chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Flushing
Clinical narrative: Patient experienced chills and flushing minutes after vaccine administration. Vital Signs stable. Spontaneous improvement. No medications offered.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Pain in extremity
Clinical narrative: Day after 2nd dose COVID19 vaccine, patient reports feelings cramps/pain in both legs/calves.  Still persisting daily 1 month after 2nd dose vaccine.  Did not have reaction after 1st dose COVID19 vaccine.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Insulin resistant diabetes
Clinical narrative: Extremely high blood sugars and becoming insulin resistant four over two weeks after the shot
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: Chills beginning the night of the injection and continuing to today.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chest pain, Chills, Headache, Influenza like illness
Clinical narrative: pt stated stated she woke up vomiting the next morning after receiving the vax.  She also has developed flu like symptoms.  Body aches, headache, chest pain, chills, abdominal cramps and diarrhea.  Pt states she has not contacted her PCP at this time.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Vomiting
Clinical narrative: pt stated stated she woke up vomiting the next morning after receiving the vax.  She also has developed flu like symptoms.  Body aches, headache, chest pain, chills, abdominal cramps and diarrhea.  Pt states she has not contacted her PCP at this time.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache
Clinical narrative: Headache, fatigue, and slight dizziness.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Injection site pain, Rash, Rhinorrhoea
Clinical narrative: PAIN IN ARM VACCINATION SITE - TO DATE. RUNNY NOSE - TO DATE HEADACHE  - TWO DAYS  SHORTNESS OF BREATH - TO DATE RASH AND HIVES ON HANDS, RIGHT ARM, AND FACE. TO DATE
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: PAIN IN ARM VACCINATION SITE - TO DATE. RUNNY NOSE - TO DATE HEADACHE  - TWO DAYS  SHORTNESS OF BREATH - TO DATE RASH AND HIVES ON HANDS, RIGHT ARM, AND FACE. TO DATE
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Asthma, Blood glucose increased, Blood test abnormal, Circumoral swelling
Clinical narrative: SEVERE swelling of tongue, lips, mouth lining, throat; "waxy coating feeling" in lungs - began 20 minutes after vaccination to 4 days after - went to Emergency Department at 30 minutes after vaccination and received IV medication and epipen shot to R thigh.  Subsided before leaving ED, but returned in more mild state the next day - managed by OTC Benadryl and allergy meds. Symptoms returned again at approx 39 hours and returned to Emergency Department again for more IV medications. Asthma attacks - started in the Emergency Department on first day and have continued to today 3/3/2021. Prior to vaccination, I used inhaler approx 1x every 60 days at most.  Have gone more than a year without using one.  After vaccination, used inhaler the same evening and then 12 times the next day, and several times before going to ED again, and have had to use it daily since.  This morning 3/3/2021, woke at apprise 2:30-3:00 am with an attack that needed 2 doses to subside, and then again at 8:30 this am about 1.5 hours after waking.  Burning on tongue with sores on outer sides, metallic/burning/no taste - began 20 minutes after vaccination continuing to today. Rash on face - began in Emergency Department on first day and continues to today. Began using Cortizone yesterday 3/3/2021. Rash and hives on neck, chest - began in Emergency Department on first day and subsided next day after allergy medications in ED and OTC allergy medications that night. Headache - sudden onset 25 minutes after vaccination.  Returned that evening after first ED visit. Returned the following day. Returned the third day. Subsided the fourth day. Used ibuprofen and acetaminophen to manage.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Glossodynia, Headache, Lip swelling, Mouth swelling
Clinical narrative: SEVERE swelling of tongue, lips, mouth lining, throat; "waxy coating feeling" in lungs - began 20 minutes after vaccination to 4 days after - went to Emergency Department at 30 minutes after vaccination and received IV medication and epipen shot to R thigh.  Subsided before leaving ED, but returned in more mild state the next day - managed by OTC Benadryl and allergy meds. Symptoms returned again at approx 39 hours and returned to Emergency Department again for more IV medications. Asthma attacks - started in the Emergency Department on first day and have continued to today 3/3/2021. Prior to vaccination, I used inhaler approx 1x every 60 days at most.  Have gone more than a year without using one.  After vaccination, used inhaler the same evening and then 12 times the next day, and several times before going to ED again, and have had to use it daily since.  This morning 3/3/2021, woke at apprise 2:30-3:00 am with an attack that needed 2 doses to subside, and then again at 8:30 this am about 1.5 hours after waking.  Burning on tongue with sores on outer sides, metallic/burning/no taste - began 20 minutes after vaccination continuing to today. Rash on face - began in Emergency Department on first day and continues to today. Began using Cortizone yesterday 3/3/2021. Rash and hives on neck, chest - began in Emergency Department on first day and subsided next day after allergy medications in ED and OTC allergy medications that night. Headache - sudden onset 25 minutes after vaccination.  Returned that evening after first ED visit. Returned the following day. Returned the third day. Subsided the fourth day. Used ibuprofen and acetaminophen to manage.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Rash, Respiratory tract irritation, Swollen tongue, Tongue discomfort
