chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: COVID19
Symptoms: Myocardial infarction
Clinical narrative: Moderate heart attack; A spontaneous report  was received from a consumer concerning a male patient of an unspecified age, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced moderate heart attack/myocardial infarction.   The patient's medical history was not provided. Concomitant medications were not provided.  On 03 Feb 2021, prior to the onset of the events, the patient received their first of the two planned doses of mRNA-1273 (Batch number: unknown) for prophylaxis of COVID-19 infection.   On 28 Feb 2021, the patient experienced a moderate heart attack  On 03 Mar 2021, the patient received their second of the two planned doses of mRNA-1273 (Batch number: unknown) for prophylaxis of COVID-19 infection.   The event, moderate heart attack, was deemed medically significant.  Treatment information was not provided. Lab tests were not provided.  Action taken with mRNA-1273 in response to the event was not applicable as patient took both doses of the vaccine.  The outcome of the event, moderate heart attack, was considered resolved as of 28 Feb 2021.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Further information has been requested.
Sex: U
Vaccine: RV5
Symptoms: Product storage error
Clinical narrative: no other adverse events/effects reported; improperly stored ROTATEQ was administered; This spontaneous report was received from a licensed practical nurse referring to a patient of unknown age and gender. Information about pertinent medical history, drug reaction/allergy and concomitant medication was not provided.       On 18-MAR-2021 (reported as yesterday), the patient was vaccinated with improperly stored rotavirus vaccine, live, oral, pentavalent (ROTATEQ) (2 ml, lot # 1691303, expiration date 21-DEC-2021; strength and anatomical location were not reported) orally for prophylaxis (product storage error). Current temperature excursion was 47.1 Fahrenheit degrees for 6 minutes. There was no previous temperature excursion. Data logger was involved. No other adverse events or effects were reported. No product quality complaint.
Age: 60.0
Sex: F
Vaccine: FLUX, FLUX
Symptoms: Pain in extremity
Clinical narrative: Has had sore arms from flu shots / Has received multiple flu shots in the past; This case was reported by a other health professional via other manufacturer and described the occurrence of pain in arm in a 60-year-old female patient who received Flu Seasonal QIV Dresden (Influenza vaccine Quadrivalent 2020-2021 season) for prophylaxis.   The patient's past medical history included sjogren's (diagnosed 10 years before the reporting date). Previously administered products included flu shot (received multiple shots in the past).   On an unknown date, the patient received Influenza vaccine Quadrivalent 2020-2021 season. On an unknown date, less than a year after receiving Influenza vaccine Quadrivalent 2020-2021 season, the patient experienced pain in arm. On an unknown date, the outcome of the pain in arm was recovered/resolved.   It was unknown if the reporter considered the pain in arm to be related to Influenza vaccine Quadrivalent 2020-2021 season.  Additional details were provided as follows: The patient was 60 years old at the time of her latest flu vaccination. The patient experienced pain the arm after the vaccination. The patient received Pfizer Covid 19 vaccine on 5th March 2021 and experienced swelling and itching.; Sender's Comments:  US-GLAXOSMITHKLINE-US2021AMR066243:Same reporter US-GLAXOSMITHKLINE-US2021AMR066247:Same reporter. US-GLAXOSMITHKLINE-US2021AMR066243:Same reporter
Age: 60.0
Sex: F
Vaccine: FLUX, FLUX
Symptoms: Pain in extremity
Clinical narrative: Has had sore arms from flu shots / Was 60 at the time of the last flu vaccine; This case was reported by a other health professional via other manufacturer and described the occurrence of pain in arm in a female patient who received Flu Seasonal QIV Dresden (Influenza vaccine Quadrivalent 2020-2021 season) for prophylaxis.   The patient's past medical history included sjogren's. Previously administered products included Influenza vaccine with an associated reaction of pain in extremity (Multiple Flu shots received in the past refer case US2021AMR066251).   On an unknown date, the patient received Influenza vaccine Quadrivalent 2020-2021 season. On an unknown date, less than 2 years after receiving Influenza vaccine Quadrivalent 2020-2021 season, the patient experienced pain in arm. On an unknown date, the outcome of the pain in arm was unknown.   It was unknown if the reporter considered the pain in arm to be related to Influenza vaccine Quadrivalent 2020-2021 season.  Additional details were provided as follows: The reporter was a retired medical tech who reported for herself. The reporter stated that last flu vaccine caused sore arm. This was 1 of 3 cases reported by same reporter.; Sender's Comments:  US-GLAXOSMITHKLINE-US2021AMR066243:Same reporter US-GLAXOSMITHKLINE-US2021AMR066251:Same reporter.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Axillary pain, Chills, Headache, Hyperaesthesia
