chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Electromyogram normal, Muscular weakness, Pain in extremity
Clinical narrative: The first two weeks after I got the second dose of the Covid-19 vaccine I had pain in my knuckle of my left hand and I could not bend my left middle finger. After the two weeks, I had discomfort in the same area for one or two weeks.  On February 20th, my right hand started shaking and I lost strength in both of my hands and arms. I went to the doctor and did an EMG, and the test results came back as normal.  On March 31st, I had sharp shooting pain in my right thumb.  On April 27th, the pain in my left hand middle finger knuckle came back and it hurts when I touch it and bend the finger.   Aside from these symptoms, I still continue to have chills which I started having after I was infected with Covid in late November.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: The first two weeks after I got the second dose of the Covid-19 vaccine I had pain in my knuckle of my left hand and I could not bend my left middle finger. After the two weeks, I had discomfort in the same area for one or two weeks.  On February 20th, my right hand started shaking and I lost strength in both of my hands and arms. I went to the doctor and did an EMG, and the test results came back as normal.  On March 31st, I had sharp shooting pain in my right thumb.  On April 27th, the pain in my left hand middle finger knuckle came back and it hurts when I touch it and bend the finger.   Aside from these symptoms, I still continue to have chills which I started having after I was infected with Covid in late November.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hyperhidrosis, Swelling of eyelid, Throat irritation
Clinical narrative: 5 minutes after receiving my injection I started sweating a lot my face became red and my eyelids started to swell a little  my throat got itchy and I had to pull down my mask to feel like I was breathing better
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dry skin, Eczema, Erythema, Migraine, Pruritus
Clinical narrative: Severe migraine the 12-36 hours after receiving 2nd dose. Potential allergic eczema on neck and face, especially around eyes the week after. Reaction has come and gone since then. Nothing in my personal habits has changed since receiving the vaccine.  Redness, burning itching, and swelling on affected areas for a couple of days followed by cracking, drying and flaking of skin.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin burning sensation, Skin exfoliation
Clinical narrative: Severe migraine the 12-36 hours after receiving 2nd dose. Potential allergic eczema on neck and face, especially around eyes the week after. Reaction has come and gone since then. Nothing in my personal habits has changed since receiving the vaccine.  Redness, burning itching, and swelling on affected areas for a couple of days followed by cracking, drying and flaking of skin.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Throat irritation
Clinical narrative: First dose = 4/6/21 Second dose = 4/27/21 @ 1039 R Deltoid   @1109 Pt with Itchy Throat & Cough @1125 0.3mg Epi            50 mg benadryl IM             1 puff albuterol @1139 EMS            Ems on scene with vitals SBP 140s            Pt Declined transport via ems            Recovered in theater and on site MD monitored/assess pt             @1300 VS             BP 129/78            HR 69
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Pain, Pyrexia, Syncope
Clinical narrative: I woke up to pee after sleeping fir several hours and felt dizzy. I went to get a sip of water and fainted en route. I came to and remained dizzy for a bit (10-15 min) and eventually fell asleep again. I probably had a mild fever and also aches and headache. I felt significantly better by 4/24 at 10 (though I did take Tylenol at this time).
