chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling hot, Headache, Nausea, Vomiting
Clinical narrative: It began with a headache around 2 am, March 26, 2021.  Around 8:30 am I began to experience nausea and fatigue.  At 3:30 pm I vomited one time.  Since 8:30 am I have slept about six hours.  I also felt hot on and off during this time, but I have checked my temperature 3 times and it was normal all three times.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity
Clinical narrative: Pain on Right side of neck Right Arm soreness Right side of neck soreness EMT checked Viral Signs Vital signs within normal limits Patient refused transport to hospital Referred her to call PCP or go to ER if she felt her condition worsening
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Injection site erythema, Injection site mass, Injection site pruritus, Pyrexia
Clinical narrative: Fever of 101.0, rapid heart rate for patient (average of 69 bpm compared to 51 bpm the next night); short HRV of 26 ms (compared to 77 ms the next day); heightened respiratory rate of 20.8/min, compared to 17.8/min the next night. By Monday, March 22nd, a hard red lump had formed near the injection site. This itched and persisted until Thursday March 25th.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory rate increased
Clinical narrative: Fever of 101.0, rapid heart rate for patient (average of 69 bpm compared to 51 bpm the next night); short HRV of 26 ms (compared to 77 ms the next day); heightened respiratory rate of 20.8/min, compared to 17.8/min the next night. By Monday, March 22nd, a hard red lump had formed near the injection site. This itched and persisted until Thursday March 25th.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Dyspnoea, Imaging procedure, Pyrexia
Clinical narrative: The next day I developed a fever and over several day after I became more short of breathe. I had Covid and pneumonia in September 2020. It got worse after getting the vaccine.  I seen a Rheumatologist, and spoke to my PCP, they ordered some additional blood work and images studies . I'm still having issues.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Ocular discomfort
Clinical narrative: patient began to experience pressure behind both eyes. Diastolic BP noted to be elevated 120/104  P 97@ 1429. Repeated 1430 137/82 P 105, 1432 129/75 P 96 and 1449 124/74. O2 sats 100%. Symptoms subsided before dismissal home.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test normal, Chills, Influenza virus test negative, Pain
Clinical narrative: Fever, chills, all over aches, lower pelvic pain, lower back pain started all of a sudden. I went directly to my GYN, thinking a UTI. Doctor checked urinalysis, vaginal swab and hormonal bloodwork. All came back normal. Was sent to urgent care to have a covid test and flu test. Both came back negative.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pelvic pain, Pyrexia, SARS-CoV-2 test negative, Smear cervix normal, Urine analysis normal
Clinical narrative: Fever, chills, all over aches, lower pelvic pain, lower back pain started all of a sudden. I went directly to my GYN, thinking a UTI. Doctor checked urinalysis, vaginal swab and hormonal bloodwork. All came back normal. Was sent to urgent care to have a covid test and flu test. Both came back negative.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Injection site erythema, Injection site pruritus, Injection site swelling, Peripheral swelling
Clinical narrative: About 1 week after injection, my left shoulder around the injection site started becoming swollen, red, inflamed, and itchy. Within a few days, the swelling engulfed my entire shoulder and upper arm. The physical sensation was like an enormous, hot mosquito bite. No pain, unless I scratched it too much. I called my doctor for a telephone consultation, and he advised that I apply heat to it. I used a hot towel for the heat pad, and after a cumulative of 8-12 hours over the course of 2 days, the symptoms subsided, and my shoulder was completely back to normal.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Glossitis, Hypoaesthesia oral, Oropharyngeal pain, Paraesthesia oral
Clinical narrative: Within a minute or receiving the COVID 19 vaccine I began experiencing tingling and numbness in my lips, tongue, mouth and throat. My throat felt like it was closing or tightening and I had difficulty swallowing. I was administered Benadryl at the vaccine site and then transported by ambulance to the Hospital. There I was given an IV with peptide, steroid and benadryl. After a couple of hours, my symptoms began to improve and I was released.  I continued to experience irritation of my tongue and mouth and a sore throat until the next day.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal hypoaesthesia, Pharyngeal paraesthesia, Stomatitis, Throat tightness
Clinical narrative: Within a minute or receiving the COVID 19 vaccine I began experiencing tingling and numbness in my lips, tongue, mouth and throat. My throat felt like it was closing or tightening and I had difficulty swallowing. I was administered Benadryl at the vaccine site and then transported by ambulance to the Hospital. There I was given an IV with peptide, steroid and benadryl. After a couple of hours, my symptoms began to improve and I was released.  I continued to experience irritation of my tongue and mouth and a sore throat until the next day.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Magnetic resonance imaging abnormal, Neurological symptom
Clinical narrative: Sent to ER on 3/25/21 for stroke-like symptoms. Found to have had a stroke with test results
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Throat tightness
