chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash macular, Swelling
Clinical narrative: Beginning  about 34 hours after the second vaccine dose, she noted itching of her posterior neck, upper back and across the shoulders, behind both ears, and the injection site in the right deltoid region. Initially she only noted itching in all of the above areas and slight redness of the injection site. She took a single 25 mg dose of diphenhydramine that night and went to bed. The next morning when she woke, her ears were swollen and red, she had blotchy red areas on her face, and increased redness and swelling of the injection site in the right deltoid. She also noted small red "bumps" on her lower legs and thighs bilaterally and across her abdomen as well. She also noted pruritis of her left arm at this time. She took a 10 mg dose of zyrtec this morning around 7:30 AM and then went to an urgent care for evaluation. At the urgent, she was given an IM steroid injection and a prescription for a 5-day course of prednisone 40 mg qday. She has noted significant improvement since receiving the steroid injection earlier today and her symptoms and the skin lesions are nearly completely resolved at this time.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Atelectasis, Blood glucose normal, Blood urea nitrogen/creatinine ratio increased, Cardiac monitoring abnormal
Clinical narrative: ED COURSE / MEDICAL DECISION MAKING / TREATMENT PLAN: ED Course and Medical Decision Making: Patient evaluated. Peripheral IV established labs obtained. I do have concern for adverse reaction secondary to the vaccine as her symptoms started she said shortly before an hour after receiving the vaccine is started with tingling in her tongue throat and her body. She has minimal cardiac risk factors. Given she was tachycardic she cannot be perked out. EKG obtained showed no acute ischemic ST elevation or depression. Initial troponin was not elevated. Patient received 500 mL bolus of normal saline she deceived Benadryl and part of Pepcid. While the Benadryl infusion was going on patient reported feeling lightheaded and her heart rate was noted to increase to the 130s briefly. The medications were stopped, the Benadryl had already finished however the Pepcid was not completed. Her heart rate proved quickly and the lightheadedness resolved. Repeat EKG obtained did show some mild ST depression inferiorly. A repeat troponin obtained at 2 hours remain negative D-dimer was elevated to 91 therefore CTA chest was obtained. This showed no evidence of pulmonary embolism there is small groundglass opacity left upper lobe which is likely related to atelectasis do not feel that this is infectious in etiology patient has not had cough fever or chills. She remained on cardiac monitor here without any further tachycardia and her symptoms had resolved. I do believe patient's presentation is secondary to adverse reaction to the vaccination. She was advised to take Benadryl at home and may also try over-the-counter Pepcid at home for her symptoms. Did not feel that steroids were warranted at this time. She is to follow-up closely with her primary care provider. I did advise if she has new or worsening symptoms she should return to the emergency department and she expressed understanding and agreement with this plan.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Differential white blood cell count, Dizziness, Electrocardiogram ST segment depression, Fibrin D dimer increased
Clinical narrative: ED COURSE / MEDICAL DECISION MAKING / TREATMENT PLAN: ED Course and Medical Decision Making: Patient evaluated. Peripheral IV established labs obtained. I do have concern for adverse reaction secondary to the vaccine as her symptoms started she said shortly before an hour after receiving the vaccine is started with tingling in her tongue throat and her body. She has minimal cardiac risk factors. Given she was tachycardic she cannot be perked out. EKG obtained showed no acute ischemic ST elevation or depression. Initial troponin was not elevated. Patient received 500 mL bolus of normal saline she deceived Benadryl and part of Pepcid. While the Benadryl infusion was going on patient reported feeling lightheaded and her heart rate was noted to increase to the 130s briefly. The medications were stopped, the Benadryl had already finished however the Pepcid was not completed. Her heart rate proved quickly and the lightheadedness resolved. Repeat EKG obtained did show some mild ST depression inferiorly. A repeat troponin obtained at 2 hours remain negative D-dimer was elevated to 91 therefore CTA chest was obtained. This showed no evidence of pulmonary embolism there is small groundglass opacity left upper lobe which is likely related to atelectasis do not feel that this is infectious in etiology patient has not had cough fever or chills. She remained on cardiac monitor here without any further tachycardia and her symptoms had resolved. I do believe patient's presentation is secondary to adverse reaction to the vaccination. She was advised to take Benadryl at home and may also try over-the-counter Pepcid at home for her symptoms. Did not feel that steroids were warranted at this time. She is to follow-up closely with her primary care provider. I did advise if she has new or worsening symptoms she should return to the emergency department and she expressed understanding and agreement with this plan.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Haemoglobin decreased, Heart rate increased, Lung opacity, Metabolic function test
