chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Extra dose administered, Fatigue
Clinical narrative: Joint Pain/Ankle Pain; Lower back pain; Fatigue; Received Two doses; pain ankle; A spontaneous report was received from an other health care professional concerning a 37-year-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced an "extra dose administered", joint pain, ankle pain, lower back pain and fatigue.  The patient's medical history was not provided. Concomitant product use was not provided.  On 27 Jan 2021, the patient received her dose of mRNA-1273 (Lot number 09L20A) in the left arm for prophylaxis of COVID-19 infection.   The patient stated that she received two doses on 27 Jan 2021.  On 28 Jan 2021, the patient began experiencing joint pain, ankle pain, lower back pain and fatigue. Treatment of this event was not provided.  Action taken with mRNA-1273 in response to the events was not reported.  The event, extra dose administered was resolved on 27 Jan 2021.  The outcome of the events, joint and ankle pain, lower back pain and fatigue were unknown.; Reporter's Comments: This case concerns a 37-year-old, female subject, who experienced non-serious unexpected event of Back pain, and non-serious expected events of Arthralgia (Joint pain and Ankle pain), and Fatigue.  Arthralgia, Back pain and Fatigue occurred after the first dose of the mRNA-1273 administration on the next day.   Very limited information regarding these events has been provided at this time. Based on the current available information and temporal association between the use of the product and the start date of the events of Arthralgia, Back pain and Fatigue, a causal relationship cannot be excluded.
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Wrong technique in device usage process
Clinical narrative: never pushed the plunger down while administering the vaccine; patient might not have received the vaccine; A Spontaneous report  was received from a husband and wife, concerning the wife, a female consumer of unknown age who was participating in the mRNA-1273 Emergency Use Program and when they were administering the vaccine to her, they never pushed the plunger down, and the patient might have not received the vaccine  The patient's medical history was not provided. No relevant concomitant medications were reported.   On an unknown date, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection.   On an unknown date, while administering the vaccine to the patient they never pushed the plunger down and the patient might have not received the vaccine (the reporter want to know if they received the vaccine).  Action taken with mRNA-1273 in response to the events was not reported.  The events, of when they were administering the vaccine to her, they never pushed the plunger down, and the patient might have not received the vaccine were considered resolved on an unknown date.; Reporter's Comments: This report refers to a case of wrong technique in device usage process and incorrect dose administered for mRNA-1273.  There were no reported adverse events associated with this case.
Sex: F
Vaccine: COVID19
Symptoms: Rash, Recalled product administered
Clinical narrative: Recalled product administered; Red egg shaped mush on arm; A spontaneous report was received from a consumer who was a female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced the events, recalled product administered and red egg shaped mush on arm.  The patient's medical history was not provided. Concomitant product use, within two weeks of vaccine administration included, pneumococcal vaccine polyvalent.  On unknown date, the patient received their first of two planned doses of mRNA-1273(Lot number: 041L20A) intramuscularly for prophylaxis of COVID-19 infection. Vaccine lot 041L20A was recalled.  On 02 Feb, almost two weeks after vaccine administration, the patient reported a red egg shaped mush on her arm that was not painful. Patient believed this was due to her physician not waiting two weeks until administering her pneumococcal vaccine polyvalent.  Action taken with mRNA-1273 in response to the events was not reported.  The outcome of the event, recalled product administered, was considered resolved. The outcome of event, red egg shaped mush on arm, was considered not resolved.; Reporter's Comments: This case concerns a female patient, who experienced a product administration error - recalled product administered and a non-serious unexpected event of rash on arm. There was no AEs associated with product administration error- recalled product administered . However, the event of rash on arm occurred 2 weeks after mRNA-1273 (Lot# 041L20A) administration. Based on the current available information and temporal association between the use of the product which is recalled vaccine and the start date of the event rash on arm , a causal relationship cannot be excluded, noting the concomitant use of pneumococcal polyvalent vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, Chills, Dizziness, Dyskinesia, Fatigue
