chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Headache, Nausea, Oral mucosal erythema, Stridor
Clinical narrative: Pfizer COVID-19 Vaccine EUA      Patient upon receiving vaccine 2 mins began feel nauseated and hot- provided ice pack wheelchair and got her to the provider where she was placed on gurney.vitals were taken please see chart. Epi pen was given when patient's lips started to turn red cough and stridor noted please see the notes. Ambulance was call and patient was taken to the hospital see chart. At approximately 0903 peri oral erythema was noted and patient reported chest tightness. Stridor was noted.  SpO2 remained stable at 97-98% on RA. EpiPen administered, 911 contacted for transport to ED. 0909 patient reports improved chest tightness, peri-oral erythema improving stridor.  EMS transported patient to ED for further evaluation and treatment.  ED - does not have chart access.      3/25: ED 3/23/21 Anaphylaxis after receiving Covid vaccine: chest tight, hot, and dizzy. Patient received epi at clinic and epi and benadryl in ambulance. Patient advised not to get 2nd dose. Patient states she picked up epi pens that were prescribed. She reports better. She is tired and has headache, her arm is red and bruised but it looks better. Patient states she will not be getting second dose.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Felt like throat was closing five minutes after receiving vaccination
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Patient reported itchiness on her neck, leg . Pt has a history of anaphylaxis. MD administered Zyrtec PO
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Since same day of vaccine and every day so far i have had a bad headache. Starts on left side and throughout the day it is spread to my whole head. 3-5 days after vaccine i had 1 day of nausea and then next day also nausea with a full day of vomiting.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Cyanosis, Fatigue, Feeling cold, Hyperhidrosis
Clinical narrative: Around 8 hours after the shot I started to experience fatigue, body aches, uncontrollable body shakes, blueish lips and sweating (which to me indicated I had a fever). After taking some Advil my lips returned to normal and the body shakes stopped although it was hard to regulate my body temperature. I was sweating but felt cold. The worst of the symptoms seemed to last around 13 hours after they had started (so about 7pm on 3/25 to about 8am on 3/26). It's now been around 30 hours and I'm feeling better but still fatigued and have soreness in my left arm where I received the injection.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Tremor
Clinical narrative: Around 8 hours after the shot I started to experience fatigue, body aches, uncontrollable body shakes, blueish lips and sweating (which to me indicated I had a fever). After taking some Advil my lips returned to normal and the body shakes stopped although it was hard to regulate my body temperature. I was sweating but felt cold. The worst of the symptoms seemed to last around 13 hours after they had started (so about 7pm on 3/25 to about 8am on 3/26). It's now been around 30 hours and I'm feeling better but still fatigued and have soreness in my left arm where I received the injection.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Pruritus
Clinical narrative: My mother had a really bad itchy sensation all over her arms and body in the middle of the night. She woke up from her sleep and used lotion to try to calm her body down.  She didn't tell me until the next day, but she couldn't sleep that night. Her left arm that received the vaccine was also very sore for her all day and it still is the next day. She doesn't feel the itchy sensation anymore though.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral venous sinus thrombosis
Clinical narrative: Experienced a CVST
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Heart rate increased, Oropharyngeal discomfort, Palpitations, Throat tightness
Clinical narrative: Three hours after the injection I felt my throat getting sticky / constricting and my heart started pounding.  Resting pulse got up to 112 bpm, and when I arrived at the ER, my blood pressure was 202/85.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Blood pressure measurement, Heart rate, Heart rate increased, Oropharyngeal discomfort
Clinical narrative: Three hours after the injection I felt my throat getting sticky / constricting and my heart started pounding.  Resting pulse got up to 112 bpm, and when I arrived at the ER, my blood pressure was 202/85.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome
Clinical narrative: developed guillain-barre syndrome 2 weeks following 2nd vaccine administration. unclear if vaccine is the cause.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: I woke up at 1am the night of the vaccine and could not breathe. I have 2 inhalers and neither gave relief. My oximeter hovered between 87 and 89 all night. At 6:30 the next morning I used my nebulizer and it helped. The rest of the day it got progressively better.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Epididymitis, Groin pain, Ultrasound scan normal, Urticaria
Clinical narrative: pt initially developed hives the day after the vaccine, but on 3/22 he developed left groin pain. exam suggestive of epididymitis with no other known precipitating event other than recent vaccine
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue
Clinical narrative: 11:30 PM, chills, achy joints, tired
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Administration error - patient was 17 at the time of receiving this vaccine.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Headache, Nausea
Clinical narrative: headache, nausea, diarrhea, weakness