Clinical narrative: Reactive axillary lymph node / it is no longer visible/ enlarged lymph node; Lymph node / which was painful; My temperature peaked at 101.7; Fever symptoms / achy joints; Fever symptoms / sensitive skin; Fever symptoms / tremendous headache; Fever symptoms / chills; Experienced redness / at the injection site; Experienced / swelling / at the injection site; Experienced / pain at the injection site; Injection site / itchiness; This case was reported by a other health professional and described the occurrence of injection site erythema in a 59-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included SHINGRIX with an associated reaction of injection site pruritus (1st dose received on unknown date, refer case US2021AMR069495).   On 18th March 2021, the patient received the 2nd dose of Shingrix. In March 2021, less than a week after receiving Shingrix, the patient experienced injection site erythema, injection site swelling, injection site pain, injection site itching, fever, joint pain, sensitive skin, headache and chills. On 20th March 2021, the patient experienced lymphadenopathy axillary and lymph node pain. Rechallenge with Shingrix was positive. On an unknown date, the outcome of the injection site erythema, injection site swelling, injection site pain, injection site itching, lymphadenopathy axillary, lymph node pain, fever, joint pain, sensitive skin, headache and chills were unknown.   It was unknown if the reporter considered the injection site erythema, injection site swelling, injection site pain, injection site itching, lymphadenopathy axillary, lymph node pain, fever, joint pain, sensitive skin, headache and chills to be related to Shingrix.  Additional case details were reported as follows: The patient reported case for herself. After receiving 2nd dose of Shingrix vaccine patient had quite a robust immune response, that included temperature peaked at 101.7, and had all the usual fever symptoms, including achy joints, sensitive skin, tremendous headache, and chills. Additionally, patient experienced redness, swelling, and pain at the injection site, followed a few days later by itchiness. Two days after the vaccination patient also experienced a reactive axillary lymph node, with it being larger than a golf ball and visible through her skin, and which was painful. The size of the lymph node had decreased to less than pea sized, and although patient could feel it, it was no longer visible. The patient knew that these were all part of an immune response, but she did not find anything on company's website about the itchiness or the enlarged lymph node, so wanted to report it to GSK (not as an adverse reaction, since although she felt pretty cruddy she knew it was just her immune system doing what it was supposed to do). The reporter consented to follow up.; Sender's Comments:  US-GLAXOSMITHKLINE-US2021AMR069495:Same reporter, Same patient. 1st dose.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Lymphadenitis
Clinical narrative: Reactive axillary lymph node / it is no longer visible/ enlarged lymph node; Lymph node / which was painful; My temperature peaked at 101.7; Fever symptoms / achy joints; Fever symptoms / sensitive skin; Fever symptoms / tremendous headache; Fever symptoms / chills; Experienced redness / at the injection site; Experienced / swelling / at the injection site; Experienced / pain at the injection site; Injection site / itchiness; This case was reported by a other health professional and described the occurrence of injection site erythema in a 59-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included SHINGRIX with an associated reaction of injection site pruritus (1st dose received on unknown date, refer case US2021AMR069495).   On 18th March 2021, the patient received the 2nd dose of Shingrix. In March 2021, less than a week after receiving Shingrix, the patient experienced injection site erythema, injection site swelling, injection site pain, injection site itching, fever, joint pain, sensitive skin, headache and chills. On 20th March 2021, the patient experienced lymphadenopathy axillary and lymph node pain. Rechallenge with Shingrix was positive. On an unknown date, the outcome of the injection site erythema, injection site swelling, injection site pain, injection site itching, lymphadenopathy axillary, lymph node pain, fever, joint pain, sensitive skin, headache and chills were unknown.   It was unknown if the reporter considered the injection site erythema, injection site swelling, injection site pain, injection site itching, lymphadenopathy axillary, lymph node pain, fever, joint pain, sensitive skin, headache and chills to be related to Shingrix.  Additional case details were reported as follows: The patient reported case for herself. After receiving 2nd dose of Shingrix vaccine patient had quite a robust immune response, that included temperature peaked at 101.7, and had all the usual fever symptoms, including achy joints, sensitive skin, tremendous headache, and chills. Additionally, patient experienced redness, swelling, and pain at the injection site, followed a few days later by itchiness. Two days after the vaccination patient also experienced a reactive axillary lymph node, with it being larger than a golf ball and visible through her skin, and which was painful. The size of the lymph node had decreased to less than pea sized, and although patient could feel it, it was no longer visible. The patient knew that these were all part of an immune response, but she did not find anything on company's website about the itchiness or the enlarged lymph node, so wanted to report it to GSK (not as an adverse reaction, since although she felt pretty cruddy she knew it was just her immune system doing what it was supposed to do). The reporter consented to follow up.; Sender's Comments:  US-GLAXOSMITHKLINE-US2021AMR069495:Same reporter, Same patient. 1st dose.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Reactive axillary lymph node / it is no longer visible/ enlarged lymph node; Lymph node / which was painful; My temperature peaked at 101.7; Fever symptoms / achy joints; Fever symptoms / sensitive skin; Fever symptoms / tremendous headache; Fever symptoms / chills; Experienced redness / at the injection site; Experienced / swelling / at the injection site; Experienced / pain at the injection site; Injection site / itchiness; This case was reported by a other health professional and described the occurrence of injection site erythema in a 59-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included SHINGRIX with an associated reaction of injection site pruritus (1st dose received on unknown date, refer case US2021AMR069495).   