chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Herpes zoster, Ocular hyperaemia
Clinical narrative: Had CoVid vaccine #1 1/22/21 - felt fine. 2/5/21, eyes became swollen and red - called her eye Dr, who met her after hours at his clinic and diagnosed with shingles. She does not remember ever having chicken pox but states she might have forgotten. She called MC to inform us she could not return 2/11/21 for her second vaccination d/t the shingles. We also had a second person vaccinated the same day that also called with shingles so decision was made to enter this variance report.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Error: Patient Too Young for Vaccine Administered
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Carpal tunnel syndrome, Epicondylitis, Injected limb mobility decreased, Injection site pain
Clinical narrative: 52 yo   complains of continued pain  in the deltoid and shoulder at the intersection with the collar bone. Both herself and vaccinator were sitting. She does not recall atypical site placement. Pain onset  was about 6 hours later followed by dysfunction and ROM limitation due to pain. Pain has been 8/10 and currently 6/10 with motion and unable to lift things.  She self treated with heat and NSAIDs. She was seen in ER 28 OCT 20 and diagnosed myalgia and treated with Naprosyn and ice. She was refered to PT starting 21 DEC 20. She saw ortho who provided steroid injection 11 JAN 21.  Ortho referred to OT due to development of left lateral epicondylitis, and left carpal tunnel syndrome.She denies any history of injury to her affected  shoulder.  At this time she has substantial improvement in both pain and ROM, but not full resolution
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Myalgia, Pain
Clinical narrative: 52 yo   complains of continued pain  in the deltoid and shoulder at the intersection with the collar bone. Both herself and vaccinator were sitting. She does not recall atypical site placement. Pain onset  was about 6 hours later followed by dysfunction and ROM limitation due to pain. Pain has been 8/10 and currently 6/10 with motion and unable to lift things.  She self treated with heat and NSAIDs. She was seen in ER 28 OCT 20 and diagnosed myalgia and treated with Naprosyn and ice. She was refered to PT starting 21 DEC 20. She saw ortho who provided steroid injection 11 JAN 21.  Ortho referred to OT due to development of left lateral epicondylitis, and left carpal tunnel syndrome.She denies any history of injury to her affected  shoulder.  At this time she has substantial improvement in both pain and ROM, but not full resolution
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Erythema, Injection site bruising, Nodule, Oedema
Clinical narrative: covid shot estimated at Feb 1st between 1-2 PM, first shot, and then had a trip and fall that day. 3-5 days later noted cellulitis on his leg with redness, swelling, pain, edema and went to urgent care on the 10th, given some antibiotics which he is currently taking and the site is looking much better. Patient notes also painless nodules going down his bicep, but not where lymph nodes are (more in the middle of the arm from the site, not near elbow or armpit). Pt also noted some bruising initially at the injection site which is better. Should he still get his second shot even with the abx and cellulitis?  Adv cellulitis on the leg more related to the fall than the shot. The nodules could be from the shot but as they aren't where I would typically expect to see lymphadenopathy would rec FU with PCP if the nodules persist or worsen. None of this is a contraindication to getting the second dose of the vaccine, but inform the vaccine providers that you are on elliquis so they can be aware to watch for additional bruising/bleeding, which is common after the shot. Discussed also Q518.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Swelling
Clinical narrative: covid shot estimated at Feb 1st between 1-2 PM, first shot, and then had a trip and fall that day. 3-5 days later noted cellulitis on his leg with redness, swelling, pain, edema and went to urgent care on the 10th, given some antibiotics which he is currently taking and the site is looking much better. Patient notes also painless nodules going down his bicep, but not where lymph nodes are (more in the middle of the arm from the site, not near elbow or armpit). Pt also noted some bruising initially at the injection site which is better. Should he still get his second shot even with the abx and cellulitis?  Adv cellulitis on the leg more related to the fall than the shot. The nodules could be from the shot but as they aren't where I would typically expect to see lymphadenopathy would rec FU with PCP if the nodules persist or worsen. None of this is a contraindication to getting the second dose of the vaccine, but inform the vaccine providers that you are on elliquis so they can be aware to watch for additional bruising/bleeding, which is common after the shot. Discussed also Q518.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test, Computerised tomogram head, Full blood count, Headache
