chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cheilitis, Paraesthesia oral
Clinical narrative: 68 yo F with history of food allergies, including multiple types of berries and lavender oil presented to the COVID-19 Vaccination Clinic on 02/20/2021 for her second dose of the Pfizer COVID-19 vaccine. An hour after her first dose at 1841 on 1/28/21 (Lot #EL9263), patient had developed a headache and hives which she treated with 25 mg diphenhydramine.  Since that time, she develops hives around her face, inside her lips, down her neck and onto her chest daily.   Her headache lasted approximately 1 week after the first vaccine. She consulted her PCP about this reaction and was advised to pre-medicate with 25 mg of Benadryl before the second vaccine. Based on this information, CMA agreed to allow her to have  her second vaccine.   Vaccine given at 1419 with Lot EN6201 in her left deltoid.  Approximately 5 minutes after receiving the second vaccine today, she reported that she could feel her lips tingling and that she was developing bumps on the inside of her lips. She was given 25 mg of diphenhydramine IM to her right deltoid.  Vitals monitored and were stable.  Patient denied development of any other symptoms during this time and also denied any worsening of bumps on the inside of her lips. She reported that she was feeling drowsy from the Benadryl. Patient had a driver.  Patient had denied any prior history of allergic reaction to injectable medications, but then later reported that she did not tolerate the shingles vaccine well and had a swollen arm, so she never received the second dose.   This reaction was not documented in her medical record.  Per chart, PMH includes Allergic rhinitis, Chronic neck pain  GERD (gastroesophageal reflux disease), and Hyperlipemia.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: 68 yo F with history of food allergies, including multiple types of berries and lavender oil presented to the COVID-19 Vaccination Clinic on 02/20/2021 for her second dose of the Pfizer COVID-19 vaccine. An hour after her first dose at 1841 on 1/28/21 (Lot #EL9263), patient had developed a headache and hives which she treated with 25 mg diphenhydramine.  Since that time, she develops hives around her face, inside her lips, down her neck and onto her chest daily.   Her headache lasted approximately 1 week after the first vaccine. She consulted her PCP about this reaction and was advised to pre-medicate with 25 mg of Benadryl before the second vaccine. Based on this information, CMA agreed to allow her to have  her second vaccine.   Vaccine given at 1419 with Lot EN6201 in her left deltoid.  Approximately 5 minutes after receiving the second vaccine today, she reported that she could feel her lips tingling and that she was developing bumps on the inside of her lips. She was given 25 mg of diphenhydramine IM to her right deltoid.  Vitals monitored and were stable.  Patient denied development of any other symptoms during this time and also denied any worsening of bumps on the inside of her lips. She reported that she was feeling drowsy from the Benadryl. Patient had a driver.  Patient had denied any prior history of allergic reaction to injectable medications, but then later reported that she did not tolerate the shingles vaccine well and had a swollen arm, so she never received the second dose.   This reaction was not documented in her medical record.  Per chart, PMH includes Allergic rhinitis, Chronic neck pain  GERD (gastroesophageal reflux disease), and Hyperlipemia.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling cold, Feeling hot, Headache, Vomiting
Clinical narrative: A vaccinator came to PHN to report a woman in the bathroom who was throwing up. PHN and vaccinator came to attend to the client. Client said she was feeling warm and her head was throbbing. Client said her name. Client was eventually able to sit up in a chair and said she was feeling hot and lightheaded. Client asked to lay on the floor and legs were placed on a chair. Client said she was feeling better after this. PHN came back to the bathroom with ice pack, fruit strip, water, and apple juice. Client seen throwing up again, vaccinator was standing by with client. Vital signs taken after episode of emesis. BP: 113/84 and HR: 75. Client asked to take deep breaths and slow breathing, which client was able to do. Client said she was still feeling hot so client was given another ice pack. Client felt cold after some time so both ice packs removed. PHN asked another PHN to come assess client and Dr. called in to assess client also. Client was throwing up for the third time, and Dr. suggested we call 911 to get her checked out. EMS called at 1808 by other PHN. Client said she is only allergic to an antidepressant but did not recall the name. Client continued to talk and be responsive throughout entirety of event. Client called someone she knew to pick up her truck as she knew she would be going to the hospital. PHN took down name of friend, his number, and client?s keys. PHN gave keys and information to client flow lead, who gave items to an employee to ensure keys were returned to trusted entity. EMS arrived. Client denied any swelling, throat closing sensation, sensation of a thick tongue, or itching. Client taken on stretcher to Hospital.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Musculoskeletal stiffness, Pyrexia, Vomiting
Clinical narrative: Pt had fever 102; stiff neck; blinding headache; vomit for 14 hours
