chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Mobility decreased, Pain, Sleep disorder
Clinical narrative: I had surgery for spinal stenosis on 07/09/2020, including a decompression and fusion at L4/L5.  I reported the following symptoms, which I attribute to the COVID-19 vaccination, to my spine surgeon.  I had my second dose of the Pfizer COVID-19 vaccine on Monday, March 29th at 5:45 PM.   Lower back pain in the general area of my surgery (07/09/2020) woke me up from sleep around 4:30 AM Tuesday (03/30/2021) morning.  Being woken up from sleep had never happened previously - not before surgery, following surgery, ever.  I recall the pain being a dull throbbing ache, nothing sharp.   I recall being generally pain free Tuesday during the day and went for a mile and half walk Tuesday evening and hit  about 20 40-yard (or less pitch shots) Tuesday evening.   I woke up Wednesday at my usual 6:45 AM.  Although I don't recall being in pain getting out of bed, I do remember being in excruciating pain the remainder of the day.  It hurt to walk (landing either foot) and the only position that I had any relief was sitting at work.  The pain was frequent, sharp, and up to a 6 on a scale of 1 to 10.  I felt exhausted and feel asleep at 7:30 PM Wednesday night.   I was in significantly less pain Thursday, although it was still uncomfortable rising from a seated position and bending at the waist (to assume a putting position in the office) caused pain to the extent that I chose not to fully bend.  Thursday night was generally OK but there was one point, while seated on a couch, where I felt a sharp stabbing pain in the general area of my surgery.  I tried to change positions to alleviate the pain, but it persisted for 30 seconds before finally subsiding.  The pain felt like I was being stabbed and it was a 8 or 9 on a 1 to 10 scale.   Friday was a repeat of Thursday.  Generally, I have very little pain except when I stand from a seated position (1 or 2 on a 10 point scale) or bend slightly at the waist (3 or 4).  The pain is dull but the pain from bending does prevent me from bending comfortably.   All of this pain is new this week since Monday.  This past weekend I worked in the yard, including some heavy lifting and digging.   Is there any chance this is a side effect of the vaccine?  Should I schedule an office visit to evaluate the pain?  NOTE:  I was generally symptom free by Saturday, 04/03/2021 and totally symptom free by 04/05/2021.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: About two weeks after the shot, bad rush on hands, shoulders, back, legs/knees, constant itch all aver
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Chest discomfort, Chest pain, Fatigue
Clinical narrative: Day after (Friday) - body, head, stomach aches.... even my gums ached. Exhaustion. Day two - body aches and weakness (no food on Friday) Tired. Day three - Tired after walking the dog, napped and then tightness/ache in chest/lung area which continued throughout the night. I could not lie on my side or it would trigger the ache in my chest. I could breathe deeply but that also triggered the tightness. Day four (Monday) - Chest ache continued. Contacted doctor's office. Took a Tylenol that seemed to help a little and watching my blood pressure.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival pain, Headache, Pain
Clinical narrative: Day after (Friday) - body, head, stomach aches.... even my gums ached. Exhaustion. Day two - body aches and weakness (no food on Friday) Tired. Day three - Tired after walking the dog, napped and then tightness/ache in chest/lung area which continued throughout the night. I could not lie on my side or it would trigger the ache in my chest. I could breathe deeply but that also triggered the tightness. Day four (Monday) - Chest ache continued. Contacted doctor's office. Took a Tylenol that seemed to help a little and watching my blood pressure.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood blister, Blood pressure increased, Chest X-ray, Decreased appetite, Dyspnoea
Clinical narrative: Shortness of breath, tired, elevated blood pressure, no appetite, upset stomach, nausiated, blood blister in groin area. soreness in groin area, overall feel bad.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Fatigue, Feeling abnormal, Groin pain, Laboratory test
Clinical narrative: Shortness of breath, tired, elevated blood pressure, no appetite, upset stomach, nausiated, blood blister in groin area. soreness in groin area, overall feel bad.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging, Nausea, SARS-CoV-2 test, Ultrasound Doppler, Urine analysis
Clinical narrative: Shortness of breath, tired, elevated blood pressure, no appetite, upset stomach, nausiated, blood blister in groin area. soreness in groin area, overall feel bad.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Blood pressure measurement, Dyspnoea, Fatigue, Injection site pain
Clinical narrative: Shortness of breath, tired, elevated blood pressure, no appetite, upset stomach, nausiated, blood blister in groin area. soreness in groin area, overall feel bad.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Skin burning sensation, Skin irritation