Clinical narrative: Pt with hives/rash approx 30 minutes after receiving 2nd dose of Pfizer vaccine.  Pt also c/o of headache.  Blood pressure was elevated initially 185/112.  Multiple blood pressures taken with decrease to 174/105 then 154/95.  Rash and hives decreased 60 minutes post vaccine administration.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Tryptase, Urticaria
Clinical narrative: Pt with hives/rash approx 30 minutes after receiving 2nd dose of Pfizer vaccine.  Pt also c/o of headache.  Blood pressure was elevated initially 185/112.  Multiple blood pressures taken with decrease to 174/105 then 154/95.  Rash and hives decreased 60 minutes post vaccine administration.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is 17 1/2 and received his first dose of Covid vaccine (Moderna) which is used for ages 18 and up.  Mother  called and she is aware of error and will call PCP for follow up.  Reviewed standard work flow with nurse to always verify age on the front of the registration form, now what age the vaccine she is giving is used for and verbally verify age with client when appropriate.  Mother reports patient has Down's Syndrome.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Emotional distress, Lymphadenopathy, Mammogram, Ultrasound scan
Clinical narrative: Nine days after receiving dose one of Moderna, the patient developed a 1.8X0.8X1.5 palpable lymph node in the right axilla. This prompted a complete workup for breast cancer in this 45 year old woman, and severe emotional distress.  This also resulted in 2 visits to a healthcare provider, and two additional visits to a health care facility for radiographic procedures.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Discomfort, Injection site erythema, Injection site warmth, Lymphadenopathy
Clinical narrative: Client called approximately 12:35 pm on 2/12/2021.  Reports s/s:  redness and warmth at the injection site; swelling under arm to under breast and up to neck area; mild discomfort.  Recommended Benadryl and a ice pack to area periodically.  Follow up phone call to client approximately 4:30 pm.  Client reports improvement in s/s.  Will continue to use Benadryl.  Follow up phone call on 2/15/2021.  Client is doing fine.  Reports the swelling and redness are almost gone.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Client called approximately 12:35 pm on 2/12/2021.  Reports s/s:  redness and warmth at the injection site; swelling under arm to under breast and up to neck area; mild discomfort.  Recommended Benadryl and a ice pack to area periodically.  Follow up phone call to client approximately 4:30 pm.  Client reports improvement in s/s.  Will continue to use Benadryl.  Follow up phone call on 2/15/2021.  Client is doing fine.  Reports the swelling and redness are almost gone.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Joint Pain-Severe, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: Coordinator  reached out via email on 2/17 stating the employee had been experiencing numbess and pain in her arm since COVID vaccine shot 2. She will be following up her MD 2/18.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Injection site pain
Clinical narrative: The normal site pain from the needle stab, and several minutes later a sympathetic pain in the right shoulder.  Sounds crazy, but the same thing happened to my sister and one of her friends.  Sometime later after arriving home, I developed chills.  At 10:30 pm I took two extra strength acetaminophen capsules (500 mg, ea.).  That eliminated both the chill and the right shoulder pain by 11:30.  Today, the 18th, I am feeling fine except for the injection site pain.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Pyrexia
Clinical narrative: Severe dizziness, low grade headache
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Exposure to SARS-CoV-2, Headache, Influenza virus test negative
