chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Cellulitis, Chills, Dizziness, Lymphadenopathy
Clinical narrative: Increased BP, nausea, lymph node under right arm swollen, fever,aches, chills, dizziness. Also unbearable pain in that arm. Ended up with a trip to the ER with diagnoses of cellulitis to the right arm, (same as vaccinated arm). Currently taking antibiotics.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: Increased BP, nausea, lymph node under right arm swollen, fever,aches, chills, dizziness. Also unbearable pain in that arm. Ended up with a trip to the ER with diagnoses of cellulitis to the right arm, (same as vaccinated arm). Currently taking antibiotics.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Injection site pain, Pain, Sleep disorder
Clinical narrative: Date of vaccine 12/7/2020-Patient had very sore painful left deltoid and had to take Tylenol pain level 7 out of 10 and interrupted sleeping. 2nd day-12/18/2020-Patient had left sided body weakness, pain at injection site, pain all on left side of body taking Motrin. On 3rd day symptoms all subsided and were gone. No fevers or chills during any symptoms.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth, Local reaction, Pharyngeal swelling
Clinical narrative: Localized rxn to injection site. Warm to touch, red area, itchy.   Also reports throat swelling when received the vaccine but resolved with benedryl. No difficulty breathing.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: First dose was given 12/21/20 and second dose was given 1/6/2020 at day 16.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count normal, Full blood count normal, Lipase normal, Metabolic function test normal, Pain
Clinical narrative: body aches day after, vomiting beginning day of and continuing until 12/31, went to ER for fluids and zofran
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Pregnancy test negative, Vomiting
Clinical narrative: body aches day after, vomiting beginning day of and continuing until 12/31, went to ER for fluids and zofran
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram head, Facial paralysis
Clinical narrative: Bell?s Palsy
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine
Clinical narrative: Started having severe migraine with aura after 1st and 2nd dose of vaccine.  First time it lasted 24-36 hours.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cervical radiculopathy, Hypoaesthesia, Neck pain, Sleep disorder
Clinical narrative: shoulder pain... which didn?t seem connected to the vaccine... which progressed to pins and needles in the L shoulder, numbness into both hands...of the left arm. And neck pain... cervical radiculopathy in the L arm... pain and pins/needles into L thumb. It reached its peak with 4 nights of disturbed sleep starting on the date mentioned. I didn?t keep track of the symptoms other than that because I didn?t initially associate the symptoms to the vaccine until early this week. Symptoms have since improved and are (almost) resolved; I was advised to have the the 2nd vaccine today as scheduled - which was recommended lower on the deltoid and on the opposite shoulder.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Skin burning sensation
Clinical narrative: Body aches, chills, headache, skin burning. Took Tylenol.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Local reaction, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: initially sore and red but now 10 days later continue to have an area of red raised warm skin on right arm and it it also frequently itchy
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Neck pain, Pain in extremity, Restless arm syndrome
Clinical narrative: Post Second dose, my right arm is numb from elbow down to the proximal side of my hand. My pinky finger and ring finger are numb. Restless arm.  Pain is all the way up to my neck.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Headache, Nausea, Pyrexia
Clinical narrative: On Monday January 4, I had a headache around 3pm around 5 pm I became nauseated and vomiting. Throughout the night I started coughing and had fever. I took Tylenol and made an appointment the following morning with doctor. They tested me for covid. My rapid came back negative as did my send out. I?m still having diarrhea and a really bad cough.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Vomiting
Clinical narrative: On Monday January 4, I had a headache around 3pm around 5 pm I became nauseated and vomiting. Throughout the night I started coughing and had fever. I took Tylenol and made an appointment the following morning with doctor. They tested me for covid. My rapid came back negative as did my send out. I?m still having diarrhea and a really bad cough.
Age: 29.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Headache
Clinical narrative: Patient was feeling dizzy  and had headaches..