On 18th March 2021, the patient received the 2nd dose of Shingrix. In March 2021, less than a week after receiving Shingrix, the patient experienced injection site erythema, injection site swelling, injection site pain, injection site itching, fever, joint pain, sensitive skin, headache and chills. On 20th March 2021, the patient experienced lymphadenopathy axillary and lymph node pain. Rechallenge with Shingrix was positive. On an unknown date, the outcome of the injection site erythema, injection site swelling, injection site pain, injection site itching, lymphadenopathy axillary, lymph node pain, fever, joint pain, sensitive skin, headache and chills were unknown.   It was unknown if the reporter considered the injection site erythema, injection site swelling, injection site pain, injection site itching, lymphadenopathy axillary, lymph node pain, fever, joint pain, sensitive skin, headache and chills to be related to Shingrix.  Additional case details were reported as follows: The patient reported case for herself. After receiving 2nd dose of Shingrix vaccine patient had quite a robust immune response, that included temperature peaked at 101.7, and had all the usual fever symptoms, including achy joints, sensitive skin, tremendous headache, and chills. Additionally, patient experienced redness, swelling, and pain at the injection site, followed a few days later by itchiness. Two days after the vaccination patient also experienced a reactive axillary lymph node, with it being larger than a golf ball and visible through her skin, and which was painful. The size of the lymph node had decreased to less than pea sized, and although patient could feel it, it was no longer visible. The patient knew that these were all part of an immune response, but she did not find anything on company's website about the itchiness or the enlarged lymph node, so wanted to report it to GSK (not as an adverse reaction, since although she felt pretty cruddy she knew it was just her immune system doing what it was supposed to do). The reporter consented to follow up.; Sender's Comments:  US-GLAXOSMITHKLINE-US2021AMR069495:Same reporter, Same patient. 1st dose.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Body temperature increased, Cognitive disorder, Flushing, Peripheral swelling
Clinical narrative: Troponin over 4000; Blood pressure over 300; Flushing beet red/erythema; Feeling groggy; Difficulty with cognition; Arm swelling; feeling hot/overheating; A spontaneous report was received from a consumer who is a 76-year-old, female patient who experienced blood pressure over 300 (blood pressure increased), troponin over 4,000 (troponin increased), flushing beet red (flushing), overheating (body temperature increased), grogginess (somnolence), difficulty with her cognition (cognitive impairment) and arm was swollen (peripheral swelling).  The patient's medical history included breast cancer in the right breast. Products known to have been used by the patient, within two weeks prior to the event, included cholesterol medication and once weekly Fosamax with calcium and vitamin D.   On 10-MAR-2021, the patient received a dose of mRNA-1273 (Batch number: 026A21A) intramuscularly in the left arm for prophylaxis of COVID-19 infection.   On 10 Mar 2021, immediately following the vaccination, the patient reported she experienced overheating, became beet red and her blood pressure was over 300. An ambulance took her to the emergency room. She had her troponin levels checked which were over 4000 that lead to a hospital admission and required a unspecified catherization. The patient was discharged home on unspecified date. She reported still feeling groggy and having difficulty with her cognition but it was improving throughout the day. The patient also reported her arm was still swollen, but improving.   Treatment for the event included diphenhydramine and other unspecified medications and treatments.   Action taken with mRNA-1273 in response to the events was unknown.  The events, blood pressure over 300 and troponin over 4,000, were considered recovering.   The events, flushing beet red, overheating, and grogginess were considered not recovered.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Troponin, Troponin increased
Clinical narrative: Troponin over 4000; Blood pressure over 300; Flushing beet red/erythema; Feeling groggy; Difficulty with cognition; Arm swelling; feeling hot/overheating; A spontaneous report was received from a consumer who is a 76-year-old, female patient who experienced blood pressure over 300 (blood pressure increased), troponin over 4,000 (troponin increased), flushing beet red (flushing), overheating (body temperature increased), grogginess (somnolence), difficulty with her cognition (cognitive impairment) and arm was swollen (peripheral swelling).  The patient's medical history included breast cancer in the right breast. Products known to have been used by the patient, within two weeks prior to the event, included cholesterol medication and once weekly Fosamax with calcium and vitamin D.   On 10-MAR-2021, the patient received a dose of mRNA-1273 (Batch number: 026A21A) intramuscularly in the left arm for prophylaxis of COVID-19 infection.   On 10 Mar 2021, immediately following the vaccination, the patient reported she experienced overheating, became beet red and her blood pressure was over 300. An ambulance took her to the emergency room. She had her troponin levels checked which were over 4000 that lead to a hospital admission and required a unspecified catherization. The patient was discharged home on unspecified date. She reported still feeling groggy and having difficulty with her cognition but it was improving throughout the day. The patient also reported her arm was still swollen, but improving.   Treatment for the event included diphenhydramine and other unspecified medications and treatments.   Action taken with mRNA-1273 in response to the events was unknown.  The events, blood pressure over 300 and troponin over 4,000, were considered recovering.   The events, flushing beet red, overheating, and grogginess were considered not recovered.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Injection site pain, Limb discomfort, Musculoskeletal discomfort, Neck pain