Clinical narrative: Burning behind knees and elbows, skin irritation feels like was on fire
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: vertigo when lying down, intense, 4/2/21 vertigo when sitting, more mild, 4/5/21 took vitamin c, ibuprofen for treatment  no doctor consulted
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received the second dose of Pfizer Covid19 vaccine 9 days after the first dose
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient did not have his vaccine card.  First dose COVID vaccine administration  was not verified.  Patient realized that he received Pfizer after nurse administered Moderna.  Dr. notified.  Advised 15 minutes observation and get a set of VS at the 15 minute mark.  If stable may go home.  Pt was stable, no reactions noted.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoaesthesia, Nausea, Paraesthesia
Clinical narrative: Hand got tingly right away then went away after a minute. As I was leaving the site my face got tingly from my eyes down to my chin about 12-15 minutes after the injection  and then went numb for about 20-30 minutes. The following day I was very tired and felt slightly nauseous for most of the day. After about 30 hours after the vaccine I was feeling better.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pallor
Clinical narrative: Administered shot, patient moved to post-vaccination seating area. Within 5 minutes he complained about lightheadedness and appeared pale. Patient was given water and a fan. Requested patient stay an extra 15 minutes until he was feeling better. Patient left after 40 minutes of sitting.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Mild rash on R forearm.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: About 5 minutes after administering Jassesn COVID 19 vaccine the patient began to lose consciousness and rested his head on the table. The patient was then assisted down to the floor.  Within 2 minutes the patient was alert and oriented, 911 was activated. PT reported dizziness. Patient asked about medical history which entail WPW, and no medications. EMS assessed and took vital signs. PT refused to go to the hospital. Patient monitored for an additional 30 minutes, and escorted downstairs.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Fatigue, Feeling abnormal, Headache
Clinical narrative: I got the second dose of the vaccine and I felt bad the next day. I had headaches, neckaches, terrible fatigue, body aches. I had not improved after six days and I went to the doctor. My doctor did a Covid-19 test, and it was positive. I think I actually had the Covid-19 at the same time as getting the second dose. My Covid-19 test indicated that I had had the Covid-19 within the last 7-10 days. I am still unable to work after 12 weeks and still taking a lot of pain medication and I have severe fatigue. I still have really bad headaches and neck aches. I had brain fog which has gotten a little better. My doctor believes that the combination of having the vaccine at the same time as the disease may have made the effects worse.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, SARS-CoV-2 antibody test positive
Clinical narrative: I got the second dose of the vaccine and I felt bad the next day. I had headaches, neckaches, terrible fatigue, body aches. I had not improved after six days and I went to the doctor. My doctor did a Covid-19 test, and it was positive. I think I actually had the Covid-19 at the same time as getting the second dose. My Covid-19 test indicated that I had had the Covid-19 within the last 7-10 days. I am still unable to work after 12 weeks and still taking a lot of pain medication and I have severe fatigue. I still have really bad headaches and neck aches. I had brain fog which has gotten a little better. My doctor believes that the combination of having the vaccine at the same time as the disease may have made the effects worse.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine with aura
Clinical narrative: Migraine with aura  resolved with OTC care. Unusual because patient does not have history of migraines.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Lymphadenopathy, Oropharyngeal pain, Peripheral swelling, Pulmonary congestion
Clinical narrative: Even a week later my arm is swollen and warm, I was in bed for a week with all kinds of symptoms, diareaha, swollen right lymphnode, sore throat, lost voice, congestion in lungs, and ended up being treated for a sinus infection
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Sinusitis, Skin warm
Clinical narrative: Even a week later my arm is swollen and warm, I was in bed for a week with all kinds of symptoms, diareaha, swollen right lymphnode, sore throat, lost voice, congestion in lungs, and ended up being treated for a sinus infection
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: After receiving vaccine pt felt dizzy. On site EMS came over to assess. BP:160/80, P:70, RR:18, T:97.3, Spo2:98% RA, FSBS:96. Pt alerst and oriented x4, no acute distress, dizziness resolved, Sent home Ambulatory.