Clinical narrative: My parents live with my family of four. My father was exposed to COVID when he was in the hospital from 1/19-1/21 getting his hip replaced.  My mother and wife lost their sense of smell on Sunday 1/24. They got rapid and differential PCR tests on Tuesday 2/2. The rapid test came back positive for both of them. I served as primary care provider for all four of them during their illness.  I started to experience mild symptoms on 2/13. Symptoms included: reduction in sense of taste and smell (could not smell cinnamon or taste spicy foods), headaches, runny nose, waves of nausea.   I went to an medical center on 2/16 to receive the Rapid, PCR, and flu differential tests. My Rapid test came back negative but my PCR test came back positive on 2/17.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Polymerase chain reaction positive, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: My parents live with my family of four. My father was exposed to COVID when he was in the hospital from 1/19-1/21 getting his hip replaced.  My mother and wife lost their sense of smell on Sunday 1/24. They got rapid and differential PCR tests on Tuesday 2/2. The rapid test came back positive for both of them. I served as primary care provider for all four of them during their illness.  I started to experience mild symptoms on 2/13. Symptoms included: reduction in sense of taste and smell (could not smell cinnamon or taste spicy foods), headaches, runny nose, waves of nausea.   I went to an medical center on 2/16 to receive the Rapid, PCR, and flu differential tests. My Rapid test came back negative but my PCR test came back positive on 2/17.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Pt possible may have been given the NSS diluent instead of the Pfizer vaccine . Pt has no sign or symptoms of an adverse reaction. Pt was notified on 2/16/21
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Gait inability, Loss of control of legs
Clinical narrative: patient called the pharmacy (2/18/21) stating that on 2/16/21 he lost  muscle control of both legs and was unable to walk. As of 2/18/21 he had not contacted his doctor and full muscle control had not returned.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea
Clinical narrative: feb 12 at 1500 was given the Moderna vaccine .   On the 16th developed a headache , muscle aches , and nausea.   Symptoms have improved today with no treatment.   Patient states had similar symptoms 6 months ago.  Patient was given the Pneumonia and Shingles   vaccine on the same day.   Persistent symptoms see PMD.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dysphagia, Dyspnoea, Throat tightness
Clinical narrative: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Discomfort, Fatigue, Gait disturbance, Headache
Clinical narrative: Severe virtigo and intractable nausea requiring ER admission. Sxs ameliorated with Ativan, meclizine, Metachlopramide in ER.  Persistent sxs of virtigo, decrease hearing, nausea resolving over several days treated with meclizine, ativan, phenergan,  Virtigo improved but still persisting when moving quickly or looking up or down  Left frontal discomfort and sinus congestion; hearing returned to near baseline after 10d Steroid 5d dose pack and Augmentin started 2/13 Still unsteady (untrustworthy gait), excess fatigue and fatigability, wt loss, head pain Has not had fever
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoacusis, Lymphocyte count, Metabolic function test, Nausea, Sinus congestion
Clinical narrative: Severe virtigo and intractable nausea requiring ER admission. Sxs ameliorated with Ativan, meclizine, Metachlopramide in ER.  Persistent sxs of virtigo, decrease hearing, nausea resolving over several days treated with meclizine, ativan, phenergan,  Virtigo improved but still persisting when moving quickly or looking up or down  Left frontal discomfort and sinus congestion; hearing returned to near baseline after 10d Steroid 5d dose pack and Augmentin started 2/13 Still unsteady (untrustworthy gait), excess fatigue and fatigability, wt loss, head pain Has not had fever
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid function test, Vertigo, Weight decreased, White blood cell count
Clinical narrative: Severe virtigo and intractable nausea requiring ER admission. Sxs ameliorated with Ativan, meclizine, Metachlopramide in ER.  Persistent sxs of virtigo, decrease hearing, nausea resolving over several days treated with meclizine, ativan, phenergan,  Virtigo improved but still persisting when moving quickly or looking up or down  Left frontal discomfort and sinus congestion; hearing returned to near baseline after 10d Steroid 5d dose pack and Augmentin started 2/13 Still unsteady (untrustworthy gait), excess fatigue and fatigability, wt loss, head pain Has not had fever