Clinical narrative: First Vaccination on 01/13/21  right arm -  pain at injection site for several days following.  Brain fog and some fatigue. Second vaccination on 02/3/21 left arm -    approx. 3 hours later felt a little woosie  and spacey.  Pain at injection site.  At approx. 3am the following morning experiencing  chills and body jerks along with long deep breathing.  Temperature 100.1.  Also had a painful headache and full body aches along with some nausea and very fatigued and pain at injection site was growing in size and was also hot and red and swollen.  Contacted primary care doctor about these side effects.  On 2/5/21 the  temperature reached 100.7 and the  previous days aliments  continued and fever came down to 99.6.  Lots on pain in left side of neck and left arm.  Let arm continues to be swollen, red and hot and is itchy.   Fever finally broke on the night on Feb. 6th.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Hyperventilation, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: First Vaccination on 01/13/21  right arm -  pain at injection site for several days following.  Brain fog and some fatigue. Second vaccination on 02/3/21 left arm -    approx. 3 hours later felt a little woosie  and spacey.  Pain at injection site.  At approx. 3am the following morning experiencing  chills and body jerks along with long deep breathing.  Temperature 100.1.  Also had a painful headache and full body aches along with some nausea and very fatigued and pain at injection site was growing in size and was also hot and red and swollen.  Contacted primary care doctor about these side effects.  On 2/5/21 the  temperature reached 100.7 and the  previous days aliments  continued and fever came down to 99.6.  Lots on pain in left side of neck and left arm.  Let arm continues to be swollen, red and hot and is itchy.   Fever finally broke on the night on Feb. 6th.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site swelling, Injection site warmth, Nausea, Neck pain, Pain
Clinical narrative: First Vaccination on 01/13/21  right arm -  pain at injection site for several days following.  Brain fog and some fatigue. Second vaccination on 02/3/21 left arm -    approx. 3 hours later felt a little woosie  and spacey.  Pain at injection site.  At approx. 3am the following morning experiencing  chills and body jerks along with long deep breathing.  Temperature 100.1.  Also had a painful headache and full body aches along with some nausea and very fatigued and pain at injection site was growing in size and was also hot and red and swollen.  Contacted primary care doctor about these side effects.  On 2/5/21 the  temperature reached 100.7 and the  previous days aliments  continued and fever came down to 99.6.  Lots on pain in left side of neck and left arm.  Let arm continues to be swollen, red and hot and is itchy.   Fever finally broke on the night on Feb. 6th.
Sex: F
Vaccine: COVID19
Symptoms: Bronchospasm
Clinical narrative: bronchospasms; This is a spontaneous report from a non-contactable pharmacist. A female patient of an unspecified age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EL3248, expiry date: unknown), intramuscular on 21Jan2021 at a single dose for covid-19 immunization. The patient's medical history included chest pain in the past (has experienced this on and off unrelated to medication administration). Concomitant medications were not reported. The patient previously took first dose of bnt162b2 on unspecified date for covid-19 immunization. The patient is not pregnant. The patient was not diagnosed with covid-19 prior to vaccination and was not tested for covid-19 post vaccination. On 21Jan2021, the patient complained shortly after second dose of covid vaccine, having what she felt were bronchospasms. Medical Emergency Rapid Response call was made. RRT personnel arrived and administered 2 puffs of albuterol inhaler with subsequent improvement of status. No other complaints of chest pain, etc. It was reported that the event resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measure was taken as a result of the event. Outcome of the event was recovered on unspecified date in Jan2021.; Sender's Comments: A possible contributory effect of suspect BNT162B2 on reported event cannot be excluded.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.
Sex: F
Vaccine: COVID19
Symptoms: Cataract operation
Clinical narrative: cataract; This is a spontaneous report from a non-contactable consumer (patient's daughter) via medical information team. An 84-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not reported), via an unspecified route of administration on 18Jan2021 at a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient received the first dose of the COVID vaccine on 18Jan2021 and was scheduled for 08Feb2020 for the second dose. In between that she needed to have cataract surgery, if she can't make it to the second dose. The consumer wanted to know what would happen if she received the second dose outside of the 21 days and she wanted to know what was the timing of the second dose of PFIZER-BIONTECH COVID-19 VACCINE and can it be received earlier or later than 3 weeks. The event was considered non-serious by the reporter. The outcome of the event was unknown.  No follow-up attempts are possible; information about lot/batch number cannot be obtained.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chest discomfort, Chills, Fatigue, Headache
Clinical narrative: 1) fatigue- began about 12 hours after dose, moderate/severe, still present 48 hours after dose 2) headache- began about 18 hours after dose, mild, resolved about 24 hours after onset 3) body aches- began about 18 hours after dose, moderate, still present 48 hours after dose 4) red painful, swollen patch on arm at injection site- began about 36 hours after dose, painful to the touch, painful when arm is at rest, still present 48 hours after dose 5) chest tightness- very mild, began  12 hours after dose, resolved within 24 hours 5) fever - began 12 hours after dose, 102 degrees on fever-reducing medication, shaking chills and fever sweats, fever still present after 48 hours, but not as high 6) sore throat - began 24 hours after dose, mild, still present 48 hours after dose