Clinical narrative: SEVERE swelling of tongue, lips, mouth lining, throat; "waxy coating feeling" in lungs - began 20 minutes after vaccination to 4 days after - went to Emergency Department at 30 minutes after vaccination and received IV medication and epipen shot to R thigh.  Subsided before leaving ED, but returned in more mild state the next day - managed by OTC Benadryl and allergy meds. Symptoms returned again at approx 39 hours and returned to Emergency Department again for more IV medications. Asthma attacks - started in the Emergency Department on first day and have continued to today 3/3/2021. Prior to vaccination, I used inhaler approx 1x every 60 days at most.  Have gone more than a year without using one.  After vaccination, used inhaler the same evening and then 12 times the next day, and several times before going to ED again, and have had to use it daily since.  This morning 3/3/2021, woke at apprise 2:30-3:00 am with an attack that needed 2 doses to subside, and then again at 8:30 this am about 1.5 hours after waking.  Burning on tongue with sores on outer sides, metallic/burning/no taste - began 20 minutes after vaccination continuing to today. Rash on face - began in Emergency Department on first day and continues to today. Began using Cortizone yesterday 3/3/2021. Rash and hives on neck, chest - began in Emergency Department on first day and subsided next day after allergy medications in ED and OTC allergy medications that night. Headache - sudden onset 25 minutes after vaccination.  Returned that evening after first ED visit. Returned the following day. Returned the third day. Subsided the fourth day. Used ibuprofen and acetaminophen to manage.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue ulceration, Urticaria
Clinical narrative: SEVERE swelling of tongue, lips, mouth lining, throat; "waxy coating feeling" in lungs - began 20 minutes after vaccination to 4 days after - went to Emergency Department at 30 minutes after vaccination and received IV medication and epipen shot to R thigh.  Subsided before leaving ED, but returned in more mild state the next day - managed by OTC Benadryl and allergy meds. Symptoms returned again at approx 39 hours and returned to Emergency Department again for more IV medications. Asthma attacks - started in the Emergency Department on first day and have continued to today 3/3/2021. Prior to vaccination, I used inhaler approx 1x every 60 days at most.  Have gone more than a year without using one.  After vaccination, used inhaler the same evening and then 12 times the next day, and several times before going to ED again, and have had to use it daily since.  This morning 3/3/2021, woke at apprise 2:30-3:00 am with an attack that needed 2 doses to subside, and then again at 8:30 this am about 1.5 hours after waking.  Burning on tongue with sores on outer sides, metallic/burning/no taste - began 20 minutes after vaccination continuing to today. Rash on face - began in Emergency Department on first day and continues to today. Began using Cortizone yesterday 3/3/2021. Rash and hives on neck, chest - began in Emergency Department on first day and subsided next day after allergy medications in ED and OTC allergy medications that night. Headache - sudden onset 25 minutes after vaccination.  Returned that evening after first ED visit. Returned the following day. Returned the third day. Subsided the fourth day. Used ibuprofen and acetaminophen to manage.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: First dose administered 1/29/21 and second dose was administered on 2/9/21. No adverse reaction reported by patient.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Sensation of foreign body
Clinical narrative: 10 minutes after getting her first COVID-19 vaccine, patient experienced L sided numbness and tingling of her face, 5 minutes later this was followed by a globus sensation. Patient had CN 2-12 grossly intact and 5/5 muscle strength of the upper extremity. She had a patent airway without stidor. She was able to swallow liquids. Due to her history of angioedema, she was evaluated by EMS and sent to ED for further evaluation.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site rash, Injection site urticaria, Loss of personal independence in daily activities
Clinical narrative: I had severe nausea, a low grade fever, aches, chills, and moderate fatigue that prevented me from working or daily activities for two days. By day 1 after the vaccine I also had hives and a rash at the injection site. A week after my second dose, I also had more hives pop up on my face and a bit at the injection site. And every few weeks, I have a few come up at the injection site and on my face, and then they go away.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Urticaria
Clinical narrative: I had severe nausea, a low grade fever, aches, chills, and moderate fatigue that prevented me from working or daily activities for two days. By day 1 after the vaccine I also had hives and a rash at the injection site. A week after my second dose, I also had more hives pop up on my face and a bit at the injection site. And every few weeks, I have a few come up at the injection site and on my face, and then they go away.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Back pain, Chest pain, Chills
Clinical narrative: fever, chills, itching at injection site followed by severe pain in upper and lower left arm, no urine output for 24 hrs, vertigo, fatigue, severe stabbing pains in face and head, stiff neck, no appetite, difficulty swallowing, pain in joints, chest pain, pain across upper back, stomach pain,. Symptoms lasted for 3 to 4 days. Severe head pain lasted 4 days. Could not raise left arm for 24 hrs after injection.  After 6 days fatigue and general malaise still present. Stomach pain still comes and goes.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dysphagia, Facial pain, Fatigue, Headache
Clinical narrative: fever, chills, itching at injection site followed by severe pain in upper and lower left arm, no urine output for 24 hrs, vertigo, fatigue, severe stabbing pains in face and head, stiff neck, no appetite, difficulty swallowing, pain in joints, chest pain, pain across upper back, stomach pain,. Symptoms lasted for 3 to 4 days. Severe head pain lasted 4 days. Could not raise left arm for 24 hrs after injection.  After 6 days fatigue and general malaise still present. Stomach pain still comes and goes.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Limb discomfort, Malaise, Muscular weakness