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Ten days after vaccination in the evening my arm was pink and itchy. The next morning it was very red, swollen and itchy. It was an area below the injection covering most of my arm to the elbow on the outside of my arm. It was swollen, hot and uncomfortable. I was prescribed antibiotics and an antihistamine. The doctor thought it was a delayed allergic reaction. I stopped the antibiotics after three days and used an antihistamine and steroid cream. It took a bout a week for it to clear up. I got the second shot in the same arm and pre-medicated with some antihistamine. I only had some mild redness for a day.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Malaise, Skin discolouration
Clinical narrative: Felt fine for about 6 minutes after receiving vaccine.  Then started feeling sick and got worse quickly.  Told nurse felt bad and also pulse was fast.  When nurse took my pulse it was 100.  Regularly my pulse is around 60.  She then took my blood pressure and it was 179/?  My B/P is normally 106/65.  The nurse said my color was bad. Gradually over an hours time started feeling better and went home.  Next day I felt  malaise and tylenol helped.  Today I am a bit weak but better. That was my 1st shot
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cough, Dysphagia, Pain, Pyrexia
Clinical narrative: a few hours after getting the vaccine, my throat started burning, hard to swallow, then cough, low fever, body aches which continued from the 15th untill today 26th.  lost 12 lb during this time, Weakness. Have never been this sick!   My husband also had the same shot, same day, and started getting ill 5 days later,  Cough, fever, nausea, unable to sleep.  He is still ill today with dry heaves.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Weight decreased
Clinical narrative: a few hours after getting the vaccine, my throat started burning, hard to swallow, then cough, low fever, body aches which continued from the 15th untill today 26th.  lost 12 lb during this time, Weakness. Have never been this sick!   My husband also had the same shot, same day, and started getting ill 5 days later,  Cough, fever, nausea, unable to sleep.  He is still ill today with dry heaves.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Hypoaesthesia, Hypokinesia
Clinical narrative: The following morning after I received my 2nd Moderna vaccine, I was awoken by my symptoms around 3:30am. My arm became so swollen and painful, I could not extend my arm at all.  I could only keep it bent and close to my body. I could not use my left arm at all for 2-3 days after the vaccine. The swelling got so bad that my entire arm felt numb and tingley and throbbed uncontrollably whenever I tried to move it.  I took ibuprofen and tylenol, every 6-7 hours as well as used warm and cold compresses, and that did nothing to help the swelling. The pain medications only took a slight edge off of the pain. I experienced these symptoms along with fever, body aches, muscle pain, joint pain, muscle spasms in my arm and leg muscles,  headache, and my nose was very runny after waking up in the morning.  All of those symptoms lasted for several days as well.  The numbness and pain lasted for a full week after the vaccine. It is now March 26th and my arm is still a bit sore at the vaccine site.  On Wednesday, March 24th, the vaccine site starting throbbing again and I did experience a low grade fever of 99.7 throughout the day. I felt very fatigued throughout the week as well.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Muscle spasms, Myalgia, Pain, Pain in extremity
Clinical narrative: The following morning after I received my 2nd Moderna vaccine, I was awoken by my symptoms around 3:30am. My arm became so swollen and painful, I could not extend my arm at all.  I could only keep it bent and close to my body. I could not use my left arm at all for 2-3 days after the vaccine. The swelling got so bad that my entire arm felt numb and tingley and throbbed uncontrollably whenever I tried to move it.  I took ibuprofen and tylenol, every 6-7 hours as well as used warm and cold compresses, and that did nothing to help the swelling. The pain medications only took a slight edge off of the pain. I experienced these symptoms along with fever, body aches, muscle pain, joint pain, muscle spasms in my arm and leg muscles,  headache, and my nose was very runny after waking up in the morning.  All of those symptoms lasted for several days as well.  The numbness and pain lasted for a full week after the vaccine. It is now March 26th and my arm is still a bit sore at the vaccine site.  On Wednesday, March 24th, the vaccine site starting throbbing again and I did experience a low grade fever of 99.7 throughout the day. I felt very fatigued throughout the week as well.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Peripheral swelling, Pyrexia, Rhinorrhoea
Clinical narrative: The following morning after I received my 2nd Moderna vaccine, I was awoken by my symptoms around 3:30am. My arm became so swollen and painful, I could not extend my arm at all.  I could only keep it bent and close to my body. I could not use my left arm at all for 2-3 days after the vaccine. The swelling got so bad that my entire arm felt numb and tingley and throbbed uncontrollably whenever I tried to move it.  I took ibuprofen and tylenol, every 6-7 hours as well as used warm and cold compresses, and that did nothing to help the swelling. The pain medications only took a slight edge off of the pain. I experienced these symptoms along with fever, body aches, muscle pain, joint pain, muscle spasms in my arm and leg muscles,  headache, and my nose was very runny after waking up in the morning.  All of those symptoms lasted for several days as well.  The numbness and pain lasted for a full week after the vaccine. It is now March 26th and my arm is still a bit sore at the vaccine site.  On Wednesday, March 24th, the vaccine site starting throbbing again and I did experience a low grade fever of 99.7 throughout the day. I felt very fatigued throughout the week as well.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vaccine positive rechallenge
