chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pruritus, Pyrexia, Rash
Clinical narrative: Rash, itchy all over body, fever, chills, headache
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Full blood count, Headache, Pain in extremity
Clinical narrative: HEADACHE, FEVER, FATIGUE, LOCALIZED SWELLING AND REDNESS AND PAIN IN LEFT ARM 6 DAYS POST VACCINE
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Skin reaction
Clinical narrative: HEADACHE, FEVER, FATIGUE, LOCALIZED SWELLING AND REDNESS AND PAIN IN LEFT ARM 6 DAYS POST VACCINE
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Pruritus
Clinical narrative: Pfizer COVID- 19 Vaccine Pt received Pfizer COVID vaccine lot #EL3249. Pt sat for about 10 minutes, arm became itchy, gave diphenhydramine x 1 dose. Pt continued to sit for assessment for another 15 min. Pt stated she felt hot, but is typical for her to feel warm. No chest pain, SOB, blurred vision. Pt cleared to leave facility.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: One week (1/29/21) after receiving vaccine the injection site got swollen, red and itchy. No issues with injection site following injection on 1/22/21.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Feeling cold, Headache, Pyrexia
Clinical narrative: Late evening after shot felt like was getting a cold, runny nose, tired.  Next day had fever, high of 100.0 F, joint pain, headache, fatigue. Lasted about 24 hours, improved by second day after shot with minor fatigue for another day, by  3rd day felt normal.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: Late evening after shot felt like was getting a cold, runny nose, tired.  Next day had fever, high of 100.0 F, joint pain, headache, fatigue. Lasted about 24 hours, improved by second day after shot with minor fatigue for another day, by  3rd day felt normal.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: patient stated that starting at the injection site and moving down her arm about halfway to elbow, the area is red and warm to the touch; she stated that she only noticed it today (1/30/2021).
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Defaecation disorder, Fatigue, Nausea, Retching
Clinical narrative: 4:30 - 6:30 pm on 1/29/2021 nausea, chills, dry heaved, bowel purge (not diarrhea) No treatment -slept Fine after this event but tired
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cyanosis, Dyspnoea, Erythema, Headache, Hyperventilation
Clinical narrative: 01-28-2021  Hard to breath, wheezing and hyperventilating, finger, lips, and toes turned blue, severe headache and ringing tinnitus, fever up to 102, about 2in diameter red spot below injection site. All over body/muscle soreness and irritability to being touched by anything. Unable to sleep at all  Took ibuprofen  naproxen , benedryl   01-29-2021  Breathing returned to normal, fever 100-99 for entire day and all over body/muscle soreness and irritability to being touched by anything and red spot remains Took ibuprofen , naproxen , benedryl   1-30-2021 Fever gone, soreness mostly gone, red spot remains
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Irritability, Myalgia, Pain, Pyrexia, Tinnitus
Clinical narrative: 01-28-2021  Hard to breath, wheezing and hyperventilating, finger, lips, and toes turned blue, severe headache and ringing tinnitus, fever up to 102, about 2in diameter red spot below injection site. All over body/muscle soreness and irritability to being touched by anything. Unable to sleep at all  Took ibuprofen  naproxen , benedryl   01-29-2021  Breathing returned to normal, fever 100-99 for entire day and all over body/muscle soreness and irritability to being touched by anything and red spot remains Took ibuprofen , naproxen , benedryl   1-30-2021 Fever gone, soreness mostly gone, red spot remains
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: 01-28-2021  Hard to breath, wheezing and hyperventilating, finger, lips, and toes turned blue, severe headache and ringing tinnitus, fever up to 102, about 2in diameter red spot below injection site. All over body/muscle soreness and irritability to being touched by anything. Unable to sleep at all  Took ibuprofen  naproxen , benedryl   01-29-2021  Breathing returned to normal, fever 100-99 for entire day and all over body/muscle soreness and irritability to being touched by anything and red spot remains Took ibuprofen , naproxen , benedryl   1-30-2021 Fever gone, soreness mostly gone, red spot remains
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated, Dizziness, Feeling hot, Throat irritation
Clinical narrative: Patient arrived to observation room around 11am following vaccination with Moderna dose #1, no distress noted, sitting in back of room. Around 11:05am, patient was seen by observation RNs as putting head down into hands and started to wave for assistance. Per patient, she felt hot, light-headed and  faint. Patient's lower extremities were elevated on adjacent chair and 10LPM 02 administered via bag mask. Vital signs measured: p64, R22, BP120/76, 02:99%. Patient stated she felt mild "scratchiness" in her throat, which dissipated in less than 5 minutes. No presence or reports of angioedema, wheezing, shortness of breath, hypotension, rash/redness.  Benadryl was drawn up and prepared in case of need for administration, Epipen also nearby. After about 20 minutes of sitting with legs elevated and O2 flowing, client reports feeling better, no longer feeling "scratchy" throat. Patient states she was anxious to receive vaccine and thinks symptoms are due to anxiety. Patient's husband present and assisted patient to car around 11:30am. No further intervention needed.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: injection site paid; fatigue; headache; muscle pain; fever; chills; joint pain; muscle cramps.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Myalgia, Pyrexia
