chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling, Pruritus, Pyrexia, SARS-CoV-2 test negative, Speech disorder
Clinical narrative: Injection site immediately felt severe itchy following injection but diminished after approx. 30-45 minutes.  I then felt fine until exactly 3:00 pm (approx. 3 hours following injection).  I stood up and immediately felt like passing out.  I had excruciating cramping throughout my legs and horrible joint pain in my knees.  By 3:30 I had hives covering my right hand- my hand was also very red and swollen and had severe itching/burning. By now I also had horrific joint and muscle pains all over my entire body and the leg cramping was even worse.  the hives responded well two doses of Benadryl and the muscle aches somewhat improved with rotation of ibuprofen and Tylenol.  By 5:00 am the following day, the joint and muscle pains were worse.  My entire body felt like it was on fire and I had excruciating pain in my throat.  It was difficult to speak or swallow and I could feel my throat swollen on the inside.  My neck was also slightly swollen and the lymph nodes on the left side of my neck were in horrific pain but not swollen.  I continued doses of Benadryl, ibuprofen and Tylenol all day and night and slept most of the time.  By Sunday Morning, my throat felt even worse and I had 100 degree fever and continued body aches and joint pain.  I was seen at a local urgent care who ran various tests (see below) that were negative and advised me to treat as if it were an allergic reaction and go to ER if I got any worse.  Fever and pain improved by Monday and by Tuesday I was able to return to work but with significant fatigue and continued pain in my legs.  I continued to improve throughout the week.  Now the following week I overall feel back to normal other than I have continued leg pain, esp. in my knees by the end of the day.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Streptococcus test negative, Swelling, Urticaria
Clinical narrative: Injection site immediately felt severe itchy following injection but diminished after approx. 30-45 minutes.  I then felt fine until exactly 3:00 pm (approx. 3 hours following injection).  I stood up and immediately felt like passing out.  I had excruciating cramping throughout my legs and horrible joint pain in my knees.  By 3:30 I had hives covering my right hand- my hand was also very red and swollen and had severe itching/burning. By now I also had horrific joint and muscle pains all over my entire body and the leg cramping was even worse.  the hives responded well two doses of Benadryl and the muscle aches somewhat improved with rotation of ibuprofen and Tylenol.  By 5:00 am the following day, the joint and muscle pains were worse.  My entire body felt like it was on fire and I had excruciating pain in my throat.  It was difficult to speak or swallow and I could feel my throat swollen on the inside.  My neck was also slightly swollen and the lymph nodes on the left side of my neck were in horrific pain but not swollen.  I continued doses of Benadryl, ibuprofen and Tylenol all day and night and slept most of the time.  By Sunday Morning, my throat felt even worse and I had 100 degree fever and continued body aches and joint pain.  I was seen at a local urgent care who ran various tests (see below) that were negative and advised me to treat as if it were an allergic reaction and go to ER if I got any worse.  Fever and pain improved by Monday and by Tuesday I was able to return to work but with significant fatigue and continued pain in my legs.  I continued to improve throughout the week.  Now the following week I overall feel back to normal other than I have continued leg pain, esp. in my knees by the end of the day.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Injection site immediately felt severe itchy following injection but diminished after approx. 30-45 minutes.  I then felt fine until exactly 3:00 pm (approx. 3 hours following injection).  I stood up and immediately felt like passing out.  I had excruciating cramping throughout my legs and horrible joint pain in my knees.  By 3:30 I had hives covering my right hand- my hand was also very red and swollen and had severe itching/burning. By now I also had horrific joint and muscle pains all over my entire body and the leg cramping was even worse.  the hives responded well two doses of Benadryl and the muscle aches somewhat improved with rotation of ibuprofen and Tylenol.  By 5:00 am the following day, the joint and muscle pains were worse.  My entire body felt like it was on fire and I had excruciating pain in my throat.  It was difficult to speak or swallow and I could feel my throat swollen on the inside.  My neck was also slightly swollen and the lymph nodes on the left side of my neck were in horrific pain but not swollen.  I continued doses of Benadryl, ibuprofen and Tylenol all day and night and slept most of the time.  By Sunday Morning, my throat felt even worse and I had 100 degree fever and continued body aches and joint pain.  I was seen at a local urgent care who ran various tests (see below) that were negative and advised me to treat as if it were an allergic reaction and go to ER if I got any worse.  Fever and pain improved by Monday and by Tuesday I was able to return to work but with significant fatigue and continued pain in my legs.  I continued to improve throughout the week.  Now the following week I overall feel back to normal other than I have continued leg pain, esp. in my knees by the end of the day.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Myalgia, Nausea, Pyrexia
Clinical narrative: Headache, injection site pain, nausea, fever, myalgia
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pain in extremity
