chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Accidental underdose, Device connection issue, Vaccination site pain
Clinical narrative: Did not get the full dose of vaccine after the syringe malfunctioned and was provided half of a dose from a different syringe; The syringe malfunctioned; Slightly sore arm; A spontaneous report was received from a consumer concerning a 73-year-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced a slightly sore arm/vaccination site pain, did not get the full dose of vaccine after the syringe malfunctioned and was provided half of a dose from a different syringe/accidental overdose and device connection issue.  The patient's medical history was not  provided. Concomitant medication history was not provided.  On 19 Feb 2021, the patient received their second dose  of two planned doses of mRNA-1273 (Lot number: 022M20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. The syringe malfunctioned and the states that she did not get the full dose of vaccine and was provided half of a dose from a different syringe.  On same day she had slightly sore arm.  Treatment of these events were not provided.  The outcome for sore arm was unknown and recovered for accidental overdose and device connection issue .; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event of vaccination site pain, a causal relationship cannot be excluded.  The causality for the event of vaccine underdose and syringe connection issue is assessed to be Not Applicable.
Sex: U
Vaccine: COVID19
Symptoms: Accidental overdose, Exposure via skin contact
Clinical narrative: Most of the dose spilled out of needle down the patient's arm; Gave another dose to patient; A spontaneous report was received from a Healthcare professional concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced syringe connection issue and accidental overdose.    The patient's medical history was not provided. No relevant concomitant medications were reported.    On unknown date, prior to the onset of the events, the patient received their second of two planned doses of mRNA-1273 (lot/batch number unknown) intramuscularly in the for prophylaxis of COVID-19 infection.  On unknown date, while taking the vaccine, most of the dose spilled out of the needle and down the patient's arm. The immunizer then drew up another dose and gave to the patient. It is very possible that the patient received more than a 0.5ml dose.  Action taken with mRNA-1273 in response to the events was not reported.; Reporter's Comments: This report refers to a case of accidental overdose, exposure via skin contact and syringe issue for mRNA-1273 (lot # unknown) with no associated AEs reported.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient has not yet received the second dose and has passed the recommended period; A Spontaneous report was received from a consumer concerning a 67-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and has not yet received the second dose (inappropriate schedule of vaccine administered) and has passed the recommended period.  The patient's medical history was not provided. Concomitant medications reported was insulin for Diabetes type 1.5.   On 16 Jan 2021, the patient received the first of two planned doses of mRNA-1273 (Batch number: 042L20A) intramuscularly for prophylaxis of COVID-19 infection.  On an unknown date (reported as 42 days after the first dose), the patient had not yet received the second dose and has passed the recommended period.  No treatment information was provided.   Action taken with mRNA-1273 in response to the events was not reported.   The outcome of the event patient experienced has not yet received the second dose and has passed the recommended period was not reported.; Reporter's Comments: This report refers to a case of inappropriate schedule of product administration (delayed (missed) second dose administration for mRNA-1273), with no associated AEs
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administration error, Syringe issue
Clinical narrative: During dose administration, some vaccine leaked from the base of the syringe, amount unknown; Some vaccine leaked from the base of the syringe; During dose administration, some vaccine leaked from the base of the syringe, amount unknown; A spontaneous report was received from a physician concerning a patient of unspecified age and gender, who received Moderna's COVID-19 vaccine (mRNA-1273) and during dose administration, some vaccine leaked from the base of the syringe, amount unknown.  The patient's medical history was not provided. Concomitant product use was not provided by the reporter.  On an unknown date, the patient received their first of two planned doses of mRNA-1273 (Batch number: Unknown).   On 24 Feb 2021, the patient received their second of two planned doses of mRNA-1273 (Batch number: unknown) for prophylaxis of COVID-19 infection.  On 24 Feb 2021, during dose administration, some vaccine leaked from the base of the syringe, the amount was unknown. No treatment information was provided.  Action taken with mRNA-1273 in response to the events were unknown.  The outcome of the events, during dose administration, some vaccine leaked from the base of the syringe, amount unknown were considered unknown.; Reporter's Comments: This report refers to a case of Product administration error for mRNA-1273, lot # Unknown with no associated AEs.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Approximately 8 hours later, sudden onset of extreme chills accompanied by aches and fatigue; subsided after taking Tylenol. Next day, approximately 24 hours of fatigue, minor aches, headache, and fever.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Erythema, Lymphadenopathy, Mobility decreased, Pain in extremity
Clinical narrative: Sore arm the first few days with swollen lymph glands making it difficult to raise above my head, but that subsided.  On day 5, my left arm began itching (to the point of awakening me from a night's sleep) and by day 7, a red swollen hot and itchy area about the size of an orange appeared and the skin was very dry and coarse to the touch.  The itching continued for days with the red area increasing in size to encompass about three-fourths of my upper arm.  While the area increased in size, the itching and swelling decreased and  by day 15, it was all gone,  (I took pictures of it on 2/21 and 2/25 to document.)