Clinical narrative: fever, chills, itching at injection site followed by severe pain in upper and lower left arm, no urine output for 24 hrs, vertigo, fatigue, severe stabbing pains in face and head, stiff neck, no appetite, difficulty swallowing, pain in joints, chest pain, pain across upper back, stomach pain,. Symptoms lasted for 3 to 4 days. Severe head pain lasted 4 days. Could not raise left arm for 24 hrs after injection.  After 6 days fatigue and general malaise still present. Stomach pain still comes and goes.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain in extremity, Pyrexia, Urine output decreased, Vertigo
Clinical narrative: fever, chills, itching at injection site followed by severe pain in upper and lower left arm, no urine output for 24 hrs, vertigo, fatigue, severe stabbing pains in face and head, stiff neck, no appetite, difficulty swallowing, pain in joints, chest pain, pain across upper back, stomach pain,. Symptoms lasted for 3 to 4 days. Severe head pain lasted 4 days. Could not raise left arm for 24 hrs after injection.  After 6 days fatigue and general malaise still present. Stomach pain still comes and goes.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Eye swelling, Heart rate increased, Immediate post-injection reaction, Injection site erythema
Clinical narrative: "The shot itself was very unpleasant,  the vaccine stung.  The nurse was concerned about this since it shouldn?t cause any discomfort at all.   Other than immediate onset of a painful injection site no other symptoms occurred until later in the evening.  I started feeling kind of yucky before I left work but nothing specific.  By the early evening I was running a low grade fever and having muscle and joint pain.   I didn?t sleep very well due to  body aches and severe organ pain.  At one point I woke up because my heart was beating so hard and fast I could feel it in my forehead.  My lips and eyes were swollen and my neck was visibly swollen as well, I think due to the lymph nodes in my neck.  My throat was some swollen but not enough to cause a breathing issue.  The heartbeat issue didn?t last terribly long.  I took a Benadryl to try and stop the reaction.  I ran fever of a 102 give or take a few degrees either way for 2 ½ days.  In addition, the injection site and whole shoulder area was swollen and  hot with redness that wrapped around the front of my arm."
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Lip swelling, Lymphadenopathy
Clinical narrative: "The shot itself was very unpleasant,  the vaccine stung.  The nurse was concerned about this since it shouldn?t cause any discomfort at all.   Other than immediate onset of a painful injection site no other symptoms occurred until later in the evening.  I started feeling kind of yucky before I left work but nothing specific.  By the early evening I was running a low grade fever and having muscle and joint pain.   I didn?t sleep very well due to  body aches and severe organ pain.  At one point I woke up because my heart was beating so hard and fast I could feel it in my forehead.  My lips and eyes were swollen and my neck was visibly swollen as well, I think due to the lymph nodes in my neck.  My throat was some swollen but not enough to cause a breathing issue.  The heartbeat issue didn?t last terribly long.  I took a Benadryl to try and stop the reaction.  I ran fever of a 102 give or take a few degrees either way for 2 ½ days.  In addition, the injection site and whole shoulder area was swollen and  hot with redness that wrapped around the front of my arm."
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Pain, Pharyngeal swelling, Pyrexia
Clinical narrative: "The shot itself was very unpleasant,  the vaccine stung.  The nurse was concerned about this since it shouldn?t cause any discomfort at all.   Other than immediate onset of a painful injection site no other symptoms occurred until later in the evening.  I started feeling kind of yucky before I left work but nothing specific.  By the early evening I was running a low grade fever and having muscle and joint pain.   I didn?t sleep very well due to  body aches and severe organ pain.  At one point I woke up because my heart was beating so hard and fast I could feel it in my forehead.  My lips and eyes were swollen and my neck was visibly swollen as well, I think due to the lymph nodes in my neck.  My throat was some swollen but not enough to cause a breathing issue.  The heartbeat issue didn?t last terribly long.  I took a Benadryl to try and stop the reaction.  I ran fever of a 102 give or take a few degrees either way for 2 ½ days.  In addition, the injection site and whole shoulder area was swollen and  hot with redness that wrapped around the front of my arm."
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Swelling
Clinical narrative: "The shot itself was very unpleasant,  the vaccine stung.  The nurse was concerned about this since it shouldn?t cause any discomfort at all.   Other than immediate onset of a painful injection site no other symptoms occurred until later in the evening.  I started feeling kind of yucky before I left work but nothing specific.  By the early evening I was running a low grade fever and having muscle and joint pain.   I didn?t sleep very well due to  body aches and severe organ pain.  At one point I woke up because my heart was beating so hard and fast I could feel it in my forehead.  My lips and eyes were swollen and my neck was visibly swollen as well, I think due to the lymph nodes in my neck.  My throat was some swollen but not enough to cause a breathing issue.  The heartbeat issue didn?t last terribly long.  I took a Benadryl to try and stop the reaction.  I ran fever of a 102 give or take a few degrees either way for 2 ½ days.  In addition, the injection site and whole shoulder area was swollen and  hot with redness that wrapped around the front of my arm."
