chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Facial paralysis, Feeling hot, Hypoaesthesia, Lymphadenopathy, Palpitations
Clinical narrative: Within the first 5 minutes of the covid vaccine (1st dose), I felt warm inside, dehydrated and my heart was pounding. About 30-40 minutes later I experienced numbness and tingling on my entire left side of my body, face, arm and head. My heart was also doing a very shallow, deep skip that I've never felt before. My fingers tingled for about 5 mins. but went then away. Joint pain later that night. The next 2-3 days, heart was getting better as well as the tingling and numbness. My cardiologist has been having me go in for ekg's weekly now, since. Left side of face was a little droopy too afterwards. Found swollen lymph node/ bump above left collarbone days later as well, but has not gone away. Stomach issues since.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Supraventricular tachycardia
Clinical narrative: Within the first 5 minutes of the covid vaccine (1st dose), I felt warm inside, dehydrated and my heart was pounding. About 30-40 minutes later I experienced numbness and tingling on my entire left side of my body, face, arm and head. My heart was also doing a very shallow, deep skip that I've never felt before. My fingers tingled for about 5 mins. but went then away. Joint pain later that night. The next 2-3 days, heart was getting better as well as the tingling and numbness. My cardiologist has been having me go in for ekg's weekly now, since. Left side of face was a little droopy too afterwards. Found swollen lymph node/ bump above left collarbone days later as well, but has not gone away. Stomach issues since.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Chills, Myalgia, Nausea
Clinical narrative: Woke up at 2am on 2/2/2021, the following day after the vaccine was given, with temperature of 99.9, muscle/joint pain, chilling and nausea.   All resolved the next day.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Woke up at 2am on 2/2/2021, the following day after the vaccine was given, with temperature of 99.9, muscle/joint pain, chilling and nausea.   All resolved the next day.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Brain natriuretic peptide increased, Computerised tomogram thorax normal, Electrocardiogram abnormal, Heart rate increased
Clinical narrative: started having tachycardia on 2/4/21 while watching TV, HR from 110-150. Went to ER in am on 2/5/21 and admitted with A-Fib RVR.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tachycardia, Troponin, White blood cell count normal
Clinical narrative: started having tachycardia on 2/4/21 while watching TV, HR from 110-150. Went to ER in am on 2/5/21 and admitted with A-Fib RVR.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity
Clinical narrative: 24 hours after injection........chills, fatigue, sore left arm that lasted 3 days.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cold sweat, Dysphagia, Hypoaesthesia
Clinical narrative: Felt week and clammy, reported trouble swallowing then numbness in face; rapid response called, transferred to ED. 1:43: HR: 74, RR: 16, O2: 97%, BP: 112/66  END    Other daily meds: Protonix, Simbicort, Eliquis(Unable to type on 2nd page)
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling, redness, itching at injection site
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Red itchy welts all over my body; began 2/7/21 at approximately 10am; self-medicating so far with Benadryl every 4-6 hours since approximately 10pm on 2/7/21.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient received vaccine on 1/23/2021 and death occurred on 1/30/2021.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient arrived for her second dose of Pfizer Covid19 vaccine but was mistakenly given a dose of the Moderna Covid19 vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Migraine, Nausea, Pyrexia
Clinical narrative: chills, fever, sweating, migraine, nausea  - lasted  2 days; migraine 3 days.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Injection site erythema, Injection site pain, Muscle spasms
Clinical narrative: Within 24 hours: Chills, body aches (both successfully treated with ibuprofen 800mg every 6-8 hours, lasted 24 hours after vaccine), abdominal pain and cramping without eating or drinking anything prior (just water) and without gas or bloating (untreated, still occuring almost 72 hours later). Redness at injection site (untreated, appeared within 24 hours, subsided within 48 hours). Pain at injection site (occurred immediately after injection, subsided within 72 hours with heavy use of arm and 800mg ibuprofen q6-8h prn).
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Within 24 hours: Chills, body aches (both successfully treated with ibuprofen 800mg every 6-8 hours, lasted 24 hours after vaccine), abdominal pain and cramping without eating or drinking anything prior (just water) and without gas or bloating (untreated, still occuring almost 72 hours later). Redness at injection site (untreated, appeared within 24 hours, subsided within 48 hours). Pain at injection site (occurred immediately after injection, subsided within 72 hours with heavy use of arm and 800mg ibuprofen q6-8h prn).