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin warm, Sleep disorder, Swelling
Clinical narrative: Sore arm the first few days with swollen lymph glands making it difficult to raise above my head, but that subsided.  On day 5, my left arm began itching (to the point of awakening me from a night's sleep) and by day 7, a red swollen hot and itchy area about the size of an orange appeared and the skin was very dry and coarse to the touch.  The itching continued for days with the red area increasing in size to encompass about three-fourths of my upper arm.  While the area increased in size, the itching and swelling decreased and  by day 15, it was all gone,  (I took pictures of it on 2/21 and 2/25 to document.)
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Dizziness, Fatigue, Feeling cold
Clinical narrative: At 11pm I started feeling chills and was having cold sweats. Around 1 am I went to  the next room to check my temperature and almost fainted. I sat on the floor and started vomiting. I kept gagging nonstop for several minutes. During that time I urinated on myself, I felt strong stomach aches, headache, and my body felt extremely fatigued.  I was dizzy and sweating. All these symptoms came back again a few minutes later. I do not remember how long everything lasted. I woke up the next day with a slightly upset stomach and headache.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Retching, Urinary incontinence, Vomiting
Clinical narrative: At 11pm I started feeling chills and was having cold sweats. Around 1 am I went to  the next room to check my temperature and almost fainted. I sat on the floor and started vomiting. I kept gagging nonstop for several minutes. During that time I urinated on myself, I felt strong stomach aches, headache, and my body felt extremely fatigued.  I was dizzy and sweating. All these symptoms came back again a few minutes later. I do not remember how long everything lasted. I woke up the next day with a slightly upset stomach and headache.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis
Clinical narrative: Headache, severe chills, sweating
Age: 51.0
Sex: M
Vaccine: UNK
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Body aches, fatigue, and ran a fever of 101.5 F
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Headache, Myalgia
Clinical narrative: Severe chills and shaking, fever ranging from 99-101.7 F, muscle aches, joint aches, headache lasting from 1 am - 11 pm 3/6 (day after injection). Acetaminophen every 8 hours, beginning at 3 am; ibuprofen every 8 hours beginning at 4 pm.  Felt some general weakness on Sunday.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: Severe chills and shaking, fever ranging from 99-101.7 F, muscle aches, joint aches, headache lasting from 1 am - 11 pm 3/6 (day after injection). Acetaminophen every 8 hours, beginning at 3 am; ibuprofen every 8 hours beginning at 4 pm.  Felt some general weakness on Sunday.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Influenza like illness, Migraine, Nausea
Clinical narrative: A few hours after I got the shot I had flu-like symptoms. Headache, fever, nausea, chills, and vomiting. About 12 hours later my flu-like symptoms went away but my headache turned into a migraine. I have no history of migraines. I have been taking ibuprofen and tylenol but it has not been working. I currently still have the Migraine 48 hours after the shot.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: A few hours after I got the shot I had flu-like symptoms. Headache, fever, nausea, chills, and vomiting. About 12 hours later my flu-like symptoms went away but my headache turned into a migraine. I have no history of migraines. I have been taking ibuprofen and tylenol but it has not been working. I currently still have the Migraine 48 hours after the shot.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Pain, Paraesthesia
Clinical narrative: Tingling started at fingertips felt it go thru my whole body to my toes. Severe headache, fever, chills, body/joint aches
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Tingling started at fingertips felt it go thru my whole body to my toes. Severe headache, fever, chills, body/joint aches
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Myalgia, Pain
Clinical narrative: Started throwing up at 2 am and continued until 530 pm, body chills, fever, muscle & body aches, head ache, diarrhea that is still present
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Started throwing up at 2 am and continued until 530 pm, body chills, fever, muscle & body aches, head ache, diarrhea that is still present
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Pain
Clinical narrative: Aches, fatigue, head fog
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated
Clinical narrative: Report a dry cough  prior to  taking the vaccine, but reports progressively got worst. Treatment: Visit to PCP and placed on Medrol dose pack, Z-Pac and albuterol inhaler. Outcome: Improving with treatment regimen. Does not interfere with ADLs.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Feeling abnormal, Headache, Nausea, Pain
Clinical narrative: Described earlier, see previous page
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Described earlier, see previous page
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia, Pyrexia
Clinical narrative: Low grade fever-99.6, chills, muscle aches, fatigue, 11 hours after vaccination.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acne, Enlarged uvula, Erythema
Clinical narrative: Patient got a pimple the day after vaccine. Redness in both cheeks a few days after first dose of the vaccine. No swelling of tongue or face. No shortness of breath. On occasion without known precipitant, she has had swelling of the uvula. One time with ammonia exposure had swelling of her uvula. She has epi pen and Benadryl and is very competent. This is her second vaccine and no anaphylaxis after the first. No swelling of uvula. Will continue with vaccination and observe for 30 minutes.