Sex: U
Vaccine: COVID19
Symptoms: Chills, Flushing, Influenza like illness
Clinical narrative: FLUSH; MILD FLU LIKE SYMPTOMS; CHILLS; This spontaneous report received from a patient concerned a 50 year old of unspecified sex. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and batch number: 202A21A expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced flush. On APR-2021, the subject experienced mild flu like symptoms. On APR-2021, the subject experienced chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flush, mild flu like symptoms, and chills on APR-2021. This report was non-serious.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Arteriogram carotid abnormal, Biopsy artery abnormal, Blood test, Computerised tomogram abdomen
Clinical narrative: Pt developed L eye vision changes on 3/17/2021 but did not seek medication attention until 3/22 when he saw ophthalmology and was advised to go immediately to ER.  After a temporal artery biopsy to r/o temporal arteritis and head/brain imaging studies, he was diagnosed with  non-arteritic anterior ischemic optic neuropathy.  He was treated and discharged home with close follow up.  On 4/5/2021, he developed hematuria and was again hospitalized and found to have an obstructing L ureteral stone. Pt was hospitalized 3 days for first issue, 7 days for second issue.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Fundus autofluorescence, Haematuria, Lithotripsy, Magnetic resonance imaging head abnormal, Optic ischaemic neuropathy
Clinical narrative: Pt developed L eye vision changes on 3/17/2021 but did not seek medication attention until 3/22 when he saw ophthalmology and was advised to go immediately to ER.  After a temporal artery biopsy to r/o temporal arteritis and head/brain imaging studies, he was diagnosed with  non-arteritic anterior ischemic optic neuropathy.  He was treated and discharged home with close follow up.  On 4/5/2021, he developed hematuria and was again hospitalized and found to have an obstructing L ureteral stone. Pt was hospitalized 3 days for first issue, 7 days for second issue.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound Doppler, Ureteral stent insertion, Ureteric obstruction, Ureterolithiasis, Visual field tests
Clinical narrative: Pt developed L eye vision changes on 3/17/2021 but did not seek medication attention until 3/22 when he saw ophthalmology and was advised to go immediately to ER.  After a temporal artery biopsy to r/o temporal arteritis and head/brain imaging studies, he was diagnosed with  non-arteritic anterior ischemic optic neuropathy.  He was treated and discharged home with close follow up.  On 4/5/2021, he developed hematuria and was again hospitalized and found to have an obstructing L ureteral stone. Pt was hospitalized 3 days for first issue, 7 days for second issue.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Pt developed L eye vision changes on 3/17/2021 but did not seek medication attention until 3/22 when he saw ophthalmology and was advised to go immediately to ER.  After a temporal artery biopsy to r/o temporal arteritis and head/brain imaging studies, he was diagnosed with  non-arteritic anterior ischemic optic neuropathy.  He was treated and discharged home with close follow up.  On 4/5/2021, he developed hematuria and was again hospitalized and found to have an obstructing L ureteral stone. Pt was hospitalized 3 days for first issue, 7 days for second issue.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: I developed redness, itchiness, swelling and pain just below the injection site 8 days after vaccination
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph nodes on second day.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, C-reactive protein increased, Haemoglobin decreased, Musculoskeletal stiffness, Neck pain
Clinical narrative: Development of polymyalgia rheumatica 2 days after 2nd shot. Pain and stiffness in shoulders, neck, pelvic girdle.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pelvic girdle pain, Polymyalgia rheumatica, Red blood cell sedimentation rate increased
Clinical narrative: Development of polymyalgia rheumatica 2 days after 2nd shot. Pain and stiffness in shoulders, neck, pelvic girdle.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Polymyalgia rheumatica
Clinical narrative: Development of polymyalgia rheumatica 2 days after 2nd shot. Pain and stiffness in shoulders, neck, pelvic girdle.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Hyperhidrosis, Nervousness, Pallor
Clinical narrative: After a few minutes of administering the first Moderna vaccine patient reported to have blurry vision with spots, and dizziness. Within a few minutes patient became very sweaty, became pale with mild shakiness. Patient stated he ate every little before getting the vaccine. Pt also stated he was anxious and nervous. Blood pressures were taken at the beginning of the event with a reading of 86/66, heart rate 65. Cold compressions were placed on patient's forehead and arm. after 30 minutes patient felt better and symptoms resolved. Blood pressure upon leaving was 124/76 heart rate 85. Patient walked out without a problem.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor, Vision blurred, Visual impairment
Clinical narrative: After a few minutes of administering the first Moderna vaccine patient reported to have blurry vision with spots, and dizziness. Within a few minutes patient became very sweaty, became pale with mild shakiness. Patient stated he ate every little before getting the vaccine. Pt also stated he was anxious and nervous. Blood pressures were taken at the beginning of the event with a reading of 86/66, heart rate 65. Cold compressions were placed on patient's forehead and arm. after 30 minutes patient felt better and symptoms resolved. Blood pressure upon leaving was 124/76 heart rate 85. Patient walked out without a problem.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Fall
Clinical narrative: patient received vaccine by pharmacist and he waited in store afterwards.  patient got up from his chair and fell to the floor. patient became alert and we checked pulse, all was ok and we called 911.  ems came but patient did not go with them and he walked out.
