chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain in extremity
Clinical narrative: Injection itself did not hurt; however, around 10 PM that night my left arm was very sore and I  couldn't lift arm without using right arm. Also experienced short, sharp headaches on right back side of head  (Not many) but the left arm was very sore which I did not have on the first injection.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Lymphadenopathy, Pyrexia
Clinical narrative: Red at the injection site and hot to the touch .. Started spreading down my hard and getting bigger.. My left Lymph Node in arm pit  was swollen and tender Mild fever
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Glossodynia, Hyperaemia, Immediate post-injection reaction, Swollen tongue, Taste disorder
Clinical narrative: Immediate taste sensation and then swelling of tongue w/o any change in breathing, some sense of tongue soreness and hyperemia remains
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Haemorrhage, Human chorionic gonadotropin, Pregnancy, Pregnancy test urine positive
Clinical narrative: 42yo G2P0010 at 3+6 weeks GA by LMP 1/1/2021 with EDD 10/8/2021 on day of Vaccine Dose #2 (1/28/2021), positive urine pregnancy test on 1/30/21. Bleeding began on 2/4/2021, and complete miscarriage occurred on 2/5-2/6.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Heart rate decreased, Tremor
Clinical narrative: Pt takes Benadryl every 2 hours via picc line daily. Pt took Benedryl at 5am and again post vaccine at 08:14am via PICC line and done by pt administered as instructed by her immunologist. reviewed with provider 08:24am pt took an additional 25mg via PICC line via pt administration. NO signs of anaphlaytic reaction does have mild shaking of hands. Denies any difficulty breathing. Has been instructed can take up to 100mg. Pt started having angioedema 20minutes post vaccine.  Pt has angio edema reaction post vaccine at 20 minute mark 08:45 1st Dose EPI via pt to right thigh 08:49 2nd Dose EPI via pt to left thigh 08:50 140HR, 97% RA 08:53 132HR, 97% RA improved angio edema and decreased HR. Was in no respiratory distress.  08:55 EMS arrival and transported per guerney to ER per pt request.   Nurse was present and involved throughout.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Lymph node pain, Lymphadenopathy, Rash, Rash papular
Clinical narrative: On 1/25, I got the vaccine with what I thought, were no side effects. I did have some soreness on the side of my breast/underarm area, but I put it off as muscle soreness from working out. On 2/2 I noticed a rash on my arm, which wasn't there before. The rash was warm, hurt when touched, and raised. Seeing that made me realize, the soreness in my underarm area wasn't muscle soreness but my lymph nodes, which I read was a side effect. I compared the right and left, and the right lymph nodes were obviously swollen. On 2/3, the rash was still there but within it, was a small spot (nickel's size) that is darker, looked like a bruise. On 2/4, the rash was still there and still warm to...continued on "Continuation Page"
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: On 1/25, I got the vaccine with what I thought, were no side effects. I did have some soreness on the side of my breast/underarm area, but I put it off as muscle soreness from working out. On 2/2 I noticed a rash on my arm, which wasn't there before. The rash was warm, hurt when touched, and raised. Seeing that made me realize, the soreness in my underarm area wasn't muscle soreness but my lymph nodes, which I read was a side effect. I compared the right and left, and the right lymph nodes were obviously swollen. On 2/3, the rash was still there but within it, was a small spot (nickel's size) that is darker, looked like a bruise. On 2/4, the rash was still there and still warm to...continued on "Continuation Page"
Age: 30.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Chills, Headache, Malaise, Pain, Pyrexia
Clinical narrative: Fevers, chills, malaise, body aches, headache
Age: 30.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Fevers, chills, malaise, body aches, headache
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Reports severe headache, not relieved by medication, low grade fever, and arm soreness. Also notes some nausea without vomiting.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Diabetes mellitus, Pruritus, Tongue discolouration
Clinical narrative: At about 9 days past vaccine, I developed a really itchy arm that became inflamed and lasted for just about three days.  At 14 days past vaccination, I have developed "Covid Tongue."  My tongue is coated with white and scalloped around the edges.  I quarantine stringently due to my diabetes and have only been to the grocery store once where I was double-masked.  That is my only contact outside of the home.  No one comes into our home - it's just my husband and me - and we both quarantine the same.  I did an appointment with a doctor who suggested that it is probably a side-effect of the vaccine since I have no other symptoms at all.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Nausea, Pharyngeal swelling
Clinical narrative: swelling of throat, hives, and long-term continued fatigue, headache, nausea, vomiting, diarrhea These symptoms occurred starting 8 hours after dose one, and resolved.  They occurred starting 2 hours after dose two and the fatigue, n/v/d/headache have persisted
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Vomiting
Clinical narrative: swelling of throat, hives, and long-term continued fatigue, headache, nausea, vomiting, diarrhea These symptoms occurred starting 8 hours after dose one, and resolved.  They occurred starting 2 hours after dose two and the fatigue, n/v/d/headache have persisted
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Bedridden, Blood alkaline phosphatase increased