Clinical narrative: injection site paid; fatigue; headache; muscle pain; fever; chills; joint pain; muscle cramps.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Lymph node pain, Lymphadenopathy
Clinical narrative: Extremely swollen and painful lymph glands located on L side collar bone.  Same lymph glands became swollen 5 days after 1st injection and Dr. wanted to me to report them and I did. This time the morning after the injection the glands were extremely swollen so much so that my coworkers could see them on my collar bone.  I also had with the 2nd vaccinatation fever, chills, headache and fatigue that I considered a normal reaction.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Extremely swollen and painful lymph glands located on L side collar bone.  Same lymph glands became swollen 5 days after 1st injection and Dr. wanted to me to report them and I did. This time the morning after the injection the glands were extremely swollen so much so that my coworkers could see them on my collar bone.  I also had with the 2nd vaccinatation fever, chills, headache and fatigue that I considered a normal reaction.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Influenza like illness, Vomiting
Clinical narrative: Severe flu-like symptoms Dizziness Vomiting Weakness
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Impaired work ability, Pain, Pyrexia
Clinical narrative: Woke up 11 hours after dose with upset stomach, body aches. By next morning around 9:00 am had high fever (103 degrees) as well, called in sick to work x2 days.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Reddened, itchy, circular patch on injected deltoid area approx 3 1/2" diameter
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Cough, Dyspnoea, Fatigue, Impaired work ability
Clinical narrative: Red raised rash at injection site next day. Sore right arm for several days. January 22 sneezing, congestion and cough started. Then joint pain and body aches. January 25 extreme fatigue and nausea and had to leave work. Coughing worsened and lead to shortness of breath for three days. Developed red raised rash on my face January 28. January 29 cough, congestion, muscle pain and fatigue gone, continue with joint pain and rash.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Myalgia, Nasal congestion, Nausea, Pain
Clinical narrative: Red raised rash at injection site next day. Sore right arm for several days. January 22 sneezing, congestion and cough started. Then joint pain and body aches. January 25 extreme fatigue and nausea and had to leave work. Coughing worsened and lead to shortness of breath for three days. Developed red raised rash on my face January 28. January 29 cough, congestion, muscle pain and fatigue gone, continue with joint pain and rash.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, SARS-CoV-2 test negative, Sneezing
Clinical narrative: Red raised rash at injection site next day. Sore right arm for several days. January 22 sneezing, congestion and cough started. Then joint pain and body aches. January 25 extreme fatigue and nausea and had to leave work. Coughing worsened and lead to shortness of breath for three days. Developed red raised rash on my face January 28. January 29 cough, congestion, muscle pain and fatigue gone, continue with joint pain and rash.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Urticaria
Clinical narrative: My first dose went well. I just had a sore arm.  8 days prior to my second dose I was covered in thick hives head to toe. I went to and urgent care, the ER, saw my PCP, and got established with a dermatologist within those eight days who put me on predisone and Pepcid. Nothing was helping and the day of my second dose I still had hives all over my body, but about three hours after my shot, they were almost completely gone. Not sure if the vaccine had something to do with that or if it was a coincidence. Other than that I felt fantastic after my second dose.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: One week after shot experiencing severe joint pain, especially in my wrists and fingers
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hallucination, Headache, Injection site reaction, Night sweats, Oropharyngeal pain
Clinical narrative: Headache fever , temp 102 at 3 AM and hallucinations, red raised rash surrounding injection site, on 1/30  night sweats, sore throat
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash erythematous, Rash papular, Streptococcus test negative
Clinical narrative: Headache fever , temp 102 at 3 AM and hallucinations, red raised rash surrounding injection site, on 1/30  night sweats, sore throat
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Pneumonia aspiration
Clinical narrative: aspiration pneumonia/death
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Developed red warm raised rash around injection site 1 week after injection. Site itchy and irritated for three days
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Chest discomfort, Dizziness, Dyspnoea, Feeling hot