Clinical narrative: 02:15 Pm---Pt received vaccine 02:38 Pm--pt reported dizziness and light headedness  to the LVN  02:44 Pm-- bp 144/80, P=115, R26, O2 sat=97%.   02:47 Pm---Reported Adverse effect to me.   02:48 Pm--Pt laid down.   Pt sipped and finished a cup of water.  02:57 Pm--bp=122/84, p100, r16,  O2 sat 98% 03:07 Pm---Pt reported that dizziness and light headedness resolve.  Stated that she experienced the same effect on her first dose.  03:08 Pm ----Pt was discharged.  Ambulated with no assist.  Verbalized that she was no longer feeling dizzy or light headedness.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Paraesthesia oral
Clinical narrative: 1100: patient with c/o numbness and tingling of right side of tongue.  Physician on duty ordered 25mg Po Benadryl to be given.  Patient took Benadryl and refused water.   1110: Patient checked on by EMS on Duty with no changes. 1120: No changes to mouth noted still for patient.   1130: Still no changes, EMS on duty cleared patient for discharge home after 30 minutes of observation.  Informed patient to seek immediate medical attention if symptoms should worsen. Patient communicated understanding.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: 1100: patient with c/o numbness and tingling of right side of tongue.  Physician on duty ordered 25mg Po Benadryl to be given.  Patient took Benadryl and refused water.   1110: Patient checked on by EMS on Duty with no changes. 1120: No changes to mouth noted still for patient.   1130: Still no changes, EMS on duty cleared patient for discharge home after 30 minutes of observation.  Informed patient to seek immediate medical attention if symptoms should worsen. Patient communicated understanding.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Fatigue, Injection site pain, Insomnia
Clinical narrative: I was feeling hot and agitated the night of the injection, the 22nd of March. It felt as if I have too much coffee, I was unable to sleep. I was tired the next morning the 23rd of March, but by the afternoon I felt normal again. My left shoulder where I got the shot had a little muscle soreness for about a day.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Erythema, Pain, Pain in extremity
Clinical narrative: On March 24, 2021, the day of the shot, I only felt soreness in my left arm. The next morning, March 25, 2021, I began to feel body aches, chills, and I was in a cold sweat. I took ibuprofen throughout the day to combat the symptoms. The evening of March 25, 2021, the pain was much more severe (body aches all over my body, including my face, teeth, my hands were sore and stiff, etc.). I did not sleep much of the night because the symptoms were very uncomfortable due to the chills and cold sweats. The morning of March 26, 2021, my left armpit began to swell. By the afternoon, my left armpit (the arm where I received the vaccine) was swollen, tender, and soft. There is some redness and the swelling and tenderness are more pervasive. It is difficult to hang my arm at my side due to the pain and swelling. I understand, after calling the nurse hotline, that this is a common side effect but I also have a skin condition (Hidradenitis Supparativa) and it is difficult to know whether flare-ups are triggered by environmental factors.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Sleep disorder, Tenderness
Clinical narrative: On March 24, 2021, the day of the shot, I only felt soreness in my left arm. The next morning, March 25, 2021, I began to feel body aches, chills, and I was in a cold sweat. I took ibuprofen throughout the day to combat the symptoms. The evening of March 25, 2021, the pain was much more severe (body aches all over my body, including my face, teeth, my hands were sore and stiff, etc.). I did not sleep much of the night because the symptoms were very uncomfortable due to the chills and cold sweats. The morning of March 26, 2021, my left armpit began to swell. By the afternoon, my left armpit (the arm where I received the vaccine) was swollen, tender, and soft. There is some redness and the swelling and tenderness are more pervasive. It is difficult to hang my arm at my side due to the pain and swelling. I understand, after calling the nurse hotline, that this is a common side effect but I also have a skin condition (Hidradenitis Supparativa) and it is difficult to know whether flare-ups are triggered by environmental factors.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NONE, PT REPORTS TO BE FINE
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Hyperhidrosis, Somnolence
Clinical narrative: Drowsiness, sinus headache, vertigo, slight chill, dizziness, sweat. persisted over the night into the early morning, receding mostly 24 hours later.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Drowsiness, sinus headache, vertigo, slight chill, dizziness, sweat. persisted over the night into the early morning, receding mostly 24 hours later.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Injection site erythema, Injection site pruritus, Injection site warmth, Nausea
Clinical narrative: Started with nausea and aches, low fever on 25 Mar; persisted for only about 6 hours. Some digestive/diarrhea issues on 26 Mar. Did not check arm until 26 Mar; injection site is warm to touch and slightly itchy, redness area a little larger than a silver dollar.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Skin warm
Clinical narrative: Started with nausea and aches, low fever on 25 Mar; persisted for only about 6 hours. Some digestive/diarrhea issues on 26 Mar. Did not check arm until 26 Mar; injection site is warm to touch and slightly itchy, redness area a little larger than a silver dollar.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Electrocardiogram, Palpitations
Clinical narrative: I?m having heart palpitations since my first injection.  Pretty frequently.  No other signs or symptoms.