Sex: F
Vaccine: COVID19
Symptoms: Odynophagia, Swelling face, Tonsillitis
Clinical narrative: SWELLING ON RIGHT SIDE OF FACE; SWOLLEN TONSIL; PAINFUL SWALLOWING; This spontaneous report received from a patient concerned a 45 year old female. The patient's height, and weight were not reported. The patient's past medical history included filler on face, and concurrent conditions included non alcohol user, and non smoker, and other pre-existing medical conditions included the patient has no known allergies or history of drug abuse or illicit drug usage.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, and batch number: 043A21A expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-APR-2021, the subject experienced swelling on right side of face. On 14-APR-2021, the subject experienced swollen tonsil. On 14-APR-2021, the subject experienced painful swallowing. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from swelling on right side of face, and the outcome of swollen tonsil and painful swallowing was not reported. This report was non-serious.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: Around 9:30 on 4/26/2021, I noticed that the right side of my upper lip had started to swell.  I hadn't bitten it or eaten anything out of the ordinary.  I do not have any cosmetic fillers.  I took 2 Benadryl and went to bed.  The next morning my entire lip was extremely swollen. I did a televisit and they diagnosed it as an allergic reaction and put me on Dexamethasone and Zyrtec, once daily.  After my first dose, the swelling reduced quite a bit.  After the second dose, I feel back to normal.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Back pain, Breast pain, Breast swelling, Chest pain
Clinical narrative: About 24 hours afterwards I noticed pain in left breast and it is also very swollen. I also have pain from left side of neck down breast/chest to under armpit to back. Please note I have not yet been able to contact my doctor.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain
Clinical narrative: About 24 hours afterwards I noticed pain in left breast and it is also very swollen. I also have pain from left side of neck down breast/chest to under armpit to back. Please note I have not yet been able to contact my doctor.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Back pain, Breast enlargement, Breast pain, Neck pain
Clinical narrative: About 24 hours afterwards I noticed pain in left breast and it is also very swollen. I also have pain from left side of neck down breast/chest to under armpit to back. Please note I have not yet been able to contact my doctor.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal dreams, Balance disorder, Fall, Head injury, Headache
Clinical narrative: Symptoms:  Patient reports balance issues since receiving her COVID vaccine. (received vaccine 4.16.21) She fell the first evening (4.16.21) after losing her balance.  She denies significant dizziness, weakness or numbness.  She fell again yesterday (4.27.21).  (called nurse triage line to report on 4.28.21) She also reports worsening of her urinary incontinence and isn't sure if its related.  She reports a headache only because she fell hit her head when she fell.     Balance issues-recent fall twice concern seeking medical advice Noticed no balance control Noticed increased of dreams of falling while sleeping first fall on same day of vaccine 7:30pm second fall yesterday -around 10am Symptom duration: couple days  Recommended ED or Urgent Care - no follow up or visit by patient at this time of reporting (evening 4.28)
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary incontinence
Clinical narrative: Symptoms:  Patient reports balance issues since receiving her COVID vaccine. (received vaccine 4.16.21) She fell the first evening (4.16.21) after losing her balance.  She denies significant dizziness, weakness or numbness.  She fell again yesterday (4.27.21).  (called nurse triage line to report on 4.28.21) She also reports worsening of her urinary incontinence and isn't sure if its related.  She reports a headache only because she fell hit her head when she fell.     Balance issues-recent fall twice concern seeking medical advice Noticed no balance control Noticed increased of dreams of falling while sleeping first fall on same day of vaccine 7:30pm second fall yesterday -around 10am Symptom duration: couple days  Recommended ED or Urgent Care - no follow up or visit by patient at this time of reporting (evening 4.28)
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed Shingles virus 2.5 weeks after getting first shot.  Began taking antiviral valacyclovir on 4/28/21.  Will monitor symptoms over next few weeks.  Concerned about getting my second dose which is scheduled for 5/4/21.