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Full blood count normal, Peripheral swelling, Rash, Renal function test normal
Clinical narrative: Employee received 1st dose of Moderna vaccine on 12/23, remained for 15 min in observation post vaccination, no complications or reaction at the time, went home. 9 days later 1/1/2021 employee begat to have small rash to R hand/arm, they began to swell into hives. right Hand became swollen unable to close into a fist. Multiple test/labwork run no findings at this time. MD's unable to identify etiology, no  new soap, hygiene products etc have been used. He was placed on steroid tx and was out of work for a wk, returned to work 1/7/2020. Symptoms have resolved at this time, MD is advising to get 2nd dose but will be under supervision.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis normal, Urticaria
Clinical narrative: Employee received 1st dose of Moderna vaccine on 12/23, remained for 15 min in observation post vaccination, no complications or reaction at the time, went home. 9 days later 1/1/2021 employee begat to have small rash to R hand/arm, they began to swell into hives. right Hand became swollen unable to close into a fist. Multiple test/labwork run no findings at this time. MD's unable to identify etiology, no  new soap, hygiene products etc have been used. He was placed on steroid tx and was out of work for a wk, returned to work 1/7/2020. Symptoms have resolved at this time, MD is advising to get 2nd dose but will be under supervision.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia oral
Clinical narrative: Patient noted mid left side of tongue slight numbness . denies difficulty swallowing, nor resp. distress. Patient given benadryl 25 mg po at 0950. Patient handed to parametics with continued monitoring. Remains alert and oriented x3, VSS 138/80 HR 90 and O2 at 99%, no evidence of rash/hives at present. At 1020 BP 142/78 HR 72 with no worsening of S&S, speech clear, tolerating po fluids without difficulty, no change of tongue .AT 1040, dose of benadryl 25 elixir given per patient request due to concerns that no change of tongue numbness. Accessed tongue to be within nml findings. At 1050, patient cleared for discharge to home with her friend. Gait stable and patient as well.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysgeusia, Fatigue, Feeling abnormal, Headache, Injection site pain
Clinical narrative: Patient noted mid left side of tongue slight numbness . denies difficulty swallowing, nor resp. distress. Patient given benadryl 25 mg po at 0950. Patient handed to parametics with continued monitoring. Remains alert and oriented x3, VSS 138/80 HR 90 and O2 at 99%, no evidence of rash/hives at present. At 1020 BP 142/78 HR 72 with no worsening of S&S, speech clear, tolerating po fluids without difficulty, no change of tongue .AT 1040, dose of benadryl 25 elixir given per patient request due to concerns that no change of tongue numbness. Accessed tongue to be within nml findings. At 1050, patient cleared for discharge to home with her friend. Gait stable and patient as well.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Oropharyngeal pain, Pain, Tongue discomfort, Urticaria
Clinical narrative: Patient noted mid left side of tongue slight numbness . denies difficulty swallowing, nor resp. distress. Patient given benadryl 25 mg po at 0950. Patient handed to parametics with continued monitoring. Remains alert and oriented x3, VSS 138/80 HR 90 and O2 at 99%, no evidence of rash/hives at present. At 1020 BP 142/78 HR 72 with no worsening of S&S, speech clear, tolerating po fluids without difficulty, no change of tongue .AT 1040, dose of benadryl 25 elixir given per patient request due to concerns that no change of tongue numbness. Accessed tongue to be within nml findings. At 1050, patient cleared for discharge to home with her friend. Gait stable and patient as well.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, Chest pain, Dyspnoea, Headache
Clinical narrative: I woke up with sever stomach pain and nausea. I could not lay down or else it would hurt worse. By the afternoon this turned into chest pain, shortness of breath, headache, sweating, back and muscle pain, and a fever of 101.4.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Myalgia, Nausea, Pyrexia
Clinical narrative: I woke up with sever stomach pain and nausea. I could not lay down or else it would hurt worse. By the afternoon this turned into chest pain, shortness of breath, headache, sweating, back and muscle pain, and a fever of 101.4.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Exposure during pregnancy, Feeling hot, Flushing, Headache
Clinical narrative: Estimated due date:  04/10/2021 I started to get very flush and warm, dizzy so I had to sit down for a moment (I had to stop the procedure I was doing in order to sit down and drink some water). I kept trying to hydrate and had a headache the rest of the day and it went through the evening and night. I did not take anything and went to bed with the headache and woke up and felt fine.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Fever, chills, headache, muscle aches
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Pt reported swelling, warmth itching at injection site, currently 6cm X 6cm pt reports it was much larger. No other symptoms reported. Use ice as needed to provide comfort and continue to monitor.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Pain
Clinical narrative: Redness, swelling, warmth, and itching at injection site since day 2. Had soreness but that has dissipated. Itching has increased and I am utilizing over the counter hydrocortisone for relief.  Contacted PCP today - advised to report and try antihistamine
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Cervical lymphadenopathy
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dry throat, Headache, Hypoaesthesia, Injection site pain
Clinical narrative: Patient is describing headache, related to previous COVID diagnosis, dry throat, fever at 100.8 degrees, chills and nasaea, body aches, paint at the injection site, leading to pain in hands, patient describes numbness in the left hand, which is where the injection site was.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: Patient is describing headache, related to previous COVID diagnosis, dry throat, fever at 100.8 degrees, chills and nasaea, body aches, paint at the injection site, leading to pain in hands, patient describes numbness in the left hand, which is where the injection site was.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling hot, Pyrexia
Clinical narrative: Chills, feeling feverish, hot, tired, exhausted.