Clinical narrative: Approximately 5 minutes after receiving the vaccine the patient began to feel dizzy, felt like she could not breathe and state her throat felt tight.  She was given Adrenaline 0.5ml (0.5mg) IM and Benadryl 50mg IM and 911 was called.  EMS arrived shortly and she was transported to the local Emergency Room.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash at injection site, no itching ,no treatment, rash gradually disappeared over the course of a week  By March 15, the rash was completely gone.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt reports lightheadedness following vaccination, Pt sates he wants  his vitals checked.  Took vitals to find them stable.  Pt states his symptoms feel better after sitting for several minutes.  Pt refused transport to ED
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness
Clinical narrative: Light headed and dizzy, sweating, passed out briefly. 15 seconds. This was 45 minutes after getting injection. I did not have trouble breathing or swallowing. Very similar to what has happened to me sometimes getting blood drawn but happens at time of appointment not after.  Reclined, deep breaths and started to feel better within 10 minutes.  An hour later feeling much better.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Headache
Clinical narrative: 3/26/2021   Ms. Rudd was observed post Covid-19 immunization for 30 minutes based on pre-vaccination screening .  During the observation period, she experienced an adverse reaction with the following symptoms:  dizziness.chest pain and head ache   Assessment : Time of assessment 1707 .Actions taken: increased observation time, VS taken with BP- 125/78. P - 75, O2- 98%, JUICE OFFERED AND DRINKING, TOOK TO STRETCHER VIS WHEELCHAIR TO CONTINUE TO MONITOR. Vs RECHECKED AT520P, 141/75, P- 77. DENIES FURTHER CHEST PAIN OR DIZZINESS. GIVEN WATER, OFFERED TO CALL DAUGHTER BUT PATIENT REFUSED.         Medications administered: No medication administered.   Disposition: Reports no further symptoms of adverse reaction after observation for 40 minutes. Discharged home.     Immunizations Administered    Name Date Dose VIS Date Route   Pfizer COVID-19 Vaccine 3/26/2021  4:25 PM 0.3 mL 12/11/2020 Intramuscular   Manufacturer: Pfizer, Inc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Facial discomfort, Muscular weakness, Nervousness, Paraesthesia oral
Clinical narrative: Tingling on tongue pressure to face weakness to bilateral legs was nervous due to multiple health issues  cleared by NP
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Disorientation, Dyspnoea, Fatigue, Nausea
Clinical narrative: I received an allergy immunotherapy shot the day before my first dose of the vaccine and instantly felt nauseous and extremely tired after receiving the vaccine, which continued for two days after receiving tut. Three days later, I woke up struggling to breathe (but not anaphylactic), covered in hives, itchy all over, shaking, disoriented, and chilled but not truly feverish.  I reported this to my allergist, who prescribed prednisone and suggested the vaccine combined with immunotherapy were too much for my immune system for one week. The hives, itchiness, and difficulty breathing lasted about four days. I struggled with fatigue and nausea for over two weeks, stopping all school and work in the meantime. After my second dose, I feel just a bit tired and sore, so I think this truly was a bad reaction to the two injections combined rather than to the vaccine itself. Still, it was a debilitating experience,  and I would recommend considering putting out guidance that other immunotherapy patients space out their allergy injections and vaccines farther than I did.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus, Tremor, Urticaria
Clinical narrative: I received an allergy immunotherapy shot the day before my first dose of the vaccine and instantly felt nauseous and extremely tired after receiving the vaccine, which continued for two days after receiving tut. Three days later, I woke up struggling to breathe (but not anaphylactic), covered in hives, itchy all over, shaking, disoriented, and chilled but not truly feverish.  I reported this to my allergist, who prescribed prednisone and suggested the vaccine combined with immunotherapy were too much for my immune system for one week. The hives, itchiness, and difficulty breathing lasted about four days. I struggled with fatigue and nausea for over two weeks, stopping all school and work in the meantime. After my second dose, I feel just a bit tired and sore, so I think this truly was a bad reaction to the two injections combined rather than to the vaccine itself. Still, it was a debilitating experience,  and I would recommend considering putting out guidance that other immunotherapy patients space out their allergy injections and vaccines farther than I did.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Pallor, Vomiting
Clinical narrative: 21 y/o client complains of nausea and dizziness. Head-to-toe assessment done. All within normal limits except skin color was pale. BP: 94/62. Client appears to be tachypneic but states she has no trouble breathing. She is no acute distress. Client vomited 30-40 ml of brownish emesis. After client vomited, she stated she felt better. She refused ambulance assistance and preferred to go home. Co-worker was with her at the time and stated she will drive her home. At the end of monitoring time, client stated she felt better and left facility, accompanied by her co-worker, ambulatory. At the end of monitoring time, client?s color was normal and she was in no acute distress, breathing was even and unlabored. Her departure time was 1019.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac ventricular thrombosis, Condition aggravated, Cor pulmonale acute, Echocardiogram, Epistaxis
Clinical narrative: Principal Final Diagnosis: Acute saddle pulmonary embolism with acute cor pulmonale (HCC)  Secondary Diagnoses:  Active Hospital Problems  Diagnosis Date Noted  ? Acute saddle pulmonary embolism with acute cor pulmonale (HCC) 02/09/2021  ? Acute thrombus of right ventricle (HCC) 02/09/2021  ? Right-sided epistaxis 02/09/2021  ? Melena 02/09/2021  ? Essential hypertension 02/28/2020
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Essential hypertension, Melaena, Pulmonary embolism