Clinical narrative: ED COURSE / MEDICAL DECISION MAKING / TREATMENT PLAN: ED Course and Medical Decision Making: Patient evaluated. Peripheral IV established labs obtained. I do have concern for adverse reaction secondary to the vaccine as her symptoms started she said shortly before an hour after receiving the vaccine is started with tingling in her tongue throat and her body. She has minimal cardiac risk factors. Given she was tachycardic she cannot be perked out. EKG obtained showed no acute ischemic ST elevation or depression. Initial troponin was not elevated. Patient received 500 mL bolus of normal saline she deceived Benadryl and part of Pepcid. While the Benadryl infusion was going on patient reported feeling lightheaded and her heart rate was noted to increase to the 130s briefly. The medications were stopped, the Benadryl had already finished however the Pepcid was not completed. Her heart rate proved quickly and the lightheadedness resolved. Repeat EKG obtained did show some mild ST depression inferiorly. A repeat troponin obtained at 2 hours remain negative D-dimer was elevated to 91 therefore CTA chest was obtained. This showed no evidence of pulmonary embolism there is small groundglass opacity left upper lobe which is likely related to atelectasis do not feel that this is infectious in etiology patient has not had cough fever or chills. She remained on cardiac monitor here without any further tachycardia and her symptoms had resolved. I do believe patient's presentation is secondary to adverse reaction to the vaccination. She was advised to take Benadryl at home and may also try over-the-counter Pepcid at home for her symptoms. Did not feel that steroids were warranted at this time. She is to follow-up closely with her primary care provider. I did advise if she has new or worsening symptoms she should return to the emergency department and she expressed understanding and agreement with this plan.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Pharyngeal paraesthesia, Pregnancy test urine, Tachycardia
Clinical narrative: ED COURSE / MEDICAL DECISION MAKING / TREATMENT PLAN: ED Course and Medical Decision Making: Patient evaluated. Peripheral IV established labs obtained. I do have concern for adverse reaction secondary to the vaccine as her symptoms started she said shortly before an hour after receiving the vaccine is started with tingling in her tongue throat and her body. She has minimal cardiac risk factors. Given she was tachycardic she cannot be perked out. EKG obtained showed no acute ischemic ST elevation or depression. Initial troponin was not elevated. Patient received 500 mL bolus of normal saline she deceived Benadryl and part of Pepcid. While the Benadryl infusion was going on patient reported feeling lightheaded and her heart rate was noted to increase to the 130s briefly. The medications were stopped, the Benadryl had already finished however the Pepcid was not completed. Her heart rate proved quickly and the lightheadedness resolved. Repeat EKG obtained did show some mild ST depression inferiorly. A repeat troponin obtained at 2 hours remain negative D-dimer was elevated to 91 therefore CTA chest was obtained. This showed no evidence of pulmonary embolism there is small groundglass opacity left upper lobe which is likely related to atelectasis do not feel that this is infectious in etiology patient has not had cough fever or chills. She remained on cardiac monitor here without any further tachycardia and her symptoms had resolved. I do believe patient's presentation is secondary to adverse reaction to the vaccination. She was advised to take Benadryl at home and may also try over-the-counter Pepcid at home for her symptoms. Did not feel that steroids were warranted at this time. She is to follow-up closely with her primary care provider. I did advise if she has new or worsening symptoms she should return to the emergency department and she expressed understanding and agreement with this plan.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin I normal, Vaccination complication, White blood cell count increased
Clinical narrative: ED COURSE / MEDICAL DECISION MAKING / TREATMENT PLAN: ED Course and Medical Decision Making: Patient evaluated. Peripheral IV established labs obtained. I do have concern for adverse reaction secondary to the vaccine as her symptoms started she said shortly before an hour after receiving the vaccine is started with tingling in her tongue throat and her body. She has minimal cardiac risk factors. Given she was tachycardic she cannot be perked out. EKG obtained showed no acute ischemic ST elevation or depression. Initial troponin was not elevated. Patient received 500 mL bolus of normal saline she deceived Benadryl and part of Pepcid. While the Benadryl infusion was going on patient reported feeling lightheaded and her heart rate was noted to increase to the 130s briefly. The medications were stopped, the Benadryl had already finished however the Pepcid was not completed. Her heart rate proved quickly and the lightheadedness resolved. Repeat EKG obtained did show some mild ST depression inferiorly. A repeat troponin obtained at 2 hours remain negative D-dimer was elevated to 91 therefore CTA chest was obtained. This showed no evidence of pulmonary embolism there is small groundglass opacity left upper lobe which is likely related to atelectasis do not feel that this is infectious in etiology patient has not had cough fever or chills. She remained on cardiac monitor here without any further tachycardia and her symptoms had resolved. I do believe patient's presentation is secondary to adverse reaction to the vaccination. She was advised to take Benadryl at home and may also try over-the-counter Pepcid at home for her symptoms. Did not feel that steroids were warranted at this time. She is to follow-up closely with her primary care provider. I did advise if she has new or worsening symptoms she should return to the emergency department and she expressed understanding and agreement with this plan.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Vaccination complication