Clinical narrative: COVID- 19 Vaccine. She was experiencing chest tightness, SOB, and dizziness. 50mg of Benadryl and 20mg of famotidine was administered around 1410. Patient was still experiencing chest tightness and was having difficulty breathing. 0.3mg of epinephrine was administered at 1420. EMS was called. Breathing improved. Pulse ox 100%, HR 68, BP 130/89. EMS arrived and assumed patient care.  Pt seen in Emergency Room 1/16/2021 1513 CHIEF COMPLAINT: reaction to COVID vaccine   HISTORY OF PRESENT ILLNESS: Patient is a 64y F with PMHx significant for Myopericarditis, Anxiety and HTN who presents to ER after developing tongue swelling, wheezing, tunneled vision and shortness of breath. Patient states that she was getting first shot of COVID19 Pfizer vaccine at 2:00 pm. After getting vaccine she waited 15 minutes like she was told and recalls room getting very hot at approximately 6 minutes after getting vaccine. She also states that her tongue felt swollen. She then noticed her vision started to turn dark and then she felt dizzy. She told pharmacist about symptoms and then she was given one pill of Benadryl. This did not help and actually made her symptoms worse. She recalls wheezing. She was given another pill of what she believes was Benadryl. She also recalls pharmacist measured her BP and her husband, who was present, reported that her blood pressure was in the 140s This did not improve so she was given 0.3mg IM epinephrine shot. This significantly improved her symptoms. However, she was sent to ER.  She denies any hx of recent UTI or GI infection. She denies fevers, chills, nausea, diarrhea, chest pain, generalized itching, vomiting, abdominal pain, generalized swelling, headache or syncopal episode. She denies any past reactions to vaccines. She denies current SOB and feels like her symptoms resolved. Denies hx of COPD or asthma. Physical exam did not show any recurrent signs of wheezing or tongue edema. Her SaO2 was 100% on RA and BP was within baseline 140-160s. Given episode, we decided to obtain tryptase levels. We also observe patient to ensure she did not have any recurrence of symptoms. She remained hemodynamically stable and SaO2 remained in mid 90s to 100. She was given a rx for epinephrine pen should symptoms recur though this is highly unlikely as she remained stable throughout ER stay. She was also given instructions to pick up OTC Benadryl and Pepcid. She does have antihistamines listed as an allergy but patient states that she gets tachycardic upon taking tabs, so this could just be a side effect. We will follow up with tryptase levels but even if tryptase levels return as normal, it does not mean she did not have an anaphylactic reaction to vaccine. Her clinical picture puts this diagnosis high in the differential. Teaching and instructions were given to patient and her husband. She was advised to return to ER if symptoms recur.    IMPRESSION: Anaphylaxis Anxiety attack
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swollen tongue, Tunnel vision, Wheezing
Clinical narrative: COVID- 19 Vaccine. She was experiencing chest tightness, SOB, and dizziness. 50mg of Benadryl and 20mg of famotidine was administered around 1410. Patient was still experiencing chest tightness and was having difficulty breathing. 0.3mg of epinephrine was administered at 1420. EMS was called. Breathing improved. Pulse ox 100%, HR 68, BP 130/89. EMS arrived and assumed patient care.  Pt seen in Emergency Room 1/16/2021 1513 CHIEF COMPLAINT: reaction to COVID vaccine   HISTORY OF PRESENT ILLNESS: Patient is a 64y F with PMHx significant for Myopericarditis, Anxiety and HTN who presents to ER after developing tongue swelling, wheezing, tunneled vision and shortness of breath. Patient states that she was getting first shot of COVID19 Pfizer vaccine at 2:00 pm. After getting vaccine she waited 15 minutes like she was told and recalls room getting very hot at approximately 6 minutes after getting vaccine. She also states that her tongue felt swollen. She then noticed her vision started to turn dark and then she felt dizzy. She told pharmacist about symptoms and then she was given one pill of Benadryl. This did not help and actually made her symptoms worse. She recalls wheezing. She was given another pill of what she believes was Benadryl. She also recalls pharmacist measured her BP and her husband, who was present, reported that her blood pressure was in the 140s This did not improve so she was given 0.3mg IM epinephrine shot. This significantly improved her symptoms. However, she was sent to ER.  She denies any hx of recent UTI or GI infection. She denies fevers, chills, nausea, diarrhea, chest pain, generalized itching, vomiting, abdominal pain, generalized swelling, headache or syncopal episode. She denies any past reactions to vaccines. She denies current SOB and feels like her symptoms resolved. Denies hx of COPD or asthma. Physical exam did not show any recurrent signs of wheezing or tongue edema. Her SaO2 was 100% on RA and BP was within baseline 140-160s. Given episode, we decided to obtain tryptase levels. We also observe patient to ensure she did not have any recurrence of symptoms. She remained hemodynamically stable and SaO2 remained in mid 90s to 100. She was given a rx for epinephrine pen should symptoms recur though this is highly unlikely as she remained stable throughout ER stay. She was also given instructions to pick up OTC Benadryl and Pepcid. She does have antihistamines listed as an allergy but patient states that she gets tachycardic upon taking tabs, so this could just be a side effect. We will follow up with tryptase levels but even if tryptase levels return as normal, it does not mean she did not have an anaphylactic reaction to vaccine. Her clinical picture puts this diagnosis high in the differential. Teaching and instructions were given to patient and her husband. She was advised to return to ER if symptoms recur.    IMPRESSION: Anaphylaxis Anxiety attack