Clinical narrative: After 1 hour developed heaviness in left deltoid, left shoulder running down my clavicle. Pain at injection site. Neck tiredness. Shoulder heaviness. Fatigue. Tiredness. Exhausted. Neck soreness.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Myalgia
Clinical narrative: Since receiving 2nd vaccine I have had severe joint & muscle pain along with extreme fatigue
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: Dizziness, vertigo
Age: 65.0
Sex: M
Vaccine: UNK
Symptoms: Chills, Depressed mood, Pleurisy, Pyrexia
Clinical narrative: FEVER, CHILLS  AND 48 HOURS OF MISERY  THEN 6 DAYS LATER PLEURISY
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Palpitations
Clinical narrative: Immediately after this vaccination, the patient asked us to call 911 because her heart was racing and she felt dizzy. We told her to sit down and try to stay calm and we took her blood pressure. Blood pressure was 171/134 and her resting heart rate was 156 bpm. We told her to take some deep breaths and wait 5 minutes. We took it again, it was still high, hypertensive crisis level and heart rate was still elevated in the 120s. We took another pharmacists blood pressure to make sure monitor was accurate and it was normal/accurate. The patient refused to go to the ER even though she was strongly advised to.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Loud ringing in my ears
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Diverticulum, Palpitations
Clinical narrative: patient complained about dizziness and rapid heart rate 15 minutes after vaccine administration. BP was 145/88, 143/95, 131/87- pulse 72,71,69 every 10 minutes.  felt better after 1/2 hour and left home. called her 5 hours later, she was doing fine
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Musculoskeletal stiffness, Nausea, Pain
Clinical narrative: Nausea, Vomit/Diarrhea, Chills (very cold head to toes), body/joints ache, stiff throat
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Nausea, Vomit/Diarrhea, Chills (very cold head to toes), body/joints ache, stiff throat
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Retching
Clinical narrative: Dry heave. BP 132/111 (pulse 82). Benadryl 25 mg PO given.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness, Tinnitus
Clinical narrative: Tinnitus - Left Ear - plus some hearing loss .  The tinnitus comes and goes, and seems to also be related to my neck position
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urine present, Chills, Haematochezia, Presyncope, Tremor
Clinical narrative: Severe tremor and chills; near fainting; blood in urine and stool.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypersomnia, Myalgia, Pain in extremity
Clinical narrative: Woke up in the morning about 7:45 with a terrible Headache that lasted for about 3 hours and returned again about 5pm for about 1hr.  My body felt exhausted, tired and drained the entire day. I was also extremely sleepy all day.  I experience muscle aching pain for about 1 hour starting about 4pm.  Also had pain on the arm that injection was given on.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site rash, Pain in extremity
Clinical narrative: Circular rash under the injection site , also while taking a bath felt sudden pain on my shin which later on turned into a big bruise . Also bruise on the injection site. All appeared after a week of getting the vaccine.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site swelling, Urticaria
Clinical narrative: COVID-19 arm per personal research online. Itchy raised welt like area at injection site.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure fluctuation, Dyspnoea, Nausea
Clinical narrative: Nausea, denies chest pain, SOB, no difficulty swallowing. Initial BP 143/87 (pulse 64), 100% O2 sat. Final BP 133/89 (pulse 63), 100% O2 sat.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Feeling cold, Feeling hot, Headache, Heart rate increased
Clinical narrative: Almost immediate pain in right hip area followed by rapid heart rate. Then experienced  sweating and overheating followed by chills and inability to get warm. Arms and hands started tingling and feeling numb and then it moved to my legs. Took Tylenol and tried to drink water and eat a little. Slept for several hours and then had a bad headache causing a little bit of nausea and still very sensitive in right hip area, took more Tylenol.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Paraesthesia
Clinical narrative: Almost immediate pain in right hip area followed by rapid heart rate. Then experienced  sweating and overheating followed by chills and inability to get warm. Arms and hands started tingling and feeling numb and then it moved to my legs. Took Tylenol and tried to drink water and eat a little. Slept for several hours and then had a bad headache causing a little bit of nausea and still very sensitive in right hip area, took more Tylenol.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Nausea, Pain
Clinical narrative: Fever, chills, sweating, body aches, headache, nausea