Sex: U
Vaccine: COVID19
Symptoms: Therapeutic response unexpected
Clinical narrative: UNEXPECTED THERAPEUTIC BENEFIT; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient's height, and weight were not reported. The patient's concurrent conditions included rheumatoid arthritis.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on MAR-2021 for prophylactic vaccination. Batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced unexpected therapeutic benefit. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of unexpected therapeutic benefit was not reported. This report was non-serious.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Headache
Clinical narrative: Starting a few hours after vaccination, patient began to experience an unrelenting, severe non-migraine headache unresponsive to APAP/ASA/Caff, and APAP to treat with no relief.  Patient is not experiencing additional symptoms (ie aura) but complains of a general uneasiness rather than nausea.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Tachycardia
Clinical narrative: Profound tachycardia and hypertension 7 minutes after the injection. BPM 160, blood pressure 170/90 even on metoprolol. Monitored for 2 hours then released to significant other. Continued to be symptomatic with tachycardia and hypertension for 6 hours post injection.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Burning sensation, Hypoaesthesia, Paraesthesia
Clinical narrative: Moderna COVID-19 Vaccine EUA. blisters around right side of face, burning sensation, numbness tingling sensation
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Chills, Cold sweat, Diarrhoea
Clinical narrative: Immediate overwhelming metal taste in mouth Immediate prickles on head and face and went down to arms. 20 min after injection moderate dizziness and severe itching. Most severe on face, neck, head, arms, and hands but also on back and torso.  Took 10 mg liquid Benadryl orally. Symptoms still bad after 15 minutes so another 10mg liquid Benadryl orally. Very nauseated so took ODT Zofran. Symptoms did not get worse after 10 mins so went home. At home: 5 hours after injection severe cold shivering profuse sweating, nausea, and stomach pain. 8 hours post injection violent vomiting and continued cold shivering profuse sweating. Now 11 hours post injection continued cold sweating, vomiting, and now persistent diarrhea with abdominal pain.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia, Hyperhidrosis, Nausea, Paraesthesia
Clinical narrative: Immediate overwhelming metal taste in mouth Immediate prickles on head and face and went down to arms. 20 min after injection moderate dizziness and severe itching. Most severe on face, neck, head, arms, and hands but also on back and torso.  Took 10 mg liquid Benadryl orally. Symptoms still bad after 15 minutes so another 10mg liquid Benadryl orally. Very nauseated so took ODT Zofran. Symptoms did not get worse after 10 mins so went home. At home: 5 hours after injection severe cold shivering profuse sweating, nausea, and stomach pain. 8 hours post injection violent vomiting and continued cold shivering profuse sweating. Now 11 hours post injection continued cold sweating, vomiting, and now persistent diarrhea with abdominal pain.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Vomiting
Clinical narrative: Immediate overwhelming metal taste in mouth Immediate prickles on head and face and went down to arms. 20 min after injection moderate dizziness and severe itching. Most severe on face, neck, head, arms, and hands but also on back and torso.  Took 10 mg liquid Benadryl orally. Symptoms still bad after 15 minutes so another 10mg liquid Benadryl orally. Very nauseated so took ODT Zofran. Symptoms did not get worse after 10 mins so went home. At home: 5 hours after injection severe cold shivering profuse sweating, nausea, and stomach pain. 8 hours post injection violent vomiting and continued cold shivering profuse sweating. Now 11 hours post injection continued cold sweating, vomiting, and now persistent diarrhea with abdominal pain.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Fever, whole body pain, chill, fatigue, last about 24 hours
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: HEADACHE; This spontaneous report received from a patient concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN expiry: UNKNOWN) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow up will be requested for this case. No concomitant medications were reported.  On an unspecified date, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache. This report was non-serious.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Booster dose missed, C-reactive protein increased, COVID-19, Computerised tomogram abnormal
Clinical narrative: Approximately 2 weeks ago the patient began feeling unwell. He missed his second vaccine appointment due to feeling unwell. He describes a two week history of cough, SOB, and fatigue. He reports he has not eaten anything in 5 days due to loss of appetite. He presented to the ED on 4/28/21 with an SpO2 of 85%, which improved to the mid-90s on 2L nasal cannula. The patient tested positive for COVID-19 on a rapid swab on 4/28/21. He received dexamethasone in the ED and was admitted to the hospital for further management.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Dyspnoea, Fatigue, Lung opacity
