chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Pt received 1st dose of Moderna vaccine in am at COVID vaccination clinic.  On presentation to clinic he stated he was feeling well.  Pt was brought to ER in pm with hypoxic, requiring 15L supplemental O2.  Per pt's family, pt was not feeling well for the last couple of days but didn't think it was related to COVID. Abbott COVID + in ER.  Possible vaccine reaction, though seems unlikely.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Abdominal pain upper, Back pain, Dyspepsia
Clinical narrative: Over 24 hours after the vaccine I developed fatigue which I thought was normal - around 1pm the day after the vaccine. I ate some crackers and rested.   At 4pm I started to feel bloated and heart burn, the heart burn turned to stomach pain with some pain in my back as well.  I took1  pepcid and a digestive enzyme around 5pm but the bloating, heart burn and stomach pain got worse. I took a tylenol about 30 minutes later.  The abdominal pain and abdominal distension continued to get worse (although the heart burn subsided) and at 7pm I was lieing on the floor near the bathroom. The abdominal pain and distension continued to get worse and then nausea set in.  When the nausea came on stronger I took pepto bismol. Around 8pm, I took half the normal dosage and the nausea and pain improved slightly, then the nausea came back and I took another half dosage at 9:00. The nausea and pain continued and I took another half dose at 10pm and then again at 11pm.  At 10pm I was able to lie in bed instead of on the floor by the toilet. By 12am  I was able to fall asleep (I normally go to sleep at 9pm). In the morning when I woke up the nausea and pain were gone.  Today I still have moderate fatigue but no abdominal pain at this time.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea
Clinical narrative: Over 24 hours after the vaccine I developed fatigue which I thought was normal - around 1pm the day after the vaccine. I ate some crackers and rested.   At 4pm I started to feel bloated and heart burn, the heart burn turned to stomach pain with some pain in my back as well.  I took1  pepcid and a digestive enzyme around 5pm but the bloating, heart burn and stomach pain got worse. I took a tylenol about 30 minutes later.  The abdominal pain and abdominal distension continued to get worse (although the heart burn subsided) and at 7pm I was lieing on the floor near the bathroom. The abdominal pain and distension continued to get worse and then nausea set in.  When the nausea came on stronger I took pepto bismol. Around 8pm, I took half the normal dosage and the nausea and pain improved slightly, then the nausea came back and I took another half dosage at 9:00. The nausea and pain continued and I took another half dose at 10pm and then again at 11pm.  At 10pm I was able to lie in bed instead of on the floor by the toilet. By 12am  I was able to fall asleep (I normally go to sleep at 9pm). In the morning when I woke up the nausea and pain were gone.  Today I still have moderate fatigue but no abdominal pain at this time.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Aura, Headache, Migraine with aura
Clinical narrative: Around 6 pm on 12/30/20 I began to have a visual aura to both eyes, though it seemed to be primarily to the left.  It lasted about 20 minutes.  About 30 minutes later it started again, this time primarily to the R eye.  This again lasted about 20 minutes and was followed by a mild-moderate frontal headache.  It seemed to be an ocular migraine, but I have never had them before.  It resolved while I was sleeping and I did well today.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: Body aches, pinching under arm of injection site.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: left-sided facial swelling, sent to ED, received steroid injection and liquid benadryl, symptoms resolved
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Eye pain, Hypoaesthesia, Pain in extremity
Clinical narrative: within 15 minutes observation period developed pain in right arm followed by numbness of right arm, and pain behind right eye.  BP 160/94, repeat 140/83, HR 83, O2 sat 100%.  worsening over 30 minutes.  So code assist called and taken to ED. allergist on duty provided consultation and follow-up, confirming symptoms resolved same day.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Fatigue, Feeling abnormal, Headache, Pain in extremity
Clinical narrative: on 12/22/2020 pt received vaccine and reports that apx 3 hours later apx 15:02 started having arm soreness, headache, runny nose, fatigue, chest tightness, wheezing, and "feeling out of sorts". pt reports that symptoms have been intermittent since beginning. Today 12/31/2020 is the first day she has only had headache. Denies any treatment or medications taken/received.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: on 12/22/2020 pt received vaccine and reports that apx 3 hours later apx 15:02 started having arm soreness, headache, runny nose, fatigue, chest tightness, wheezing, and "feeling out of sorts". pt reports that symptoms have been intermittent since beginning. Today 12/31/2020 is the first day she has only had headache. Denies any treatment or medications taken/received.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Flushing, Impaired work ability