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Fatigue, Injection site pruritus, Injection site rash, Pyrexia
Clinical narrative: Large red itchy rash on right arm below injection spot.   2nd dose Moderna Vaccine reaction - Red patch appeared 2nd day after injection and still there 4 days later.   On 2nd day, got low grade fever 99.4 F for 2 hours with chills.  Took Advil for relief.   Was extremely tired the evening of vaccination into the next day.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus
Clinical narrative: The patient's arm is swollen and itchy.  It started about 2 days after her vaccine administration.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Both of my hands went numb and tingled for about 24 hours after I received the Moderna vaccine. It started about 2 hours after I had the vaccine. I did not seek treatment from a doctor. It went away on it's own.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Decreased appetite, Dizziness, Nausea
Clinical narrative: Extreme nausea to the point of not being able to eat or drink much without getting super nauseous. When upright and walking, experienced periods of lightheadedness and dizziness. First day temp 99 treated and gone with advil.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Muscular weakness, Neuralgia, Pain in extremity
Clinical narrative: On 3/30 PM, I experienced very severe nerve pain in lower extremities and muscle weakness that last over 48 hours.  I was initially very unstable walking for first 24 hours.  Symptoms were very similar to severe reaction in 2018 with yellow fever vaccine (Sanofi) but not as severe.  Home treatment with Aleve 200 MG every 3 hours.  Recovery on 4/4
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Failure to thrive, Headache, Injection site induration, Injection site rash
Clinical narrative: "Moderna COVID-19 EUA" Event: Rash,hardness, heat and swelling around injection site, headache, chills, fever, fatigue  Treatment: Tylenol, ice and rest Outcome: 48hrs plus all clear
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: "Moderna COVID-19 EUA" Event: Rash,hardness, heat and swelling around injection site, headache, chills, fever, fatigue  Treatment: Tylenol, ice and rest Outcome: 48hrs plus all clear
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA Patient experienced a seizure 9 hours after receiving his first dose of COVID-19 Pfizer vaccine. Patient has a history of seizures but has been well controlled with levetiracetam and has been seizure free for several years.  Patient's wife called the pharmacy to report the event 6 hours later, and the pharmacist recommended the patient to follow up with primary care physician as soon as possible. Patient  was evaluated by his physician and had dosage of levetiracetam increased. Patient was referred for further testing.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Pruritus, Swelling, Urticaria
Clinical narrative: Around the time of receiving the first dose, I began experiencing hives in a linear pattern. I have been getting hives everyday since I got the shot in my thighs, chest, abdomen, arms, and back. Begins by feeling the urge to itch and once I start itching, raised bumps in a linear pattern will appear every where. Symptoms are only alleviated by taking Zyrtec daily. If I go more than one day without taking a Zyrtec, I begin to break out in hives at random time throughout the day every day. I have no previous allergies to food, no changes in my lifestyle or diet either.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Blood culture, Chest X-ray, Chills
Clinical narrative: fever/chills, headache, myalgia, knee joint pain, lower back pain.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Headache, Influenza A virus test, Influenza B virus test, Metabolic function test
Clinical narrative: fever/chills, headache, myalgia, knee joint pain, lower back pain.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Respiratory syncytial virus test, SARS-CoV-2 test, Urine analysis
Clinical narrative: fever/chills, headache, myalgia, knee joint pain, lower back pain.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache
Clinical narrative: Chills, headache and extreme fatigue
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: I first began to form a rash where I received my vaccine. Over the course of an hour, it quickly began to swell and turn red. It was very sore, sensitive, and hot to the touch. By the end of the day,  a raised lump formed and was about 4 inches in diameter. The swelling lasted for about 3 days. I then decided to take Benadryl to help with the itchiness and swelling. Since taking that medication, the swelling has significantly gone down but is still present.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: I first began to form a rash where I received my vaccine. Over the course of an hour, it quickly began to swell and turn red. It was very sore, sensitive, and hot to the touch. By the end of the day,  a raised lump formed and was about 4 inches in diameter. The swelling lasted for about 3 days. I then decided to take Benadryl to help with the itchiness and swelling. Since taking that medication, the swelling has significantly gone down but is still present.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever, chills, headache, body aches, and upset stomach. Took ibuprofen and the fever went down but the aches persisted
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: 7 days after infection, vaccine shot area is red, warm to the touch, sore and a lump is present under the skin. Each day red area has grown larger.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Eye pain, Fatigue, Feeling cold, Hangover, Headache
Clinical narrative: Immune reaction diary: Vaccinated at 2:58 PM, 3/19/21 Started feeling sleepy after I got home around 5 PM, T+2 hours, as I expect with a flu shot. I took a melatonin to boost this effect, and was cozily asleep by 6 PM, T+3. 5:00 AM, T+14: woke up chilly and overall mildly sore. Normal temperature. Very mild headache behind the eyes. No Tylenol yet for anything. Chills compounded by the fact I was  wearing the same T-shirt from the day. I changed into a long-sleeve pajama turtleneck, pull-over sweater, and put on socks, and went back to sleep.  7 AM, T+16: Soreness and chills fading. Arm still a bit sore but less than shot #1. 8 AM, T+17: Headache and soreness comparable to a rough hangover. Moving slow today. No Tylenol needed yet. 11:30 AM: Mild fever of 100.7. Headache and soreness have remained mild. 2:30 PM (T+23.5): Fever of 101.0 (peak) 6:30 PM (T+27.5): Fever reduced to 99.5. 8:00 PM (T+29): Finally took some Tylenol with dinner for bedtime. 8:30 PM: temperature back to my normal baseline. 11:00 PM (T+32): Feeling back to normal, though worn out from the day.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, Somnolence