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Sweating fever
Clinical narrative: 1) fatigue- began about 12 hours after dose, moderate/severe, still present 48 hours after dose 2) headache- began about 18 hours after dose, mild, resolved about 24 hours after onset 3) body aches- began about 18 hours after dose, moderate, still present 48 hours after dose 4) red painful, swollen patch on arm at injection site- began about 36 hours after dose, painful to the touch, painful when arm is at rest, still present 48 hours after dose 5) chest tightness- very mild, began  12 hours after dose, resolved within 24 hours 5) fever - began 12 hours after dose, 102 degrees on fever-reducing medication, shaking chills and fever sweats, fever still present after 48 hours, but not as high 6) sore throat - began 24 hours after dose, mild, still present 48 hours after dose
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Delirium, Disorientation, Dyskinesia, Fall, Malaise
Clinical narrative: Two episodes of delirium, vomited twice/two times now woke up delirious not knowing where he was; Two episodes of delirium, vomited twice; Got sick; Couldn't get up; This is a spontaneous report from a contactable consumer (patient). A 71-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3248), via an unspecified route of administration on the right arm on 19Jan2021 10:30 at a single dose for COVID-19 immunization. Medical history included liver cancer and chemo. There were no concomitant medications. It was reported that for two times, the patient woke up in the morning delirious, did not know where he was, hollering for his wife, couldn't get up, got sick and vomited, after he got up he felt pretty good. States he fell asleep on couch that night, toward morning he rolled onto floor, flopping around on floor like a wet seal, flopping arms around tried to roll over, pulled muscle in rib cage, after he got back up, got sick and had to vomit. Once he got up and went to the bathroom and all of that went away, wanted to know if this is this related to the Covid vaccine. This morning (unspecified date) he laid on the couch and he was about half scared to lay down because he was afraid something would happen again. The patient confirmed that he experienced this twice the day after or a couple days after the vaccine (unknown date). The patient stated that it has not happened again. The outcome of the events was unknown.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Muscle strain, Vomiting
Clinical narrative: Two episodes of delirium, vomited twice/two times now woke up delirious not knowing where he was; Two episodes of delirium, vomited twice; Got sick; Couldn't get up; This is a spontaneous report from a contactable consumer (patient). A 71-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3248), via an unspecified route of administration on the right arm on 19Jan2021 10:30 at a single dose for COVID-19 immunization. Medical history included liver cancer and chemo. There were no concomitant medications. It was reported that for two times, the patient woke up in the morning delirious, did not know where he was, hollering for his wife, couldn't get up, got sick and vomited, after he got up he felt pretty good. States he fell asleep on couch that night, toward morning he rolled onto floor, flopping around on floor like a wet seal, flopping arms around tried to roll over, pulled muscle in rib cage, after he got back up, got sick and had to vomit. Once he got up and went to the bathroom and all of that went away, wanted to know if this is this related to the Covid vaccine. This morning (unspecified date) he laid on the couch and he was about half scared to lay down because he was afraid something would happen again. The patient confirmed that he experienced this twice the day after or a couple days after the vaccine (unknown date). The patient stated that it has not happened again. The outcome of the events was unknown.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Amyloidosis, Carpal tunnel syndrome, Condition aggravated, Dizziness, Eye swelling
Clinical narrative: Amyloidosis; felt a sweep over her stomach up her body and up to her head; Eyes swollen; hands hurt; sharp pings up and down legs; This is a spontaneous report from a contactable consumer (patient). An 80-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK9231), via an unspecified route of administration on the left arm on 16Jan2021 13:45 at a single dose for COVID-19 immunization. Medical history included ongoing diabetic and previously took the flu shot one time and started having right arm pain across her chest over to the left side right after getting it. So she don't take it anymore and takes a bunch of herbs. The patient's concomitant medications were not reported. The patient reported that she has a disease, amyloidosis on an unspecified date, where there is a build up of protein in the body. She didn't know that there is protein in the shot and doesn't know the affects it has with her condition. She found out the day after getting the first Pfizer C-19 (clarified as COVID-19) shot that there was protein in it. The patient wanted to know the affects it has with her condition and if it will affect her getting the second dose and if it covers the new virus and booster shot. The patient got the vaccine on 16Jan2021 and found out about the protein in it the next day when it came across her