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: I developed a rash above my left eyebrow. It started on the left side of my forehead and spread down towards my left eye. They then developed into what appears to be hives.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-thyroid antibody, Blood thyroid stimulating hormone, Full blood count, Headache, Nausea
Clinical narrative: WEDNESDAY: HA, BODY ACHE,  FRIDAY:  FACE SWOLLEN.  HA.  FRIDAY WENT TO ER. MONDAY: SEVERE HA, NAUSEA, SEVERE ACHES.  WENT TO DR OFFICE.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Swelling face
Clinical narrative: WEDNESDAY: HA, BODY ACHE,  FRIDAY:  FACE SWOLLEN.  HA.  FRIDAY WENT TO ER. MONDAY: SEVERE HA, NAUSEA, SEVERE ACHES.  WENT TO DR OFFICE.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Pyrexia
Clinical narrative: The day after the vaccine--fever of 103, generalized weakness and dizziness
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Paraesthesia, Pruritus
Clinical narrative: Tingling in fingertips, chills, generalized body or rapidly worsening  itching.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Appendicectomy, Appendicitis, Back pain, Blood test
Clinical narrative: Stomach pain, nausea, back pain, acute  appendicitis by 02/17/2021 appendectomy on 02/17/2021
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Nausea, Urine analysis
Clinical narrative: Stomach pain, nausea, back pain, acute  appendicitis by 02/17/2021 appendectomy on 02/17/2021
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Palpitations
Clinical narrative: Rapid Heart rate ,  Heart palpitations within 15 minutes of receiving vaccine.    Pulse 122. when checked by EMT.     Waited half hour longer went home.  About 4 hours later went to  . ER   B/p 204/104 Pulse 108 at check in.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Loss of personal independence in daily activities, Mobility decreased, Pain
Clinical narrative: woke up morning after vaccine feeling fatigued, difficult to get out of bed, diffuse body aches, low grade fever (100), chills, difficult to do household duties and did not leave the house for 2 days.  symptoms responded to every 4-6 hour dosing of acetaminophen and ibuprofen.  by day 2 was able to do household activity a little easier.  day 3 symptoms resolved.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: woke up morning after vaccine feeling fatigued, difficult to get out of bed, diffuse body aches, low grade fever (100), chills, difficult to do household duties and did not leave the house for 2 days.  symptoms responded to every 4-6 hour dosing of acetaminophen and ibuprofen.  by day 2 was able to do household activity a little easier.  day 3 symptoms resolved.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rotator cuff syndrome, Sleep disorder, X-ray
Clinical narrative: Very bad shoulder tendinitis about 5 days after the vaccine that got progressively worse where I could not sleep from pain by about day 7.  Dx by an Orthopedic MD.  Now I am about 20 days out and aggressive icing and ibuprofen have my shoulder almost back to normal but still hurts to reach behind my back.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Nervousness
Clinical narrative: 0905: Patient feeling shaky & nauseous  0910: HR 89 SpO2 100%, Benadryl 5ml [12.5mg] given with apple juice & saltines 0925: HR 68 SpO2 100%  Pt states she feels much better; released home
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Capillary disorder, Constipation, Decreased appetite
Clinical narrative: At 3:00 AM on 1/18/21 she was awoken from sleep with shoulder pain, hip girdle pain, long bones of the thighs, could not raise arms above head, neuropathy of the palms, pain in wrist, tingling, numbness, stiffness of wrists, stiff fingers, hurt to bend fingers with pulsing capillaries.  Started more centrally then extended down to extremities, did have some pain in ankles, neuropathy to the feet.  Much worsening of the mucosal dryness of her eyes, mouth, lips, throat to the point that she was hoarse, and also her vaginal mucosa started to dry up as well.   She took Acetaminophen, etc.  She then was given some narcotics, which did not help the pain symptoms either.  Her doctor had no answers, and did not prescribe her anything.   Her eyes and throat dryness has waned somewhat.  She is still having pain in her shoulder girdle.  Does have the neuropathy pain, still hard to bend fingers.  She had a very severe reaction this past weekend where she could not eat from Saturday to Wednesday due to nausea.  She did get an order for Zofran on Monday, 2/15/21.  She is still taking the Acetaminophen and Naprosyn, not taking the Norco due to constipation.   Started taking her Synthroid again, but low dose.  She is an RN and not able to work due to this condition.   She also become leukopenic, her  WBC's were lower than normal at 2.9, and her neutrophils dropped to a suboptimal level as well.  She is now immunocompromised, and another reason for her not going to work as she works in an overflow unit for COVID patient's.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dry eye, Dry mouth, Dry throat, Dysphonia, Hypoaesthesia