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium increased, Blood chloride normal, Blood creatinine normal, Blood glucose increased, Blood potassium normal
Clinical narrative: Sensation of throat swelling/closing and shortness of breath
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium normal, Dyspnoea, Pharyngeal swelling, Throat tightness, White blood cell count normal
Clinical narrative: Sensation of throat swelling/closing and shortness of breath
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Sore arm, achiness and low-grade fever the afternoon following the date of second shot. Took Advil. Felt better by evening.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: The night of the vaccine woke up with chills, headache, muscle aches. Following evening I had a fever of 100.5, chills, headache, and fatigue.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Chills, Headache, Hot flush
Clinical narrative: I had extreme nausea, bone crushing pain, fever 100.2,chillshot flashes,sweats headaches, joint pain and chest pain. Also exp arm rash right arm at the injection site. The symptoms lasted 36 hrs.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Injection site rash, Nausea, Pain, Pyrexia
Clinical narrative: I had extreme nausea, bone crushing pain, fever 100.2,chillshot flashes,sweats headaches, joint pain and chest pain. Also exp arm rash right arm at the injection site. The symptoms lasted 36 hrs.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Condition aggravated, Headache, Herpes simplex, Oral herpes
Clinical narrative: 52-year-old male reports developing multiple HSV simplex lesions around his upper lips within 24 hours of receiving the second Covid 19 vaccine.  Patient has had HSV-1 lesions before but never to this extent; patient is otherwise stable and afebrile.  He has no radicular pain. Labs are ordered for CBC and a CMP. The vaccine support center was called at approximately 3:35 PM and message left.  The vaccine support center was called again on February 26, 2021 at approximately 9:20 AM. Provider spoke with NP for consultation. VAERS CDC report advised. No further action required. Antiviral medication was not offered due to the fact that patient was on day 6 post outbreak and out of the window of opportunity to treat acutely.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 52-year-old male reports developing multiple HSV simplex lesions around his upper lips within 24 hours of receiving the second Covid 19 vaccine.  Patient has had HSV-1 lesions before but never to this extent; patient is otherwise stable and afebrile.  He has no radicular pain. Labs are ordered for CBC and a CMP. The vaccine support center was called at approximately 3:35 PM and message left.  The vaccine support center was called again on February 26, 2021 at approximately 9:20 AM. Provider spoke with NP for consultation. VAERS CDC report advised. No further action required. Antiviral medication was not offered due to the fact that patient was on day 6 post outbreak and out of the window of opportunity to treat acutely.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Angioedema, Burning sensation, Erythema, Injection site pain
Clinical narrative: Swelling, burning, pain and rash at the injection site Delayed hypersensitivity reaction- angioedema of the eyes and nose, redness and rash, nausea and GI distress
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Nausea, Rash, Swelling
Clinical narrative: Swelling, burning, pain and rash at the injection site Delayed hypersensitivity reaction- angioedema of the eyes and nose, redness and rash, nausea and GI distress
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Myalgia
Clinical narrative: CHEST TIGHTNESS, CHEST PAIN, DYSPNEA, MYALGIA BEGINNING 48 HRS AFTER VACCINE WAS GIVEN, LASTING > 48 HOURS. GRADUAL DISSIPATION IS NOTED.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Limb discomfort
Clinical narrative: Immediate burning sensation to left deltoid. Patient given ice for application with positive effect. Patient remained in observation for 30 minutes and was without discomfort at discharge.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pruritus, Rash papular, Swelling, Swelling face
Clinical narrative: Patient reports that he got the first COVID-19 vaccine on 2/9/2021 By that night some pain in injection site   Around noon the next day he got hives everywhere, all over.  +itchy They were super raised swollen and everywhere.  There was swelling face and neck were starting to get puffy   No shortness of breath or inside mouth swelling He took benadryl several times Took over 24 to 48 hours for the hives to resolve
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient reports that he got the first COVID-19 vaccine on 2/9/2021 By that night some pain in injection site   Around noon the next day he got hives everywhere, all over.  +itchy They were super raised swollen and everywhere.  There was swelling face and neck were starting to get puffy   No shortness of breath or inside mouth swelling He took benadryl several times Took over 24 to 48 hours for the hives to resolve
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Started having  fatigue, low grade fever, headache, injection site pain and body aches 1 day after vaccination that lasted for three days.  She had two days of feeling normal and symptoms started again yesterday with the addition nausea and diarrhea.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test
Clinical narrative: Started having  fatigue, low grade fever, headache, injection site pain and body aches 1 day after vaccination that lasted for three days.  She had two days of feeling normal and symptoms started again yesterday with the addition nausea and diarrhea.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Pruritus, Psoriasis
Clinical narrative: 5 days after receiving the first vaccine patients psoriasis flared up. Hands and feet were still itching at the time of this call (2/15/2021).