phone. The patient received it at a school, where they vaccinated 1,169 residents. They text her to inform her she could get the vaccine. They also have the health department there. No other vaccines given that day or 4 weeks prior. On an unspecified date in Jan2021, the patient took 1 Tylenol about 15:00 that afternoon and seated herself in the chair about 17:45, then she felt a sweep over her stomach up her body and up to her head. She stood up and walked around to see if she was going to faint and she did not faint. She walked through the house and nothing else happened. The patient mentioned that her eyes have been swollen and her hands hurt, that's where the protein build up comes in the body. Has pings up and down her legs, they are sharp pings that lasted through on to Tuesday. She took 1 Advil to help and as of yesterday (as reported) no pings. Her hands still hurt, because this condition forms chains in the body and the chains are around the hands like carpel tunnel. The protein normally should leave the body and with this condition it doesn't and it leaves chains. When she was diagnosed with it they took a spot off the ankle to test it, the Dermatologist did and sent it off. No further details provided. Wants to know the affects of her getting the second shot. No further details provided. The outcome of the events amyloidosis and hands hurt was not recovered, the events felt a sweep over her stomach up her body and up to her head and sharp pings up and down legs was recovering, and the event  eyes swollen was unknown.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Pain, Pain in extremity
Clinical narrative: Amyloidosis; felt a sweep over her stomach up her body and up to her head; Eyes swollen; hands hurt; sharp pings up and down legs; This is a spontaneous report from a contactable consumer (patient). An 80-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK9231), via an unspecified route of administration on the left arm on 16Jan2021 13:45 at a single dose for COVID-19 immunization. Medical history included ongoing diabetic and previously took the flu shot one time and started having right arm pain across her chest over to the left side right after getting it. So she don't take it anymore and takes a bunch of herbs. The patient's concomitant medications were not reported. The patient reported that she has a disease, amyloidosis on an unspecified date, where there is a build up of protein in the body. She didn't know that there is protein in the shot and doesn't know the affects it has with her condition. She found out the day after getting the first Pfizer C-19 (clarified as COVID-19) shot that there was protein in it. The patient wanted to know the affects it has with her condition and if it will affect her getting the second dose and if it covers the new virus and booster shot. The patient got the vaccine on 16Jan2021 and found out about the protein in it the next day when it came across her phone. The patient received it at a school, where they vaccinated 1,169 residents. They text her to inform her she could get the vaccine. They also have the health department there. No other vaccines given that day or 4 weeks prior. On an unspecified date in Jan2021, the patient took 1 Tylenol about 15:00 that afternoon and seated herself in the chair about 17:45, then she felt a sweep over her stomach up her body and up to her head. She stood up and walked around to see if she was going to faint and she did not faint. She walked through the house and nothing else happened. The patient mentioned that her eyes have been swollen and her hands hurt, that's where the protein build up comes in the body. Has pings up and down her legs, they are sharp pings that lasted through on to Tuesday. She took 1 Advil to help and as of yesterday (as reported) no pings. Her hands still hurt, because this condition forms chains in the body and the chains are around the hands like carpel tunnel. The protein normally should leave the body and with this condition it doesn't and it leaves chains. When she was diagnosed with it they took a spot off the ankle to test it, the Dermatologist did and sent it off. No further details provided. Wants to know the affects of her getting the second shot. No further details provided. The outcome of the events amyloidosis and hands hurt was not recovered, the events felt a sweep over her stomach up her body and up to her head and sharp pings up and down legs was recovering, and the event  eyes swollen was unknown.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: at 11:50 pt c/o palpitations- O2 sat 100, HR 48-53, BP133/41. given gingerale and mask break w/ improvement.   no lightheadedness or CP. palpitations intermittent. 12:05 vital signs unchanged. ER eval. Pt transported via stretcher for monitoring
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: 8 days after receiving vaccine my arm swelled up, got red, & itched around the site of the injection
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Pain in jaw, Paraesthesia
Clinical narrative: The patient received dose 1 of the COVID Moderna vaccine at around 7:00 AM on 2/8/21 at her place of work The patient came back to the vaccine area around 10:00 AM saying she was experiencing shortness of breath, jaw pain, tingling in her left arm, and chest tightness. Her blood pressure was 188/120 mmHg at 10:05 AM with a heart rate of 105 bpm. The patient said she had had a heart attack a year prior. We called 911 at around 10:12 AM. EMS arrived and took a manual blood pressure of 178/118 mmHg, and took the patient to the hospital shortly after.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Lethargy, Pain
