chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Throat tightness
Clinical narrative: 5 minutes after the shot, pt started to complained of tightness in the throat and difficulty breathing, EpiPen was administer and 911 was called for the patient.  patient is now recovering in the hospital.  Doctor believes that effect is psychosomatic.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Facial paralysis, Facial paresis, Magnetic resonance imaging
Clinical narrative: Mild Bells Palsey -  Droopy left eye,   weak left side of mouth
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: Mild Bells Palsey -  Droopy left eye,   weak left side of mouth
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Bradyphrenia, Fatigue, Headache, Pain, Rhinorrhoea
Clinical narrative: Significant Fatigue; headache; runny nose; slower cognition. Aches and pains,
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling hot, Hyperhidrosis, Pallor
Clinical narrative: My daughter became very dizzy,  pale, and hot (sweating through her clothing) almost passing out after receiving her first dose . Paramedics were called, vitals taken, and she was taken to an observation area. She started to feel a bit better after about 15 minutes.  She was observed by paramedics and a nurse for another 30 mins and we were able to leave and go home. At home she was exhausted the remainder of the night.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: My daughter became very dizzy,  pale, and hot (sweating through her clothing) almost passing out after receiving her first dose . Paramedics were called, vitals taken, and she was taken to an observation area. She started to feel a bit better after about 15 minutes.  She was observed by paramedics and a nurse for another 30 mins and we were able to leave and go home. At home she was exhausted the remainder of the night.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Having severe left arm pain which is affecting activates of daily living.  Site of injection is not red or swollen, but I cannot lift my arm or sleep on my left side without pain. I have been treating with acupuncture and advil.
Age: 31.0
Sex: M
Vaccine: UNK
Symptoms: Ageusia, Anosmia
Clinical narrative: Slight loss of smell/ taste
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Pruritus
Clinical narrative: Rash appeared and skin was raise around injection site after 7 days. Mildly itchy. No pain.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Feeling abnormal, Hyperhidrosis, Lethargy
Clinical narrative: I experienced a stomach ache first, then feeling of nasuea, dizziness, severe sweating for approximately 15 minutes on Feb 27th.  The  sx then went away except for the stomach aches for a few hours afterwards.  Yesterday and today I have experienced feelings of lethargy, fogginess, stomach ache, sore throat, stomach ache and nasal congestion which have faded in an out throughout the day.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nausea, Oropharyngeal pain
Clinical narrative: I experienced a stomach ache first, then feeling of nasuea, dizziness, severe sweating for approximately 15 minutes on Feb 27th.  The  sx then went away except for the stomach aches for a few hours afterwards.  Yesterday and today I have experienced feelings of lethargy, fogginess, stomach ache, sore throat, stomach ache and nasal congestion which have faded in an out throughout the day.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site rash
Clinical narrative: Red, raised, hard, itchy circle around injection site.  Started one day after injection.  Went away and came back one week after injection.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Myalgia, Pain in extremity
Clinical narrative: Sore arm, chills, tired, muscle aches occurred approximate 22 hours after the injection.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling hot, Headache, Nausea, Pain
Clinical narrative: A few hours after vaccine my arm hurt severely.  The following day (March 3, 2021) I had a severe headache, nausea, ear ringing, body ache, arm pain, chills and then felling hot. Today, I still had the headache until noon time it finally went away.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Tinnitus
Clinical narrative: A few hours after vaccine my arm hurt severely.  The following day (March 3, 2021) I had a severe headache, nausea, ear ringing, body ache, arm pain, chills and then felling hot. Today, I still had the headache until noon time it finally went away.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Genital herpes
Clinical narrative: Genital herpes outbreak that began in the evening after receiving the Moderna vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Fever, headache, nausea, chills, body aches lasted about 12 hours. Then fatigue for another 12 hours.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, headache, nausea, chills, body aches lasted about 12 hours. Then fatigue for another 12 hours.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Rash papular
Clinical narrative: Red, raised, itchy rash at site of injection approximately 2? in diameter
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: I felt immediate pain and soreness in left arm at injection site after injection. It is now day 3 after the injection and the area around my injection measuring about 5cmX6cm is palpably swollen, not erythematous, tender to touch, and itchy . I have put topical triamcinolone ointment that I use for eczema on the site to hopefully help with the itching and swelling. I have also taken Zyrtec.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral
Clinical narrative: Lips and tongue are numb
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Pyrexia
Clinical narrative: Had fever  headache, dizziness, week and tired ness
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling
Clinical narrative: not sure if related. having acute swelling near left knee. after reading side effects include joint swelling decided to report. planning to see a doctor tomorrow to see what they think.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Rash erythematous, Rash pruritic
Clinical narrative: Red, itchy rash, hard spot adjacent to injection site.  Approximately four inches in diameter.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Cough, Dizziness, Fatigue, Headache
Clinical narrative: Moderna COVID-19 Vaccine.  30 minutes post injection: pain at injection site, burning.  3 hours post-injection: fatigue, 99*F body temperature.  6 hours post-injection: nose and chest congestion, deep coughing.  8 hours post-injection: 100.7* fever, dizziness, restlessness, anxiety, headache. 24 hours post-injection: headache, coughing, rhinitis, sore throat, congestion.  Congestion, rhinitis, coughing continued until 72 hours post-injection.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nasal congestion, Oropharyngeal pain, Pulmonary congestion, Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine.  30 minutes post injection: pain at injection site, burning.  3 hours post-injection: fatigue, 99*F body temperature.  6 hours post-injection: nose and chest congestion, deep coughing.  8 hours post-injection: 100.7* fever, dizziness, restlessness, anxiety, headache. 24 hours post-injection: headache, coughing, rhinitis, sore throat, congestion.  Congestion, rhinitis, coughing continued until 72 hours post-injection.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Restlessness, Rhinitis
Clinical narrative: Moderna COVID-19 Vaccine.  30 minutes post injection: pain at injection site, burning.  3 hours post-injection: fatigue, 99*F body temperature.  6 hours post-injection: nose and chest congestion, deep coughing.  8 hours post-injection: 100.7* fever, dizziness, restlessness, anxiety, headache. 24 hours post-injection: headache, coughing, rhinitis, sore throat, congestion.  Congestion, rhinitis, coughing continued until 72 hours post-injection.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling and red at the injection site with itching and minor pain. Ninth day after injection. Putting ice and antihistamine itch cream. Don?t know the outcome at this moment.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Palpitations, Tremor
Clinical narrative: Heart palpitations; shortness of breath; dizziness; hands shaken. Events lasted about 3 minutes. Then disappeared. They checked my blood pressure and it was elevated 155/110. High blood pressure remained for 2 days.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia
Clinical narrative: I had the vaccine on 2/16. On 2/22 at 5:30 pm  I suddenly started having double vision. I saw an eye doctor that evening. I had no face drooping. I had not headache or muscle weakness and my pupils were the same size. If I covered one eye (did not matter which one) the double vision was not present. The next morning 2/23 I woke up with no double vision but throughout the day it came back a few times but resolved each time.  I went to Medical Center on 2/2 and had a complete exam. So far all labs have come back in normal range. I have tracked my blood pressure twice a day since this happened.  BP is great   I am a very healthy person.  Exercise daily. The only thing different in my life is having the vaccine dose. It was my first dose.   The double vision seems to be resolving more and more each day. Happening less and shorter episodes. My eyes have been check by medical extensively on 2/2. They cannot find a reason for the double vision.   I would like to know if this has been reported by anyone else  and if so did it resolve. Also if the person took the second dose and did they have problems. I am supposed to have my second dose on 2/16.  I am not sure what I should do.  I still have symptoms although they are much milder and seem to be resolving.   I have never felt bad at all during any of it and have continued to exercise.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Dizziness, Headache, Nausea
Clinical narrative: Reporting for myself, one person.  Moderna Covid Vaccine:  I had many symptoms to the 2nd vaccine (Fever, itchy lower arm of the shot, chills, headache, dizzy, achy, 2nd day nausea and abdominal cramping, tired, 2nd night marked bed sweats).  The symptom that concerns me most that I'd not heard about or expect was a neurological tingly twitchy feeling in my head, neck, and throat area.  On day one, I did feel a subtle tingling in my throat/chest area.  It was more noticeable  on day 2 with about 4 or 5 neurologically-twitchy-feeling events.  Day 3, which is today, is particularly noticeable, feeling ongoing.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pharyngeal paraesthesia, Pruritus, Pyrexia
Clinical narrative: Reporting for myself, one person.  Moderna Covid Vaccine:  I had many symptoms to the 2nd vaccine (Fever, itchy lower arm of the shot, chills, headache, dizzy, achy, 2nd day nausea and abdominal cramping, tired, 2nd night marked bed sweats).  The symptom that concerns me most that I'd not heard about or expect was a neurological tingly twitchy feeling in my head, neck, and throat area.  On day one, I did feel a subtle tingling in my throat/chest area.  It was more noticeable  on day 2 with about 4 or 5 neurologically-twitchy-feeling events.  Day 3, which is today, is particularly noticeable, feeling ongoing.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pruritus, Pruritus, Throat irritation
Clinical narrative: within 2 days of 1st vaccine I experienced INCHY PALMS , FEET, AND RIGHT EAR LASTED UNTIL 2ND VACCINE.... With second vaccine experienced ICHY HANDS, FEET, THROAT, EAR,
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Unresponsive to stimuli
Clinical narrative: LETHARGIC & UNRESPONSIVE ON POST-VACCINATION DAY 2 REQUIRING LOCAL HOSPITALIZATION