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Anxiety, Blood pressure increased, Chest discomfort, Dizziness
Clinical narrative: COVID- 19 Vaccine. She was experiencing chest tightness, SOB, and dizziness. 50mg of Benadryl and 20mg of famotidine was administered around 1410. Patient was still experiencing chest tightness and was having difficulty breathing. 0.3mg of epinephrine was administered at 1420. EMS was called. Breathing improved. Pulse ox 100%, HR 68, BP 130/89. EMS arrived and assumed patient care.  Pt seen in Emergency Room 1/16/2021 1513 CHIEF COMPLAINT: reaction to COVID vaccine   HISTORY OF PRESENT ILLNESS: Patient is a 64y F with PMHx significant for Myopericarditis, Anxiety and HTN who presents to ER after developing tongue swelling, wheezing, tunneled vision and shortness of breath. Patient states that she was getting first shot of COVID19 Pfizer vaccine at 2:00 pm. After getting vaccine she waited 15 minutes like she was told and recalls room getting very hot at approximately 6 minutes after getting vaccine. She also states that her tongue felt swollen. She then noticed her vision started to turn dark and then she felt dizzy. She told pharmacist about symptoms and then she was given one pill of Benadryl. This did not help and actually made her symptoms worse. She recalls wheezing. She was given another pill of what she believes was Benadryl. She also recalls pharmacist measured her BP and her husband, who was present, reported that her blood pressure was in the 140s This did not improve so she was given 0.3mg IM epinephrine shot. This significantly improved her symptoms. However, she was sent to ER.  She denies any hx of recent UTI or GI infection. She denies fevers, chills, nausea, diarrhea, chest pain, generalized itching, vomiting, abdominal pain, generalized swelling, headache or syncopal episode. She denies any past reactions to vaccines. She denies current SOB and feels like her symptoms resolved. Denies hx of COPD or asthma. Physical exam did not show any recurrent signs of wheezing or tongue edema. Her SaO2 was 100% on RA and BP was within baseline 140-160s. Given episode, we decided to obtain tryptase levels. We also observe patient to ensure she did not have any recurrence of symptoms. She remained hemodynamically stable and SaO2 remained in mid 90s to 100. She was given a rx for epinephrine pen should symptoms recur though this is highly unlikely as she remained stable throughout ER stay. She was also given instructions to pick up OTC Benadryl and Pepcid. She does have antihistamines listed as an allergy but patient states that she gets tachycardic upon taking tabs, so this could just be a side effect. We will follow up with tryptase levels but even if tryptase levels return as normal, it does not mean she did not have an anaphylactic reaction to vaccine. Her clinical picture puts this diagnosis high in the differential. Teaching and instructions were given to patient and her husband. She was advised to return to ER if symptoms recur.    IMPRESSION: Anaphylaxis Anxiety attack
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Hypersensitivity, Physical examination normal, Wheezing
Clinical narrative: COVID- 19 Vaccine. She was experiencing chest tightness, SOB, and dizziness. 50mg of Benadryl and 20mg of famotidine was administered around 1410. Patient was still experiencing chest tightness and was having difficulty breathing. 0.3mg of epinephrine was administered at 1420. EMS was called. Breathing improved. Pulse ox 100%, HR 68, BP 130/89. EMS arrived and assumed patient care.  Pt seen in Emergency Room 1/16/2021 1513 CHIEF COMPLAINT: reaction to COVID vaccine   HISTORY OF PRESENT ILLNESS: Patient is a 64y F with PMHx significant for Myopericarditis, Anxiety and HTN who presents to ER after developing tongue swelling, wheezing, tunneled vision and shortness of breath. Patient states that she was getting first shot of COVID19 Pfizer vaccine at 2:00 pm. After getting vaccine she waited 15 minutes like she was told and recalls room getting very hot at approximately 6 minutes after getting vaccine. She also states that her tongue felt swollen. She then noticed her vision started to turn dark and then she felt dizzy. She told pharmacist about symptoms and then she was given one pill of Benadryl. This did not help and actually made her symptoms worse. She recalls wheezing. She was given another pill of what she believes was Benadryl. She also recalls pharmacist measured her BP and her husband, who was present, reported that her blood pressure was in the 140s This did not improve so she was given 0.3mg IM epinephrine shot. This significantly improved her symptoms. However, she was sent to ER.  