Clinical narrative: Given at 10am with slight soreness around 4pm took 1000mg of Tylenol. Went to bed at 10:30 by taking 1000mg tylenol again since feeling achy and tired. Woke up at 11:45pm with severe chills. The shaking woke up my husband who held me. Hands and feet like icicles. He made me feel warm and I drifted off. Woke up at 1am in severe muscle pain. Body ached from head to toes. Even had trouble laying on my back as my butt hurt. Took Aleve and could not get comfortable all night. 6am took more Tylenol.  Feel asleep finally at 7 am and woke at 11:30.  I had to call out sick from work . Felt weak and tired the rest of the day with flushing on and off. Went to bed 930 pm on Wednesday taking both aleve and Tylenol. Slept well. Felt great on Thursday and back to work.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal pain, Myalgia, Pain, Peripheral coldness, Sleep disorder
Clinical narrative: Given at 10am with slight soreness around 4pm took 1000mg of Tylenol. Went to bed at 10:30 by taking 1000mg tylenol again since feeling achy and tired. Woke up at 11:45pm with severe chills. The shaking woke up my husband who held me. Hands and feet like icicles. He made me feel warm and I drifted off. Woke up at 1am in severe muscle pain. Body ached from head to toes. Even had trouble laying on my back as my butt hurt. Took Aleve and could not get comfortable all night. 6am took more Tylenol.  Feel asleep finally at 7 am and woke at 11:30.  I had to call out sick from work . Felt weak and tired the rest of the day with flushing on and off. Went to bed 930 pm on Wednesday taking both aleve and Tylenol. Slept well. Felt great on Thursday and back to work.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Given at 10am with slight soreness around 4pm took 1000mg of Tylenol. Went to bed at 10:30 by taking 1000mg tylenol again since feeling achy and tired. Woke up at 11:45pm with severe chills. The shaking woke up my husband who held me. Hands and feet like icicles. He made me feel warm and I drifted off. Woke up at 1am in severe muscle pain. Body ached from head to toes. Even had trouble laying on my back as my butt hurt. Took Aleve and could not get comfortable all night. 6am took more Tylenol.  Feel asleep finally at 7 am and woke at 11:30.  I had to call out sick from work . Felt weak and tired the rest of the day with flushing on and off. Went to bed 930 pm on Wednesday taking both aleve and Tylenol. Slept well. Felt great on Thursday and back to work.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: escorted to ED, given tylenol and benadryl
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Facial nerve disorder, Headache, Lip disorder, Tongue blistering
Clinical narrative: Left-sided Headache , Facial Nerve Spasm, Slight Droop left side of lip, multiple blisters on left side of tongue.   Lasted for approximately 3-4 days  Resolved -  No symptoms 12/26/2020
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nasal congestion, SARS-CoV-2 test positive, Sneezing
Clinical narrative: On 12/29/20 I developed nasal congestion, sneezing, and a mild cough. Tested positive for Covid 19 on 1230/20.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: Redness, itching, heat, and small hardened area at injection site. Started 7-8 days post injection.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Facial paresis, Injection site pain, Muscular weakness, Swelling face
Clinical narrative: PT REPORTS EXPERIENCING INJECTION SITE PAIN INITIALLY, THEN STARTED TO FEEL WEAKNESS ABOUT 30 SECONDS AFTER THE SHOT (LEFT ARM). PER PT, THE WEAKENSS STARTED TO RADIATE THROUGH HER ENTIRE LEFT ARM 2 MINUTES AFTER THE VACCINE ADMINISTRATION. THEN THE WEAKNESS AND SWELLING SENSTATION TRAVELLED UP TO THE JAW (ONLY ON THE LEFT SIDE OF THE FACE). PT STATED THAT LEFT SIDE OF FACE FEEL SWOLLEN. SHE DESCRIBED IT AS "TOOTHACHE" AND FEELS LIKE LOCAL ANESTHETIC INJECTION FROM THE DENTIST. PER PT, PT FELT THE WEAKNESS BEFORE WITH GARDASIL BEFORE. HOWEVER, SWELLING SENSATION ON THE LEFT PART OF THE FACE IS NEW REACTION THAT SHE NEVER FACED BEFORE WITH ANY TYPE OF VACCINE. OBSERVED PT FOR FULL 30 MINUTES AND PT REPORTED IMPROVEMENT ON HER LEFT ARM AND LEFT SIDE OF HER FACE. PER PT, SHE DOES NOT HAVE A PCP. THEREFORE SUGGESTED HER TO REACH OUT TO EMERGENCY ROOM OR URGENT CARE, IF THESE SYMPTOMS WORSENS OR DOES NOT GET ANY BETTER WITHIN 24 HOURS.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Headache, Impaired work ability
Clinical narrative: Began with low grade fever and chills. Monday morning I awoke with low grade fever, arm and neck pain, headache and fatigue. Chills developed throughout the day, arm and neck pain and severe headache with nausea and I was unable to work. Continued with fever and chills until Tuesday morning.  Fever subsided but still felt cold all day.  Able to work minimally on Tuesday and then severe headache, chills and fatigue Tuesday evening.  Symptoms only minimal on Wednesday and Thursday (headache and pain at injection site).
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Neck pain, Pain in extremity, Pyrexia
Clinical narrative: Began with low grade fever and chills. Monday morning I awoke with low grade fever, arm and neck pain, headache and fatigue. Chills developed throughout the day, arm and neck pain and severe headache with nausea and I was unable to work. Continued with fever and chills until Tuesday morning.  Fever subsided but still felt cold all day.  Able to work minimally on Tuesday and then severe headache, chills and fatigue Tuesday evening.  Symptoms only minimal on Wednesday and Thursday (headache and pain at injection site).