Clinical narrative: She developed chills, headaches and weakness starting the day after vaccination 1/14. Profound weakness. She was unable to get out of bed. She developed hypoxia 86 to 90%. She was sent to the emergency room, she was noted to have a urinary tract infection.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium increased, Blood lactic acid normal, Brain natriuretic peptide increased, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: She developed chills, headaches and weakness starting the day after vaccination 1/14. Profound weakness. She was unable to get out of bed. She developed hypoxia 86 to 90%. She was sent to the emergency room, she was noted to have a urinary tract infection.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Haematocrit decreased, Haemoglobin decreased, Headache, Hypoxia
Clinical narrative: She developed chills, headaches and weakness starting the day after vaccination 1/14. Profound weakness. She was unable to get out of bed. She developed hypoxia 86 to 90%. She was sent to the emergency room, she was noted to have a urinary tract infection.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Monocyte count increased, Neutrophil count increased, Platelet count increased, Troponin normal, Urinary tract infection
Clinical narrative: She developed chills, headaches and weakness starting the day after vaccination 1/14. Profound weakness. She was unable to get out of bed. She developed hypoxia 86 to 90%. She was sent to the emergency room, she was noted to have a urinary tract infection.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count decreased, White blood cell count increased
Clinical narrative: She developed chills, headaches and weakness starting the day after vaccination 1/14. Profound weakness. She was unable to get out of bed. She developed hypoxia 86 to 90%. She was sent to the emergency room, she was noted to have a urinary tract infection.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Pain, Rash, Swelling
Clinical narrative: Vaccine shot taken on 1/29/21 in the morning.  Normal vaccine shot soreness for 2 days.  2/6/21 at 7:00 itching and redness at injection site.  White spot at injection.  Swelling and itching increased throughout the following day.  Treated with cold compress and Cortisone ointment.  No change. Spoke with my physician on 2/8/21 at 1:00 P.M.  She suggested Benedryl (sp?) ointment for the itching and said to contact her if there were any further symptoms.  The rash and itching are still with me today 2/9/21.  I am hoping that from what little information is available that the rash and itching should start to abate within the next day or 2.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nightmare
Clinical narrative: I had nightmares every time I fell asleep, even when napping for 5 days straight.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Insomnia, Pain in extremity
Clinical narrative: Woke up with pain in right arm. Arm warm - could not sleep
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Fatigue, Nausea, Pharyngeal swelling
Clinical narrative: Day of vaccination, throat became swollen, chest pain in the evening that resolved. Also severe fatigue and nausea.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, SARS-CoV-2 test negative
Clinical narrative: My daughter had a cold which I caught.  I had a runny nose, sore throat tired.  I underwent a Covid test 01-13-2021, which was negative.  On 01-12-2021, I also got my Tdap vaccine, on my right arm.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Tachycardia
Clinical narrative: Presented with dizziness, body numbness and increased pulse (tachycardia).
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site erythema, Night sweats, Pain
Clinical narrative: Sore arm - 48 hours (very severe soreness) and redness at the injection site; chills - on and off for 6 hours - no fever; body aches - 24 hours; terrible headache - in the second 48 hours after the shot. When I woke up on Sunday, I was fine. I've still had night sweats - just not as bad as when they first started - which was the last week of January when they began. Other co-workers - nurses - w ho have received the vaccine have complained about the same issue. I haven't had the night sweats the last couple of nights.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm - 48 hours (very severe soreness) and redness at the injection site; chills - on and off for 6 hours - no fever; body aches - 24 hours; terrible headache - in the second 48 hours after the shot. When I woke up on Sunday, I was fine. I've still had night sweats - just not as bad as when they first started - which was the last week of January when they began. Other co-workers - nurses - w ho have received the vaccine have complained about the same issue. I haven't had the night sweats the last couple of nights.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue
Clinical narrative: Tiredness Fatigue  chills
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Urticaria
Clinical narrative: Started last night-Injection site became itchy, very red and has welts. Also warm to touch. Is getting more sore and red as day goes.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient received 2nd dose of Pfizer vaccine on 2/2/21 and on 2/6/21 he died in his sleep in the a.m. No other signs or symptoms were observed prior to death.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose decreased, Blood glucose normal, Electrocardiogram, Erythema, Pruritus