Clinical narrative: Body/joints aches, headache, lethargy
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Chest X-ray abnormal, Dizziness, Dysstasia
Clinical narrative: C/o generalized weakness/dizziness/headache after receiving vaccine.  Was seen in the ED on 1/6/21.  Feeling weak and unable to stand up.  ER labs unremarkable.  Admitted to hospital.   After received Azithromycin and Rocephin patientt reports feeling much better.   Following day reports feeling symptom free.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: C/o generalized weakness/dizziness/headache after receiving vaccine.  Was seen in the ED on 1/6/21.  Feeling weak and unable to stand up.  ER labs unremarkable.  Admitted to hospital.   After received Azithromycin and Rocephin patientt reports feeling much better.   Following day reports feeling symptom free.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Pain
Clinical narrative: One week after injection a 3-4 inch area around the injection site began to itch, became red, raised and tender. Also, that arm aches somewhat.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: One week after injection a 3-4 inch area around the injection site began to itch, became red, raised and tender. Also, that arm aches somewhat.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Dizziness, Full blood count, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: 52-year-old female presents to the emergency department with complaints of left arm tingling sensation which is radiating up her neck to her jaw.  She had just received the second dose of her Materna COVID-19 vaccine.  She was resting in the 15-minute waiting area and only had a few minutes to go when she suddenly developed the symptoms.  She then felt lightheaded and as if she was going to pass out.  They did check her vital signs there and then decided to bring her to the emergency department for evaluation.  On arrival here she states that the arm seems to get more tingling sensation into her fingertips now and she has some tingling on the left side of her face including the left side of her tongue.  She denies any chest pain or shortness of breath.  No cough fever or chills.  No swelling of the lower extremities or calf pain. Patient received Diphenhydramine 25mg IV x1, Famotidine 20mg IV x1, Ondansetron 4mg IV x1, Acetaminophen 1000mg po x1,  1000 ml Normal Saline Bolus x 2 boluses Pt discharged from ER at 1800 1/29/21 MD note on discharge =MD went to the patient's room and discussed her work-up with her.  MD discussed the finding on the CT scan.  They also discussed the findings of the CTA head and neck.  MD reexamined the patient, and she notes that she continues to have some numbness in her right upper extremity and in her mouth, but notes that the numbness in her tongue is improving.  MD offered this patient observation admission, as well as evaluation by neurology with an MRI of the head, however the patient declined this, noting that she would prefer to be discharged home.  Patient lives at home with her husband and child, she is a nurse by occupation, and overall is healthy.  Given that she has understanding into the nature of her pathology, will have somebody at home to help her if she needs it, and will be reliable for follow-up, I am comfortable discharging the patient at her request.  MD extensively discussed return precautions with her, and she verbalized understanding and agreement with the plan
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Paraesthesia, Paraesthesia oral, Troponin normal
Clinical narrative: 52-year-old female presents to the emergency department with complaints of left arm tingling sensation which is radiating up her neck to her jaw.  She had just received the second dose of her Materna COVID-19 vaccine.  She was resting in the 15-minute waiting area and only had a few minutes to go when she suddenly developed the symptoms.  She then felt lightheaded and as if she was going to pass out.  They did check her vital signs there and then decided to bring her to the emergency department for evaluation.  On arrival here she states that the arm seems to get more tingling sensation into her fingertips now and she has some tingling on the left side of her face including the left side of her tongue.  She denies any chest pain or shortness of breath.  No cough fever or chills.  No swelling of the lower extremities or calf pain. Patient received Diphenhydramine 25mg IV x1, Famotidine 20mg IV x1, Ondansetron 4mg IV x1, Acetaminophen 1000mg po x1,  1000 ml Normal Saline Bolus x 2 boluses Pt discharged from ER at 1800 1/29/21 MD note on discharge =MD went to the patient's room and discussed her work-up with her.  MD discussed the finding on the CT scan.  They also discussed the findings of the CTA head and neck.  MD reexamined the patient, and she notes that she continues to have some numbness in her right upper extremity and in her mouth, but notes that the numbness in her tongue is improving.  MD offered this patient observation admission, as well as evaluation by neurology with an MRI of the head, however the patient declined this, noting that she would prefer to be discharged home.  Patient lives at home with her husband and child, she is a nurse by occupation, and overall is healthy.  Given that she has understanding into the nature of her pathology, will have somebody at home to help her if she needs it, and will be reliable for follow-up, I am comfortable discharging the patient at her request.  MD extensively discussed return precautions with her, and she verbalized understanding and agreement with the plan
