is reasonable.  Return precautions for more significant etiologies were discussed at length.   Received lorazepam 0.5 mg IV x1, diphenhydramine 25 mg IV x1, and methylprednisolone 60 mg IV x1.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Muscle rigidity, Muscle spasms, Peripheral swelling, Tongue disorder
Clinical narrative: Patient observed for over an hour due to symptom development including complaints of pressure in head, diaphoretic, swelling and increase muscle tone/rigidity in her left arm, tongue feeling thick. Brought to ED for care after an hour of observation.  In the ED, left arm rigidity/spasm worsened.    Here is the physician note: Patient's headache is improved.  She has no neurological deficits or subjective complaints or objective exam consistent with a recurrent CVA.  She has no evidence of significant anaphylaxis related to the immunization.  May be a recurrence of her underlying medical problems that she has been seen by neurology for something similar.  Possible unmasking of this is related to the Covid vaccine is difficult to determine.  We will have her work individually with our pharmacy, infectious disease team to determine whether she is a candidate for a second vaccination.  She would like to return home right now her CT labs are otherwise unremarkable I think this is reasonable.  Return precautions for more significant etiologies were discussed at length.   Received lorazepam 0.5 mg IV x1, diphenhydramine 25 mg IV x1, and methylprednisolone 60 mg IV x1.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue
Clinical narrative: Patient felt dizzy and tired after receiving the vaccine, additional monitoring, no further treatment.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness, Injection site mass, Injection site pain, Insomnia
Clinical narrative: 0-6 hours: no side effects at all 7 hours: pain at injection site begins 14 hours: arm pain increases; woke up 6+ times during the night; difficultly sleeping 20 hours: ping pong sized lump at injection site; continual pain in arm 30 hours: chills and body aches begin; lump in arm continues to swell to hard boil egg size. was in bed by 8pm and stayed in bed for 16+ hours 30 - 48 hours: continual chills and flu like symptoms get worse (note: no fever); made it from bed to couch. 48 - 72 hours: flu like symptoms slowly subside, but pain in arm continues and upper arm still swollen Days 3 - 10: arm pain and egg sized lump *slowly* subside. Lump finally gone by day 10.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Peripheral swelling, Sleep disorder
Clinical narrative: 0-6 hours: no side effects at all 7 hours: pain at injection site begins 14 hours: arm pain increases; woke up 6+ times during the night; difficultly sleeping 20 hours: ping pong sized lump at injection site; continual pain in arm 30 hours: chills and body aches begin; lump in arm continues to swell to hard boil egg size. was in bed by 8pm and stayed in bed for 16+ hours 30 - 48 hours: continual chills and flu like symptoms get worse (note: no fever); made it from bed to couch. 48 - 72 hours: flu like symptoms slowly subside, but pain in arm continues and upper arm still swollen Days 3 - 10: arm pain and egg sized lump *slowly* subside. Lump finally gone by day 10.
Age: 21.0
Sex: M
Vaccine: FLU4, HEP
Symptoms: Amnesia, Fall, Head injury, Loss of consciousness, Vomiting
Clinical narrative: Patient passed out, fell out of the chair and hit his head within seconds of receiving vaccines. Patient lost memory and was vomiting. He was sent to the ER for treatment and observation.