Age: 101.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Gait disturbance, Nausea, SARS-CoV-2 test negative, Tremor
Clinical narrative: Resident reported feeling nauseous and wanted to vomit and did not. Had an episode of diarrhea and needed assistance as she was unable to make it to the restroom  (this is not her normal) and was noted to have extremity tremors. Legs and arms were noted to be shaking and resident had c/o not being able to walk steady because of it.  Resident was assisted with a shower and after relaxed with no further complaints.  Was treated with PRNs for nausea with 20ml of Geri-Lanta Suspension and diarrhea with 15ml of Loperamide HCl Suspension  . Pulse was noted at 101 and all other vitals WNL. Resident reported she had not consumed much fluids during the day. Was instructed on hydration and fluids were provided.  Resident per post COVID-19 Vaccination protocol was administered PCR COVID test with NEGATIVE results and placed "under evaluation" status and placed in "Special Droplet/Contact Precautions."  Resident reports today "feeling good" and has no further noted or reported episodes of diarrhea, nausea or extremity tremors or changes in her gait.
Age: 27.0
Sex: M
Vaccine: TDAP
Symptoms: Feeling abnormal, Loss of consciousness
Clinical narrative: Patient recieved the vaccine then went to buy a gatorade and a snickers then went to the front of the store, felt strange and passed out. He later told us he has a history of fainting near needles (tattoos, piercings, vaccinations)
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood uric acid, Pain in extremity, Paraesthesia, Tenderness
Clinical narrative: Patient developed lower L leg and ankle pain 12 hours after vaccine was given.  Described as tingling pain.  Very sore to touch.  No fever, leg swelling, color change.
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pain in extremity
Clinical narrative: Patient received the covid vaccine on 01/06/2021.    C/o bodyache, temperature of 99.6, fatigue, and sore arm (no swelling or redness). Denies any ocular, respiratory, or GI symptoms  She is breast feeding her infant without any issue.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Nausea, Pain
Clinical narrative: 1/5 2200: Injection site soreness, fatigue 1/6 0600: Fever 99.9, chills, body aches, fatigue, nausea Treated with tylenol and zofran 1/7 1400: resolution of symptoms
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 1/5 2200: Injection site soreness, fatigue 1/6 0600: Fever 99.9, chills, body aches, fatigue, nausea Treated with tylenol and zofran 1/7 1400: resolution of symptoms
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Feeling hot, Injection site erythema, Injection site pruritus
Clinical narrative: Today was my second dose of the COVID vaccine and just a few short minutes after the injection the injection site start itching. At just about the 15 min wait time after ionjection a nurse asked if i was feeling ok. I told her i was feeling gine but my arm was very itchy. She checked the site and I had redness all around the site and welt size hives around the site. She asked me to stay 15 min longer and I agreed. Shortly after that the hive started to spread to my neck and chest area and I became lightheaded and faint feeling. I became very hot. They gave me and injection of benadryl and since my BP was high and my syptoms were not going away completly I was taken to the ER for monitoring and IV fluids. There I was given more Benadryl, steroids, Pepcid and IV fluids and monitored. I felt much better and was released to go home with a RX for 4 days of steroids.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Today was my second dose of the COVID vaccine and just a few short minutes after the injection the injection site start itching. At just about the 15 min wait time after ionjection a nurse asked if i was feeling ok. I told her i was feeling gine but my arm was very itchy. She checked the site and I had redness all around the site and welt size hives around the site. She asked me to stay 15 min longer and I agreed. Shortly after that the hive started to spread to my neck and chest area and I became lightheaded and faint feeling. I became very hot. They gave me and injection of benadryl and since my BP was high and my syptoms were not going away completly I was taken to the ER for monitoring and IV fluids. There I was given more Benadryl, steroids, Pepcid and IV fluids and monitored. I felt much better and was released to go home with a RX for 4 days of steroids.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Burning sensation, Dysgeusia, Fatigue, Lymphadenopathy
Clinical narrative: Metallic taste in mouth Body aches fatigue arm and fingers burned like it was nerve pain armpits hurt  swollen lymph nodes tingling on the left side of her face
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Pain, Paraesthesia
Clinical narrative: Metallic taste in mouth Body aches fatigue arm and fingers burned like it was nerve pain armpits hurt  swollen lymph nodes tingling on the left side of her face
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Immediate post-injection reaction, Injection site erythema, Injection site oedema, Pain