Clinical narrative: Immune reaction diary: Vaccinated at 2:58 PM, 3/19/21 Started feeling sleepy after I got home around 5 PM, T+2 hours, as I expect with a flu shot. I took a melatonin to boost this effect, and was cozily asleep by 6 PM, T+3. 5:00 AM, T+14: woke up chilly and overall mildly sore. Normal temperature. Very mild headache behind the eyes. No Tylenol yet for anything. Chills compounded by the fact I was  wearing the same T-shirt from the day. I changed into a long-sleeve pajama turtleneck, pull-over sweater, and put on socks, and went back to sleep.  7 AM, T+16: Soreness and chills fading. Arm still a bit sore but less than shot #1. 8 AM, T+17: Headache and soreness comparable to a rough hangover. Moving slow today. No Tylenol needed yet. 11:30 AM: Mild fever of 100.7. Headache and soreness have remained mild. 2:30 PM (T+23.5): Fever of 101.0 (peak) 6:30 PM (T+27.5): Fever reduced to 99.5. 8:00 PM (T+29): Finally took some Tylenol with dinner for bedtime. 8:30 PM: temperature back to my normal baseline. 11:00 PM (T+32): Feeling back to normal, though worn out from the day.
Age: 67.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Blister, Erythema, Joint swelling, Pruritus, Rash
Clinical narrative: Patient reports a number of dermatologic conditions following about a week after his vaccination - rash down unilateral arm, spread across back, side of torso and chest. Rash characterized by swelling, redness, and itchiness. After 48 - 72 hours rash dries and flakes off, only to reappear later. Arms showed blistering and swelling at the joints, which the patient characterized as "like poison ivy."
Age: 67.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Skin exfoliation, Swelling
Clinical narrative: Patient reports a number of dermatologic conditions following about a week after his vaccination - rash down unilateral arm, spread across back, side of torso and chest. Rash characterized by swelling, redness, and itchiness. After 48 - 72 hours rash dries and flakes off, only to reappear later. Arms showed blistering and swelling at the joints, which the patient characterized as "like poison ivy."
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Myalgia
Clinical narrative: Chills Sweats Muscle aches Fatigue
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Started itching on various parts of body on Monday or Tuesday.  Every day got worse. Noticed rash  on arms and feet on Tuesday.  By Friday the 2nd,  red rash all over body. Went to clinic and doctor prescribed Prednisone.  Also taking Benadryl and using Hydrocortisone cream. Today better as long as I continue taking Benadryl.
Age: 29.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Hyperacusis, Influenza like illness, Lethargy, Lymphadenopathy
Clinical narrative: After arriving at home after getting the shot, I began to have flu-like symptoms. This included an extremely sore throat with very swollen glans. My throat is/has been red with pus-like pockets on the inside of my throat. In addition to the throat issues, I have been extremely lethargic, with sensitivity to light and sound. I have had all of these symptoms for 6 days now. I also have had lots of diarrhea but that cleared up after 3 or 4 days.
Age: 29.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, Pharyngeal erythema, Photophobia, Pustule
Clinical narrative: After arriving at home after getting the shot, I began to have flu-like symptoms. This included an extremely sore throat with very swollen glans. My throat is/has been red with pus-like pockets on the inside of my throat. In addition to the throat issues, I have been extremely lethargic, with sensitivity to light and sound. I have had all of these symptoms for 6 days now. I also have had lots of diarrhea but that cleared up after 3 or 4 days.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Patient experienced vasovagal reaction, no loss of consciousness and was monitored for 30 minutes. He recovered after 30 minutes and was discharged home.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling cold, Hyperhidrosis, Hypotension, Nausea
Clinical narrative: Patient stated she felt like fainting post immunization. Pharmacists quickly grabbed adverse event protocol and followed directions as stated. Called code white on intercom to alert store management. Asked patient about symptoms and she reported symptoms of sweating, coldness, dizziness and nausea. Assessed patient blood pressure and asked patient if she wanted us to call 911. Patient did not want us to call 911. Patient never lost consciousness but had low blood pressure on initial reading. Instructed patient to lay down with feet elevated. We gave patient a pillow to assist in elevation of feet and gave her cold compresses to apply to neck and face. After a few minutes, patient blood pressure was normal and patient stated that she was feeling better. We requested that she sit for an addition 15 minutes before she can leave. After 15 minutes patient, patient was feeling ok and left with her boyfriend. She was exhausted from work and this was likely the main factor for the feeling of syncope.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Influenza like illness, Pain
Clinical narrative: 7 hours after vaccine I experienced flu like symptoms: fever, chills, body aches, headache, extreme fatigue.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 7 hours after vaccine I experienced flu like symptoms: fever, chills, body aches, headache, extreme fatigue.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Patient became dizzy and fainted
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Hypoaesthesia
Clinical narrative: Bells Palsy. On April 4, I started feeling my mouth move funny while talking. By the next day, the right side of my face is largely unresponsive. When I raise my eyebrows, the right barely moves. When I try to smile wide and show all my teeth, the right side misty closed.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Skin warm
Clinical narrative: Patient stated her arm became red and hot to the touch April 2 (vaccine was administered March 29).  The rash appeared to spread over time and was still very visible when she presented to the pharmacy April 5.  She stated it was not itchy or painful.  Patient had been applying ice which she said helped some.  I recommended she continued icing her arm and take an antihistamine (pt bought loratadine 10mg) and call her doctor.  Spoke with patient later in the day - she stated the loratadine and ice seemed to reduce the redness and she was improving.  She had not yet called her doctor (as of 8 PM on 4-5-21).