She denies any hx of recent UTI or GI infection. She denies fevers, chills, nausea, diarrhea, chest pain, generalized itching, vomiting, abdominal pain, generalized swelling, headache or syncopal episode. She denies any past reactions to vaccines. She denies current SOB and feels like her symptoms resolved. Denies hx of COPD or asthma. Physical exam did not show any recurrent signs of wheezing or tongue edema. Her SaO2 was 100% on RA and BP was within baseline 140-160s. Given episode, we decided to obtain tryptase levels. We also observe patient to ensure she did not have any recurrence of symptoms. She remained hemodynamically stable and SaO2 remained in mid 90s to 100. She was given a rx for epinephrine pen should symptoms recur though this is highly unlikely as she remained stable throughout ER stay. She was also given instructions to pick up OTC Benadryl and Pepcid. She does have antihistamines listed as an allergy but patient states that she gets tachycardic upon taking tabs, so this could just be a side effect. We will follow up with tryptase levels but even if tryptase levels return as normal, it does not mean she did not have an anaphylactic reaction to vaccine. Her clinical picture puts this diagnosis high in the differential. Teaching and instructions were given to patient and her husband. She was advised to return to ER if symptoms recur.    IMPRESSION: Anaphylaxis Anxiety attack
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Full blood count, Headache, Metabolic function test, Pain
Clinical narrative: High blood sugar, fever, headache, body aches
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: High blood sugar, fever, headache, body aches
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling cold, Flushing, Hyperhidrosis, Pallor
Clinical narrative: Pt here today for her second dose of Moderna COVID vaccine. States she did not have any issues with her first dose. Pt does endorse hx of syncope.    Approximately 10 minutes after pt received vaccine, she started to feel dizzy and faint and was slouched over in her chair. Pt pale, flushed, tangibly warm and sweaty skin. Transferred pt to stretcher. Pt endorses that she did have breakfast this morning. Felt slightly nervous about getting the vaccine but not overly anxious.    Vitals taken: BP 95/59, HR 75, O2 99%. Rapid response called. Rapid response nurse arrived at bedside.    Repeat vitals, taken approximately 5 minutes apart:  BP 109/63, HR 96, O2 99% BP 109/63, HR 97, O2 99% BP 114/77, HR 108, O2 99% BP 101/70, HR 99, O2 100% BP 106/62, HR 97, O2 100%   Pt given juice with some improvement in symptoms. Started to feel her hands tingling and had sensation of cold flowing through her body. Feelings of dizziness waxed and waned.    Pt transported to ED by rapid response team for further observation.  ED MD notes: "MDM, ASSESSMENT AND PLAN:  Overall well-appearing 39 year female experiencing lightheadedness after vaccination.  She has no other signs or symptoms to suggest an acute allergic reaction.  This may be vasovagal.  Plan for urine pregnancy test and EKG, consider IV fluids.  Patient prefers not to undergo testing unless completely necessary.  We decided to obtained orthostatic vital signs and if patient is symptomatic and/or showing significant changes in blood pressure or pulse with positional change, then will proceed with limited workup for near syncope.   DIAGNOSTIC STUDIES O2 sat interpretation: normal on RA Equivocal orthostats - HR incr w/ standing but so did BP. Pt states she's feeling better, tolerating po. Again denies poss pregnancy. Prefers to go home. OK to dc, close return precautions.     IMPRESSION: Dizziness. Adverse medication (vaccination) reaction, not allergy."
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Skin warm, Vaccination complication
Clinical narrative: Pt here today for her second dose of Moderna COVID vaccine. States she did not have any issues with her first dose. Pt does endorse hx of syncope.    Approximately 10 minutes after pt received vaccine, she started to feel dizzy and faint and was slouched over in her chair. Pt pale, flushed, tangibly warm and sweaty skin. Transferred pt to stretcher. Pt endorses that she did have breakfast this morning. Felt slightly nervous about getting the vaccine but not overly anxious.    Vitals taken: BP 95/59, HR 75, O2 99%. Rapid response called. Rapid response nurse arrived at bedside.    Repeat vitals, taken approximately 5 minutes apart:  BP 109/63, HR 96, O2 99% BP 109/63, HR 97, O2 99% BP 114/77, HR 108, O2 99% BP 101/70, HR 99, O2 100% BP 106/62, HR 97, O2 100%   Pt given juice with some improvement in symptoms. Started to feel her hands tingling and had sensation of cold flowing through her body. Feelings of dizziness waxed and waned.    Pt transported to ED by rapid response team for further observation.  ED MD notes: "MDM, ASSESSMENT AND PLAN:  Overall well-appearing 39 year female experiencing lightheadedness after vaccination.  She has no other signs or symptoms to suggest an acute allergic reaction.  This may be vasovagal.  Plan for urine pregnancy test and EKG, consider IV fluids.  Patient prefers not to undergo testing unless completely necessary.  We decided to obtained orthostatic vital signs and if patient is symptomatic and/or showing significant changes in blood pressure or pulse with positional change, then will proceed with limited workup for near syncope.   DIAGNOSTIC STUDIES O2 sat interpretation: normal on RA Equivocal orthostats - HR incr w/ standing but so did BP. Pt states she's feeling better, tolerating po. Again denies poss pregnancy. Prefers to go home. OK to dc, close return precautions.     IMPRESSION: Dizziness. Adverse medication (vaccination) reaction, not allergy."