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: chest tightness, shortness of breath Narrative: Patient received second dose of Pfizer COVID19 vaccine in vaccine drive thru clinic at medical center. Developed tightness and shortness of breath. Epinephrine 0.3mg IM auto-injector administered by clinic staff and EMS was called. EMS administered methylprednisolone 125mg IM and diphenhydramine 50mg IM and transported to ED. Patient reported resolution of SOB, however had continued chest discomfort. No itching, rash, tongue swelling. No diaphoresis, N/V. CP not exertional, doesn't radiate. Hx prior CAD by LHC more than 10 years ago OSH, no stent. No prior MI. No LHC, MPS here. EF normal 2016 echo. Nitroglycerin 0.4 sublingual tab administered x2 in ED. Patient reported complete resolution of symptoms after second dose of nitroglycerin. Patient was admitted to Med Obs for further evaluation of chest pain.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Dysphagia, Dyspnoea, Pharyngeal swelling
Clinical narrative: throat swelling, shortness of breath Patient given first dose of Pfizer COVID 19 vaccine at vaccine clinic. Within 15 minute observation window, patient reported shortness of breath, difficulty swallowing, and throat swelling. Epinephrine 0.3 mg IM  autoinjector was administered and emergency response team was called. Patient was transported to ED and was fully alert, with no respiratory distress or other complaints upon arrival to ED. Was given diphenhydramine 50 mg IVP, methylprednisolone 125 mg IVP, and fluids. Blood work and chest xray obtained. No notable findings. Patient was discharged from ED with prednisone dosepak, cetirizine, and famotidine outpatient prescriptions.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Pyrexia
Clinical narrative: respiratory distress   Narrative: Patient is a 77yo gentleman with medical comorbidities of Gold III COPD (FEV1/FVC 0.34 on 6/2017) on baseline 4L O2 NC, R MCA CVA in 1999 with residual L spastic hemiparesis, tobacco use disorder in remission, HTN, HLD, mild cognitive dysfunction, OSA (cpap noncompliant), GERD, Chronic Pain syndrome, and unspecified mood disorder who presented to facility ED with 1 day of generalized malaise, fatigue, and subjective fevers after being discharged 2 days PTA s/p L biceps and brachialis release (2/22/21) and s/p 2nd dose of COVID vaccine 2/25/21.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral, Arteriogram carotid, Ataxia, Demyelination, Embolic cerebral infarction
Clinical narrative: 1/21 developed Right eye irritation and mydriasis. Next day developed ataxia and gait instability. Concern for optic neuritis. Initial MRI B was unrevealing Repeat MRI B 1/23 revealed multifocal punctate embolic infarcts. She continues with vision changes. On 3/1/2021 MRI orbits/brain reveal new areas of demyelination with one area enhancing, suggestive of demyelination disease. Treat with high dose IV solumedrol x 3Days. Continue physical therapy and reapeat MRI Brain in 3 months.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation, Gait disturbance, Magnetic resonance imaging head abnormal, Mydriasis, Visual impairment
Clinical narrative: 1/21 developed Right eye irritation and mydriasis. Next day developed ataxia and gait instability. Concern for optic neuritis. Initial MRI B was unrevealing Repeat MRI B 1/23 revealed multifocal punctate embolic infarcts. She continues with vision changes. On 3/1/2021 MRI orbits/brain reveal new areas of demyelination with one area enhancing, suggestive of demyelination disease. Treat with high dose IV solumedrol x 3Days. Continue physical therapy and reapeat MRI Brain in 3 months.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Dyspnoea
Clinical narrative: short of breath taken to ED.  At home- Had aphasia after 1st dose for about 5 minutes. PCP said to get 2nd dose
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Influenza like illness, Injection site pain, Pain
Clinical narrative: 2-24 hours post injection - inject site soreness, chills, flu-like symptoms 24-33-symptoms diminished-only site soreness 40 thru 96 hours - EVENT - repeat of increased site soreness, flu-like symptoms, achiness w/ radiating pain (various locations) esp thorasic muscles
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Pyrexia
Clinical narrative: I GOT FEVER 100.3 SINCE TODAY 3/4/21 AT 2PM PAIN IN LEFT ARM INJECTION SITE 3/3/21 HEADACHE 3/4/21 SHILLS 3/4/21
Age: 66.0
Sex: U
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Headache, Pain, Pyrexia
Clinical narrative: Severe HeAdAche , Chills , Fever over 101 Body Aches , Fitage   Second DAy 99.4
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dry eye, Eye pain, Ophthalmological examination
Clinical narrative: eye pain, optometrist said eyes had dry patches, prescribed moisturizing drops (non-prescription) was improving, occurring again after 2nd Vaccine on Feb 9th or at least continuing still putting in drops on Feb 23, planning to do follow up at eye doctor, still some eye pain
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Mod - to-severe -Fever 101.9 degree F - fatigue - chills - headache - nausea - body aches -Rarm soreness ( inj.site) *started 8 hrs p injectin and stopped ~24 hrs later *took tyLenol and IBp
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Mod - to-severe -Fever 101.9 degree F - fatigue - chills - headache - nausea - body aches -Rarm soreness ( inj.site) *started 8 hrs p injectin and stopped ~24 hrs later *took tyLenol and IBp
Age: 1.0
Sex: M
Vaccine: HIBV, VARCEL
Symptoms: Pruritus, Urticaria
Clinical narrative: Child developed hives within 12 hours after receiving Hib & Varivax vaccines. No respiratory distress. Hives and itching noted on tadays exam, on there face and groin, & legs. Treated with atarax PRN for itching. Continue close monitoring.