Clinical narrative: Taking that shot was the worst decision of my life. I had never slept so horribly before. I went to bed with chills and woke up continuously throughout the night with a fever. I had a huge headache and my arm was so sore I couldn?t even sleep. My body feels so tired and In pain. I am scared to get my second dose.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: Taking that shot was the worst decision of my life. I had never slept so horribly before. I went to bed with chills and woke up continuously throughout the night with a fever. I had a huge headache and my arm was so sore I couldn?t even sleep. My body feels so tired and In pain. I am scared to get my second dose.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Dizziness, Fatigue
Clinical narrative: 01/21/2021 11:22am HCP #2 Triage for COVID 19 SEVERE post Vaccine Reaction VAERS reportable Contact #: Your concerns: Dept: Have you missed work? #shifts: today Did you seek emergency care? yes Date and Time of Vaccine: 1/20/2021 @ Age at time of vaccination, ____24____ years Sex: m Was the vaccine received at facility? yes Site of vaccine (LD or RD): LD Type of Vaccine Pfizer ( X) Moderna ( ) Other _______________ 1st or 2nd dose: 2nd When did your symptoms start? 1/20/2021 Please note reported symptoms yes or no, these symptoms are considered mild to moderate and are NOT VAERS reportable Injection site pain yes Tiredness yes Headache yes Muscle Pain yes Chills yes Joint Pain yes Fever (note temp if known) no Injection Site Swelling no Injection Site Redness no Nausea no Feeling Unwell yes Swollen Lymph Nodes (lymphadenopathy) no Other: Patient reports THE FOLLOWING SEVERE post vaccine ADVERSE reactions (reportable): Difficulty breathing no Swelling of your face and throat swelling of the lower lip A fast heartbeat relates heart rate greater than 110 A bad rash all over your body no Dizziness and weakness If COVID-19 symptoms persist and/or worsen beyond 48 hours consider COVID-19 testing Treatment/Advise: Plan: Consulted with HCP, patient sent to urgent care clinic for further evaluation. If patient was vaccinated at another facility, they need to contact that facility , it is an expectation that the facility that gave the vaccine complete the VAERS report. Patient verbalizes understanding and agreement with plan. VAERS report is completed electronically if vaccine given at facility. Signed by HCP on 1/21/2021 at 11:22am
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Impaired work ability, Injection site pain, Lip swelling
Clinical narrative: 01/21/2021 11:22am HCP #2 Triage for COVID 19 SEVERE post Vaccine Reaction VAERS reportable Contact #: Your concerns: Dept: Have you missed work? #shifts: today Did you seek emergency care? yes Date and Time of Vaccine: 1/20/2021 @ Age at time of vaccination, ____24____ years Sex: m Was the vaccine received at facility? yes Site of vaccine (LD or RD): LD Type of Vaccine Pfizer ( X) Moderna ( ) Other _______________ 1st or 2nd dose: 2nd When did your symptoms start? 1/20/2021 Please note reported symptoms yes or no, these symptoms are considered mild to moderate and are NOT VAERS reportable Injection site pain yes Tiredness yes Headache yes Muscle Pain yes Chills yes Joint Pain yes Fever (note temp if known) no Injection Site Swelling no Injection Site Redness no Nausea no Feeling Unwell yes Swollen Lymph Nodes (lymphadenopathy) no Other: Patient reports THE FOLLOWING SEVERE post vaccine ADVERSE reactions (reportable): Difficulty breathing no Swelling of your face and throat swelling of the lower lip A fast heartbeat relates heart rate greater than 110 A bad rash all over your body no Dizziness and weakness If COVID-19 symptoms persist and/or worsen beyond 48 hours consider COVID-19 testing Treatment/Advise: Plan: Consulted with HCP, patient sent to urgent care clinic for further evaluation. If patient was vaccinated at another facility, they need to contact that facility , it is an expectation that the facility that gave the vaccine complete the VAERS report. Patient verbalizes understanding and agreement with plan. VAERS report is completed electronically if vaccine given at facility. Signed by HCP on 1/21/2021 at 11:22am
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Pharyngeal swelling, Swelling face, Vaccination complication
Clinical narrative: 01/21/2021 11:22am HCP #2 Triage for COVID 19 SEVERE post Vaccine Reaction VAERS reportable Contact #: Your concerns: Dept: Have you missed work? #shifts: today Did you seek emergency care? yes Date and Time of Vaccine: 1/20/2021 @ Age at time of vaccination, ____24____ years Sex: m Was the vaccine received at facility? yes Site of vaccine (LD or RD): LD Type of Vaccine Pfizer ( X) Moderna ( ) Other _______________ 1st or 2nd dose: 2nd When did your symptoms start? 1/20/2021 Please note reported symptoms yes or no, these symptoms are considered mild to moderate and are NOT VAERS reportable Injection site pain yes Tiredness yes Headache yes Muscle Pain yes Chills yes Joint Pain yes Fever (note temp if known) no Injection Site Swelling no Injection Site Redness no Nausea no Feeling Unwell yes Swollen Lymph Nodes (lymphadenopathy) no Other: Patient reports THE FOLLOWING SEVERE post vaccine ADVERSE reactions (reportable): Difficulty breathing no Swelling of your face and throat swelling of the lower lip A fast heartbeat relates heart rate greater than 110 A bad rash all over your body no Dizziness and weakness If COVID-19 symptoms persist and/or worsen beyond 48 hours consider COVID-19 testing Treatment/Advise: Plan: Consulted with HCP, patient sent to urgent care clinic for further evaluation. If patient was vaccinated at another facility, they need to contact that facility , it is an expectation that the facility that gave the vaccine complete the VAERS report. Patient verbalizes understanding and agreement with plan. VAERS report is completed electronically if vaccine given at facility. Signed by HCP on 1/21/2021 at 11:22am