Clinical narrative: Nurse alerted at 9:15 and client was taken from the observation area for further assessment. Client reported that he felt like "ants were crawling all over his body" and he was itching all over At 9:17 vitals were taken: BP 149/101, Pulse 75, O Sat 97% Client stated that he had no throat or tongue swelling,  no difficulty breathing, and no shortness of breath  At 9:23 EMT assessed client and vitals were taken : BP 151/98 Pulse 76, O Sat 97% Client exhibited redness around the chest and right arm, a small area of bumps (hives) on his right upper arm only Breathing was assessed: No strider, Breathing sounds clear Client reports that the itching is worse that when it initially began at 9:00.  Client experiencing itching in the chest, arms, and the face Client is scratching his beard heavily At 9:28 vitals were assessed : BP 131/92 Pulse 77 O Sat 99% Client continues to report no difficult breathing EMT asked the client if he wanted to go to the hospital. The client stated that he does not want to be transported. EMT begins to talks to the client about self care regarding any further reactions since he has decided to go home and not be transferred. Client mentioned that he keeps  benadryl in his car.  EMT informs client that at any time he can see medical attention. Client states that Right arm is itching worse and that the itching is less in his chest. The left arm was unaffected. At 9:36 vitals were taken BP 146/96 Pulse 87 O Sat97% At 9:45 Client stated that he feels able to leave and feels less itching   Client attempts to call his boss but is unable to reach him and is visibly frustrated. Client also noticed that his watch would not move further up his wrist as it normally does At 9:48 Client states that his hands are shaking and that this means his blood sugar is low. EMT took the clients blood sugar   Clients blood sugar was 95.  9:54 Client stated that he would like to be transported to the hospital because his hands are shaking and since his BS is fine he knows that something is wrong and his wrist is bigger because his watch wont slide up and down his arm.  Client transported to the hospital
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor, Urticaria
Clinical narrative: Nurse alerted at 9:15 and client was taken from the observation area for further assessment. Client reported that he felt like "ants were crawling all over his body" and he was itching all over At 9:17 vitals were taken: BP 149/101, Pulse 75, O Sat 97% Client stated that he had no throat or tongue swelling,  no difficulty breathing, and no shortness of breath  At 9:23 EMT assessed client and vitals were taken : BP 151/98 Pulse 76, O Sat 97% Client exhibited redness around the chest and right arm, a small area of bumps (hives) on his right upper arm only Breathing was assessed: No strider, Breathing sounds clear Client reports that the itching is worse that when it initially began at 9:00.  Client experiencing itching in the chest, arms, and the face Client is scratching his beard heavily At 9:28 vitals were assessed : BP 131/92 Pulse 77 O Sat 99% Client continues to report no difficult breathing EMT asked the client if he wanted to go to the hospital. The client stated that he does not want to be transported. EMT begins to talks to the client about self care regarding any further reactions since he has decided to go home and not be transferred. Client mentioned that he keeps  benadryl in his car.  EMT informs client that at any time he can see medical attention. Client states that Right arm is itching worse and that the itching is less in his chest. The left arm was unaffected. At 9:36 vitals were taken BP 146/96 Pulse 87 O Sat97% At 9:45 Client stated that he feels able to leave and feels less itching   Client attempts to call his boss but is unable to reach him and is visibly frustrated. Client also noticed that his watch would not move further up his wrist as it normally does At 9:48 Client states that his hands are shaking and that this means his blood sugar is low. EMT took the clients blood sugar   Clients blood sugar was 95.  9:54 Client stated that he would like to be transported to the hospital because his hands are shaking and since his BS is fine he knows that something is wrong and his wrist is bigger because his watch wont slide up and down his arm.  Client transported to the hospital
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebral haematoma, Headache, Hemiparesis, Magnetic resonance imaging brain abnormal, Syncope
Clinical narrative: Patient is a 39-year-old white female with a PMH of depression, anxiety, migraine and chronic sinusitis.  She has NKDA.  Her medications prior to event included alprazolam 0.25mg Qday, citalopram 20mg, 1 and ½ tabs Qday, Topamax 25mg, 3 tabs Qday and Zyrtec 10mg Qday.  She was administered her first dose of the Pfizer COVID vaccine on 1/21/21 at 1:30pm. She presented to the hospital on 1/22/21 @ 9:45am with acute onset of right sided weakness (she is a teacher who collapsed in her classroom without LOC) and was found to have a intraparenchymal hematoma (IPH) in the left posterior paramedian frontal lobe measuring up to 2.9 x 1.8 x 3.4cm with surrounding vasogenic edema and mild local mass effect with no underlying mass lesion or vascular malformation on MRI.  She stated that she has had intermittent headaches over the last few weeks not similar to her prior migraines, although with no neuro deficits.  She was also noted to have a urine tox screen positive for amphetamines.  There is a confirmatory test pending.  She was discharged to acute rehab on 1/25/21.  Patient is still recovering from the adverse event.  She did not receive any other vaccines within a month prior to the event.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urine amphetamine positive, Vasogenic cerebral oedema
Clinical narrative: Patient is a 39-year-old white female with a PMH of depression, anxiety, migraine and chronic sinusitis.  She has NKDA.  Her medications prior to event included alprazolam 0.25mg Qday, citalopram 20mg, 1 and ½ tabs Qday, Topamax 25mg, 3 tabs Qday and Zyrtec 10mg Qday.  She was administered her first dose of the Pfizer COVID vaccine on 1/21/21 at 1:30pm. She presented to the hospital on 1/22/21 @ 9:45am with acute onset of right sided weakness (she is a teacher who collapsed in her classroom without LOC) and was found to have a intraparenchymal hematoma (IPH) in the left posterior paramedian frontal lobe measuring up to 2.9 x 1.8 x 3.4cm with surrounding vasogenic edema and mild local mass effect with no underlying mass lesion or vascular malformation on MRI.  She stated that she has had intermittent headaches over the last few weeks not similar to her prior migraines, although with no neuro deficits.  She was also noted to have a urine tox screen positive for amphetamines.  There is a confirmatory test pending.  She was discharged to acute rehab on 1/25/21.  Patient is still recovering from the adverse event.  She did not receive any other vaccines within a month prior to the event.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Cognitive disorder, Computerised tomogram, Haemorrhage intracranial, Hemiplegia