Clinical narrative: Principal Final Diagnosis: Acute saddle pulmonary embolism with acute cor pulmonale (HCC)  Secondary Diagnoses:  Active Hospital Problems  Diagnosis Date Noted  ? Acute saddle pulmonary embolism with acute cor pulmonale (HCC) 02/09/2021  ? Acute thrombus of right ventricle (HCC) 02/09/2021  ? Right-sided epistaxis 02/09/2021  ? Melena 02/09/2021  ? Essential hypertension 02/28/2020
Sex: U
Vaccine: UNK
Symptoms: Underdose
Clinical narrative: Multiple state agencies collaborated to provide the Moderna COVID-19 vaccine to the staff and the men and women in custody who work and reside in state correctional facilities. The mass vaccination process began on 02/17/2021.    Quality assurance processes in place for this vaccination effort identified two concerns regarding the vaccination process that occurred at seven facilities between the dates of 02/24/2021 and 03/05/2021.  Based on the information obtained, seven sites varied from the recommended best practices during the first round of vaccinations. A total of 5150 doses were provided to correctional staff and inmates in these seven facilities.    Our observations: o Based on our estimates of the number of doses per vial, it is possible that some recipients of the vaccine in these seven facilities may have received a lower than authorized dose of the vaccine.  o At two specific facilities, vaccine pooling did occur.  o There were no adverse outcomes reported from any of these facilities.   We gathered detailed information from all our vaccination sites.  We reviewed and analyzed this information and reported these observations to both Moderna, and to the agency. The conclusion of these meetings was that these variations in vaccine administration will have no impact on the vaccine's ability to provide protection and pose no ongoing risk to vaccine recipients.   We implemented the following modifications to improve our process: o Provided staff education regarding COVID-19 vaccination best practices o Established centralized dose preparation by health care staff at each facility o Included additional in-service dose preparation training for nursing staff by staff who were trained by Moderna o Initiated additional data collection by health care staff o Analyzed and monitored collected data to determine effectiveness of modifications   We will complete the required Vaccine Adverse Event Report (VAERs) to the agency.  We will provide notification to vaccine recipients at the seven facilities potentially impacted.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Energy increased, Fatigue, Vaginal haemorrhage
Clinical narrative: Within a short time after receiving my COVID vaccination, I experienced a burst of energy, pretty severe abdominal cramping, and vaginal bleeding (small amount; very close location-wise to being internal but was external). Bleeding lasted until bedtime and was gone, along with the abdominal cramping and burst of energy by the next morning and has never returned.  Vaccine #2 was on 2/9/21 and the only difference I felt after that one was tiredness; took a 3 hour nap shortly after I returned home and never noticed anything else since.  (Not sure if this helps to know...I had a hysterectomy mid-October, 2020.)
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: Large hive, red circle on injection site
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Chest discomfort, Loss of consciousness
Clinical narrative: One hour after vaccination my chest tightened and I started losing vision.  I was driving and pulled to the side of the road, felt I needed to pay down and opened the car door and passed out on the pavement.  After regaining consciousness I got in the car and felt a second wave coming , called 911
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Had a mild sunburn from the day before on left and right hands as well as face. Face and left hand healed normally, right hand became bright red, painful to touch, burning sensation, swollen, cuts and cracks in skin.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction
Clinical narrative: COVID-19 Vaccine Moderna EUA. Vaccine administered 2-3 inches below deltoid. No redness or swelling noted immediately after vaccine administration. Patient denies pain related to placement of vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Palpitations
Clinical narrative: 12:15pm Post vaccination reports feeling some dizziness, heart racing, w/ associated anxiety; medical monitoring w/vitals assessment: BP 162/109 P126 O2 sat 99%RA; rest, juice, and cookies offered. 1230pm Reports feeling better w/symptoms resolving, BP 144/80 P100. Released from facility w/self.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: Patient developed new onset atrial fibrillation on 3/13/2021
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Erythema, Hypoaesthesia, Malaise
Clinical narrative: sore arm, red mark, fever, sick, upset stomach, sore neck, no energy, hand and arm going numb
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity, Pyrexia
Clinical narrative: sore arm, red mark, fever, sick, upset stomach, sore neck, no energy, hand and arm going numb
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Urticaria
Clinical narrative: Patient had a welt immediately after the injection
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ear, nose and throat examination, Tinnitus, Vaccine positive rechallenge
Clinical narrative: Bilateral tinnitus that began 13 hours after first dose.  Alleviated a small amount by 3 weeks.  Received second dose and symptoms came back and are significant and uncomfortable.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Injection site induration, Injection site pain, Pain in extremity, Peripheral swelling