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Red itchy rash on neck, arms and legs that appeared the day after the vaccine and have last for a few days
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Patient complained of tingling in vaccination arm
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vision blurred
Clinical narrative: nausea blurry vision five minutes after vaccination  cleared by NP
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Computerised tomogram head normal, Electrocardiogram normal, Hemiparesis, Laboratory test normal
Clinical narrative: weakness, leaning to the right - symptoms started ~ 24 hours after vaccine was administered
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal
Clinical narrative: weakness, leaning to the right - symptoms started ~ 24 hours after vaccine was administered
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Day 1 - severe aches and pains and fever Day 2 - moderate to sever aches and pains Day 3 - moderate aches and pains
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Erythema, Headache, Injection site erythema, Injection site pain
Clinical narrative: Low-grade temperature for 3 days post-injection; migraine headache requiring treatment for 1 day post-injection; profound lethargy for 1 day post-injection; swelling, redness, heat and pain at the site of injection beginning the morning after vaccination and worsening each day for 4 days. Patient self-reported it as a "bad burn on the surface of the skin". Pain, redness, and swelling extending on day 4 from the top of the shoulder to the elbow.  Patient visited the primary care provider on 3/26/21 who prescribed silver sulfadiazine cream topically, cephalexin, hydrocodone/apap, ibuprofen and acetaminophen.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Migraine, Pain in extremity, Peripheral swelling
Clinical narrative: Low-grade temperature for 3 days post-injection; migraine headache requiring treatment for 1 day post-injection; profound lethargy for 1 day post-injection; swelling, redness, heat and pain at the site of injection beginning the morning after vaccination and worsening each day for 4 days. Patient self-reported it as a "bad burn on the surface of the skin". Pain, redness, and swelling extending on day 4 from the top of the shoulder to the elbow.  Patient visited the primary care provider on 3/26/21 who prescribed silver sulfadiazine cream topically, cephalexin, hydrocodone/apap, ibuprofen and acetaminophen.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Skin burning sensation
Clinical narrative: Low-grade temperature for 3 days post-injection; migraine headache requiring treatment for 1 day post-injection; profound lethargy for 1 day post-injection; swelling, redness, heat and pain at the site of injection beginning the morning after vaccination and worsening each day for 4 days. Patient self-reported it as a "bad burn on the surface of the skin". Pain, redness, and swelling extending on day 4 from the top of the shoulder to the elbow.  Patient visited the primary care provider on 3/26/21 who prescribed silver sulfadiazine cream topically, cephalexin, hydrocodone/apap, ibuprofen and acetaminophen.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Periorbital swelling, Rash
Clinical narrative: Patient seen in ED. Patient received 1st dose of Pfizer vaccine at 12:00 p.m. then experienced periorbital swelling and rash to face and bilateral upper extremities starting at 2:00 p.m.  Benadryl (17 mL) administered at approximately 3:00 p.m.  Symptoms improving.  No difficulty breathing/wheezing, drooling/hoarseness, oral swelling, or vomiting observed.  No previous reactions to vaccinations.  No known drug allergies  No recent illnesses.  No previous COVID infection.  Discharged to home from ED
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Headache, Pain, Pyrexia
Clinical narrative: Fever. Headache. Body aches. Lower back aches. Possible kidney ache. Lasting 16 hours and counting
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Multiple vaccines occurring at the same time with shingles vaccines and COVID vaccines. Unfortunately COVID vaccine was used instead. Patient was experiencing a small swelling in face in a few minutes and in one hour dizziness. Patient was given Tylenol by niece. At this time patient is okay. Already contacted PCP about incident. Also this is patient's 3rd COVID vaccine since already completed 2 dose series. However, patient unsure which manufacturer received
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: patient complained of throat tightness after vaccination with no other complications.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paresis
Clinical narrative: Patient developed left-sided facial weakness that has progressed over the past 24 hours. Diagnosed with Bell's palsy.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Eye pruritus, Eye swelling, Throat irritation
Clinical narrative: Patient given 2nd CoVid 19 Pfizer vaccine. An hour later developed itching and swelling of eyes and "weird sensation in throat"
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Flushing, Oropharyngeal discomfort
Clinical narrative: ~11:30 pt c/o feeling warm, cheeks flushed, scratchy throat.  b/p 180/89, P 90, Zyrtec given at 11:43 am, Pt continued to appear flushed,  Benadryl given at 12:11 pm. 12:35 pm , patient transported to ED for further observation.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Muscular weakness, Pain in extremity, Pruritus, Rash erythematous
Clinical narrative: Large raised red rash at injection site appeared on 3/26/2021 (received vaccine on 3/18/2021). Weakness in arm. Slight pain, slight itching.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular
Clinical narrative: Large raised red rash at injection site appeared on 3/26/2021 (received vaccine on 3/18/2021). Weakness in arm. Slight pain, slight itching.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: VACCINE IS  INDICATED FOR AGES 18 AND OLDER AND P T IS 17
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Feeling cold, Feeling hot, Immediate post-injection reaction, Palpitations
Clinical narrative: Patient reported feeling cold sensation on right arm that quickly radiated up to the right side of her face immediately after receiving vaccine injection on right arm, then felt hot suddenly followed by palpitations.  She denied any chest pain, difficulty breathing, difficulty swallowing or difficulty speaking, dizziness, headache, numbness or tingling to arm or face, vision changes, weakness, pruritus, or any other symptoms.  2:15 PM BP 159/101, HR 110, SPO2 100% on room air.  Patient denied history of anaphylactic reaction or reaction to other vaccines.  She reported she developed delayed injection site reaction 8 days after receiving first dose of Moderna given on 2/26/2021 that included large local reaction on vaccine arm with redness, itching and soreness; she did not report symptoms to any provider and treated at home with Benadryl, symptoms resolved.  Patient reported history of anxiety and panic attacks, denied feeling anxious prior to receiving vaccine today, but felt anxious after experiencing the symptoms post injection.  2:20 PM BP 148/95, HR 108, temp 98.5 F, SPO2 100% room air, patient denied any new symptoms, reported feeling less anxious.  Patient denied history of tachycardia and stated BP within normal for her.  2:23 PM BP 147/93, HR 103.  Patient denied any symptoms.  Patient agreed to be observed for an additional 30 minutes.  2:36 PM BP 147/95, HR 94, SPO2 100%, patient reported feeling well, asymptomatic.  3 PM patient denied any symptom, vitals stable, patient stated feeling well to be discharged home.  Patient discharged home in stable condition.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Formication, Pruritus, Urticaria
Clinical narrative: About 25-30 minutes after my shot I had a histamine type reaction... itchy all over, creepy crawly feeling going up my scalp, hives. I took half a Xyzal which helped. About 3 hours later the feeling returned and I took another half of a Xyzal.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dyspnoea, Fatigue, Head discomfort
Clinical narrative: Severe constant headache causing lots of pressure. Chills low grade fever body aches fatigue joint pain difficulty breathing at night when sleeping. Difficultly being able to sleep or fall asleep due to excruciating headache and pressure and neck pain
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Initial insomnia, Neck pain, Pyrexia, Sleep disorder
Clinical narrative: Severe constant headache causing lots of pressure. Chills low grade fever body aches fatigue joint pain difficulty breathing at night when sleeping. Difficultly being able to sleep or fall asleep due to excruciating headache and pressure and neck pain
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Injection site swelling, Rash
Clinical narrative: Red patch around vaccine site. Hardness and sensitivity around vaccine site. Noticed 24 hours after vaccine.  From vaccination site to elbow slightly swollen.  Ice applied. No other symptoms.
Age: 33.0
Sex: F
Vaccine: UNK
Symptoms: Injection site movement impairment, Injection site pain, Injection site swelling
Clinical narrative: Injection site swelling with severe pain. Injection given at around 2pm on the 25th, symptoms started around 6pm the same day. Localized swelling and severe pain greatly limiting range of motion in left upper arm and shoulder. Took two (2) 200mg gelcaps of Ibuprofen at around 6:30pm with no relief. Pain, redued range of motion continued into the 26th, Contacted insurance nurse line for advice at around 5:44pm on the 26th. Advise to see doctor online. Doctor examined via video call and advise alternating Tylenol and Advil throughout the next 3-5 days, warm compresses and range of motion exercises to reduce swelling. Was advised to seek further in-person care if symptoms did not improve or get worse after 5 days.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hypoaesthesia, Lymphadenopathy, Musculoskeletal stiffness
Clinical narrative: Initially numbness in arm within minutes. Headache, swollen lymph nodes in neck and armpits, chills, fever, and body aches started about 1-2 hrs after injection.  Three hours after injection I took two ibuprofen. Around that time, neck and arm pain and stiffness began.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: Initially numbness in arm within minutes. Headache, swollen lymph nodes in neck and armpits, chills, fever, and body aches started about 1-2 hrs after injection.  Three hours after injection I took two ibuprofen. Around that time, neck and arm pain and stiffness began.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Hyperhidrosis, Loss of consciousness
Clinical narrative: PATIENT HAD VASO SYNCOPE. HE HAD TINKLE IN LEFT HAND. HE WAS ASKED TO SIT FOR 30 MINUTES VS. 15 MINUTES FOR EXTRA OBSERVATION. HE SAID HE WAS FEELING LIGHT HEADED AND SWEATING.  AS I WAS WALKING OVER FOR THE 3RD TIME TO CHECK ON HIM I WAS GOING TO ASK HIM TO PUT HIS HEAD IN BETWEEN HIS LEGS HE STARTED TO SLIDE OUT OF CHAIR. WE CALLED 911. WHEN HE CAME TO HE SAID HE PASSES OUT EVERY TIME BLOOD IS TAKEN, AND HE THINKS IT WAS DUE TO THIS ANXIETY.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: During observation client reported feeling nauseous. Assessment revealed no hives, redness, discoloration, swelling, or signs or symptoms of shortness of breath. Client has a history of high blood pressure without prescribed meds, hyperthyroidism and an allergy to penicillin. She reported not having breakfast in the morning and not drinking water. She was given water and vitals were taken at 5 mins intervals and was in observation for an additional 30mins. Her nausea subsided during the additional 30mins of observation. When 30mins of observation were completed a Pfizer fact sheet was given and ER precautions were given as well. Client left site in no apparent distress.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PT AGE IS 15 YEARS OLD  AND  VACCINE IS RECOMMENDED FOR PTS OLDER THAN 18
