chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Skin burning sensation, Urticaria
Clinical narrative: On the 2nd day after receiving 1st dose of the vaccination, I developed a small case of hives that developed into blisters on my left foot near my toes.  This issue resolved within a week.    Approximately 2 1/2 weeks after receiving the 1st dose of the vaccination, I began to experience pain and stinging on my right arm and on my head/scalp on the right side.  This developed into a rash within 2 days of the pain, then began to blister behind my ear and on my scalp.  I also started to develop a rash on my back, similar to the issue on my scalp and behind my ear.  The pain and burning was progressing along with the increased presence of blisters,  I went to the Clinic on Friday, April 2, and referred to ER  - and was diagnosed with an outbreak of Shingles.  I was given Valacyclovir HCl to treat the outbreak.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Injection site pain, Skin tightness, Swelling
Clinical narrative: Swelling, redness, pain, shoulder pain, tightness to left arm.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Headache, Pruritus, Pyrexia
Clinical narrative: Woke up early in the morning with a fever of 99.5 (typically temperature is 97.7).  Was extremely fatigued, tired for the next 24 to 48 hours and temp peaked at 100.5.  Took tylenol and by afternoon of April 2nd temp had returned to normal.  Slept almost all day April 1 and much of day April 2nd, too weak to do anything.  On April 2nd developed "Covid arm", a rash spreading across upper arm (slightly itchy, red and hot to the touch).  Had headache down the back of left side of head.  By April 3 returned to normal, just a little tired.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin warm
Clinical narrative: Woke up early in the morning with a fever of 99.5 (typically temperature is 97.7).  Was extremely fatigued, tired for the next 24 to 48 hours and temp peaked at 100.5.  Took tylenol and by afternoon of April 2nd temp had returned to normal.  Slept almost all day April 1 and much of day April 2nd, too weak to do anything.  On April 2nd developed "Covid arm", a rash spreading across upper arm (slightly itchy, red and hot to the touch).  Had headache down the back of left side of head.  By April 3 returned to normal, just a little tired.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Seizure
Clinical narrative: After taking the vaccine on March 19,2021 that same day he had a fever of 105.  8 days after the vaccine was inserted in his arm in March 27, 2021 he got a seziure and was rushed to the hospital.  Today April 5 2021 he got another sezuire and was taken to the hospital.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: fever, headache, body pains, dizzy , tired
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Loud tinnitus on both ears
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Injection site mass, Pyrexia
Clinical narrative: Fever, chills and had a lump and redness where I received vaccine.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Pyrexia
Clinical narrative: Fever up to 102f. General feeling of unwell, tiredness.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: I developed what I believe to be a swollen lymph node on my neck just above my collar bone on the same side of where I received my shot.  It was small after the first dose and became larger and painful after the 2nd dose.  This concerns me.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Throat irritation
Clinical narrative: Patient reported epi-pen level allergy to penicillin in pre-vaccine questions, given 25mg Benadryl po 15 min BEFORE vaccine administerd 12:05pm - Moderna dose#1 given, asked to stay in pharmacy for a minimu on 30 min to monitor for any reaction 12:15pm - patient reported itchy throat 12:38pm - patient reported itchiness gone and feeling fine, patient left pharmacy 1:10pm - patient called pharmacy from home to report "tingling on tongue", patient breathing easily without obstruction, pharmacist advised patient to take another 25mg Benadryl PO and to call 911 if any sign of breathing difficulty or compromised airway occurred 1:29pm - pharmacy called patient to check in, patient reported feeling same and that she had retrieved her epi-pen tohave close by just in case 1:46pm - pharmacy called patient to check in, patient reported benadryl was working and the tingling feeling on tongue was d=fading, airways open and no issues breathing 2:04pm - pharmacy called patient, she was feeling better, no new s/s 2:40pm - pharmacy called patient, she was lseepy from Beandryl but feeling otherwise fine 3:45pm - pharmacy called patient, no tingling on tongue, slight tingling in throat but feelng good overall 4/1/21, 9:12am - pharmacy called patient to see how night went, patient felt normal, slept well and no further issues
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in my ears, especially my left ear. I had no ringing after my first dose, only after my second.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Sleep disorder
Clinical narrative: Intense Left Arm Pain and Swelling lasting more than one week. Pain disrupting sleep and day to day activty.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Rash erythematous
Clinical narrative: One week after first dose of vaccine, patient experienced a red rash around site of injection.   She reported it was approximately 2 inches in diameter and was very itchy.  She took Benadryl for a few days and the rash cleared in approximately 7 days.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID-19 after completing the full Moderna vaccine series, 50 days after 2nd dose.   Patient received 2nd dose of COVID vaccine on 1/27/21 .   Tested positive on 3/18/21.  NOT hospitalized.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Tinnitus