Clinical narrative: Patient is a 39-year-old white female with a PMH of depression, anxiety, migraine and chronic sinusitis.  She has NKDA.  Her medications prior to event included alprazolam 0.25mg Qday, citalopram 20mg, 1 and ½ tabs Qday, Topamax 25mg, 3 tabs Qday and Zyrtec 10mg Qday.  She was administered her first dose of the Pfizer COVID vaccine on 1/21/21 at 1:30pm. She presented to the hospital on 1/22/21 @ 9:45am with acute onset of right sided weakness (she is a teacher who collapsed in her classroom without LOC) and was found to have a intraparenchymal hematoma (IPH) in the left posterior paramedian frontal lobe measuring up to 2.9 x 1.8 x 3.4cm with surrounding vasogenic edema and mild local mass effect with no underlying mass lesion or vascular malformation on MRI.  She stated that she has had intermittent headaches over the last few weeks not similar to her prior migraines, although with no neuro deficits.  She was also noted to have a urine tox screen positive for amphetamines.  There is a confirmatory test pending.  She was discharged to acute rehab on 1/25/21.  Patient is still recovering from the adverse event.  She did not receive any other vaccines within a month prior to the event.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Impaired work ability, Magnetic resonance imaging, Physical disability
Clinical narrative: Patient is a 39-year-old white female with a PMH of depression, anxiety, migraine and chronic sinusitis.  She has NKDA.  Her medications prior to event included alprazolam 0.25mg Qday, citalopram 20mg, 1 and ½ tabs Qday, Topamax 25mg, 3 tabs Qday and Zyrtec 10mg Qday.  She was administered her first dose of the Pfizer COVID vaccine on 1/21/21 at 1:30pm. She presented to the hospital on 1/22/21 @ 9:45am with acute onset of right sided weakness (she is a teacher who collapsed in her classroom without LOC) and was found to have a intraparenchymal hematoma (IPH) in the left posterior paramedian frontal lobe measuring up to 2.9 x 1.8 x 3.4cm with surrounding vasogenic edema and mild local mass effect with no underlying mass lesion or vascular malformation on MRI.  She stated that she has had intermittent headaches over the last few weeks not similar to her prior migraines, although with no neuro deficits.  She was also noted to have a urine tox screen positive for amphetamines.  There is a confirmatory test pending.  She was discharged to acute rehab on 1/25/21.  Patient is still recovering from the adverse event.  She did not receive any other vaccines within a month prior to the event.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Pyrexia, Vomiting
Clinical narrative: Chills and 101 degree fever beginning 10 hours after injection. Treated with Advil. Gone after about 24 hours from start of symptoms. Vomiting 16 hours after injection. One instance, no further nausea Soreness in injected arm, beginning 4 hours after injection. Treated with Advil. Gone after about 48 hours from start of symptoms.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Fatigue, Pain, Physical examination, Pyrexia
Clinical narrative: I had a strong immune response to the second dose (fatigue, fever and body aches) for over 48hrs. Within 72 hrs of the second vaccine, I developed tinnitus in both ears.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I had a strong immune response to the second dose (fatigue, fever and body aches) for over 48hrs. Within 72 hrs of the second vaccine, I developed tinnitus in both ears.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site reaction, Pain, Pruritus
Clinical narrative: LEFT ARM , WHERE SHOT WAS GIVEN  A KNOT ABOUT HALF DOLLAR SIZE, RED, ITCHES & HURTS.   ARM WAS GOOD UNTIL 8 DAYS AFTER SHOT.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Mobility decreased
Clinical narrative: Extreme, Debilitating Headache. Unable to get out of bed
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site rash, Injection site warmth, Rash erythematous
Clinical narrative: DEVELOPED 7 DAYS AFTER VACCINATION A OVAL RED RASH, WARM, ITCHING AND PAINFUL AT THE RIGT ARM.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I have been having ringing in my ears that started on 1/31/21.  I have had a slight issue with tinnitus but what I am experiencing right now is considerably worse.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Joint stiffness, Muscle rigidity, Pain
Clinical narrative: Received the 1st dose at around 5pm on 1/21/21 - No immediate reaction. Slight soreness in right arm prior to going to bed that night. Next morning, 1/22/21, whole right shoulder became very tight and rigid. Took one Advil/Tylenol for symptomatic relief. Around 5 pm on 1/22/21, started getting body aches and chills, took an Advil/Tylenol for symptomatic relief. Took another set of Advil/Tylenol prior to going to bed at 11:30 pm on 1/22/21. All well the next day and thereafter.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Flushing, Headache, Myalgia
Clinical narrative: Moderate to severe myalgias, arthralgias, & headache (HA) started 1/21/21 ~16hrs after 2nd vaccine dose. (Had mild-mod HA after 1st dose 12/30/20 which resolved after ~10days, with persistent neck/facial flushing & chills that decreased in frequency). Myalgias & arthralgias resolved ~4 - 5 days later, flushing/chills & HA continued, though severity lessened. Attempted return to work Wed 1/27 but severe HA w nausea began while driving. HA continued but decreased to mild ~1/31, and returned to work Wed 2/3 (reg sched is Wed-Fri, 3 x 12.5hrs). Mid morning Thurs 2/4 at work severe HA & nausea returned, had to leave work. Mod-sev HA continues 2/9/21, 20days after vaccine #2, and not cleared to return to work.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test negative