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pain in extremity, Pyrexia
Clinical narrative: First day of vaccine just slight arm soreness.... Second day... low grade fever, chills , body aches, and fatigue. second night around 2 am saturday morning woke  up and had a fever of 102.7  .... took another tylenol and fever broke a few hours later. rest of the day felt much better after fever broke
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Nausea, Pain, Pyrexia
Clinical narrative: woke up next morning with fever, chills, body aches, nausea. I felt like I had been run over by a train and slept all day and night. After about 36 hours, I felt back to normal.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Dry mouth, Dysgeusia, Headache
Clinical narrative: Injection site soreness is ongoing.  About 10-11 hours after vaccine (8pm)  I started having mild headache, took 400mg Ibuprofen. 15 hours after time of vaccine (12midnight) developed severe rigors, severe back pain along with  severe pounding headache and mild nausea.  Had very dry mouth and metallic taste.  Symptoms reduced 50% after 2nd dose of 400mg Ibuprofen  taken at 7 am (11 hours after first Ibuprofen).  Reporting these changes that occurred in first 24 hours after vaccine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea
Clinical narrative: Injection site soreness is ongoing.  About 10-11 hours after vaccine (8pm)  I started having mild headache, took 400mg Ibuprofen. 15 hours after time of vaccine (12midnight) developed severe rigors, severe back pain along with  severe pounding headache and mild nausea.  Had very dry mouth and metallic taste.  Symptoms reduced 50% after 2nd dose of 400mg Ibuprofen  taken at 7 am (11 hours after first Ibuprofen).  Reporting these changes that occurred in first 24 hours after vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Infection, Pain in extremity, Pruritus
Clinical narrative: Moderna COVID-19 Vaccine EUA Patient stated her left arm was initially sore and subsided. Seven days later her left arm became extremely itchy, firm and hot. Her left arm became red and subsequently went to an urgent care where she received a course of cephalexin for a possible infection. It has been approximately 36 hours since taking cephalexin, and the patient reports that her reaction is began to clear.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Moderna COVID-19 Vaccine EUA Patient stated her left arm was initially sore and subsided. Seven days later her left arm became extremely itchy, firm and hot. Her left arm became red and subsequently went to an urgent care where she received a course of cephalexin for a possible infection. It has been approximately 36 hours since taking cephalexin, and the patient reports that her reaction is began to clear.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Chest X-ray, Condition aggravated, Dizziness postural, Haematology test
Clinical narrative: Patient has a long standing history of CHF and AFib, however, patient had a syncopal episode on 01/25/2021 in the morning. Per her hospital admission note, she stated that she felt fine, stood up, became dizzy and was able to lower herself to her chair then went unresponsive for a few minutes, but did regain consciousness. When she arrived to the emergency department, she was in atrial fibrillation with RVR with rate in the 140-150s. While the AFib is long standing, the RVR is new and potentially unexplainable. This was resolved with cardizem drip ending at 2220 on 01/25/2021.   Alternatively, this patient is being put into VAERS as there are 2 other patients hospitalized with cardiac issues and received vaccine from the same pharmacy with the same lot number.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Syncope, Unresponsive to stimuli, Urine analysis
Clinical narrative: Patient has a long standing history of CHF and AFib, however, patient had a syncopal episode on 01/25/2021 in the morning. Per her hospital admission note, she stated that she felt fine, stood up, became dizzy and was able to lower herself to her chair then went unresponsive for a few minutes, but did regain consciousness. When she arrived to the emergency department, she was in atrial fibrillation with RVR with rate in the 140-150s. While the AFib is long standing, the RVR is new and potentially unexplainable. This was resolved with cardizem drip ending at 2220 on 01/25/2021.   Alternatively, this patient is being put into VAERS as there are 2 other patients hospitalized with cardiac issues and received vaccine from the same pharmacy with the same lot number.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Pruritus
Clinical narrative: anxiety, itching  administered 25mg liquid Benadryl orally, patient left in stable condition
Age: 29.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever (101.2), headache, arm soreness, chills, body aches. Took IBU and Tylenol to decrease fever with resolution only approx. 6 hours
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: PATIENT COMPLAINED OF NUMBNESS AND TINGLING IN LIPS AND TONGUE AFTER MODERNA COVID19 VACCINATION.  12:25 BP 130/88, HR 102, RR 18 12:35 BP 122/90, HR 96, RR 16 12:40 BP 122/87, HR 94, RR 16  PATIENT RELEASED IN STABLE CONDITION AFTER OBSERVATION.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue
Clinical narrative: I experienced weakness, fatigue, lightheadedness for the most of day after receiving the shot. Symptoms reduced with rest, plenty of water. Symptoms resolved by morning of 1.26.2021
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain
Clinical narrative: After about 12 hours of receiving the first dose, I started feeling chills, body aches, nausea and had a bad headache. This continued for approximately an additional  48 hours.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Neck pain, Pain in extremity, Pruritus
Clinical narrative: AT 2130 ON 1/20/21 DEVELOPED SHAKES, THAT PROGRESSED TO 'CONVULSING. DEVELOPED FEVER OF 104.3. SEVERE ARM, NECK, AND CHEST PAIN. SHORTNESS OF BREATH THAT IMPROVED OVER TIME. ON 1/23/21 COMPLAINED OF SEVERE ITCHING OVER ENTIRE BODY
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Seizure, Tremor
Clinical narrative: AT 2130 ON 1/20/21 DEVELOPED SHAKES, THAT PROGRESSED TO 'CONVULSING. DEVELOPED FEVER OF 104.3. SEVERE ARM, NECK, AND CHEST PAIN. SHORTNESS OF BREATH THAT IMPROVED OVER TIME. ON 1/23/21 COMPLAINED OF SEVERE ITCHING OVER ENTIRE BODY
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Influenza, SARS-CoV-2 test
Clinical narrative: Everything was fine until 9 days later I had severe flu and went to a 24Hr clinic who advised I had covid.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Nausea, Pyrexia
Clinical narrative: Fever 102.3 Joint pain Chills Nausea
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Headache, Hypertension, Vaccine positive rechallenge
Clinical narrative: Hypertension and headache within minutes of vaccination; symptoms resolved by 20-30 minutes
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Shortness of breath - began with exertion but continued at rest for the rest of the day and into the next.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Feeling dizy
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: severe chest pains-911 to hospital
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Constipation
Clinical narrative: Low back pain  Constipation
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Vomiting
Clinical narrative: Chills, body aches, vomiting
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, Cold sweat, Electrocardiogram, Hyperhidrosis, Tachycardia
Clinical narrative: Tachycardia, sweating, uncontrollable shaking, clamy hands and vomitimg
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tremor, Vomiting
Clinical narrative: Tachycardia, sweating, uncontrollable shaking, clamy hands and vomitimg
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site bruising, Mechanical urticaria, Peripheral swelling, Pruritus
Clinical narrative: Shot was administered on 1/20/2021. By that Friday, my upper right arm (over my bicep) developed a red patch, which I had attributed to dermatographia.  Over the weekend, it began to raise up a bit from my skin and swell, and became warm to the touch. By Monday, 1/24/2021, the swelling had stopped, but the redness was noticeable on other parts of my upper arm, but not around the shot location. There is a bruise there from the shot, but no redness. The redness and warmth changes throughout the day, and at times is "itchy below the skin's surface", where I'm not able to scratch.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Shot was administered on 1/20/2021. By that Friday, my upper right arm (over my bicep) developed a red patch, which I had attributed to dermatographia.  Over the weekend, it began to raise up a bit from my skin and swell, and became warm to the touch. By Monday, 1/24/2021, the swelling had stopped, but the redness was noticeable on other parts of my upper arm, but not around the shot location. There is a bruise there from the shot, but no redness. The redness and warmth changes throughout the day, and at times is "itchy below the skin's surface", where I'm not able to scratch.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Blood glucose abnormal, Body temperature increased, Feeling abnormal, Nausea
Clinical narrative: 1/21/2021, blood glucose levels were fluctuating from very low to high, normally stable and consistent. 1/22/2021 spiked a temp of 101.9  that would come and go, nausea with eating, high anxiety with feeling of fatigue and being in a fog. Feels good when first getting out of bed in the morning but about an hour or two he feels tired with his anxiety level rising. PCP contact with new orders to increase daily dose of Prozac to assist with the anxiety and rest. Patient stated that he has been resting and was feeling a little better today.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Vomiting due to severe nausea
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever, body aches and chills began Tuesday, 1/26/21 @ 1:10am. Took Tylenol, but fever and chills did not go away completely. Right arm continues to be extremely sore even after taking Tylenol
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Patient  c/o fever 100.3, headache, and chills.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Heart palpitations at 2:am and then again at about 9: am the next day after the vaccination
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash to chest area 10-15 min following vaccine dose. Patient was given 1 ml of Benadryl IM. No other issues / complaints. Denied breathing difficulty.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Blood test normal, Confusional state, Dementia, Dyspnoea
Clinical narrative: First 24 hours sore arm and felt achy and out of it. Thought I was starting to feel myself by Sunday midday but then suddenly on Sunday afternoon almost exactly 48 hours after the shot I started to feel extreme confusion and short term memory loss. My body started shaking, I felt very hot and then very cold (back and forth) and began experiencing shortness of breath. It was all very scary and I ended up in the ER.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fear, Feeling abnormal, Feeling of body temperature change, Hypersomnia