Clinical narrative: At 3:00 AM on 1/18/21 she was awoken from sleep with shoulder pain, hip girdle pain, long bones of the thighs, could not raise arms above head, neuropathy of the palms, pain in wrist, tingling, numbness, stiffness of wrists, stiff fingers, hurt to bend fingers with pulsing capillaries.  Started more centrally then extended down to extremities, did have some pain in ankles, neuropathy to the feet.  Much worsening of the mucosal dryness of her eyes, mouth, lips, throat to the point that she was hoarse, and also her vaginal mucosa started to dry up as well.   She took Acetaminophen, etc.  She then was given some narcotics, which did not help the pain symptoms either.  Her doctor had no answers, and did not prescribe her anything.   Her eyes and throat dryness has waned somewhat.  She is still having pain in her shoulder girdle.  Does have the neuropathy pain, still hard to bend fingers.  She had a very severe reaction this past weekend where she could not eat from Saturday to Wednesday due to nausea.  She did get an order for Zofran on Monday, 2/15/21.  She is still taking the Acetaminophen and Naprosyn, not taking the Norco due to constipation.   Started taking her Synthroid again, but low dose.  She is an RN and not able to work due to this condition.   She also become leukopenic, her  WBC's were lower than normal at 2.9, and her neutrophils dropped to a suboptimal level as well.  She is now immunocompromised, and another reason for her not going to work as she works in an overflow unit for COVID patient's.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Immunodeficiency, Impaired work ability, Laboratory test, Leukopenia, Lip dry
Clinical narrative: At 3:00 AM on 1/18/21 she was awoken from sleep with shoulder pain, hip girdle pain, long bones of the thighs, could not raise arms above head, neuropathy of the palms, pain in wrist, tingling, numbness, stiffness of wrists, stiff fingers, hurt to bend fingers with pulsing capillaries.  Started more centrally then extended down to extremities, did have some pain in ankles, neuropathy to the feet.  Much worsening of the mucosal dryness of her eyes, mouth, lips, throat to the point that she was hoarse, and also her vaginal mucosa started to dry up as well.   She took Acetaminophen, etc.  She then was given some narcotics, which did not help the pain symptoms either.  Her doctor had no answers, and did not prescribe her anything.   Her eyes and throat dryness has waned somewhat.  She is still having pain in her shoulder girdle.  Does have the neuropathy pain, still hard to bend fingers.  She had a very severe reaction this past weekend where she could not eat from Saturday to Wednesday due to nausea.  She did get an order for Zofran on Monday, 2/15/21.  She is still taking the Acetaminophen and Naprosyn, not taking the Norco due to constipation.   Started taking her Synthroid again, but low dose.  She is an RN and not able to work due to this condition.   She also become leukopenic, her  WBC's were lower than normal at 2.9, and her neutrophils dropped to a suboptimal level as well.  She is now immunocompromised, and another reason for her not going to work as she works in an overflow unit for COVID patient's.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Mucosal dryness, Musculoskeletal stiffness, Nausea, Neuropathy peripheral
Clinical narrative: At 3:00 AM on 1/18/21 she was awoken from sleep with shoulder pain, hip girdle pain, long bones of the thighs, could not raise arms above head, neuropathy of the palms, pain in wrist, tingling, numbness, stiffness of wrists, stiff fingers, hurt to bend fingers with pulsing capillaries.  Started more centrally then extended down to extremities, did have some pain in ankles, neuropathy to the feet.  Much worsening of the mucosal dryness of her eyes, mouth, lips, throat to the point that she was hoarse, and also her vaginal mucosa started to dry up as well.   She took Acetaminophen, etc.  She then was given some narcotics, which did not help the pain symptoms either.  Her doctor had no answers, and did not prescribe her anything.   Her eyes and throat dryness has waned somewhat.  