Clinical narrative: Moderate Soreness at the injection site and mild ear ringing in both ears.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered, Interchange of vaccine products, Product dispensing issue
Clinical narrative: At the time of vaccination, the patient expected to receive the Moderna vaccine for dose 1 of COVID-19 vaccination series. The technician administering the vaccine unknowingly mixed pre-filled syringes of both Pfizer and Moderna together in the same container to bring into the vaccination room.  The technician believed she was providing the Moderna vaccine but unknowingly administered 3 total vaccinations before the mix-up was discovered, and 2 doses of Pfizer vaccine were unaccounted when discovered by the pharmacist on duty. All 3 patients within this time frame of 3 vaccinations given were notified that they potentially received the Pfizer vaccine, as there was no way to confirm with certainty using store camera footage which syringe had definitely been used on each patient.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blindness, Cold sweat, Diarrhoea, Dizziness
Clinical narrative: At about 5 pm same day I started getting fever it was 101. I decided to drink some orange juice and when I went to sit back down I started feeling extremely dizzy, I got a very bitter taste in my mouth, my whole body started tingling and my lips and tongue and hands especially started feeling numb.I managed to get to bathroom floor where I grabbed some water and wiped it over my neck but I continued to feel worse where I couldn?t even control what my body was doing and I had diarrhea. The ?snow? in front of my eyes got worse too where I couldn?t almost see anything for over probably 3 minutes and I broke in cold sweat.After the diarrhea I had a very sharp pain in my lower abdomen. That all lasted a few minutes and I didn?t have phone on me and I was alone so I helplessly sat on the floor through it all til I started feeling bit by bit better.The fever continued for 48 hours as well as extreme arm pain for 3 days where I got my vaccine.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Hypoaesthesia, Paraesthesia, Pyrexia
Clinical narrative: At about 5 pm same day I started getting fever it was 101. I decided to drink some orange juice and when I went to sit back down I started feeling extremely dizzy, I got a very bitter taste in my mouth, my whole body started tingling and my lips and tongue and hands especially started feeling numb.I managed to get to bathroom floor where I grabbed some water and wiped it over my neck but I continued to feel worse where I couldn?t even control what my body was doing and I had diarrhea. The ?snow? in front of my eyes got worse too where I couldn?t almost see anything for over probably 3 minutes and I broke in cold sweat.After the diarrhea I had a very sharp pain in my lower abdomen. That all lasted a few minutes and I didn?t have phone on me and I was alone so I helplessly sat on the floor through it all til I started feeling bit by bit better.The fever continued for 48 hours as well as extreme arm pain for 3 days where I got my vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Rash, Urticaria, Wheezing
Clinical narrative: In 24 hours , had rashes/hives on face and neck which were itchy, also had slight wheezing . Contacted pharmacist who advised Benadryl and once I took it symptoms subsided.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Pruritus, Rash
Clinical narrative: In 24 hours , had rashes/hives on face and neck which were itchy, also had slight wheezing . Contacted pharmacist who advised Benadryl and once I took it symptoms subsided.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort
Clinical narrative: Patient was/is breastfeeding and child developed digestive issues. No other changes in diet, habits or environment for occurance other than the vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymph node pain, Lymphadenopathy, Pain, Pain in extremity
Clinical narrative: Sore arm, fatigue, body aches, swollen painful lymph nodes on my left side. Most bothersome lymph nodes under my armpit and near my collar bone and neck.  I?m at day 9 since I had my vaccine and they are still swollen and sore.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Gait disturbance, Impaired driving ability, Vertigo
Clinical narrative: Vertigo, quite severe upon waking. It feels like I'm walking on a boat.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Hypoaesthesia oral, Paraesthesia oral, Vital signs measurement
Clinical narrative: Pt. c/o Numbness and tingling of lips. Having a metallic taste in mouth.   Took allegra 180mg at 2:30pm. Vital signs:  2:15pm 125/90 82 14 O2 96%;  2:30pm 130/90 84 14 O2 97%;  2:45pm 130/82 77  O2 97%;  3:35pm 125/90 78 O2 98%;
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID Test 03/30/2021 with signs and symptoms of COVID.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Ear haemorrhage, Otitis externa