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Immediate post-injection reaction, Injection site erythema
Clinical narrative: Immediately felt dizzy, light headed and heart palpitations   Today the area of the injection is red, swollen, hot to touch and itchy.  Have been very tired with chills all day
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Palpitations
Clinical narrative: Immediately felt dizzy, light headed and heart palpitations   Today the area of the injection is red, swollen, hot to touch and itchy.  Have been very tired with chills all day
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Lip swelling
Clinical narrative: Swelling of upper lip after 2nd Moderna vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Fever beginning at 3:00AM (100.3-102.4 degrees), nausea and vomiting (1 epsiode) at 3:30AM. Low-grade fever (99.4-100.3 degrees) lasting all day on April 5th. Stomach cramping, chills and nausea lasting all day April 5th. Very sore arm beginning 3 hours after injection and lasting all day April 5th
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Fever beginning at 3:00AM (100.3-102.4 degrees), nausea and vomiting (1 epsiode) at 3:30AM. Low-grade fever (99.4-100.3 degrees) lasting all day on April 5th. Stomach cramping, chills and nausea lasting all day April 5th. Very sore arm beginning 3 hours after injection and lasting all day April 5th
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine given to 17 year old
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Gave Moderna to a 17 year old patient-did not realize they were under 18 until after vaccinating-patient is doing fine.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Diarrhea
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The morning of April 3, staff at the Clinic discovered a discrepancy in the preparation of Pfizer vaccine doses. It was discovered that several undiluted vaccine doses were administered. Staff accounted for all unused undiluted vaccine doses. Unfortunately, 10 undiluted vaccine doses had been administered to patients and were not able to be retrieved. This patient received one of the undiluted doses.   The medical team contacted the CDC to determine the potential side effects and observation requirements of receiving an undiluted vaccine. The CDC confirmed that the recipients of the undiluted doses may experience stronger side effects and symptoms than someone who received the diluted dose (sore arm, flu-like symptoms, etc.).  The site public health officer spoke with suspected recipients of the undiluted vaccine to explain potential medical side effects. District will follow up to monitor their status.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chest discomfort, Dehydration, Diarrhoea, Electrocardiogram ambulatory
Clinical narrative: I woke up at 1;00 with a rapid heart rate - it was up to 140. I got up and took my temperature - 102.8. I started with taking ibuprofen. I went back to bed. Got really nauseous; started vomiting; started having diarrhea. By 5:00 am, my fever still had not gone down and I took some Tylenol. Temperature still hadn't gotten down at all at 08:00. I went to my Urgent Care clinic - I was really dehydrated and My vital signs were not looking well 101.9. They gave me two liters of fluid with IV Zofran to help with nausea. I was there for four hours with the IV the whole time. They released me with a prescription for Zofran. I went home and slept the rest of the day. I continued to take Tylenol.  I didn't have any vomiting and nausea after that. I was completely fine on the 25th.  I was having at least one headache a day for two weeks after that which is not normal for me. I started having heart palpitations and chest pressure within a few days of being in the URGENT CARE. Once I went back to work (after a couple of days off) I started having  3 - 6 occurrences of heart palpitations and chest pressure  a day-    I saw a  2/22/2021 cardiologist - 140's that day - the heart monitor came back and everything seemed fairly normal. I have a follow up appt with cardiologist on 4/26/2021.  I am still having  heart palpitations and chest pressure but very few - not as often at all as it use to be.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Headache, Heart rate increased, Impaired work ability, Nausea
Clinical narrative: I woke up at 1;00 with a rapid heart rate - it was up to 140. I got up and took my temperature - 102.8. I started with taking ibuprofen. I went back to bed. Got really nauseous; started vomiting; started having diarrhea. By 5:00 am, my fever still had not gone down and I took some Tylenol. Temperature still hadn't gotten down at all at 08:00. I went to my Urgent Care clinic - I was really dehydrated and My vital signs were not looking well 101.9. They gave me two liters of fluid with IV Zofran to help with nausea. I was there for four hours with the IV the whole time. They released me with a prescription for Zofran. I went home and slept the rest of the day. I continued to take Tylenol.  I didn't have any vomiting and nausea after that. I was completely fine on the 25th.  I was having at least one headache a day for two weeks after that which is not normal for me. I started having heart palpitations and chest pressure within a few days of being in the URGENT CARE. Once I went back to work (after a couple of days off) I started having  3 - 6 occurrences of heart palpitations and chest pressure  a day-    I saw a  2/22/2021 cardiologist - 140's that day - the heart monitor came back and everything seemed fairly normal. I have a follow up appt with cardiologist on 4/26/2021.  I am still having  heart palpitations and chest pressure but very few - not as often at all as it use to be.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Vomiting