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, chills, sweating, body aches, headache, nausea
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperaesthesia, Neck pain, Pain
Clinical narrative: Day 1: Chills, fatigue, aches, low grade fever (under 100). Day 2: Intense fatigue Day 3: Some fatigue Day 4: Light fatigue Day 5: Sore neck on left side, as if in muscle or lymph node, slight swelling along neck, intermittent recurring rash, extreme skin sensitivity, periodic itching various sites Day 6: Same as above. Last day reported. Symptoms still existing as of writing.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Rash, Swelling
Clinical narrative: Day 1: Chills, fatigue, aches, low grade fever (under 100). Day 2: Intense fatigue Day 3: Some fatigue Day 4: Light fatigue Day 5: Sore neck on left side, as if in muscle or lymph node, slight swelling along neck, intermittent recurring rash, extreme skin sensitivity, periodic itching various sites Day 6: Same as above. Last day reported. Symptoms still existing as of writing.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Injection site rash, Injection site swelling, Pain
Clinical narrative: Rash and swelling at injection site - started morning after and continues 3 days after Fever, chills, fatigue, body aches - started morning after and lasted for 24 hours
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Rash and swelling at injection site - started morning after and continues 3 days after Fever, chills, fatigue, body aches - started morning after and lasted for 24 hours
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: While I was waiting outside the clinic for 30 minutes, I first felt I ringing on my ears. It was very low level; high pitched sound low down at the back of my head. Unfortunately this ringing/Tinitus has continued every day and periodically gets worse. It has never gone away since the first day of my first dose. It seems worse at night when I am quiet. No additional tinitus with the 2nd dose.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Confusional state, Decreased eye contact, Dyskinesia, Impaired driving ability
Clinical narrative: Approximately 10 minutes after receiving the Moderna vaccine, this writer was called to the patient room by other staff.  The patient was extremely confused and not speaking to anyone.  He was gazing to the left and not making eye contact with this writer, who was loudly talking to the patient.  Multiple attempts were made to get the patient's attention with no success.  The patient then began to involuntarily raise his bent left arm in front of his face and then back down to his side.  In this writer's opinion, the patient was having a silent seizure.  This writer sat with the patient, who became aware approximately 15 seconds later.  He was able to answer questions and was quickly reoriented.  At this point this writer had the staff call 911 for further evaluation.  After answering basic questions appropriately., this writer gathered vital signs on the patient .  The first set of vitals were:   bp 88/48, pulse 60, respirations 14/min, oxygen saturation 93% on room air, temp 98.5.  After small conversation with the patient, another set of vitals were taken:   bp 94/70, pulse 68, respirations 15/min, oxygen saturation 95% on room air, temp 98.8.  We then had the patient drink some water, then had him lie down in the patient room until EMS arrived.  By the time they arrived, the patient was completed reoriented and laughing with office staff.  EMS evaluated the patient and deemed him safe to go home with his friend driving.  This writer walked the patient to the car to assess balance and coordination.  This writer informed the patient and his friend to call 911 if symptoms returned.  The patient agreed.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Approximately 10 minutes after receiving the Moderna vaccine, this writer was called to the patient room by other staff.  The patient was extremely confused and not speaking to anyone.  He was gazing to the left and not making eye contact with this writer, who was loudly talking to the patient.  Multiple attempts were made to get the patient's attention with no success.  The patient then began to involuntarily raise his bent left arm in front of his face and then back down to his side.  In this writer's opinion, the patient was having a silent seizure.  This writer sat with the patient, who became aware approximately 15 seconds later.  He was able to answer questions and was quickly reoriented.  At this point this writer had the staff call 911 for further evaluation.  After answering basic questions appropriately., this writer gathered vital signs on the patient .  The first set of vitals were:   bp 88/48, pulse 60, respirations 14/min, oxygen saturation 93% on room air, temp 98.5.  After small conversation with the patient, another set of vitals were taken:   bp 94/70, pulse 68, respirations 15/min, oxygen saturation 95% on room air, temp 98.8.  We then had the patient drink some water, then had him lie down in the patient room until EMS arrived.  By the time they arrived, the patient was completed reoriented and laughing with office staff.  EMS evaluated the patient and deemed him safe to go home with his friend driving.  This writer walked the patient to the car to assess balance and coordination.  This writer informed the patient and his friend to call 911 if symptoms returned.  The patient agreed.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Hypoaesthesia, Pain in extremity
Clinical narrative: Dizziness Right after, fatigue, chills, racing heart, sore arm, pins and needles and numbness in limbs
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Paraesthesia
Clinical narrative: Dizziness Right after, fatigue, chills, racing heart, sore arm, pins and needles and numbness in limbs