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Pain, Tenderness
Clinical narrative: Started with tenderness and pain to the touch. After almost a month, tenderness and pain still there and causes a burning sensation with movement of the arm.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dyspnoea, Urticaria
Clinical narrative: Broke out in severe hives 2 hours after the vaccine. Had shortness of breath and my blood pressure dropped to 70/40. Went to urgent care for treatment.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash pruritic, Urticaria, Vaccination site reaction, Vaccination site warmth
Clinical narrative: Reports having a hot, itchy, welt at vaccine administration site and flat itchy rash at waistline and upper torso which began 3 days post vaccination.  Recently self administered Benadryl with no relief at the time of call. Instructed to contact PCP to consult regarding symptoms and second dose.  Instructed to inform Nurse of reaction, treatment, and outcome when return for second appointment and being assessed.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient was technically a resident of retirement community, however, he chose to live independently at home at his current home. Only his spouse actually resides at retirement community.   Patient received the second dose of the Moderna vaccine via pharmacy vaccination clinic at retirement community on 2/3/2021. He was found deceased in his home by a certified nursing assistant on 2/4/2021 at approximately 10:00am.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vertigo
Clinical narrative: Upon going to bed I started getting vertigo like room was spinning.  thislasted in the evening for about 4 days. It appeared to have stopped ad then after taking second dose the same thing occured. I am not sure if this is related to the vaccine or not but seemed suspicious that it occured again after second injection
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Injection site- swelling, redness, pain, tenderness,  itching - chills, fever, body aches
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Injection site- swelling, redness, pain, tenderness,  itching - chills, fever, body aches
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Influenza like illness, Nausea, Pain
Clinical narrative: Persistent headache, body aches, nausea, significant fatigue, flu like symptoms
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Flushing, Myalgia, Pyrexia
Clinical narrative: Severe vomiting (4 episodes over 12 hours) and diarrhea.  Severe muscle aches, alternating chills and feeling extremely flushed, temp 101.5 x 24 hours.  Low grade temp 100.6 continued with fever reducer for additional day and then resolved.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Severe vomiting (4 episodes over 12 hours) and diarrhea.  Severe muscle aches, alternating chills and feeling extremely flushed, temp 101.5 x 24 hours.  Low grade temp 100.6 continued with fever reducer for additional day and then resolved.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: numbness and tingling in left arm and leg
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: rash, swelling on her left arm below the injection site.  We believe it is Covid Arm.  Called her primary doctor and he provide medicine called Cephalexin 500MG 3 tablets per day for 5 days.  Arm and swelling much reduced after taking medication.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Feeling abnormal, Hypoaesthesia, International normalised ratio, Pain
Clinical narrative: The vaccine was given on 1/28/2021.  The patient reported to the Medical Center ED on 2/7/2021 with complaints of worsening bilateral lower extremities pain, swelling, numbness L>R leg for about a week. He reports significant purple discoloration of his legs, "purple spots on lower legs", pain in bilateral legs worse with rest and standing still and associated DOE. Denied chest pain, abd pain, palpitations, fever, chills, NVDC, sick contacts, recent trauma/falls/injury. Denies regular use of NSAIDs, antiplatelet meds or chronic anticoagulation, clotting or bleeding disorders, history of DVT or PE. Patient was seen here by the ED staff on 2/3/2021 after a syncopal event at home where he described feeling light
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Prothrombin time prolonged, Skin discolouration, Syncope
Clinical narrative: The vaccine was given on 1/28/2021.  The patient reported to the Medical Center ED on 2/7/2021 with complaints of worsening bilateral lower extremities pain, swelling, numbness L>R leg for about a week. He reports significant purple discoloration of his legs, "purple spots on lower legs", pain in bilateral legs worse with rest and standing still and associated DOE. Denied chest pain, abd pain, palpitations, fever, chills, NVDC, sick contacts, recent trauma/falls/injury. Denies regular use of NSAIDs, antiplatelet meds or chronic anticoagulation, clotting or bleeding disorders, history of DVT or PE. Patient was seen here by the ED staff on 2/3/2021 after a syncopal event at home where he described feeling light
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain of skin, Pruritus, Throat irritation
Clinical narrative: Initially, my left arm had a red spot for 10-11 days. Then clear. 14 days later I went swimming in a lane I had reserved at my club. Lanes are reserved for 45 minute swims. This was my second swim after my first Covid vaccine. About 15 minutes into this second swim, the outside of my throat began stinging and itching. Soon my chest was stinging and itching. A friend was swimming in the adjoining lane. I told her I was going to cut short my swim because of stinging. She reported that my throat and chest were very red. About 6 minutes later I was home, took an  OTC anti-inflammatory (Zyrtec), took a shower. I believe it was vaccine belated because I also had a large, thin ring around the injection site. Over the course of the next hour the stinging, itching, redness subsided. I told my Dr. She told the allergy dept. They suggested I take a Zyrtec prior to my next swim, which I did. No reaction. I did NOT have a similar reaction the first time I swam after the injection. It was exactly 2 weeks later that I had the rash and stinging.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Headache, nausea, fever, chills, aches all over, extremely tired.   Slept for about10 hours and took 2 Tylenol.   Fever disappeared and nausea got better  after about 12 hours    Still have some fatigue that is not normal for me.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, nausea, fever, chills, aches all over, extremely tired.   Slept for about10 hours and took 2 Tylenol.   Fever disappeared and nausea got better  after about 12 hours    Still have some fatigue that is not normal for me.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No side effects or adverse event.  Patient is 16 years of age; reporting vaccine error.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt reports feeling dizzy, states she did not eat. Denies reactions to past vaccines. Patient frank coffee. Patient was monitored, given water, denies needing to go to hospital. Vital signs monitored. 108/86 BP, 18 RR, O2 Sat 98%, HR 77.