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Influenza like illness, Vision blurred
Clinical narrative: Low level flu like feelings-5 days. Persistent headache for 7 days. Blurred vision-7 days.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Dizziness, Fatigue, Headache
Clinical narrative: Background on first covid-19 vaccine dose: Patient received her 1st dose of Pfizer covid-19 vaccine at vaccine clinic on 1/12/21 (this clinic is outside of the Health- system). Pfizer vaccine lot# EN3249 left deltoid. She was sent to an emergency department due to dizziness, nausea (ondansetron given in route). Given diphenhydramine in ED. Work up in the ED suggested anxiety reaction/stress response surrounding vaccine rather than an allergic reaction to the vaccine itself.   Reported incident related to 2nd dose: Patient received 2nd dose of Pfizer coivd-19 vaccine lot #EN6206 on 2/25/21 at Vaccine Clinic (seen there instead of Center) to allow for closer monitoring. She pre-medicated with 50mg of diphenhydramine on 2/25/21 at 1200 per her PCP's recommendation. She was monitored in the covid vaccine clinic waiting area where at 1310, she felt shaky, pressure headache, and body feeling tight. BP 155/110, HR 90, RR 24, SpO2 100%. had patient lie down. 1325: BP 155/103 HR 90, RR 24, O2 99%. same symptoms as listed above. 1340: BP 150/101. patient reports shorter quicker breathing. O2 WNL and RR 24. 1400: BP 143/98. Patient reports body feeling very exhausted which is what happened with the first shot. No other change in symptoms. 1430: patient up the bathroom using wheelchair, able to stand on own two feet to void, but reports feeling weak. 1445: BP 135/91. Pt not feeling better, but states she feels ok to go home. encouraged patient to continue to rest and find a ride home. Pt is in agreement. 1515: BP 135/99. Patient rested until 1615 and a friend came to pick her up. Wheeled out in wheelchair and able to get into car on own two feet.   Seen in PCP clinic on 2/26/21 for BP monitoring/follow up. Pt?s BP 130/80. Pt reports feeling fine. Denied shortness of breath/chest pain/pressure/palpitations. Pt has never had this type of reaction to other vaccines. BPs in clinic over the past year have mostly been 120-130s/70-80s.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Nervousness, Stress
Clinical narrative: Background on first covid-19 vaccine dose: Patient received her 1st dose of Pfizer covid-19 vaccine at vaccine clinic on 1/12/21 (this clinic is outside of the Health- system). Pfizer vaccine lot# EN3249 left deltoid. She was sent to an emergency department due to dizziness, nausea (ondansetron given in route). Given diphenhydramine in ED. Work up in the ED suggested anxiety reaction/stress response surrounding vaccine rather than an allergic reaction to the vaccine itself.   Reported incident related to 2nd dose: Patient received 2nd dose of Pfizer coivd-19 vaccine lot #EN6206 on 2/25/21 at Vaccine Clinic (seen there instead of Center) to allow for closer monitoring. She pre-medicated with 50mg of diphenhydramine on 2/25/21 at 1200 per her PCP's recommendation. She was monitored in the covid vaccine clinic waiting area where at 1310, she felt shaky, pressure headache, and body feeling tight. BP 155/110, HR 90, RR 24, SpO2 100%. had patient lie down. 1325: BP 155/103 HR 90, RR 24, O2 99%. same symptoms as listed above. 1340: BP 150/101. patient reports shorter quicker breathing. O2 WNL and RR 24. 1400: BP 143/98. Patient reports body feeling very exhausted which is what happened with the first shot. No other change in symptoms. 1430: patient up the bathroom using wheelchair, able to stand on own two feet to void, but reports feeling weak. 1445: BP 135/91. Pt not feeling better, but states she feels ok to go home. encouraged patient to continue to rest and find a ride home. Pt is in agreement. 1515: BP 135/99. Patient rested until 1615 and a friend came to pick her up. Wheeled out in wheelchair and able to get into car on own two feet.   Seen in PCP clinic on 2/26/21 for BP monitoring/follow up. Pt?s BP 130/80. Pt reports feeling fine. Denied shortness of breath/chest pain/pressure/palpitations. Pt has never had this type of reaction to other vaccines. BPs in clinic over the past year have mostly been 120-130s/70-80s.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site urticaria, Pain in extremity
Clinical narrative: 1 week after the vaccine my left arm/shoulder was sore and I noticed a firm itch welt at the site of the injection.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Induration, Peripheral swelling, Pruritus, Rash macular
Clinical narrative: 8TH DAY AFTER THE INJECTION, MY ARM FELT HOT, ITCHY AND A LARGE 3-4 INCH HARD LUMP DEVELOPED.  OVER THE REST OF THE DAY, THE SITE TURNED DEEP RED & BLOTCHY AND HOT TO THE TOUCH.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: 8TH DAY AFTER THE INJECTION, MY ARM FELT HOT, ITCHY AND A LARGE 3-4 INCH HARD LUMP DEVELOPED.  OVER THE REST OF THE DAY, THE SITE TURNED DEEP RED & BLOTCHY AND HOT TO THE TOUCH.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness
Clinical narrative: Patient experienced throat tightness after injection. No respiratory distress, rash, vomiting or diarrhea. Treatment with IM epinephrine, prednisone, diphenhydramine and Cetirizine. Patient was observed in the emergency department and was able to be discharged to home.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient experienced throat tightness after injection. No respiratory distress, rash, vomiting or diarrhea. Treatment with IM epinephrine, prednisone, diphenhydramine and Cetirizine. Patient was observed in the emergency department and was able to be discharged to home.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: received shingrix 7/23/18 and 2nd dose 1/29/19. December 2020 developed shingles and have had 3 outbreaks despite being vaccinated