Clinical narrative: After my vaccine I had tenderness in my right arm at injection site and a sharp pain in my right clavicle bone. The clavicle bone pain slowly went to an ache. But then I noticed my arm was ballooning up a d the injection site was hard. Then, About a week after my COVID vaccine, I experienced leg pain (left) behind my knee and my arm was getting larger and warm to the touch. My first appointment with my doctor was 3/24/2021 at 1215pm. He checked out the areas and ordered a ultrasound Doppler of my left knee. I called the vaccine center as it says on the paper given with the vaccine. I spoke to someone and explained my symptoms. She suggested a ultrasound of my arm as well. I called my primary care doctor who added my arm to the order.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Ultrasound scan
Clinical narrative: After my vaccine I had tenderness in my right arm at injection site and a sharp pain in my right clavicle bone. The clavicle bone pain slowly went to an ache. But then I noticed my arm was ballooning up a d the injection site was hard. Then, About a week after my COVID vaccine, I experienced leg pain (left) behind my knee and my arm was getting larger and warm to the touch. My first appointment with my doctor was 3/24/2021 at 1215pm. He checked out the areas and ordered a ultrasound Doppler of my left knee. I called the vaccine center as it says on the paper given with the vaccine. I spoke to someone and explained my symptoms. She suggested a ultrasound of my arm as well. I called my primary care doctor who added my arm to the order.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy endometrium normal, Ultrasound scan, Uterine haemorrhage, Uterine spasm
Clinical narrative: 3 days after my 2nd dose I had massive bleeding  from my uterus accompanied by severe cramping; this went on for about 5 hours and then tapered off; I have continued to bleed (lightly) for the next 5 days
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was given the Pfizer immunization as her first dose and Moderna as her second dose for Covid.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Flushing, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia
Clinical narrative: Client initially reported tingling/numbness in right ear. This progressed over next  ten minutes to tingling/numbness across her face and the roof of her mouth, she also reported difficulty swallowing. Client observed to be flushing across face and upper arms.  EMS called and transported client to local ER for evaluation.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Client initially reported tingling/numbness in right ear. This progressed over next  ten minutes to tingling/numbness across her face and the roof of her mouth, she also reported difficulty swallowing. Client observed to be flushing across face and upper arms.  EMS called and transported client to local ER for evaluation.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes
Clinical narrative: Cold sore developed on my upper left lip.     I do not have herpes.   I have not engaged in sexual activities since my husband died in 2009.   I correlate this cold sore with the vaccination that I received on 3/15/21.    I am treating this sore with topical analgesic cream.  I still have the sore and it is now 3/26/21.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient began to feel dizzy and lightheaded after vaccine was given. Patient was helped to cot to lay down and began to feel better.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-neutrophil cytoplasmic antibody positive vasculitis, Antineutrophil cytoplasmic antibody positive, Blood creatinine increased, Condition aggravated, Glomerular filtration rate decreased
Clinical narrative: ANCA was reactivated by vaccine and is attacking my kidneys. I am getting a biopsy March 30. I go in for routine lab work every 8 weeks and these were the worst results I've ever received. High levels of Protein in urine and my GFR is down to 30
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Protein urine present, Renal function test, Renal vasculitis, Urine protein/creatinine ratio increased, Vaccination complication
Clinical narrative: ANCA was reactivated by vaccine and is attacking my kidneys. I am getting a biopsy March 30. I go in for routine lab work every 8 weeks and these were the worst results I've ever received. High levels of Protein in urine and my GFR is down to 30
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Palpitations, Paraesthesia
Clinical narrative: tingling to left arm heart racing numbness  did not eat lunch
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: This nurse administered the vaccines at 1518, with mom assistance. This nurse left the room to get physical forms for the patient. While retrieving the forms another nurse informed me that pt. was having a possible reaction. When this nurse got into the room and noticed the pt. hands and feet were swelling, he was itching and red all over. This nurse left the room to notify the doctor and another nurse stayed in the room and monitor the pt.. This nurse returned with the doctor and she assessed the pt. and order Benadryl. Administered Benadryl at 1548, continued to monitor pt. and vitals. Administer  prednisone at 1610, Epinephrine at 1613, vitals reassessed at 1620 and famotadine administered at 1620. Hospital transport arrived at 1700 and took the pt. to ED
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: After the first shot I felt foggy and tired for two days starting the day after the injection. After the second does, I  had a terrible headache, chills, fever, nausea, and fatigue/TIRED for 3 full days
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Dyspnoea, Electrocardiogram normal
Clinical narrative: cant catch my breath, difficulty breathing even after use of an inhaler
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Chills, Dizziness, Injection site pain, Pain