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Immediately it stung. The next day, I was having a hard time moving it. I couldn't lift it on it's own. From the top of my arm to my elbow, I couldn't move, but the rest of my arm was fine. That lasted for about 2 days. On Sunday, when I was getting ready for work, I was still having a hard time brushing my hair. After being at work for a few hours, I was suddenly able to move it again. All that remained was a little soreness at the top of the joint, but the injection site was fine. It eventually went away.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Photophobia, Pyrexia, Rhinorrhoea
Clinical narrative: Fever, runny nose, eye sensitivity, cough, loss of appetite.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site rash, Skin irritation, Skin warm
Clinical narrative: Red irritated skin/rash at injection site, warm to the touch.  No issues for the first week after injection other than slight soreness, rash appeared at 7 days post vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia oral
Clinical narrative: 3/26/2021   was observed post Covid-19 immunization for 30 minutes based on pre-vaccination screening .  During the observation period, she experienced an adverse reaction with the following symptoms:  dizziness.. and tingling of the tongue   Assessment : Time of assessment 1810. Alert and oriented.and anxious, no visual swelling, rash, or redness.   Actions taken:  Water offered and accepted, VS taken at 1810- BP- 160/94, P- 86, O2- 100%, recheck @ 1824 - BP- 149/101         Medications administered: No medication administered.   Disposition: Reports no further symptoms of adverse reaction after observation for 30 minutes. Discharged home. she was advise to follow up with PCP regarding BP.     Immunizations Administered    Name Date Dose VIS Date Route   Pfizer COVID-19 Vaccine 3/26/2021  5:52 PM 0.3 mL 12/11/2020 Intramuscular   Manufacturer: Pfizer, Inc
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Pain, Panic attack
Clinical narrative: chills, dizziness, body aches, headache, panic attack
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever chills multiple times
Age: 72.0
Sex: F
Vaccine: SMALL
Symptoms: C-reactive protein increased, Erythema, Oedema, Peripheral venous disease, Swelling
Clinical narrative: Swelling, erythema bi-lateral feet and ankles resulting in pitting edema and veinous stasis
Age: 72.0
Sex: F
Vaccine: SMALL
Symptoms: Ultrasound abdomen
Clinical narrative: Swelling, erythema bi-lateral feet and ankles resulting in pitting edema and veinous stasis
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Pain, Pyrexia
Clinical narrative: Vommiting, full body aches, chills, fever, headache, diarrhea
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Vommiting, full body aches, chills, fever, headache, diarrhea
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Roughly six hours after receiving the vaccine, I began to get the chills, and I couldn't stop shaking. Roughly an hour to an hour and a half later, the chills/shaking stopped, only to be replaced by a fever. My temperature shot up, my ears began to ring, and my head began to pound. When I tried to eat, I felt sick to my stomach.   My fever lasted for the entire evening, and I spent most of the night alternating between chills and heat flashes. My head continued to pound, and whenever I tried to sit up, I felt dizzy. At around 4am, I awoke with an upset stomach, diarrhea, and further dizziness.   By around 8-9am, my fever had subsided, and I was beginning to feel a bit better. However, I have been feeling physically drained and a little achy today (03/26).
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hot flush, Malaise, Pain, Pyrexia
Clinical narrative: Roughly six hours after receiving the vaccine, I began to get the chills, and I couldn't stop shaking. Roughly an hour to an hour and a half later, the chills/shaking stopped, only to be replaced by a fever. My temperature shot up, my ears began to ring, and my head began to pound. When I tried to eat, I felt sick to my stomach.   My fever lasted for the entire evening, and I spent most of the night alternating between chills and heat flashes. My head continued to pound, and whenever I tried to sit up, I felt dizzy. At around 4am, I awoke with an upset stomach, diarrhea, and further dizziness.   By around 8-9am, my fever had subsided, and I was beginning to feel a bit better. However, I have been feeling physically drained and a little achy today (03/26).
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Tremor
Clinical narrative: Roughly six hours after receiving the vaccine, I began to get the chills, and I couldn't stop shaking. Roughly an hour to an hour and a half later, the chills/shaking stopped, only to be replaced by a fever. My temperature shot up, my ears began to ring, and my head began to pound. When I tried to eat, I felt sick to my stomach.   My fever lasted for the entire evening, and I spent most of the night alternating between chills and heat flashes. My head continued to pound, and whenever I tried to sit up, I felt dizzy. At around 4am, I awoke with an upset stomach, diarrhea, and further dizziness.   By around 8-9am, my fever had subsided, and I was beginning to feel a bit better. However, I have been feeling physically drained and a little achy today (03/26).