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gastrooesophageal reflux disease, Headache, Nausea
Clinical narrative: Acid reflux, nausea, headache, fatigue
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Supraventricular tachycardia
Clinical narrative: developed SVT during observation period ( heart rate 150s to 180s ) (history of recurrence SVT stress ), taken to ED  immediately
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Product preparation issue
Clinical narrative: potentially a 0.3ml dose on Pfizer COVID vaccine administered without diluent. Monitor the resident q 2 hours x 72 hours. only compliant is mild soreness at injection site.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth, Urticaria
Clinical narrative: Pt reported "itchiness and a hardness" in the upper right arm in the evening of 12/29/20. She reported that it was worse in the morning  so she stopped in at the employee health office to have the area checked because she received the Pfizer BioNTech COVID 19 vaccine on 12/21/2020 in that arm and she was afraid it might be something in the vaccine that caused the itching and hardness. On exam she had a large round area of redness that was warm to touch and very firm. It was approximately 3" by 3" just below where she had the injection. She was sent to the ED for exam by a doctor, who determined it was allergic urticaria. He mentioned that he did not suspect it was related to her vaccine. He discharged her with a prescription for Keflex 500mg q six hours for seven days and benadryl OTC 1-2 tabs every six hours for three days.
Age: 25.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pain, Muscular weakness, Neuralgia
Clinical narrative: Left upper arm aches/pains everyday, notice weakness in left arm, feel nerve pain constantly all day, every day.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Pain
Clinical narrative: Chills, temperature up to 101.4, body aches.  Lasted less than 24 hours. Temperature went down with Tylenol.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Malaise, Pain, Throat irritation
Clinical narrative: Soreness in the shoulder following the injection. The night after receiving the vaccine, at 02:30 am, I woke up in the middle of the night with chills despite being under a blanket that went away after putting on a sweatshirt and going back to bed. The following morning, I had general malaise and body aches which have remained throughout the day. In the evening of Day 2 (present time), my throat started feeling scratchy.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Injection site vesicles
Clinical narrative: Swelling erythematous bruising ,blistering weeping vesicular eruptions on arm extending up and down from injection site >10cm Pain Ice,benadryl  Hydroxyzine Prednisone  Motrin
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash vesicular, Skin weeping
Clinical narrative: Swelling erythematous bruising ,blistering weeping vesicular eruptions on arm extending up and down from injection site >10cm Pain Ice,benadryl  Hydroxyzine Prednisone  Motrin
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Glossitis, Glossodynia, Swollen tongue
Clinical narrative: Swollen/Irritated/Inflamed tastebuds from tip to rear. Tongue feels raw, painful. Can feel irritation when speaking, swallowing.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram head, Differential white blood cell count, Dizziness, Electrocardiogram
Clinical narrative: I went to bed on 12/28, after receiving the vaccine feeling fine. I woke at 2:00 AM with chills and a 99.3°F temperature. At 5:00 AM I woke up extremely feverish and nauseous and recorded a 101.7°F fever. I walked downstairs to get water and began feeling very nauseous and dizzy. I sat down and woke up with a laceration on my head in two places. I went to the ER around 5:45 and had an additional syncopal episode upon arriving. I was assessed in the ER, received  7 stitches, a Tdap booster, and fluids. My temperature went down to 98°F, my blood pressure was 91/44. I was released at 9:00 AM
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Metabolic function test, Nausea, Pyrexia, Skin laceration
Clinical narrative: I went to bed on 12/28, after receiving the vaccine feeling fine. I woke at 2:00 AM with chills and a 99.3°F temperature. At 5:00 AM I woke up extremely feverish and nauseous and recorded a 101.7°F fever. I walked downstairs to get water and began feeling very nauseous and dizzy. I sat down and woke up with a laceration on my head in two places. I went to the ER around 5:45 and had an additional syncopal episode upon arriving. I was assessed in the ER, received  7 stitches, a Tdap booster, and fluids. My temperature went down to 98°F, my blood pressure was 91/44. I was released at 9:00 AM
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Suture insertion, Syncope
Clinical narrative: I went to bed on 12/28, after receiving the vaccine feeling fine. I woke at 2:00 AM with chills and a 99.3°F temperature. At 5:00 AM I woke up extremely feverish and nauseous and recorded a 101.7°F fever. I walked downstairs to get water and began feeling very nauseous and dizzy. I sat down and woke up with a laceration on my head in two places. I went to the ER around 5:45 and had an additional syncopal episode upon arriving. I was assessed in the ER, received  7 stitches, a Tdap booster, and fluids. My temperature went down to 98°F, my blood pressure was 91/44. I was released at 9:00 AM
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity
Clinical narrative: Arm pain, tiredness,  chills
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper
Clinical narrative: Patient was acting nervous prior to the shot and bending over kneeling down in anticipation. Once the shot was given, she reported feeling a stomach ache after the shot.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Right after the vaccine I had arm soreness and that night i had the chills.  Now on day 8 after getting the vaccine i am having arm soreness again and it is red, warm and swollen.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling of injection site x1 day. Still ongoing. Hasn?t resolved