Clinical narrative: Patient arrived to clinic today reporting adverse reaction to Moderna COVID vaccine received on 12/30/20.  She states she experienced pain immediately after injection, and small amount of localized redness and swelling.   She reports hx similar reaction to a previous vaccine approximately 5-6 years ago although this is not well documented.   She arrived to clinic today to report this reaction and states she continues to have localized redness and swelling.   Today is Day 8 after vaccine.  Upon inspection, patient has area of redness and edema approximately 3 x 4 inches in size, slightly below right deltoid.  She reports self treating at home with Tylenol and Benedryl topical cream and experienced temporary relief.   Denies SOB, hives, nausea/vomiting, itching, rash, fever, headaches, or any other symptoms.  Advised patient speak with PCP today regarding treatment for localized reaction as well as advice regarding receiving the second dose of vaccine.  Patient agreed with plan and verbalized her understanding.  She will contact her PCP and if not available will utilize virtual urgent care via the app.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Patient arrived to clinic today reporting adverse reaction to Moderna COVID vaccine received on 12/30/20.  She states she experienced pain immediately after injection, and small amount of localized redness and swelling.   She reports hx similar reaction to a previous vaccine approximately 5-6 years ago although this is not well documented.   She arrived to clinic today to report this reaction and states she continues to have localized redness and swelling.   Today is Day 8 after vaccine.  Upon inspection, patient has area of redness and edema approximately 3 x 4 inches in size, slightly below right deltoid.  She reports self treating at home with Tylenol and Benedryl topical cream and experienced temporary relief.   Denies SOB, hives, nausea/vomiting, itching, rash, fever, headaches, or any other symptoms.  Advised patient speak with PCP today regarding treatment for localized reaction as well as advice regarding receiving the second dose of vaccine.  Patient agreed with plan and verbalized her understanding.  She will contact her PCP and if not available will utilize virtual urgent care via the app.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: PATIENT RECEIVED WRONG DOSE OF VACCINE AT ADMINISTRATION - RECEIVED 1ML INSTEAD OF 0.5ML. NO S/SX OF ADVERSE REACTIONS NOTED AT THIS TIME.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Pyrexia
Clinical narrative: Fever, Confusion, Weakness
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Swelling face
Clinical narrative: During initial screening, patient did not report history of food allergies and the Screening form specifically asks for any past allergic reactions to vaccines or other injectable medications.  Patient received vaccination without any problems.  Patient came from Immunizations Clinic to post vaccination observation area with her chalk in no distress after 1min of receiving her 1st dose of Pfizer COVID Vaccine.  She stated she felt like she was having difficulty swallowing.  The patient denied allergy to Benadryl and 25 Mg was offered her immediately, which she took.  Physician was at side by this time and EMS was notified.  Co-workers with patent said her face appeared "puffy" Four minutes after initial symptoms her vitals were as follows: BP 118/79  Sao2 99% on room air HR 97 Physician ordered Epipen and  EMS was arrived and placed patient on gurney.  Epipen 0.3.mg IM delivered by paramedic. Six minutes after initial symptoms report wasgiven to EMS and patient was taken to the hospital.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Rash pruritic
Clinical narrative: approx. 4 inch red, raised and itchy rash at and around injection site
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Headache
Clinical narrative: Joint pain, headache, temp of 100.8.  Onset day after injection, lasting ~12hr
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Flushing, Pruritus, Tachycardia
Clinical narrative: 15 minutes after inoculation she developed obvious cutaneous flushing, pruritus, and hives with no other symptoms. She was initially given 50mg diphenhydramine PO. Approximately 45 minutes later she reported chest pain and her vital signs were checked and she was tachycardia at 102 BPM. Her BP was 128/74. EMS was activated and she was given 0.3mg of epinephrine IM after which her flushing  and pruritus immediately resolved. She described continued mild chest tightness but over stated that she felt much better.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 15 minutes after inoculation she developed obvious cutaneous flushing, pruritus, and hives with no other symptoms. She was initially given 50mg diphenhydramine PO. Approximately 45 minutes later she reported chest pain and her vital signs were checked and she was tachycardia at 102 BPM. Her BP was 128/74. EMS was activated and she was given 0.3mg of epinephrine IM after which her flushing  and pruritus immediately resolved. She described continued mild chest tightness but over stated that she felt much better.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Injection site cellulitis, Migraine, Nausea
Clinical narrative: Severe Migraine x4 days  Nausea, chills, runny nose, loose stool 2x for 1-2 days Cellulitis along injection site started on 1/7/2021  Treatment for to today for observation and Triamcinolone cream 0.5%, and xyzal
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site urticaria, Mass
Clinical narrative: sudden itchiness of injection site with raised red hives. eventually growing to one large lump. Talked to immediate supervisor. Went to ED to show Dr. took zyrtek.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: 13 hrs post vaccination started with fever (101), body aches and chills. Today just fatigue
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Computerised tomogram, Loss of consciousness, Magnetic resonance imaging, Nausea
Clinical narrative: Patient was feeling nauseous after the vaccination. Went and ate lunch. When she came back from lunch, she passed out and a code blue was called. She never lost a pulse, but when in the ER she could not speak. She responded to commands without speaking. About 30 minutes later, she finally spoke.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose decreased, Chills, Feeling cold, Tremor
