chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Pruritus, Skin warm, Urticaria
Clinical narrative: Patient seen in clinic for first dose of Moderna covid-19 vaccine. Moderna 0.5ml IM administered into left deltoid by vaccinator RN at 0910. Patient with history of pruritic reactions and anaphylaxis. Patient instructed to wait 30 min post injection for observation. At 0930 she reported to this RN torso and upper extremity pruritis and redness, without hives; and feeling of warmth over ears and torso. Benadryl 50 mg PO and cetirizine 10mg PO administered with 8oz water at 0932.  Patient able to ambulate to wheel chair and reclined. Three sets of VS obtained all WNL. At 0947 she reported that pruritis was spreading to lower extremities and new onset of headache and two emerging hives to right wrist. Patient drank another 8oz water and continued to rest in reclining chair. At 1020 she noted an overall improvement in symptoms and there were no hives present. She was feeling well on discharge, up and walking about clinic. She was instructed to pick up Benadryl from site pharmacy and repeat dose in 4 hours. Discharged to home at 1045.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy, Muscular weakness, Pain in extremity
Clinical narrative: I had my 2nd dose of Phizer Covid Vaccine on February 19, 2021 and had it in my left arm.  My first dose 3 weeks prior was in my right arm.  I did not experience any side effects from the shot for 4 days.  I woke up on Tuesday, February 23rd and had pain in my right arm - the arm I had the 1st shot in, not the 2nd!  I continued to have pain in my right arm for several days and then 6 days after my 2nd dose I started having extreme pain in my legs - from my knees up the back of my thighs for two days.  Then 8 days after my 2nd dose my other arm became very sore, the arm I had the 2nd dose in.  So both arms are sore and the lymph nodes under the arms are tender.  Today I am 11 days out since my 2nd dose and I woke up and could barely lift my left arm. I have pain in both arms and lymph nodes.  I went to my family doctor and he does not have any answers for me.  I need to know if this is something I should be concerned about and if there is anything I can do to help these side effects go away.  How long can this last???
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient received a vaccine that was diluted with 0.8ml of Nacl instead of 1.8ml of Nacl
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Lymphadenopathy, Paraesthesia
Clinical narrative: tingling in vaccine arm grey tinge to hand on vaccine arm fatigue pain across shoulders pain down both sides of spine - Severe pain to adjust head on pillow or shift in bed even the slightest bit felt no need to blink for a few hours slept from 8pm Saturday until 10am Monday - Sleep was the only way to avoid the pain Alleve didn't touch the pain Tylenol began to help after 24 hours low fever around 100.4 skin was super-sensitive to touch swollen lymph nodes in neck on vaccine side swollen lymph nodes under arm on vaccine side - baseball-sized and painful to the touch
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Skin discolouration, Skin sensitisation
Clinical narrative: tingling in vaccine arm grey tinge to hand on vaccine arm fatigue pain across shoulders pain down both sides of spine - Severe pain to adjust head on pillow or shift in bed even the slightest bit felt no need to blink for a few hours slept from 8pm Saturday until 10am Monday - Sleep was the only way to avoid the pain Alleve didn't touch the pain Tylenol began to help after 24 hours low fever around 100.4 skin was super-sensitive to touch swollen lymph nodes in neck on vaccine side swollen lymph nodes under arm on vaccine side - baseball-sized and painful to the touch
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram, Dizziness, Electrocardiogram, Malaise
Clinical narrative: I received the shot at approximately 11:15am then waited for 15 minutes in an observation area. I was feeling fine and was allowed to leave. I began driving to pick up my husband from work and approximately 5 minutes later, I began to feel woozy and unwell. I wanted to pull the car over, but I was stuck at a red light. The next thing I remember is two men opening the doors to my car and telling me  I had had a seizure. While I was unconscious the car had driven into a fire hydrant and water was shooting over the car and street. The men helped me from the car and I laid on the sidewalk until the ambulance arrived. I was transported to the hospital.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: I received the shot at approximately 11:15am then waited for 15 minutes in an observation area. I was feeling fine and was allowed to leave. I began driving to pick up my husband from work and approximately 5 minutes later, I began to feel woozy and unwell. I wanted to pull the car over, but I was stuck at a red light. The next thing I remember is two men opening the doors to my car and telling me  I had had a seizure. While I was unconscious the car had driven into a fire hydrant and water was shooting over the car and street. The men helped me from the car and I laid on the sidewalk until the ambulance arrived. I was transported to the hospital.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, Dizziness, Myalgia, Neck pain, Pain in extremity