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Depressed mood, Depression, Fatigue, Feeling abnormal
Clinical narrative: Woke up feeling extremely sad and depressed. Fatigued. No energy. Not sure if this is related but it has lasted a week and I?ve never in my life felt this. I also developed strong headache in the back of head and neck and felt mental cloudiness. Unsure if related but tested negative to COVID 2 times this week.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Woke up feeling extremely sad and depressed. Fatigued. No energy. Not sure if this is related but it has lasted a week and I?ve never in my life felt this. I also developed strong headache in the back of head and neck and felt mental cloudiness. Unsure if related but tested negative to COVID 2 times this week.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: marked swelling and redness and itching of left arm
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia, Tremor
Clinical narrative: 11 hours after injection SHAKING CHILLS, teeth chattering to the extreme. 101.5 fever throughout the night. Fatigue
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Mobility decreased
Clinical narrative: Patient became so dizzy he could not stand up.  Said he felt rubbery, like syncope was eminent.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hot flush, Injection site pain, Nasopharyngitis
Clinical narrative: Exhaustion Nasal pain Hot flashes Cold chills Pain at injection site
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinalgia
Clinical narrative: Exhaustion Nasal pain Hot flashes Cold chills Pain at injection site
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Presyncope, Visual impairment
Clinical narrative: Roughly 15 minutes after the vaccine I began to blackout. I did not fully lose consciousness but my field of vision was taken over by spots and stars. My blood pressure was very low. After being monitored for 45 mins I felt well enough to go home.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Pruritus
Clinical narrative: Large red rash on upper left arm surrounding injection site. Two separate areas of red rash. Slightly itchy.  Not a serious side effect but thought it should be reported. Thank you.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Fatigue, Nausea
Clinical narrative: Chest pain and discomfort with inhaling, nausea and leg fatigue. Happened 3 days post vaccine. No injection site pain
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site pruritus, Pallor, Skin plaque
Clinical narrative: Moderna COVID?19 Vaccine EUA Pain, induration, pruritis at injection site. Elliptical-shaped, raised plaque, blanching; warm and tender to palpation
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Tenderness
Clinical narrative: Moderna COVID?19 Vaccine EUA Pain, induration, pruritis at injection site. Elliptical-shaped, raised plaque, blanching; warm and tender to palpation
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Flushing, Lip swelling, Respiratory tract oedema, Swelling face
Clinical narrative: Swollen lips, cheeks, airway. Red flush face.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Livedo reticularis
Clinical narrative: Moderna COVID-19 Vaccine EUA. Eight days after receiving the vaccine noted swelling, redness, mottled skin, and itchy at the injection site. On day nine increase in redness and swelling.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Chills, Fibrin D dimer, Headache, Myalgia
Clinical narrative: Dangerously high fever within 12 hours of vaccine, severe chills, severe headache, body aches muscle aches
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Red blood cell sedimentation rate increased
Clinical narrative: Dangerously high fever within 12 hours of vaccine, severe chills, severe headache, body aches muscle aches
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Sleep deficit, Urticaria
Clinical narrative: Five Hive like welts, spread over both feet, top and side . Tremendously  Itchy constantly, cannot sleep, As bad or worse 48 hours later.  Remedies:  Oral: diphenhydramine 25mg every 6 hours,  Topical: lidocaine, hydrocortisone 2.5% cream, gel ice pack Red welts and somewhat swollen.  Possible bites?
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: It was a application error. The collar of the needle on the syringe was loose and upon injection, sprayed heavily against my arm as I watched it running down and off my elbow. I do not believe that I received that much of the vaccine. I have tried to find some information about it online and read that another country experienced the same issue. They feel that if it leaks at all, there is no way to know how much. Being a life saving vaccine, they administered a total replacement of which ever shot, ( one or two), as the manufacturer stated it was not a problem.  I feel that I did not receive a proper vaccine or response. Any assistance or direction would be greatly appreciated.  Thank you
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia oral, Tongue disorder
Clinical narrative: Lips and eventually tongue began to tingle and feel slightly numb and thick.  Was not a significant incident. Lessened a bit by the time my 30-minute observation concluded. Took about 1.5 hours from time of vaccination to time lips and tongue were back to normal.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Hyperhidrosis, Pruritus, Pyrexia
Clinical narrative: 1.  Evening of 26/27 January - Chills & low grade fever 2. Morning of 27 January, light headed, fainted, bood pressure 99over55 30 minutes after fainting 3. Lograde fever on day of 27 January 4. Sweats evening of 27/28 January 5. Rash on upper torso 29 January & 30 January 6.  Itching on 30 January
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Syncope
Clinical narrative: 1.  Evening of 26/27 January - Chills & low grade fever 2. Morning of 27 January, light headed, fainted, bood pressure 99over55 30 minutes after fainting 3. Lograde fever on day of 27 January 4. Sweats evening of 27/28 January 5. Rash on upper torso 29 January & 30 January 6.  Itching on 30 January
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity, Somnolence, Tenderness
Clinical narrative: Sore arm and fatigue. Soreness started afternoon of injection. Fatigue and increased soreness all day the following day. Arm sore to the touch on Saturday.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Temperature 103 F, headache, muscle aches, nausea, fatigue developed day 1 after the second vaccine , day 2 temp down to 101 F, headache and muscle aches less and nausea gone