Clinical narrative: Approximately 2 weeks ago the patient began feeling unwell. He missed his second vaccine appointment due to feeling unwell. He describes a two week history of cough, SOB, and fatigue. He reports he has not eaten anything in 5 days due to loss of appetite. He presented to the ED on 4/28/21 with an SpO2 of 85%, which improved to the mid-90s on 2L nasal cannula. The patient tested positive for COVID-19 on a rapid swab on 4/28/21. He received dexamethasone in the ED and was admitted to the hospital for further management.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Platelet count decreased, SARS-CoV-2 test positive
Clinical narrative: Approximately 2 weeks ago the patient began feeling unwell. He missed his second vaccine appointment due to feeling unwell. He describes a two week history of cough, SOB, and fatigue. He reports he has not eaten anything in 5 days due to loss of appetite. He presented to the ED on 4/28/21 with an SpO2 of 85%, which improved to the mid-90s on 2L nasal cannula. The patient tested positive for COVID-19 on a rapid swab on 4/28/21. He received dexamethasone in the ED and was admitted to the hospital for further management.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Accident at home, Ankle fracture, Echocardiogram normal, Lower limb fracture, Open reduction of fracture
Clinical narrative: On Jan. 26, 2021, I had an accident at home an suffered  broken ankle, tibia and fibula broken from tarsus.  I was rushed to hospital and had ORIF surgery.  I later found out the surgeons failed to order blood thinners and about a month later, I was rushed to the hospital with 5 blood clots, one in each lobe or each lung and one forming in the calf muscle on the left leg.  I have been taking Eliquis since late February and will be on it through May.  I have had an echocardiogram which was normal but the doppler I had on my legs may have indicated the problem is still on-going.  I don't know yet.  I did contract medical facility to ask if I should get checked out due to recent clotting incidents and was told I did not.  I decided I should report it anyway and my clotting situation probably has nothing to do with vaccine but I just want to make sure.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary thrombosis, Thrombosis, Ultrasound Doppler
Clinical narrative: On Jan. 26, 2021, I had an accident at home an suffered  broken ankle, tibia and fibula broken from tarsus.  I was rushed to hospital and had ORIF surgery.  I later found out the surgeons failed to order blood thinners and about a month later, I was rushed to the hospital with 5 blood clots, one in each lobe or each lung and one forming in the calf muscle on the left leg.  I have been taking Eliquis since late February and will be on it through May.  I have had an echocardiogram which was normal but the doppler I had on my legs may have indicated the problem is still on-going.  I don't know yet.  I did contract medical facility to ask if I should get checked out due to recent clotting incidents and was told I did not.  I decided I should report it anyway and my clotting situation probably has nothing to do with vaccine but I just want to make sure.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis
Clinical narrative: Bells Palsy. Right side of the face paralyzed.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Dyspnoea
Clinical narrative: Patient was sitting in the waiting area after receiving her moderna shot.  She started coughing  uncontrollable and then fell to the floor,  The technician said she couldn't breath so we gave her an epipen and called 911,  The paramedics came and took over.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Dyspnoea, Headache, Hypoaesthesia oral, Somnolence
Clinical narrative: patient received the 1st dose of Moderna Covid Vaccine. Patient informed EMT she was feeling numbness to lower lip and headache. PHN joined EMT. First vitals 1530: blood pressure 140/90, pulse 73, oxygen 99%. Alert and oriented, history of allergy to penicillin. Per patient began feeling numbness within first 20 mins of receiving vaccine. Patient stated had botox 1 month ago. No other relevant medical history or medications. 1536 vitals: blood pressure 150/80, pulse 83, oxygen 99%. Per patient headache pain 6/10, lip still numb, feeling swelling up and having a "sour" taste in mouth. Patient denied shortness of breath. PHN  offered patient Benadryl, patient accepted, did not want injection, wanted oral. Benadryl 50mg oral given at 1538. Vitals 1541: blood pressure 140/96, pulse 74, oxygen 99%. Headache minimal, lip swelling same and numbness. Vitals 1546: blood pressure 125/90, pulse 76, oxygen 100%. Per patient headache gone, lip sensation returning, stated feeling drowsy. Patient's husband present, would drive patient home. Vitals 1551: blood pressure 125/90, pulse 75, oxygen 100%. Per patient lip sensation feeling better, no headache. 1555 vitals: blood pressure 125/90, pulse 75, oxygen 99%. Patient stated lip sensation returning, felt improvement. Vitals at 1602: blood pressure 120/80, pulse 73, oxygen 99%. Per patient all previous complaints resolved. No headache, sour taste gone and lip swelling and numbness gone. ER precautions given and advised to follow up with provider before second dose. Patient left facility with steady gait at 1612
Sex: U
Vaccine: COVID19
Symptoms: Heart rate increased, Heart rate irregular, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, swelling, itch at site. Rapid strong heart beats for 2 days.