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Base excess, Basophil count decreased, Basophil percentage decreased, Blood bicarbonate normal, Blood calcium normal
Clinical narrative: 15-20 mins after receiving the vaccine she reported she had difficulty swallowing and difficulty breathing and was ?shaking."  a PA wrote in her note that when she ran in to help, she found the patient to be tachypneic, diaphoretic, warm with some red blotchy patches on face, chest & neck. Able to speak easily c/o trouble breathing & sensation of throat swelling & extremities feeling abnormal. No stridor. No facial edema noted by that clinician. Administered epi-pen 0.3mg   - IV  started , Benadryl 50mg IVP and solumedrol 125mg IVP. Patient reports she subsequently arched her back and had rigidity of her arms/legs and tremors.  Clinic PA reports that while she was there, pt was never hypotensive. Initially hypertensive after epi as expected with some favorable response after 10-15 min Staff there gave her IM epinephrine, IV Solu-Medrol and 50 mg IV Benadryl.  EMS was contacted and transported to the emergency room.  She arrived at the ER, was monitored for 2 hours, was started on pepcid and benadryl and discharged from the ER. She had a diffuse itchy rash. The following day she again developed recurrence of throat swelling. Went back to a different ER. Developed dyspnea immediately prior to arrival at ER. There was again given solumedrol and benadryl and pepcid and developed muscle rigidity and arched back for 10 minutes. Symptoms of SOB and dyspnea resolved with epinephrine. Was discharged from the ER with prednisone after being monitored for 5 hours.  Is continuing to take prednisone and benadryl. Rash is still present but improving with scheduled benadryl. Has new redness at injection site today. Continues to feel some throat swelling but no tightness today. This information was gathered from talking with pt today for a phone appt and also from her medical chart regarding her vaccination visit and two ER visits.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood pH increased, Blood potassium decreased
Clinical narrative: 15-20 mins after receiving the vaccine she reported she had difficulty swallowing and difficulty breathing and was ?shaking."  a PA wrote in her note that when she ran in to help, she found the patient to be tachypneic, diaphoretic, warm with some red blotchy patches on face, chest & neck. Able to speak easily c/o trouble breathing & sensation of throat swelling & extremities feeling abnormal. No stridor. No facial edema noted by that clinician. Administered epi-pen 0.3mg   - IV  started , Benadryl 50mg IVP and solumedrol 125mg IVP. Patient reports she subsequently arched her back and had rigidity of her arms/legs and tremors.  Clinic PA reports that while she was there, pt was never hypotensive. Initially hypertensive after epi as expected with some favorable response after 10-15 min Staff there gave her IM epinephrine, IV Solu-Medrol and 50 mg IV Benadryl.  EMS was contacted and transported to the emergency room.  She arrived at the ER, was monitored for 2 hours, was started on pepcid and benadryl and discharged from the ER. She had a diffuse itchy rash. The following day she again developed recurrence of throat swelling. Went back to a different ER. Developed dyspnea immediately prior to arrival at ER. There was again given solumedrol and benadryl and pepcid and developed muscle rigidity and arched back for 10 minutes. Symptoms of SOB and dyspnea resolved with epinephrine. Was discharged from the ER with prednisone after being monitored for 5 hours.  Is continuing to take prednisone and benadryl. Rash is still present but improving with scheduled benadryl. Has new redness at injection site today. Continues to feel some throat swelling but no tightness today. This information was gathered from talking with pt today for a phone appt and also from her medical chart regarding her vaccination visit and two ER visits.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea normal, Carbon dioxide decreased, Chest X-ray normal, Dysphagia
Clinical narrative: 15-20 mins after receiving the vaccine she reported she had difficulty swallowing and difficulty breathing and was ?shaking."  a PA wrote in her note that when she ran in to help, she found the patient to be tachypneic, diaphoretic, warm with some red blotchy patches on face, chest & neck. Able to speak easily c/o trouble breathing & sensation of throat swelling & extremities feeling abnormal. No stridor. No facial edema noted by that clinician. Administered epi-pen 0.3mg   - IV  started , Benadryl 50mg IVP and solumedrol 125mg IVP. Patient reports she subsequently arched her back and had rigidity of her arms/legs and tremors.  Clinic PA reports that while she was there, pt was never hypotensive. Initially hypertensive after epi as expected with some favorable response after 10-15 min Staff there gave her IM epinephrine, IV Solu-Medrol and 50 mg IV Benadryl.  EMS was contacted and transported to the emergency room.  She arrived at the ER, was monitored for 2 hours, was started on pepcid and benadryl and discharged from the ER. She had a diffuse itchy rash. The following day she again developed recurrence of throat swelling. Went back to a different ER. Developed dyspnea immediately prior to arrival at ER. There was again given solumedrol and benadryl and pepcid and developed muscle rigidity and arched back for 10 minutes. Symptoms of SOB and dyspnea resolved with epinephrine. Was discharged from the ER with prednisone after being monitored for 5 hours.  Is continuing to take prednisone and benadryl. Rash is still present but improving with scheduled benadryl. Has new redness at injection site today. Continues to feel some throat swelling but no tightness today. This information was gathered from talking with pt today for a phone appt and also from her medical chart regarding her vaccination visit and two ER visits.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram T wave abnormal, Electrocardiogram abnormal, Eosinophil count decreased, Eosinophil percentage decreased