Clinical narrative: First 24 hours sore arm and felt achy and out of it. Thought I was starting to feel myself by Sunday midday but then suddenly on Sunday afternoon almost exactly 48 hours after the shot I started to feel extreme confusion and short term memory loss. My body started shaking, I felt very hot and then very cold (back and forth) and began experiencing shortness of breath. It was all very scary and I ended up in the ER.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Pain, Pain in extremity, Tremor, Vaccination complication
Clinical narrative: First 24 hours sore arm and felt achy and out of it. Thought I was starting to feel myself by Sunday midday but then suddenly on Sunday afternoon almost exactly 48 hours after the shot I started to feel extreme confusion and short term memory loss. My body started shaking, I felt very hot and then very cold (back and forth) and began experiencing shortness of breath. It was all very scary and I ended up in the ER.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ST segment abnormal, Electrocardiogram normal, Palpitations
Clinical narrative: Patient noted palpitation and came to ED. No similar reactions to vaccines in the past. EKG sinus tachycardia but otherwise normal EKG. Pt was given Benadryl 50mg PO x1, monitored in ED and discharged home.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus, Pustule, Rash erythematous, Rash pustular
Clinical narrative: Developed a rash red with red pustules ( No drainage) on my fingers approx 3 days after injection. I have since developed these all over both hands palms and top as well as my arms, feet and legs its itchy and painful. . Saw Dr today and he is unsure what the rash is. but says it could be related to shot. Gave me a Medrol Dose pack.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Nausea, Pain
Clinical narrative: ON 1/21/21 DEVELOPED NAUSEA, BODY ACHES AND WEAKNESS. SHE CALLED HER DOCTOR, WHO TOLD HER TO WAIT OUT THE SYMPTOMS OR GO TO THE ER IF THEY GOT WORSE. SHE DID NOT GO TO THE ER.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Lymph node pain
Clinical narrative: Chills, nausea, fever, sweats x 24 - 48 hours; headache, fatigue, painful swollen lymph nodes (left posterior cervical) x 72 hours
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Nausea, Pyrexia
Clinical narrative: Chills, nausea, fever, sweats x 24 - 48 hours; headache, fatigue, painful swollen lymph nodes (left posterior cervical) x 72 hours
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Fall, Head injury, Skin laceration, Syncope
Clinical narrative: Patient had a syncopal episode within 10 minutes of the administration of the vaccine.  He fell off of the examining room table and hit his head causing lacerations that required suturing and possibly a concussion.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Decreased appetite, Mental impairment, Pyrexia
Clinical narrative: Patient developed fever to 102 within 24 hours with decreased mentation.  Stopped eating/drinking despite aggressively treating fever.  Was DNR B status.  Family agreed to a trial of IV fluids on 1/21 but was not successfully started until 1/22 after several attempts.   Family wanted only comfort measures with no transfer to hospital.  Patient continued to have fevers to 102-103 range. Patient passed on 1/23 .  Patient did test positive for COVID in early September without significant illness.  She was in usual state of health prior to vaccination.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Dysgeusia, Feeding disorder, Mental impairment
Clinical narrative: Moderna COVID-19 Vaccine EUA    Inability to eat (nausea), unpleasant taste, extreme weakness, inability to think appropriately (unable to recall words, slow thought process), diarrhea -- all occurred for two days and have resolved themselves without treatment; still weak but am increasing liquids, salts, immodium (not today), frequent rests, cancelling Physical Therapy and private clarinet instruction
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Thinking abnormal
Clinical narrative: Moderna COVID-19 Vaccine EUA    Inability to eat (nausea), unpleasant taste, extreme weakness, inability to think appropriately (unable to recall words, slow thought process), diarrhea -- all occurred for two days and have resolved themselves without treatment; still weak but am increasing liquids, salts, immodium (not today), frequent rests, cancelling Physical Therapy and private clarinet instruction
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Patient reported her tongue felt tingly 5 minutes following the first dose.  She reported this finding at today's visit.  She said she just took a Benadryl when she got home following her first dose.  I did question if she has had anaphylaxis in the past to any meds, etc, and she said no, but reported having allergic symptoms with an antibiotic.  No other allergic history to vaccines, meds, etc.  Patient wanted to continue with second dose of vaccine today.  Vaccinated at 1615.  Patient reported tongue tingling at 1640.  25mg PO Benadryl given at 1640.  Patient left the clinic at 1700 stating that she felt ok to leave.  She had Benadryl at home and knew who to call if symptoms worsened.  Writer called the patient back on 1/26/2021 at 1100.  Patient stated that at 1900 last night (1/25/2021) she had to go to the Emergency room and received 2 doses of Epinephrine.  She then had to stay the night to be observed.  Patient stated that she was being discharged today.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Paraesthesia oral, Rash macular, Throat clearing