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site warmth, Pruritus
Clinical narrative: First night (7 hours after shot): rabid itching that started in the neck. It moved down the left side of my body. Then went down the right side of the body  from top to bottom each time. Treatment - antihistamine (Claratin)   8 days later a red, hard, raised "mark" appeared at the shot site. It was itchy and slightly warm. Treatment: topical anti-itch spray.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Skin warm
Clinical narrative: Complaint of feeling lightheaded. Denies any other issues or distress. Color is pink, warm to touch. Alert and oriented x3. Sitting in chair. Denies taking medication today. Blood pressure 98/60, pulse 80, respirations 16, oxygen saturation 98%. Monitored for 45 minutes. No complaints of dizziness or lightheadedness at 1300. Client left clinic with no complaints.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Urticaria
Clinical narrative: Received vaccine late Wednesay afternoon (5:30PM). Thursday/next day- originally developed fever of 101.2, chills, headache, body aches. The next day (Friday evening) developed hives throughout body. Started on left foot and neck, small area on left side of rib, and small area on right foot.  Hives continue to spread after having taken benadryl and hydrocortisone cream. Hives now covered face, whole chest area, on back, feet, neck by Saturday morning. Went to urgent care and saw provider who confirmed hives due to delayed reaction to covid vaccine. Prescribed prednisolone.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Flushing, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Flushing, chills, injection. Site swelling and redness,  body aches
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site swelling, Pain
Clinical narrative: Body aches, chills, swelling at the injection site
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Nausea
Clinical narrative: Nausea and joint pain for 24 hours
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chest X-ray abnormal, Chills, Computerised tomogram thorax abnormal, Cough
Clinical narrative: 9 days after the vaccination, I had fever 102-103 F with chill, malaise, paresthesia and body ache requiring taking Tylenol alternate with Advil every three hours.  I tested for COVID-19 (PCR) and it was negative. Fever continued. On day 6,  I went to urgent care center and was tested again  with PCR for SAR-CoV-2 virus. The result was again negative.  On day 7, I started coughing so I went to Hospital ER and was admitted. Chest X-ray and CT scan of chests showed pneumonia. The COVID-19 PCR test was again done and was negative. Respiratory panel PCR was negative. Mycoplasma titer was negative. I was given steroid and fever improved. I continued to cough until now (1/30/2021)
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Malaise, Mycoplasma test negative, Pain, Paraesthesia
Clinical narrative: 9 days after the vaccination, I had fever 102-103 F with chill, malaise, paresthesia and body ache requiring taking Tylenol alternate with Advil every three hours.  I tested for COVID-19 (PCR) and it was negative. Fever continued. On day 6,  I went to urgent care center and was tested again  with PCR for SAR-CoV-2 virus. The result was again negative.  On day 7, I started coughing so I went to Hospital ER and was admitted. Chest X-ray and CT scan of chests showed pneumonia. The COVID-19 PCR test was again done and was negative. Respiratory panel PCR was negative. Mycoplasma titer was negative. I was given steroid and fever improved. I continued to cough until now (1/30/2021)
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, Respiratory viral panel, SARS-CoV-2 test negative, Serum ferritin increased
Clinical narrative: 9 days after the vaccination, I had fever 102-103 F with chill, malaise, paresthesia and body ache requiring taking Tylenol alternate with Advil every three hours.  I tested for COVID-19 (PCR) and it was negative. Fever continued. On day 6,  I went to urgent care center and was tested again  with PCR for SAR-CoV-2 virus. The result was again negative.  On day 7, I started coughing so I went to Hospital ER and was admitted. Chest X-ray and CT scan of chests showed pneumonia. The COVID-19 PCR test was again done and was negative. Respiratory panel PCR was negative. Mycoplasma titer was negative. I was given steroid and fever improved. I continued to cough until now (1/30/2021)
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Myalgia, Pyrexia
Clinical narrative: Fatigue, low grade fever 99-102 on/off for 24 hours, muscle aches for two days
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Lacrimation increased, Nasal congestion
Clinical narrative: Fatigue, low grade fever 99-102 on/off for 24 hours, muscle aches for two days
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paranasal sinus discomfort, Rhinorrhoea, SARS-CoV-2 test, Sinus congestion, Sneezing
Clinical narrative: Fatigue, low grade fever 99-102 on/off for 24 hours, muscle aches for two days
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination failure
Clinical narrative: Fatigue, low grade fever 99-102 on/off for 24 hours, muscle aches for two days
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angioedema, Lip swelling, Pruritus, Swollen tongue, Urticaria
Clinical narrative: Arrived in the ED with total body hive (red, raised welts); swollen tongue & lips and angioedema with itchiness
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Inflammation, Lip swelling, Peripheral swelling, Pharyngeal swelling
Clinical narrative: Arrived in the ED with total body hive (red, raised welts); swollen tongue & lips and angioedema with itchiness
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Speech disorder, Swollen tongue, Urticaria
Clinical narrative: Arrived in the ED with total body hive (red, raised welts); swollen tongue & lips and angioedema with itchiness
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Entire body broke out in a skin rash and hives 8 days following first dose of Moderna.  Hives lasted approximately 4 days. Treatment included anti-histamines.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Lethargy, Nausea, Pain, Paranasal sinus discomfort