Age: 7.0
Sex: U
Vaccine: IPV, TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Per mom one wk after had deltoid swollen, measured 3 x 2, still 2 wks after was red, itchy (mom has photos)
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Chills, Dry throat, Fatigue, Headache
Clinical narrative: Throat Super Dry - Itchy allover (no rash) (3:00pm) Tired and achy (1-29-2021) (5:00pm) Fever (101.6) about (11:28 am) chills (11:28 pm) Blood pressure (9:26am) (1-30-21) (156/90 HR 102) Headache (1-29-20- present)
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus, Pyrexia
Clinical narrative: Throat Super Dry - Itchy allover (no rash) (3:00pm) Tired and achy (1-29-2021) (5:00pm) Fever (101.6) about (11:28 am) chills (11:28 pm) Blood pressure (9:26am) (1-30-21) (156/90 HR 102) Headache (1-29-20- present)
Sex: U
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Muscular weakness, Pain
Clinical narrative: Severe Headache 99° temp chills Body Aches. leg weakness Dizzy
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Joint range of motion decreased, Pain in extremity, Pyrexia
Clinical narrative: chills, fever & sore arm hard  to lift
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity, Pyrexia
Clinical narrative: Tired- Headache- soarness arm- Low grade fever 99.8 (all 9:00 pm) (12-30-2021)
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Pyrexia
Clinical narrative: Fever (101.0 F) mild headache mild fatigue mod. R arm rain (inj site)
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLUX, MMRV
Symptoms: No adverse event
Clinical narrative: Verified with someone else. Kept to 10-15 mins, no a/r.
Age: 84.0
Sex: F
Vaccine: FLUX, VARZOS, VARZOS
Symptoms: Impaired driving ability, Migraine, Mobility decreased, Pain in extremity, Vertigo
Clinical narrative: 1st dose 12/30/2020 R arm tenderness 1/2 day 2nd dose 02/08/2021 9am L arm pain - all day  (Note: had 1st type shingles vaccine when 1st avail.)  Unable to use stairs/drive for 2 wks. O.T.C. Draminime helped. I took it for 3-4 days I reported my vertigo to a triage nurse from the clinic I go to. She found a reference to that as a possible symptom.  A family member told me she had been dx. with "atypical migraine: with these sx. - and was prescribed meclazine.  Hope this helps.  With all my allergies I rarely eat out - as you can guess. I believe this will become more common as globe hopping continues. Im 84 1/2. Ive shrunk to 5'2" and now weigh 144.2#. When I retired I was at 240#! I eat a very low carb diet, 2 meals/day and have gradually gotten to a good wt. I try to have all my carbs about 8am, and have my 2nd meal at about 3 ("Linner") w/o carbs. Thus I have no food cravings until the next day. Although I don't have ETOH probs. I rarely drink. (1 glass of wine in 2 yrs!) I raised 8 children while working in Mental Health 1969-2001. The kids were mine (3), his (3) and ours 2 grandkids we adopted upon my daughters death.  I still volunteer informally to friends. My concern is various types of involuntary care for dependent adults. A real problem. Thanks for the chance to provide input.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site swelling, Pruritus
Clinical narrative: 9 days Moderna Vaccine #1, extreme itching, Redness, Raised bump all around injection site. SHE WAS VERY Red as well
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Body temperature increased, Decreased appetite, Pain, Pain in extremity
Clinical narrative: Two hours post vaccine, pt. began to have itching inside her nose and then all over her body. No rash. Body Aches, temp 100.5 and loss of appetite. Felt off balance and left arm sore. All symptoms have resolved.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Two hours post vaccine, pt. began to have itching inside her nose and then all over her body. No rash. Body Aches, temp 100.5 and loss of appetite. Felt off balance and left arm sore. All symptoms have resolved.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis, Facial paresis
Clinical narrative: Bell's Palsy L sided facial droop/weakness Predniesone ValcycloviR
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Paraesthesia, Pharyngeal paraesthesia
Clinical narrative: Recipient came in on 3/4/2021 to vaccination clinic to receive 2nd dose of Moderna COVID19 vaccine. Recipient stated that after receiving 1st dose, she had within 15 minutes felt tingling in arm that went up to her throat. Felt tingling sensation in her throat in addition to started to have a slight cough and slight shortness of breath. She did not alert the observation team staff and left the clinic.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: 8-10 days after #1 Moderna vaccine c/o rash @ arm/shoulder  usually occurs evening or at night + new itchy resolved with Benadryl, 2 advil and Cortisone cream. Last night other L/arm with itchy bumps @ bath/shoulder and l-axillary.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Malaise
Clinical narrative: Due to Administrative ERRORS,  This Pt second COVID vaccine was given early. Vaccine Administrative @ Drive- through Dose #1 17 Feb 2021- SIDE EFFECTS: NONE Dose #2 02 MAR 2021- SIDE EFFECTS: MALAISE Both Doses given in L Deltoid Member Advised of error and Revised CDC guidance of 20210210 with patient. No Additional Dose indicated.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour
Clinical narrative: Pt. started acting as if intoxicated for 30 min post vaccination. EMS contacted and allowed patient to return home
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Myalgia, Nausea, Vertigo
Clinical narrative: After Jan 8th vaccine, developed vertigo/dizziness(Room Spinning) w/ nausea and severe muscle aches on  Jan 22 (2 weeks after vaccination date)lasted 3 days after Feb 5th vaccine developed vertigo/dizziness(Room Spinning)w/nausea and severe muscle aches on Feb 26th(3 weeks after vaccination date) Still presently  having symptoms(currently on day 7).