Age: 60.0
Sex: F
Vaccine: FLUC4
Symptoms: Pain
Clinical narrative: Patient reported shooting pain in arm for 3 days following immunization.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Nausea, Pain
Clinical narrative: I had diarrhea, aches, nasuea and fatigue
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Nausea, Orthostatic hypotension, Pallor
Clinical narrative: Patient was sitting in observation area after vaccine. Approximately 5 minutes (1050) after administration the patient reports feeling a 'head rush', like he was going to pass out, and nausea. Patient taken to exam room via W/C. Skin pale, cool, moist. BP taken with feet elevated. Denies SOB, itching.  1115 patient reports nausea has resolved. Denies dizzy, lightheaded, SOB, nausea, itching. Patient not as pale. Transitioned to sitting with feet down. 1125 patient denies dizzy, lightheaded, SOB, itching, nausea. Color natural. Blood pressure WDL. Patient standing and walking in exam room with no symptoms. Patient dismissed to home.  12/21/20 no symptoms reported.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Dizziness, Electrocardiogram normal, Hypoaesthesia, Laboratory test normal
Clinical narrative: Dizziness, Vertigo, Tachycardia, nausea, numbness and tingling of both arms
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia, Tachycardia, Vertigo
Clinical narrative: Dizziness, Vertigo, Tachycardia, nausea, numbness and tingling of both arms
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Myalgia, Nausea
Clinical narrative: Redness around shot area, swelling around shot area, fever, musclle/joint aches and nausea
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Redness around shot area, swelling around shot area, fever, musclle/joint aches and nausea
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Throat irritation
Clinical narrative: felt itchy on back, and then throat became scratchy.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness
Clinical narrative: Dizziness, chest tightness. Laid supine for 30 minutes while repeatedly check blood pressure.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Mouth injury, Oral mucosal blistering
Clinical narrative: Lacerations and blisters in mouth.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Hypoaesthesia, Paraesthesia oral, Pruritus, Taste disorder
Clinical narrative: 1645- Patient gave vague reports strange taste in her mouth and shortly after that began, strange sensation of tongue and heaviness in chest. VS 118/64, pulse74, SaO1 97, Resp 16.  1655- no change in symptoms. Ambulated around clinic with no change in symptoms.  1710- Patient reported some numbness and itching of her face and arms along with the heaviness in the chest. Denies lightheaded/dizzy. Benedryl given per allergic reaction protocol.  1730- patient report itching of face and arms continues.  1735- patient ambulating in clinic with steady gait.  1745- patient reports slight improvement of itching and chest heaviness resolved. Dismissed to home.  12/21/2020 Asymptomatic.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Echocardiogram, Electrocardiogram, Fatigue, Headache
Clinical narrative: Dizzy first 20 minutes lasted all day. Very tired. 1:30 very tired.  Went home slept the entire next day. Headache took motrin. Had palpitations on Sunday.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Palpitations
Clinical narrative: Dizzy first 20 minutes lasted all day. Very tired. 1:30 very tired.  Went home slept the entire next day. Headache took motrin. Had palpitations on Sunday.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Paraesthesia
Clinical narrative: Left face/lips with decreased sensation. Intermittent left hand and foot tingling.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia
Clinical narrative: Left face/lips with decreased sensation. Intermittent left hand and foot tingling.
Age: 48.0
Sex: M
Vaccine: PPV
Symptoms: Hyperhidrosis, Seizure
Clinical narrative: Sweating, increased number of seizures from baseline starting 1 hour post administration. Typical seizure baseline is 6-10 a day. REports 30 seizures that day. With increased seizure frequency for 3 days post administration.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy to synthetic fabric, Lip pruritus, Pruritus
Clinical narrative: Admin vx at 1530.  Developed itching on lips at 1535.  Pt reports this as a reaction to the surgical mask she was wearing.  Exchanged surgical mask for cloth mask.  1555-Pt reports increased itching.  BP 120/84, P 82, O2 96%.  OHN offered Benadryl per S.O.; pt declined.  1600 BP 122/83.  1605-BP 133/84 P 84 O2-96%.  Pt continues to report increased itching.  Reports "internal itching" and itching of feet.  No obvious rash visible.   Offered Benadryl, pt declined.  Offered to set up appt with Med Group to be seen now; patient declined.  OHN again encouraged pt to f/u with OH doc.  Pt seen in clinic at approx 1645.  Dr. reports admin of depomedrol and phenergan.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Flushing, Hot flush, Hypertension
Clinical narrative: felt lightheaded, flushed about 10 minutes after vaccine administration while still within the observation period.  The patient was laid on a gurney, given water to drink and vitals were taken.  Patient was hypertensive, blood sugar was normal.    She was examined by an emergency room MD in the vaccine room and it was determined unlikely to be an anaphylactic reaction.  There was scattered blotchiness on the neck region, but no raised areas, swelling or other appearance on the face, trunk or at the site of the injection.  The patient recovered well and was observed an additional 15 minutes.  She did have a brief recurrence of the same symptoms approximately 10 minutes later but attributed it to a "hot flash".