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis
Clinical narrative: Patient received the COVID vaccine (Pfizer dose 1, Lot# ER8732, exp 7/31/2021) at 1316. Client reported ?my temperature is going up? at 1327. EMT and RN  responded. Client ambulated to the chair next to the EMT station with a steady gait. Client appeared flushed and diaphoretic. No complaints of shortness of breath, dizziness, numbness, or tingling. No appearance of hives or swelling. No loss of consciousness. Client has a history of multiple sclerosis and hypertention. Client was unaware of his baseline blood pressure ranges. Client takes no regular medications. The client has allergies to sulfa and seafood. At 1327, the client?s blood pressure was 140/110, with a pulse of 81, respiration rate of 18, and pulse oximeter reading of 98%. Eyes PERRLA, client was alert and oriented x4. Client was given orange juice and a bottle of water. The client reported not eating any food yet and only drinking some coffee and water before. Vital signs taken again at 1336, with a blood pressure of 150/110, 20 breaths per minute, heart rate 83, pulse oximeter reading 98%. At that time, the client?s color returned to normal and he was no longer diaphoretic. The client stated he felt ?much better.? Repeat blood pressure reading for the client at 1347 was 145/95. Final blood pressure reading for the client was 140/82 at 1352. The client stated he felt ?back to normal.? Education provided regarding emergency management and when to call 911. Client encouraged to follow up with his primary care provider within 24 hours. Client denied any further questions, was escorted to his car by EMT at 1357. The client left the facility with a steady gait and proceeded to drive himself home.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site pain, Injection site swelling, Pruritus, Skin warm
Clinical narrative: Injection sight had muscle pain and then swelling began.  Itching and redness occurred the day after the shot, and continued to expand the next three days.  Swelling also spread.  Day three it became warm to the touch.  Ice, Tylenol, and Benadryl were used.  Had not cleared as of this report.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Headache Body aches Chills Nausea Tinnitus  Very tired
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Headache Body aches Chills Nausea Tinnitus  Very tired
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pruritus, Pruritus, Throat irritation
Clinical narrative: Itchy skin and mouth/throat, but no anaphylaxis, benadryl given
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Chest discomfort, Dyspnoea
Clinical narrative: 30 yo female with PMHx severe anaphylactic food allergies (peanuts, beans, shellfish), who presented for her firstdose of Pfizer COVID vaccine today. She was otherwise in her USH, received her vaccine at 2:45 PM. About 15 minutes later, began having chest pressure and SOB. Chest pressure, substernal, 8/10, w/o radiation, nonpleuritic, nonpositional, not exertional. +SOB "like I'm trying to catch my breath". No wheezing, tachypnea, tongue/throat  itching/closing, runny nose, N/V, abd pain, diarrhea, hives. No LH, palp, diaphoresis.  Prev h/o food allergies with severe hives, SOB, troat closing.  Usually takes Benadryl with resolution. No h/o epipen use. Does not have her own epipen. Had lunch at 1 PM, does not think it she was exposed to any known allergens. On initial evauation: VS: T 98.6F,  BP 140s/90s, HR 120s, RR, SaO2 99% RA. Gen: WDWN, NAD. HEENT: NCAT, sclera anicteric and w/o injection, MMM OP clear. Neck: supple, good ROM. CV: tachy, reg rhythm, S1, S2. No m/r/g. Pulm: CTAB. No wheezes or crackles. No stridor. Abd: S, NT, ND. NABS. No rebound or guarding. Extr: no c/c/e. Skin: no rashes Neuro: A&Ox3. No focal deficits. Pt given Benadryl 50 mg po x1 with improvement in chest pressure in about 20 minutes, but no change in SOB. No further sxs. Repeat VS: 133/91, HR 93, R 20, SaO2 99%, RA 125/85, HR 80sR 20, SaO2 97% RA. As sxs persisted, EMS activated.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Arm (injection site) began to swell, become hot to the touch, and become noticeably sore to touch/movement.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Dizziness, Fatigue, Feeling hot
Clinical narrative: Day of Vaccine March 12: 5:30 pm chills, arm pain (left/injection side); 6:30 pm + fatigue, mild nausea; 7:30 pm + neckache and headache; 8:30 pm + shivering / teeth chattering, fever 99.8; 9:30 pm fever 100.5, dizziness, took 1 ibuprofen; 10:00 pm + extremely hot, ache in low back, (no chills); woke multiple times during night with body pain and "busy-ness" of thoughts.  Day after Vaccine March 13: 8:15 am fever reduced 99.4, headache, back ache (reduced arm soreness), fatigue ,took 1 ibuprofen, back to bed; 10:30 am no fever (temp 98.8), more alert, body tired, head mildy wonky, appetite good; 10:00 pm no fever (temp 98.3), able to sleep.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Neck pain, Pain, Pain in extremity