Clinical narrative: Fever of 101, neck muscle pain,  leg and back pain, dizziness  starting  10 hours after second vaccination and lasting  26 hours (so far)
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Fever of 101, neck muscle pain,  leg and back pain, dizziness  starting  10 hours after second vaccination and lasting  26 hours (so far)
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: 15 minutes after injection, both arms and hands experienced a tingling sensation similar to when a limb "falls asleep".  This continued for about 8 hours.  When I went to sleep and woke up, the tingling sensation was gone.  Tingling on the lower arms (below elbow) and hands.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Paraesthesia oral
Clinical narrative: Described slight left side facial drooping (visible to her, but husband does not notice), upper lip "vibrating" and "tingling". Feels like it is traveling to lower lip.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Red itchy rash at injection site about the size of half of my arm
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Death, Dyspnoea, Hypopnoea, Pallor
Clinical narrative: 3/2/21 became SOB, treated with oxygen and head of bed up in bed, only at dessert and drank supplement, for evening meal, no pain noted.  3/3/21 staff helped get her up in morning, went to weight room to take her weight, she then appeared to be struggling to breath, she was brough back to her room and the aides summoned nurse for assessment, was put back into bed, nurse noted poor color and shallow breathing, resident passed away shortly after that.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Immediate post-injection reaction, Nausea
Clinical narrative: Patient developed h/a 8/10right after injection he was observed and felt nauseous. ER MD came and saw patient   x2 patient allowed to go home. H/A better he stayed 1.5hours. he was transported by wheelchair to vehicle
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Arthralgia, Confusional state, Dizziness, Fatigue
Clinical narrative: Brain fog, confusion, dizziness, headaches, and loss of short-term memory, mental confusion, extreme fatigue, muscle pain, Joint pain continuing 5 weeks after vaccination.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Myalgia
Clinical narrative: Brain fog, confusion, dizziness, headaches, and loss of short-term memory, mental confusion, extreme fatigue, muscle pain, Joint pain continuing 5 weeks after vaccination.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Moderna COVID-19 Vaccine EUA  mild nausea starting about 2 hours after shot, continuing the following morning
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Dyspnoea, Flushing, Oropharyngeal pain
Clinical narrative: 5 minutes after receiving the vaccine, patient became flushed. She also stated that she had a sore throat without SOB or difficulty swallowing. She was able to drink water without difficulty. Her airway was patent and oropharynx was normal on exam. She had no stidor on exam. Patient was advised to seek care at the ED, but she did not.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Depressed level of consciousness, Dizziness, Feeling hot, Flushing, Oropharyngeal pain
Clinical narrative: 5 minutes after receiving the vaccine, patient became flushed. She also stated that she had a sore throat without SOB or difficulty swallowing. She was able to drink water without difficulty. Her airway was patent and oropharynx was normal on exam. She had no stidor on exam. Patient was advised to seek care at the ED, but she did not.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin test negative, Tuberculin test negative
Clinical narrative: 5 minutes after receiving the vaccine, patient became flushed. She also stated that she had a sore throat without SOB or difficulty swallowing. She was able to drink water without difficulty. Her airway was patent and oropharynx was normal on exam. She had no stidor on exam. Patient was advised to seek care at the ED, but she did not.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Pruritus
Clinical narrative: Severe itching in arms, legs, feet, and hands 11/2 weeks following injection.  Also, stomach upset starting on same day.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort, Throat irritation, Throat tightness
Clinical narrative: Patient stated a history of allergic reaction to the influenza vaccine in the past.   Patient insisted on receiving Covid vaccination.  Patients primary care provider was called and gave approval for patient to receive vaccination.    About 10 minutes after receiving vaccination the patient stated sinus pressure which quickly proceeded to complaints of his throat feeling  "funny and tight".   ERT was called and patient was given a dose of Epinephrine and transferred to the emergency department.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient reported dizziness and no other symptoms. Patient remained seated and symptoms went away.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Tremor