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: felt lightheaded, flushed about 10 minutes after vaccine administration while still within the observation period.  The patient was laid on a gurney, given water to drink and vitals were taken.  Patient was hypertensive, blood sugar was normal.    She was examined by an emergency room MD in the vaccine room and it was determined unlikely to be an anaphylactic reaction.  There was scattered blotchiness on the neck region, but no raised areas, swelling or other appearance on the face, trunk or at the site of the injection.  The patient recovered well and was observed an additional 15 minutes.  She did have a brief recurrence of the same symptoms approximately 10 minutes later but attributed it to a "hot flash".
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Feeling jittery
Clinical narrative: within 5-10 mins of receiving vaccine she started to feel light headed and jittery and "floaty" - she says she feels like, "I am not here, right now" - there are no hives - no swollen lips or tongue - pt denies SOB. pt was sent to ED at 8:18 AM for further evaluation. no significant findings and patient was discharged at 10:22 AM
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Throat irritation, Vomiting
Clinical narrative: 10 minutes after receiving the vaccine the patient began to vomit, stated her throat felt scratchy, face became flushed. patient taken to the ER
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Immediate post-injection reaction, Paraesthesia, Throat tightness
Clinical narrative: tingling in arm & chest directly after vaccine given.  Tightness in throat and a little feeling of short of breath.    Went to emergency dept and received bendaryl & solumedrol - symptoms resolved except arm tingling.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Breast pain, Chest pain, Electrocardiogram, Hypoaesthesia
Clinical narrative: tingling in arm & chest directly after vaccine given.  Tightness in throat and a little feeling of short of breath.    Went to emergency dept and received bendaryl & solumedrol - symptoms resolved except arm tingling.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Musculoskeletal chest pain, X-ray
Clinical narrative: tingling in arm & chest directly after vaccine given.  Tightness in throat and a little feeling of short of breath.    Went to emergency dept and received bendaryl & solumedrol - symptoms resolved except arm tingling.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Immediate post-injection reaction, Paraesthesia, Throat tightness
Clinical narrative: Burning pain in site, starting to get numb down my arm, pain on side of breast going down to rib, chest pain in the middle ..
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Breast pain, Chest pain, Electrocardiogram, Hypoaesthesia
Clinical narrative: Burning pain in site, starting to get numb down my arm, pain on side of breast going down to rib, chest pain in the middle ..
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Musculoskeletal chest pain, X-ray
Clinical narrative: Burning pain in site, starting to get numb down my arm, pain on side of breast going down to rib, chest pain in the middle ..