Clinical narrative: 15-20 mins after receiving the vaccine she reported she had difficulty swallowing and difficulty breathing and was ?shaking."  a PA wrote in her note that when she ran in to help, she found the patient to be tachypneic, diaphoretic, warm with some red blotchy patches on face, chest & neck. Able to speak easily c/o trouble breathing & sensation of throat swelling & extremities feeling abnormal. No stridor. No facial edema noted by that clinician. Administered epi-pen 0.3mg   - IV  started , Benadryl 50mg IVP and solumedrol 125mg IVP. Patient reports she subsequently arched her back and had rigidity of her arms/legs and tremors.  Clinic PA reports that while she was there, pt was never hypotensive. Initially hypertensive after epi as expected with some favorable response after 10-15 min Staff there gave her IM epinephrine, IV Solu-Medrol and 50 mg IV Benadryl.  EMS was contacted and transported to the emergency room.  She arrived at the ER, was monitored for 2 hours, was started on pepcid and benadryl and discharged from the ER. She had a diffuse itchy rash. The following day she again developed recurrence of throat swelling. Went back to a different ER. Developed dyspnea immediately prior to arrival at ER. There was again given solumedrol and benadryl and pepcid and developed muscle rigidity and arched back for 10 minutes. Symptoms of SOB and dyspnea resolved with epinephrine. Was discharged from the ER with prednisone after being monitored for 5 hours.  Is continuing to take prednisone and benadryl. Rash is still present but improving with scheduled benadryl. Has new redness at injection site today. Continues to feel some throat swelling but no tightness today. This information was gathered from talking with pt today for a phone appt and also from her medical chart regarding her vaccination visit and two ER visits.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Granulocyte count, Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Hyperhidrosis
Clinical narrative: 15-20 mins after receiving the vaccine she reported she had difficulty swallowing and difficulty breathing and was ?shaking."  a PA wrote in her note that when she ran in to help, she found the patient to be tachypneic, diaphoretic, warm with some red blotchy patches on face, chest & neck. Able to speak easily c/o trouble breathing & sensation of throat swelling & extremities feeling abnormal. No stridor. No facial edema noted by that clinician. Administered epi-pen 0.3mg   - IV  started , Benadryl 50mg IVP and solumedrol 125mg IVP. Patient reports she subsequently arched her back and had rigidity of her arms/legs and tremors.  Clinic PA reports that while she was there, pt was never hypotensive. Initially hypertensive after epi as expected with some favorable response after 10-15 min Staff there gave her IM epinephrine, IV Solu-Medrol and 50 mg IV Benadryl.  EMS was contacted and transported to the emergency room.  She arrived at the ER, was monitored for 2 hours, was started on pepcid and benadryl and discharged from the ER. She had a diffuse itchy rash. The following day she again developed recurrence of throat swelling. Went back to a different ER. Developed dyspnea immediately prior to arrival at ER. There was again given solumedrol and benadryl and pepcid and developed muscle rigidity and arched back for 10 minutes. Symptoms of SOB and dyspnea resolved with epinephrine. Was discharged from the ER with prednisone after being monitored for 5 hours.  Is continuing to take prednisone and benadryl. Rash is still present but improving with scheduled benadryl. Has new redness at injection site today. Continues to feel some throat swelling but no tightness today. This information was gathered from talking with pt today for a phone appt and also from her medical chart regarding her vaccination visit and two ER visits.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Lymphocyte count increased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: 15-20 mins after receiving the vaccine she reported she had difficulty swallowing and difficulty breathing and was ?shaking."  a PA wrote in her note that when she ran in to help, she found the patient to be tachypneic, diaphoretic, warm with some red blotchy patches on face, chest & neck. Able to speak easily c/o trouble breathing & sensation of throat swelling & extremities feeling abnormal. No stridor. No facial edema noted by that clinician. Administered epi-pen 0.3mg   - IV  started , Benadryl 50mg IVP and solumedrol 125mg IVP. Patient reports she subsequently arched her back and had rigidity of her arms/legs and tremors.  Clinic PA reports that while she was there, pt was never hypotensive. Initially hypertensive after epi as expected with some favorable response after 10-15 min Staff there gave her IM epinephrine, IV Solu-Medrol and 50 mg IV Benadryl.  EMS was contacted and transported to the emergency room.  She arrived at the ER, was monitored for 2 hours, was started on pepcid and benadryl and discharged from the ER. She had a diffuse itchy rash. The following day she again developed recurrence of throat swelling. Went back to a different ER. Developed dyspnea immediately prior to arrival at ER. There was again given solumedrol and benadryl and pepcid and developed muscle rigidity and arched back for 10 minutes. Symptoms of SOB and dyspnea resolved with epinephrine. Was discharged from the ER with prednisone after being monitored for 5 hours.  Is continuing to take prednisone and benadryl. Rash is still present but improving with scheduled benadryl. Has new redness at injection site today. Continues to feel some throat swelling but no tightness today. This information was gathered from talking with pt today for a phone appt and also from her medical chart regarding her vaccination visit and two ER visits.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume normal, Mean platelet volume normal, Monocyte count normal, Monocyte percentage decreased, Muscle rigidity