Clinical narrative: I woke up at 1;00 with a rapid heart rate - it was up to 140. I got up and took my temperature - 102.8. I started with taking ibuprofen. I went back to bed. Got really nauseous; started vomiting; started having diarrhea. By 5:00 am, my fever still had not gone down and I took some Tylenol. Temperature still hadn't gotten down at all at 08:00. I went to my Urgent Care clinic - I was really dehydrated and My vital signs were not looking well 101.9. They gave me two liters of fluid with IV Zofran to help with nausea. I was there for four hours with the IV the whole time. They released me with a prescription for Zofran. I went home and slept the rest of the day. I continued to take Tylenol.  I didn't have any vomiting and nausea after that. I was completely fine on the 25th.  I was having at least one headache a day for two weeks after that which is not normal for me. I started having heart palpitations and chest pressure within a few days of being in the URGENT CARE. Once I went back to work (after a couple of days off) I started having  3 - 6 occurrences of heart palpitations and chest pressure  a day-    I saw a  2/22/2021 cardiologist - 140's that day - the heart monitor came back and everything seemed fairly normal. I have a follow up appt with cardiologist on 4/26/2021.  I am still having  heart palpitations and chest pressure but very few - not as often at all as it use to be.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Fatigue, Feeling abnormal, Headache, Injection site erythema
Clinical narrative: Tired, slept almost 14 hours, woke and in 15 minutes had a horrible headache and nausea. Very weepy and felt horrible.   As of today I still have a dollar coin sized warm red/pink circle at the injection site.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Nausea
Clinical narrative: Tired, slept almost 14 hours, woke and in 15 minutes had a horrible headache and nausea. Very weepy and felt horrible.   As of today I still have a dollar coin sized warm red/pink circle at the injection site.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Patient reported having symptoms of nausea Patient provided with Gatorade  Patient seen by medical team Refused medical transport and signed AMA form Patient stated symptoms resolved
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Deafness unilateral, Tinnitus
Clinical narrative: Severe Tinitus and hearing loss in one ear.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Feeling cold, Headache, Hyperhidrosis, Injection site pain
Clinical narrative: Swollen armpit on left arm, shakes, headache, sweats, cold, lack of appetite, body pains, severe arm pain around injection site. Most symptoms subsided after 36 hours except armpit is still swollen and arm hurts but not as bad.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Pain, Tremor
Clinical narrative: Swollen armpit on left arm, shakes, headache, sweats, cold, lack of appetite, body pains, severe arm pain around injection site. Most symptoms subsided after 36 hours except armpit is still swollen and arm hurts but not as bad.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Confusional state, Encephalitis, Lumbar puncture, Magnetic resonance imaging
Clinical narrative: Meningo-encephalitis  Pt started having fever, chills, altered mental status, drowsiness, confusion.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Pyrexia, Somnolence
Clinical narrative: Meningo-encephalitis  Pt started having fever, chills, altered mental status, drowsiness, confusion.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Red rash near the place of the shot was noticed at 4/1/2021, around one week after the first dose of Moderna COVID-19 Vaccine been admitted. The size of the rash was about 2 inches by 3 inches, with no feeling of itchy or pain.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: occasional dizziness; room spins
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt. received a second dose of Pfizer today, 14 days after her first dose. Pt. received er first dose at the race track and was instructed to make her own appointment for a second vaccine.  Pt. made the appointment online for today and went through the process to include vaccination.  It was after the vaccination that a staff member recognized that she had her second dose a week earlier than recommended.  No adverse outcome.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Nausea
Clinical narrative: Shaking, chills, nausea, headache, extreme fatigue/tiredness, loss of appetite.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Shaking, chills, nausea, headache, extreme fatigue/tiredness, loss of appetite.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Injection site hypoaesthesia, Malaise, Wheezing