Clinical narrative: developed itchy rash and some bumps on arms and lower legs and ankles. This then appeared on back and some on stomach area.  Dr. determined caused by vacine and gave a steroid shot plus Vistaril and Prednisone.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia oral
Clinical narrative: Felt dizzy and had tingling of lips about 4 min after vaccine.  VSS.  Laid on cot for ~20 min.  Left on own without assistance.  Symptoms resolved.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Pruritus, Skin warm, Swelling
Clinical narrative: Patient woke up with 2 in by 1 in warm, raised, itchy knot. Over the course of the day it has increased to 3 in x 4 in.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Report  body aches, HA, fever (100.8) and chills started next day post vaccination. Treatment: Tylenol.  Outcome: Mild improvement no interference with ADLs.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Vaccine received 8 Jan 2021. No symptoms until 30 Jan 2021, then had pain in left triceps that has been constant, achy since. Has intermittent tingling down left arm that goes into pointer finger. No loss of range of motion. No swelling or redness.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Client left facility with no adverse effect.  While driving home felt tingling in left jaw and then area went numb.  came back to facility and EMS checked her.  Numbing lasted 5 hours and only stayed on left side of face and then went away completely.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Feeling abnormal, Impaired work ability, Nausea, Pain
Clinical narrative: Debilitating illness.  Cannot sleep, Fever of 103.  Body aches, nausea and vomiting. Cannot work.  Feel awful
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder, Vomiting
Clinical narrative: Debilitating illness.  Cannot sleep, Fever of 103.  Body aches, nausea and vomiting. Cannot work.  Feel awful
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Moderna COVID-19  Nose bleed 1/28/21 at 0140 am Nose bleed 1/28/21 at 0430 am Nose bleed 1/30/21 at 0330 am Nose bleed only on left side of nose
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypokinesia
Clinical narrative: Severe shoulder pain and limited movement
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Pruritus
Clinical narrative: Itching on head, arms and back.  BP 160/100, feels warm. P 88. Due to anaphylaxsis in past called 911
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Injection site reaction, Migraine, Muscle tightness, Oropharyngeal pain
Clinical narrative: Fever 103.5,  whelp on injection site , migraine, muscle tightness in neck and back, soar throat, dry cough
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Urticaria
Clinical narrative: Fever 103.5,  whelp on injection site , migraine, muscle tightness in neck and back, soar throat, dry cough
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: COVID-19, Cough, Decreased appetite, Dyspnoea, Injection site pain
Clinical narrative: COVID positive on 1/29 w/isolation through 2/6. Presented to mass vaccination event on 2/4 and denied being positive on entry and on screening. Upon documentation entry noticed pt was positive. Chart review also revealed recent dx of pneumonia. Enhanced ADR surveillance initiated w/Tele Health visit on 2/5. Pt reported slight cough, body aches, SOB, trouble sleeping, decreased appetite, and pain at injection site.
Age: 52.0
Sex: M
Vaccine: TDAP
Symptoms: Insomnia, Pain
Clinical narrative: COVID positive on 1/29 w/isolation through 2/6. Presented to mass vaccination event on 2/4 and denied being positive on entry and on screening. Upon documentation entry noticed pt was positive. Chart review also revealed recent dx of pneumonia. Enhanced ADR surveillance initiated w/Tele Health visit on 2/5. Pt reported slight cough, body aches, SOB, trouble sleeping, decreased appetite, and pain at injection site.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pyrexia
Clinical narrative: Rough night.  Fever, chills, headache, nausea.  Started at about 11pm.  Took some Aleve before bed then at 3 am too Tylenol and that helped more. Got up at 7 and came to work. Took more tylenol this AM, so other than a mild headache, doing fine.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Nausea, Pain, Pain in extremity
Clinical narrative: Body aches, chills,fever,nausea, arm soreness/redness/swelling
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: Body aches, chills,fever,nausea, arm soreness/redness/swelling
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Asthenia, Balance disorder, Blood electrolytes normal, Blood glucose
Clinical narrative: Moderna COVID- 19 Vaccine EUA: the next morning after receiving vaccination patient woke and spouse reported patient had problems with balance, word finding, weakness, and potentially hit head and hip when fell getting out of bed.  Patient experienced fever and body aches overnight. On arrival to the emergency department patient's vital signs were blood pressure 165/75 mmHg, pulse 107 beats per minute, repiratory rate 20 breaths per minute, temperature 38.3 degrees Celsius, and oxygen saturation 92%. Physical exam documented a well-appearing patient with mild difficulty with word finding. Cardiovascular, pulmonary, and abdominal exams were unremarkable. Neurological exam reports cranial nerves intact, strength and sensation to light touch normal in all extremities. Patient declined medications for fever and body aches. Patient observed and repeat vital signs within normal ranges except blood pressure 137/78 mmHg. Symptoms improved and patient was discharged with prescription for anti-epileptic medication and scheduled for follow-up visit with neurology clinic.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactate dehydrogenase normal, Chest X-ray, Computerised tomogram head normal, Electrocardiogram, Electroencephalogram