Clinical narrative: Symptoms started as a cold chill, shaking, and weakness. This started a little after I breastfed my baby. I felt as if my blood sugar levels dropped. I have eaten very light meals earlier.   Symptoms lasted for about 40 - 60 min. By 9 pm and after dinner I was back to normal.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 1/5/20 :  7 AM - and noticed swollen, red, and firm raised  area just under injection site. Warm to the touch and slightly itchy like sunburn.  6 PM - Area  is doubled in size (about the size /shape of a thumb), much redder, and in a well-defined elongated oval shape.  Hot to the touch, firm and painful swelling that made sleeping difficult. Took Aleve and iced it. 1/6/20 7 AM -  Red area has spread out into a less defined circle about 2in in diameter.  Less swollen and painful but still hot to the touch. 6 PM - Area has spread into tear-drop shape about the size of my palm. Drew a line around the area. Still causes some difficulty sleeping. 1/7/20 - Area is less red and not as painful but I can still feel the original area swollen under the skin and hot to the touch. Spread slowed significantly and mostly stayed in the lines.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Sunburn
Clinical narrative: 1/5/20 :  7 AM - and noticed swollen, red, and firm raised  area just under injection site. Warm to the touch and slightly itchy like sunburn.  6 PM - Area  is doubled in size (about the size /shape of a thumb), much redder, and in a well-defined elongated oval shape.  Hot to the touch, firm and painful swelling that made sleeping difficult. Took Aleve and iced it. 1/6/20 7 AM -  Red area has spread out into a less defined circle about 2in in diameter.  Less swollen and painful but still hot to the touch. 6 PM - Area has spread into tear-drop shape about the size of my palm. Drew a line around the area. Still causes some difficulty sleeping. 1/7/20 - Area is less red and not as painful but I can still feel the original area swollen under the skin and hot to the touch. Spread slowed significantly and mostly stayed in the lines.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Paraesthesia, Skin tightness
Clinical narrative: At around 1 pm on 1/5/2021, my right face started feeling weird. There was a tightness/tingling sensation starting below the right eye down to my whole cheek. This reaction was present until the following day, 1/6/21 and seemed to resolve on the morning of 1/7/21
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Soreness at injection site
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Crying, Erythema, Lacrimation increased, Ocular hyperaemia
Clinical narrative: 1508- Patient complains of itching on arms and face, red palms, red watery eyes, and mild clearing of throat.  RN x3 at patient's side.  Pulse: 60BPM,  Resp: 20, O2 Sat 100% RA.   1510- Benadryl 50mg PO given.  Pt anxious and crying at present.  Itching and redness of face, arms, and chest continues.  Denies Shortness of breath, trouble swallowing, or itchy throat.   1516- Pt sipping on water with fan blowing on patient.  Resp.18, O2 Sat 100% RA, Pulse 48-50BPM.    Palms remain red and pt. continues to complain of itching on arms and chest.  Denies trouble swallowing, itchy throat, or shortness of breath.   1528- BP 158/92, Pulse: 50, Resp. 16.  Pt is calm and states is "feeling much better".  Denies itching of face or arms, shortness or breath.   1535- BP:138/96, Pulse: 52.   1540- Respirations even and unlabored at 16 BPM.  No acute distress noted at present.  Denies shortness of breath or itching.  Pt released from the vaccination clinic and returned to her department walking with another RN.  Instructed patient to seek medical attention or go to the emergency department immediately if symptoms return.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Throat clearing
Clinical narrative: 1508- Patient complains of itching on arms and face, red palms, red watery eyes, and mild clearing of throat.  RN x3 at patient's side.  Pulse: 60BPM,  Resp: 20, O2 Sat 100% RA.   1510- Benadryl 50mg PO given.  Pt anxious and crying at present.  Itching and redness of face, arms, and chest continues.  Denies Shortness of breath, trouble swallowing, or itchy throat.   1516- Pt sipping on water with fan blowing on patient.  Resp.18, O2 Sat 100% RA, Pulse 48-50BPM.    Palms remain red and pt. continues to complain of itching on arms and chest.  Denies trouble swallowing, itchy throat, or shortness of breath.   1528- BP 158/92, Pulse: 50, Resp. 16.  Pt is calm and states is "feeling much better".  Denies itching of face or arms, shortness or breath.   1535- BP:138/96, Pulse: 52.   1540- Respirations even and unlabored at 16 BPM.  No acute distress noted at present.  Denies shortness of breath or itching.  Pt released from the vaccination clinic and returned to her department walking with another RN.  Instructed patient to seek medical attention or go to the emergency department immediately if symptoms return.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient is 17 years old, and signed up for vaccination with Pfizer vaccine, however decided to attend an earlier clinic with his Mother. At the earlier clinic, only the Moderna vaccine was available, and the vaccinator did not realize his age, and administered Moderna vaccine. It was not realized until after vaccination that he was due to receive the other vaccine because of his age. Patient attended the vaccine clinic with his Mother both were aware of the mistake. Patient had no ill effects after receiving the vaccination.