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is 17 years and 10 months of age.  Should not have received vaccination.  There have been no immediate adverse effects.  I have spoken both to the patient and her mother.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Paperwork from the day's clinic was reviewed, and it was discovered that the visitor, patient, was not 18 years of age. COVID-19 Vaccine Clinic Director immediately called the number listed on the consent form, and director spoke with patient's mother. Director emphasized the importance of patient following up with the pediatrician since the Moderna vaccine is not currently indicated for those less than 18 years of age. Mother verbalized understanding. Patient did not experience any adverse effects while waiting in the post-vaccination fifteen minute monitoring area or when she got home.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Light Headed dizzy
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Paraesthesia oral
Clinical narrative: 0940- Flushed, lips tingly
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Mass, Pain, Tenderness
Clinical narrative: Painful & tender lump by collar bone
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Echocardiogram, Electrocardiogram, Hypotension, Laboratory test
Clinical narrative: syncopal event 5 hrs later. Then hives next day. had second dose 6 weeks later and a second syncopal event again 5 hrs after the vaccine. Hypotensive on home BP meter
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Ultrasound scan, Urticaria
Clinical narrative: syncopal event 5 hrs later. Then hives next day. had second dose 6 weeks later and a second syncopal event again 5 hrs after the vaccine. Hypotensive on home BP meter
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Pain in extremity
Clinical narrative: THE PATIENT HAD A PFIZER SHOT 28 DAYS AGO.  WE GAVE HER A MODERNA  SHOT FOR HER SECOND DOSE.  AT 2.5 HRS AND 25 HOURS AFTER THE DOSE SHE WAS ONLY EXPERIENCING A LITTLE BIT OF ARM SORENESS WHICH SHE SAID "IS TO BE EXPECTED"
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood pressure decreased, Decreased appetite, Dizziness, Vertigo
Clinical narrative: after vaccine patient said she had stomach pain so bad she has trouble eating and is still having 3 days later. she is also having dizziness/vertigo and blood pressure is dropping 3 days after the vaccine
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: Muscle twitching in bicep
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: Patient began feeling pain in her legs that woke her up several times at night and into the morning.  Walking helped to prevent serious pain.  Offered that she get electrolytes and magnesium and contact her doctor.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Extreme body aches
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Presyncope
Clinical narrative: Vasovagal event, dizziness and light headness
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: ON 4/2/21 SHE ACCIDENTLY RECEIVED PFIZER AS HER 2ND DOSE, INSTEAD OF MODERNA. SHE UNDERSTANDS THE SERIERS IS COMPLETE
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Computerised tomogram thorax abnormal, Condition aggravated, Dizziness, Fibrin D dimer increased
Clinical narrative: 53 yo female with a history of PE 12 years prior after 22 hour flightreceived her first dose of Pfizer BioNTech  vaccine on March 20.  She tolerated the vaccine without report of systemic adverse events including headache, fevers, chills, myalgia, malaise or nausea.  Eight days later (March 28) she experienced light-headedness and uneasiness reminiscent of her prior PE prompting her to  visit the emergency room. Per patient D-Dimer was extremely elevated and  PE protocol CT chest with IV contrast diagnosed  multiple pulmonary emboli.    This time, no immediate precipitating factors were identified.  She has normal BMI (23), exercises regularly, is a never-smoker.  She was placed on therapeutic lovenox 80mg BID.  She indicated that is undergoing a workup for a hypercoagulable state  and was told she may have antiphospholipid antibody syndrome, although the data and records to support this evaluation are not available for confirmation by undersigned.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Scan with contrast abnormal
Clinical narrative: 53 yo female with a history of PE 12 years prior after 22 hour flightreceived her first dose of Pfizer BioNTech  vaccine on March 20.  She tolerated the vaccine without report of systemic adverse events including headache, fevers, chills, myalgia, malaise or nausea.  Eight days later (March 28) she experienced light-headedness and uneasiness reminiscent of her prior PE prompting her to  visit the emergency room. Per patient D-Dimer was extremely elevated and  PE protocol CT chest with IV contrast diagnosed  multiple pulmonary emboli.    This time, no immediate precipitating factors were identified.  She has normal BMI (23), exercises regularly, is a never-smoker.  She was placed on therapeutic lovenox 80mg BID.  She indicated that is undergoing a workup for a hypercoagulable state  and was told she may have antiphospholipid antibody syndrome, although the data and records to support this evaluation are not available for confirmation by undersigned.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing
Clinical narrative: light headed and heat rush from head down, history of feeling dizzy with needles. no breakfast/ lunch today. refused transport.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fall, Tremor, Urinary incontinence
Clinical narrative: Patient came to pharmacy to report adverse events following 2nd Moderna COVID19 dose.  Unable to determine if this was related to vaccine or not, but reporting as patient perceived event.  The day after vaccine administration, patient felt weak and fell to floor when getting out of bed.  He stated he was so weak that he could not lift his body up until someone came to help lift him.  He said he felt shaky and could not control his bladder/was urinating uncontrollably.  Pt reports that he only has 1 kidney and doesn't know if this may be relevant.  Counseled patient and recommended consulting his physician/nephrologist and would report to VAERS.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: headache began after receiving vaccination and has persisted, developing today (9 days later) to include nausea and vomiting. Has a history of chronic migraines. This headache is not typical for her migraines.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Pain, Plasmapheresis, Platelet count decreased