Clinical narrative: 3 days after I took my first Moderna vaccine on 2/4/2021,I had a reaction on Sunday, 2/7/21.  The reaction was at 5:00 p.m. on 2/7, I did not feel well and my legs felt shaky and my blood pressures which are always in the 120 or 110 range over 70s or 60s were 164/86, 141/96, 199/79 and 156/132.  The paramedics were called and they said it was the vaccine and my blood pressure was 151/70 at 6:15 pm..  I started to feel better but at 8 pm the same day, 2/7 m pressures from 8 pm to 11:30 pm were 158/83, 191/87, 146/106 and 144/74 and 130/67 and I was feeling better.  On Monday  2/8 my blood pressure readings were normal.  On Tuesday, 2/9/2021 I did not feel well at 5:00 a.m.  At 5:55 a.m. my blood pressure was 188/85, 137/100, 169/89 and then was normal.  The last time it happened was on Saturday, 2/13 and my pressures were 160/127 at 3:20 a.m. and 138/97.  My pulse was always normal.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Diarrhoea, Malaise, Pain, Ulcer
Clinical narrative: Severe sickness comparable to when I had chemo for breast cancer 11 years ago. vomiting, diaharea, severe ulcer pain, overall sick, very sick feeling, temp of 101.5. I had covid in September 2020 and received first covid shot on Sunday. feb 28th. No problem at all with injection site. I have been very sick and now have activated an old ulcer and am in extreme pain.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Severe sickness comparable to when I had chemo for breast cancer 11 years ago. vomiting, diaharea, severe ulcer pain, overall sick, very sick feeling, temp of 101.5. I had covid in September 2020 and received first covid shot on Sunday. feb 28th. No problem at all with injection site. I have been very sick and now have activated an old ulcer and am in extreme pain.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Lymphadenopathy, Neck pain, Pain in extremity, Vertigo positional
Clinical narrative: Mild pain upper right arm/shoulder/neck immediately after receiving vaccination. Pain worse next day.  Arm/shoulder pain resolved within a few days, neck pain persists - has not resolved.  Also developed swollen lymph node right side of neck 1 day after vaccination which remains swollen.  Saw FNP in regular provider office 2/04/21, no treatment recommended.   Episode of benign positional vertigo 1/21/21.  No history of this, FNP thought it could have been related to vaccination. Severe vertigo resolved after treatment, still have occasional mild vertigo episodes.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient developed lightheadedness within several minute of vaccine. vitals done 126/70 o2 96% hr 88 patient   still was lightheaded brought to stretcher and was seen by ER Dr - patient was feeling better felt ok to d/c   home. felt 100% walked to lobby
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Rhinorrhoea, Sneezing
Clinical narrative: Today I woke up with a runny nose, light headache, sneezing, right now I am still the same as in the morning, no temperature. On February 27, 2021 I was at the dentist office, other than that noting unusable.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Pt called today concerned that the left upper arm is red and itchy. Redness is spreading but it does not hurt. She is to apply a cool compress as needed to relieve itching or discomfort.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Sleep disorder
Clinical narrative: Around midnight woke up feeling cold sweat, couldn't move exp joint pain in back/knee, 101.7 and headache. The  symptoms  lasted for 24 hours then it felt like someone flipped the switch went away.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: Employee had vaccine on 3/2 today 3/3 started having headache and chills with body aches.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Mobility decreased, Musculoskeletal stiffness
Clinical narrative: 8 hrs post vax left shoulder sore; 12 hrs post vax left shoulder stiff - arm wouldn't raise above shoulder height. 24 hrs later shoulder is fine
Sex: U
Vaccine: COVID19
Symptoms: Chills, Injection site pruritus, Injection site reaction, Injection site swelling, Pain
Clinical narrative: I received the vaccine on 2/23 and was fine until 2/26.  I developed chills, body aches, fever and it lasted for about 24 hours.  Now on 3/3 I am having issues with arm at injection site.  My arm is swollen, red, itching  and fingers are little tingly.
Sex: U
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: I received the vaccine on 2/23 and was fine until 2/26.  I developed chills, body aches, fever and it lasted for about 24 hours.  Now on 3/3 I am having issues with arm at injection site.  My arm is swollen, red, itching  and fingers are little tingly.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Enthesopathy, Magnetic resonance imaging normal
Clinical narrative: bilaterial enthesitis in toes, foot, heels, knees, hips, lower back, elbows
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Swollen tongue
Clinical narrative: Her tongue felt like it was swelling & she said it was getting difficult to swallow.  Liquid Diphenhydramine 25 mg was given immediately.  About 10 minutes later, another dose was given.  About 5 minutes after the 2nd dose of Diphenhydramine was given, she stated her tongue was getting worse & she was having a more difficult time swallowing.  Epi 0.3 mg given IM.  Within about 3-4 minutes, she stated she was feeling better.  Then, about 5 minutes later, she stated her tongue was beginning to swell again.  She was immediately taken to the ED for treatment.  Steroids were given.  Pt was discharged from the hospital.  She is feeling much better today (the day after the event).