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pruritus
Clinical narrative: Patient received vaccine at ~3:10pm  was instructed to wait 15 minutes based on the answers she gave on vaccination questionnaire form. Patient indicated on form no allergies and that she she had no prescription for  an Epipen. Patient and her husband approached pharmacy counter at ~3:50pm after having received their vaccines , they  had been shopping in the store beyond  15 minute wait time, asking  to speak with pharmacist. Upon speaking with patient, patient stated " I do not know if this is all in my head but I am starting to fill itchy all over and I have a burning feeling all over my body." Patient stated I am not swelling anywhere and I am not red or blotchy anywhere. I asked patient if her tongue felt funny or like it was swelling or if she was having difficulty breathing or light headed. She stated no. Patient did not appear to have any swelling and  was have no difficulty breathing. I asked patient about allergies even though consent form said no allergies . Patient stated that she did have allergies to bees and had an anaphylaxis reaction before to bees and that she also carries Epipen. She stated she also had allergies to other medications. I recommended that patient have seat in pharmacy vaccine area for me to closely monitor her for 30 minutes. Patient agreed. I monitored patient very closely for 30 minutes and  checked on patient every 5 minutes and took  patients vitals at ~4pm and again at ~4:10pm . Vitals were fine and within normal limits of patient stated usual vitals. Patient stated she took blood pressure medications. Informed patient that we did have Benadryl or hydroxyzine on had if she would like me to adminster a dose per our vaccine protocol. Patient stated no as symptoms were beginning to improve. Asked patient if she would like for me to call EMS to have her checked out. Patient stated no. As the time past patient stated she was not as itchy and the burning feeling wasn't as bad. At 4:25pm, after 30+ minute monitoring period,  informed patient it had now been 30 minutes, patient stated she felt like she was ok and was feeling better. She stated itching had improved and burning feeling improved. Patient asked about taking a benadryl at home and stated that would be fine. Informed patient that if symptoms changed or got  worse at all to be sure to follow up with ER  or PCP depending on severity. Patient husband was with her at the appointment and he was the person driving her home and would be with her once she got home. Patient left pharmacy after symptom improvement and symptoms never got worse than initially presentation.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Throat tickling, BP 111/80 (pulse 65), 100% O2 sat.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: Hard red patchy skin around injection site. Area is warm to the touch and itchy
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Cold sweat, Dizziness, Headache, Pain
Clinical narrative: Within 3 hours I was achy, headache, very very dizzy (room spinning around, sick on my stomach and cold sweats for about 48 hours. Arm swollen and extremely sore. No fever, no lose of taste or smell.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Within 3 hours I was achy, headache, very very dizzy (room spinning around, sick on my stomach and cold sweats for about 48 hours. Arm swollen and extremely sore. No fever, no lose of taste or smell.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Nausea, Pyrexia, Vomiting
Clinical narrative: Started to not feel well 10 hours after injection.  About 12 hours after the injection I had nausea, vomiting, fever, headache.  Symptoms ended about 24 hours after injection.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Induration
Clinical narrative: Patient states right arm became hard after receiving first dose of Pfizer and is still feels hard when she came in for her second dose. She states no pain.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness. BP 133/71 (pulse 78). Stabilized.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Rash, redness, swelling and itchy at injection site
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Lymphadenopathy
Clinical narrative: On 3/24 I woke up feeling swollen in my armpits. It felt more swollen on the left arm (same arm as the injection) than on the right. The swelling  lasted all day and went down by the next morning (3/25). On the evening of 3/25 I noticed that my arm at the injection site felt itchy. When I scratched it I noticed it was hard surrounding the site. The diameter of the itchy hard area is about 2.5 inches.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus Ringing
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Breast pain, Mammogram, Ultrasound breast
Clinical narrative: Experienced painful lumps in breast. After ultrasound and mammogram, Mondor?s Disease.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Nausia, vomiting
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itching throughout body.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dry throat
Clinical narrative: Dry throat, cough. BP 133/88 (pulse 61).
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Taste disorder
Clinical narrative: A few hours after receiving the vaccination, I noticed that food had a metallic taste. I did not lose my sense of taste or my sense of smell; it was only that the sense of taste was altered. The metallic taste had greatly diminished within 24 hours and continued to abate until I was no longer aware of it by 36 hours after injection.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal
Clinical narrative: Fuzzy. BP 132/104 (pulse 101), O2 sat 97%. Final BP 123/87 (pulse 93).