Clinical narrative: This my second dose. Within five minutes I experienced lightheadedness and balance difficulties. These abated after twenty minutes. The injection site arm was very sore and grew even more sore throughout the evening and I had a slight headache about 7:00 PM, a rare occurrence for me -- I often only have one or two per year. The headache disappeared within about an hour after manifesting. By about 10:00 PM I was beginning to feel a general achiness all over, mostly manifested in my joints.  By the time that I awoke on Thursday, 03/25/2021, I was aching quite badly all over. By 5:00 PM on that date I felt as if I had chills and a fever but a check with a digital thermometer showed that my temperature was 96.4F.  By evening I was aching  even more severely and in pain - mostly in my joints and hands -- took to my couch and covered up where I dozed in and out. I took a generic acetaminophen around  7:00 PM.  When I got up from my couch around 10:30 PM on the 25th, the aching had abated quite drastically and by midnight the worst was over. My temperature registered 98.0F at 10:30 PM.  When I arose from bed around 11:00 AM on Friday the 26th, both my hands were still aching and paining badly but most of the other aches in my joints had dissipated. By 6:00 PM on the 26th  the severe pain in my hands had decreased to my customary levels of pain from arthritis.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: This my second dose. Within five minutes I experienced lightheadedness and balance difficulties. These abated after twenty minutes. The injection site arm was very sore and grew even more sore throughout the evening and I had a slight headache about 7:00 PM, a rare occurrence for me -- I often only have one or two per year. The headache disappeared within about an hour after manifesting. By about 10:00 PM I was beginning to feel a general achiness all over, mostly manifested in my joints.  By the time that I awoke on Thursday, 03/25/2021, I was aching quite badly all over. By 5:00 PM on that date I felt as if I had chills and a fever but a check with a digital thermometer showed that my temperature was 96.4F.  By evening I was aching  even more severely and in pain - mostly in my joints and hands -- took to my couch and covered up where I dozed in and out. I took a generic acetaminophen around  7:00 PM.  When I got up from my couch around 10:30 PM on the 25th, the aching had abated quite drastically and by midnight the worst was over. My temperature registered 98.0F at 10:30 PM.  When I arose from bed around 11:00 AM on Friday the 26th, both my hands were still aching and paining badly but most of the other aches in my joints had dissipated. By 6:00 PM on the 26th  the severe pain in my hands had decreased to my customary levels of pain from arthritis.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Swollen tongue, Throat tightness
Clinical narrative: 15 minutes after second vaccine patient complained of tongue swelling, throat closing, and difficulty breathing. She was then given epi times 1 and benadryl. Symptoms then improved. 20 minutes later symptoms returned and she was given another dose of epi. EMS then took patient to local hospital.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Pfizer COVID-19 Vaccine EUA  Patient became feeling like her heart was racing. 30 min monitoring bp was 170/88 p 88 oxygen 99 resp 18. Was given juice and monitored for 30 minutes.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Catheterisation cardiac, Coronary arterial stent insertion, Ejection fraction decreased, Percutaneous coronary intervention
Clinical narrative: STEMI, ventricular fibrillation decreased ejection fraction to 30%
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Ventricular fibrillation
Clinical narrative: STEMI, ventricular fibrillation decreased ejection fraction to 30%
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Thrombophlebitis superficial, Ultrasound scan abnormal
Clinical narrative: Patient had Pfizer dose #1 on 3/5/21, same night she started to develop left leg swelling and pain. Patient went to ER on 3/8/21, showed superficial venous thrombosis with occlusion of left greater saphenous vein, currently on Eliquis
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash macular, Swelling face, Swollen tongue
Clinical narrative: Tongue swelling throat tightness at 20 minutes after injection  3/26/2021.   Swelling in face red checks  pink blotches all over body.  Extreme whole body itching throat is still a little  tight swelling in tongue mild
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Tongue swelling throat tightness at 20 minutes after injection  3/26/2021.   Swelling in face red checks  pink blotches all over body.  Extreme whole body itching throat is still a little  tight swelling in tongue mild
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Palpitations
Clinical narrative: 1:35pm Post vaccination reports feeling dizzy w/palpitations; medical monitoring w/vitals assessed: BP 123/85 P71 RR 19 O2 sat 99% RA; rest/ po hydration offered; 1:45pm reports symptoms resolve w/no additional complaints; released from facility w/self.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Vomiting
Clinical narrative: headache, vomiting
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Contusion, Injection site erythema, Insomnia, Lymphadenopathy, Peripheral swelling
Clinical narrative: Day of vaccine, I felt like my lymph nodes were swollen. Two days later the injection site started to get deep red. Friday I started to about an inch of so, swell up some. Saturday I had a rash on my arm by the injection site, the top part on my bicep was pretty red and swollen. I didn't take my Humara or Zolar injection. On Sunday the rash got worse and grew in size and really hot to touch, the pain was radiating all the way to my wrist and hurt really bad causing pain when I moved my wrist. It was hard for me to go to sleep so I called the dr and went in . The dr. said it looked less red that what it was and told me to take Ibuprofen 800mg* 3x day.  The pain is now in both wrist and hard for to grip stuff and a little hot to touch.  You can see the difference in the skin tone where the rash was, it looks bruised.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Skin discolouration, Skin warm