Clinical narrative: Pt received the shot on Thurs 4/1/21. This is a 64-year-old patient who presents with 1-1/2 days of body aches, fevers, tachycardia, fatigue and does not have any exposure to COVID-19 but she just got on Thursday her first shot of her vaccination she also has vomiting and malaise. TTP rash started on 4/7/21.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tachycardia, Thrombotic thrombocytopenic purpura, Vomiting
Clinical narrative: Pt received the shot on Thurs 4/1/21. This is a 64-year-old patient who presents with 1-1/2 days of body aches, fevers, tachycardia, fatigue and does not have any exposure to COVID-19 but she just got on Thursday her first shot of her vaccination she also has vomiting and malaise. TTP rash started on 4/7/21.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: 12:26.  Abupt onset of heart "palpitations". Evaluated by onsite EMS and NP.  12:28 BP 156/85; HR 98; R 20. 12:38. Palpitations have stopped VS 136/88- 78- R 16.  Stated she felt better. Discharged home at 12:40
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Palpitations
Clinical narrative: Palpitations
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Headache, Heart rate increased
Clinical narrative: Significant pain in left arm. Excruciating headaches. Fever/Chills. Rapid heart rate in 120s at rest. Muscle pain Left outter thigh and low back. Fatigue.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Significant pain in left arm. Excruciating headaches. Fever/Chills. Rapid heart rate in 120s at rest. Muscle pain Left outter thigh and low back. Fatigue.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Aphonia, Cough, Electrocardiogram, Full blood count
Clinical narrative: Hospital said: Acute allergic reaction, initial encounters, allergic reaction   Anaphylaxis; swollen Vocal cords; loss of voice; bad cough; & headache   Reaction Started 20 minutes after shot; cough was about 30 minutes later;  headache started about 3 hours after shot
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypersensitivity, Laryngeal oedema, Metabolic function test
Clinical narrative: Hospital said: Acute allergic reaction, initial encounters, allergic reaction   Anaphylaxis; swollen Vocal cords; loss of voice; bad cough; & headache   Reaction Started 20 minutes after shot; cough was about 30 minutes later;  headache started about 3 hours after shot
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous, Rash macular
Clinical narrative: Today I first noticed that I have , what is known as ? ? ?Covid Arm? ...or a red, somewhat splotchy, itchy rash on or around injection site.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given the vaccine at age 17, and it is only approved for 18+. No adverse reaction. Patient notified. No treatment needed at this time
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Feeling abnormal, Heart rate, Syncope
Clinical narrative: PT FELT "WEIRD" AND FAINT. FORGOT TO TAKE HER HYPERTENSION MEDS, BLOOD PRESSURE WAS 200/110, HR 88. TAKEN TO HOSPITAL.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site reaction, Skin warm
Clinical narrative: One week after the shot, a rash appeared at the injection site. It is red and warm to the touch.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Malaise
Clinical narrative: On 03/29/2021 I started feeling sick I then went to the doctor on 04/05/2021 and I was diagnosed with shingles.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: second dose of vaccine was  administered beyond recommended interval per patient request
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site irritation, Injection site pruritus, Injection site rash
Clinical narrative: Red rash, skin irritation and itch developed around injection site
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Paraesthesia oral
Clinical narrative: Patient reported feeling hot and tingling on lips.  Took Benedryl and was released to home.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No symptoms.  Pt is under the age of 18
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Unresponsive to stimuli
Clinical narrative: C/O lightheaded, dizzy Had brief <5 second nonresponsive to speech episode.  Arousal with Ammonia inhalant Pt went home
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Peripheral swelling, X-ray
Clinical narrative: Swelling hands mostly left 2nd shot right arm swelling right arm hands legs Got worse
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold
Clinical narrative: Patient received first dose of Pfizer at 12:50 pm on left deltoid, lot # ER8731, expiration date on 07/2021. Patient has a history of rheumatoid arthritis and asthma, both of which are controlled with medication. Patient waited in outdoor EMT waiting area for approximately 20 minutes. At 12:09 pm, patient entered indoor EMT waiting area and asked the lead nurse, if she could check her blood pressure. Upon assessment, patient was alert, oriented X4, clear speech. The patient's primary complaint was "feeling tired". The patient sat down in a chair in the observation area while RN took her blood pressure. At 12:09 pm, the patient's BP 156/102 sitting, HR 68, SpO2 97% RA, RR 17 res/min unlabored. Patient denies tightness in chest or throat, difficulty breathing, or trouble swallowing. Patient states she did not drink water today. RN gave patient a water. Patient