Age: 47.0
Sex: F
Vaccine: UNK
Symptoms: Cough, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Patient received 2nd dose of the Pfizer vaccine.  Within 12 minutes patient began to complain of dizziness and nausea.  She complained of dry mouth and sweating.  Patient was placed supine onto gurney.  Her BP read 162/101.  PO2:94%.  MD stat was notified and patient was later escorted to the ER.  She was received per ER staffing for treatment and evaluation.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness/swelling at injection site
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Injection site pain, Injection site swelling, Nausea
Clinical narrative: Pain and swelling at the injection site, approximately 36 hours' duration after onset.  Nausea and diarrhea, approximately 18 hours' duration after onset.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Computerised tomogram head, Electrocardiogram, Fatigue, Hypotension
Clinical narrative: Patient received 0.5mL Moderna Covid19 vaccine at mass vaccine clinic on 12/30. This patient was a walk thru and not a patient of HP at this time.    Daughter reported to ARNP,RN Director Clinical Support on 01/03 the following outcomes:    Patient first exhibited the first signs of reaction started about 60 hours after vaccine: hives only (no difficulty breathing, dizziness, lightheadedness); applied hydrocortisone cream, took diphenhydramine. Patient slept for a few hours then woke up for lunch. Around 12:30-1:00 the patient exhibited three episodes of syncope. Emergency services was called after the first. Firefighters couldn't find BP, was in 70s by doppler only. Patient taken to hospital for care.    Discharged from ED around 5, suspecting hypotension 2/2 to diphenhydramine use. Monitored vitals at home; became severely hypotensive (BP 70s/40s both with automatic monitor and manual read) and lethargic again about an hour or so after, but normotensive again right before about to call ambulance. Pt claimed to be okay and had some dinner. Fourth episode of syncope, ambulance was called.         Patient remains at hospital ED since, still in observation unit. BP's normalized but itching returns periodically. IV steroids and diphenhydramine. Took head CT yesterday; no word on the results. Stable and alert enough since yesterday to communicate with us with his phone. Patient is scheduled for an echo to be done today.    No hx of severe allergic reaction. Treated for active TB 30 years ago, shingles x2 in the past few years; otherwise healthy 55 y/o male.     Pt discharged 01/04 to home with fatigue and malaise. Not additional symptoms reported since then. Provider doing full cardiac and neurologic work up.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Lethargy, Malaise, Pruritus, Syncope
Clinical narrative: Patient received 0.5mL Moderna Covid19 vaccine at mass vaccine clinic on 12/30. This patient was a walk thru and not a patient of HP at this time.    Daughter reported to ARNP,RN Director Clinical Support on 01/03 the following outcomes:    Patient first exhibited the first signs of reaction started about 60 hours after vaccine: hives only (no difficulty breathing, dizziness, lightheadedness); applied hydrocortisone cream, took diphenhydramine. Patient slept for a few hours then woke up for lunch. Around 12:30-1:00 the patient exhibited three episodes of syncope. Emergency services was called after the first. Firefighters couldn't find BP, was in 70s by doppler only. Patient taken to hospital for care.    Discharged from ED around 5, suspecting hypotension 2/2 to diphenhydramine use. Monitored vitals at home; became severely hypotensive (BP 70s/40s both with automatic monitor and manual read) and lethargic again about an hour or so after, but normotensive again right before about to call ambulance. Pt claimed to be okay and had some dinner. Fourth episode of syncope, ambulance was called.         Patient remains at hospital ED since, still in observation unit. BP's normalized but itching returns periodically. IV steroids and diphenhydramine. Took head CT yesterday; no word on the results. Stable and alert enough since yesterday to communicate with us with his phone. Patient is scheduled for an echo to be done today.    No hx of severe allergic reaction. Treated for active TB 30 years ago, shingles x2 in the past few years; otherwise healthy 55 y/o male.     Pt discharged 01/04 to home with fatigue and malaise. Not additional symptoms reported since then. Provider doing full cardiac and neurologic work up.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient received 0.5mL Moderna Covid19 vaccine at mass vaccine clinic on 12/30. This patient was a walk thru and not a patient of HP at this time.    Daughter reported to ARNP,RN Director Clinical Support on 01/03 the following outcomes:    Patient first exhibited the first signs of reaction started about 60 hours after vaccine: hives only (no difficulty breathing, dizziness, lightheadedness); applied hydrocortisone cream, took diphenhydramine. Patient slept for a few hours then woke up for lunch. Around 12:30-1:00 the patient exhibited three episodes of syncope. Emergency services was called after the first. Firefighters couldn't find BP, was in 70s by doppler only. Patient taken to hospital for care.    Discharged from ED around 5, suspecting hypotension 2/2 to diphenhydramine use. Monitored vitals at home; became severely hypotensive (BP 70s/40s both with automatic monitor and manual read) and lethargic again about an hour or so after, but normotensive again right before about to call ambulance. Pt claimed to be okay and had some dinner. Fourth episode of syncope, ambulance was called.         Patient remains at hospital ED since, still in observation unit. BP's normalized but itching returns periodically. IV steroids and diphenhydramine. Took head CT yesterday; no word on the results. Stable and alert enough since yesterday to communicate with us with his phone. Patient is scheduled for an echo to be done today.    No hx of severe allergic reaction. Treated for active TB 30 years ago, shingles x2 in the past few years; otherwise healthy 55 y/o male.     Pt discharged 01/04 to home with fatigue and malaise. Not additional symptoms reported since then. Provider doing full cardiac and neurologic work up.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Mucosal erosion, Urticaria