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Nausea, Vomiting
Clinical narrative: DIARRHEA; VOMITING; CHILLS; FATIGUE; NAUSEA; This spontaneous report received from a patient concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042a21a, and expiry: 21-JUN-2021) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 25-APR-2021, the subject experienced diarrhea. On 25-APR-2021, the subject experienced vomiting. On 25-APR-2021, the subject experienced chills. On 25-APR-2021, the subject experienced fatigue. On 25-APR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chills, fatigue, nausea, diarrhea and vomiting was not reported. This report was non-serious.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Headache, Lymphadenopathy
Clinical narrative: Swollen lymph nodes. After about a week after the 2nd vaccine I developed pain in the joints in the back of my head. The pain is now persisting for over a week. No specific treatment except using Voltaren 2.32% gel.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Dyspnoea, Pulmonary embolism
Clinical narrative: Dyspnea secondary to PE.  Treatment is full anticoagulation. Outcome is undetermined, since patient is still in the hospital.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Feeling abnormal, Head discomfort, Musculoskeletal chest pain, Nasopharyngitis
Clinical narrative: After a couple of days my head felt strange, like the beginning of a cold. The third day I started coughing, then for three days just totally miserable, coughing uncontrollably and sinuses filled. I was able to blow my nose and was coughing up phlegm, lots of it. I drank lots of water, took guaifenesin cough syrup and phenylephrine HCl sinus tablets. After a week it lessened, to where  now 2 1/2 weeks after it started I have coughing spells just three or four times a day. I also have a very small sore spot on my right side where the front and back ribs meet, which I believe is a pulled muscle from coughing. I did not take my temperature but I don?t believe I had a fever. I felt it was a severe cold, but I was encouraged to report it since it was right after the second vaccination.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: After a couple of days my head felt strange, like the beginning of a cold. The third day I started coughing, then for three days just totally miserable, coughing uncontrollably and sinuses filled. I was able to blow my nose and was coughing up phlegm, lots of it. I drank lots of water, took guaifenesin cough syrup and phenylephrine HCl sinus tablets. After a week it lessened, to where  now 2 1/2 weeks after it started I have coughing spells just three or four times a day. I also have a very small sore spot on my right side where the front and back ribs meet, which I believe is a pulled muscle from coughing. I did not take my temperature but I don?t believe I had a fever. I felt it was a severe cold, but I was encouraged to report it since it was right after the second vaccination.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Cough, Sneezing
Clinical narrative: Day 1 Sneezing dry no mucous Day2 Cough dry no mucus Day 3 settled in bones -ache particularly old injury...neck, ribs, spine, hips
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Computerised tomogram, Death, Endotracheal intubation, Fall
Clinical narrative: The Patients leg gave out and he fell.  Per doctors at hospital, he did not hit his head.  He could not get up and he vomited.  Ambulance was called and he was taken to the Hospital.  The family was told that he had a brain bleed near the thalamus.  A few hours later the patient was unresponsive.  He was intubated and taken to neuro ICU.  Within less then 24 hours from first symptom the patient died.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Muscular weakness, Unresponsive to stimuli, Vomiting
Clinical narrative: The Patients leg gave out and he fell.  Per doctors at hospital, he did not hit his head.  He could not get up and he vomited.  Ambulance was called and he was taken to the Hospital.  The family was told that he had a brain bleed near the thalamus.  A few hours later the patient was unresponsive.  He was intubated and taken to neuro ICU.  Within less then 24 hours from first symptom the patient died.