Clinical narrative: Moderna COVID- 19 Vaccine EUA: the next morning after receiving vaccination patient woke and spouse reported patient had problems with balance, word finding, weakness, and potentially hit head and hip when fell getting out of bed.  Patient experienced fever and body aches overnight. On arrival to the emergency department patient's vital signs were blood pressure 165/75 mmHg, pulse 107 beats per minute, repiratory rate 20 breaths per minute, temperature 38.3 degrees Celsius, and oxygen saturation 92%. Physical exam documented a well-appearing patient with mild difficulty with word finding. Cardiovascular, pulmonary, and abdominal exams were unremarkable. Neurological exam reports cranial nerves intact, strength and sensation to light touch normal in all extremities. Patient declined medications for fever and body aches. Patient observed and repeat vital signs within normal ranges except blood pressure 137/78 mmHg. Symptoms improved and patient was discharged with prescription for anti-epileptic medication and scheduled for follow-up visit with neurology clinic.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Full blood count, Head injury, International normalised ratio, Joint injury
Clinical narrative: Moderna COVID- 19 Vaccine EUA: the next morning after receiving vaccination patient woke and spouse reported patient had problems with balance, word finding, weakness, and potentially hit head and hip when fell getting out of bed.  Patient experienced fever and body aches overnight. On arrival to the emergency department patient's vital signs were blood pressure 165/75 mmHg, pulse 107 beats per minute, repiratory rate 20 breaths per minute, temperature 38.3 degrees Celsius, and oxygen saturation 92%. Physical exam documented a well-appearing patient with mild difficulty with word finding. Cardiovascular, pulmonary, and abdominal exams were unremarkable. Neurological exam reports cranial nerves intact, strength and sensation to light touch normal in all extremities. Patient declined medications for fever and body aches. Patient observed and repeat vital signs within normal ranges except blood pressure 137/78 mmHg. Symptoms improved and patient was discharged with prescription for anti-epileptic medication and scheduled for follow-up visit with neurology clinic.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Pain, Prothrombin time normal, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Moderna COVID- 19 Vaccine EUA: the next morning after receiving vaccination patient woke and spouse reported patient had problems with balance, word finding, weakness, and potentially hit head and hip when fell getting out of bed.  Patient experienced fever and body aches overnight. On arrival to the emergency department patient's vital signs were blood pressure 165/75 mmHg, pulse 107 beats per minute, repiratory rate 20 breaths per minute, temperature 38.3 degrees Celsius, and oxygen saturation 92%. Physical exam documented a well-appearing patient with mild difficulty with word finding. Cardiovascular, pulmonary, and abdominal exams were unremarkable. Neurological exam reports cranial nerves intact, strength and sensation to light touch normal in all extremities. Patient declined medications for fever and body aches. Patient observed and repeat vital signs within normal ranges except blood pressure 137/78 mmHg. Symptoms improved and patient was discharged with prescription for anti-epileptic medication and scheduled for follow-up visit with neurology clinic.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: Moderna COVID- 19 Vaccine EUA: the next morning after receiving vaccination patient woke and spouse reported patient had problems with balance, word finding, weakness, and potentially hit head and hip when fell getting out of bed.  Patient experienced fever and body aches overnight. On arrival to the emergency department patient's vital signs were blood pressure 165/75 mmHg, pulse 107 beats per minute, repiratory rate 20 breaths per minute, temperature 38.3 degrees Celsius, and oxygen saturation 92%. Physical exam documented a well-appearing patient with mild difficulty with word finding. Cardiovascular, pulmonary, and abdominal exams were unremarkable. Neurological exam reports cranial nerves intact, strength and sensation to light touch normal in all extremities. Patient declined medications for fever and body aches. Patient observed and repeat vital signs within normal ranges except blood pressure 137/78 mmHg. Symptoms improved and patient was discharged with prescription for anti-epileptic medication and scheduled for follow-up visit with neurology clinic.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Fatigue, Hypoaesthesia, Pain
Clinical narrative: Body pain Diarrhoea Numbness of right arm Weak and tired
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Syncope
Clinical narrative: Vasovagal syncope while walking after getting out of bed at night. This occurred approximately at the onset of chills/rigors.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Blood test, Endoscopy upper gastrointestinal tract, Feeling abnormal, Paraesthesia oral
Clinical narrative: About 10 min after vaccine felt fuzzy around my neck and alerted the vaccinator. I was exhorted to a curtained room where vitals were checked. I was given Benadryl 25mg and salumedrol IV. Before the 30 min mark I had tingling on the tip of my tongue and lips. I was monitored for 2+ hours and was sent home. The doctor prescribed 40mg prednisone for 4 days an Epipen, and antihistamines, recommended I see an allergist.  I saw APN 1/18/21 after the tingling and throat tightness persisted, she prescribed a taper of the prednisone.  Went to allergist 1/21/21 where we discussed continued symptoms and longer taper of prednisone and she asked me to call her 1/25/21. We spoke 1/25/21 and she recommended I see an ENT. Saw ENT on 1/29/21 who examined my throat with no concerns there. We discussed the ?burning mouth syndrome? symptoms and he recommended I return for medicated mouth wash if the symptoms continue. I am no longer taking any medication. I still have mild tingling on the lips and tongue, slight peppery feel/taste and occasional tightness at the base of my throat. We