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dry mouth, Wheezing
Clinical narrative: 15-16 minutes after receiving vaccine, patient states her mouth felt dry and she started coughing. She denied shortness of breath, chest pain, throat swelling, voice changes, hoarseness, nausea, abdominal pain, rash, itching. No tachypnea or hypoxia on exam but mild expiratory wheezes noted at bilateral bases. She was treated with a duo-neb by medics (2.5 mg albuterol - 0.5 mg ipratropium). After nebulizer, she felt better with complete symptom resolution. She desired to go home to the care of her daughter. Patient and daughter were advised to present to an ER if symptoms recurred or if patient developed any symptoms.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Pain, Pyrexia
Clinical narrative: Headache, body ache, joint pain, chills, fever
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Chest pain, Chills, Cough
Clinical narrative: At 10:35 I started feeling weird in my body like when I get either an asthma attack or flu type. It was an hour later when I first began to feel lightheaded, dizzy, chills, and then really cold. I started then coughing hard like my throat was closing up and hard to breathe. My chest got tight and had sharp pains right under my chest by my stomach side. My heart rate was fast to the point my watch alerted me at over 135. I took my rescue ProAir inhaler to help but it didn?t. I tried to settle down and not panic to make things worse on my asthma attack. I then had to lay down feel weak. Within the next 15-20 min I used my nebulizer at home to help me breathe. After one treatment it helped me tremendously but still felt tired, nauseous, fatigue, pounding headache, but no fever since I barely checked at 98.5.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Feeling abnormal, Feeling cold
Clinical narrative: At 10:35 I started feeling weird in my body like when I get either an asthma attack or flu type. It was an hour later when I first began to feel lightheaded, dizzy, chills, and then really cold. I started then coughing hard like my throat was closing up and hard to breathe. My chest got tight and had sharp pains right under my chest by my stomach side. My heart rate was fast to the point my watch alerted me at over 135. I took my rescue ProAir inhaler to help but it didn?t. I tried to settle down and not panic to make things worse on my asthma attack. I then had to lay down feel weak. Within the next 15-20 min I used my nebulizer at home to help me breathe. After one treatment it helped me tremendously but still felt tired, nauseous, fatigue, pounding headache, but no fever since I barely checked at 98.5.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Nausea, Throat tightness
Clinical narrative: At 10:35 I started feeling weird in my body like when I get either an asthma attack or flu type. It was an hour later when I first began to feel lightheaded, dizzy, chills, and then really cold. I started then coughing hard like my throat was closing up and hard to breathe. My chest got tight and had sharp pains right under my chest by my stomach side. My heart rate was fast to the point my watch alerted me at over 135. I took my rescue ProAir inhaler to help but it didn?t. I tried to settle down and not panic to make things worse on my asthma attack. I then had to lay down feel weak. Within the next 15-20 min I used my nebulizer at home to help me breathe. After one treatment it helped me tremendously but still felt tired, nauseous, fatigue, pounding headache, but no fever since I barely checked at 98.5.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site swelling
Clinical narrative: PATIENT IN PHARMACY TODAY 3/3/21, COMPLAINING OF HARD KNOT WITH REDNESS, WARMTH AND SWELLING AT SITE OF TDAP INJECTION ONE WEEK AGO.  PATIENT STATES THAT THE AREA WAS LARGER AND HAS DECREASED IN SIZE. IT NOW MEASURES 1 INCH.  UPON ASSESSMENT, LEFT DELTOID HAS A VISIBLE AND VERY PALPABLE  I INCH IN DIAMETER  NODULE WHERE INJECTION WAS GIVEN.  NO RED STREAKS DOWN ARM VISIBLE, NO FEVER.  NO MUSCLE STRENGTH LOSS IN THAT ARM AND HAS FULL RANGE OF MOTION. PATIENT DOES REPORT RUBBING THE  AREA QUITE FREQUENTLY IN THE LAST TWO DAYS AND TAKING ADVIL.  ENCOURAGED HER TO MONITOR AREA FOR WORSENING REDNESS , MONITOR TEMP, CONTINUE ADVIL AND CALL MD FOR POSSIBLE OFFICE VISIT TO RULE OUT INFECTION.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Altered state of consciousness, Cyanosis, Hyperhidrosis, Respiration abnormal
Clinical narrative: patient discovered with slow respirations, poorly arousable, diaphoretic and pale with blue lips. Pt.   transferred to stretcher, vs at 2:20 pm - 159/100 with HR of 50. VS at 2:30 pm 130/82 with HR of 79 and 2:40 p   126/91 with HR of 73 and O2 sat 100% on RA.  Patient given po ginger ale, water, and granoal bar.  Patient   released to mom and dad's care. Patient ambulatedand stable, alert and oriented x4.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Vaccine given at 11:15am. Pt started with HA and dizziness 5-10 min after vaccine. 1145 she informed recovery nurse of her dizziiness. 1145 B/P 122/78, HR-71, 02 sat 98% RA. Pt reports she has been taking ativan for the past 5 days every day but did not take it today. Reports did not eat today. Pt given 2 baby ruth candies and water. 1200 reports starting to feel better. 1210 reports HA and dizziness resolved. 02 sat 98% RA, HR-72, B/P 124/80. Pt instructed to f/u with MD prn states she has a appointment friday. Pt stood up walked around no dizziness reported. Pt released to go home.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia
Clinical narrative: pt with trouble swallowing at 35 mins s/p vax. she wasimmediately transferred to ED and RN accepted pt and sign out. Dr.  notified beforehand.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Fever so high I couldn't think or get to thermometer,  shaking, muscle aches and weakness, headache, 1AM to 5AM vomiting, couldn't hold down water, got a little better by 11AM the next day when I could take tylenol, still fatigued and weak for 2 days, headache for 3 days