Clinical narrative: Patient presented in obs area after receiving 2nd dose, started complaining of left arm injection site numbness that radiated down to left hand, also complained of tongue numbness, vitals: 156/101 right arm, HR 91, SpO2 98% room air, respiratory rate 22, 0/10 pain. Pt began feeling worse, assessed lung sounds, expiratory wheezing noted, pt had home dose inhaler on hand, self-administered 2 puffs of albuterol HFA inhaler, states relief, pt did not complained of respiratory distress at any time.  EMS left with patient at 1140 to local hospital, pt alert, oriented and cooperative at all times. Left alert and oriented, in no apparent distress. No epi or benadryl administered.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph nodes- left underarm area and left groin area
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: In the afternoon of April 1, 2021, my head began to itch. It was very uncomfortable. I noticed welts were formed on my head. They soon were on the back of my neck and upper back with itching. The welts on my neck and head were very large. My daughter put Benadryl cream on my head, neck and back. I took one generic brand Benadryl. Before I went to bed, we applied more Benadryl cream on the welts and I took two Benadryl type tablets. The next day, the welts weren't as bad but there were some new ones on my neck. They have eventually all gone away with some residual itching that may or may not be associated.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Pharyngeal swelling
Clinical narrative: 1612 patient started having shortness of breath, throat swelling. Patient received 0.3mg of epinephrine at 1615 with minimal relief. Transported to ER at approximately 1616 and was given a 2nd dose of epinephrine, solumedrol, benadryl, famotidine and Lactated Ringers with immediate improvement.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling, Respiratory distress, Swollen tongue
Clinical narrative: 1612 patient started having shortness of breath, throat swelling. Patient received 0.3mg of epinephrine at 1615 with minimal relief. Transported to ER at approximately 1616 and was given a 2nd dose of epinephrine, solumedrol, benadryl, famotidine and Lactated Ringers with immediate improvement.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Seizure, Syncope, Tunnel vision
Clinical narrative: A few minutes after vaccination the pt had what appeared to be a seizure with momentary loss of consciousness.  Profuse sweating, tunnel vision and syncope also present. EMS was called and patient was transported to hospital directly from the pharmacy.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Headache, Heart rate increased, Injection site pain
Clinical narrative: Along with headache, injection site pain, body aches and joint pain, I experienced crippling anxiety, increased heart rate and paranoia with suicidal thoughts.  I thought the tv was sending me messages and  could hear the  voice of my dead father in my head  trying to communicate with me.  There was also another voice that was telling me to kill myself. This lasted for 10 days.  I have never experienced  anything like this before I had the shot.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paranoia, Suicidal ideation
Clinical narrative: Along with headache, injection site pain, body aches and joint pain, I experienced crippling anxiety, increased heart rate and paranoia with suicidal thoughts.  I thought the tv was sending me messages and  could hear the  voice of my dead father in my head  trying to communicate with me.  There was also another voice that was telling me to kill myself. This lasted for 10 days.  I have never experienced  anything like this before I had the shot.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was informed prior to dosage that it would be "You'll be getting 5cc's of the Morderna vaccine. "Which led him to research the amount that should be visible according to the verbal presentation given by the personel at the vaccine site. Patient describes seeing the needle measuring marks and stated it "...was near emtpy, and in no way shape or form could it be confused with 1.9in the converted amount of 5cc's."     Unknown employee in white labcoat
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Cold sweat, Computerised tomogram normal, Electrocardiogram normal, Headache
Clinical narrative: Severe vertigo, with nausea, claminess and headache
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Vertigo
Clinical narrative: Severe vertigo, with nausea, claminess and headache
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Fatigue, Headache, Pain in extremity, Rhinorrhoea
Clinical narrative: Fatigue Headache Tightness in chest Runny nose Sore arm
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Confusional state, Dizziness
Clinical narrative: Dizziness, memory loss, confusion, not sure if it lasted for part of one day or if it began the evening before.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Blood electrolytes normal, C-reactive protein normal, Chest X-ray normal, Fatigue
Clinical narrative: Five days following vaccine #2, pt presented to the emergency department on 3/2/21 with complaint of severe generalized arthralgias and fatigue. Completely different from her chronic osteoarthritis.  Complete work-up including labs were negative. Normal CBC; normal electrolytes; normal inflammatory markers (ESR and CRP); rheumatoid factor was normal; urinalysis was normal; chest x-ray was normal. She was discharged home on no medication.  She was seen by primary care on 3/29/21 and reported her symptoms, although not completely resolved, were markedly improved.  Because of her autoimmune liver disease, she did not take Tylenol or Ibuprofen for her discomfort.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count normal, Red blood cell sedimentation rate normal, Rheumatoid factor negative, Urine analysis normal