Clinical narrative: I began to have a fever 18 hours after receiving the vaccine. Then when I woke up approximately 24 hours after receiving the vaccine, I felt severe sinus pressure, headache, light sensitivity, body aches, slight nausea, continued fever cycling, and lethargy. These symptoms began to resolve 24 hours after they started. These were the exact same symptoms that I experienced when I had Covid-19.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Photophobia, Pyrexia
Clinical narrative: I began to have a fever 18 hours after receiving the vaccine. Then when I woke up approximately 24 hours after receiving the vaccine, I felt severe sinus pressure, headache, light sensitivity, body aches, slight nausea, continued fever cycling, and lethargy. These symptoms began to resolve 24 hours after they started. These were the exact same symptoms that I experienced when I had Covid-19.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Three hours post injection: mild sore arm around injection site for 24-36 hours; mild fatigue for 72 hours minimum; low grade headache for 48 hours; muscle aches into shoulder blade and neck area for 72 hours minimum.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: Three hours post injection: mild sore arm around injection site for 24-36 hours; mild fatigue for 72 hours minimum; low grade headache for 48 hours; muscle aches into shoulder blade and neck area for 72 hours minimum.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neck pain, Pyrexia
Clinical narrative: 101.6 fever and intense headache, neck sore
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site warmth, Myalgia, Nausea, Pain
Clinical narrative: Muscle aches,  body aches, unable to sleep,high fever ,nausea and vomiting, red hot rash at injection site
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash erythematous, Sleep disorder, Vomiting
Clinical narrative: Muscle aches,  body aches, unable to sleep,high fever ,nausea and vomiting, red hot rash at injection site
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Injection site pruritus, Rash erythematous, Skin warm
Clinical narrative: Baseball sized red, hot rash. Pain and itching at site. Also chills that seem to extend from the site.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Feeling hot
Clinical narrative: I felt the vaccine flowing through my entire body. I felt very warm and had a bitter taste in my mouth.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Slight itch, redness at injection site and minimal swelling
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Nausea
Clinical narrative: At approximately 10 pm on 1/28/2021, I got shivers and continued with fatigue, headache, (almost like a migraine that I used to get), overall achy, nausea, dry heaves, and fever of 100.5. During the night when I got up for the bathroom, I was very dizzy.  In the morning, the dizziness, shivers, and the dry heaves were gone.   However, the fatigue, headache,achiness  and nausea  and fever continued until approximately 6 PM on Friday.  Everything started to get better and  continued to improve.  It is Saturday 1/30/2021 at 5 pm and all symptoms have disappeared.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Retching
Clinical narrative: At approximately 10 pm on 1/28/2021, I got shivers and continued with fatigue, headache, (almost like a migraine that I used to get), overall achy, nausea, dry heaves, and fever of 100.5. During the night when I got up for the bathroom, I was very dizzy.  In the morning, the dizziness, shivers, and the dry heaves were gone.   However, the fatigue, headache,achiness  and nausea  and fever continued until approximately 6 PM on Friday.  Everything started to get better and  continued to improve.  It is Saturday 1/30/2021 at 5 pm and all symptoms have disappeared.
Age: 24.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Blindness, Feeling abnormal, Movement disorder, Tremor, Vision blurred
Clinical narrative: While waiting at the site, my body felt like it was spazzing out and I saw blurry colored static.  It felt surreal.  It happened again within a minute. This was longer.  I had no control of my body, I was conscious the second time.  I attempted to tell myself to "focus" and try and find something with my eyes.  I couldn't; I was stuck in the state of my body shaking and unable to see anything. After the two times, I had the shakes.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat irritation, Throat tightness
Clinical narrative: Thirteen minutes after receiving 2nd dose of  COVID vaccination; pt c/o of itchy and scratchy throat.  Pt denied respiratory difficulty and not in immediate distress.  25 mg of diphenhydramine IM administered at 9:15 am in opposite arm of vaccination. 5 minutes later at 9:20 am patient stated she felt her throat as constricting.  Immediately at that time RN administered 0.3ml of epinephrine IM in opposite arm of vaccine and EMS called by staff at facility.  No urticaria, no wheezing, no angioedema noticeable from RN.   Pt declined EMS transport to ER and after consultation with her PCP office was transported by private vehicle to ER for further evaluation/monitoring.  Pt w/o respiratory distress at time of private transport and able to ambulate independently.  Independed transport arrived at 9;33 am.  Pt vitals taken every 5-10 min with BP ranging from 138/102 to 152/96.  O2 ranging between 93 - 99% and HR between 88 -123.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Dizziness, Headache, Pharyngeal swelling, Throat irritation
Clinical narrative: Thirteen minutes after receiving 2nd dose of  COVID vaccination; pt c/o of itchy and scratchy throat.  Pt denied respiratory difficulty and not in immediate distress.  25 mg of diphenhydramine IM administered at 9:15 am in opposite arm of vaccination. 5 minutes later at 9:20 am patient stated she felt her throat as constricting.  Immediately at that time RN administered 0.3ml of epinephrine IM in opposite arm of vaccine and EMS called by staff at facility.  No urticaria, no wheezing, no angioedema noticeable from RN.   Pt declined EMS transport to ER and after consultation with her PCP office was transported by private vehicle to ER for further evaluation/monitoring.  Pt w/o respiratory distress at time of private transport and able to ambulate independently.  Independed transport arrived at 9;33 am.  Pt vitals taken every 5-10 min with BP ranging from 138/102 to 152/96.  O2 ranging between 93 - 99% and HR between 88 -123.