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: About 10 min after vaccine felt fuzzy around my neck and alerted the vaccinator. I was exhorted to a curtained room where vitals were checked. I was given Benadryl 25mg and salumedrol IV. Before the 30 min mark I had tingling on the tip of my tongue and lips. I was monitored for 2+ hours and was sent home. The doctor prescribed 40mg prednisone for 4 days an Epipen, and antihistamines, recommended I see an allergist.  I saw APN 1/18/21 after the tingling and throat tightness persisted, she prescribed a taper of the prednisone.  Went to allergist 1/21/21 where we discussed continued symptoms and longer taper of prednisone and she asked me to call her 1/25/21. We spoke 1/25/21 and she recommended I see an ENT. Saw ENT on 1/29/21 who examined my throat with no concerns there. We discussed the ?burning mouth syndrome? symptoms and he recommended I return for medicated mouth wash if the symptoms continue. I am no longer taking any medication. I still have mild tingling on the lips and tongue, slight peppery feel/taste and occasional tightness at the base of my throat. We
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Starting at day three after the vaccination, I experienced significant fatigue.  I also have experienced significant and rather violet chills, shakes and teeth chattering.  The fatigue lasts all day.  The chills come on each afternoon and last for about an hour.  My temperature is 101 to 103 during  the event, but it is normal the rest of the day.  The fatigue and chills continue through today.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Injection site reaction
Clinical narrative: well I had sorness and red rash of small bumps around injection site  Up to today I still feel soreness in my arm  1 week later
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Dysphagia, Hypoaesthesia oral, Paraesthesia oral, Tongue disorder
Clinical narrative: Pt developed tingling/numb feeling of lips, tongue felt "thick", feeling weird to swallow about 10 minutes after receiving vaccine. Felt dizzy/lightheaded, but attributes alot of this to increased dose of gabapentin, although it did seem worse than before.  She was roomed in clinic and vitals monitored. She had no worsening symptoms and this sensation had resolved within approx 30 min.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, pain and heat at injection site
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema
Clinical narrative: Big red circle on arm around injections site.  Spread longer on arm and became lighter in color over time.  Cleared up after two weeks.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Fatigue, Headache, Myalgia
Clinical narrative: Itching at site, swelling, muscle pains, headache, fatigue, nausea, diarrhea, fever, joint pain, neck pain. I have been taking Tylenol.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Pruritus, Pyrexia, Swelling
Clinical narrative: Itching at site, swelling, muscle pains, headache, fatigue, nausea, diarrhea, fever, joint pain, neck pain. I have been taking Tylenol.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient began experiencing hives on face after vaccine administration. Benadryl 50 mg PO administered. Patient monitored for 30 minutes after administration and hives resolved. No other adverse reactions observed or reported. Patient ambulatory from clinic.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Woke up morning after vaccine injection with fever of 102° Did not immediately respond to Tylenol within first hour. By 12 noon, fever subsided Normal body temperature by 1pm.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Moderna COVID- 19 Vaccine EUA  There is no adverse event at this time.  After the client left, it was discovered that he had a Shingrix on 01/20/2021, 13 days before the Moderna vaccination on 02/02/2021.  He had told staff doing the scheduling the wrong date of the immunization.  The client did call us today.  He did not sign up for V-Safe.  He is not having any side effects from the Moderna immunization.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Hypertension, Muscle spasms, Seizure
Clinical narrative: Patient receive COVID vaccine 1, went to observation area and "jerking upper and lower extremities" after sitting.  Code Assist called, patient was hypertensive at 182/108, with saturations of 100% on RA.  Was transported to Urgent Care in same facility.  By that time, she was alert, appropriate, seemed to have a left facial droop.  Secondary to apparent seizure and hypertension, decision to transport by 911 was made.  Patient did leave the Urgent Care area with paramedics but later decided to go home instead.  She spoke with her primary care provider today, 2/5/21..  At that time patient revealed that she was taking  zonisamide but not keppra, as prescribed
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Injection site reaction, Pyrexia, Rash erythematous, Rash pruritic
Clinical narrative: 9 days after the vaccine, both she and her daughter developed a red pruritic rash at the site of of injection. Fever and chills last night, February 4th.  No shortness of breath. Cool compresses. Cephalexin. otc antihistamines. Go to ER of breathing affected. Follow up with primary care.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose given from partial vial that was under continuous refridgeration at temp of 42 degrees, greater than 6 hours after inital opening.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizzy when standing up, quickly felt better. BP 131/71 (pulse 65, O2 sat 98%), 106/56 (pulse 61, O2 sat 100%). Discharged to home.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral infarction, Cerebrovascular accident, Computerised tomogram head, Hemiparesis, Magnetic resonance imaging brain abnormal