consumed 16 oz of water at 1:13pm. Patient reports she is "feeling better" at 1:13 pm. At 1:16 pm, the patient's BP 156/102 sitting, HR 75, RR 18 res/min unlabored. Patient states her blood pressure "is usually low" because she runs daily, but she "can't remember" her usual range. At 1:20 pm, BP 150/100 sitting, HR 66, RR 18 res/min unlabored. Patient states she is "feeling tired and cold". Patient was transferred to anti-gravity chair at 1:25 pm with assistance from EMT. At 1:25 pm, patient's BP 167/115, RR 20 res/min, HR 64. At 1:32 pm, patient called her brother to come pick her up. Patient was provided with education related to signs and symptoms of allergic reaction, such as tightness in throat, tingling of tongue, and shortness of breath. Patient denies experiencing such symptoms. At 1:32 pm, BP 150/90, HR 70, Spo2 at 99%, RR 20 res/min. Patient states "I felt like something bad was going to happen" after receiving her vaccine. EMT talked with patient calmly and encouraged deep breathing. At 1:39 pm, BP 164/88, HR 84, Spo2 at 98%, RR 20 res/min. At 1:42, the patient requested to leave. Lead RN, advised patient to stay laying down and deep breath to help her blood pressure go down. Patient states "I want to leave". Patient was provided with education about normal blood pressure ranges. Patient verbalizes understanding and states she is aware she needs to call her doctor if she is experiencing headaches, vision changes, and/or chest pain. At 1:45 pm, patient got up out of chair and followed by EMT to car. Patient's gait was steady and balanced. Patient states she is "okay to drive". Patient declined having more vitals taken. Patient left with brother in passenger seat of car at 1:47 pm.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Irritability, Nausea
Clinical narrative: irritability, fatigue, chills, body aches, headache, nausea, dry-heaving, and vomiting.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Retching, Vomiting
Clinical narrative: irritability, fatigue, chills, body aches, headache, nausea, dry-heaving, and vomiting.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Rash
Clinical narrative: Rash on my legs Flu like symptoms
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoaesthesia, Somnolence, Visual impairment
Clinical narrative: Patient felt groggy, little visual disturbances, shortness of breath--when placed in supine position and elevate feet felt better. Feet became numb but vitals were normal--pulse and 02 stats withing range.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Asthenia, Blood test, Cognitive disorder, Condition aggravated
Clinical narrative: Urinary incontinence, weakness, loss of speech, loss of mobility (couldn't walk), fever for almost 12 hours. Still has loss of cognitive function from before the second shot almost 2 months after. Alzheimer's worsened. Needs more help around the house.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Dementia Alzheimer's type, Gait inability, Mobility decreased, Pyrexia, Urinary incontinence
Clinical narrative: Urinary incontinence, weakness, loss of speech, loss of mobility (couldn't walk), fever for almost 12 hours. Still has loss of cognitive function from before the second shot almost 2 months after. Alzheimer's worsened. Needs more help around the house.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: Urinary incontinence, weakness, loss of speech, loss of mobility (couldn't walk), fever for almost 12 hours. Still has loss of cognitive function from before the second shot almost 2 months after. Alzheimer's worsened. Needs more help around the house.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Paraesthesia oral
Clinical narrative: Patient felt tingling on lips and hot within 15 minutes of vaccination.  Took Benedryl and was released to home.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nervousness, Vomiting
Clinical narrative: vomit, headache-- we did cold compresses, gave a drink of water and husband came to pick her up after 28 minute wait time
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope, Syncope
Clinical narrative: Vasovagal syncope
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Musculoskeletal stiffness, Paraesthesia, Paraesthesia oral, Stiff tongue
Clinical narrative: tongue stiffness, tingling, skin tingling, lymphadenopathy, muscle stiffness
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Flushing, Hyperhidrosis, Lymphadenopathy, Musculoskeletal stiffness, Paraesthesia oral
Clinical narrative: tongue stiffness, tingling, skin tingling, lymphadenopathy, muscle stiffness
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Stiff tongue
Clinical narrative: tongue stiffness, tingling, skin tingling, lymphadenopathy, muscle stiffness
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Musculoskeletal stiffness, Paraesthesia, Paraesthesia oral, Stiff tongue
Clinical narrative: About an hour after receiving vaccine I had the following take place: Flush skin, sweating (no fever), stiffened muscles in neck and shoulders, tingling / stiff tounge, and enlarged lymph nodes in neck. Started taking over the counter benadryl (every 4 hours) until I could get in to see my doctor. Flush skin and sweating subsided, but stiffened muscles and swollen lymph nodes persist.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Flushing, Hyperhidrosis, Lymphadenopathy, Musculoskeletal stiffness, Paraesthesia oral
Clinical narrative: About an hour after receiving vaccine I had the following take place: Flush skin, sweating (no fever), stiffened muscles in neck and shoulders, tingling / stiff tounge, and enlarged lymph nodes in neck. Started taking over the counter benadryl (every 4 hours) until I could get in to see my doctor. Flush skin and sweating subsided, but stiffened muscles and swollen lymph nodes persist.