Clinical narrative: 15-20 mins after receiving the vaccine she reported she had difficulty swallowing and difficulty breathing and was ?shaking."  a PA wrote in her note that when she ran in to help, she found the patient to be tachypneic, diaphoretic, warm with some red blotchy patches on face, chest & neck. Able to speak easily c/o trouble breathing & sensation of throat swelling & extremities feeling abnormal. No stridor. No facial edema noted by that clinician. Administered epi-pen 0.3mg   - IV  started , Benadryl 50mg IVP and solumedrol 125mg IVP. Patient reports she subsequently arched her back and had rigidity of her arms/legs and tremors.  Clinic PA reports that while she was there, pt was never hypotensive. Initially hypertensive after epi as expected with some favorable response after 10-15 min Staff there gave her IM epinephrine, IV Solu-Medrol and 50 mg IV Benadryl.  EMS was contacted and transported to the emergency room.  She arrived at the ER, was monitored for 2 hours, was started on pepcid and benadryl and discharged from the ER. She had a diffuse itchy rash. The following day she again developed recurrence of throat swelling. Went back to a different ER. Developed dyspnea immediately prior to arrival at ER. There was again given solumedrol and benadryl and pepcid and developed muscle rigidity and arched back for 10 minutes. Symptoms of SOB and dyspnea resolved with epinephrine. Was discharged from the ER with prednisone after being monitored for 5 hours.  Is continuing to take prednisone and benadryl. Rash is still present but improving with scheduled benadryl. Has new redness at injection site today. Continues to feel some throat swelling but no tightness today. This information was gathered from talking with pt today for a phone appt and also from her medical chart regarding her vaccination visit and two ER visits.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count increased, Neutrophil percentage increased, Opisthotonus, PCO2 decreased, PO2 decreased
Clinical narrative: 15-20 mins after receiving the vaccine she reported she had difficulty swallowing and difficulty breathing and was ?shaking."  a PA wrote in her note that when she ran in to help, she found the patient to be tachypneic, diaphoretic, warm with some red blotchy patches on face, chest & neck. Able to speak easily c/o trouble breathing & sensation of throat swelling & extremities feeling abnormal. No stridor. No facial edema noted by that clinician. Administered epi-pen 0.3mg   - IV  started , Benadryl 50mg IVP and solumedrol 125mg IVP. Patient reports she subsequently arched her back and had rigidity of her arms/legs and tremors.  Clinic PA reports that while she was there, pt was never hypotensive. Initially hypertensive after epi as expected with some favorable response after 10-15 min Staff there gave her IM epinephrine, IV Solu-Medrol and 50 mg IV Benadryl.  EMS was contacted and transported to the emergency room.  She arrived at the ER, was monitored for 2 hours, was started on pepcid and benadryl and discharged from the ER. She had a diffuse itchy rash. The following day she again developed recurrence of throat swelling. Went back to a different ER. Developed dyspnea immediately prior to arrival at ER. There was again given solumedrol and benadryl and pepcid and developed muscle rigidity and arched back for 10 minutes. Symptoms of SOB and dyspnea resolved with epinephrine. Was discharged from the ER with prednisone after being monitored for 5 hours.  Is continuing to take prednisone and benadryl. Rash is still present but improving with scheduled benadryl. Has new redness at injection site today. Continues to feel some throat swelling but no tightness today. This information was gathered from talking with pt today for a phone appt and also from her medical chart regarding her vaccination visit and two ER visits.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Platelet count normal, Rash macular, Rash pruritic, Red blood cell count normal
Clinical narrative: 15-20 mins after receiving the vaccine she reported she had difficulty swallowing and difficulty breathing and was ?shaking."  a PA wrote in her note that when she ran in to help, she found the patient to be tachypneic, diaphoretic, warm with some red blotchy patches on face, chest & neck. Able to speak easily c/o trouble breathing & sensation of throat swelling & extremities feeling abnormal. No stridor. No facial edema noted by that clinician. Administered epi-pen 0.3mg   - IV  started , Benadryl 50mg IVP and solumedrol 125mg IVP. Patient reports she subsequently arched her back and had rigidity of her arms/legs and tremors.  Clinic PA reports that while she was there, pt was never hypotensive. Initially hypertensive after epi as expected with some favorable response after 10-15 min Staff there gave her IM epinephrine, IV Solu-Medrol and 50 mg IV Benadryl.  EMS was contacted and transported to the emergency room.  She arrived at the ER, was monitored for 2 hours, was started on pepcid and benadryl and discharged from the ER. She had a diffuse itchy rash. The following day she again developed recurrence of throat swelling. Went back to a different ER. Developed dyspnea immediately prior to arrival at ER. There was again given solumedrol and benadryl and pepcid and developed muscle rigidity and arched back for 10 minutes. Symptoms of SOB and dyspnea resolved with epinephrine. Was discharged from the ER with prednisone after being monitored for 5 hours.  Is continuing to take prednisone and benadryl. Rash is still present but improving with scheduled benadryl. Has new redness at injection site today. Continues to feel some throat swelling but no tightness today. This information was gathered from talking with pt today for a phone appt and also from her medical chart regarding her vaccination visit and two ER visits.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell nucleated morphology, Red cell distribution width normal, Sensory disturbance, Skin warm, Tachypnoea