Age: 13.0
Sex: M
Vaccine: MENB
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Administration error: this patient was scheduled to receive MCV4 but instead received MenB at the age of 13 years old when recommended age is 16-18. Trumenba is approved to be given as young as 10 years old, if the person is at high risk but that is not the case for this patient. No adverse effects were noted after administration and none have been reported by the parent. Our medical provider and the CDC find no health risk. Our medical provider has decided that the patient will not receive the second dose at this time and will be re-vaccinated at 16 years of age to provided adequate protect as 16-18 is the age of higher risk. This patient will be returning to our clinic on 03/08/2021 to receive MCV4.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Cough, Decreased appetite, Fatigue
Clinical narrative: Fever, body aches, fatigue, chills, headache, loss of appetite, cough, chest tightness. Started around 9pm Thursday night and didn't subside till Sunday morning. Took 500mg of tylenol every 4 hours.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Fever, body aches, fatigue, chills, headache, loss of appetite, cough, chest tightness. Started around 9pm Thursday night and didn't subside till Sunday morning. Took 500mg of tylenol every 4 hours.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling, Injection site vesicles
Clinical narrative: I have not seen a doctor yet.   Not where needle went in but on upper arm same arm got vaccine I have itchy bump blister like , red, ooozing, skin broke. not sure what to do.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Skin disorder, Skin weeping
Clinical narrative: I have not seen a doctor yet.   Not where needle went in but on upper arm same arm got vaccine I have itchy bump blister like , red, ooozing, skin broke. not sure what to do.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hypersomnia, Malaise, Pain
Clinical narrative: By 7:45 that evening, I was TIRED. I went to bed shortly thereafter and slept for 11 hours. The following day (2/25) I was equally tired, had some cold chills, and some body aches at the end of the night. That evening, I slept for another 10 hours. Over that weekend, I was still not feeling 100%. By Monday I would say I had returned to normal.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pruritus, Injection site urticaria
Clinical narrative: Noticed a headache & general tiredness 5 days after injection. Developed itchiness & redness at injection site. Slightly raised hive appeared, no rash or hives anywhere else
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chest discomfort, Chills, Fatigue
Clinical narrative: Day of shot Chills, shivering, muscle aches (back, neck), headache Next day - muscle aches and headache, fatigue- responded to Tylenol and Ibuprofen Following day - shoulder and neck aches; chest tightness- using albuterol
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Neck pain
Clinical narrative: Day of shot Chills, shivering, muscle aches (back, neck), headache Next day - muscle aches and headache, fatigue- responded to Tylenol and Ibuprofen Following day - shoulder and neck aches; chest tightness- using albuterol
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Immediate post-injection reaction, Paraesthesia
Clinical narrative: Approximately two to three minutes after receiving the second dose of the vaccine, my face began feeling flush. I also felt a tingling sensation in my face and neck, and I began sweating profusely. I walked up to one of the rescue/paramedic staffers and told them that I had a "flush" feeling in my face. The paramedic asked me a few questions about how I was feeling, then a second paramedic brought a wheelchair. I sat in the wheelchair and was brought to a separate room. The second paramedic noted that I was covered in sweat. The second paramedic and I decided to remove the top layer of my clothing (a polo shirt) because it was drenched in sweat. After about 10 or 15 minutes of sitting in the wheelchair and focusing on my breathing, the tingling/sweating sensation subsided and I was able to walk back into the observation area. I felt a second "wave" of sweating/tingling come over me a few minutes later, but it was minor compared to the first "wave," and did not require additional attention from the paramedics. I did not require any medication during this event.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Slight rash in arm at vaccine site about two weeks after second shot.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Chills, pressure headache, body aches, low grade temp
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Drug hypersensitivity, Magnetic resonance imaging, Ultrasound scan
Clinical narrative: Thrombophlebitis in right wrist.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Fatigue, Pain, Pyrexia
Clinical narrative: Had normal reaction to covid shot,fever,body aches and fatigue.  Jan 29 dizzy and unable to focus, no appointments available with pcp, went to urgent care and sent to er for possible stroke, stroke ruled out and sent to physical therapy for vertigo then not spinning and regaining balance. Feb 17  vertigo returned on right and left sides, treated. Feb 19 left sided vertigo treated,Feb 22  left sided vertigo treated, March 1 right sided vertigo treated, March 5 negative for vertigo but still dizzy and off balance, vestibular exercises required to regain balance.. Positive for covid in July.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo, Vision blurred