Clinical narrative: Day of vaccine, I felt like my lymph nodes were swollen. Two days later the injection site started to get deep red. Friday I started to about an inch of so, swell up some. Saturday I had a rash on my arm by the injection site, the top part on my bicep was pretty red and swollen. I didn't take my Humara or Zolar injection. On Sunday the rash got worse and grew in size and really hot to touch, the pain was radiating all the way to my wrist and hurt really bad causing pain when I moved my wrist. It was hard for me to go to sleep so I called the dr and went in . The dr. said it looked less red that what it was and told me to take Ibuprofen 800mg* 3x day.  The pain is now in both wrist and hard for to grip stuff and a little hot to touch.  You can see the difference in the skin tone where the rash was, it looks bruised.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody, Arthralgia, C-reactive protein normal, Mobility decreased, Muscle spasms
Clinical narrative: Day of vaccine, I felt like my lymph nodes were swollen. Two days later the injection site started to get deep red. Friday I started to about an inch of so, swell up some. Saturday I had a rash on my arm by the injection site, the top part on my bicep was pretty red and swollen. I didn't take my Humara or Zolar injection. On Sunday the rash got worse and grew in size and really hot to touch, the pain was radiating all the way to my wrist and hurt really bad causing pain when I moved my wrist. It was hard for me to go to sleep so I called the dr and went in . The dr. said it looked less red that what it was and told me to take Ibuprofen 800mg* 3x day.  The pain is now in both wrist and hard for to grip stuff and a little hot to touch.  You can see the difference in the skin tone where the rash was, it looks bruised.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Peripheral swelling, Rash, Red blood cell sedimentation rate increased, Rheumatoid factor
Clinical narrative: Day of vaccine, I felt like my lymph nodes were swollen. Two days later the injection site started to get deep red. Friday I started to about an inch of so, swell up some. Saturday I had a rash on my arm by the injection site, the top part on my bicep was pretty red and swollen. I didn't take my Humara or Zolar injection. On Sunday the rash got worse and grew in size and really hot to touch, the pain was radiating all the way to my wrist and hurt really bad causing pain when I moved my wrist. It was hard for me to go to sleep so I called the dr and went in . The dr. said it looked less red that what it was and told me to take Ibuprofen 800mg* 3x day.  The pain is now in both wrist and hard for to grip stuff and a little hot to touch.  You can see the difference in the skin tone where the rash was, it looks bruised.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Day of vaccine, I felt like my lymph nodes were swollen. Two days later the injection site started to get deep red. Friday I started to about an inch of so, swell up some. Saturday I had a rash on my arm by the injection site, the top part on my bicep was pretty red and swollen. I didn't take my Humara or Zolar injection. On Sunday the rash got worse and grew in size and really hot to touch, the pain was radiating all the way to my wrist and hurt really bad causing pain when I moved my wrist. It was hard for me to go to sleep so I called the dr and went in . The dr. said it looked less red that what it was and told me to take Ibuprofen 800mg* 3x day.  The pain is now in both wrist and hard for to grip stuff and a little hot to touch.  You can see the difference in the skin tone where the rash was, it looks bruised.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Nausea
Clinical narrative: c/o chest tightness/nausea BP 126/92 HR 84 R16 Spo2 96-98 RA
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Swelling
Clinical narrative: Sore Arm, light swelling.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain
Clinical narrative: Felt like I had it again, was in bed pretty much for 30 HOURS headache, extreme fatigue, soreness and neausea.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Chest X-ray normal, Chest discomfort, Chest pain, Electrocardiogram normal
Clinical narrative: Beginning at 9pm on 3/15/21, I had sharp pains in my chest and an elevated heart rate. Every day since, I have had chest pain/pressure, sharp pains in my head accompanied by a burning sensation throughout the top and back of my head and a burning sensation throughout my upper back and arms.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count normal, Heart rate increased, Troponin
Clinical narrative: Beginning at 9pm on 3/15/21, I had sharp pains in my chest and an elevated heart rate. Every day since, I have had chest pain/pressure, sharp pains in my head accompanied by a burning sensation throughout the top and back of my head and a burning sensation throughout my upper back and arms.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Chest discomfort, Chest pain, Headache, Heart rate increased
Clinical narrative: Beginning at 9pm on 3/15/21, I had sharp pains in my chest and an elevated heart rate. Every day since, I have had chest pain/pressure, sharp pains in my head accompanied by a burning sensation throughout the top and back of my head and a burning sensation throughout my upper back and arms.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Oropharyngeal pain, Pyrexia, Swollen tongue, Tongue discomfort
Clinical narrative: about 12 hours later I developed a swollen and burning tongue, sore throat, low grade fever of 99, and pain at injection site
Age: 92.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Arthralgia, Mobility decreased, Myalgia
Clinical narrative: Reports of increasing pain in "all muscles and joints", making ambulation increasingly difficult. Has also increased pain medication from tramadol 4 tabs per day to also include hydrocodone-acetaminophen 1.5 tabs per day.