Age: 36.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Stiff tongue
Clinical narrative: About an hour after receiving vaccine I had the following take place: Flush skin, sweating (no fever), stiffened muscles in neck and shoulders, tingling / stiff tounge, and enlarged lymph nodes in neck. Started taking over the counter benadryl (every 4 hours) until I could get in to see my doctor. Flush skin and sweating subsided, but stiffened muscles and swollen lymph nodes persist.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Pain in extremity
Clinical narrative: My arm started hurting and is now itchy and there is a hard spot about 3 inches in diameter where the injection was.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: Chills started around 11:30pm on 4/2/21; woke with fever, aches and sweats at 3am on 4/3/21.  Fever, aches and fatigue persisted throughout 4/3/21.  Took tylenol to manage fever and pain.  Most symptoms had subsided by by mid-day on 4/4, but aches and fatigue persisted.  Woke up on 4/5 feeling fine.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Chills started around 11:30pm on 4/2/21; woke with fever, aches and sweats at 3am on 4/3/21.  Fever, aches and fatigue persisted throughout 4/3/21.  Took tylenol to manage fever and pain.  Most symptoms had subsided by by mid-day on 4/4, but aches and fatigue persisted.  Woke up on 4/5 feeling fine.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Headache
Clinical narrative: Pain in my arm where I got the shot, dizziness, EXTREME FATIGUE that lasted for two days, severe  headache, joint pain especially in right shoulder, body aches & the chills
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: Pain in my arm where I got the shot, dizziness, EXTREME FATIGUE that lasted for two days, severe  headache, joint pain especially in right shoulder, body aches & the chills
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Limb injury, Malaise, Syncope
Clinical narrative: pt stated that 4 hours after vaccine on 4/8/21 she fainted while at home and hit her arm.  She stated that she believes she did not eat enough.  She said that after eating and drinking electrolytes she felt better.  AS of 4/9/21  she states she has a headache and feels icky.    pt stated she did not receive any medical attention
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Chills, Computerised tomogram normal, Dyspnoea
Clinical narrative: My arm was sore no swelling. The day wen on and I got achy, chills and fatigue. I woke up the next morning better but exhausted. Sunday I was running errands and got home then all of a sudden got shortness of breathe. I did breathing exercises and used a inhaler, did not help. I started getting pain in my chest and called the hospital hotline and they advised me to go to the ER. I went to the ER - they did testing, blood work and ran a d-dimer. the d-dimer was high and went in for a CT that was negative. The gave me all the meds as if I was having a heart attack or stroke. They kept me there for observation and sent me home. I called my PCP the next morning, she was mentioning dehydration making it higher, The ER never told me it was related to the vaccine, I felt like I was going through Covid fast. I took a Covid test and it was negative. I was fine by Monday.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer increased, Pain, Pain in extremity, SARS-CoV-2 test negative
Clinical narrative: My arm was sore no swelling. The day wen on and I got achy, chills and fatigue. I woke up the next morning better but exhausted. Sunday I was running errands and got home then all of a sudden got shortness of breathe. I did breathing exercises and used a inhaler, did not help. I started getting pain in my chest and called the hospital hotline and they advised me to go to the ER. I went to the ER - they did testing, blood work and ran a d-dimer. the d-dimer was high and went in for a CT that was negative. The gave me all the meds as if I was having a heart attack or stroke. They kept me there for observation and sent me home. I called my PCP the next morning, she was mentioning dehydration making it higher, The ER never told me it was related to the vaccine, I felt like I was going through Covid fast. I took a Covid test and it was negative. I was fine by Monday.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: No adverse reaction. Patient received a small increase in  the recommended dosage.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Blood test, Fatigue, Headache, Muscle twitching
Clinical narrative: 8 HOURS AFTER VACCINE, DEVELOPED FEVER TO 101, HEADACHE, FATIGUE.  THIS LASTED ABOUT 12-18 HRS.  2 DOSES ACETAMINOPHEN 325 MG TAKEN EVERY 4-6 HRS. THEN FATIGUE CONTINUED ABOUT 2-3 WEEKS.  TWO DAYS AFTER IMMUNIZATION, NOTICED LEFT UPPER LIP TWITCHING INTERMITTENTLY.  THIS CONTINUED FOR ABOUT 1-2 WEEKS, THEN R UPPER EYELID STARTED TO TWITCH INTERMITTENTLY , ALONG WITH THE LEFT UPPER LIP CONTINUING TO TWITCH.  WENT TO MY PHYSICIAN 6 WEEKS AFTER THE INTERMITTENT TWITCHING OF BOTH LIP AND EYE CONTINUED.  I WAS EXAMINED, AND LABS DRAWN.  ONLY CONCERNING NEW LAB WAS VITAMIN D LEVEL 22.  INCREASED VITAMIN D SUPPLEMENT FROM 1000 IU DAILY OR EVERY OTHER DAY TO 6,000 IU DAILY.  NOW , 2 WEEKS AFTER INCREASING VITAMIN D DOSE, TWITCHING HAS LESSENED.  I DO NOT KNOW IF VACCINE CAUSED THE TWITCHING, BUT WANTED TO REPORT, SINCE HAVE NEVER NOTICED TWITCHING LIKE THIS BEFORE.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vitamin D