Clinical narrative: Had normal reaction to covid shot,fever,body aches and fatigue.  Jan 29 dizzy and unable to focus, no appointments available with pcp, went to urgent care and sent to er for possible stroke, stroke ruled out and sent to physical therapy for vertigo then not spinning and regaining balance. Feb 17  vertigo returned on right and left sides, treated. Feb 19 left sided vertigo treated,Feb 22  left sided vertigo treated, March 1 right sided vertigo treated, March 5 negative for vertigo but still dizzy and off balance, vestibular exercises required to regain balance.. Positive for covid in July.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: This is patient's second vaccine.  Within 10 minutes of vaccination, she developed generalized pruritis.  No rash.  No progression of symptoms.  After 40 minutes, itching began to abate and she was asymptomatic at 70 minutes.  No intervention was required and she was discharged home with instructions to call 911 if any new symptoms.  Also advised her to seek allergist evaluation prior to any more mRNA vaccines.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood glucose normal, Blood lactic acid
Clinical narrative: Pt came to ED on 3/6/21 with allergic reaction symptoms (diaphoresis, facial swelling, nausea, vomiting, urticarial rash, tachycardia) due to 2nd dose of Moderna COVID-19 vaccination. This Moderna COVID-19 vaccine 2nd dose was received on 3/4/21 at Health Dept (Lot# 030A21A). On 3/6/21, "a 49y/o F with a past medical history of migraines and hypothyroidism who presents to the emergency department for syncope. Patient states she believes she is having an allergic reaction to the moderna COVID-19 vaccine. She received the vaccine two days ago and last night began to notice a few hives on her body. This morning she woke up with more hives diffusely throughout the body and swelling to the face and lips. She presented to  urgent care for this and while at the urgent care, she began to feel lightheaded, nauseated and had a syncopal episode while sitting in the chair. She denies hitting her head. After she woke up, she vomited after. Her mother states she was diaphoretic and pale during this episode. She was given benadryl and solumedrol at the urgent care. Paramedic was called and patient was brought in for evaluation of the syncopal episode. Patient denies any chest pain or difficulty breathing. She denies any throat swelling. She has had some diarrhea with this. No abdominal pain. She denies recent fevers or chills. She denies prior cardiac hx. No significant family history. Non-smoker.   Labs are notable for mildly elevated liver enzymes. D-dimer is elevated so CTA chest was obtained and is negative for PE. Patient was given solumedrol and benadryl prior to arrival. Symptoms improved during ED stay. No uvular swelling or oral involvement. Airway is patent. Patient advised to follow up with her PCP for re-evaluation and repeat labs. Rx for prednisone and pepcid. Continue benadryl."     Pt was given NS 1000 mL IV x1, diphenhydramine 25 mg IV x1, and famotidine 20 mg IV x1 while in SCH ED. Pt did already received diphenhydramine and methylprednisolone at the Urgent Care. Allergy added to patient chart for Covid-19 MRNA vaccine.  Then, on 3/7/21, patient did return to ED with continuing reaction (new upper lip swelling). Dr  noted: "Presentation c/w allergic reaction to Moderna vaccine. New upper lip swelling, but lower lip swelling and urticaria have resolved. No airway compromise or acute bronchospasm. Discussed option of switching from Benadryl to Zyrtec, if overly sedating. Continue Prednisone. Consider Pepcid twice daily. Discussed angioedema, with possibility of improvement without repeated exposure. Dose of Pepcid given in ED. Comfortable with plan to release."
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Computerised tomogram normal, Computerised tomogram thorax, Diarrhoea, Dizziness
Clinical narrative: Pt came to ED on 3/6/21 with allergic reaction symptoms (diaphoresis, facial swelling, nausea, vomiting, urticarial rash, tachycardia) due to 2nd dose of Moderna COVID-19 vaccination. This Moderna COVID-19 vaccine 2nd dose was received on 3/4/21 at Health Dept (Lot# 030A21A). On 3/6/21, "a 49y/o F with a past medical history of migraines and hypothyroidism who presents to the emergency department for syncope. Patient states she believes she is having an allergic reaction to the moderna COVID-19 vaccine. She received the vaccine two days ago and last night began to notice a few hives on her body. This morning she woke up with more hives diffusely throughout the body and swelling to the face and lips. She presented to  urgent care for this and while at the urgent care, she began to feel lightheaded, nauseated and had a syncopal episode while sitting in the chair. She denies hitting her head. After she woke up, she vomited after. Her mother states she was diaphoretic and pale during this episode. She was given benadryl and solumedrol at the urgent care. Paramedic was called and patient was brought in for evaluation of the syncopal episode. Patient denies any chest pain or difficulty breathing. She denies any throat swelling. She has had some diarrhea with this. No abdominal pain. She denies recent fevers or chills. She denies prior cardiac hx. No significant family history. Non-smoker.   Labs are notable for mildly elevated liver enzymes. D-dimer is elevated so CTA chest was obtained and is negative for PE. Patient was given solumedrol and benadryl prior to arrival. Symptoms improved during ED stay. No uvular swelling or oral involvement. Airway is patent. Patient advised to follow up with her PCP for re-evaluation and repeat labs. Rx for prednisone and pepcid. Continue benadryl."     Pt was given NS 1000 mL IV x1, diphenhydramine 25 mg IV x1, and famotidine 20 mg IV x1 while in SCH ED. Pt did already received diphenhydramine and methylprednisolone at the Urgent Care. Allergy added to patient chart for Covid-19 MRNA vaccine.  Then, on 3/7/21, patient did return to ED with continuing reaction (new upper lip swelling). Dr  noted: "Presentation c/w allergic reaction to Moderna vaccine. New upper lip swelling, but lower lip swelling and urticaria have resolved. No airway compromise or acute bronchospasm. Discussed option of switching from Benadryl to Zyrtec, if overly sedating. Continue Prednisone. Consider Pepcid twice daily. Discussed angioedema, with possibility of improvement without repeated exposure. Dose of Pepcid given in ED. Comfortable with plan to release."