Clinical narrative: Day of Vaccine March 12: 5:30 pm chills, arm pain (left/injection side); 6:30 pm + fatigue, mild nausea; 7:30 pm + neckache and headache; 8:30 pm + shivering / teeth chattering, fever 99.8; 9:30 pm fever 100.5, dizziness, took 1 ibuprofen; 10:00 pm + extremely hot, ache in low back, (no chills); woke multiple times during night with body pain and "busy-ness" of thoughts.  Day after Vaccine March 13: 8:15 am fever reduced 99.4, headache, back ache (reduced arm soreness), fatigue ,took 1 ibuprofen, back to bed; 10:30 am no fever (temp 98.8), more alert, body tired, head mildy wonky, appetite good; 10:00 pm no fever (temp 98.3), able to sleep.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: Day of Vaccine March 12: 5:30 pm chills, arm pain (left/injection side); 6:30 pm + fatigue, mild nausea; 7:30 pm + neckache and headache; 8:30 pm + shivering / teeth chattering, fever 99.8; 9:30 pm fever 100.5, dizziness, took 1 ibuprofen; 10:00 pm + extremely hot, ache in low back, (no chills); woke multiple times during night with body pain and "busy-ness" of thoughts.  Day after Vaccine March 13: 8:15 am fever reduced 99.4, headache, back ache (reduced arm soreness), fatigue ,took 1 ibuprofen, back to bed; 10:30 am no fever (temp 98.8), more alert, body tired, head mildy wonky, appetite good; 10:00 pm no fever (temp 98.3), able to sleep.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Chest discomfort, Dyspnoea, Electrocardiogram normal, Headache
Clinical narrative: I had headaches at first but then I had heart palpitations that have lasted for 2 weeks. I've had difficulty breathing for 2 weeks. I have had eye twitching in my left eye for 3 days. I have had tightness in my chest and tingling in my chest.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Paraesthesia
Clinical narrative: I had headaches at first but then I had heart palpitations that have lasted for 2 weeks. I've had difficulty breathing for 2 weeks. I have had eye twitching in my left eye for 3 days. I have had tightness in my chest and tingling in my chest.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Cough
Clinical narrative: Patient and mother both here for COVID vaccine. Upon arrival into exam room,  patient stated "feeling anxious about getting the vaccine," but was "prepared  with EpiPen." After vaccine injected, patient had a coughing episode, stated  "feeling mucous-y," "no not yet" when encouraged to use EpiPen, and "I just want  to lay on the floor." Ice pack, cold compresses given to patient for calming  measures. Called provider, NP to assess patient. SpO2 at 93%. Gave  Diphenhydramine Hcl 50mg/ml Lot# 010016 exp 01/2022 NDC 0641-0376-21 0.5ml IM  injection into right deltoid per provider's orders. Nebulizer administered by MA per provider's  orders. Encouraged patient to rest. SpO2 99%.  Patient slept for 1 hour, stated felt much better. Waited 30 minutes for mother  to return and get some rest. Encouraged patient to establish care with new  provider (was this patient's provider and is no longer  here) and seek advice on getting vaccine #2. Second vaccine scheduled 4/21/21 at  12:30pm, but will cancel if decides not to pursue. Appointment scheduled with  NP for 4/14/21 via telemedicine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Cough, Fatigue, Headache, Influenza virus test negative
Clinical narrative: Day 1- extreme fatigue, extreme muscle aches,slight head ache, injection site soreness.,fever of 99.01,sore throat,cough
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Day 1- extreme fatigue, extreme muscle aches,slight head ache, injection site soreness.,fever of 99.01,sore throat,cough
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test negative
Clinical narrative: Day 1- extreme fatigue, extreme muscle aches,slight head ache, injection site soreness.,fever of 99.01,sore throat,cough
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Very dizzy and light headed
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal, Ventricular extrasystoles
Clinical narrative: VR recipient with history of SVT/PVC's, anxiety and cardiac ablasion felt symptoms of lower chest pain and PVC's approx. 5 min after vaccination; a somewhat normal feeling for her. EMS was called
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Feeling abnormal, Gait disturbance, Hypersomnia
Clinical narrative: Immediately after getting the vaccine I felt very weak, as if I was going to pass out. A person on site took my blood pressure which was higher than normal. I was advised to wait longer than 15mins, but after 30mins waiting I still was not okay to leave. I had to call family to come for me, at which point the people on site told me to eat food. I was given water and licorice by the facility, my mother brought me tacos but I still felt very weak. (Weakness was not food related). I was in the waiting area for 1 1/2hrs, advised not to drive myself home, my mother had to drive me home and stayed with me. I also had trouble walking, and was helped to the car. I did not go to a hospital for these adverse reactions as I did not get a fever at any point, and wasn't exactly sure what could be done for me.  Days following the vaccine I still felt very weak, slept a lot, and felt very out of it. It took 4-5 days to return to normal.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Immediate post-injection reaction, Impaired driving ability
Clinical narrative: Immediately after getting the vaccine I felt very weak, as if I was going to pass out. A person on site took my blood pressure which was higher than normal. I was advised to wait longer than 15mins, but after 30mins waiting I still was not okay to leave. I had to call family to come for me, at which point the people on site told me to eat food. I was given water and licorice by the facility, my mother brought me tacos but I still felt very weak. (Weakness was not food related). I was in the waiting area for 1 1/2hrs, advised not to drive myself home, my mother had to drive me home and stayed with me. I also had trouble walking, and was helped to the car. I did not go to a hospital for these adverse reactions as I did not get a fever at any point, and wasn't exactly sure what could be done for me.  Days following the vaccine I still felt very weak, slept a lot, and felt very out of it. It took 4-5 days to return to normal.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Patient experienced dizziness and headache