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Injection site erythema, Injection site swelling
Clinical narrative: About 12 hours after I received the second COVID vaccine, I experienced chills, weakness and headache. The following morning, the weakness continued along with body aches until that evening. There is also an area that spans about 5 inches in diameter at the injection site that is warm to the touch, red, sore and slightly elevated. Systemic symptoms lasted about 24 hours with only nausea and weakness at 48 hours. Arm still remains warm and red but less swollen.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Nausea, Pain
Clinical narrative: About 12 hours after I received the second COVID vaccine, I experienced chills, weakness and headache. The following morning, the weakness continued along with body aches until that evening. There is also an area that spans about 5 inches in diameter at the injection site that is warm to the touch, red, sore and slightly elevated. Systemic symptoms lasted about 24 hours with only nausea and weakness at 48 hours. Arm still remains warm and red but less swollen.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Pain, Pyrexia
Clinical narrative: Woke up with chills, fever 101.4, headache, body ache  No energy.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: THE NEXT MORNING THE AREA OF INJECTION WAS SLIGHTLY SWOLEN AND VERY SORE TO TOUCH.  IT STILL IS TODAY.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Audiogram, Vertigo, Vestibular neuronitis
Clinical narrative: vertigo, vestibular neuritis
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Joint lock, Loss of personal independence in daily activities, Mobility decreased, Muscle spasms, Pain
Clinical narrative: Arm locked  up extreme pain. muscle spasm and cannot lift my arm above my shoulder (which is an improvement from the initial condition).  Pain was so bad upon movement I thought I was going to pass out.  It is improving, day to day, but still incapacitates me from my daily routine.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Arm locked  up extreme pain. muscle spasm and cannot lift my arm above my shoulder (which is an improvement from the initial condition).  Pain was so bad upon movement I thought I was going to pass out.  It is improving, day to day, but still incapacitates me from my daily routine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Nausea, Pain in extremity
Clinical narrative: lots of nausea , hot flashes, sore arm
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Pain, Pyrexia
Clinical narrative: Resident developed fever, aches and diarrhea on the evening of 2/7/21. Tylenol administered for fever and pain. Imodium administered for diarrhea. As of the afternoon of 2/8/21 the resident is without any further symptoms.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Nausea
Clinical narrative: extreme fatigue, headache, , achiness, chills, low grade fever, nausea, dizzy
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: extreme fatigue, headache, , achiness, chills, low grade fever, nausea, dizzy
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Chills, Dysphonia, Headache, Injection site bruising
Clinical narrative: #1 The injection site was sore, red, and hot to touch, the site then had a large lump under the surface of the skin, then it was black and blue. From start to finish from the redness to the bruising was about 3 days.   #2 Sore throat, followed by hoarseness and then ultimately loosing my voice, body aches, headache, fever and chills with the fever lasting 4 days and ranging from 99.5 to 106.1. Also have had a runny nose, followed by congestion with a course and constant productive cough.   I still have all the symptoms listed above today 02/08/2021 except the fever, chills and body aches.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site warmth, Oropharyngeal pain
Clinical narrative: #1 The injection site was sore, red, and hot to touch, the site then had a large lump under the surface of the skin, then it was black and blue. From start to finish from the redness to the bruising was about 3 days.   #2 Sore throat, followed by hoarseness and then ultimately loosing my voice, body aches, headache, fever and chills with the fever lasting 4 days and ranging from 99.5 to 106.1. Also have had a runny nose, followed by congestion with a course and constant productive cough.   I still have all the symptoms listed above today 02/08/2021 except the fever, chills and body aches.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Productive cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: #1 The injection site was sore, red, and hot to touch, the site then had a large lump under the surface of the skin, then it was black and blue. From start to finish from the redness to the bruising was about 3 days.   #2 Sore throat, followed by hoarseness and then ultimately loosing my voice, body aches, headache, fever and chills with the fever lasting 4 days and ranging from 99.5 to 106.1. Also have had a runny nose, followed by congestion with a course and constant productive cough.   I still have all the symptoms listed above today 02/08/2021 except the fever, chills and body aches.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Skin discolouration, Streptococcus test negative