Clinical narrative: 8 HOURS AFTER VACCINE, DEVELOPED FEVER TO 101, HEADACHE, FATIGUE.  THIS LASTED ABOUT 12-18 HRS.  2 DOSES ACETAMINOPHEN 325 MG TAKEN EVERY 4-6 HRS. THEN FATIGUE CONTINUED ABOUT 2-3 WEEKS.  TWO DAYS AFTER IMMUNIZATION, NOTICED LEFT UPPER LIP TWITCHING INTERMITTENTLY.  THIS CONTINUED FOR ABOUT 1-2 WEEKS, THEN R UPPER EYELID STARTED TO TWITCH INTERMITTENTLY , ALONG WITH THE LEFT UPPER LIP CONTINUING TO TWITCH.  WENT TO MY PHYSICIAN 6 WEEKS AFTER THE INTERMITTENT TWITCHING OF BOTH LIP AND EYE CONTINUED.  I WAS EXAMINED, AND LABS DRAWN.  ONLY CONCERNING NEW LAB WAS VITAMIN D LEVEL 22.  INCREASED VITAMIN D SUPPLEMENT FROM 1000 IU DAILY OR EVERY OTHER DAY TO 6,000 IU DAILY.  NOW , 2 WEEKS AFTER INCREASING VITAMIN D DOSE, TWITCHING HAS LESSENED.  I DO NOT KNOW IF VACCINE CAUSED THE TWITCHING, BUT WANTED TO REPORT, SINCE HAVE NEVER NOTICED TWITCHING LIKE THIS BEFORE.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypoaesthesia, Paraesthesia
Clinical narrative: Pt reported tingling of left arm that radiated down her arm, pt reports that the left side of her jaw was numb. Pt reported these symptoms resolved that day. Pt has headache and fatigue for two days.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Eye movement disorder, Hyperhidrosis, Pallor
Clinical narrative: Patient vaccinated by nurse and nurse reported patients eyes rolled back, patient appeared diaphoretic and pale Patient seen by medical team, vitals were stable, patient provided water and stated symptoms resolved Patient refused medical transport and signed AMA form
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Paraesthesia, Pruritus
Clinical narrative: Pt presented to medical staff after complaints of mild itching and chills after covid 19 vaccine. She complains of itching and tingling feeling on bilateral lower extremities. Her vitals are within normal limits 118/81, HR 91, spO2 96%, RR 18. She was given orange juice. Her symptoms are minimal and not progressing.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alopecia, Blister, Rash
Clinical narrative: Started with a small rash, went to Doctor on February 15, 2021, he did not know what it was.  Went to a Detmatologist on February 28, 2021. She  did not know what its  was either.  Gave me  prescription for Triamcinbolone Acetonide for rash.  This medication did not  really help, Doctor gave me Hydroxyzine, and told me to take Zyrrtec.  Rash has taken over entire body with red sore blister like bump.  Also took all of my hair out.  I need help ASAP, I am really suffering as it about to take over my face.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alopecia, Pruritus, Rash, Weight, Weight decreased
Clinical narrative: Started with a small rash, went to Doctor on February 15, 2021, he did not know what it was.  Went to a Detmatologist on February 28, 2021. She  did not know what its  was either.  Gave me  prescription for Triamcinbolone Acetonide for rash.  This medication did not  really help, Doctor gave me Hydroxyzine, and told me to take Zyrrtec.  Rash has taken over entire body with red sore blister like bump.  Also took all of my hair out.  I need help ASAP, I am really suffering as it about to take over my face.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Recipient left the vaccine location and while driving he started to feel dizzy approximately 30 minutes after receiving the vaccine.  He drove back to the vaccine site and asked to see a nurse.  He reported that he was nervous about receiving the second vaccine and had heard that you could die from the second vaccine.  It was explained that the second Moderna vaccine did not cause recipients to die.    12:22pm    BP 160/90                          HR - 118                          Pulse oximeter - 98%    12:26pm BP 150/94                        HR - 106                        Pulse oximeter - 99%    He was taken by wheelchair to the Health Office to lay down.  He rested there and drank 2-3 bottles of water.      12:33pm BP - 148/91                        HR - 95                        Pulse Oximeter - 98%    12:45pm BP - 133/84                        HR - 102                        Pulse Oximeter - 98%    12:55pm BP 137/92                        HR - 98                        Pulse oximeter - 99%    1:15pm   BP 132/90                      HR - 96                      Pulse oximeter - 98%    He continued to rest in the SWHS Health Office and a family member was called to pick him up.  He was dismissed to family member after 1:45pm.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Paraesthesia
Clinical narrative: Pt c/o tingly feeling to hand s/p 2nd vaccine . states had similar reaction after 1st vaccine.  Pt also informed paramedics that she had a "metallic taste" in her mouth also.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Tightness in chest and slight difficulty breathing. Trouble fully expanding lungs.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pain in extremity
Clinical narrative: FEVER 101, BODY ACHES, HEADACHE, CHILLS, NAUSEA, SORE ARM
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: FEVER 101, BODY ACHES, HEADACHE, CHILLS, NAUSEA, SORE ARM
Age: 18.0
Sex: F
Vaccine: UNK
Symptoms: Anxiety
Clinical narrative: described feeling anxious
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Blood glucose increased, Blood lactic acid, Blood magnesium normal