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Haematocrit normal, Haemoglobin normal, Hyperhidrosis, Lip swelling
Clinical narrative: Pt came to ED on 3/6/21 with allergic reaction symptoms (diaphoresis, facial swelling, nausea, vomiting, urticarial rash, tachycardia) due to 2nd dose of Moderna COVID-19 vaccination. This Moderna COVID-19 vaccine 2nd dose was received on 3/4/21 at Health Dept (Lot# 030A21A). On 3/6/21, "a 49y/o F with a past medical history of migraines and hypothyroidism who presents to the emergency department for syncope. Patient states she believes she is having an allergic reaction to the moderna COVID-19 vaccine. She received the vaccine two days ago and last night began to notice a few hives on her body. This morning she woke up with more hives diffusely throughout the body and swelling to the face and lips. She presented to  urgent care for this and while at the urgent care, she began to feel lightheaded, nauseated and had a syncopal episode while sitting in the chair. She denies hitting her head. After she woke up, she vomited after. Her mother states she was diaphoretic and pale during this episode. She was given benadryl and solumedrol at the urgent care. Paramedic was called and patient was brought in for evaluation of the syncopal episode. Patient denies any chest pain or difficulty breathing. She denies any throat swelling. She has had some diarrhea with this. No abdominal pain. She denies recent fevers or chills. She denies prior cardiac hx. No significant family history. Non-smoker.   Labs are notable for mildly elevated liver enzymes. D-dimer is elevated so CTA chest was obtained and is negative for PE. Patient was given solumedrol and benadryl prior to arrival. Symptoms improved during ED stay. No uvular swelling or oral involvement. Airway is patent. Patient advised to follow up with her PCP for re-evaluation and repeat labs. Rx for prednisone and pepcid. Continue benadryl."     Pt was given NS 1000 mL IV x1, diphenhydramine 25 mg IV x1, and famotidine 20 mg IV x1 while in SCH ED. Pt did already received diphenhydramine and methylprednisolone at the Urgent Care. Allergy added to patient chart for Covid-19 MRNA vaccine.  Then, on 3/7/21, patient did return to ED with continuing reaction (new upper lip swelling). Dr  noted: "Presentation c/w allergic reaction to Moderna vaccine. New upper lip swelling, but lower lip swelling and urticaria have resolved. No airway compromise or acute bronchospasm. Discussed option of switching from Benadryl to Zyrtec, if overly sedating. Continue Prednisone. Consider Pepcid twice daily. Discussed angioedema, with possibility of improvement without repeated exposure. Dose of Pepcid given in ED. Comfortable with plan to release."
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte percentage decreased, Nausea, Neutrophil percentage increased, Pallor, Swelling face
Clinical narrative: Pt came to ED on 3/6/21 with allergic reaction symptoms (diaphoresis, facial swelling, nausea, vomiting, urticarial rash, tachycardia) due to 2nd dose of Moderna COVID-19 vaccination. This Moderna COVID-19 vaccine 2nd dose was received on 3/4/21 at Health Dept (Lot# 030A21A). On 3/6/21, "a 49y/o F with a past medical history of migraines and hypothyroidism who presents to the emergency department for syncope. Patient states she believes she is having an allergic reaction to the moderna COVID-19 vaccine. She received the vaccine two days ago and last night began to notice a few hives on her body. This morning she woke up with more hives diffusely throughout the body and swelling to the face and lips. She presented to  urgent care for this and while at the urgent care, she began to feel lightheaded, nauseated and had a syncopal episode while sitting in the chair. She denies hitting her head. After she woke up, she vomited after. Her mother states she was diaphoretic and pale during this episode. She was given benadryl and solumedrol at the urgent care. Paramedic was called and patient was brought in for evaluation of the syncopal episode. Patient denies any chest pain or difficulty breathing. She denies any throat swelling. She has had some diarrhea with this. No abdominal pain. She denies recent fevers or chills. She denies prior cardiac hx. No significant family history. Non-smoker.   Labs are notable for mildly elevated liver enzymes. D-dimer is elevated so CTA chest was obtained and is negative for PE. Patient was given solumedrol and benadryl prior to arrival. Symptoms improved during ED stay. No uvular swelling or oral involvement. Airway is patent. Patient advised to follow up with her PCP for re-evaluation and repeat labs. Rx for prednisone and pepcid. Continue benadryl."     Pt was given NS 1000 mL IV x1, diphenhydramine 25 mg IV x1, and famotidine 20 mg IV x1 while in SCH ED. Pt did already received diphenhydramine and methylprednisolone at the Urgent Care. Allergy added to patient chart for Covid-19 MRNA vaccine.  Then, on 3/7/21, patient did return to ED with continuing reaction (new upper lip swelling). Dr  noted: "Presentation c/w allergic reaction to Moderna vaccine. New upper lip swelling, but lower lip swelling and urticaria have resolved. No airway compromise or acute bronchospasm. Discussed option of switching from Benadryl to Zyrtec, if overly sedating. Continue Prednisone. Consider Pepcid twice daily. Discussed angioedema, with possibility of improvement without repeated exposure. Dose of Pepcid given in ED. Comfortable with plan to release."