Clinical narrative: #1 The injection site was sore, red, and hot to touch, the site then had a large lump under the surface of the skin, then it was black and blue. From start to finish from the redness to the bruising was about 3 days.   #2 Sore throat, followed by hoarseness and then ultimately loosing my voice, body aches, headache, fever and chills with the fever lasting 4 days and ranging from 99.5 to 106.1. Also have had a runny nose, followed by congestion with a course and constant productive cough.   I still have all the symptoms listed above today 02/08/2021 except the fever, chills and body aches.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Immediate post-injection reaction, Myalgia
Clinical narrative: Chills immediately and continued 2 days later; muscle aches, joint pain and headache started day after. Current right hip joint pain and HA(3 days after 2nd dose)
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Approx 10 min after receiving the injection patient c/o dizzyness. No headache, no nausea, no swelling any location of body, no sob. Ice packs applied to back of neck and winter garments removed to aid with cooling. Vitals were WNL. Pt observed until symptoms resolved and patient left clinic.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Covid Arm: slight swelling, defined red rash at injection site, hot to touch, itching
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: Covid Arm: slight swelling, defined red rash at injection site, hot to touch, itching
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Migraine, Nausea
Clinical narrative: Severe fatigue, malaise, nausea, migraine headache all began the same afternoon as injection, approximately four hours post-injection.  Symptoms lasted (and increased in intensity) for approximately 72 hours.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Large watery stool
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I had shot on Thursday morning 2/4, and didn't get fever till Saturday morning and Sunday morning.  Two days. I'm OK today
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Low grade fever (99.6 degrees F) with chills and body aches starting roughly 14 hours after receiving second dose of covid vaccine and lasting 24 hours. Headache starting roughly 24 hours after receiving vaccine and lasting 12 hours. Fatigue starting 12 hours after receiving vaccine and lasting roughly 24 hours. Rash extending down from both armpits to mid-ribcage starting 24 hours after receiving vaccine, still ongoing although getting slightly better.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Low grade fever (99.6 degrees F) with chills and body aches starting roughly 14 hours after receiving second dose of covid vaccine and lasting 24 hours. Headache starting roughly 24 hours after receiving vaccine and lasting 12 hours. Fatigue starting 12 hours after receiving vaccine and lasting roughly 24 hours. Rash extending down from both armpits to mid-ribcage starting 24 hours after receiving vaccine, still ongoing although getting slightly better.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Rash, Throat tightness
Clinical narrative: Patient presented for second vaccine.  Approximately 10 minutes after administration, rash appeared on right arm and right side of her back.  Pt states that she has had this happen before but feels that it might be "in her head" as well.  Pt has significant list of medication allergies, none present in Moderna COVID vaccine.  Pt continually monitored, rash continues to spread.  Decision made to transport patient to hospital by ambulance.  Pt begins to report that he lips are numb and that she feels her throat is closing.   Pt transported by  Ambulance to hospital.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Cough, Hyperhidrosis, Myalgia
Clinical narrative: pt started feeling weak, deep dry  cough 6 hours after vaccination,  pt took robitussin dm to help, fever low grade, increased fluid intake, muscle/joint aches , cough worsened, pt tried Mucinex to try and break up mucus if there was any,  sweats, next day mucus was beginning to loosen,  fever low grade, pt also had to take Aleve twice daily to help with symptoms, body aches, flu like symptoms
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: pt started feeling weak, deep dry  cough 6 hours after vaccination,  pt took robitussin dm to help, fever low grade, increased fluid intake, muscle/joint aches , cough worsened, pt tried Mucinex to try and break up mucus if there was any,  sweats, next day mucus was beginning to loosen,  fever low grade, pt also had to take Aleve twice daily to help with symptoms, body aches, flu like symptoms
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling cold, Headache, Hot flush, Pain
Clinical narrative: Within an hour, I had a headache and dizziness, which persisted for the remainder of the day. By the next morning, the headache and dizziness were still present and I also had body aches as well as hot/cold flashes, but no fever. This also lasted the entire day and into the following day. It has now been over 72 hours and I am still having dizziness and my head is spinning almost constantly, especially when I move around.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Within an hour, I had a headache and dizziness, which persisted for the remainder of the day. By the next morning, the headache and dizziness were still present and I also had body aches as well as hot/cold flashes, but no fever. This also lasted the entire day and into the following day. It has now been over 72 hours and I am still having dizziness and my head is spinning almost constantly, especially when I move around.