Clinical narrative: mucosal erosions and hives
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site pain, Injection site swelling
Clinical narrative: Dose was administered at 10:16am. Pain at injection site as well as redness and swelling began around 5:00pm on the same day. Pain, redness, and swelling have continued for 24 more hours and has not yet gone away. The swelling is like a hard knot below the skin?s surface, but it protrudes a bit at the injection site.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Red itchy warm swollen rash to left upper arm and vertigo which started one week after injection
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Red itchy warm swollen rash to left upper arm and vertigo which started one week after injection
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: Patient received the covid vaccine on 1/26/2021 Two hrs post injection  c/o pain/soreness at site. Four hrs post injection c/o general body ache, slight headache, fever 99.7.    Denies any respiratory, ocular, or GI symptoms.  Note - injection lot # not available.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site swelling, Pain, Pain in extremity
Clinical narrative: Initially my arm was sore for about 36 hours. Yesterday on day 7 after my shot, the injection site was increasing in tenderness. By today the injection spot is swollen and I am unable to lift my arm over my head. No fever, or chills. I do have body aches which originally I was thinking was from moving snow and ice.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Oropharyngeal pain, Pain in extremity, Rhinorrhoea
Clinical narrative: Generalized Weakness, arm sore, sore throat, runny nose
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache at the "back of the skull" that occurred 2 hours after the vaccine and went away by the afternoon
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Injection site pain, Throat irritation
Clinical narrative: Very sore arm at site. Mild headache, tired, slight itchy throat. 1 day after getting the shot. Head alittle foggy.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Erythema, Fatigue, Heart rate increased
Clinical narrative: Fast Heart rate after an hour and half of injection and shortness of breath . Next morning i woke up sweating and my heart rate was 130 and shortness of breath followed. I then developed a rash the same day which was red and bumpy i also felt really lethargic and fatigued.  Day three  the rash had a line straight through the middle of it and was itchy the rash was spreading horizontally.  After day three I felt  better with the only  side effect being shortness of breath from time to time.  Now on the 7th of Jan I develop the rash again except its raised, the line is back and it itches internally.  I don't feel bad , it's just concerning that it came  back stronger all the sudden. I don't know if I will be allowed to get the second dose.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Lethargy, Pruritus, Rash, Swelling
Clinical narrative: Fast Heart rate after an hour and half of injection and shortness of breath . Next morning i woke up sweating and my heart rate was 130 and shortness of breath followed. I then developed a rash the same day which was red and bumpy i also felt really lethargic and fatigued.  Day three  the rash had a line straight through the middle of it and was itchy the rash was spreading horizontally.  After day three I felt  better with the only  side effect being shortness of breath from time to time.  Now on the 7th of Jan I develop the rash again except its raised, the line is back and it itches internally.  I don't feel bad , it's just concerning that it came  back stronger all the sudden. I don't know if I will be allowed to get the second dose.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Rash, Swelling
Clinical narrative: localized raised redness, rash
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: I believe I had the Virus already a few days before I received the vaccine. I felt fatigue on Monday after receiving the vaccination. On Tuesday I woke up with sinus issues and felt fatigue all day. Wednesday evening, I lost sense of smell and taste.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus disorder
Clinical narrative: I believe I had the Virus already a few days before I received the vaccine. I felt fatigue on Monday after receiving the vaccination. On Tuesday I woke up with sinus issues and felt fatigue all day. Wednesday evening, I lost sense of smell and taste.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site dryness, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Size of penny at shot site. Another one beside it, warm, itchy, bubbly or dry skin.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Fatigue, Impaired work ability, Pain, Pyrexia
Clinical narrative: Estimated due date: 02/16/2021 Essentially I just had tiredness, body aches and fever (101.8F), the reason I could not go to work is because I was extremely tired and unable to focus. Symptoms lasted 12-18 hrs.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Bursitis, Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain, Shoulder injury related to vaccine administration