Clinical narrative: Pt states her hands were turning red at which time RN was called to assess. Bilateral hands were red and blotchy. She states she feels the need to frequently clear throat but is not short of breath. She states her lips feel tingly. No angioedema noted, redness is not spreading from palms of hands. No redness or rashes noted at injection site. Pt was given 50mg of diphenhydramine prior to leaving. She waited in lobby with staff observation for another 15 minutes, Redness in hands was resolved. Educated pt to call emergency services should symptoms persist or worsen. Pt verbalizes understanding. This RN will call later today and tomorrow to follow up with pt.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Approx 26 hours after receiving the vaccine client started c/o "chest didn't feel right, and it could be my stomach. I also noticed a swollen lymph gland under my left armpit. It is 2inches wide by 4 inches long. I called my oncologist and they just said to watch it, take ibuprofen. I have a similar thing happen usually right before I take my chemotherapy." He denies fever, red streaks.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Delirium, Pyrexia, Systemic inflammatory response syndrome
Clinical narrative: SIRS - systemic inflammatory response - rigors, chills, fever 104 for 8 hours and delirium
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Fatigue, Pain in extremity
Clinical narrative: On the first day, my arm was sore and I was a little tired. I had some abdominal pains on the day after the vaccine with diarrhea. After 24 hours of that pain, I could get up and move around. About a week I felt better.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Heart rate increased, Hypertension, Paraesthesia
Clinical narrative: Chest pain, High blood pressure, Heart rate was fast and i also had tingley hands . It  happened about 45 Minutes after i had the vaccine. I was then sent out to the hospital.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardioversion, Chest discomfort, Electrocardiogram, Feeling abnormal
Clinical narrative: Approximately 12 hours after vaccination, the patient realized he had a heaviness in his chest and just didn?t feel ?right?.  His Apple Watch told him he was in afib.  So the patient was taken to the ER by his wife where this was confirmed with an EKG.  He was cardioverted back to normal sinus rhythm and he was prescribed Eliquis.  Patient has no prior heart arrhythmias or medical concerns.  Patient is slightly overweight, but has not had any arrhythmia or history of a fib in the past.  Patient was discharged to follow up with his family physician.  All of his blood work was normal.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rash erythematous, Rash papular, Skin warm
Clinical narrative: Vaccinated 1/12/2021. Left arm became sore next day, and continues through today. Reported as normal course of arm pain which became much more intense on 1/22/2021. Large red, raised rash, warm to touch present. Spreading noticed over next several days. As of today, 1/26/2021, patient reports rash has decreased, is no longer warm to touch. Pain is still present, but less intense than previously.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Pruritus
Clinical narrative: At about 10:25 am  itching of neck and face. At about 10:40 am mild cutaneous swelling of lip.  Symptoms rebounded overnight
Age: 43.0
Sex: U
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Chills, Headache, Impaired work ability
Clinical narrative: Patient experienced fever with T-max of 102, chills, arthralgias, muscle spasms, and headache. No medical treatment required. Patient took a sick day from work to recover.
Age: 43.0
Sex: U
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: Patient experienced fever with T-max of 102, chills, arthralgias, muscle spasms, and headache. No medical treatment required. Patient took a sick day from work to recover.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain
Clinical narrative: I developed significant joint pain in my knees approximately 3 days after my second COVID19 vaccination. I have no history of joint pain and have no recent changes in my activity level or medical history. Even walking as a casual pace causes pain. It is not severe enough to interfere with activities of daily living, but it is certainly noticeable. I cannot think of any other potential cause of this pain. The it has been approximately 4 days since this pain began, and it has not improved.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: fever 101F, sore arm, large red swollen arm near injection site and warm to touch- possible cellulitis, referred to PCP for evaluation.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fever 101F, sore arm, large red swollen arm near injection site and warm to touch- possible cellulitis, referred to PCP for evaluation.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Rash, Rash pruritic
Clinical narrative: By the late afternoon/early evening  I had developed a rash that covered my body from the bottom of my feet to the top of my head.  The rash was clearly visible but not bumpy.  It was extremely itchy.   I took Benadryl and soaked in an Epsom Salt bath several times that night as I was unable to sleep due to the intense itching.  The next morning (Saturday) I called my doctor and was prescribed a steroid to combat the itching  but was told not to take it until Monday so as not to interfer with the antibodies my body was obviously producing in response to the vaccine.  I was also instructed to start taking  one Zyrtec tablet each morning and two Benadryl tablets each night.  On Monday morning (01/25/2021) I began taking Methylprednisolone (4mg Dospak 21s) which relieved the itching.  At this time the rash is greatly reduced and the itching has almost stopped.  I will continue the meds until the  dosage is completed.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Itchy rash at injection site, starting 6 days after vaccine