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Electrocardiogram, Peripheral swelling
Clinical narrative: Extreme swelling of both legs
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Headache, Injection site pain, Myalgia
Clinical narrative: has been feverish, weak, temperature of 99.8 on 3/25 10:33 PM PDT, neck, and throat hurts, sore muscles, very sore at the injection site, diarrhea, nausea, headache, tender scalp These symptoms are unchanged after 24 hours (started approx 10 pm 3/24 is is now after 10pm 3/25.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Oropharyngeal pain, Pain of skin, Pyrexia
Clinical narrative: has been feverish, weak, temperature of 99.8 on 3/25 10:33 PM PDT, neck, and throat hurts, sore muscles, very sore at the injection site, diarrhea, nausea, headache, tender scalp These symptoms are unchanged after 24 hours (started approx 10 pm 3/24 is is now after 10pm 3/25.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Fatigue, Hallucination, Headache
Clinical narrative: Hallucinations Possibly fever, fatigue & dehydration 1-2 days ago Mild headache
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Large red lesion around infection site, somewhat itchy and painful.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dry eye, Dry mouth, Fatigue, Impaired driving ability, Impaired work ability
Clinical narrative: Initially, mild nausea, immediately (with 15 minutes of administration) . Resolved promptly within 30 minutes of injection.  Then, three hours after administration (at approx. 12.30 p.m.), the following symptoms in order of severity:  1. Severe tiredness/fatigue.  Lasted 4 hours.  Resolved when I took a half hour nap. 2. Sore throat.  Still present at 10.30 pm. 3. Swollen lymph nodes (lymphadenopathy).  Significant improvement after 4 hours from onset (3 hours after administration).  However, still present at 10.30 p.m. 4.  Feeling unwell/malaise.  Resolved after I took a nap. 5.  Dry eyes.  I had to remove my contact lenses and put on eyeglasses when I got home at approx. 2pm.   6.  Dry mouth.  Unresolved, even with drinking a lot of water and tea.  Symptoms were fairly severe.  I had to leave work and go home to rest.  I was unable to drive myself home.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Malaise, Nausea, Oropharyngeal pain
Clinical narrative: Initially, mild nausea, immediately (with 15 minutes of administration) . Resolved promptly within 30 minutes of injection.  Then, three hours after administration (at approx. 12.30 p.m.), the following symptoms in order of severity:  1. Severe tiredness/fatigue.  Lasted 4 hours.  Resolved when I took a half hour nap. 2. Sore throat.  Still present at 10.30 pm. 3. Swollen lymph nodes (lymphadenopathy).  Significant improvement after 4 hours from onset (3 hours after administration).  However, still present at 10.30 p.m. 4.  Feeling unwell/malaise.  Resolved after I took a nap. 5.  Dry eyes.  I had to remove my contact lenses and put on eyeglasses when I got home at approx. 2pm.   6.  Dry mouth.  Unresolved, even with drinking a lot of water and tea.  Symptoms were fairly severe.  I had to leave work and go home to rest.  I was unable to drive myself home.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Depression
Clinical narrative: Severe depressive episode that lasted two days, and then repeated 7 days later for one day.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site urticaria, Joint range of motion decreased
Clinical narrative: Left arm pain at injection site started 3/17/21. The pain got worse 3/18/21, having trouble lifting arm sideways.  Improved 3/19/21, resolved by 3/20/21. Starting 3/24/21, developed a few hives at left arm injection site, no treatment given. Better on 3/25/21 but not yet completely resolved.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Chills, Headache, Immediate post-injection reaction, Injection site erythema
Clinical narrative: ADVERSE REACTION TODAY: hot, itchy rash on forearms made up of tiny blisters -- > no tx thus far -- >  OTHER SIDE EFFECTS: Immediate onset: muscle pain at site of injection Onset about 11 hours post-vaccination: fever, chills, muscle aches, site of injection red and in worse pain, headache Onset about 24 hours post-vaccination: earache off and on Onset about 48 hours post-vaccination: fever spiked at 101.8 Onset about 96 hours post-vaccination: lethargic, headache
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lethargy, Myalgia, Pyrexia, Rash pruritic
Clinical narrative: ADVERSE REACTION TODAY: hot, itchy rash on forearms made up of tiny blisters -- > no tx thus far -- >  OTHER SIDE EFFECTS: Immediate onset: muscle pain at site of injection Onset about 11 hours post-vaccination: fever, chills, muscle aches, site of injection red and in worse pain, headache Onset about 24 hours post-vaccination: earache off and on Onset about 48 hours post-vaccination: fever spiked at 101.8 Onset about 96 hours post-vaccination: lethargic, headache
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: ADVERSE REACTION TODAY: hot, itchy rash on forearms made up of tiny blisters -- > no tx thus far -- >  OTHER SIDE EFFECTS: Immediate onset: muscle pain at site of injection Onset about 11 hours post-vaccination: fever, chills, muscle aches, site of injection red and in worse pain, headache Onset about 24 hours post-vaccination: earache off and on Onset about 48 hours post-vaccination: fever spiked at 101.8 Onset about 96 hours post-vaccination: lethargic, headache
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain
Clinical narrative: Starting 3/17/21: left arm pain at injection site, resolved 3/19/21 Starting 3/17/21: mild fatigue which became severe on 3/18/21, had to take half day off work.  Completely resolved 3/19/21.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure fluctuation, Hypertension, Immediate post-injection reaction, Palpitations