Clinical narrative: unknown if it was moderna or pfizer.  Vaccine administered elsewhere so details are not known to me.  Pt received vaccine on Friday and was admitted to hospital Sunday 1/17 with CVA, right sided weakness.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Fever, headache, body ache - duration approx 18 hours, starting 12 hours after time of vaccination.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis, Feeling abnormal
Clinical narrative: PT had a bloody nose, it resolved quickly, then had a funny sensation in the back of the neck.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Cold sweat, Confusional state, Dizziness, Dysarthria
Clinical narrative: Reports symptoms of severe body aches, migraine type headache, memory loss, nausea, slurred speech, dizziness and vomiting.  Symptoms occurred towards the end of her shift on 2/2.  Called in ill to work on 2/3. Got the COVID-19 Moderna vaccine on Monday.  On Tuesday, symptoms occurred.  As the afternoon progressed, things got worse.  By 4 or 5 PM, had severe nausea and felt dizzy.  Then started having trouble thinking.  Then vomited and had her son pick her up from work.  Didn't go into work yesterday due to symptoms.  States that when son picked her up, she was slurring her speech.  Co-workers said that she seemed as though she was confused.  Son reported that she had difficulty with buckling her seat belt. Son reports that she feel to sleep in the car on the way home.Did not know if she had a fever.  Woke up yesterday morning all clammy and wet.     Did not remember what had happened at work on Tuesday afternoon or after her son picked her up. Her first memory was waking up on Wednesday morning.   Had COVID back in May.   Went into work today. Still feels a little nausea, but other symptoms have resolved.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Migraine, Nausea, Pain, Vomiting
Clinical narrative: Reports symptoms of severe body aches, migraine type headache, memory loss, nausea, slurred speech, dizziness and vomiting.  Symptoms occurred towards the end of her shift on 2/2.  Called in ill to work on 2/3. Got the COVID-19 Moderna vaccine on Monday.  On Tuesday, symptoms occurred.  As the afternoon progressed, things got worse.  By 4 or 5 PM, had severe nausea and felt dizzy.  Then started having trouble thinking.  Then vomited and had her son pick her up from work.  Didn't go into work yesterday due to symptoms.  States that when son picked her up, she was slurring her speech.  Co-workers said that she seemed as though she was confused.  Son reported that she had difficulty with buckling her seat belt. Son reports that she feel to sleep in the car on the way home.Did not know if she had a fever.  Woke up yesterday morning all clammy and wet.     Did not remember what had happened at work on Tuesday afternoon or after her son picked her up. Her first memory was waking up on Wednesday morning.   Had COVID back in May.   Went into work today. Still feels a little nausea, but other symptoms have resolved.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling hot, Injection site erythema, Injection site pain, Loss of consciousness
Clinical narrative: About 18 hours after vaccine, became very hot and felt odd. and fainted.   At day 7 after vaccination, still have 2" of redness around perimeter of vaccination site.  A little tender still but not bothersome.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: BELLS PALSY SYMPTOMS ON LEFT SIDE OF FACE .  Start PredniSONE Tablet, 20 MG, 3 tablets, Orally, Once a day, 7 days, 21 Tablet, Refills 0 Start Valacyclovir HCl Tablet, 1 GM, 1 tablet, Orally, Three times a day, 7 days, 21 Tablet, Refills 0
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Body aches, chills, headache, sweats, sore throat, arm redness, fatigue
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain
Clinical narrative: Body aches, chills, headache, sweats, sore throat, arm redness, fatigue
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Musculoskeletal stiffness, Paraesthesia oral, Pruritus, Throat irritation
Clinical narrative: A few minutes after receiving the Moderna Covid vaccine, Patient reported a flushing feeling in her face along with tingling around her mouth. She was monitored by a RN closely. After five minutes, Patient reported a stiff feeling in her neck and tightening around her throat, as well as a scratchy feeling in her throat. The RN administered 0.3mg epinephrine IM and activated EMS. Patient was transported by ambulance to a local hospital, where she was treated with IV diphenhydramine, solu-medrol and fluids. Patient was discharged from hospital same-day. Patient reported itching and upper-body flushing again the next day (February 4) and was told to go back to the emergency department for evaluation by clinic staff. Treatment at this visit is unknown, but patient did discharge the same-day.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: A few minutes after receiving the Moderna Covid vaccine, Patient reported a flushing feeling in her face along with tingling around her mouth. She was monitored by a RN closely. After five minutes, Patient reported a stiff feeling in her neck and tightening around her throat, as well as a scratchy feeling in her throat. The RN administered 0.3mg epinephrine IM and activated EMS. Patient was transported by ambulance to a local hospital, where she was treated with IV diphenhydramine, solu-medrol and fluids. Patient was discharged from hospital same-day. Patient reported itching and upper-body flushing again the next day (February 4) and was told to go back to the emergency department for evaluation by clinic staff. Treatment at this visit is unknown, but patient did discharge the same-day.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain
Clinical narrative: Fatigue, Headache, sore injection site as of 2/5/2021@1324 PST.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site infection, Injection site mass, Injection site swelling, Pain
Clinical narrative: On the next day had redness and swelling around the injection site.  Painful to move the arm, but that subsided.   Had a pretty big bump on her arm at the injection site.  Still like that on Friday, 2 days later.  Went to her internist and he put her on Zyrtec and Cortisone cream.  She did that until it had nearly subsided which took about a week.  She stopped this treatment, and then 24 hours after that it all returned worse.  She took a picture and sent it to her internist which she saw yesterday, 2/4/21.  He put her on an antibiotic and felt that it could be an infection at the injection site.  He put her on Doxycycline.  He told her to get the 2nd vaccine despite the side effects.   States that she never felt any headache, nausea or internal side effects, just the symptoms at the injection site.  He told her to continue with Zyrtec and Cortisone until the symptoms are gone.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Dysphonia, Electrocardiogram normal, Heart rate increased
Clinical narrative: Palpatations, increased heart rate (double normal resting heart rate), elevated blood pressure, dizziness,  shaky, throat became increasingly sore, voice hoarse.  Treated with 50 mg benedryl and saline IV drip after sitting in the ER waiting room for an hour+   Heart rate returned to 80-90 beats per within 90 minutes, dizziness subsided, throat returned to normal
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Palpitations, Tremor
Clinical narrative: Palpatations, increased heart rate (double normal resting heart rate), elevated blood pressure, dizziness,  shaky, throat became increasingly sore, voice hoarse.  Treated with 50 mg benedryl and saline IV drip after sitting in the ER waiting room for an hour+   Heart rate returned to 80-90 beats per within 90 minutes, dizziness subsided, throat returned to normal
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient passed away within 60 days of receiving a COVID vaccine
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on lower back. Treated with Triamcinolone acetonide cream 0.1%.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Fall, Hyperglycaemia, Mental status changes
Clinical narrative: Patient received dose 1 moderna 12/29/20, and dose 2 moderna 1/25/21.  Admitted to hospital for fall, altered mental status, hyperglycemia on 2/4/21.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Larm at injection site swelled up and very red and painful for 4 days
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: First vaccine was Pfizer on 1-15-21 and 2nd dose was Moderna on 2-5-21
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Apnoeic attack, Blood glucose normal, Blood lactic acid normal, Blood potassium decreased, Chest discomfort
Clinical narrative: During the 15 minute observation period post-vaccination, patient was noted to have hives on her neck. Patient was taken to ER. Arrival Vital Signs were WNL. Patient c/o itching, erythema, swollen tongue, changed voice, breathing "a little tight".  Epinephrine and DuoNeb ordered. Seizure like episode at 02.04.21 at 1240 BP 209/81, HR 111, RR 24, Pulse Ox 100% on 15% Non-rebreather mask, Rectal temp 98.4 ED MD wrote:  "At approximately 12:40pm this afternoon the patient was having what appeared to be a seizure versus severe rigors.  She was not verbally responsive and appeared to be apneic with her head shaking in her arms flailing rigidly in an up and down motion.  Symptoms lasted approximately less than 2 minutes and patient was not postictal.  She was not incontinent.  Blood sugar is in the 180s and her rectal temp is normal.  I believe this patient is having a severe reaction to her moderna vaccine that she received earlier today.  Her 1st vaccine was January 7th and today was her 2nd vaccine for COVID."  Teleneurology consult conducted, no documented recommendations. Patient was transferred to higher level of care.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyskinesia, Dysphonia, Dyspnoea, Erythema
Clinical narrative: During the 15 minute observation period post-vaccination, patient was noted to have hives on her neck. Patient was taken to ER. Arrival Vital Signs were WNL. Patient c/o itching, erythema, swollen tongue, changed voice, breathing "a little tight".  Epinephrine and DuoNeb ordered. Seizure like episode at 02.04.21 at 1240 BP 209/81, HR 111, RR 24, Pulse Ox 100% on 15% Non-rebreather mask, Rectal temp 98.4 ED MD wrote:  "At approximately 12:40pm this afternoon the patient was having what appeared to be a seizure versus severe rigors.  She was not verbally responsive and appeared to be apneic with her head shaking in her arms flailing rigidly in an up and down motion.  Symptoms lasted approximately less than 2 minutes and patient was not postictal.  She was not incontinent.  Blood sugar is in the 180s and her rectal temp is normal.  I believe this patient is having a severe reaction to her moderna vaccine that she received earlier today.  Her 1st vaccine was January 7th and today was her 2nd vaccine for COVID."  Teleneurology consult conducted, no documented recommendations. Patient was transferred to higher level of care.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Seizure like phenomena, Swollen tongue, Tremor, Unresponsive to stimuli