Clinical narrative: Right ear has red blood slowly seeping.  Awake at 1am when it first drained.  Felt like swimmers ear.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: COVID19  arm.  The site and area below injection began aching, swelling, redness  evening of 4/2.   Next day 4/03 the pain, swelling and redness increased, was also warm to touch.   4/4  pain swelling and redness increased.   Today 4/5 decrease in pain, swelling and redness, at the level of 4/03. I am a RN, I have daily photos if interested.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Client was administered her first dose of the COVID-19 Moderna vaccine on2/2021, out of the approved age range of 18 and older. At the time of vaccination, client was 17 years old and 9 months. A second dose was administered on 3/20/21. When entering information into registry, the health professional staff recognized the error. To our knowledge, client did not experience any adverse reactions.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: Patient and his wife came a week too early for 2nd covid vaccine. First dose was given on 3/10/21 and second dose on 3/24.  Patient states he had been scheduled to receive vaccine through Health as well.  Patient was scheduled with  health on 3/10 and 3/31. Patient stated was able to get him in on 3/31 but had called him to say they were able to get him in a week early on 3/24 and patient thought it was us calling so came to health for 2nd dose.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Vomiting
Clinical narrative: Diarrhea, vomiting, chills I just let it run it?s course.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Headache, Injection site rash, Injection site swelling
Clinical narrative: After 8 days a red, swollen, itchy rash/welt appeared at the injection site. Headache and fatigue were experienced the day after the welt appeared. As of time of report the affected area is approximately 1.5" in diameter.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: After 8 days a red, swollen, itchy rash/welt appeared at the injection site. Headache and fatigue were experienced the day after the welt appeared. As of time of report the affected area is approximately 1.5" in diameter.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose, Eye movement disorder, Hyperhidrosis, Loss of consciousness, Vital signs measurement
Clinical narrative: Patient suddenly became diaphoretic eyes rolled back in head, almost passed out . Onsite EMS was called vitals HR 42 BP 95/59 98% O2  refused glucose check. Patient felt better and reluctantly was transported to local hospital. No reaction to 1st vaccine on 3/12/21
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Injection site pain, Pain, Pain in extremity
Clinical narrative: Started off with very sore arm at injection with body pain and now 5 days later my hands, feet back of neck are very painful. Swollen fingers, hard to walk due to pain.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site pain, Nausea, Pyrexia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Injection site pain, tiredness, joint pain, fever (mild), nausea
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Flushing, Myalgia
Clinical narrative: One week after receiving vaccine started to begin having chills, extreme muscle and joint aches, flushing of face
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site inflammation, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: One week after receiving the vaccine, a dollar coin sized rash appeared at the injection site. It is red, inflamed, itchy, and hot to the touch. It has been 3 days and the rash has not yet resolved. Hydrocortisone cream helps relieve itching, but the swelling and color is the same as it was when it first appeared.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: One week after receiving the vaccine, a dollar coin sized rash appeared at the injection site. It is red, inflamed, itchy, and hot to the touch. It has been 3 days and the rash has not yet resolved. Hydrocortisone cream helps relieve itching, but the swelling and color is the same as it was when it first appeared.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Allergic itching all throughout body for 2-3 days
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Headache, Injection site pain, Pyrexia, Tachycardia
Clinical narrative: Injection site soreness (+3 hrs), High fever (+12 hrs), Headache (+12 hrs), AFIB (+22 hrs), Tachycardia (+22 hrs)
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Feeling abnormal, Headache, Injection site rash
Clinical narrative: headache, trouble breathing. unable stay awake, nausea,  large raised red patch 2 to 3 inches in diameter at injection site, swollen lymph nodes throat. brain fog, fever, chills. unable to perform daily tasks
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Lymphadenopathy, Nausea, Pyrexia, Rash papular
Clinical narrative: headache, trouble breathing. unable stay awake, nausea,  large raised red patch 2 to 3 inches in diameter at injection site, swollen lymph nodes throat. brain fog, fever, chills. unable to perform daily tasks
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: headache, trouble breathing. unable stay awake, nausea,  large raised red patch 2 to 3 inches in diameter at injection site, swollen lymph nodes throat. brain fog, fever, chills. unable to perform daily tasks
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Pyrexia
Clinical narrative: Low grade fever 99.9 for 24 hours, site pain down to elbow, body aches for 24 hours
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Pain, Pyrexia, Somnolence
Clinical narrative: Fever, chills, weakness, sore, Tylenol and sleep
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Diarrhoea, Dyspnoea, Nausea
Clinical narrative: 81 years old woman with PMH of Anemia, CAD s/p CABG, Carotid stenions, CHF with EF 30%, COPD, DM, HLD, HTN, who presented to the ED with chief complaint of increase SOB over the last 5-6 days. The SOB got worse with exertion. Pt stated that she was using O2 only at the weekend but now she required O2 all the time. The associated symptoms wheezing, SOB,  productive cough with yellow sputum, nausea, chills, fever, and diarrhea. Pt stated that she been having 6 episodes of diarrhea per days. Pt denied having any vomiting, chest pain, abd pain. Pt stated that she tested positive for Covid on 3/23/21.     Per chart review, patient had 1st COVID 19 vaccine on 03/04/2021, tested positive for COVID 19 on 03/24/2021.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Pyrexia, SARS-CoV-2 test positive, Sputum discoloured, Wheezing