Age: 92.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Arthralgia, Chills, Condition aggravated, Fatigue, Night sweats
Clinical narrative: Reports of increasing pain in "all muscles and joints", making ambulation increasingly difficult. Has also increased pain medication from tramadol 4 tabs per day to also include hydrocodone-acetaminophen 1.5 tabs per day.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Oropharyngeal discomfort, Rash, Throat irritation
Clinical narrative: PATIENT DEVELOPED RASH IN BOTH ARMS W/IN 10 MINUTES WHICH SPREAD FURTHER TO HER FACE AND BACK, FEW MINUTES LATER SHE DEVELOPED SHORTNESS OF BREATH AND SENSATION OF HER THROAT CLOSING. SHE WAS GIVEN BENADRYL 50 MG IM AND EPI 0.3 MG IM. THEN PARAMEDICS TRANSFERRED HER TO THE EMERGENCY ROOM.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dysphagia, Dyspnoea, Pruritus, Urticaria
Clinical narrative: PATIENT DEVELOPED RASH IN BOTH ARMS W/IN 10 MINUTES WHICH SPREAD FURTHER TO HER FACE AND BACK, FEW MINUTES LATER SHE DEVELOPED SHORTNESS OF BREATH AND SENSATION OF HER THROAT CLOSING. SHE WAS GIVEN BENADRYL 50 MG IM AND EPI 0.3 MG IM. THEN PARAMEDICS TRANSFERRED HER TO THE EMERGENCY ROOM.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Oropharyngeal discomfort, Rash, Throat irritation
Clinical narrative: Patient complained of itching and hives 5 minutes post vaccination. Benadryl 50 mg IM @RD given at 1:32pm.  Patient felt dizzy.  Laid down with feet up. Patient complained of difficulty swallowing and breathing at 1:47pm. Epipen administered on left outer thigh intramuscularly. 911 called. Transferred to Hospital via ambulance at 2:01pm.  Vital signs: 1:25pm BP 110/75 O2 sat 98%, 1:30pm BP 110/80 HR 86bpm; 1:54pm BP 120/95 , HR 137 bpm, O2 sat 98%; 1:57pm HR 124 bpm. Lungs clear to auscultation. Called patient at 6:12pm for follow-up. Patient is still in the hospital for observation. She received treatment and under observation.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dysphagia, Dyspnoea, Pruritus, Urticaria
Clinical narrative: Patient complained of itching and hives 5 minutes post vaccination. Benadryl 50 mg IM @RD given at 1:32pm.  Patient felt dizzy.  Laid down with feet up. Patient complained of difficulty swallowing and breathing at 1:47pm. Epipen administered on left outer thigh intramuscularly. 911 called. Transferred to Hospital via ambulance at 2:01pm.  Vital signs: 1:25pm BP 110/75 O2 sat 98%, 1:30pm BP 110/80 HR 86bpm; 1:54pm BP 120/95 , HR 137 bpm, O2 sat 98%; 1:57pm HR 124 bpm. Lungs clear to auscultation. Called patient at 6:12pm for follow-up. Patient is still in the hospital for observation. She received treatment and under observation.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Emotional disorder, Impaired work ability, Insomnia
Clinical narrative: I had trouble sleeping and became very emotional. This may be unrelated to the vaccine but I thought it best to report because I had an unusual night. I called off from work today because I couldn't sleep.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia
Clinical narrative: Approximately 28 hours after administered: extreme fatigue, mild chills and muscle aches.  Chills subsided in 4 hours, muscle aches in 6 hours.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site pruritus, Injection site reaction, Injection site swelling, Rash erythematous
Clinical narrative: Dizziness-vertigo: 7 days after vaccine. Lasting 2 days Red rash- itchy, swollen. At site of injection 10 days after vaccine
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Dizziness-vertigo: 7 days after vaccine. Lasting 2 days Red rash- itchy, swollen. At site of injection 10 days after vaccine
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Muscle twitching, Paraesthesia, Paraesthesia oral
Clinical narrative: #Tingling in face - Ongoing intermittently since 6 Mar 2021 - Notes that symptoms started immediately after she received her COVID vaccine and have progressively become more noticeable since then - She did not notify the post-observer that she was experiencing symptoms - Tingling starts in right eye and goes down into right lower lip with occasional twitching - slight facial droop on right lower cheek/mouth - Denies facial pain or eyelid drooping - Denies shortness of breath, chest pain/tightness
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Nightmare
Clinical narrative: I had diarrhea; and I had a horrible nightmare; I was really tired. Diarrhea symptoms for 5 weeks ( at least one week after the 2nd dose of vaccine).  I saw the doctor on the 14th of January. He just told me to drink water.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Cardiac disorder, Pruritus, Rash erythematous, Syncope