Age: 62.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Cellulitis
Clinical narrative: clelulits that required 3 weeks of antibiotics to treat
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site warmth
Clinical narrative: Ecchymosis , redness, warmth at injection site  Redness and warmth persisting
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Feeling hot, Swelling face
Clinical narrative: I was light headed and my face was hot, I was there my 15 min. then walk out and stop at a restroom I look at my face and was red and slightly swollen , I came home and took another benadryl 25mg and my face was good again
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site irritation, Injection site pain, Injection site pruritus
Clinical narrative: Arm was slightly itchy, so I scratched it. Within a few hours, I looked at it and it was red and slightly raised. I experienced pain, itchiness, swelling and redness at the injection site. I emailed my doctor on 2/2/2021, and she said to take Benadryl and put cortisone cream on it. I began taking Benadryl and put calamine lotion on the site.  The itchiness, swelling and pain subsided after 2-3 days, but I still feel a slight irritation at the site and intermittent itchiness.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pruritus, Swelling
Clinical narrative: Arm was slightly itchy, so I scratched it. Within a few hours, I looked at it and it was red and slightly raised. I experienced pain, itchiness, swelling and redness at the injection site. I emailed my doctor on 2/2/2021, and she said to take Benadryl and put cortisone cream on it. I began taking Benadryl and put calamine lotion on the site.  The itchiness, swelling and pain subsided after 2-3 days, but I still feel a slight irritation at the site and intermittent itchiness.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Formication, Injection site pruritus, Pruritus
Clinical narrative: Ears feel like they are burning, itching started going down right arm then left. Itching continued on head/face/scalp, down neck and back.  It felt like ants crawling under my skin. Started at 9:50 then continued to spread over the next hour.  I was back at work  as the symptoms  progressed. My CFO drove me to urgent care.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Nausea, Pain, Sleep disorder
Clinical narrative: The same day I had my second dose, I was feeling unwell towards the end of the day. I had a headache and felt nauseous. The following night, I want entire body was full of aches and pains and my head was throbbing. I could not sleep. This led on all the following next day after my second dose. The third day I had massive headache and only slight body aches.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Haemorrhage, Pain in extremity, Rash, Skin irritation
Clinical narrative: Progress Notes  (Physician Assistant)  Neurosurgery Cosigned by: MD at 2/2/2021 10:51 AM Expand All Collapse All    STORMONT VAIL COVID VACCINE CLINIC  2/2/2021                                                                  DOB:  10/3/2000  Date:  2/2/2021                                                                                             MRN:  9054917     Subjective She is a 20 y.o. female who was seen at SVH COVID Vaccine Clinic today for her second  dose of the COVID 19 vaccination.        Prior to her second injection patient informed the RN that she had a rash after her first injectio. We premedicated with Zyrtec and will monitor for any post injection reaction.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms.     ALLERGY REVIEW OF SYSTEMS   Previous Reactions: Rash    Objective Vitals There were no vitals filed for this visit.          Physical Exam  No current rash    Assessment/Plan  Treatment included: antihistamines Follow up response to treatment: good. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Local reaction (arm pain, bleeding/bruising, mechanical irritation, localized rash)          Electronically Signed 2/2/2021 9:19 AM
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Vaccination site pain
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: Minor headache, low grade fever,
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Rash, Rash erythematous, Urticaria
Clinical narrative: red rash and hives developed on both inside arms from wrist to shoulder quite quickly and moved up to beginning of chest. I contacted my physician who diagnosed covid arm. I treated it with benadryl. The same event happened the next day, but less intensely, also treated with benadryl. The third day there was a smaller reaction and I treated with allegra.  This had nothing to do with the injection site. The site was sore to the touch for about a week.  I am wondering what will happen with the second dose.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: pt presents with onset of mild dizziness, no other s/s, 99% o2 on room air, 99 hr, t 98.9, pt states she hasn't had a meal today and feels as though that may be a contributing factor. 11:30 no other s/s, states dizziness still mild, 99% o2 on ra, 95 HR,. 11:45 no change, po fluids offered to patient, she is thirsty, tolerated well.  11:50 pt states dizziness better to none and would like to go outside for fresh air, feels the gym is warm, T98.9.  11:55 patient able to ambulate well, dizziness better to none, feels better after going outside for fresh air, feels back to baseline, dc'd home, 99%o2 on ra, 98 hr, pt in no distress. no