Sex: U
Vaccine: COVID19
Symptoms: Adverse drug reaction
Clinical narrative: SIDE EFFECT; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced side effect. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of side effect was not reported. This report was non-serious.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Migraine, Pyrexia, Tremor, Vomiting
Clinical narrative: 103 fever, uncontrollable shakes, migraine, throwing up, no apetite
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Raised skin patch and reddening at the injection site 9 days after first injection
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: When I interviewed pt upon intake, she told me that she had felt faint after previous vaccinations.  She denied any other type of reaction.   My tech and I observed her closely, and she began to complain of dizziness and feeling hot about 5 minutes after receiving vaccine.  I sat with her, gave her water and candy.  She then told me her dizziness was getting worse and asked to lie down.  I took her pulse which was WNL..  She also had some Gatorade.  We called paramedics as a precaution.  They assessed her and she continued to improve.  She was able to sit in a chair and felt fine after 5 more minutes.  She left pharmacy.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac arrest, Chills, Death, Feeding disorder, Headache
Clinical narrative: My partner felt pain overnight. Then, felt flu like symptoms- plus chills- the next day and night. The following morning at 7:00 am, Patient said that she felt real sick. She also, complained of having a real bad Headache, Not long after that, she felt like throwing up. She tried to throw up. Except, nothing came out and she felt very nauseous because of the vaccine. When she came call to bed, I offered to make her some breakfast to help her feel better.  Unfortunately, she felt, too, I'll to try and eat an food because of the way she felt. So, I laid next to her with the hope that all would be well. Because, the pharmacist who administered the second dose.  Assured my partner, that it was normal to feel flu like symptoms the next day. So, we never doubted what the pharmacist advised. All of sudden, she suffered a cardiac arrest in my presence and died in front of me.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Malaise, Nausea, Pain
Clinical narrative: My partner felt pain overnight. Then, felt flu like symptoms- plus chills- the next day and night. The following morning at 7:00 am, Patient said that she felt real sick. She also, complained of having a real bad Headache, Not long after that, she felt like throwing up. She tried to throw up. Except, nothing came out and she felt very nauseous because of the vaccine. When she came call to bed, I offered to make her some breakfast to help her feel better.  Unfortunately, she felt, too, I'll to try and eat an food because of the way she felt. So, I laid next to her with the hope that all would be well. Because, the pharmacist who administered the second dose.  Assured my partner, that it was normal to feel flu like symptoms the next day. So, we never doubted what the pharmacist advised. All of sudden, she suffered a cardiac arrest in my presence and died in front of me.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus, Injection site rash
Clinical narrative: "COVID arm" red, itchy, large rash that appeared 8 days after first dose of Moderna. Feels swollen and feels like there is a hard lump under the skin at the injection site.  Photo available upon request.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: "COVID arm" red, itchy, large rash that appeared 8 days after first dose of Moderna. Feels swollen and feels like there is a hard lump under the skin at the injection site.  Photo available upon request.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Off label use, Product administered to patient of inappropriate age
Clinical narrative: OFF LABEL USE; PRODUCT ADMINISTERED IN INAPPROPRIATE AGE; This spontaneous report received from a parent concerned a 16 year old female. The patient's weight, height, and medical history were not reported. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose was not reported, administered on MAR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced product administered in inappropriate age, and off label use. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the product administered in inappropriate age and off label use was not reported. This report was non-serious.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Dyskinesia, Fatigue, Muscle contractions involuntary, Muscle spasms
Clinical narrative: Severe muscle spasms, severe pain. Severe muscle contractions. Uncontrollable movements of arms and legs. Confusion. Extreme fatigue.  Unable to stay awake. Fever (102) shooting, pain up legs starting in ankles.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, Somnolence
Clinical narrative: Severe muscle spasms, severe pain. Severe muscle contractions. Uncontrollable movements of arms and legs. Confusion. Extreme fatigue.  Unable to stay awake. Fever (102) shooting, pain up legs starting in ankles.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pityriasis rosea, Rash
Clinical narrative: Pityriasis Rosea rash noticed 02/01/2021 and has progressively gotten worse
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Head injury, Headache, Loss of consciousness
Clinical narrative: Patient passed out and ended up falling off the chair hitting his forehead (left side)on the concrete flooring. Patient seemed to be doing okay after being observed by EMS for about 45 minutes. BP 110/74, denied dizziness or nausea but was complaining of headache. Patient's mother refused transport to ER.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope, Tremor, Vital signs measurement
Clinical narrative: Pt received the vaccine in l-deltoid area and within seconds lost consciousness. After being unconscious for roughly ten seconds, pt was arousable by calling his name and lightly shaking him. Pt was seated during his loss of consciousness, was caught by the nurse administering the shot, pt did not hit his head or suffer any trauma. Pt was assisted to a stretcher, given water to drink and his vital signs were monitored. Upon initial assessment, pt was A&O x 4, GCS 15, blood pressure 88/60, pulse 58, pupils equal and reactive to light, lung sounds clear, respirations 16 and non-labored. Pt denied ever fainting before, denied any allergies, medical history, denied taking prescription or over the counter medications, and denied birth defects. Pt was reassessed after about 5 minutes of initial assessment. A&Ox4, GCS 15, BP102/68, PR 78, PEARL, LS clear, RR 16 non-labored. Pt was continuously monitored for 30 minutes and advised to follow up with his primary doctor for an assessment of new-onset syncopal episode.  PT's mood improved and was reassessed for vitals before leaving the clnic. A&0x4  GCS 15, BP 118/80, PR 84, PEARL, LS clear, RR 16-non-labored, PT released from care and exited the site with no further findings.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: Shingles on 4/26/21.