Clinical narrative: 81 years old woman with PMH of Anemia, CAD s/p CABG, Carotid stenions, CHF with EF 30%, COPD, DM, HLD, HTN, who presented to the ED with chief complaint of increase SOB over the last 5-6 days. The SOB got worse with exertion. Pt stated that she was using O2 only at the weekend but now she required O2 all the time. The associated symptoms wheezing, SOB,  productive cough with yellow sputum, nausea, chills, fever, and diarrhea. Pt stated that she been having 6 episodes of diarrhea per days. Pt denied having any vomiting, chest pain, abd pain. Pt stated that she tested positive for Covid on 3/23/21.     Per chart review, patient had 1st COVID 19 vaccine on 03/04/2021, tested positive for COVID 19 on 03/24/2021.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I developed severe tinnitus following my second dose and it has not subsided.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling, Pruritus, Skin reaction, Swelling
Clinical narrative: Initially, upper right arm swelled.  Within 36 hours following vaccine administration, every site of bee stings received over the past 10+ years-- on the right side only --swelled or itched or both, as though I had just gotten the same sting in the same location (I am a beekeeper, so had about 10 sites on the right side).  Prior sting sites on the left side did not react. [After the first vaccine dose, these same sites had, at intervals, felt like the "pinch" of the initial sting over the 48 hours following the vaccine] Now, 48 hours post 2nd dose, most of the sites have cleared and the itch has ceased completely.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, COVID-19, Chest X-ray, Humerus fracture
Clinical narrative: Chief Complaint   Pt reports increased weakness today, unable to get out of bed. Also increased left arm pain from a fall weeks ago. No recently fall or injury in last 24 hours.  History of Present Illness    A very pleasant 75yo M who presents to the ED today for evaluation of weakness and left arm pain. He reports that about a month ago, he tripped over his dog and fell, hitting his left shoulder against the box spring on his bed. At the time, he reports he did not have pain in the shoulder, but did have low back pain. He went to his PCP's office on 3/16/21 for evaluation and was not having left shoulder pain at that time; an XR of the lumbar spine was performed which revealed chronic degenerative changes. He was prescribed tramadol and went to PT. Since then, he reports progressive pain in the left shoulder, and gradual loss of mobility in the left shoulder. He also has some swelling in his left hand and wrist. Denies numbness or tingling in the left arm. Today, he was more weak than he has been, and was unable to get up out of bed, so called EMS for assistance. He denies chest pain, dyspnea, cough, headache, lightheadedness or dizziness, nausea, vomiting, abdominal pain, diarrhea, constipation, recent illness. Reports he has been eating and drinking normally.   His medical history is significant for diabetes mellitus type II, depression, hypothyroidism, hyperlipidemia, OSA on CPAP, morbid obesity with BMI 44, history of PE in 2013 after hernia surgery that was treated with warfarin x 1 year, and history of PSVT s/p ablation in 2013. He received the second dose of his COVID-19 vaccination about a week ago. He tells me he lives at home with his wife, and uses a walker for ambulation for about the past month or so, at the insistence of his daughter after his gait has become increasingly unsteady.   In the ED today, XR of the left shoulder revealed a displaced proximal left humerus fracture. CXR is negative for acute process. Incidentally, he tested positive for COVID-19 today. He is not hypoxic.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Intervertebral disc degeneration, Joint range of motion decreased, Joint swelling, Mobility decreased, Pain in extremity
Clinical narrative: Chief Complaint   Pt reports increased weakness today, unable to get out of bed. Also increased left arm pain from a fall weeks ago. No recently fall or injury in last 24 hours.  History of Present Illness    A very pleasant 75yo M who presents to the ED today for evaluation of weakness and left arm pain. He reports that about a month ago, he tripped over his dog and fell, hitting his left shoulder against the box spring on his bed. At the time, he reports he did not have pain in the shoulder, but did have low back pain. He went to his PCP's office on 3/16/21 for evaluation and was not having left shoulder pain at that time; an XR of the lumbar spine was performed which revealed chronic degenerative changes. He was prescribed tramadol and went to PT. Since then, he reports progressive pain in the left shoulder, and gradual loss of mobility in the left shoulder. He also has some swelling in his left hand and wrist. Denies numbness or tingling in the left arm. Today, he was more weak than he has been, and was unable to get up out of bed, so called EMS for assistance. He denies chest pain, dyspnea, cough, headache, lightheadedness or dizziness, nausea, vomiting, abdominal pain, diarrhea, constipation, recent illness. Reports he has been eating and drinking normally.   His medical history is significant for diabetes mellitus type II, depression, hypothyroidism, hyperlipidemia, OSA on CPAP, morbid obesity with BMI 44, history of PE in 2013 after hernia surgery that was treated with warfarin x 1 year, and history of PSVT s/p ablation in 2013. He received the second dose of his COVID-19 vaccination about a week ago. He tells me he lives at home with his wife, and uses a walker for ambulation for about the past month or so, at the insistence of his daughter after his gait has become increasingly unsteady.   In the ED today, XR of the left shoulder revealed a displaced proximal left humerus fracture. CXR is negative for acute process. Incidentally, he tested positive for COVID-19 today. He is not hypoxic.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling, SARS-CoV-2 test positive, Spinal X-ray abnormal, X-ray limb abnormal