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vomiting
Clinical narrative: Fever so high I couldn't think or get to thermometer,  shaking, muscle aches and weakness, headache, 1AM to 5AM vomiting, couldn't hold down water, got a little better by 11AM the next day when I could take tylenol, still fatigued and weak for 2 days, headache for 3 days
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Client doctor sent a note to our facility reporting  patient was seen in his office 2/23/21 and client had a severe, diffuse, rash reaction and recommended he does not receive 2nd dose
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Migraine
Clinical narrative: Headaches that have continued to get worse and have become like visual migraines.  Have only been happening once a day but the lingering headache and weakness in body  continues through the day.  With lots of fatigue.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Feeling abnormal, Influenza like illness, Pyrexia, Rash erythematous
Clinical narrative: Patient states 2-19-21 at night had flu-like symptoms and 2-20-2021 had 102.0 fever and chills all day. Sunday am 2-21-21 pt. states she woke up with a red rash and blisters on her face and her face was swollen.  She called and notified her specialist doctor and was told to take Tylenol 500mg 3x a day and to take Benadryl. Pt. states on 2-22-21 she continued to have fever and the left side of her neck was swollen from the middle of her face back to her ear. 2-23-21 Pt. states she stayed in bed feeling bad and the swelling remained. 2-24-21 Pt. states she was feeling better and swollen resolved. Pt. states she did not go to the hospital or see a doctor.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Patient states 2-19-21 at night had flu-like symptoms and 2-20-2021 had 102.0 fever and chills all day. Sunday am 2-21-21 pt. states she woke up with a red rash and blisters on her face and her face was swollen.  She called and notified her specialist doctor and was told to take Tylenol 500mg 3x a day and to take Benadryl. Pt. states on 2-22-21 she continued to have fever and the left side of her neck was swollen from the middle of her face back to her ear. 2-23-21 Pt. states she stayed in bed feeling bad and the swelling remained. 2-24-21 Pt. states she was feeling better and swollen resolved. Pt. states she did not go to the hospital or see a doctor.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: I developed 8-9 days after my first dose, a rash (red border), in irregular shape and little itchy at the injection site. I contacted my employee health about my reaction.  I am feeling okay now but this was concerning to me.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Head discomfort, Headache, Herpes zoster, Lymph node pain
Clinical narrative: Patient developed what appeared to be a shingle outbreak after receiving shingrix which consisted of a headache, rash in a dermatomal distribution (though not outright vesicles), and lymph node tenderness/enlargement.  It was similar to a shingles outbreak he had had in the past.  Patient received the Shingrix vaccine on Friday.  He developed a headache, joint aches and generally did not feel great.  3 days later he felt some discomfort in the back of his head.  He felt a bumpy sensation over the posterior top of his scalp.  This was not particularly tender but may be minimally itchy and felt generally "bumpy "  Also he felt an egg shaped tender lymph node-like feeling in his right posterior occipital area. He did have a history of shingles that that was on the left side of his head and it was associate with a left-sided headache and some red spots but no vesicles however developed.  This was many years ago.  He did see a physician assistant at his work who prescribed him on Valtrex.  The probable, tender lymph node on the right posterior scalp is definitely improving.  Its probably half the size it was yesterday.  He has no fever chills or sweats.  No vesicles.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Lymphadenopathy, Malaise, Pruritus, Rash
Clinical narrative: Patient developed what appeared to be a shingle outbreak after receiving shingrix which consisted of a headache, rash in a dermatomal distribution (though not outright vesicles), and lymph node tenderness/enlargement.  It was similar to a shingles outbreak he had had in the past.  Patient received the Shingrix vaccine on Friday.  He developed a headache, joint aches and generally did not feel great.  3 days later he felt some discomfort in the back of his head.  He felt a bumpy sensation over the posterior top of his scalp.  This was not particularly tender but may be minimally itchy and felt generally "bumpy "  Also he felt an egg shaped tender lymph node-like feeling in his right posterior occipital area. He did have a history of shingles that that was on the left side of his head and it was associate with a left-sided headache and some red spots but no vesicles however developed.  This was many years ago.  He did see a physician assistant at his work who prescribed him on Valtrex.  The probable, tender lymph node on the right posterior scalp is definitely improving.  Its probably half the size it was yesterday.  He has no fever chills or sweats.  No vesicles.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Third dose in a 2 dose series. No adverse reaction.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: "I can't breathe."  Removed face mask.  Pulse 120.  BP 140/80.  100% pulse ox.  Underlying cardiac issue, so medics transported to hospital.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: dizziness, nausea, lightheaded. BP 150/90, HR 120, BS 65. Patient placed on O2, IV inserted and 50mg of Benadryl given. Patient transported to ER
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Pyrexia, Tremor
Clinical narrative: Chills and fever, uncontrollably shaking, no energy fever around 99 for four days