Clinical narrative: 15-20 mins after receiving the vaccine she reported she had difficulty swallowing and difficulty breathing and was ?shaking."  a PA wrote in her note that when she ran in to help, she found the patient to be tachypneic, diaphoretic, warm with some red blotchy patches on face, chest & neck. Able to speak easily c/o trouble breathing & sensation of throat swelling & extremities feeling abnormal. No stridor. No facial edema noted by that clinician. Administered epi-pen 0.3mg   - IV  started , Benadryl 50mg IVP and solumedrol 125mg IVP. Patient reports she subsequently arched her back and had rigidity of her arms/legs and tremors.  Clinic PA reports that while she was there, pt was never hypotensive. Initially hypertensive after epi as expected with some favorable response after 10-15 min Staff there gave her IM epinephrine, IV Solu-Medrol and 50 mg IV Benadryl.  EMS was contacted and transported to the emergency room.  She arrived at the ER, was monitored for 2 hours, was started on pepcid and benadryl and discharged from the ER. She had a diffuse itchy rash. The following day she again developed recurrence of throat swelling. Went back to a different ER. Developed dyspnea immediately prior to arrival at ER. There was again given solumedrol and benadryl and pepcid and developed muscle rigidity and arched back for 10 minutes. Symptoms of SOB and dyspnea resolved with epinephrine. Was discharged from the ER with prednisone after being monitored for 5 hours.  Is continuing to take prednisone and benadryl. Rash is still present but improving with scheduled benadryl. Has new redness at injection site today. Continues to feel some throat swelling but no tightness today. This information was gathered from talking with pt today for a phone appt and also from her medical chart regarding her vaccination visit and two ER visits.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Troponin I normal, White blood cell count increased
Clinical narrative: 15-20 mins after receiving the vaccine she reported she had difficulty swallowing and difficulty breathing and was ?shaking."  a PA wrote in her note that when she ran in to help, she found the patient to be tachypneic, diaphoretic, warm with some red blotchy patches on face, chest & neck. Able to speak easily c/o trouble breathing & sensation of throat swelling & extremities feeling abnormal. No stridor. No facial edema noted by that clinician. Administered epi-pen 0.3mg   - IV  started , Benadryl 50mg IVP and solumedrol 125mg IVP. Patient reports she subsequently arched her back and had rigidity of her arms/legs and tremors.  Clinic PA reports that while she was there, pt was never hypotensive. Initially hypertensive after epi as expected with some favorable response after 10-15 min Staff there gave her IM epinephrine, IV Solu-Medrol and 50 mg IV Benadryl.  EMS was contacted and transported to the emergency room.  She arrived at the ER, was monitored for 2 hours, was started on pepcid and benadryl and discharged from the ER. She had a diffuse itchy rash. The following day she again developed recurrence of throat swelling. Went back to a different ER. Developed dyspnea immediately prior to arrival at ER. There was again given solumedrol and benadryl and pepcid and developed muscle rigidity and arched back for 10 minutes. Symptoms of SOB and dyspnea resolved with epinephrine. Was discharged from the ER with prednisone after being monitored for 5 hours.  Is continuing to take prednisone and benadryl. Rash is still present but improving with scheduled benadryl. Has new redness at injection site today. Continues to feel some throat swelling but no tightness today. This information was gathered from talking with pt today for a phone appt and also from her medical chart regarding her vaccination visit and two ER visits.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Injection site pain
Clinical narrative: Symptoms : sore arm where shot was administered, headache, fatigue, loss of appetite, light sensitivity, body ache, chills.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Photophobia
Clinical narrative: Symptoms : sore arm where shot was administered, headache, fatigue, loss of appetite, light sensitivity, body ache, chills.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Right axilla lymph node pain and swelling
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer, Axillary mass, Axillary pain, Erythema, Injection site pruritus
Clinical narrative: No adverse reaction in beginning days. Slight tenderness the first day then soreness self-resolved. Day 5 itching occurred at injection site. Redness and swelling began about one to two hours after. Size was about 1.5 inches in diameter and expanded to 4 inches in diameter. Raised red bump that was warm to touch.  Right armpit began to be sore on 12/28 with a noticeable lump and two canker sores in the mouth appeared. This spot remains but is resolving by about 1/4inch daily as of 12/30. Lump in armpit resolving as well.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Skin warm, Swelling, Tenderness