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder
Clinical narrative: HEART ISSUES; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On 2021, the subject experienced heart issues. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of heart issues was not reported. This report was non-serious. This case, from the same reporter .
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests, Loss of personal independence in daily activities, Sleep disorder, Tinnitus
Clinical narrative: Two days after vaccination the patient woke up with extreme tinnitus. It is so severe and constant the is disruptive of her daily activities and sleep. She is still experiencing tinnitus with no improvement after two different physician examinations.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests abnormal, Adverse event, Anxiety, Deafness, Disturbance in attention
Clinical narrative: Two days after vaccination the patient woke up with extreme tinnitus. It is so severe and constant the is disruptive of her daily activities and sleep. She is still experiencing tinnitus with no improvement after two different physician examinations.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Two days after vaccination the patient woke up with extreme tinnitus. It is so severe and constant the is disruptive of her daily activities and sleep. She is still experiencing tinnitus with no improvement after two different physician examinations.
Sex: U
Vaccine: COVID19
Symptoms: Chills, Dysmenorrhoea, Menstrual disorder, Nausea, Pain
Clinical narrative: Nausea, body aches, chills, menstrual cramps. The first 3  only lasted for about 24 hours. I am still currently experiencing severe menstrual cramps now 2 weeks later. I have an IUD (and have had it for almost a year) so I do not normally experience periods or cramping at all.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Period started off cycle (early), the next day, has been very irregular since.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Hypotension, Lethargy, Syncope
Clinical narrative: Patient without medical history, allergies, or medications, arrived with sister for Johnson and Johnson vaccine. Patient received vaccine and then became lightheaded, so the RN called for a medical response. NP and RN responded and found patient lethargic but answering questions appropriately, sitting in a chair. Patient was able to tell me his name, DOB, and what he had for lunch. Patient was moved over to nearby cot and while there experienced a 15 second syncopal event while supine. Patient was hypotensive and diaphoretic. Patient became responsive after 15 seconds and was able to tell us his name. Patient was able to sit up and drink juice, have a granola bar, and inform us that he has experienced this reaction to a flu vaccine and while having blood drawn. Medical team was called to evaluate the patient. The patient refused transport and signed out.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Feeling abnormal, Headache, Migraine
Clinical narrative: Monday 4/26 - 101 fever, chills, aches, headache, nausea, weak Tuesday 4/27 - migraine like headache every time I stand up or move too quick, weak, queasy, brain fog Wednesday 4/28 - same as Tuesday but more foggy and headache more recurrent
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Monday 4/26 - 101 fever, chills, aches, headache, nausea, weak Tuesday 4/27 - migraine like headache every time I stand up or move too quick, weak, queasy, brain fog Wednesday 4/28 - same as Tuesday but more foggy and headache more recurrent
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site pain
Clinical narrative: INJECTION SITE PAIN; This spontaneous report received from a parent concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced injection site pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from injection site pain. This report was non-serious.
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Movement disorder, Pain in extremity, Peripheral swelling, Ultrasound scan
Clinical narrative: INJECTION SITE PAIN; This spontaneous report received from a parent concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced injection site pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from injection site pain. This report was non-serious.
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: X-ray
Clinical narrative: INJECTION SITE PAIN; This spontaneous report received from a parent concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced injection site pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from injection site pain. This report was non-serious.
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Blood test, Ultrasound scan, White blood cell count increased, X-ray
Clinical narrative: INJECTION SITE PAIN; This spontaneous report received from a parent concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced injection site pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from injection site pain. This report was non-serious.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swelling, Urticaria
Clinical narrative: Has had swelling and redness over site that developed within 24 hours and in past 1-2 weeks has started having diffuse hives down L arm and other extremities
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Flushing, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Injection site swelling, redness, tightness sensation  Headache, body chill, flush facial region Took extra strength Tylenol and introduced fluids.  COVID arm remained for twelve days. I took pictures with my cell phone.