Age: 65.0
Sex: U
Vaccine: UNK
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Basophil count decreased, Basophil percentage decreased, Blood albumin normal
Clinical narrative: See attached
Age: 65.0
Sex: U
Vaccine: UNK
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal
Clinical narrative: See attached
Age: 65.0
Sex: U
Vaccine: UNK
Symptoms: Blood electrolytes normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood thyroid stimulating hormone normal
Clinical narrative: See attached
Age: 65.0
Sex: U
Vaccine: UNK
Symptoms: Blood urea normal, Carbon dioxide normal, Eosinophil count normal, Eosinophil percentage, Full blood count
Clinical narrative: See attached
Age: 65.0
Sex: U
Vaccine: UNK
Symptoms: Full blood count normal, Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal, Liver function test normal
Clinical narrative: See attached
Age: 65.0
Sex: U
Vaccine: UNK
Symptoms: Lymphocyte count, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell volume increased, Mean platelet volume decreased
Clinical narrative: See attached
Age: 65.0
Sex: U
Vaccine: UNK
Symptoms: Metabolic function test, Monocyte count, Monocyte percentage, Neutrophil count, Neutrophil percentage
Clinical narrative: See attached
Age: 65.0
Sex: U
Vaccine: UNK
Symptoms: Platelet count increased, Protein total normal, Red blood cell analysis normal, Red blood cell count decreased, Red blood cell nucleated morphology
Clinical narrative: See attached
Age: 65.0
Sex: U
Vaccine: UNK
Symptoms: Red cell distribution width normal, Renal function test normal, White blood cell analysis normal, White blood cell count normal
Clinical narrative: See attached
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dry mouth, Injection site pruritus
Clinical narrative: Five minutes p moderna vaccine was given pt. c/o itching around injection site. Pt. has had anaphalactic reaction to toradol. Benadryl 50mg given IM  to Rt. detoid. Pt. talkative. No diff. breathing. VSS.   3/2/21 1428   Client has a h/o severe allergic  reaction to antibiotics. five minutes  after Moderna vaccine given to O Deltoid. Pt. c/o of itching of area area vaccine. Benadryle 50mg given IM to  (R) deltoid. Client talkative. Requests water mouth was getting dry. 122/64 , 78, 20 1502 Client used restroom and  left accompanied by 2 friends. Client instructed not to drive. Verbalized understanding. Instructed pt to take PO Benadryl 50mg before coming in for next vaccine for March 30th.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash morbilliform, Sleep disorder
Clinical narrative: pt received first dose of moderna on 3/3/21 around 945AM. She reported that she began to feel pruritic that evening, around 7PM. Pt stated that she woke up in the night itching and noticed a rash on her neck and trunk. Pt reported to health center 3/4/21 and presented with morbilliform rash on neck, trunk and spreading to her arms and legs.  Pt also reports she has been taking clindamycin 300mg twice daily for one week, for a dental procedure, however she did not take it this morning. 25 mg of diphenhydramine was administered IM in office. Clinic staff will continue to monitor.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site warmth, Pruritus, Rash
Clinical narrative: Itching (RUA) with rash. Redness and heat at inj site.  Redness Approximately 4" circle.  PCP prescribed hydrocortisone 2.5% to be applied 2 times per day.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Gait inability, Vomiting
Clinical narrative: Narrative:  Had reaction of vomiting x 2 days after covid vaccine dose #1; also experienced severe dizziness that had him "crawling on hands and knees" as he had lack of balance for 9 days following the injection. Wife monitored vitals throughout symptoms and they were always wnl. Never tested for COVID-19 at this facility.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse drug reaction, Lethargy, Pain in extremity
Clinical narrative: Lethargic, arm sore Narrative:  Pt reports ADR to Moderna vaccine dose 2: arm soreness and "lethargic". Denies HA or fever.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fall, Mobility decreased, Muscular weakness, Nightmare
Clinical narrative: Narrative:  Hands and legs not working right, had terrible dreams, could barely make it to the bathroom, so weak he essentially fell onto the commode, vision was off
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Narrative:  Hands and legs not working right, had terrible dreams, could barely make it to the bathroom, so weak he essentially fell onto the commode, vision was off
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hallucination, Peripheral swelling, Pyrexia, Rash
Clinical narrative: chills Narrative: obtained rash and swollen left arm 1-2 weeks after first dose (received 1st dose in left arm); no other symptoms; received Medrol dosepak and it resolved; received second dose in right arm and left arm became swollen again; pt also developed fever and chills, hallucinations (during fever) that have resolved
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fall
Clinical narrative: FALLS, WEAKNESS Narrative:
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: EXTREME FATIGUE
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia
Clinical narrative: Headache & Myalgia Narrative:  Other Relevant History:
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Brain fog
Clinical narrative: Brain fog, trouble finding words Narrative:
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Migraine, Myalgia, Nausea, Pain
Clinical narrative: Headache, Myalgia, NauseaVomiting, migraine, body aches Narrative:
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Headache, Myalgia, NauseaVomiting, migraine, body aches Narrative:
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Pyrexia, Vomiting
Clinical narrative: NauseaVomiting chills, low grade fever 99F, fatigue Narrative:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Nausea, Pain in extremity
Clinical narrative: Headache, Myalgia, Right arm soreness, fatigue and some nausea Narrative:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Pain in extremity
Clinical narrative: Myalgia, Fatigue, left arm soreness Narrative:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Headache, Myalgia, Nausea, Respiratory tract congestion
Clinical narrative: Headache, Myalgia, CoughWheeze, NauseaVomiting, congestion Narrative:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting, Wheezing
Clinical narrative: Headache, Myalgia, CoughWheeze, NauseaVomiting, congestion Narrative:
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Headache, Myalgia, chills, injection site pain, swollen/tender. Left axillary lymph node with palpable firmness Narrative:
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Headache, Myalgia, chills, injection site pain, swollen/tender. Left axillary lymph node with palpable firmness Narrative:
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lethargy, Myalgia
Clinical narrative: Muscle aches, Chills, Lethargic Narrative:  Other Relevant History:
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Erythema, Myalgia, Pyrexia
Clinical narrative: Myalgia, Fever, CHILLS, REDNESS AT RIGHT DELTOID Narrative:  Other Relevant History:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site erythema, Injection site rash, Pain in extremity
Clinical narrative: Arthralgia, SkinRash, Fatigue, arm soreness, redness/rash and swelling at injection site Narrative:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Arthralgia, SkinRash, Fatigue, arm soreness, redness/rash and swelling at injection site Narrative:
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Myalgia
Clinical narrative: Headache, Myalgia & Diarrhea Narrative:
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia
Clinical narrative: Headache & Myalgia Narrative:  Other Relevant History:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pruritus, Urticaria, Wheezing
Clinical narrative: CoughWheeze & UrticariaPruritus Narrative;  Itching was recurrent when benadryl wears off  Other Relevant History:
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Nasal congestion, Pyrexia, Wheezing
Clinical narrative: Fever, CoughWheeze, stuffiness, chills Narrative: Pt has doctor's appointment  Other Relevant History:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Swollen left elbow Narrative:  Other Relevant History:
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Type IV hypersensitivity reaction
Clinical narrative: delayed cutaneous hypersensitivity reaction. Narrative:  Onset 7 days post 2/4/2021 first vaccination. Duration 2 days.  Other Relevant History:
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Myalgia & Fever Narrative:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Rhinorrhoea
Clinical narrative: Headache, Myalgia, fatigue, runny nose Narrative:
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Myalgia
Clinical narrative: Dizziness, Headache, Myalgia, chills Narrative:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Sinus disorder
Clinical narrative: Headache, Nausea due to dizziness, whole head, cheek bones and ears like sinus infection Narrative:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity
Clinical narrative: Myalgia left arm soreness Narrative:  Other Relevant History:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Arthralgia, Fatigue, Headache, Hypertension
Clinical narrative: BlurredVision, Headache, Arthralgia, Angioedema, Tachypnea, HYPERtension, Tachycardia, Lymphadenopathy, fatigue, fever Narrative:  Fever for 5 days after first dose, unwell fatigue and tired, node swelling after each dose, these persists. Night sweats, axillary nodes, edema persist. Self-treating with NSAIDS. No pre-dose medication.  Other Relevant History:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Malaise, Night sweats, Oedema, Pyrexia
Clinical narrative: BlurredVision, Headache, Arthralgia, Angioedema, Tachypnea, HYPERtension, Tachycardia, Lymphadenopathy, fatigue, fever Narrative:  Fever for 5 days after first dose, unwell fatigue and tired, node swelling after each dose, these persists. Night sweats, axillary nodes, edema persist. Self-treating with NSAIDS. No pre-dose medication.  Other Relevant History:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Tachypnoea, Vision blurred
Clinical narrative: BlurredVision, Headache, Arthralgia, Angioedema, Tachypnea, HYPERtension, Tachycardia, Lymphadenopathy, fatigue, fever Narrative:  Fever for 5 days after first dose, unwell fatigue and tired, node swelling after each dose, these persists. Night sweats, axillary nodes, edema persist. Self-treating with NSAIDS. No pre-dose medication.  Other Relevant History:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Arthralgia, Chills, Diarrhoea, Discomfort
Clinical narrative: Local symptom: discomfort. General symptoms: Chills, fever, headaches, joint pains, muscle pains, fatigue, nausea, diarrhea, swollen neck-left neck and face, tooth pain, dizzy, concentration, memory problems, forgetting words. ,  Narrative:   Other Relevant History:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness, Fatigue, Headache, Memory impairment