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Pruritus
Clinical narrative: Mild pins and needles/Itching feeling intermittently throughout body since 1/28 continuing through today and hasn't gone yet.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Acute left ventricular failure, Acute myocardial infarction, Chest discomfort, Coronary artery occlusion, Dyspnoea
Clinical narrative: On 1/27/21, resident experienced shortness of breath and felt some pressure on her chest. Systolic Blood Pressure was in the 200's and Diastolic Blood Pressure was in the 100's, HR 117. She was sent to Hospital and diagnosed with: St Elevation Myocardial Infarction due to occlusion of circumflex coronary artery, Acute Systolic Heart Failure, and Aspiration Pneumonia.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Myocardial infarction, Pneumonia aspiration
Clinical narrative: On 1/27/21, resident experienced shortness of breath and felt some pressure on her chest. Systolic Blood Pressure was in the 200's and Diastolic Blood Pressure was in the 100's, HR 117. She was sent to Hospital and diagnosed with: St Elevation Myocardial Infarction due to occlusion of circumflex coronary artery, Acute Systolic Heart Failure, and Aspiration Pneumonia.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Flushing, Hyperhidrosis, Tremor
Clinical narrative: Patient had increased BP, felt flush, sweaty, and shaky about 15 minutes after receiving the vaccine.   Patient vitals taken every 10 minutes and monitored until she returned to her baseline. Patient also provided a water and snack. After about 20 minutes of additional observation the patient was fine and able to leave.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Pain in extremity
Clinical narrative: Sharp pain (8/10) radiating down arm accompanied by numbness in left hand.  Started on Saturday, 2/6, at the injection site and has progressively gotten worse since then.  Also having a constant headache starting on Saturday, 2/6.  HA started out as a 4/10 and has progressed to 6/10 on pain scale.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Increased upper airway secretion, Nasal inflammation
Clinical narrative: About 5 hours after getting the vaccine, I developed a headache on 1/26/21.  Somehow the vaccine seemed to inflame by nose and sinuses.  I went from a headache to a pressure headache from below my eyes to the top of my forehead.  Today, is 2/8/21 and I still have a headache.  I have contacted my doctor, on 2/1/21 and she prescribed Celecoxib 200 MG for a week.  On 2/4/21 I developed a lot of drainage at the back of my throat.  I would like to know if I show take the second vaccine?  Dr. has recommended that I hold off at this time.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Sinusitis
Clinical narrative: About 5 hours after getting the vaccine, I developed a headache on 1/26/21.  Somehow the vaccine seemed to inflame by nose and sinuses.  I went from a headache to a pressure headache from below my eyes to the top of my forehead.  Today, is 2/8/21 and I still have a headache.  I have contacted my doctor, on 2/1/21 and she prescribed Celecoxib 200 MG for a week.  On 2/4/21 I developed a lot of drainage at the back of my throat.  I would like to know if I show take the second vaccine?  Dr. has recommended that I hold off at this time.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Influenza like illness, Pain
Clinical narrative: The morning after the vaccine was given (2/2/2021) had body aches, headache, felt cold and felt like had the flu.  On 2/4/2021 she felt much better but still had a headache.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling abnormal, Feeling hot, Flushing, Headache
Clinical narrative: 2/8/21 Caregiver came back to Vaccine clinic at 1410 and talked to  Nurse manager of Occupational Health.  Caregiver states after her 15 min observation time she went back to her unit and developed a flush face, feeling of being hot and having a redness on her chest and one raised bump was noted. Nurse placed caregiver back in Observation.  RN was the observation nurse.  At 1421 caregiver states she was feeling very warm, felt flush, face was red and chest was red in color per RN.  Caregiver was given 60mg Fexofenadine PO per protocol for symptoms..  At 1435 vital signs: bp=113/75, HR 100, Sao2 100% on room air and Temperature was 36.9.  At 1440, Observation nurse  states the caregiver c/o her heart racing.  Her heart rate was 120 via radial pulse..  At 1442, vital signs: bp= 107/74, HR= 104, sao2= 100% on room air.. At 1450, RN Staff nurse came to observe caregiver.  Patient is alert and oriented x3.  Respirations easy and nonlabored.  No redness noted on chest but cheeks are still flush.  Apical Heart rate at 96, regular and respirations easy at 20..  At 1500, Caregiver states she still feels "hot" and full feeling in her face. She also c/o her heart rate increasing and decreasing.  Denies any heart history.  States she "did have some flushness with her first dose but not to this degree."  Vital signs: bp=113/67, HR=97, RR=18, Sao2=100% on room air.  AT 1523  RN states caregiver states feeling better--denies feeling dizzy, lightheaded, denies sob or chest pain.  Face still with some redness but less and caregiver c/o still feeling "full" in the head and a headache.  Caregiver advised to seek medical attention if symptoms increase.  Caregiver encouraged to go home and rest if she is able to.  Caregiver denies need to go to Emergency room to be evaluated. At 1527 caregiver discharged from observation room with steady gait.:
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate decreased, Heart rate increased, Palpitations, Swelling
Clinical narrative: 2/8/21 Caregiver came back to Vaccine clinic at 1410 and talked to  Nurse manager of Occupational Health.  Caregiver states after her 15 min observation time she went back to her unit and developed a flush face, feeling of being hot and having a redness on her chest and one raised bump was noted. Nurse placed caregiver back in Observation.  RN was the observation nurse.  At 1421 caregiver states she was feeling very warm, felt flush, face was red and chest was red in color per RN.  Caregiver was given 60mg Fexofenadine PO per protocol for symptoms..  At 1435 vital signs: bp=113/75, HR 100, Sao2 100% on room air and Temperature was 36.9.  At 1440, Observation nurse  states the caregiver c/o her heart racing.  Her heart rate was 120 via radial pulse..  At 1442, vital signs: bp= 107/74, HR= 104, sao2= 100% on room air.. At 1450, RN Staff nurse came to observe caregiver.  Patient is alert and oriented x3.  Respirations easy and nonlabored.  No redness noted on chest but cheeks are still flush.  Apical Heart rate at 96, regular and respirations easy at 20..  At 1500, Caregiver states she still feels "hot" and full feeling in her face. She also c/o her heart rate increasing and decreasing.  Denies any heart history.  States she "did have some flushness with her first dose but not to this degree."  Vital signs: bp=113/67, HR=97, RR=18, Sao2=100% on room air.  AT 1523  RN states caregiver states feeling better--denies feeling dizzy, lightheaded, denies sob or chest pain.  Face still with some redness but less and caregiver c/o still feeling "full" in the head and a headache.  Caregiver advised to seek medical attention if symptoms increase.  Caregiver encouraged to go home and rest if she is able to.  Caregiver denies need to go to Emergency room to be evaluated. At 1527 caregiver discharged from observation room with steady gait.:
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Hallucination, Malaise, Mobility decreased
Clinical narrative: On the 3rd day after vaccination, the patient developed mild malaise. As the day progressed, there was increasing difficulty moving and talking.  That night the patient began hallucinating,.  Later at night the patient awoke and couldn't move at all.   By the morning, things were better and patient could get out of bed and eat.   Ity sounds like a dopamine reaction which the aptient has previosuly expeicned, however, there was no irregularity in L-dopa dosing.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cellulitis
Clinical narrative: One day after receiving vaccine patient developed cellulitis
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Impaired work ability, Lymphadenopathy, Mobility decreased, Nodule
Clinical narrative: One day after receiving vaccine patient developed cellulitis
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling
Clinical narrative: One day after receiving vaccine patient developed cellulitis
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient states that she experienced redness, swelling, itching and warmth at injection site. Beginning 2 weeks post vaccination. Patient reports that area of redness was approximately 6 inches in diameter.   Symptoms lasted 3 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Rash started then turned into hives on the neck the rash moved to her hands, then her feet.  now it is on her back rash is on fire
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lymphadenopathy, Muscle tightness, Musculoskeletal stiffness
Clinical narrative: 2/5/21 @ 4:30 pm began feeling body aches. Developed chills, fever, clenched muscles, headache by 8:00 pm.  2/6/21 chills and clenched muscles remained, supraclavicular lymphnode right side swollen considerably, revert to the touch. 2/7/21 only lymphnode swelling remains 2/8/21 lymphnode swelling decreasing, new symptom of comprehensive neck stiffness. Began at 9:00 am and is growing increasingly stiff for movement in any direction.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: 2/5/21 @ 4:30 pm began feeling body aches. Developed chills, fever, clenched muscles, headache by 8:00 pm.  2/6/21 chills and clenched muscles remained, supraclavicular lymphnode right side swollen considerably, revert to the touch. 2/7/21 only lymphnode swelling remains 2/8/21 lymphnode swelling decreasing, new symptom of comprehensive neck stiffness. Began at 9:00 am and is growing increasingly stiff for movement in any direction.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site reaction, Rash erythematous, Rash pruritic
Clinical narrative: Soreness in the left arm for the first few days after Injection on 1/28/21 and then itchy red rash appeared  at and around the injection site on  2/4/21.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood pressure decreased, Heart rate increased, Heart rate irregular
Clinical narrative: It was my heartbeat that was irregular and my pulse was higher than normal (between 92 and 105) and my blood sugar was running higher than normal (157 one day, then two normal days, 132, 149, then 132 again today). Blood pressure was lower 100/70 (blood pressure is normally 125 over 70).