Clinical narrative: Moderate to severe myalgias, arthralgias, & headache (HA) started 1/21/21 ~16hrs after 2nd vaccine dose. (Had mild-mod HA after 1st dose 12/30/20 which resolved after ~10days, with persistent neck/facial flushing & chills that decreased in frequency). Myalgias & arthralgias resolved ~4 - 5 days later, flushing/chills & HA continued, though severity lessened. Attempted return to work Wed 1/27 but severe HA w nausea began while driving. HA continued but decreased to mild ~1/31, and returned to work Wed 2/3 (reg sched is Wed-Fri, 3 x 12.5hrs). Mid morning Thurs 2/4 at work severe HA & nausea returned, had to leave work. Mod-sev HA continues 2/9/21, 20days after vaccine #2, and not cleared to return to work.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Fluid retention, Lymphadenopathy
Clinical narrative: Client reports swelling in left armpit, assuming lymph node swelling, on Friday evening (over 48 hours after COVID-19 Vaccine #2 was administered in left deltoid). At time of reporting (2/9/21 at 1100) client reports progression of swelling from left armpit to left side of stomach. Client reports "it looks like [he's] gained about 15 pounds on the left side of my body" from armpit to stomach. Client reports he is having no pain or discomfort, but feels "a noticeable pressure from fluid buildup on left side of body." Client went to see internal medicine physician 2/9/21. Physician was not concerned at current state but instructed client to monitor and call physician if pain occurs or if swelling noticeably worsens. When asked if swelling was worsening each day, client states it is hard to tell due to the shifting of fluid and "maybe settling due to gravity."
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Laboratory test normal, Skin plaque
Clinical narrative: profound dizziness, work up for stroke plaque on arm
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pruritus, Injection site warmth, Rash pruritic
Clinical narrative: One week (7 days) after receiving the first dose of the Moderna vaccine, I noticed a hot, itchy hard lump at the injection site. The rash gradually grew over the next 5-6 days. The hard, painful lump lasted about 4 days. It is now 6 days after the rash developed and 13 days after I received the vaccine. The rash is still hot and itchy. The area of the rash is 6.5 inches tall and 3.5 inches wide. I have not received any treatment or take any over the counter medication.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Compression fracture, Fall
Clinical narrative: 1st dose vaccine 1/30/2021; fall of unknown etiology at home on 2/1/21; went to urgent care 2/1/21 for back pain, sent to ED same day for eval; admitted to hospital on 2/1/21 from ED for T12 compression fracture.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: Bad chills
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Oral pain, Swollen tongue
Clinical narrative: tired, freezing, tongue swollen, abrasive soreness in mouth
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Mass, Skin warm, Tenderness
Clinical narrative: On 25th I got the vaccine, on the 27th my right arm was still sore, but it sore all the way down to elbow. This soreness was a different soreness from the first vaccine. On the 28th I notice that my right elbow  was pink and warm to touch, tender it felt like a lump was in there. I had a couple of doctors at look at it. They didn't think I needed antibiotics at this point, they suggested to leave it alone at this time. The next morning it was  still a lump, still sore and but the pinkness started to go away. By Friday it was still sore and the lump was still there but the the pinkness and warmth had went away. One of the doctors I worked with said it started to go into the joints that when I should be concerned. On Saturday my joint started to hurt, I kind of ignored it. It has been over a week and 2 days and it now it still hurting in my elbow joint, when I bend my arm it is still hurting a lot. I have never had elbow pain before getting the vaccine. I am going to call my doctor today.   With the first dose of the vaccine, I did have a sore arm but it lasted less then 48 hours.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Feeling abnormal, Influenza, Pain
Clinical narrative: Extreme fatigue, loss of appetite, achy, general flu symptoms, overall terrible, coughing
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Injection site pain, Pain
Clinical narrative: Soreness in muscle around injection site, chills, body aches (muscles and joints), significant fatigue
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Computerised tomogram, Dyspnoea, Fibrin D dimer, Pulmonary embolism
Clinical narrative: Pulmonary Embolism 27 year old female presented to ED with chest pain and shortness of breath that began within 24 hours of receiving second Covid vaccine injection on 1/29/21. Chest pain subsided with Tylenol and time, but shortness of breath persisted, worsening on 2/8/21 which brought patient to ED. CTA confirmed PE diagnosis and treated with out patient oral therapy - Xarelto.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site pain, Pruritus, Skin warm
Clinical narrative: Received vaccine on 1/26/21. Only experienced minimal soreness at injection site for 1-2 days. No other symptoms experienced. On 2/4/21 (9 days later) a reddened area appeared 4-5 inches surrounding site, erythema and pruritus, area warm to touch. No nodule or raised rash noted. Afebrile. Today 5 days later,the area is slightly larger with same symptoms.
Sex: U
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Chills, Erythema, Injection site pain
Clinical narrative: Right arm pain about 2 hours after injection that worsened over time. About 12 hours after injection chills, temp of 99.6. About 24 hours after injection extreme muscle and joint pain, nausea.  36 hours after injection arm is red swollen and still painful.