Age: 73.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: After 5 days reddness swelling itchy
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Paraesthesia
Clinical narrative: Left facility after waiting 15 minutes.  Within next 15 minutes while driving home, I had difficulty swallowing.  It took three or four attempts to complete a swallow.  Right ear had slight tingling.  Upon arriving home, I was able to swallow water but without water I had difficulty swallowing, three to four attempts to swallow.  This continued for three hours after receiving the vaccine.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: 2 weeks after injection arm began to itch at injection site,  area slightly red and warm,  began to hurt during the night enough to keep her awake, this morning 2/8/21 still red. No tenderness or hardness.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: at day 12 post vaccination  developed shingles
Age: 72.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Injection site mass, Pruritus
Clinical narrative: Noticed an itching and then looked. It is red and there is a hard lump underneath the redness. The red area is about 3/4 of an inch.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: 2 weeks after 2nd dose developed possible zoster in same arm along C8 dermatome.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site pain, Injection site swelling, Neck pain
Clinical narrative: Immediately after administration of second dose of the COVID vaccine, patient had severe swelling at injection site.  Pain extended across shoulder and up to L neck.  Patient was monitored- the following vitals are immediately after the injection: HR 69, sats 98%, BP 210/91, 193/101, 214/97.  Patient taken to ED as a precaution and monitored for over an hour.  BP at 1406: 218/111, BP at 1431: 197/84, and BP at 1549: 172/81.  Patient discharged from the ED - no worsening symptoms and no medications administered.  Patient reports the same reaction occurred after her first vaccine dose, but not to this degree, and it occurred several hours after the vaccine.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dysarthria, Headache
Clinical narrative: chest pressure, slurred speech, dizzy, headache
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Pyrexia
Clinical narrative: fever of 100.5 for over 16 hours, muscle aches, fatigue
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient fliniched and jerked right arm at insertion of vaccine. Unknown amount of vaccine went into deltoid. Pt was advised that she can still have second dose that is scheduled. First dose cannot be re-administered with unknown amount she did recieve today.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 3 INCH in diameter around injection site is red, swollen, warm to the touch, and itchy.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Rash (size: 2"X3") developed on left arm around and just below injection shot. Was tender to the touch and swollen. Was not itchy. Decreased significantly in size and redness in less than 24hrs.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Swollen tongue
Clinical narrative: tongue swelling/ chest tightness 1 hr post vaccination
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Mobility decreased, Myalgia
Clinical narrative: Big red patch around injection site, around 3 plus inches in diameter, swollen,  hot to touch.  It is now 4 full days since vaccination and still like this.  I looked online and it's called  "covid arm."  So it's not unexpected, although I am wondering when it will go away.  Also the day after I received the vaccine, I had a LOT of muscle soreness, aches, etc., to the point it was hard to get up and down, so I just wrapped up in a blanket and sat around.  That issue was all gone the next day.  I don't want to waste your time, but thought I should share info about my "covid arm."  Thank you.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Nausea, Pyrexia
Clinical narrative: General side effects were felt overnight;  Chills, nausea and low grade fever;  Pain  / Soreness at injection site became worse 24 hours after dosage
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Severe Headache
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea
Clinical narrative: Nausea and diarrhea.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Injection site erythema, Injection site swelling
Clinical narrative: extreme fatigue, lightheadedness, nausea, headache, large red raised area at sight of injection.  Started on Keflex d/t growing redness and warmth at injection at site.  Symptoms lasting over 3 days
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Nausea
Clinical narrative: extreme fatigue, lightheadedness, nausea, headache, large red raised area at sight of injection.  Started on Keflex d/t growing redness and warmth at injection at site.  Symptoms lasting over 3 days
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia oral
Clinical narrative: Staff member received Moderna vaccine around 11:45am on 02/05/2021. Reported to management around 3pm her lips were swelling, a tingling  around her mouth was felt.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site reaction, Injection site swelling, Lymphadenopathy, Pain
Clinical narrative: On 1/22/2021: Received Moderna Vaccine #1 On 1/ 25/2021: Experienced left clavicle pain/soreness and  felt a "bump"/lymph node within left clavicle area. On 1/26/2021- 1/29/2021: Intense left arm pain going down left arm, swelling of left arm around injection site and on 1/29/2021 red splotches began on left arm and left clavicle and continued until 2/1/2021.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: On 1/22/2021: Received Moderna Vaccine #1 On 1/ 25/2021: Experienced left clavicle pain/soreness and  felt a "bump"/lymph node within left clavicle area. On 1/26/2021- 1/29/2021: Intense left arm pain going down left arm, swelling of left arm around injection site and on 1/29/2021 red splotches began on left arm and left clavicle and continued until 2/1/2021.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Cough, Dizziness, Pallor, Throat irritation
Clinical narrative: Patient got dizzy, his skin was pale and clammy. He had itchy throat and cough. These symptoms happened about one hour after receiving the vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Mobility decreased, Neck pain, Pain
Clinical narrative: Severe pain in right arm the evening of vaccine.  Next day I couldn't get out of bed, hold my head up, ached everywhere, neck pain, headache, very tired.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Myalgia, Pyrexia
Clinical narrative: Rigors, fever (101), headache, myalgias, (day 1 through  day 3 so far), vomiting and diarrhea (day 3)
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Rigors, fever (101), headache, myalgias, (day 1 through  day 3 so far), vomiting and diarrhea (day 3)