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Vaccination site induration, Vaccination site reaction, Vaccination site swelling
Clinical narrative: About one week after the vaccine, she developed some itching, redness, swelling and firmness of skin just below the vaccine site. This spread over the next day or so, was stable, and then a couple days later started to improve.  I will note that this is the same reaction that two of my coworkers had, also 7-8 days after their first moderna coronavirus vaccine. I saw a news article describing it as "COVID arm"
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine administration error: Adolescent was 16 yrs old when first dose was given.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Nausea, Pain
Clinical narrative: Started getting a headache within a few hours of receiving the vaccine. By 12:30am, had a severe headache, body aches, nausea, chills, vomiting and joint pain. Vomited twice and then just slightly nauseous. Severe headache/body aches and joint pain lasted about 30 hours. Nothing dangerous, but I thought you should be aware. Also, there is conflicting information about the types of pain relievers you may take. I was told nothing but tylenol by 2 physicians but the CDC says ibuprofen is OK. I only took tylenol and it did NOTHING for the pain. Sunday by about 10am (42 hours or so after vaccination) I felt 1000 times better, but still have a slight headache.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Started getting a headache within a few hours of receiving the vaccine. By 12:30am, had a severe headache, body aches, nausea, chills, vomiting and joint pain. Vomited twice and then just slightly nauseous. Severe headache/body aches and joint pain lasted about 30 hours. Nothing dangerous, but I thought you should be aware. Also, there is conflicting information about the types of pain relievers you may take. I was told nothing but tylenol by 2 physicians but the CDC says ibuprofen is OK. I only took tylenol and it did NOTHING for the pain. Sunday by about 10am (42 hours or so after vaccination) I felt 1000 times better, but still have a slight headache.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Headache
Clinical narrative: Patient received 2nd dose of Moderna.  He was placed in the WR.  After about 5 minutes he starting complaining of throbbing headache and would drift off and about to fall out of chair.  NP was called and she assessed patient.  Glucose was obtained it was 107. He is diabetic.  Per , an ambulance was called.  When ambulance techs arrived, patient refused to leave in/with the ambulance.  After about 30 minutes he left with  (lives with her).  Instructed to call or seek medical attention should anything change.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer, Injection site reaction, Injection site swelling, Injection site warmth, Rash erythematous
Clinical narrative: 1) canker sores broke out in my mouth about 2 hours after receiving Covid - Moderna vaccine  2) 8 days after Moderna Covid vaccine a red, double circle rash broke out at injection site.  Looked like figure 8, each circle was the size of a quarter.  Rash was hot, and raised, not itchy. Treated with Claritin, rash was gone in next 24 hours.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Blood glucose normal, Blood lactic acid normal, Blood pressure normal, Body temperature normal
Clinical narrative: 10 minutes after vaccination patient became unresponsive, staring forward with stiff body, arms flexed and hands fisted. She required sternal rub without response.  She was incontinent.  Episode lasted 1-2 minutes. She had no recollection of the episode.  Paramedics assisted, with Temp 97.1, HR 80, B/P 122/80, pulse ox 98%, fingerstick 101. She was transported by ambulance to Hospital.  Laboratory assessment was unremarkable for for CMP, CBC, Troponin, Lactic acid. EKG, CXR and CT head were also unremarkable. She was discharged with diagnosis of possible vasovagal syncope episode and instructed to follow-up with her pcp.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram head normal, Electrocardiogram normal, Full blood count normal, Heart rate normal
Clinical narrative: 10 minutes after vaccination patient became unresponsive, staring forward with stiff body, arms flexed and hands fisted. She required sternal rub without response.  She was incontinent.  Episode lasted 1-2 minutes. She had no recollection of the episode.  Paramedics assisted, with Temp 97.1, HR 80, B/P 122/80, pulse ox 98%, fingerstick 101. She was transported by ambulance to Hospital.  Laboratory assessment was unremarkable for for CMP, CBC, Troponin, Lactic acid. EKG, CXR and CT head were also unremarkable. She was discharged with diagnosis of possible vasovagal syncope episode and instructed to follow-up with her pcp.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incontinence, Metabolic function test normal, Musculoskeletal stiffness, Oxygen saturation normal, Reflexes abnormal
Clinical narrative: 10 minutes after vaccination patient became unresponsive, staring forward with stiff body, arms flexed and hands fisted. She required sternal rub without response.  She was incontinent.  Episode lasted 1-2 minutes. She had no recollection of the episode.  Paramedics assisted, with Temp 97.1, HR 80, B/P 122/80, pulse ox 98%, fingerstick 101. She was transported by ambulance to Hospital.  Laboratory assessment was unremarkable for for CMP, CBC, Troponin, Lactic acid. EKG, CXR and CT head were also unremarkable. She was discharged with diagnosis of possible vasovagal syncope episode and instructed to follow-up with her pcp.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Troponin normal, Unresponsive to stimuli