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Aura, Laboratory test, Myoclonus, Pallor, Product administered to patient of inappropriate age
Clinical narrative: Given history of anxiety around needles, visual aura, paleness after episode, and quick recovery to baseline presentation most consistent with syncope with myoclonus. Seizure less likely given that this is different than his typical semiology and he has been well controlled on his current AED regimen. Discussed with the Neurology attending of the week who was in agreement. Point of care blood glucose was found to be 111. Per neurology recommendations, Trileptal level was drawn. Patient was observed for 1hr and remained at baseline with no additional events concerning for seizure. Patient and mother were informed about vasovagal syncope and instructed on precautionary measures to take with future shots. Given return precautions.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Given history of anxiety around needles, visual aura, paleness after episode, and quick recovery to baseline presentation most consistent with syncope with myoclonus. Seizure less likely given that this is different than his typical semiology and he has been well controlled on his current AED regimen. Discussed with the Neurology attending of the week who was in agreement. Point of care blood glucose was found to be 111. Per neurology recommendations, Trileptal level was drawn. Patient was observed for 1hr and remained at baseline with no additional events concerning for seizure. Patient and mother were informed about vasovagal syncope and instructed on precautionary measures to take with future shots. Given return precautions.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested COVID positive by PCR on 2/28/21
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Injection site pruritus, Pain
Clinical narrative: Started feeling a bit achy the evening of the shot.  (Note:  I had COVID-19 in late November and was warned that this could  be similar to the reaction to a second shot.)  The next day, I took Advil and went to work.  By noon, I was feeling worse - headache, aches.  I had a fever around 100 in the evening and started having chills.  That night, around midnight, I had a temperature around 102 and a bad case of the rigors.  I had a fever through the next couple of days.    The injection site is still sensitive to touch and itches as of 3/3/2021.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Started feeling a bit achy the evening of the shot.  (Note:  I had COVID-19 in late November and was warned that this could  be similar to the reaction to a second shot.)  The next day, I took Advil and went to work.  By noon, I was feeling worse - headache, aches.  I had a fever around 100 in the evening and started having chills.  That night, around midnight, I had a temperature around 102 and a bad case of the rigors.  I had a fever through the next couple of days.    The injection site is still sensitive to touch and itches as of 3/3/2021.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Ran a fever at night the first 2 days, the second day my arm started getting red, swollen and painful
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis
Clinical narrative: sweating, apple juice, observation, resolved, discharge home
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Dizziness, Loss of consciousness, Resuscitation, Seizure like phenomena
Clinical narrative: Patient Started having dizziness, feeling faint at around midnight on 3/3/2021. He then lost consciousness, had seizure-like activity and was taken to hospital via EMS. In the hospital patient was unresponsive and received resuscitation attempts unsuccessfully. Per family, after about 45 minutes, code was called and patient expired.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient Started having dizziness, feeling faint at around midnight on 3/3/2021. He then lost consciousness, had seizure-like activity and was taken to hospital via EMS. In the hospital patient was unresponsive and received resuscitation attempts unsuccessfully. Per family, after about 45 minutes, code was called and patient expired.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac death
Clinical narrative: Patient Started having dizziness, feeling faint at around midnight on 3/3/2021. He then lost consciousness, had seizure-like activity and was taken to hospital via EMS. In the hospital patient was unresponsive and received resuscitation attempts unsuccessfully. Per family, after about 45 minutes, code was called and patient expired.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: 15 minutes after receiving her first dose of COVID-19 vaccine in her L arm, patient developed numbness in the L side of her face down to her shoulder. Her CN2-12 were grossly intact, her muscle strength was 5/5 in her UE. Patient denied any SOB, difficulty swallowing (able to swallow water), or swelling of neck. Her airway was patent and she had a normal oropharynx. Patient had another 10 minutes of additional observation. Her symptoms slightly improved prior to leaving.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: first episode of shingles (herpes zoster) in L 3 dermatome. (mild)
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Influenza virus test negative, SARS-CoV-2 test negative, Vomiting
Clinical narrative: emesis, cough
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Muscular weakness
Clinical narrative: upon rising from a sitting position my legs would not hold me up.  I could not walk without someone helping to keep me from falling.  My legs around the knees and lower thigh area were having spasms  just momentarily.  I went to bed, slept well and next day everything was fine.  No pain associated with episode.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: After my second dose vaccine, I experienced fever and chills. No rash as in first vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Headache, Pruritus, Urticaria