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Eye swelling, Haematocrit normal, Haemoglobin normal, Hyperhidrosis
Clinical narrative: Patient awoke with shivering at 03:00 AM this morning, later developed diaphoresis, swelling of the eyes, lips, and tongue at 08:00 AM. Patient presented to the emergency department and was treated for allergic reaction; received prednisone and famotidine per patient MAR. Symptoms resolved and the patient was discharged with a prescription for a prednisone taper.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersensitivity, Lip swelling, Swollen tongue
Clinical narrative: Patient awoke with shivering at 03:00 AM this morning, later developed diaphoresis, swelling of the eyes, lips, and tongue at 08:00 AM. Patient presented to the emergency department and was treated for allergic reaction; received prednisone and famotidine per patient MAR. Symptoms resolved and the patient was discharged with a prescription for a prednisone taper.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: DEVELOPED BODY ACHES, FEVER, HEADACHE, AND CHILLS
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Pain, Pyrexia
Clinical narrative: Fever. Dizzy. Nauseous.  Body aches.  Soreness.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chest discomfort, Chills, Heart rate increased, Influenza virus test
Clinical narrative: Symptoms - Arm tenderness, chills, increased heart rate (110), low grade temperature (100.2), chest heaviness; treatment Tylenol as needed
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Symptoms - Arm tenderness, chills, increased heart rate (110), low grade temperature (100.2), chest heaviness; treatment Tylenol as needed
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: mild pain at injection site, mild headache for few hours after vaccine
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Epistaxis, Eye haemorrhage, Full blood count normal, Metabolic function test normal
Clinical narrative: Patient received Moderna COVID vaccine on 12/30/2020 at a Pharmacy clinic where he was a resident. Nurses at the facility reported that he was responsive and showed no signs of any adverse effects until 1/2/2021 when he was observed slightly unresponsive and staring at the ceiling and trembling. He had a fever of 101F at this time. The facility ordered labs and a rapid COVID test (all of which came back normal) and started IV antibiotics. A few hours later, patient began bleeding from his eyes, nose, and mouth and was sent to the local ER. The patient refused being admitted to the ICU for possible sepsis/hemorrhage and died the following day on 1/3/2021. All healthcare professionals involved agreed that this was not likely due to the vaccine, but needed to be reported nonetheless.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Mouth haemorrhage, Pyrexia, SARS-CoV-2 test negative, Staring, Tremor
Clinical narrative: Patient received Moderna COVID vaccine on 12/30/2020 at a Pharmacy clinic where he was a resident. Nurses at the facility reported that he was responsive and showed no signs of any adverse effects until 1/2/2021 when he was observed slightly unresponsive and staring at the ceiling and trembling. He had a fever of 101F at this time. The facility ordered labs and a rapid COVID test (all of which came back normal) and started IV antibiotics. A few hours later, patient began bleeding from his eyes, nose, and mouth and was sent to the local ER. The patient refused being admitted to the ICU for possible sepsis/hemorrhage and died the following day on 1/3/2021. All healthcare professionals involved agreed that this was not likely due to the vaccine, but needed to be reported nonetheless.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient received Moderna COVID vaccine on 12/30/2020 at a Pharmacy clinic where he was a resident. Nurses at the facility reported that he was responsive and showed no signs of any adverse effects until 1/2/2021 when he was observed slightly unresponsive and staring at the ceiling and trembling. He had a fever of 101F at this time. The facility ordered labs and a rapid COVID test (all of which came back normal) and started IV antibiotics. A few hours later, patient began bleeding from his eyes, nose, and mouth and was sent to the local ER. The patient refused being admitted to the ICU for possible sepsis/hemorrhage and died the following day on 1/3/2021. All healthcare professionals involved agreed that this was not likely due to the vaccine, but needed to be reported nonetheless.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal discomfort, Pain, Pain in jaw
Clinical narrative: PT called to hospital today 01/26/21 reporting 2 hours after vaccine developed HA, Throat  and jaw discomfort, denied SOB, called 919 . Pain subsided at that time and she did not seek ER care, but called reporting "severe side effects"
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: The next day after receiving my vaccine around 0500 a.m., I started getting severe headache and left arm pain. At about 0700 a.m., I started getting body aches, chills, and low grade fever of 100.4. After taking Tylenol and Advil interchangeably throughout the day, I was able to break the fever. I continued to have body aches, chills, severe headache the next day (Sunday). And by Monday, only a minor headache remained but all other symptoms were resolved.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling hot, Headache, Injection site pain