Clinical narrative: During the 15 minute observation period post-vaccination, patient was noted to have hives on her neck. Patient was taken to ER. Arrival Vital Signs were WNL. Patient c/o itching, erythema, swollen tongue, changed voice, breathing "a little tight".  Epinephrine and DuoNeb ordered. Seizure like episode at 02.04.21 at 1240 BP 209/81, HR 111, RR 24, Pulse Ox 100% on 15% Non-rebreather mask, Rectal temp 98.4 ED MD wrote:  "At approximately 12:40pm this afternoon the patient was having what appeared to be a seizure versus severe rigors.  She was not verbally responsive and appeared to be apneic with her head shaking in her arms flailing rigidly in an up and down motion.  Symptoms lasted approximately less than 2 minutes and patient was not postictal.  She was not incontinent.  Blood sugar is in the 180s and her rectal temp is normal.  I believe this patient is having a severe reaction to her moderna vaccine that she received earlier today.  Her 1st vaccine was January 7th and today was her 2nd vaccine for COVID."  Teleneurology consult conducted, no documented recommendations. Patient was transferred to higher level of care.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Vaccination complication, White blood cell count increased
Clinical narrative: During the 15 minute observation period post-vaccination, patient was noted to have hives on her neck. Patient was taken to ER. Arrival Vital Signs were WNL. Patient c/o itching, erythema, swollen tongue, changed voice, breathing "a little tight".  Epinephrine and DuoNeb ordered. Seizure like episode at 02.04.21 at 1240 BP 209/81, HR 111, RR 24, Pulse Ox 100% on 15% Non-rebreather mask, Rectal temp 98.4 ED MD wrote:  "At approximately 12:40pm this afternoon the patient was having what appeared to be a seizure versus severe rigors.  She was not verbally responsive and appeared to be apneic with her head shaking in her arms flailing rigidly in an up and down motion.  Symptoms lasted approximately less than 2 minutes and patient was not postictal.  She was not incontinent.  Blood sugar is in the 180s and her rectal temp is normal.  I believe this patient is having a severe reaction to her moderna vaccine that she received earlier today.  Her 1st vaccine was January 7th and today was her 2nd vaccine for COVID."  Teleneurology consult conducted, no documented recommendations. Patient was transferred to higher level of care.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Fatigue, Headache, Hypoaesthesia
Clinical narrative: Numbness of lips and nose, upper back pain, light headedness, fatigue, soreness at injection site, and headache.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Injection site pain
Clinical narrative: Numbness of lips and nose, upper back pain, light headedness, fatigue, soreness at injection site, and headache.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Eye irritation, Paraesthesia oral, Rash
Clinical narrative: Member developed a rash, starting the evening after receiving the vaccine, first below his waist to his lower extremities,then to his upper torso the next morning. He reported having dizziness,eye irritation along with tongue tingling the following day, prompting a visit at a local walk in clinic. The member was treated with Benadryl which reportedly resolved his symptoms.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Cough, Heart rate, Hypertension, Palpitations
Clinical narrative: c.o. "racing hear and the need to cough" approx. 10 mins after vaccine. feels it may have been from her excitement as she was added on to the clinic at the end of the day and rushed to facility. BP 130/94mmHg, HR 70bpm, no diaphoresis. A&O x3. felt better w/i few mins. husband accompanied her to appt and will drive her home. declined to go to ED. ambulated out w/o assistance.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever, Body aches, chills, fatigue, headache
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Body Aches, chills, headache, light sensitivity, tired, nausea.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Coating in mouth
Clinical narrative: I received the two doses of the Pfizer COVID-19 vaccine. I was given the second dose (2/3/21) three weeks after the first dose (1/13/21). Some time after receiving the first dose, I noticed a subtle but definite strange feeling all around my mouth and tongue, like a "film" over everything. I also noticed a loss of taste. I suffered from anosmia and dysgeusia many years ago, but through medical intervention, I gained back over 90% of smell and 80% of taste. Now I've noticed more loss of taste again, and I don't think it's coincidence that it's happened while getting vaccinated. I just hope that I regain taste (which is only 45-50% now maybe) as time goes by.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure measurement, Chest discomfort, Chest pain, Ear, nose and throat examination, Flushing
Clinical narrative: Face flush and hot Throat, chest burning Slight tightness in throat and chest  Took Benadryl and Pepcid Burning went away before taking benedril in about 45 min. Flush face remained about 2 hrs after taking Benadryl. Tightness in chest subsided after taking Benadryl. Continuing with Benadryl every 6 hrs for 5 days, Pepcid 2x/ day 5 days.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Medical observation, Oxygen saturation, Throat irritation, Throat tightness
Clinical narrative: Face flush and hot Throat, chest burning Slight tightness in throat and chest  Took Benadryl and Pepcid Burning went away before taking benedril in about 45 min. Flush face remained about 2 hrs after taking Benadryl. Tightness in chest subsided after taking Benadryl. Continuing with Benadryl every 6 hrs for 5 days, Pepcid 2x/ day 5 days.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Adverse reaction, Flushing, Throat irritation, Throat tightness
Clinical narrative: Face flush and hot Throat, chest burning Slight tightness in throat and chest  Took Benadryl and Pepcid Burning went away before taking benedril in about 45 min. Flush face remained about 2 hrs after taking Benadryl. Tightness in chest subsided after taking Benadryl. Continuing with Benadryl every 6 hrs for 5 days, Pepcid 2x/ day 5 days.