She is still having pain in her shoulder girdle.  Does have the neuropathy pain, still hard to bend fingers.  She had a very severe reaction this past weekend where she could not eat from Saturday to Wednesday due to nausea.  She did get an order for Zofran on Monday, 2/15/21.  She is still taking the Acetaminophen and Naprosyn, not taking the Norco due to constipation.   Started taking her Synthroid again, but low dose.  She is an RN and not able to work due to this condition.   She also become leukopenic, her  WBC's were lower than normal at 2.9, and her neutrophils dropped to a suboptimal level as well.  She is now immunocompromised, and another reason for her not going to work as she works in an overflow unit for COVID patient's.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count decreased, Pain in extremity, Paraesthesia, Sleep disorder, Vulvovaginal dryness
Clinical narrative: At 3:00 AM on 1/18/21 she was awoken from sleep with shoulder pain, hip girdle pain, long bones of the thighs, could not raise arms above head, neuropathy of the palms, pain in wrist, tingling, numbness, stiffness of wrists, stiff fingers, hurt to bend fingers with pulsing capillaries.  Started more centrally then extended down to extremities, did have some pain in ankles, neuropathy to the feet.  Much worsening of the mucosal dryness of her eyes, mouth, lips, throat to the point that she was hoarse, and also her vaginal mucosa started to dry up as well.   She took Acetaminophen, etc.  She then was given some narcotics, which did not help the pain symptoms either.  Her doctor had no answers, and did not prescribe her anything.   Her eyes and throat dryness has waned somewhat.  She is still having pain in her shoulder girdle.  Does have the neuropathy pain, still hard to bend fingers.  She had a very severe reaction this past weekend where she could not eat from Saturday to Wednesday due to nausea.  She did get an order for Zofran on Monday, 2/15/21.  She is still taking the Acetaminophen and Naprosyn, not taking the Norco due to constipation.   Started taking her Synthroid again, but low dose.  She is an RN and not able to work due to this condition.   She also become leukopenic, her  WBC's were lower than normal at 2.9, and her neutrophils dropped to a suboptimal level as well.  She is now immunocompromised, and another reason for her not going to work as she works in an overflow unit for COVID patient's.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: At 3:00 AM on 1/18/21 she was awoken from sleep with shoulder pain, hip girdle pain, long bones of the thighs, could not raise arms above head, neuropathy of the palms, pain in wrist, tingling, numbness, stiffness of wrists, stiff fingers, hurt to bend fingers with pulsing capillaries.  Started more centrally then extended down to extremities, did have some pain in ankles, neuropathy to the feet.  Much worsening of the mucosal dryness of her eyes, mouth, lips, throat to the point that she was hoarse, and also her vaginal mucosa started to dry up as well.   She took Acetaminophen, etc.  She then was given some narcotics, which did not help the pain symptoms either.  Her doctor had no answers, and did not prescribe her anything.   Her eyes and throat dryness has waned somewhat.  She is still having pain in her shoulder girdle.  Does have the neuropathy pain, still hard to bend fingers.  She had a very severe reaction this past weekend where she could not eat from Saturday to Wednesday due to nausea.  She did get an order for Zofran on Monday, 2/15/21.  She is still taking the Acetaminophen and Naprosyn, not taking the Norco due to constipation.   Started taking her Synthroid again, but low dose.  She is an RN and not able to work due to this condition.   She also become leukopenic, her  WBC's were lower than normal at 2.9, and her neutrophils dropped to a suboptimal level as well.  She is now immunocompromised, and another reason for her not going to work as she works in an overflow unit for COVID patient's.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypertension, Tachycardia, Tremor
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Hypertension-Mild, Systemic: Shakiness-Medium, Systemic: Tachycardia-Mild
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: pt experienced nausea, vomiting and dizziness with in 15 min of vaccination
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Hypoaesthesia, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Burning, numbness, tingling, numb spots, shooting pains into bilateral lower legs
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia