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Throat tightness
Clinical narrative: Pt arrived for her COVID vaccination.  Dose received and during monitoring period she reported throat tightness and difficulty swallowing.  VS WNL with BP 130/88, HR 90, O2 sats 98% on room air.  Pt ambulatory and escorted by staff to ED for further monitoring.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia oral
Clinical narrative: Within 35-40 minutes after vaccination; lips became a little swollen and tingly.  Benadryl taken within 10-15 min and s/s subsided.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Cough, Periorbital swelling, SARS-CoV-2 test, Skin burning sensation
Clinical narrative: Vaccine #1 12/19/2020. No immediate reaction. 12/20/2020 started to get burning around Left eye. 12/21/2020 started to get swelling and puffiness around both eyes, also started with cough and back pain. Feels like symptoms improving. Taking Benadryl.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: One and a half hours after receiving injection redness, rash and itching to right arm from palm up to forearm.  Given 25 mg PO Benadryl with resolution of symptoms in 30-45 minutes.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain, Pyrexia
Clinical narrative: FEVER, FATIGUE, BODY ACHES, NAUSEA, HEADACHE
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Erythema, Pruritus, Rash macular, Skin lesion
Clinical narrative: Patient reported red lesion on the front of her body under her breast 6 days after getting the Shingrix vaccine. She described it as red and itchy. She then noticed smaller spots that had blisters leading her to believe she had shingles. The patient has had shingles twice in her lifetime and described the pain and itching as shingles. She had taken Benadryl to rule out allergic reaction. The patient contacted her primary care physician who did not prescribe any antiviral medication and told the patient to monitor. She continued to monitor the lesions and used antihistamine to relieve itching. The patient stated they did not spread and after 1 week of having the lesions she has not fully recovered but they are fading and the itching is decreasing.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Injection site swelling, Nausea, Pain in extremity
Clinical narrative: My arm was very swollen from the injection site to my fingers, pretty sore and I had a bit of a rash on my right arm. Nauseous, felt like I was going to pass out. Fatigued.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash
Clinical narrative: My arm was very swollen from the injection site to my fingers, pretty sore and I had a bit of a rash on my right arm. Nauseous, felt like I was going to pass out. Fatigued.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Increased upper airway secretion, Lip swelling, Malaise
Clinical narrative: My lips and throat were swelling and I felt like my airway was being compromised. I was also experiencing neck pain and general malaise. I did not have a fever but have experienced adverse reactions in the past and knew that with the increased secretions and feeling like my throat was closing that I needed to administer my epinephrine pen injection. I administered my epinephrine pen at 11:18 am and within 1 minute my airway was clear and the secretions subsided. My upper lip/periorbital area are still somewhat numb and feel swollen but I no longer feel as if I cannot breathe.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Obstructive airways disorder, Pharyngeal swelling
Clinical narrative: My lips and throat were swelling and I felt like my airway was being compromised. I was also experiencing neck pain and general malaise. I did not have a fever but have experienced adverse reactions in the past and knew that with the increased secretions and feeling like my throat was closing that I needed to administer my epinephrine pen injection. I administered my epinephrine pen at 11:18 am and within 1 minute my airway was clear and the secretions subsided. My upper lip/periorbital area are still somewhat numb and feel swollen but I no longer feel as if I cannot breathe.
Age: 71.0
Sex: U
Vaccine: VARZOS
Symptoms: Inflammation, Skin warm
Clinical narrative: 2nd shot, large baseball size inflamed area , warm to the touch
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Throat irritation
Clinical narrative: Patient received the Pfizer covid vaccine on 12/17/2020. She reports that she has new onset of itchy throat, dry cough started 1 day after her vaccination on 12/18/2020. Able to sleep at night. Cough is persistent on and off for 4 days now. Denies fever, chills, bodyaches, or HAs. No other symptoms  She has an appointment at Employee Health on 12/21/2020 at 3:30 pm for Covid PCR testing.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Cough, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Received the vaccine Wednesday evening, after work. Waited the recommended 15 minutes, then went home and went to bed. Woke up Thursday feeling fatigued and had injection site pain, no other side effects or fever. Thursday evening, I developed body aches and a low-grade fever. I took Tylenol and went to bed. Friday, when I woke up around 1pm, I noticed a small rash behind my left knee. I took Benadryl and ended up falling back asleep. When I woke up Friday evening, I had the rash, and hives, and red/white splotches all over my legs. I took Benadryl and consulted my doctor. The rash continued to spread to my arms, and stomach. The rash itched and burned. I went to the ER Friday night for it. Before they gave me medication, I started coughing, couldn't breathe for a minute, and got lightheaded. They gave a steroid, Pepcid, Benadryl, and fluids. They observed me for several hours. I felt better then was discharged. They told to continue to take Benadryl or Zyrtec for a couple days. 5 days later, the rash/hives are still red, itchy and present, especially when Benadryl wears off.