Clinical narrative: Local symptom: discomfort. General symptoms: Chills, fever, headaches, joint pains, muscle pains, fatigue, nausea, diarrhea, swollen neck-left neck and face, tooth pain, dizzy, concentration, memory problems, forgetting words. ,  Narrative:   Other Relevant History:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia, Swelling, Swelling face
Clinical narrative: Local symptom: discomfort. General symptoms: Chills, fever, headaches, joint pains, muscle pains, fatigue, nausea, diarrhea, swollen neck-left neck and face, tooth pain, dizzy, concentration, memory problems, forgetting words. ,  Narrative:   Other Relevant History:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache
Clinical narrative: Local symptom: discomfort. General symptoms: Chills, fever, headaches, joint pains, muscle pains, fatigue, nausea, diarrhea, swollen neck-left neck and face, tooth pain, dizzy, concentration, memory problems, forgetting words. ,  Narrative:   Other Relevant History:
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache
Clinical narrative: Headache, chills, headache Narrative:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Myalgia, Nausea, Pyrexia
Clinical narrative: Myalgia, Arthralgia, Fever, Diarrhea & NauseaVomiting Narrative:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Myalgia, Arthralgia, Fever, Diarrhea & NauseaVomiting Narrative:
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pain in extremity, Vomiting
Clinical narrative: NauseaVomiting, Sore Arm, fatigue Narrative:
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache
Clinical narrative: Headache, FATIGUE, CHILLS Narrative:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia & Fever Narrative:  Other Relevant History:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Nausea, Tachycardia, Vomiting
Clinical narrative: NauseaVomiting, HYPERtension, Tachycardia, NONE Narrative:  SENT TO EMERGENCY ROOM, PT OBSERVED FOR 30 MINUTES, VS ASSESSSED  Other Relevant History:
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Fever Narrative:  Right arm soreness  Other Relevant History:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash, NA Narrative:
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Headache, Myalgia, Fever, SORE ARM AND ARM PAIN Narrative:  Other Relevant History:
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Myalgia, Nausea, Pain in extremity, Peripheral swelling
Clinical narrative: Myalgia, Fever, NauseaVomiting, CHILLS, L ARM SWOLLEN AND PAIN Narrative:  Other Relevant History:
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Myalgia, Fever, NauseaVomiting, CHILLS, L ARM SWOLLEN AND PAIN Narrative:  Other Relevant History:
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Myalgia, Pyrexia
Clinical narrative: Dizziness, Myalgia, Arthralgia, FEVER, CHILLS, DROWSY Narrative:  Other Relevant History:
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: Dizziness, Myalgia, Arthralgia, FEVER, CHILLS, DROWSY Narrative:  Other Relevant History:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Myalgia
Clinical narrative: Dizziness & Myalgia Narrative:  Other Relevant History:
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hypertension, Nasopharyngitis
Clinical narrative: Headache, HYPERtension, Syncope, COLD, CHILLS, FATIGUE Narrative:
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Headache, HYPERtension, Syncope, COLD, CHILLS, FATIGUE Narrative:
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache
Clinical narrative: Headache, severe headache that lasted 2 days Narrative:
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Myalgia, Fever, CHILLS Narrative:
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia
Clinical narrative: Headache, Myalgia, CHILLS Narrative:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Lip pruritus, Pruritus
Clinical narrative: This is a 50 year old female.  She received the 1st dose Moderna on 12/27/20 at 1535.  Within 5 minutes of administration, the patient reported itching over the injection site, chest, and lips.  The patient self-administered diphenhydramine at 1555 with some improvement, but not resolution.  She presented to the ED  with a BP=160/68, HR=64, RR=16, SpO2=100%.  ED noted no swelling of the tongue/throat, no breathing difficulty, no abdominal pain/cramping.  Labs normal.  Patient was treated with famotidine and prednisone (patient refused additional diphenhydramine).  Patient monitored and discharged home with symptom improvement.  24hr post-discharge follow-up consult confirmed resolution of symptoms.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atelectasis, Chest X-ray abnormal, Dyspnoea, Pleural effusion, Pneumothorax
Clinical narrative: Patient developed shortness of breath and chest tightness within 20 minutes of the Moderna vaccine (1st dose).  Patient self-treated with albuterol inhaler with no effect.  Patient was transferred to ED and was subsequently admitted for 14 days at the hospital.  She experienced persistent shortness of breath, chest tightness, and mild intermittent asthma with flares.  She was provided with supportive care and medications (Epi 0.3mg IM x 3, solu-medrol, famotidine, diphenhydramine, mag sulfate, duonebs).  On admit, BP=152/82, HR=98, SpO2=100%, RR=14.  Labs normal.  EKG normal with exception of prologned QTc interval =580.  Covid-19 test negative.  IgE levels normal (103 kU/L).  Patient also diagnosed with anion gap metabolic acidosis.  Eventually discharged to home with f/u by allergist/pulmonology.  Recommended to avoid 2nd vaccine dose.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pulmonary oedema, White blood cell count increased