Clinical narrative: Chief Complaint   Pt reports increased weakness today, unable to get out of bed. Also increased left arm pain from a fall weeks ago. No recently fall or injury in last 24 hours.  History of Present Illness    A very pleasant 75yo M who presents to the ED today for evaluation of weakness and left arm pain. He reports that about a month ago, he tripped over his dog and fell, hitting his left shoulder against the box spring on his bed. At the time, he reports he did not have pain in the shoulder, but did have low back pain. He went to his PCP's office on 3/16/21 for evaluation and was not having left shoulder pain at that time; an XR of the lumbar spine was performed which revealed chronic degenerative changes. He was prescribed tramadol and went to PT. Since then, he reports progressive pain in the left shoulder, and gradual loss of mobility in the left shoulder. He also has some swelling in his left hand and wrist. Denies numbness or tingling in the left arm. Today, he was more weak than he has been, and was unable to get up out of bed, so called EMS for assistance. He denies chest pain, dyspnea, cough, headache, lightheadedness or dizziness, nausea, vomiting, abdominal pain, diarrhea, constipation, recent illness. Reports he has been eating and drinking normally.   His medical history is significant for diabetes mellitus type II, depression, hypothyroidism, hyperlipidemia, OSA on CPAP, morbid obesity with BMI 44, history of PE in 2013 after hernia surgery that was treated with warfarin x 1 year, and history of PSVT s/p ablation in 2013. He received the second dose of his COVID-19 vaccination about a week ago. He tells me he lives at home with his wife, and uses a walker for ambulation for about the past month or so, at the insistence of his daughter after his gait has become increasingly unsteady.   In the ED today, XR of the left shoulder revealed a displaced proximal left humerus fracture. CXR is negative for acute process. Incidentally, he tested positive for COVID-19 today. He is not hypoxic.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: General aches, low grade fever, chills,  headache
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion, Dizziness, Fall, Fatigue, Injection site erythema
Clinical narrative: Red and sore at injection site - by next day April 2, 2021 Fatigue - by next day April 2, 2021 Nausea - by next day, though not the worst symptom which was next morning  Extremely light-headed, woozy and collapsed - fortunately on rug and though bruised on face and sore neck did not break anything (April 3, 2021 at about 8:00 am - second day after shot
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Nausea, Neck pain
Clinical narrative: Red and sore at injection site - by next day April 2, 2021 Fatigue - by next day April 2, 2021 Nausea - by next day, though not the worst symptom which was next morning  Extremely light-headed, woozy and collapsed - fortunately on rug and though bruised on face and sore neck did not break anything (April 3, 2021 at about 8:00 am - second day after shot
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: 3:00am 4/2/21 (14 hours after shot): fever 99.9 and muscle and joint pain which continued for approximately 24 hours after onset  8:00pm 4/5/21 (4 days after shot) extreme swelling, rash, and pain at/below injection site. Skin hot to the touch. Ongoing.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: 3:00am 4/2/21 (14 hours after shot): fever 99.9 and muscle and joint pain which continued for approximately 24 hours after onset  8:00pm 4/5/21 (4 days after shot) extreme swelling, rash, and pain at/below injection site. Skin hot to the touch. Ongoing.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: severe cramps  has not stopped
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: See SOAP NOTE
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Facial paresis, Hypoaesthesia, Vital signs measurement
Clinical narrative: See SOAP NOTE
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Headache, Myalgia, Nausea, Pain
Clinical narrative: ALL OVER BODY ACKES /MUSCLES/JOINTS AND HEAD. SOME NAUSIA
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Dyspepsia, Intestinal resection, Small intestinal obstruction, Vomiting
Clinical narrative: Developed indigestion symptoms (stomach aches, vomiting) over night, hospitalized with small bowel obstruction on March 20,  2021,  ended up having  bowel resection surgery March 29th.    No previous history of bowel obstructions or digestive issues.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Blood test, Dyspepsia, Malaise, Small intestinal obstruction
Clinical narrative: Developed indigestion symptoms (stomach aches, vomiting) over night, hospitalized with small bowel obstruction on March 20,  2021,  ended up having  bowel resection surgery March 29th.    No previous history of bowel obstructions or digestive issues.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting, X-ray