Sex: U
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Swelling
Clinical narrative: Right arm pain about 2 hours after injection that worsened over time. About 12 hours after injection chills, temp of 99.6. About 24 hours after injection extreme muscle and joint pain, nausea.  36 hours after injection arm is red swollen and still painful.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Muscular weakness
Clinical narrative: on the second Shot,  the area has about a 1 and  a half  inch , very dark bruise after a few days.    Also, arm seems weak a week later. First shot had no issues.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Pain in extremity, Peripheral swelling, Pyrexia, Rash
Clinical narrative: I have received my first shot of  (Moderna) in the late evening.  The next day, I started to have soreness, swelling, fever (in my arm) and rash.  Day 2 all side effects started to diminsh. Starting on day 3 and for the next 4 days the swelling, rash, fever (in my arm) progressed.  By day 6 all the side effects were gone.  Then on Sunday, Feburary 7, 2021 at 10:15 p.m., the rash came back (now very red) and covers my whole upper left arm.   My arm is swollen and is very feverish.   I have put a cold pack on my arm 3 x a day, the swelling has gone down, but the rash and fever is persistant.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: I have received my first shot of  (Moderna) in the late evening.  The next day, I started to have soreness, swelling, fever (in my arm) and rash.  Day 2 all side effects started to diminsh. Starting on day 3 and for the next 4 days the swelling, rash, fever (in my arm) progressed.  By day 6 all the side effects were gone.  Then on Sunday, Feburary 7, 2021 at 10:15 p.m., the rash came back (now very red) and covers my whole upper left arm.   My arm is swollen and is very feverish.   I have put a cold pack on my arm 3 x a day, the swelling has gone down, but the rash and fever is persistant.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash developed 9 days after injection. 3 inch oval area; slight itch.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: The patient received Pfizer COVID19 vaccine on 1/15/2021 followed by Moderna COVID19 vaccine 2/8/21 as his second dose.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Antinuclear antibody positive, Aspartate aminotransferase normal, Atelectasis, Back pain
Clinical narrative: History of Present Illness: Patient is a(n) 67 Y female with a PMH of asthma, HTN, HLD, GERD who arrived to the ED via rescue squad with complaints of sudden onset of squeezing chest pain/tightness that radiated to the back, associated dyspnea, lightheadedness and dizziness that began around 6:30PM.  Pt reports she was feeling well prior to the episode and she had her COVID 19 vaccine at 4:30PM and had tolerated the vaccine well.  She does report that she had atrial fibrillation before, about 5 years ago and she underwent a cardiac work up.  She denied palpitations, fever, chills, body aches, nausea, or vomiting.  She does have a non productive cough.  Her BP normally runs 130/80's at home and is controlled w amlodipine.  She was given SL nitro and aspirin in the ambulance.  EKG showed atrial fibrillation with RVR, HR 150's.  Reason for admission: Atrial fibrillation with rapid ventricular response (*) Atrial fibrillation with RVR (*)    She was admitted for further evaluation and monitoring.  Troponin level noted to be 0.79 and EKG with ST-T wave changes, cardiology was consulted and patient underwent cardiac cath who revealed no significant CAD hyperdynamic LVEF 70 %.  She developed a small hematoma post catheterization which has resolved.  Cardizem was switched to metoprolol and both BP and HR are improved and controlled with losartan.  Pt without any adverse effects to losartan, no s/s angioedema.  Afib with an abrupt onset and abrupt return to normal sinus rhythm.  She complained of calf pain, US dopplers were obtained and were negative for DVT.  Her D Dimer was also normal.    Pt discharge to home in stable condition.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase increased, Blood bilirubin normal, Blood calcium normal, Blood chloride increased
Clinical narrative: History of Present Illness: Patient is a(n) 67 Y female with a PMH of asthma, HTN, HLD, GERD who arrived to the ED via rescue squad with complaints of sudden onset of squeezing chest pain/tightness that radiated to the back, associated dyspnea, lightheadedness and dizziness that began around 6:30PM.  Pt reports she was feeling well prior to the episode and she had her COVID 19 vaccine at 4:30PM and had tolerated the vaccine well.  She does report that she had atrial fibrillation before, about 5 years ago and she underwent a cardiac work up.  She denied palpitations, fever, chills, body aches, nausea, or vomiting.  She does have a non productive cough.  Her BP normally runs 130/80's at home and is controlled w amlodipine.  She was given SL nitro and aspirin in the ambulance.  EKG showed atrial fibrillation with RVR, HR 150's.  Reason for admission: Atrial fibrillation with rapid ventricular response (*) Atrial fibrillation with RVR (*)    She was admitted for further evaluation and monitoring.  Troponin level noted to be 0.79 and EKG with ST-T wave changes, cardiology was consulted and patient underwent cardiac cath who revealed no significant CAD hyperdynamic LVEF 70 %.  She developed a small hematoma post catheterization which has resolved.  Cardizem was switched to metoprolol and both BP and HR are improved and controlled with losartan.  Pt without any adverse effects to losartan, no s/s angioedema.  Afib with an abrupt onset and abrupt return to normal sinus rhythm.  She complained of calf pain, US dopplers were obtained and were negative for DVT.  Her D Dimer was also normal.    Pt discharge to home in stable condition.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood potassium normal, Blood sodium normal, Blood urea normal, Cardiomegaly