Clinical narrative: Right after the injection my heart started pounding. Hard pounding. I told the nurse. Did not stop the whole time I was there. I didn?t go to work after the shot because my heart wasn?t stopping. I went home and took my blood pressure and it was sky high. 198/103. I sometimes have anxiety but this was completely different. I went straight to bed to try and calm my body down. Stayed extremely high for a couple of hours. Dropped to 158/90 something. I have had up and down blood pressure ever since. I can feel it. Go take it and it?s higher than normal. Shooting up. I?m afraid to get the second shot.   Normally my blood pressure is around 127/81 controlled by small amount of benazepril. It now feels like it is out of control. Up and down all day. I have not gone to the doctor yet but am extremely worried about the next shot next week.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus, Rash, Swelling
Clinical narrative: Symptoms felt at 8p on day of vaccination (6 hours after dose): Pain  Swelling  Symptoms beginning Tuesday, 3/23/2021, one day after dose: Rash  Symptoms beginning Thursday, 3/25/2021: Itching
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Headache-coupe hours after shot through next day. Fever  & Chills  about 12 hours after shot 11:30pm - 4:00 am
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: ?COVID Arm? - large swelling under the skin at the shot site with blotchy, itchy red rash
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: At time of vaccination, arm was very sore, swollen, red, itchy, warm to the touch. I get a similar reaction from other vaccines. I was also fatigued. A few days later symptoms were gone. Then a few days later, I noticed it was starting to itch sometimes again. I did not look at it at that time. I exercised the morning of 3/25 and afterward noticed that my arm basically looked like it did the day of the shot again - red, swollen, itchy, warm to the touch.  It measures 2  7/8 inches across and 1.5 inches top to bottom. No change in symptoms throughout the day. I contacted my primary care physician with pictures after reading about "COVID arm"
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: At time of vaccination, arm was very sore, swollen, red, itchy, warm to the touch. I get a similar reaction from other vaccines. I was also fatigued. A few days later symptoms were gone. Then a few days later, I noticed it was starting to itch sometimes again. I did not look at it at that time. I exercised the morning of 3/25 and afterward noticed that my arm basically looked like it did the day of the shot again - red, swollen, itchy, warm to the touch.  It measures 2  7/8 inches across and 1.5 inches top to bottom. No change in symptoms throughout the day. I contacted my primary care physician with pictures after reading about "COVID arm"
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Headache, Palpitations
Clinical narrative: Felt slight headache, sensation of chest burning. Palpitations. Vitals wnl.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Nasal congestion, Throat irritation
Clinical narrative: March 25, 8 days after vaccine, noted mild itching at site in the morning and during the day, when getting ready for bed at about 11:30PM, site still itchy and have a  red slightly raised area approximately  1 1/2  x 2 1/2 inches at vaccine site.  Noting some increase of allergy type symptoms over the day-congestion, itchy mild sore throat, typical for me-tree pollens.  Took Claritin this morning, taking  Benedryl, 25 Mg  at midnight.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Corneal reflex decreased, Erythema, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Received  vaccine on 3.12.2021; began to have tearing of R eye with erythema on 3.24.2021 at approx 20:30; awakened 3.25.2021 with swelling of R eyelid, inability to blink, R side facial numbness, R side tongue numbness;  Diagnosis: Bell Palsy; Rx Prednisone taper, Neurontin, Valacyclovir, moisturizing eye drops, eye patch.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Lacrimation increased, Neurological examination abnormal, Ophthalmological examination abnormal, Swelling of eyelid
Clinical narrative: Received  vaccine on 3.12.2021; began to have tearing of R eye with erythema on 3.24.2021 at approx 20:30; awakened 3.25.2021 with swelling of R eyelid, inability to blink, R side facial numbness, R side tongue numbness;  Diagnosis: Bell Palsy; Rx Prednisone taper, Neurontin, Valacyclovir, moisturizing eye drops, eye patch.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Dyspnoea
Clinical narrative: As stated in #11 above, I had just been recovering from something really bad I got hit with in January.  The vaccination seemed to "reactivate" whatever it was, as all the same symptoms started back up that night except for the scalp pain.  Gastric distress wasn't quite as bad but definitely present.  Breathing definitely compromised, started back up using multiple OTC meds to get airways open.  Breathing continued to get bad for approx 3-4 days, as did gastric issues.  Started getting better on 5th day, then by 7th day doing a lot better.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Given to minor.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Limb mass, Lymphadenopathy
Clinical narrative: One week joint pain especially hip pain lasted 2 weeks( severe got cortisone injection) Swelling of lymph nodes in elbow area left arm golf ball sized lump this started at two and 1/2 weeks  and subsided after a few days. Then left shoulder and upper arm started hurting badly  swollen lymph nodes.  Overall joint aches have improved however.