Clinical narrative: 10 minutes after vaccination patient became unresponsive, staring forward with stiff body, arms flexed and hands fisted. She required sternal rub without response.  She was incontinent.  Episode lasted 1-2 minutes. She had no recollection of the episode.  Paramedics assisted, with Temp 97.1, HR 80, B/P 122/80, pulse ox 98%, fingerstick 101. She was transported by ambulance to Hospital.  Laboratory assessment was unremarkable for for CMP, CBC, Troponin, Lactic acid. EKG, CXR and CT head were also unremarkable. She was discharged with diagnosis of possible vasovagal syncope episode and instructed to follow-up with her pcp.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: Vaccine needle injected arm, solution leaked out, needle disconnected from syringe, very minimal - none of the solution injected into arm; Dose repeated.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Bruxism, Coma scale, Coma scale abnormal, Decerebrate posture, Endotracheal intubation
Clinical narrative: Patient presents to ED on 1/14/2021 with respiratory arrest and started around 1300. Per EMS, reportedly told fiance that he had taken some sleeping pills and was going to go to sleep. EMS was called after the patient was found unresponsive about 15 minutes later. Family attempted to do CPR. Upon EMS arrival to the patient's home, patient had a pulse, was in respiratory distress with agonal breathing. They also reported emesis in the airway. EMS performed nasal intubation and administered 10 mg IV Narcan en route. Upon arrival to the hospital, patient was moving arms more and gritting teeth. Patient had movements of decerebrate posturing of arms intermitting with a relaxed posture. GCS was 4 on arrival. Patient is currently still in ICU and has been extubated.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Posturing, Respiration abnormal, Respiratory arrest, Respiratory distress
Clinical narrative: Patient presents to ED on 1/14/2021 with respiratory arrest and started around 1300. Per EMS, reportedly told fiance that he had taken some sleeping pills and was going to go to sleep. EMS was called after the patient was found unresponsive about 15 minutes later. Family attempted to do CPR. Upon EMS arrival to the patient's home, patient had a pulse, was in respiratory distress with agonal breathing. They also reported emesis in the airway. EMS performed nasal intubation and administered 10 mg IV Narcan en route. Upon arrival to the hospital, patient was moving arms more and gritting teeth. Patient had movements of decerebrate posturing of arms intermitting with a relaxed posture. GCS was 4 on arrival. Patient is currently still in ICU and has been extubated.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Resuscitation, SARS-CoV-2 test negative, Unresponsive to stimuli, Vomiting
Clinical narrative: Patient presents to ED on 1/14/2021 with respiratory arrest and started around 1300. Per EMS, reportedly told fiance that he had taken some sleeping pills and was going to go to sleep. EMS was called after the patient was found unresponsive about 15 minutes later. Family attempted to do CPR. Upon EMS arrival to the patient's home, patient had a pulse, was in respiratory distress with agonal breathing. They also reported emesis in the airway. EMS performed nasal intubation and administered 10 mg IV Narcan en route. Upon arrival to the hospital, patient was moving arms more and gritting teeth. Patient had movements of decerebrate posturing of arms intermitting with a relaxed posture. GCS was 4 on arrival. Patient is currently still in ICU and has been extubated.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Throat tightness
Clinical narrative: Patient vaccinated at 2:37pm. At 2:46pm, patient reported throat tightness, tongue tingling, and extremities tingling. Administered liquid Benadryl 25mg at 2:46pm. Continued to observe patient for 30 minutes. Vital signs remained WNL throughout observation period. Patient reported overall improvement 15 minutes after Benadryl administered.  Symptoms diminished by end of observation period.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous, Rash pruritic
Clinical narrative: Covid arm, rash redness, itching around injection site but one week after injection
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Pt is on hospice services for 5 months for CVD/CVA.  On 2/8/21 pts dtr called to report new onset seizure (no hx of seizures).  Per dtr report only change in pts condition is that he rcvd the COVID vaccine on Saturday  2/6/21.  Dtr called 911 due to severity of seizure.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: January 27, 2021, I received the second dose of the Moderna Vaccination. I began to feel cold chills and a high fever 101.2 around 2:35am. I notified my doctor and went to the ER January 28, 2021.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Pain in extremity
Clinical narrative: Patient texted a friend on 2/7/2021 c/o arm pain and feeling tired. I don't know if he was taken to a hospital.  Autopsy today.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Autopsy, Death