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Tachycardia, Urticaria, Vomiting
Clinical narrative: Pt came to ED on 3/6/21 with allergic reaction symptoms (diaphoresis, facial swelling, nausea, vomiting, urticarial rash, tachycardia) due to 2nd dose of Moderna COVID-19 vaccination. This Moderna COVID-19 vaccine 2nd dose was received on 3/4/21 at Health Dept (Lot# 030A21A). On 3/6/21, "a 49y/o F with a past medical history of migraines and hypothyroidism who presents to the emergency department for syncope. Patient states she believes she is having an allergic reaction to the moderna COVID-19 vaccine. She received the vaccine two days ago and last night began to notice a few hives on her body. This morning she woke up with more hives diffusely throughout the body and swelling to the face and lips. She presented to  urgent care for this and while at the urgent care, she began to feel lightheaded, nauseated and had a syncopal episode while sitting in the chair. She denies hitting her head. After she woke up, she vomited after. Her mother states she was diaphoretic and pale during this episode. She was given benadryl and solumedrol at the urgent care. Paramedic was called and patient was brought in for evaluation of the syncopal episode. Patient denies any chest pain or difficulty breathing. She denies any throat swelling. She has had some diarrhea with this. No abdominal pain. She denies recent fevers or chills. She denies prior cardiac hx. No significant family history. Non-smoker.   Labs are notable for mildly elevated liver enzymes. D-dimer is elevated so CTA chest was obtained and is negative for PE. Patient was given solumedrol and benadryl prior to arrival. Symptoms improved during ED stay. No uvular swelling or oral involvement. Airway is patent. Patient advised to follow up with her PCP for re-evaluation and repeat labs. Rx for prednisone and pepcid. Continue benadryl."     Pt was given NS 1000 mL IV x1, diphenhydramine 25 mg IV x1, and famotidine 20 mg IV x1 while in SCH ED. Pt did already received diphenhydramine and methylprednisolone at the Urgent Care. Allergy added to patient chart for Covid-19 MRNA vaccine.  Then, on 3/7/21, patient did return to ED with continuing reaction (new upper lip swelling). Dr  noted: "Presentation c/w allergic reaction to Moderna vaccine. New upper lip swelling, but lower lip swelling and urticaria have resolved. No airway compromise or acute bronchospasm. Discussed option of switching from Benadryl to Zyrtec, if overly sedating. Continue Prednisone. Consider Pepcid twice daily. Discussed angioedema, with possibility of improvement without repeated exposure. Dose of Pepcid given in ED. Comfortable with plan to release."
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pain in extremity
Clinical narrative: 8:00 p.m. symptoms came on suddenly; sore arm (still sore - three days now) low grade fever(two days) uncontrollable shivers body aches headache (two days) fatigue (two days) heart racing
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: 8:00 p.m. symptoms came on suddenly; sore arm (still sore - three days now) low grade fever(two days) uncontrollable shivers body aches headache (two days) fatigue (two days) heart racing
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Within 10 minutes of my dad receiving his COVID-19 vaccine he suffered a major stroke.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Erythema, Fatigue, Feeling hot, Pruritus
Clinical narrative: After receiving vaccination, that night the patient felt "warm all night."  The next day he noticed his entire body was red, and subsequently developed red bumps all over his body.  The rah was itchy, skin felt warm, and it was scaling.  His leg had some weeping.  He felt more tired than usual and thirsty.  Drinking a lot of water.  He felt anxious during this time.  He denies nausea, vomiting, diarrhea, fever, chills, difficulty breathing, cough, or abnormal bleeding.  On 1/25/21 he was treated with 125 mg methylprednisolone sod succinate injection X 1 doe, 50 mg diphenhydramine injection, and prednisone tablet 10 mg daily for 30 days.  On 03/01/2021, the patient did not improve after receiving treatment.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Skin exfoliation, Skin warm, Skin weeping, Thirst
Clinical narrative: After receiving vaccination, that night the patient felt "warm all night."  The next day he noticed his entire body was red, and subsequently developed red bumps all over his body.  The rah was itchy, skin felt warm, and it was scaling.  His leg had some weeping.  He felt more tired than usual and thirsty.  Drinking a lot of water.  He felt anxious during this time.  He denies nausea, vomiting, diarrhea, fever, chills, difficulty breathing, cough, or abnormal bleeding.  On 1/25/21 he was treated with 125 mg methylprednisolone sod succinate injection X 1 doe, 50 mg diphenhydramine injection, and prednisone tablet 10 mg daily for 30 days.  On 03/01/2021, the patient did not improve after receiving treatment.