Clinical narrative: History of Present Illness: Patient is a(n) 67 Y female with a PMH of asthma, HTN, HLD, GERD who arrived to the ED via rescue squad with complaints of sudden onset of squeezing chest pain/tightness that radiated to the back, associated dyspnea, lightheadedness and dizziness that began around 6:30PM.  Pt reports she was feeling well prior to the episode and she had her COVID 19 vaccine at 4:30PM and had tolerated the vaccine well.  She does report that she had atrial fibrillation before, about 5 years ago and she underwent a cardiac work up.  She denied palpitations, fever, chills, body aches, nausea, or vomiting.  She does have a non productive cough.  Her BP normally runs 130/80's at home and is controlled w amlodipine.  She was given SL nitro and aspirin in the ambulance.  EKG showed atrial fibrillation with RVR, HR 150's.  Reason for admission: Atrial fibrillation with rapid ventricular response (*) Atrial fibrillation with RVR (*)    She was admitted for further evaluation and monitoring.  Troponin level noted to be 0.79 and EKG with ST-T wave changes, cardiology was consulted and patient underwent cardiac cath who revealed no significant CAD hyperdynamic LVEF 70 %.  She developed a small hematoma post catheterization which has resolved.  Cardizem was switched to metoprolol and both BP and HR are improved and controlled with losartan.  Pt without any adverse effects to losartan, no s/s angioedema.  Afib with an abrupt onset and abrupt return to normal sinus rhythm.  She complained of calf pain, US dopplers were obtained and were negative for DVT.  Her D Dimer was also normal.    Pt discharge to home in stable condition.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Catheterisation cardiac abnormal, Chest X-ray abnormal, Chest discomfort, Chest pain, Cough
Clinical narrative: History of Present Illness: Patient is a(n) 67 Y female with a PMH of asthma, HTN, HLD, GERD who arrived to the ED via rescue squad with complaints of sudden onset of squeezing chest pain/tightness that radiated to the back, associated dyspnea, lightheadedness and dizziness that began around 6:30PM.  Pt reports she was feeling well prior to the episode and she had her COVID 19 vaccine at 4:30PM and had tolerated the vaccine well.  She does report that she had atrial fibrillation before, about 5 years ago and she underwent a cardiac work up.  She denied palpitations, fever, chills, body aches, nausea, or vomiting.  She does have a non productive cough.  Her BP normally runs 130/80's at home and is controlled w amlodipine.  She was given SL nitro and aspirin in the ambulance.  EKG showed atrial fibrillation with RVR, HR 150's.  Reason for admission: Atrial fibrillation with rapid ventricular response (*) Atrial fibrillation with RVR (*)    She was admitted for further evaluation and monitoring.  Troponin level noted to be 0.79 and EKG with ST-T wave changes, cardiology was consulted and patient underwent cardiac cath who revealed no significant CAD hyperdynamic LVEF 70 %.  She developed a small hematoma post catheterization which has resolved.  Cardizem was switched to metoprolol and both BP and HR are improved and controlled with losartan.  Pt without any adverse effects to losartan, no s/s angioedema.  Afib with an abrupt onset and abrupt return to normal sinus rhythm.  She complained of calf pain, US dopplers were obtained and were negative for DVT.  Her D Dimer was also normal.    Pt discharge to home in stable condition.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Electrocardiogram ST-T change, Fibrin D dimer normal, Haematocrit normal
Clinical narrative: History of Present Illness: Patient is a(n) 67 Y female with a PMH of asthma, HTN, HLD, GERD who arrived to the ED via rescue squad with complaints of sudden onset of squeezing chest pain/tightness that radiated to the back, associated dyspnea, lightheadedness and dizziness that began around 6:30PM.  Pt reports she was feeling well prior to the episode and she had her COVID 19 vaccine at 4:30PM and had tolerated the vaccine well.  She does report that she had atrial fibrillation before, about 5 years ago and she underwent a cardiac work up.  She denied palpitations, fever, chills, body aches, nausea, or vomiting.  She does have a non productive cough.  Her BP normally runs 130/80's at home and is controlled w amlodipine.  She was given SL nitro and aspirin in the ambulance.  EKG showed atrial fibrillation with RVR, HR 150's.  Reason for admission: Atrial fibrillation with rapid ventricular response (*) Atrial fibrillation with RVR (*)    She was admitted for further evaluation and monitoring.  Troponin level noted to be 0.79 and EKG with ST-T wave changes, cardiology was consulted and patient underwent cardiac cath who revealed no significant CAD hyperdynamic LVEF 70 %.  She developed a small hematoma post catheterization which has resolved.  Cardizem was switched to metoprolol and both BP and HR are improved and controlled with losartan.  Pt without any adverse effects to losartan, no s/s angioedema.  Afib with an abrupt onset and abrupt return to normal sinus rhythm.  She complained of calf pain, US dopplers were obtained and were negative for DVT.  Her D Dimer was also normal.    Pt discharge to home in stable condition.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Haematoma, Haemoglobin normal, Hyperdynamic left ventricle, International normalised ratio normal, Pain