Clinical narrative: Patient developed shortness of breath and chest tightness within 20 minutes of the Moderna vaccine (1st dose).  Patient self-treated with albuterol inhaler with no effect.  Patient was transferred to ED and was subsequently admitted for 14 days at the hospital.  She experienced persistent shortness of breath, chest tightness, and mild intermittent asthma with flares.  She was provided with supportive care and medications (Epi 0.3mg IM x 3, solu-medrol, famotidine, diphenhydramine, mag sulfate, duonebs).  On admit, BP=152/82, HR=98, SpO2=100%, RR=14.  Labs normal.  EKG normal with exception of prologned QTc interval =580.  Covid-19 test negative.  IgE levels normal (103 kU/L).  Patient also diagnosed with anion gap metabolic acidosis.  Eventually discharged to home with f/u by allergist/pulmonology.  Recommended to avoid 2nd vaccine dose.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthma, Blood immunoglobulin E normal, Chest discomfort, Condition aggravated, Dyspnoea
Clinical narrative: Patient developed shortness of breath and chest tightness within 20 minutes of the Moderna vaccine (1st dose).  Patient self-treated with albuterol inhaler with no effect.  Patient was transferred to ED and was subsequently admitted for 14 days at the hospital.  She experienced persistent shortness of breath, chest tightness, and mild intermittent asthma with flares.  She was provided with supportive care and medications (Epi 0.3mg IM x 3, solu-medrol, famotidine, diphenhydramine, mag sulfate, duonebs).  On admit, BP=152/82, HR=98, SpO2=100%, RR=14.  Labs normal.  EKG normal with exception of prologned QTc interval =580.  Covid-19 test negative.  IgE levels normal (103 kU/L).  Patient also diagnosed with anion gap metabolic acidosis.  Eventually discharged to home with f/u by allergist/pulmonology.  Recommended to avoid 2nd vaccine dose.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram QT prolonged, Laboratory test normal, Metabolic acidosis, SARS-CoV-2 test negative
Clinical narrative: Patient developed shortness of breath and chest tightness within 20 minutes of the Moderna vaccine (1st dose).  Patient self-treated with albuterol inhaler with no effect.  Patient was transferred to ED and was subsequently admitted for 14 days at the hospital.  She experienced persistent shortness of breath, chest tightness, and mild intermittent asthma with flares.  She was provided with supportive care and medications (Epi 0.3mg IM x 3, solu-medrol, famotidine, diphenhydramine, mag sulfate, duonebs).  On admit, BP=152/82, HR=98, SpO2=100%, RR=14.  Labs normal.  EKG normal with exception of prologned QTc interval =580.  Covid-19 test negative.  IgE levels normal (103 kU/L).  Patient also diagnosed with anion gap metabolic acidosis.  Eventually discharged to home with f/u by allergist/pulmonology.  Recommended to avoid 2nd vaccine dose.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthma
Clinical narrative: Patient developed shortness of breath and chest tightness within 20 minutes of the Moderna vaccine (1st dose).  Patient self-treated with albuterol inhaler with no effect.  Patient was transferred to ED and was subsequently admitted for 14 days at the hospital.  She experienced persistent shortness of breath, chest tightness, and mild intermittent asthma with flares.  She was provided with supportive care and medications (Epi 0.3mg IM x 3, solu-medrol, famotidine, diphenhydramine, mag sulfate, duonebs).  On admit, BP=152/82, HR=98, SpO2=100%, RR=14.  Labs normal.  EKG normal with exception of prologned QTc interval =580.  Covid-19 test negative.  IgE levels normal (103 kU/L).  Patient also diagnosed with anion gap metabolic acidosis.  Eventually discharged to home with f/u by allergist/pulmonology.  Recommended to avoid 2nd vaccine dose.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chest X-ray normal, Chest discomfort, Cough, Dysgeusia
Clinical narrative: Within 10 minutes of the 1st Moderna vaccine dose, the patient developed chest pressure, a burning sensation over the anterior chest, a sensation of mild swelling of the mouth with a metallic taste.  No rash, SOB, or n/v.  The patient was transported to the ED for evaluation.  On ED admission, the BP=151/107, HR=76, RR=20, SpO2=96%.  All labs normal (CXR, EKG, CBC, troponin). The patient declined any medications for possible allergic reactions.  The symptoms resolved quickly and the patient was discharged home.  Three days later, the post-ED follow-up consult found the patient was experiencing cough and congestion.  She was sent for a Covid test, which came back negative.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Full blood count normal, Mouth swelling, Nasal congestion, SARS-CoV-2 test negative
Clinical narrative: Within 10 minutes of the 1st Moderna vaccine dose, the patient developed chest pressure, a burning sensation over the anterior chest, a sensation of mild swelling of the mouth with a metallic taste.  No rash, SOB, or n/v.  The patient was transported to the ED for evaluation.  On ED admission, the BP=151/107, HR=76, RR=20, SpO2=96%.  All labs normal (CXR, EKG, CBC, troponin). The patient declined any medications for possible allergic reactions.  The symptoms resolved quickly and the patient was discharged home.  Three days later, the post-ED follow-up consult found the patient was experiencing cough and congestion.  She was sent for a Covid test, which came back negative.