Clinical narrative: Hives, flushing, headache, itchiness began about an hour after administration of the vaccine Tylenol, Famotidine Symptoms began to subside about 20 minutes after administration of medication
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall
Clinical narrative: Lightheadedness, fell down a flight of stairs
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: Becomes Dizzy and almost faint twice and Vomit a little bit
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 16 year old patient received a Moderna vaccine at a community vaccination clinic but the minimum age is 18 for Moderna
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Injection site erythema, Injection site inflammation, Injection site pruritus
Clinical narrative: First dose was in the right arm and it it became inflamed about a week after the shot. Itchy, hot, inflamed, and pink. I visited the doctor advised warm compresses and the problem subsided in a few days. After the second dose I woke up in the middle of the night with the chills and chattering teeth. It was uncontrollable shaking. My temperature of 102 degrees in the morning. I had shooting pains in my arms and legs. Felt terrible all day. Took Tylenol no effect. Advil worked better.  The lymph nodes were sore under my arm. On the third day I felt a little better but on the fourth day I felt a little better.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Pain, Tremor
Clinical narrative: First dose was in the right arm and it it became inflamed about a week after the shot. Itchy, hot, inflamed, and pink. I visited the doctor advised warm compresses and the problem subsided in a few days. After the second dose I woke up in the middle of the night with the chills and chattering teeth. It was uncontrollable shaking. My temperature of 102 degrees in the morning. I had shooting pains in my arms and legs. Felt terrible all day. Took Tylenol no effect. Advil worked better.  The lymph nodes were sore under my arm. On the third day I felt a little better but on the fourth day I felt a little better.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Body temperature increased, Chills, Fatigue
Clinical narrative: Saturday at 1:00am, I was feeling extremely nauseous, shivering, and achey. I had trouble sleeping and finally at 7:00am got up. I was nauseous, achey, fatigued, and shivering all morning. I had a temperature of 99.4 degrees. Between 11am-1pm on Saturday 02/27, I vomited three times. I had a horrible headache, stomach ache, and felt achey, cold, and weak all day. On Sunday, 02/28, my fever resided, and I did not vomit but still had stomach aches and slight nausea. I had eaten nothing out of the ordinary on Friday (made pizza at home like I do every Friday), and there were no other abnormalities during the day.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Insomnia, Nausea, Pain, Vomiting
Clinical narrative: Saturday at 1:00am, I was feeling extremely nauseous, shivering, and achey. I had trouble sleeping and finally at 7:00am got up. I was nauseous, achey, fatigued, and shivering all morning. I had a temperature of 99.4 degrees. Between 11am-1pm on Saturday 02/27, I vomited three times. I had a horrible headache, stomach ache, and felt achey, cold, and weak all day. On Sunday, 02/28, my fever resided, and I did not vomit but still had stomach aches and slight nausea. I had eaten nothing out of the ordinary on Friday (made pizza at home like I do every Friday), and there were no other abnormalities during the day.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Weight decreased
Clinical narrative: Loss of appitite resulting in 5 lbs weight loss within 3 weeks
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Hypoaesthesia, Malaise, Syncope
Clinical narrative: Patient described feeling strange and remained at facility for observation for 30 minutes. 2 Benadryl administered. She went back to work at a high school. When still feeling unwell, went to see school nurse. Felt faint, syncope, numbness of right cheek, tachycardia.  Ambulance called and patient was taken to ED. Later that night had flu like symptoms at home.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Patient described feeling strange and remained at facility for observation for 30 minutes. 2 Benadryl administered. She went back to work at a high school. When still feeling unwell, went to see school nurse. Felt faint, syncope, numbness of right cheek, tachycardia.  Ambulance called and patient was taken to ED. Later that night had flu like symptoms at home.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Decreased appetite, Fatigue, Renal pain
Clinical narrative: about 8 hrs after shot stomach ache, unable to eat dinner.  a few hours later, mild chills. next day, fatigue, lots of napping, and repeat of evening stomach ache, more severe, and also ache at kidneys on back. later chills. third day still fatigue, another evening stomach ache, no dinner, bland snack, less severe. later chills. 4th day, less fatigue, stomach ache but milder, no chills. 5th day no symptoms, more energy, almost normal.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Death
Clinical narrative: Cardiac arrest- death
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Paralysis
Clinical narrative: Cranial nerve 6 (Abducens) palsy, left side
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Cough, Influenza A virus test negative, Influenza B virus test, Insomnia
Clinical narrative: Persistent cough, sore throat and general lethargy and difficulty sleeping developed the day after my second COVID dose and continues at this time
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: Persistent cough, sore throat and general lethargy and difficulty sleeping developed the day after my second COVID dose and continues at this time
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Throwing up and diarrea.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abortion spontaneous, Foetal heart rate abnormal, Laboratory test, Muscle spasms