Age: 66.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 2? inch diameter red, swollen, hot, itchy patch around injection site
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nasal congestion, Nausea, Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine EUA Low grade fever/chills (6 hrs), headache (24 hrs). nausea (14 hrs), nasal congestion No treatment - just  bedrest
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Report of chills, body aches,  HA, fever and fatigue. Treatment: Alternate between Tylenol and Ibuprofen. Outcome: Symptoms resolved  and did not interfere with ADLs.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Initial date of vaccine sore arm for two days.  Approximately 8 days after injection site rash, swelling, itching, hot to touch.  I believe I am experiencing covid arm?  Which I hope will resolve itself in a day or two.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pain, Vomiting
Clinical narrative: Vomiting, nausea, body aches, fatigue
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Myalgia, Pyrexia
Clinical narrative: Chills,fever,muscle&joint pain
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Dizziness, Fatigue, Headache
Clinical narrative: Day 1: Chills, full body aches and cramps, headache, loss of apatite, nausea, dizziness, fatigue. Day 2: Full body aches, headache, loss of appetite, fatigue, dizziness. Day 3: Fatigue, Localized aches.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Nausea, Pain
Clinical narrative: Day 1: Chills, full body aches and cramps, headache, loss of apatite, nausea, dizziness, fatigue. Day 2: Full body aches, headache, loss of appetite, fatigue, dizziness. Day 3: Fatigue, Localized aches.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Headache
Clinical narrative: Saturday evening injection sight started hurting.  Woke up Sunday morning to nausea, dizziness, chills, muscle and joint pain, headache, tiredness
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Nausea
Clinical narrative: Saturday evening injection sight started hurting.  Woke up Sunday morning to nausea, dizziness, chills, muscle and joint pain, headache, tiredness
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 103 fever despite Advil and Tylenol
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Injection site pain, Injection site swelling, Nausea
Clinical narrative: Pain and swelling at the injection site 12 hours after and continuing and worsening over the next 48 hours and ongoing. Fever of over 100.4, and up to 102 beginning approximately 18 hours after the injection and continuing for the next approximately 36 hours. Body aches and exhaustion beginning approximately 16 hours after injection and continuing for the next 48 hours and ongoing. Nausea and loss of appetite beginning approximately 12 hours after injection and lasting for approximately 24 hours.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Pain and swelling at the injection site 12 hours after and continuing and worsening over the next 48 hours and ongoing. Fever of over 100.4, and up to 102 beginning approximately 18 hours after the injection and continuing for the next approximately 36 hours. Body aches and exhaustion beginning approximately 16 hours after injection and continuing for the next 48 hours and ongoing. Nausea and loss of appetite beginning approximately 12 hours after injection and lasting for approximately 24 hours.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Localised infection, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: I was given my first Moderna vaccination at Pharmacy on February 26, 2021.  I noticed at the time that the needle was open and not covered but didn't think anything about it.  Later that evening my arm was sore.  Knew that was to be expected.  Within 2 days my upper arm was beet red and swollen beyond recognition.  Finally after 10 days of pain I went to Urgent Care in and saw a doctor there.  My arm was indeed infected.  Doctor gave me prescription for Amoxicillin & Clavulanate Potassium 875 mg.  Take one twice a day.  Was also given Triamcinolone Acetonide Ointment USP 0.1% to put thin layer on arm twice a day.  Today is Monday March 8th and the redness, swelling and infection has moved down to my elbow and as far as pain is concerned it's a 5 out of 10.  It's starting to affect my fingers too.  Elbow area is now red and very swollen and HOT!  I'm going to try to get into my regular doctor today to see if she can help me.  I can't sleep it hurts so bad.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: I was given my first Moderna vaccination at Pharmacy on February 26, 2021.  I noticed at the time that the needle was open and not covered but didn't think anything about it.  Later that evening my arm was sore.  Knew that was to be expected.  Within 2 days my upper arm was beet red and swollen beyond recognition.  Finally after 10 days of pain I went to Urgent Care in and saw a doctor there.  My arm was indeed infected.  Doctor gave me prescription for Amoxicillin & Clavulanate Potassium 875 mg.  Take one twice a day.  Was also given Triamcinolone Acetonide Ointment USP 0.1% to put thin layer on arm twice a day.  Today is Monday March 8th and the redness, swelling and infection has moved down to my elbow and as far as pain is concerned it's a 5 out of 10.  It's starting to affect my fingers too.  Elbow area is now red and very swollen and HOT!  I'm going to try to get into my regular doctor today to see if she can help me.  I can't sleep it hurts so bad.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal dreams, Chills, Hallucination, Injection site pain, Pain