Clinical narrative: Developed indigestion symptoms (stomach aches, vomiting) over night, hospitalized with small bowel obstruction on March 20,  2021,  ended up having  bowel resection surgery March 29th.    No previous history of bowel obstructions or digestive issues.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Soreness at injection site started around 6 hours after the shot was administered. Lasted for about 36 hours.  Used ice, massage, and did some light arm stretches.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage, Vaginal haemorrhage
Clinical narrative: Abnormal Vaginal Bleeding
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, Pain, Rotator cuff syndrome
Clinical narrative: About 12 hours after receiving vaccine the left arm was immobile. Could not lift or move the arm without use of the right arm. There was severe pain in the shoulder joint. One month after the vaccine the left shoulder joint remains painfully impinged and has decreased mobility
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Lethargy, Mental impairment, Paranoia, Photophobia
Clinical narrative: voices, paranoia, anxious, difficulty thinking and processing thoughts, light sensitivity, very lethargic
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Intertrigo, Rash, Rash pruritic
Clinical narrative: He states eight days after he received his first COVID vaccine he broke out in a itchy rash on both arms, around his waist and groin area, chest, and abdomen as well as his left ankle area.  He states he was working in his yard on Saturday, 03/27/2021. but states he didn't come in contact with any poison ivy that he is aware of.  He states he has been taking Benadryl and Claritin OTC. He was prescribed a steroid dose pack for the itching today, 04/05/2021. He called VAERS on 04/05/2021,  and left a message for them to call him back.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Anxiety, Depression, Fatigue, Headache
Clinical narrative: After 45 minutes I started getting a mild allergic reaction. I know this because my upper lip started tingling and it swelled a little bit. The next day I had a headache and my left arm hurt. Friday I started feeling like I was going to get a cold but no headache. Saturday I didn?t feel so bad but that night to Sunday morning I got a migraine, depression, and anxiety. Sunday I had a migraine the entire day. Today I feel extremely tired.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Lip swelling, Migraine, Nasopharyngitis, Pain in extremity
Clinical narrative: After 45 minutes I started getting a mild allergic reaction. I know this because my upper lip started tingling and it swelled a little bit. The next day I had a headache and my left arm hurt. Friday I started feeling like I was going to get a cold but no headache. Saturday I didn?t feel so bad but that night to Sunday morning I got a migraine, depression, and anxiety. Sunday I had a migraine the entire day. Today I feel extremely tired.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia, Vomiting
Clinical narrative: Patient received Pfizer (EM9810) vaccine, while in observation for 15 minutes she began to feel paresthesia in LD. Five minutes after that she also began to feel nausea, no vomiting. Patient remained in observation for additional 15mins. Benadryl 25mg P.O was provided and patient stated she began to feel better 10 minutes after taking Benadryl. She noted feeling better when face mask was off.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash around the injection site
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Rash
Clinical narrative: rash all over     heart racing       lasted 3 days
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Breast feeding, Vaginal haemorrhage
Clinical narrative: I had vaginal spotting and bleeding after BOTH doses.  After my first shot I had one day of bleeding,  and after this 2nd shot, I am on day 4 of vaginal spotting and bleeding.  This is concerning because I just had a baby in January, I am currently breastfeeding, and due to my PCOS, I rarely have periods in general.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chills, Condition aggravated, Headache, Pain
Clinical narrative: Excruciating headache for first 10 hours,  headache still lingered  on moderately for 4 days after shot; chills, body ache, skin sensitive to the touch, secondary anxiety due to the symptoms being present lasted 10 hours. treated all symptoms with Tylenol and Motrin.  Arm is still sensitive 5 days later but tolerable.  *Seems that if a person with a headache disorder gets the shot, this may be the biggest challenge to combat, in my opinion, and that should be made more aware to public.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Sensitive skin
Clinical narrative: Excruciating headache for first 10 hours,  headache still lingered  on moderately for 4 days after shot; chills, body ache, skin sensitive to the touch, secondary anxiety due to the symptoms being present lasted 10 hours. treated all symptoms with Tylenol and Motrin.  Arm is still sensitive 5 days later but tolerable.  *Seems that if a person with a headache disorder gets the shot, this may be the biggest challenge to combat, in my opinion, and that should be made more aware to public.
Age: 22.0
Sex: F
Vaccine: UNK
Symptoms: Burning sensation, Eye swelling, Lip swelling, Peripheral swelling, Pruritus
Clinical narrative: Severe outbreak in hives covering most of skin on body, causing swelling in finger, on neck, around eyes and lips, and severe itching and burning for four days nonstop and not able to be contained with over the counter antihistamines. Hives continued 10 days after vaccine though in lesser severity than when at the height of the reaction days 2-5 after receiving vaccine.