Clinical narrative: Patient texted a friend on 2/7/2021 c/o arm pain and feeling tired. I don't know if he was taken to a hospital.  Autopsy today.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis
Clinical narrative: Patient reported feeling flushed and sweaty 10 minutes after receiving the vaccine. BP 165/74 P 99. SpO2 100%. No shortness of breath. No rash. No prior history of hypertension. BP rechecked after 10 minutes 149/72. Patient reported feeling somewhat improved. Rechecked in another 15 minutes and parent felt back to normal and left clinic.. Checked again by phone at 2:30 PM . "feeling fine"
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Tightness of cheat and have trouble breathing
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Intractable nausea and vomiting with sever headache x 48 hours  requiring intervention with zofran
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Hyperhidrosis, Pain
Clinical narrative: pt stated she started having body aches with sweating with out  fever.  She also has fatigue and light headiness.  Pt has not contacted her PCP at this time.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Injection site paraesthesia
Clinical narrative: developed numbness and tingling  3 or 4 on a scale of ten radiating down left arm to fingertips. Gradually improved during observation period.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Oedema peripheral, Pain
Clinical narrative: Almost 24 hours after my first vaccine, I woke up from a nap and my left armpit was swollen and sore. Within a few hours, I had throbbing pain into the left side of my breast. I assumed it was from my lymph nodes reacting, but I didn't know if this is normal or expected. Also, I hadn't heard anything about swelling, tenderness in the armpit or breast discomfort. I took tylenol and ibuprofen and the breast throbbing went away before I went to sleep that night. The swelling and tenderness in my left armpit lasted for 4 days.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Electrocardiogram, Feeling hot, Full blood count
Clinical narrative: Diagnosed with lightheadedness -- Patient states she felt a warm feeling in her chest, dizziness and like she was going to pass out at 11:45.  She stated it would come and go, then she went to the ED at 12:33.  She also had increased heart rate and blood pressure.  Patient was treated with 10mg Dexamethasone IV and 1,000 ml lactated ringers solution.  She was then discharged home.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Incomplete course of vaccination, Metabolic function test
Clinical narrative: Diagnosed with lightheadedness -- Patient states she felt a warm feeling in her chest, dizziness and like she was going to pass out at 11:45.  She stated it would come and go, then she went to the ED at 12:33.  She also had increased heart rate and blood pressure.  Patient was treated with 10mg Dexamethasone IV and 1,000 ml lactated ringers solution.  She was then discharged home.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: I have the chills. I feel numb in the bottom half of my face and my tongue. I do not have a lot of energy. It's a familiar feeling I get when I am around cats.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Facial discomfort, Headache
Clinical narrative: Progress Notes Nurse Practitioner Cosign Needed Expand All Collapse All    2/4/2021    Patient:                                                                                    DOB:  11/21/1933  Date:  2/4/2021                                                                        MRN:      Subjective Patient is a 87 y.o. female who was seen at COVID Vaccine Clinic today for her first  dose of the COVID 19 vaccination.    She was given the Pfizer vaccination in the right deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience funny feeling in face, lightheaded and HA.  She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, dizziness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting.         ALLERGY REVIEW OF SYSTEMS:   Funny feeling in facial area:     Previous Reactions: Levaquin    Objective    Vitals Vitals:   02/04/21 1505 02/04/21 1523 BP: (!) 172/81 (!) 184/75 Pulse:   (!) 102 SpO2: 95% 95%     Pt reports she is on Blood pressure medications and took these this am.     Physical Exam Constitutional:      Appearance: She is well-developed.  HENT:     Head: Normocephalic and atraumatic.     Right Ear: External ear normal.     Left Ear: External ear normal.     Nose: Nose normal.  Eyes:     Conjunctiva/sclera: Conjunctivae normal.     Pupils: Pupils are equal, round, and reactive to light.  Neck:     Musculoskeletal: Normal range of motion and neck supple.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Abdominal:     General: Bowel sounds are normal.     Palpations: Abdomen is soft.  Musculoskeletal: Normal range of motion.  Skin:    General: Skin is warm and dry.     Capillary Refill: Capillary refill takes less than 2 seconds.  Neurological:     Mental Status: She is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included: no therapy Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health)   Pt left at 15:40pm accompanied by husband.  FU with PMP regarding blood pressure      Electronically Signed 2/4/2021 3:44 PM
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis
Clinical narrative: Patient began experiencing left facial droop on 1/31/2021. Diagnosed with bell's palsy on 2/1/2021 and started on antiviral, PPI, and steroids.