Clinical narrative: 18-20 hours following the vaccination, after going to bed, I started experiencing chills, followed by intense, all-over body aches. This was accompanied by either bizarre dreams or hallucinations during the night. When I awoke in the morning I was very unrested and very unstable. My morning coffee did not taste appealing. By 30 hours after the vaccination I had returned to feeling better, albeit with a mildly sore injection site, and was able to return to normal activity. No treatment was sought.  No further issues presented themselves.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hypoaesthesia oral
Clinical narrative: Numbness on her tongue and lips ,anxiety
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash, Rash pruritic
Clinical narrative: itchy swollen rash on L arm about a week after vaccination
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Day after shot the site was red and hard about the size of a quarter.  After a week, the  site is now bruised and itchy/tender.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Large Red swollen itchy hot painful lasting for  15 days and still going on. Started antibiotic on day 11
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Pyrexia
Clinical narrative: Started with chills at 8 pm on 03/06/21 that lasted until 4 pm on 03/07/21 even with staying in bed underneath two comforters. Temp got up to 102.3 at 230 pm on 03/07/21. Was alternating Tylenol with Advil every 4 hours starting at 8 pm 03/06/21. Fever finally broke, temp down to 99 around 830 pm with sweats that resulted in a bed linen change. Temp at 7 am on 03/08/21 was 99.1.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Malaise, Nausea
Clinical narrative: Patient has a history of anxiety and anaphylaxis to latex. She started feeling weird in head, nauseated, and dizzy a few minutes after her vaccine. BP 153/96 with pulse of 101 5 minutes post vaccine. We continued to monitor her. 20 minutes post vaccination bp 136/89 with pulse 97. 30 minutes post vaccine we tried to sit her up. She was very nauseated. bp 144/99 pulse 85. 35 minutes post vaccination bp 140/108 and pulse 83. She felt sick with her IBS, and we got her into the bathroom via wheelchair. 50 minutes post vaccination, bp was 129/93 with pulse of 83.  We called her husband to pick her up because she was exhausted after all of this.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia oral, Vaccine positive rechallenge
Clinical narrative: NUMBNESS/TINGLING LIPS. PT HAD SAME RXN WITH 1ST COVID SHOT, BUT WAS CLEARED BY ALLERGIST TO RECEIVE 2ND WITH PT TAKING 25MG BENADRYL PO BEFORE VACCINE AND 25MG PO AFTER. PT WAS GIVEN 25MG BENADRYL IM AFTER VACCINE INSTEAD. PT HELD FOR 45 MINUTES POST VACCINE UNTIL NUMBNESS TO LIPS SUBSIDED. PT INSTRUCTED TO GO TO ED OR CALL 911 IF S/S REOCCURED. PT STATES UNDERSTANDING.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoaesthesia, Mobility decreased, Pain in extremity, Paraesthesia
Clinical narrative: About 7-8 hours after Vaccine (1st dose), I developed severe arm pain and could not lift my arm and noticed numbness/tingling in my right little finger.  I went to bed and woke up at around 2:30 AM, I had very hot, stabbing, shooting pain running up and down my arm into my neck and upper shoulder. I also had pain running down my arm. This pain was a 9/10 and lasted for 3-4 hours non stop. I was up most of the night and considered going to the ED. The following day, I still had numbness/tingling in my right little finger.  I was able to move my arm a little more but not enough. The numbness/tingling took 3-4 days to go away and the arm soreness took 5-6 days to go away.  I received the shot from a Pharmacy Intern. I do have shoulder problems but this was not normal. I am a RN. I am very thin, weighing around 107 lbs. I wondered about the technique used or the length of the needle, or the possibility that I was allergic to something in the vaccine. I was also very, very tired for 2-3 days. I do have a sore arm after the flu vaccine but not like this. I will not be receiving the second vaccine, even though I am immunocompromised. I did call my MD office but did not go in.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Dyspnoea, Fatigue
Clinical narrative: My arm hurt so badly that I couldn't lift it or sleep tiredness headache chills joint pain feeling unwell difficulty breathing a fast heartbeat weakness
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Malaise, Mobility decreased, Pain in extremity
Clinical narrative: My arm hurt so badly that I couldn't lift it or sleep tiredness headache chills joint pain feeling unwell difficulty breathing a fast heartbeat weakness
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: My arm hurt so badly that I couldn't lift it or sleep tiredness headache chills joint pain feeling unwell difficulty breathing a fast heartbeat weakness
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Ear swelling, Lip swelling, Swollen tongue
Clinical narrative: R upper lip swelling, R ear swelling and fullness of tongue
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Fatigue, Headache, Pruritus
Clinical narrative: I received the vaccine at 2:00 Thursday afternoon.  Around 8:00 that evening, I felt slightly chilled and a little more tired than usual.  I took some Tylenol and went to bed early, around 9:00.  At 11:30, I woke up with severe chills and shaking which continued for approximately 3 hours.  The severity of the chills diminished but did not completely go away until around 5:00 am Friday morning.  On Friday, I had significant headaches throughout the day.  Saturday the headaches had subsided for the most part.  On Saturday, I also noticed my arm was red and splotchy from my elbow to just below the vaccination site.  The affected area is very slightly itchy and is mildly painful to the touch.  Today is Monday and that has not yet subsided.