Age: 22.0
Sex: F
Vaccine: UNK
Symptoms: Skin burning sensation, Swelling, Urticaria
Clinical narrative: Severe outbreak in hives covering most of skin on body, causing swelling in finger, on neck, around eyes and lips, and severe itching and burning for four days nonstop and not able to be contained with over the counter antihistamines. Hives continued 10 days after vaccine though in lesser severity than when at the height of the reaction days 2-5 after receiving vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nasal congestion, Oropharyngeal discomfort
Clinical narrative: Stuffy nose, scratchy throat, headache
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Janssen COVID-19 Vaccine EUA
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: axillary lymphadenopathy
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Wrong technique in product usage process
Clinical narrative: Jansen COVID-19 Vaccine EUA   ENDED UP IN ER ON 4/4/2021 due to severe allergic reaction at injection sight and unbearable pain. Discovered by doctors that a nerve was hit at injection sight and that the shot was done too low in my arm.  Very hot to touch and swelling as well.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatitis C RNA, Hepatitis C antibody negative, Hepatitis C antibody positive
Clinical narrative: Donated blood on 2/10/2021 . Received letter in March advising that I tested positive for Hep C antibody. No known recent exposure to any blood or other infectious agents. Tested negative for Hep C antibody in November 2020 after blood donation. Concern for crossreactivity of SARS-CoV-2 vaccine antibody with Hep C antibody on ELISA test.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Fever, chills, body soar , fatigue
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Pain, Pyrexia
Clinical narrative: Body aches, headache, severe chills, fever up to 101, light headed/dizzy all started about 12 hours after injection.  The most significant side effects subsided within 12 - 15 hours after onset (about 24 - 27 hours after the inection.   dull headache and light headed feeling went away about 36 hours after injection.  No medical treatment was sought.  I took two Advil on Friday morning (injection was 11:15 am Thursday), but did not take more because I read an article that suggested taking Advil and similar medications could negatively affect the anti body production.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular, Superovulation
Clinical narrative: I got my shots about two and a half weeks apart, just to give some context. After both shots I felt a great hormonal shift and got my period two days after. It was not due either time. I also ovulated heavily between both shots. Totally unusual for me. My cycle is now totally messed up.   *First Shot: Felt hormonal and got my period two days after (it was not due for a couple of weeks and I'm usually pretty regular). *Just days after my period ended I ovulated heavily for days. Also very unusual and off schedule.  *Second Shot only two and a half weeks after the first shot and sure enough two days later I am having a heavy period again.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Pain in extremity, Pyrexia
Clinical narrative: Chills, fever, diarrhea, sore arm
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Sensation of foreign body
Clinical narrative: Patient was wheeled to observation area at 1415. States she started to feel a lump in her throat. VS at 1418 168/102 100% O2 Sat HR 80 bpm. 20 RR. Denies SOB, chest pain, and or difficulty breathing. Lung sounds are clear. States she took her own 25 mg Benadryl prior to coming in due to typically feeling in lump of throat after vaccines. VS at 1425 156/102, 98% O2 sat, HR 68, RR 18. Patient decides to take an additional 25 mg of Benadryl while in observation. Patient states she is having mild anxiety. Talks in full complete sentences. 10 mins after 2md dose of Benadryl patient states the lump is going away and feels much better. Pt was advised to seek medical care if she starts having  SOB, difficulty breathing or throat swelling to seek medical care.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: I had an appt at drug store. My appt was at 1:30 pm, I was there 15 minutes previous. I felt totally unsafe. I haven?t been in anywhere a restaurant nothing in a year and a half. I waited an hour and a half I didn?t get my vaccine till 3 o?clock. I waited in lines like I was in a theme park they did have markers on the floor but it was line and then unseen line and then unseen line and then unseen line before I got up. All other vaccine places have you wait outside until it?s your turn. I felt really unsafe in this environment it was not well thought out. Again I felt unsafe
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Grunting, Hyperhidrosis, Pallor, Slow response to stimuli, Tremor
Clinical narrative: At approximately 0945 this nurse witnessed patient sitting in the observation area with her head tilted to the left side and her body leaning to the left. The medical assistant was with her holding her body up. Her eyes were closed and she had no color to her face and lips. She was not able to respond to questions being asked. As her head was shaking she was making grunting noises. She was diaphoretic and tremulous. This episode lasted for approximately 60 seconds. Pt then opened her eyes and was able to respond to questions asked but with a delayed response. Pt was moved to the stretcher to lay down. Her color came back to her lips and her blood pressure improved. She was responding to questions appropriately. Pt was diaphoretic for approximately 10 minutes. Ice packs and water were provided. Pt was observed by the medical assistant for 30 minutes. Her HOB was elevated gradually until she was able to dangle her feet and sit on the side of the stretcher.  Pt stated that she was feeling better and was ready to go be with her roommate.    Vital signs were taken and BP 91/54, HR 70, O2 97%.  At 0952 HR was 62. 1005 BP 102/67, HR 57 O2 99%.