Clinical narrative: Became pregnant end of December. Received first dose January 6 and second dose January 27. Had very bad side effects. Felt pregnancy symptoms up until February 10th. Symptoms started to linger off. Had ultrasound that  showed fetus February 10. Cramping started feeling days later. Had ultrasound again February 18 showed fetus had grown. Had another ultrasound February 21 after going to ED for bad cramping and pain. fetus had no heart beat. Miscarried February 26. Contents did not pass completely, had D&C February 27.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Became pregnant end of December. Received first dose January 6 and second dose January 27. Had very bad side effects. Felt pregnancy symptoms up until February 10th. Symptoms started to linger off. Had ultrasound that  showed fetus February 10. Cramping started feeling days later. Had ultrasound again February 18 showed fetus had grown. Had another ultrasound February 21 after going to ED for bad cramping and pain. fetus had no heart beat. Miscarried February 26. Contents did not pass completely, had D&C February 27.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: Patient had the second Moderna vaccine shot at 9.10 am on Sunday 02/28/21. Patient felt dizziness at 10.00 am on Monday 03/01/21. She felt the ceiling and wall around her were spinning. She rest in bed for half an hour and dizziness was gone. Patient felt dizziness again at 2.30 am on Tuesday 03/02/21. Body temperature was 97.1 degrees F. Patience rest in bed for few hours, dizziness was gone. No blood pressure values were recorded. Patient felt dizziness again at 10.00 am on Wednesday 03/03/21. Body temperature was 96.8 degrees F, Blood pressure was 128/68.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: Syringe leaked vaccine down the arm of the patient. Much of the vaccine was perceived to be lost. Offered patient another vaccine in the other arm, but she declined/refused. The syringe was either faulty or the hub/needle attachment wasn't on tightly
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hypoaesthesia, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Injection started feeling sore and itchy with visual redness around site. Next day very swollen arm with extreme stabbing pain and numbness in fingers if left arm used. Second day swelling had reduced but redness had spread. Same on day three, redness spread. Started antibiotics on Day three of symptoms after doctor visit.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Ultrasound scan normal
Clinical narrative: Injection started feeling sore and itchy with visual redness around site. Next day very swollen arm with extreme stabbing pain and numbness in fingers if left arm used. Second day swelling had reduced but redness had spread. Same on day three, redness spread. Started antibiotics on Day three of symptoms after doctor visit.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Pain and soreness at injection site and down my arm
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Fatigue, Feeding disorder, Headache, Nausea
Clinical narrative: The first day, I had a lot of pain in my arm and I was getting a headache and every day I had a headache and fatigue. About two weeks after I got the vaccine,  I was vomiting and had nausea and couldn't eat and had to take medicine. I had telehealth phone call and that was on January 24th. I had a fever and I experienced that nausea and vomiting for about two days on January 24 and January 25th. I took Zofran and Tylenol - it helped some.  Ever since, I have still had bad headaches and fatigue.   This is my second pregnancy - normal pregnancy so far.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: The first day, I had a lot of pain in my arm and I was getting a headache and every day I had a headache and fatigue. About two weeks after I got the vaccine,  I was vomiting and had nausea and couldn't eat and had to take medicine. I had telehealth phone call and that was on January 24th. I had a fever and I experienced that nausea and vomiting for about two days on January 24 and January 25th. I took Zofran and Tylenol - it helped some.  Ever since, I have still had bad headaches and fatigue.   This is my second pregnancy - normal pregnancy so far.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Feeding disorder, Headache, Malaise
Clinical narrative: 12 hrs after shot I was suddenly  sicker than I?d ever been in my life: body shaking chills, fever, headache, body aches.  Today I still have fever, body aches, head ache, diarrhea.  Haven?t been able to eat.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Tremor
Clinical narrative: 12 hrs after shot I was suddenly  sicker than I?d ever been in my life: body shaking chills, fever, headache, body aches.  Today I still have fever, body aches, head ache, diarrhea.  Haven?t been able to eat.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Vaccine administration error: Technician administered Moderna COVID-19 vaccine to a patient using a prepackaged pre-assembled syringe.  At the time of immunization, the connection of the needle to the syringe was not tight and subsequently some vaccine escaped and ran down the patients arm. According to the technician, "a substantial amount of the vaccine ran down the arm and did not go into the muscle" After discussion with supervisor and chief physician, review of CDC guidelines and call to DHA Immunization healthcare branch, decision made in concert with patient to administer another dose of the vaccine as less than half dose was given.  Pt received a second dose of vaccine and event was explained in full.  Pt was contacted in the following days, denied adverse effects and was feeling healthy and well.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient completed vaccine series 2-18-2021. Was admitted to the hospital diagnosed with COVID-19 2-27-2021