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired driving ability, Vision blurred
Clinical narrative: Moderna COVID-19 Vaccine EUA  Very blurred vision in right eye. Could barely see. (If I had gone a far distance to get my shot, I would not have been able to drive home.) Lasted about 15 to 20 minutes.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Generalised tonic-clonic seizure
Clinical narrative: Patient experienced tonic clonic seizure within a few minutes of receiving first dose. I was informed at upon arriving at the scene that she had history of seizure but I cannot validate this information. She was evaluated by the emergency department immediately.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: Enlarged erythema at injection site. Warm to touch and hard over 3 day period
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood lactic acid, Full blood count, Gait disturbance, Hyperhidrosis
Clinical narrative: Patient experienced sweats, fevers, and extreme weakness with difficulty ambulating the afternoon after second COVID vaccine. Patient was  admitted to the hospital overnight for observation and was given tylenol to help with fevers, was discharged the following day.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Myoglobin blood, Pyrexia, SARS-CoV-2 test, Troponin
Clinical narrative: Patient experienced sweats, fevers, and extreme weakness with difficulty ambulating the afternoon after second COVID vaccine. Patient was  admitted to the hospital overnight for observation and was given tylenol to help with fevers, was discharged the following day.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Mouth swelling, Swelling face
Clinical narrative: Patient experienced swelling of the left side of face and mouth after vaccination.  Patient taken to ED by EMS.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Pain
Clinical narrative: Developed headache within one hour. Dizziness began approx. 2 hours after that. Body aches shortly thereafter. Headaches lasted into the second day, dizziness and aches into the third. All gone by the 4th day.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient received first dose of Moderna Covid-19 vaccine at scheduled clinic on 2-3-21. Patient then received his second dose at scheduled clinic at long term care facility on 3-3-21. Upon billing of the patients insurance, it was flagged that patient may have received dose of Pfizer Covid-19 vaccine on 2-19-21 from Health Department. Facility states they have no record of patient leaving the facility on that date or of him receiving any other Covid-19 vaccine's other than the 2 Moderna doses given to the patient by pharmacy at scheduled visits. Called to confirm Pfizer dose with Health Department, however am still waiting on a reply for confirmation of Pfizer dose.  Alerted facility to please monitor patient for any additional signs of  adverse reactions.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness/tingling of right arm
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: Chest burning and tightness and SOB. Gave albuterol neb and Benadryl.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Axillary pain, Body temperature increased, Breast swelling, Chills
Clinical narrative: Shakes, chills, mild temperature (100), insomnia, nausea, exhausted, weak.  Entire left side hurt, lymph node under arm - near breast on side of vaccination swollen for 4 days.  Headache Onset of chills began at 1am.  Around 5am I started shaking and nauseous and I had not been able to fall back to sleep.   5am 2/25 until I woke up for the day 2/26 at 6am, I had the nausea, chills, weak.  Lymph node swollen stayed for 4 days.   I felt very confused, like I couldn't hold a full thought.  No reaction to 1st vaccine except a sore arm
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Fatigue, Feeling abnormal, Headache, Insomnia
Clinical narrative: Shakes, chills, mild temperature (100), insomnia, nausea, exhausted, weak.  Entire left side hurt, lymph node under arm - near breast on side of vaccination swollen for 4 days.  Headache Onset of chills began at 1am.  Around 5am I started shaking and nauseous and I had not been able to fall back to sleep.   5am 2/25 until I woke up for the day 2/26 at 6am, I had the nausea, chills, weak.  Lymph node swollen stayed for 4 days.   I felt very confused, like I couldn't hold a full thought.  No reaction to 1st vaccine except a sore arm
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Mental impairment, Nausea, Pain
Clinical narrative: Shakes, chills, mild temperature (100), insomnia, nausea, exhausted, weak.  Entire left side hurt, lymph node under arm - near breast on side of vaccination swollen for 4 days.  Headache Onset of chills began at 1am.  Around 5am I started shaking and nauseous and I had not been able to fall back to sleep.   5am 2/25 until I woke up for the day 2/26 at 6am, I had the nausea, chills, weak.  Lymph node swollen stayed for 4 days.   I felt very confused, like I couldn't hold a full thought.  No reaction to 1st vaccine except a sore arm
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sleep disorder, Tremor, Vestibular paroxysmia
Clinical narrative: Shakes, chills, mild temperature (100), insomnia, nausea, exhausted, weak.  Entire left side hurt, lymph node under arm - near breast on side of vaccination swollen for 4 days.  Headache Onset of chills began at 1am.  Around 5am I started shaking and nauseous and I had not been able to fall back to sleep.   5am 2/25 until I woke up for the day 2/26 at 6am, I had the nausea, chills, weak.  Lymph node swollen stayed for 4 days.   I felt very confused, like I couldn't hold a full thought.  No reaction to 1st vaccine except a sore arm