Clinical narrative: Patient is an 82-year-old female who came to the emergency department today complaining of shortness of breath.  Patient also reports that she has cough, low oxygen and recently received her second Covid shot and when EMS picked her up she was 83% oxygen saturation on room air.  Patient has what sounds like pooling secretions in her throat and patient had suctioning done by respiratory which caused her to bleed blood noted in teeth and around mouth.  Patient reports that her throat has been hurting her and that is why she has been unable to eat.  Patient's daughter is at bedside and is historian for majority of the assessment.  Patient's daughter reports she has not been eating or drinking for the last 2 days. Labs in ER showed WBC 11.61, lactate level 3.3, creatinine 2.0, procalcitonin 5.33, magnesium 1.5, BNP 2100, glucose 474.  Chest x-ray showed no acute findings.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, Chest X-ray normal, Cough, Dyspnoea, Feeding disorder
Clinical narrative: Patient is an 82-year-old female who came to the emergency department today complaining of shortness of breath.  Patient also reports that she has cough, low oxygen and recently received her second Covid shot and when EMS picked her up she was 83% oxygen saturation on room air.  Patient has what sounds like pooling secretions in her throat and patient had suctioning done by respiratory which caused her to bleed blood noted in teeth and around mouth.  Patient reports that her throat has been hurting her and that is why she has been unable to eat.  Patient's daughter is at bedside and is historian for majority of the assessment.  Patient's daughter reports she has not been eating or drinking for the last 2 days. Labs in ER showed WBC 11.61, lactate level 3.3, creatinine 2.0, procalcitonin 5.33, magnesium 1.5, BNP 2100, glucose 474.  Chest x-ray showed no acute findings.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Fluid intake reduced, Hypoxia, Increased bronchial secretion, Increased upper airway secretion, Mouth haemorrhage
Clinical narrative: Patient is an 82-year-old female who came to the emergency department today complaining of shortness of breath.  Patient also reports that she has cough, low oxygen and recently received her second Covid shot and when EMS picked her up she was 83% oxygen saturation on room air.  Patient has what sounds like pooling secretions in her throat and patient had suctioning done by respiratory which caused her to bleed blood noted in teeth and around mouth.  Patient reports that her throat has been hurting her and that is why she has been unable to eat.  Patient's daughter is at bedside and is historian for majority of the assessment.  Patient's daughter reports she has not been eating or drinking for the last 2 days. Labs in ER showed WBC 11.61, lactate level 3.3, creatinine 2.0, procalcitonin 5.33, magnesium 1.5, BNP 2100, glucose 474.  Chest x-ray showed no acute findings.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Oxygen saturation decreased, Pneumonia aspiration, Procalcitonin normal, White blood cell count increased
Clinical narrative: Patient is an 82-year-old female who came to the emergency department today complaining of shortness of breath.  Patient also reports that she has cough, low oxygen and recently received her second Covid shot and when EMS picked her up she was 83% oxygen saturation on room air.  Patient has what sounds like pooling secretions in her throat and patient had suctioning done by respiratory which caused her to bleed blood noted in teeth and around mouth.  Patient reports that her throat has been hurting her and that is why she has been unable to eat.  Patient's daughter is at bedside and is historian for majority of the assessment.  Patient's daughter reports she has not been eating or drinking for the last 2 days. Labs in ER showed WBC 11.61, lactate level 3.3, creatinine 2.0, procalcitonin 5.33, magnesium 1.5, BNP 2100, glucose 474.  Chest x-ray showed no acute findings.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriosclerosis coronary artery, Bronchiectasis, Computerised tomogram abnormal, Dyspnoea, Granuloma
Clinical narrative: patient developed shortness of breath , headache , sore throat and swollen lymph nodes in right neck two days after receiving vaccine,  He had has developed progressive sob.  he presented to PCP 34/6/21  HRCT shows  decreased lung volumes and development of  bronchiectasis. Pulmonary function test show severe restrictive lung disease. He denies any covid symptoms or positive test. He has been exposed to wife who is a er nurse. He states normal cxr last year. He was riding his bike in dec.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypersensitivity pneumonitis, Interstitial lung disease, Lymphadenopathy, Oropharyngeal pain
Clinical narrative: patient developed shortness of breath , headache , sore throat and swollen lymph nodes in right neck two days after receiving vaccine,  He had has developed progressive sob.  he presented to PCP 34/6/21  HRCT shows  decreased lung volumes and development of  bronchiectasis. Pulmonary function test show severe restrictive lung disease. He denies any covid symptoms or positive test. He has been exposed to wife who is a er nurse. He states normal cxr last year. He was riding his bike in dec.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary function test abnormal, Restrictive pulmonary disease, Total lung capacity decreased