Clinical narrative: History of Present Illness: Patient is a(n) 67 Y female with a PMH of asthma, HTN, HLD, GERD who arrived to the ED via rescue squad with complaints of sudden onset of squeezing chest pain/tightness that radiated to the back, associated dyspnea, lightheadedness and dizziness that began around 6:30PM.  Pt reports she was feeling well prior to the episode and she had her COVID 19 vaccine at 4:30PM and had tolerated the vaccine well.  She does report that she had atrial fibrillation before, about 5 years ago and she underwent a cardiac work up.  She denied palpitations, fever, chills, body aches, nausea, or vomiting.  She does have a non productive cough.  Her BP normally runs 130/80's at home and is controlled w amlodipine.  She was given SL nitro and aspirin in the ambulance.  EKG showed atrial fibrillation with RVR, HR 150's.  Reason for admission: Atrial fibrillation with rapid ventricular response (*) Atrial fibrillation with RVR (*)    She was admitted for further evaluation and monitoring.  Troponin level noted to be 0.79 and EKG with ST-T wave changes, cardiology was consulted and patient underwent cardiac cath who revealed no significant CAD hyperdynamic LVEF 70 %.  She developed a small hematoma post catheterization which has resolved.  Cardizem was switched to metoprolol and both BP and HR are improved and controlled with losartan.  Pt without any adverse effects to losartan, no s/s angioedema.  Afib with an abrupt onset and abrupt return to normal sinus rhythm.  She complained of calf pain, US dopplers were obtained and were negative for DVT.  Her D Dimer was also normal.    Pt discharge to home in stable condition.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Platelet count normal, Protein total increased, Prothrombin level normal, Red blood cell count normal
Clinical narrative: History of Present Illness: Patient is a(n) 67 Y female with a PMH of asthma, HTN, HLD, GERD who arrived to the ED via rescue squad with complaints of sudden onset of squeezing chest pain/tightness that radiated to the back, associated dyspnea, lightheadedness and dizziness that began around 6:30PM.  Pt reports she was feeling well prior to the episode and she had her COVID 19 vaccine at 4:30PM and had tolerated the vaccine well.  She does report that she had atrial fibrillation before, about 5 years ago and she underwent a cardiac work up.  She denied palpitations, fever, chills, body aches, nausea, or vomiting.  She does have a non productive cough.  Her BP normally runs 130/80's at home and is controlled w amlodipine.  She was given SL nitro and aspirin in the ambulance.  EKG showed atrial fibrillation with RVR, HR 150's.  Reason for admission: Atrial fibrillation with rapid ventricular response (*) Atrial fibrillation with RVR (*)    She was admitted for further evaluation and monitoring.  Troponin level noted to be 0.79 and EKG with ST-T wave changes, cardiology was consulted and patient underwent cardiac cath who revealed no significant CAD hyperdynamic LVEF 70 %.  She developed a small hematoma post catheterization which has resolved.  Cardizem was switched to metoprolol and both BP and HR are improved and controlled with losartan.  Pt without any adverse effects to losartan, no s/s angioedema.  Afib with an abrupt onset and abrupt return to normal sinus rhythm.  She complained of calf pain, US dopplers were obtained and were negative for DVT.  Her D Dimer was also normal.    Pt discharge to home in stable condition.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased, Ultrasound Doppler normal, White blood cell count increased
Clinical narrative: History of Present Illness: Patient is a(n) 67 Y female with a PMH of asthma, HTN, HLD, GERD who arrived to the ED via rescue squad with complaints of sudden onset of squeezing chest pain/tightness that radiated to the back, associated dyspnea, lightheadedness and dizziness that began around 6:30PM.  Pt reports she was feeling well prior to the episode and she had her COVID 19 vaccine at 4:30PM and had tolerated the vaccine well.  She does report that she had atrial fibrillation before, about 5 years ago and she underwent a cardiac work up.  She denied palpitations, fever, chills, body aches, nausea, or vomiting.  She does have a non productive cough.  Her BP normally runs 130/80's at home and is controlled w amlodipine.  She was given SL nitro and aspirin in the ambulance.  EKG showed atrial fibrillation with RVR, HR 150's.  Reason for admission: Atrial fibrillation with rapid ventricular response (*) Atrial fibrillation with RVR (*)    She was admitted for further evaluation and monitoring.  Troponin level noted to be 0.79 and EKG with ST-T wave changes, cardiology was consulted and patient underwent cardiac cath who revealed no significant CAD hyperdynamic LVEF 70 %.  She developed a small hematoma post catheterization which has resolved.  Cardizem was switched to metoprolol and both BP and HR are improved and controlled with losartan.  Pt without any adverse effects to losartan, no s/s angioedema.  Afib with an abrupt onset and abrupt return to normal sinus rhythm.  She complained of calf pain, US dopplers were obtained and were negative for DVT.  Her D Dimer was also normal.    Pt discharge to home in stable condition.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Headache, Injection site pain, Musculoskeletal stiffness
Clinical narrative: Occurring in late evening of 2/8/21 and all day 2/9/21: Muscular aches/soreness/stiffness (no intense pain)...primarily lower back, lower sides (kidney area), upper back, neck. Left upper arm "pain" at injection site. Slight fatigue. Very slight headache (not serious). Fingers of both hands ache (not sure if arthritis flareup). NO fever.