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature fluctuation, Chills, Fatigue, Mobility decreased, Nausea
Clinical narrative: pain in right arm, difficult to lift & move arm, hot & cold chills, wiped out feeling, sick to stomach
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: pain in right arm, difficult to lift & move arm, hot & cold chills, wiped out feeling, sick to stomach
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Oral disorder, Visual impairment
Clinical narrative: 6 days after receiving the vaccine patient started having mouth problems, loss of taste and smell. Also had vision changes.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Dehydration, Headache, Myalgia
Clinical narrative: Severe Muscle aches all over the body, chills, increased temperature without fever, severe headache, nausea, dehydration, nose congestion, sharp needle pain on various areas of body, sore arm
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nausea, Pain, Pain in extremity
Clinical narrative: Severe Muscle aches all over the body, chills, increased temperature without fever, severe headache, nausea, dehydration, nose congestion, sharp needle pain on various areas of body, sore arm
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Anxiety, Chills, Dizziness, Dyspnoea
Clinical narrative: 48 hours after the 2nd dose of the COVID-19 vaccine, he had generalized body aches that had worsened, chills, agitation/anxious, dizzy, and hyperventilating/ shortness of breath.  He went to the hospital with his wife on 3/1/2021.  He stated "I think I'm going to die".  Patient had been off Cymbalta  for 3 days completely- treating neuropathy (previous daily medication that his primary physician advised him with weaning down the dose).  The patient was manic and had tangential thoughts- from crying/angry to laughter.  It is believed that the agitation could be due to medication withdraw.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperventilation, Mania, Pain, Tangentiality
Clinical narrative: 48 hours after the 2nd dose of the COVID-19 vaccine, he had generalized body aches that had worsened, chills, agitation/anxious, dizzy, and hyperventilating/ shortness of breath.  He went to the hospital with his wife on 3/1/2021.  He stated "I think I'm going to die".  Patient had been off Cymbalta  for 3 days completely- treating neuropathy (previous daily medication that his primary physician advised him with weaning down the dose).  The patient was manic and had tangential thoughts- from crying/angry to laughter.  It is believed that the agitation could be due to medication withdraw.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Pain
Clinical narrative: pain and adenopathy for 2 weeks
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Injection site pain, Mobility decreased, Pain
Clinical narrative: pain and adenopathy for 2 weeks
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Pain
Clinical narrative: Extreme pain in the left shoulder and arm at the injection site. Unable to lift arm past height of shoulder or head without further pain. Pushing with the left hand on an object creates pain in the arm and shoulder. Resting on the elbow will also create the same pain. The pain is constant. At night I usually wake up between 1 and 3 am from the throbbing pain. According to the physician, the pain seems to mimic a rotator cuff injury, which I do not have, nor have I had. I have been taking Motrin 2 to 3x per day, and Extra Strength Tylenol during those 1 to 3 am morning wake-ups. Putting the left arm thru a shirt is a painful task. Outside of arm at injection to the touch creates pain.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Injection site pain, Mobility decreased, Pain
Clinical narrative: Extreme pain in the left shoulder and arm at the injection site. Unable to lift arm past height of shoulder or head without further pain. Pushing with the left hand on an object creates pain in the arm and shoulder. Resting on the elbow will also create the same pain. The pain is constant. At night I usually wake up between 1 and 3 am from the throbbing pain. According to the physician, the pain seems to mimic a rotator cuff injury, which I do not have, nor have I had. I have been taking Motrin 2 to 3x per day, and Extra Strength Tylenol during those 1 to 3 am morning wake-ups. Putting the left arm thru a shirt is a painful task. Outside of arm at injection to the touch creates pain.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vision blurred
Clinical narrative: Patient began feeling lightheaded shortly after the vaccine was administered. Reported mild blurred vision. Diphenhydramine given. Symptoms subsided within 20 minutes.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Ligament sprain, Neuropathy peripheral, Pain
Clinical narrative: Heightened pain in areas that I normally have pain in.  Neuropathy in feet is more pronounced.  Ankle tear in left ankle and wrist pain is also more pronounced.  Right ankle from surgery two years ago is more pronounced.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Dizziness, Feeling cold, Hypoaesthesia
Clinical narrative: Nausea, lightheaded, vertigo, confusion, feeling cold and weak, numbness to right hands and feet
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo
Clinical narrative: Nausea, lightheaded, vertigo, confusion, feeling cold and weak, numbness to right hands and feet