Clinical narrative: patient developed shortness of breath , headache , sore throat and swollen lymph nodes in right neck two days after receiving vaccine,  He had has developed progressive sob.  he presented to PCP 34/6/21  HRCT shows  decreased lung volumes and development of  bronchiectasis. Pulmonary function test show severe restrictive lung disease. He denies any covid symptoms or positive test. He has been exposed to wife who is a er nurse. He states normal cxr last year. He was riding his bike in dec.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, feverish, fatigued, sore muscles,no desire to eat or drink
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Feeling abnormal, Pallor, Throat irritation
Clinical narrative: After recieving his Moderna vaccine the pt devoloped pallor, complained of being light headed and that his thorat felt "weird". I checked the pt's pulse, it was normal. He complained he was feeling worse, I instructed him to stop drinking water and to lay down and elevate his legs. I had a staff call 911 as the pt was complining he was having trouble breathing. The paramedics showed up before I could check his blood pressure. They checked his vitals then motiored the pt for 15 minutes. They then cleared him to leave when he felt ok.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Paraesthesia
Clinical narrative: Patient stated he felt a tingling sensation and really hot about 5 minutes after receiving the vaccine.  Patient received Benadryl Liquid at 10mL (25mg) about 2 minutes later (4:07).  At that time he stated that the tingling had stopped but he still felt hot.  5 minutes later (4:12) patient stated that he no longer felt hot and thought that it may have just been nerves about the vaccine.  Patient left the pharmacy at 4:25 with no symptoms.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Influenza like illness, Pain, Pain in extremity, Pyrexia
Clinical narrative: At almost exactly 25 hours after the shot, I developed adverse events(as you say). I went for a six mile jog, took a hot shower, felt fine other than sore arm. Now I am running a fever, completely unable to get warm, and everything hurts. Somehow even the tops of my feet hurt?? Very bizarre. Feels like a bad flu.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Bright red skin with hives, very itchy, located on both sides and small area on  abdomen Started this afternoon with hives. But Skin  itchy all over since early morning
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Bright red skin with hives, very itchy, located on both sides and small area on  abdomen Started this afternoon with hives. But Skin  itchy all over since early morning
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, Cold sweat, Dizziness, Electrocardiogram normal, Feeling abnormal
Clinical narrative: HPI: Patient is a 35 year old male who presents following administration of a single dose of J&J COVID19 vaccine in the left deltoid.  Patient started to feel light headed and nauseous while walking to his car.  About 20 minutes following vaccination, a vaccinator had walked passed his vehicle and noted that he was unconscious.  Patient was still unconscious upon medical response team arrival and unresponsive to stimuli.  Once the patient awoke about 30 seconds later, he continued to state that he was nauseated and ?did not feel good.?  Patient was unaware that he had lost consciousness.  He further disclosed that he had been working in the sun planting trees all day and had not consumed any food or beverage.  He denied allergies to medication, food, and other vaccines.  He relayed that he had passed out from vaccinations in the past as a child.  He affirms lightheadedness and nausea.  He denies chest pain, difficulty breathing, swelling of the face/lips/tongue/throat, skin rash/itching, cramping abdominal pain, and vomiting.     Exam (update as needed): GEN: Upon arrival, patient unconscious and not responsive to stimuli HEAD: NCAT EYES: pupils unreactive and mydriatic ENT: Ears normal, Nose normal, OP normal, no evidence of angioedema NECK: Supple, without LAD.  CV: RRR, no m/r/g, palpable strong radial pulse PULM: Clear to auscultation bilaterally, no accessory muscle use ABD: Soft, no tenderness. SKIN:  Skin pale, cool, and clammy.  No rashes.  No erythema or edema of the injection site. MSK: FROM, MS 5/5 NEURO: Patient unconscious upon arrival.  CN 2-12 grossly intact, no ataxia, gait steady   Clinical Impression/Field Tx: Vasovagal syncope.  EMS called immediately to respond to the site for further evaluation.  Patient placed into a reclined position.  Patient not displaying active signs or symptoms of anaphylaxis.  Upon regaining consciousness, patient was alert and oriented x4.  Once the patient demonstrated ability to control airway, he was given candy and water.  EMS arrived and an EKG and BGL were performed, both of which were normal.  Vital signs were stable.   Instructed patient to consult their PCP regarding the post-vaccination reaction.  Patient instructed to go to emergency department should they develop chest pain, difficulty breathing, swelling of the face/lips/mouth/tongue/throat, or cramping abdominal pain with nausea/vomiting, as these are signs of possible anaphylaxis that requires immediate intervention.     Medications administered: None   Disposition:  FD EMS called to the scene for further evaluation.  Patient elected to go home after evaluation by EMS.