Clinical narrative: No adverse reaction in beginning days. Slight tenderness the first day then soreness self-resolved. Day 5 itching occurred at injection site. Redness and swelling began about one to two hours after. Size was about 1.5 inches in diameter and expanded to 4 inches in diameter. Raised red bump that was warm to touch.  Right armpit began to be sore on 12/28 with a noticeable lump and two canker sores in the mouth appeared. This spot remains but is resolving by about 1/4inch daily as of 12/30. Lump in armpit resolving as well.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium decreased
Clinical narrative: Pt reported that at 2pm she woke from a nap with headache, chills, body aches, nausea with vomiting, and a recorded fever of 102.2.  Pt reports taking a home zofran SL with some improvement in the nausea and was able to take 600mg of ibuprofen prior to coming to urgent care.  She was diaphoretic and pale upon arrival with continued head pain and nausea.  She was given IV normal saline 1000ml, benadryl 25mg IV, zofran 4mg IV, and dexamethasone 4mg IV with mild improvement in her headache and nausea.  Pts temperature started to increase again while here in clinic and additional tyelnol 1g was given.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea normal, Carbon dioxide normal, Chills, Haematocrit normal
Clinical narrative: Pt reported that at 2pm she woke from a nap with headache, chills, body aches, nausea with vomiting, and a recorded fever of 102.2.  Pt reports taking a home zofran SL with some improvement in the nausea and was able to take 600mg of ibuprofen prior to coming to urgent care.  She was diaphoretic and pale upon arrival with continued head pain and nausea.  She was given IV normal saline 1000ml, benadryl 25mg IV, zofran 4mg IV, and dexamethasone 4mg IV with mild improvement in her headache and nausea.  Pts temperature started to increase again while here in clinic and additional tyelnol 1g was given.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin normal, Headache, Hyperhidrosis, Influenza virus test negative, Nausea
Clinical narrative: Pt reported that at 2pm she woke from a nap with headache, chills, body aches, nausea with vomiting, and a recorded fever of 102.2.  Pt reports taking a home zofran SL with some improvement in the nausea and was able to take 600mg of ibuprofen prior to coming to urgent care.  She was diaphoretic and pale upon arrival with continued head pain and nausea.  She was given IV normal saline 1000ml, benadryl 25mg IV, zofran 4mg IV, and dexamethasone 4mg IV with mild improvement in her headache and nausea.  Pts temperature started to increase again while here in clinic and additional tyelnol 1g was given.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pallor, Pyrexia, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Pt reported that at 2pm she woke from a nap with headache, chills, body aches, nausea with vomiting, and a recorded fever of 102.2.  Pt reports taking a home zofran SL with some improvement in the nausea and was able to take 600mg of ibuprofen prior to coming to urgent care.  She was diaphoretic and pale upon arrival with continued head pain and nausea.  She was given IV normal saline 1000ml, benadryl 25mg IV, zofran 4mg IV, and dexamethasone 4mg IV with mild improvement in her headache and nausea.  Pts temperature started to increase again while here in clinic and additional tyelnol 1g was given.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Fever, chills, and severe fatigue lasting 12 hours
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Rash erythematous, Rash papular
Clinical narrative: Patient reports first noticing that her back was itchy around 8pm on 12/30/2020, approximately 9hrs post vaccination. She asked her husband to scratch her back and when doing so, he noticed red and raised welts on her back. Upon waking this morning, the red, raised, and itchy rash had spread from her back to the rest of her body and is now on her back, chest, abdomen, arms, hands, neck, face, legs, and feet. No rash on palms or soles. Skin lesions examined and are consistent with urticaria. She has taken a total of 3 doses of hydroxyzine 25mg without any improvement. Patient also applied OTC 1% hydrocortisone cream which provided some slight, temporary relief. The only other treatment tried was a cool compress with witch hazel and this was also soothing.   Patient's husband informed her that he noted "red splotches" on her back the morning of 12/30/2020 prior to vaccination but didn't think much of it. Her symptoms obviously significantly worsened later that day. However, given that she had atypical symptoms prior to vaccination she is questioning whether this is truly related to the vaccine. She denies any other new exposures prior to symptom onset. No new soaps, lotions, detergents, foods, etc. The only thing she can think of is that in the past she has developed puffiness under her eyes and a runny nose when in the vicinity of marijuana. She inadvertently came in contact with a parcel that likely contained marijuana at work the night before she was vaccinated. Patient denies any previous skin rash due to marijuana exposure but wonders if this could have contributed to her current symptoms.   She denies shortness of breath, wheezing, tachycardia, dizziness, nausea, vomiting, diarrhea, or swelling of face/lips. Patient states that other than the diffuse itchy rash, "I feel fine."   June does have a history of significant oral swelling and breathing difficulty following bee sting in the past. For this reason, she does carry an EpiPen with her at all times. She has never been evaluated by an allergy specialist but has history of severe reactive airway disease when exposed to perfume. Will refer to allergy specialist for further allergy testing.   Today in clinic, patient was administered 50mg IM Benadryl and she was prescribed famotidine 20mg BID to take at home in addition to Benadryl 25mg TID prn. She felt the witch-hazel provided more relief than the hydrocortisone cream so she will continue this with cool compress or cool showers prn. Follow up next week for recheck.