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dizziness
Clinical narrative: "feeling lightheaded",   no chest pain, no sob. She has not eaten, symptoms resolved after crackers and ginger ale
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness
Clinical narrative: "feeling lightheaded",   no chest pain, no sob. She has not eaten, symptoms resolved after crackers and ginger ale
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient presented to the pharmacy in need of 2nd Covid vaccine. Patient stated that she received Moderna. This is what our pharmacy is using. Proceeded with 2nd vaccine. Patient called later at home stating that she was wrong and her 1st vaccine was pfizer.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Fatigue, Injection site pain, Pain, Pyrexia
Clinical narrative: sore arm at injection site, body aches and pain all over her body, extreme fatigue, feverish, upset stomach (3 days after receiving injection)
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gout, Injection site pain, Pain in extremity, Peripheral swelling
Clinical narrative: Pain at sjte,fatigue,muscle pain at site, swelling of upper arm,red raised rash,upper arm itching, severe gout pain in left toe and swelling of toe.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous, Rash papular, Swelling
Clinical narrative: Pain at sjte,fatigue,muscle pain at site, swelling of upper arm,red raised rash,upper arm itching, severe gout pain in left toe and swelling of toe.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Grip strength decreased, Lip swelling, Peripheral swelling, Pruritus
Clinical narrative: lip swelling 3 times the normal size, skin peeling to right forearm, both hands itching, swelling of both hands. unable to grasp with both hands, dark spot in middle of hand.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration, Skin exfoliation
Clinical narrative: lip swelling 3 times the normal size, skin peeling to right forearm, both hands itching, swelling of both hands. unable to grasp with both hands, dark spot in middle of hand.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Neck pain
Clinical narrative: myalgia, neck pain - occurred 2 days after vaccine given.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Palpitations, Pyrexia
Clinical narrative: Disorientated; racing heart rate;  fever of 101, had to call paramedics
Age: 58.0
Sex: M
Vaccine: UNK
Symptoms: Chest discomfort, Dyspnoea, Hypotension
Clinical narrative: 5-10 mins after giving the moderna covid vaccine, pt had a hypotension followed by chest tightness and difficulty of breathing. Benadryl, Epi IM and Solumedrol given. Pt awake, alert and oriented all the time. Did not lead to cardiac arrest but pt stated he was not feeling better and pt ended up going to the hospital. pt was on the dialysis machine with his treatment when the vaccine was given.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Respiratory distress
Clinical narrative: Acute onset rep distress
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Back pain, Chest X-ray, Chest discomfort
Clinical narrative: COVID shots Shot Feb 1, 2021 Day one of shot fatigue Day two of shot thigh cramps Day three of shot nausea  Day four of shot back and joint pain Day five of shot sick feeling aching all over. Muscle and joint pain and fatigue. Chest pressure, cough, Hoarse voice Day six of shot headache fatigue pain through right eye.  2/5Temp 96.6, 98.6, 1:00pm  SPO% 93%   Resting heart rate 90  6:30pm SPO% 89%-91%  Resting heart rate 102  Tylenol 100 mg 9:00am, 3:30pm TEMP 4:30pm 99.7*   Symptoms of the freezing chest and cough as well as headache and feeling poorly kept rising several times a week.  Covid 3/1/21 Covid symptoms return just like after Covid 19 1st vaccine. Body aches, joint pain, Chest pain, muscle aches, frozen feeling in lungs, cough, abdominal pain,eye ache, headache and fever. Temp 95.5 SPO 89% - 94% Resting heart rate 92 - 95 (After Covid shot 89%SPO, RHR 105, temp 99.7)  12:25pm temp 99  2/2/21 Feeling a little better. Still fatigue and ill feelings. At nighttime cough comes back with freezing lung feeling. Also started and body aches and joint stiffness. Went to bed took ibuprofen.  2/3/21 Still feeling ill . Woke with productive cough a little looser. Headache fatigue just feeling crummy.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dysphonia, Electrocardiogram, Eye pain, Fatigue
Clinical narrative: COVID shots Shot Feb 1, 2021 Day one of shot fatigue Day two of shot thigh cramps Day three of shot nausea  Day four of shot back and joint pain Day five of shot sick feeling aching all over. Muscle and joint pain and fatigue. Chest pressure, cough, Hoarse voice Day six of shot headache fatigue pain through right eye.  2/5Temp 96.6, 98.6, 1:00pm  SPO% 93%   Resting heart rate 90  6:30pm SPO% 89%-91%  Resting heart rate 102  Tylenol 100 mg 9:00am, 3:30pm TEMP 4:30pm 99.7*   Symptoms of the freezing chest and cough as well as headache and feeling poorly kept rising several times a week.  Covid 3/1/21 Covid symptoms return just like after Covid 19 1st vaccine. Body aches, joint pain, Chest pain, muscle aches, frozen feeling in lungs, cough, abdominal pain,eye ache, headache and fever. Temp 95.5 SPO 89% - 94% Resting heart rate 92 - 95 (After Covid shot 89%SPO, RHR 105, temp 99.7)  12:25pm temp 99  2/2/21 Feeling a little better. Still fatigue and ill feelings. At nighttime cough comes back with freezing lung feeling. Also started and body aches and joint stiffness. Went to bed took ibuprofen.  2/3/21 Still feeling ill . Woke with productive cough a little looser. Headache fatigue just feeling crummy.