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: At approximately 0945 this nurse witnessed patient sitting in the observation area with her head tilted to the left side and her body leaning to the left. The medical assistant was with her holding her body up. Her eyes were closed and she had no color to her face and lips. She was not able to respond to questions being asked. As her head was shaking she was making grunting noises. She was diaphoretic and tremulous. This episode lasted for approximately 60 seconds. Pt then opened her eyes and was able to respond to questions asked but with a delayed response. Pt was moved to the stretcher to lay down. Her color came back to her lips and her blood pressure improved. She was responding to questions appropriately. Pt was diaphoretic for approximately 10 minutes. Ice packs and water were provided. Pt was observed by the medical assistant for 30 minutes. Her HOB was elevated gradually until she was able to dangle her feet and sit on the side of the stretcher.  Pt stated that she was feeling better and was ready to go be with her roommate.    Vital signs were taken and BP 91/54, HR 70, O2 97%.  At 0952 HR was 62. 1005 BP 102/67, HR 57 O2 99%.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Headache
Clinical narrative: I had the vaccine on 4/2. On 4/3 I had all the typical symptoms of weakness, chills, headache, nausea, tired, aches in the body, and fever that lasted all day.  It went to 104 and I was sweating down my face without doing any activity.  Around 3 am on 4/4 I was so dizzy and nauseas that I finally was able to vomit and I was able to sleep.  When I woke again the fever was gone.  The headache lasted well into the afternoon, but all other symptoms were gone.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: I had the vaccine on 4/2. On 4/3 I had all the typical symptoms of weakness, chills, headache, nausea, tired, aches in the body, and fever that lasted all day.  It went to 104 and I was sweating down my face without doing any activity.  Around 3 am on 4/4 I was so dizzy and nauseas that I finally was able to vomit and I was able to sleep.  When I woke again the fever was gone.  The headache lasted well into the afternoon, but all other symptoms were gone.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: after taking i didn't feel anything until about 2am Sunday morning when i woke up to use the restroom. i noticed something was running out my nose and i thought i was having a snort running down my nose which was suppring to me because i had not be sneezing or nothing, when i turned on the light to wash my hands after using, i found it was blood that was running down my right nose, i wiped it, took benedry and tylenol and went back to sleep. It didn't happen again until today morning again 4/5/2012 @ 7.10am when i went to use the restroom again and noticed my nose running again and it was blood running down my nose. before this, i have never had a situation where blood runs down my nose until now.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor, Syncope, Vital signs measurement
Clinical narrative: Experienced syncopal episode while seated in chair at Exit station after receiving first dose of Pfizer COVID 19 Vaccine.  Patient was found to be pale, diaphroretic and + LOC.  Was transferred to cot and surrounded by privacy screen. 18:10 118/60 HR 70 95% SpO2.  Cold packs were provided to back of neck and forehead. In addition water and snack were provided when return to full consciousness was achieved.   Was observed for an additional 30 mins.  Full resolution of symptoms.  18:30 140/88 HR 60 98% SpO2.  No further incident occurred and patient was released to significant other and told to call 911 if symptoms worsened.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Dyspnoea, Hypoxia
Clinical narrative: Patient is a 71 year old male with a PMH significant for COPD, Hep C, HTN, and PE presents for worsening sob since last wed. He reports that he received his Covid vaccination last week but does not think that the two are causally related.  He denies fevers but reports chills.  No loss of taste or smell but decreased appetite.  No diarrhea.  He does have a history of COPD but no reported home oxygen use.  Slightly hypoxic in ED.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Patient was diagnosed with Shingles on April 4, 2021 by PCP
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Chills, Injection site pain, Lymphadenopathy
Clinical narrative: Lymph node swelling as large as an egg. Pain in underarm and shoulder, neck area as well as injection site in arm. Fever, chills, muscle aches. Started within 24 hours. Lasted more than 72 hours. Lymph node is still swollen.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Neck pain, Pyrexia
Clinical narrative: Lymph node swelling as large as an egg. Pain in underarm and shoulder, neck area as well as injection site in arm. Fever, chills, muscle aches. Started within 24 hours. Lasted more than 72 hours. Lymph node is still swollen.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Nausea, Pain
Clinical narrative: The achiness and pain left me unable to get out of bed for 24 hours.  It was, honestly, the worst amount of pain I have ever experienced with a vaccine.  I got the vaccination around 10:15am and it was around midnight that the full effect hit me.  The pain was unbearable for 4-6 hours.  Then I was strong enough to get up to go to the bathroom for a Tylenol; it barely made a difference.   The nausea is so bad that, as I write, I still can't get myself to overcome the feeling to get something to eat.  I'm feeling a bit hungry but the nausea is stronger.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Muscular weakness, Nausea
Clinical narrative: Leg muscle weakness, intermittent headaches, nausea. All for about 24 hours starting the morning of 4/4/21.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Myalgia, Pyrexia
Clinical narrative: Fever, Dizzy, Soreness, Tired
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: Patient received 2nd covid vaccine a week too early. See write up.