Clinical narrative: Five days following vaccine #2, pt presented to the emergency department on 3/2/21 with complaint of severe generalized arthralgias and fatigue. Completely different from her chronic osteoarthritis.  Complete work-up including labs were negative. Normal CBC; normal electrolytes; normal inflammatory markers (ESR and CRP); rheumatoid factor was normal; urinalysis was normal; chest x-ray was normal. She was discharged home on no medication.  She was seen by primary care on 3/29/21 and reported her symptoms, although not completely resolved, were markedly improved.  Because of her autoimmune liver disease, she did not take Tylenol or Ibuprofen for her discomfort.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Injection site pain, Lethargy, Nausea
Clinical narrative: Headache; nausia; diahrea; lathargic ; sore injection site-24 hours
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Pallor, Syncope
Clinical narrative: After patient received the vaccination and was sitting in pharmacy area for 15 minutes post vaccine, her friend said she didn't seem "right", so I went over to the patient and her head started to loll and she was passing out and the color was draining from her face.  I had one of her friends help me place her on the floor with her feet up in the chair and I noticed she felt hot.  I called for a technician to bring me a cold pack and placed it on her forehead.  I asked her friends if she had eaten today and they said she skipped breakfast and only had a bagel for lunch.  After a minute or 2 on her back, she began to revive  and when she felt up to it, I had her sit up on the floor and gave her some water to sip.  After a few more minutes, she said she felt good enough to sit up in the chair, so we helped her get up and put her in the chair.  She stayed around for about 30 minutes after that and was feeling better and left
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Diarrhoea, Ear pain, Nausea, Palpitations
Clinical narrative: hives, heart palipitations, Diarhea, nausea, vertigo, severe pain in lower left quadrent of abdomen, low grade fever between 99.6-100. , ear pain, parched, and more. These were all symptoms I had at the beginning of covid in Sept 2020. They ALL came back full force for 17 days. I am a few days out from second vaccine and am terrified to go through this again.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test, Thirst, Urticaria, Vertigo
Clinical narrative: hives, heart palipitations, Diarhea, nausea, vertigo, severe pain in lower left quadrent of abdomen, low grade fever between 99.6-100. , ear pain, parched, and more. These were all symptoms I had at the beginning of covid in Sept 2020. They ALL came back full force for 17 days. I am a few days out from second vaccine and am terrified to go through this again.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: Roughly 6 hours after initial vaccination muscle spasms in right eye lid began. These have occurred throughout the day, though not non-stop, every day since the first dose of the moderna covid vaccine
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Tinnitus
Clinical narrative: Ringing in one ear a few minutes after injection. Fatigue and slight nausea first night and next day but is now gone. Tinnitus continued and is now a bit worse today.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Nausea, Pyrexia
Clinical narrative: Chills, uncontrollable shivering, fever, nausea and light headedness
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness
Clinical narrative: Dizziness and chest discomforot -vitals @3:33 PM: BP 140/57, HR 61, O2 98% -patient given ~4 cups of water and took deep breathes and symptoms resolved
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Insomnia, Palpitations
Clinical narrative: Fast pounding heart beat, insomnia,  anxiety.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 9d post intramuscular injection with Moderna Covid-19 vaccine patient developed redness, swelling at inj site 8x9cm, recommendations of cool compress, zyrten and 1% hydrocortisone cream was initiated today.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Lymphadenopathy, Pain in extremity, Pyrexia, Rash
Clinical narrative: Arm pain 4/2 at 2pm, dizziness 4/3 at 7am, fever 4/3 at 9am until 4/5 at 8am, rash 4/5 at 7am, swollen lymph nodes 4/4 at 10pm.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Area about 2 square inches of redness and some itchiness.  Also feels warm.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Headache, Migraine, Nausea
Clinical narrative: Vertigo, dizziness, nausea, diarrhea, headache started night 4 after vaccine. Also triggered migraine on first day of vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Vertigo, dizziness, nausea, diarrhea, headache started night 4 after vaccine. Also triggered migraine on first day of vaccine.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: pt reports bilateral feet swelling without pain 4 days after receiving moderna vaccine.  No pain, erythema, warmth, SOB. spoke with pt day 7 after vaccine- pt reports improvement.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: pain in right armpit (same arm as injection site), thought it was a pimple at first, looked in mirror to compare with left armpit and there's a noticeable swollen area about the size of a lemon in/directly below my armpit, presumably from swollen lymph node