Clinical narrative: "Severe headache and fever of 102.2 night of vaccine.  The site of the vaccine was the size of a grapefruit. The site felt very warm and very painful. Fatigue and horrible body aches. On Sunday, continued to take Tylenol and was thinking of going to urgent care. I was tired lethargic, had chills  and felt nauseous. I rested all day and at this point the injection site was the size of an orange. Monday--The site of the injection is the size of a lemon. I have not taken any Tylenol or any other medications for fever.  At around 12:30pm I started to feel chills, nauseousness  and very warm." -followed up at urgent care-told to take Tylenol and motrin and rest--on Tuesday still feeling achy, tired and slightly swollen arm
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Lethargy, Nausea, Pain
Clinical narrative: "Severe headache and fever of 102.2 night of vaccine.  The site of the vaccine was the size of a grapefruit. The site felt very warm and very painful. Fatigue and horrible body aches. On Sunday, continued to take Tylenol and was thinking of going to urgent care. I was tired lethargic, had chills  and felt nauseous. I rested all day and at this point the injection site was the size of an orange. Monday--The site of the injection is the size of a lemon. I have not taken any Tylenol or any other medications for fever.  At around 12:30pm I started to feel chills, nauseousness  and very warm." -followed up at urgent care-told to take Tylenol and motrin and rest--on Tuesday still feeling achy, tired and slightly swollen arm
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: "Severe headache and fever of 102.2 night of vaccine.  The site of the vaccine was the size of a grapefruit. The site felt very warm and very painful. Fatigue and horrible body aches. On Sunday, continued to take Tylenol and was thinking of going to urgent care. I was tired lethargic, had chills  and felt nauseous. I rested all day and at this point the injection site was the size of an orange. Monday--The site of the injection is the size of a lemon. I have not taken any Tylenol or any other medications for fever.  At around 12:30pm I started to feel chills, nauseousness  and very warm." -followed up at urgent care-told to take Tylenol and motrin and rest--on Tuesday still feeling achy, tired and slightly swollen arm
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Hyperhidrosis, Nausea, Pyrexia
Clinical narrative: Sweating, chills, fever, nausea, Tachycardia, lightheaded
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Sweating, chills, fever, nausea, Tachycardia, lightheaded
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Swelling around dermal filler
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaphylactic reaction, Dyspnoea, Nausea, Throat tightness
Clinical narrative: 19 y.o. female who arrived to the emergency department for 19-year-old female with history of COVID infection several months ago was receiving her COVID vaccine this morning when she developed nausea and tightness in her throat about 15 minutes after the injection.  Epinephrine was administered prior to transfer to the ED.  She denies any rash.  She does feel slight shortness of breath.  She denies headache earache sore throat or rhinorrhea cough vomiting diarrhea fever chills or abdominal pain.  She has had hives and tightness in her throat from several medications in the past including Prevacid Prilosec Zantac and iodinated contrast media. No new medications.  Anaphylactic type reaction and patient advised to not receive the 2nd vaccine.  PMH: Diabetes mellitus  Initial Vital Signs Blood Pressure 01/25/21 0902 132/85 Heart Rate 01/25/21 0902 92 Respiratory Rate 01/25/21 0902 16 Temp 01/25/21 0925 36.6 °C (97.9 °F) Temp Source 01/25/21 0925 Oral SpO2 01/25/21 0902 99 %
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaphylactic reaction, Aphasia, Arthralgia, Chest pain, Chills
Clinical narrative: 19 y.o. female who arrived to the emergency department for 19-year-old female with history of COVID infection several months ago was receiving her COVID vaccine this morning when she developed nausea and tightness in her throat about 15 minutes after the injection.  Epinephrine was administered prior to transfer to the ED.  She denies any rash.  She does feel slight shortness of breath.  She denies headache earache sore throat or rhinorrhea cough vomiting diarrhea fever chills or abdominal pain.  She has had hives and tightness in her throat from several medications in the past including Prevacid Prilosec Zantac and iodinated contrast media. No new medications.  Anaphylactic type reaction and patient advised to not receive the 2nd vaccine.  PMH: Diabetes mellitus  Initial Vital Signs Blood Pressure 01/25/21 0902 132/85 Heart Rate 01/25/21 0902 92 Respiratory Rate 01/25/21 0902 16 Temp 01/25/21 0925 36.6 °C (97.9 °F) Temp Source 01/25/21 0925 Oral SpO2 01/25/21 0902 99 %
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Diarrhoea, Differential white blood cell count, Dyspnoea, Electrocardiogram
Clinical narrative: 19 y.o. female who arrived to the emergency department for 19-year-old female with history of COVID infection several months ago was receiving her COVID vaccine this morning when she developed nausea and tightness in her throat about 15 minutes after the injection.  Epinephrine was administered prior to transfer to the ED.  She denies any rash.  She does feel slight shortness of breath.  She denies headache earache sore throat or rhinorrhea cough vomiting diarrhea fever chills or abdominal pain.  She has had hives and tightness in her throat from several medications in the past including Prevacid Prilosec Zantac and iodinated contrast media. No new medications.  Anaphylactic type reaction and patient advised to not receive the 2nd vaccine.  PMH: Diabetes mellitus  Initial Vital Signs Blood Pressure 01/25/21 0902 132/85 Heart Rate 01/25/21 0902 92 Respiratory Rate 01/25/21 0902 16 Temp 01/25/21 0925 36.6 °C (97.9 °F) Temp Source 01/25/21 0925 Oral SpO2 01/25/21 0902 99 %