Clinical narrative: About 2 or 3 hours after dose 1 got on legs and arms.  NO SOB angioedema, faintness, cardiac sx, N or V. Supervisor called EMS and she was taken to the ER, diagnosed with hives and give an antihistamine only. Did well though some hives lasted for 4 days.  After much discussion decided on dose 2.  Told to return if any hives or sx. and to check in around 5 pm.  When she did had a hivey area covering most of posterior L lower leg. (flat red rash)  None elsewhere.  Is itchy. No SOB, etc.  Lungs clear Pulse about 76. Give Benadryl at 5 pm and less itchy by 6 pm.  Plan :  Observe at POD until mother picks her up.  If any other symptoms will call 911.  Take Benadryl every 4 to 6 hours today and switch to a non-sedating antihistamine such as loratadine tomorrow when she works.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: About 2 or 3 hours after dose 1 got on legs and arms.  NO SOB angioedema, faintness, cardiac sx, N or V. Supervisor called EMS and she was taken to the ER, diagnosed with hives and give an antihistamine only. Did well though some hives lasted for 4 days.  After much discussion decided on dose 2.  Told to return if any hives or sx. and to check in around 5 pm.  When she did had a hivey area covering most of posterior L lower leg. (flat red rash)  None elsewhere.  Is itchy. No SOB, etc.  Lungs clear Pulse about 76. Give Benadryl at 5 pm and less itchy by 6 pm.  Plan :  Observe at POD until mother picks her up.  If any other symptoms will call 911.  Take Benadryl every 4 to 6 hours today and switch to a non-sedating antihistamine such as loratadine tomorrow when she works.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vaccine positive rechallenge
Clinical narrative: 02:15 Pm---Pt received vaccine 02:38 Pm--pt reported dizziness and light headedness  to the HCP 02:44 Pm-- bp 144/80, P=115, R26, O2 sat=97%.   02:47 Pm---Reported Adverse effect to me.   02:48 Pm--Pt laid down.   Pt sipped and finished a cup of water.  03:07 Pm---Pt reported that dizziness and light headedness resolve.  Stated that she experienced the same effect on her first dose.  03:08 Pm ----Pt was discharged.  Ambulated with no assist.  Verbalized that she was no longer feeling dizzy or light headedness.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Depression, Diarrhoea, Erythema, Headache
Clinical narrative: 1st 3 days extreme sore bright red swollen arm. Went away.  On day 5, noticed hard knot forming at injection site. Day 8, the red swollen arm returned and twice the size.  Other things to note: extreme diarrhea, headaches, body aches, nausea, severe anxiety and depression unlike I had in 30 years. Totally unexpected and not situational. Dr. Said might be vaccine related and to report.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site nodule, Nausea, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: 1st 3 days extreme sore bright red swollen arm. Went away.  On day 5, noticed hard knot forming at injection site. Day 8, the red swollen arm returned and twice the size.  Other things to note: extreme diarrhea, headaches, body aches, nausea, severe anxiety and depression unlike I had in 30 years. Totally unexpected and not situational. Dr. Said might be vaccine related and to report.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Ear swelling, Lip swelling, Paraesthesia, Paraesthesia oral
Clinical narrative: Tingling in lips and swelling, tingling traveled under both eyes, up into her head, it also traveled down her right arm.  She experienced weakness on her right side,  She also thought her ears swelled to the point that she had to remove her hearing aids.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood glucose, Nausea, Vomiting
Clinical narrative: Pt waited 15 minute post injection wait time.  She got up to leave and become nauseated and vomited.   Ice pack to the back of the neck, Zofran SL 8mg once,  Water and crackers given. Pt stayed for an hour post GI upset.  Left with no nausea or vomiting.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Palpitations
Clinical narrative: Patient felt nauseous, light headed, and heart racing. Patient stated that her heart racing was not abnormal for her. Patient laid down on ground, drank some water, used a cold compress, and felt better. Patient left to hospital at the end however.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Fever. Chills, body aches, headache, nausea, tired,
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever. Chills, body aches, headache, nausea, tired,
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dizziness
Clinical narrative: Light-headedness, minor chest pain, in about 45 minutes after injection experienced extreme diziness.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Contusion, Cough, Erythema, Fatigue
Clinical narrative: Pfizer COVID-19 Vaccine EUA      Patient upon receiving vaccine 2 mins began feel nauseated and hot- provided ice pack wheelchair and got her to the provider where she was placed on gurney.vitals were taken please see chart. Epi pen was given when patient's lips started to turn red cough and stridor noted please see the notes. Ambulance was call and patient was taken to the hospital see chart. At approximately 0903 peri oral erythema was noted and patient reported chest tightness. Stridor was noted.  SpO2 remained stable at 97-98% on RA. EpiPen administered, 911 contacted for transport to ED. 0909 patient reports improved chest tightness, peri-oral erythema improving stridor.  EMS transported patient to ED for further evaluation and treatment.  ED - does not have chart access.      3/25: ED 3/23/21 Anaphylaxis after receiving Covid vaccine: chest tight, hot, and dizzy. Patient received epi at clinic and epi and benadryl in ambulance. Patient advised not to get 2nd dose. Patient states she picked up epi pens that were prescribed. She reports better. She is tired and has headache, her arm is red and bruised but it looks better. Patient states she will not be getting second dose.