Clinical narrative: Immediate pain and loss of range of movement of left shoulder. Physical examination today demonstrates a healing injection site which is fairly superior on the left shoulder, and abduction of the left shoulder which is limited secondary to pain.  Patient's physician's impression is that he has a subdeltoid bursitis which was temporally associated to the COVID-19 vaccination.  (SIRVA)
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear pain, Fatigue, Groin pain, Headache
Clinical narrative: Employee was being observed right after vaccine and B/P 146/104, started having left sided head, neck, ear, jaw throbbing pain and a headache, then pain went into left groin area-employee stated, "It's like I can feel it moving all through my lymphatic system. Then after about another 5 minutes employee became lightheaded and "fainty" like feeling and then was nauseated with continued left sided pain as listed above.  After about 10 minutes B/P 146/116, employee was transported to the emergency department for further evaluation. 2nd day-12/30/2020-employee had body aches all over, extreme fatigue and headache. 3rd day-12/31/2020-employee was just tired and fatigued. 4th day-1/1/2021-employee had no symptoms and felt much better.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Pain, Pain in jaw
Clinical narrative: Employee was being observed right after vaccine and B/P 146/104, started having left sided head, neck, ear, jaw throbbing pain and a headache, then pain went into left groin area-employee stated, "It's like I can feel it moving all through my lymphatic system. Then after about another 5 minutes employee became lightheaded and "fainty" like feeling and then was nauseated with continued left sided pain as listed above.  After about 10 minutes B/P 146/116, employee was transported to the emergency department for further evaluation. 2nd day-12/30/2020-employee had body aches all over, extreme fatigue and headache. 3rd day-12/31/2020-employee was just tired and fatigued. 4th day-1/1/2021-employee had no symptoms and felt much better.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo positional
Clinical narrative: BPPV  moderate, nothing else
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea, Tachycardia
Clinical narrative: tachycardia, sweating, dizziness and nausea.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Paraesthesia, Urticaria
Clinical narrative: Anxiety, hives, tingling
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dysphagia, Electrocardiogram, Feeling abnormal, Injection site erythema
Clinical narrative: Anxiety, hives, tingling
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Paraesthesia, Urticaria
Clinical narrative: Anxiety, hives, tingling
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous, Skin mass
Clinical narrative: RED CIRCULAR RASH AND LUMP UNDER SKIN.  SKIN IS VERY ITCHY
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event noted. Patient is 17 years old (17.5) and the approved age for this vaccine is 18. This was inadvertently missed at check-in. Patient suffered no untoward effects
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Injection site warmth
Clinical narrative: Rash warm to touch at injection site
Age: 17.0
Sex: F
Vaccine: HPV9
Symptoms: Electrocardiogram, Syncope
Clinical narrative: Syncope
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash left arm, shoulder, stomach - very itchy
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Eye pain, Headache, Injection site pain, Pyrexia
Clinical narrative: Headache. Fever. 103.5 temperature. Sleepy. Chills. Sore at injection site. Eyes hurt.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: Headache. Fever. 103.5 temperature. Sleepy. Chills. Sore at injection site. Eyes hurt.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Dyspnoea, Fatigue, Headache
Clinical narrative: Woke morning after, 1/4/21 with nausea and headache; by 10:30 a.m. body aches, chills and temp 100.3; Tylenol at that time; To bed at 11:30 a.m. Woke at 5pm with body aches, chills and fever 102.4; Motrin at that time; Morning of 1/5/21 temp 100 most of date with headache, body aches and fatigue; Afebrile by that evening; Morning of 1/6 woke with headache and fatigue; shortness of breath and tachycardia with exertion. Normal HR w/rest. Morning of 1/7 woke with headache that resolved w/Motrin - worked all day
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, SARS-CoV-2 test negative, Tachycardia
Clinical narrative: Woke morning after, 1/4/21 with nausea and headache; by 10:30 a.m. body aches, chills and temp 100.3; Tylenol at that time; To bed at 11:30 a.m. Woke at 5pm with body aches, chills and fever 102.4; Motrin at that time; Morning of 1/5/21 temp 100 most of date with headache, body aches and fatigue; Afebrile by that evening; Morning of 1/6 woke with headache and fatigue; shortness of breath and tachycardia with exertion. Normal HR w/rest. Morning of 1/7 woke with headache that resolved w/Motrin - worked all day
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Today redness, swelling, pain. Redness is very big.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia, Vomiting
Clinical narrative: Vomitting, Fever, Chills, Headache
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Livedo reticularis, Pruritus, Rash, Rash erythematous
Clinical narrative: Red rash over entire body.   Not raised but itchy.  Mottled appearance.  Started on arm of injection site then spread to both arms, both legs and torso.  Approximately 45 minutes after reaction started took diphenhydramine 25 mg x 1 dose.  Reaction started to ease off within 1 hour but did not completely resolve until the next morning.