Clinical narrative: Fatigue and low fever around the third day after the vaccination.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Product dispensing error
Clinical narrative: Error: Incorrect Reconstitution
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pruritus, Skin warm
Clinical narrative: I had no reaction for the first 8 day.  I woke up on the 9th day with itchy arm. When I looked at the are it was red, felt hot to touch at the injection site and was swollen. This lasted 2 days (day 9 and 10). On day 11, it appeared to be going away and my are looked mostly normal on 2/17, I noticed the knot in my arm had disappeared by I thin had a large read ring shaped rash that covered the entire width of my arm. It feel irritated and is warm but not painful. No other symptoms.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Body temperature increased, Chest X-ray, Chest pain, Dyspnoea
Clinical narrative: Dull pain in left lung , left arm, and up neck within 5 minutes of receiving vaccine.  Pain increased over the course of the next 1.5 days until I found it was necessary to go to the hospital.  Trouble taking deep breaths and moving around was painful. Wheezing and crackling in lungs would occur if exposed to cold. Increased temp  occurred on day 4 (99.8). Currently am on day 8 and am mostly back to normal with occasionally chest pains/wheezing. I believe pleurisy was the final diagnosis.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Neck pain, Pain, Pain in extremity, Pleurisy
Clinical narrative: Dull pain in left lung , left arm, and up neck within 5 minutes of receiving vaccine.  Pain increased over the course of the next 1.5 days until I found it was necessary to go to the hospital.  Trouble taking deep breaths and moving around was painful. Wheezing and crackling in lungs would occur if exposed to cold. Increased temp  occurred on day 4 (99.8). Currently am on day 8 and am mostly back to normal with occasionally chest pains/wheezing. I believe pleurisy was the final diagnosis.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary pain, Rales, Wheezing
Clinical narrative: Dull pain in left lung , left arm, and up neck within 5 minutes of receiving vaccine.  Pain increased over the course of the next 1.5 days until I found it was necessary to go to the hospital.  Trouble taking deep breaths and moving around was painful. Wheezing and crackling in lungs would occur if exposed to cold. Increased temp  occurred on day 4 (99.8). Currently am on day 8 and am mostly back to normal with occasionally chest pains/wheezing. I believe pleurisy was the final diagnosis.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Deep vein thrombosis, Phlebitis, Ultrasound abdomen
Clinical narrative: Two leg blood clots DVT and also phelbitis same leg..Never had blood clots prior
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Pain in extremity, Rash
Clinical narrative: Vaccinated at Medical Center 1/22/21 - Sunday, 1/25/21 developed rash from elbow to shoulder. Initially treated with topical meds. The pain was so severe, he saw Doctor 1/28/21 and was diagnosed with shingles. The rash remained localized to his right arm only. Treated with anti-inflammatories and pain medication. He called Medical Center to inform us he could not return 2/11 for his second vaccination due to the shingles - another person had also called with same complaint (VAERS form submitted) so a decision was made to enter both of these variances.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Erythema, Herpes zoster, Pain, Urticaria
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Within approx. four hours of receiving the vaccine, I had several red welts develop on my abdomen. Over a period of several days, these welts spread to my back and were angry, red and painful.  Since then, they have blistered. I went to a walk-in clinic because my primary care physician clinic was closed due to lack of power.  At the walk-in clinic, I was diagnosed as having shingles.  I had the shingles vaccine in 2014. I am now taking Acyclovir 800 mg five times per day. I am also taking L-Lysine with meals and Oxycodone-acetaminophen for pain.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Lymph node pain, Lymphadenopathy
Clinical narrative: L side of neck swollen lymph node tender larger than a quarter, not warm, not reddened, firm to touch.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Booster Given Too Early
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site urticaria, Injection site warmth
Clinical narrative: Hot red hives on upper left arm below shot injection site. Today is the 3rd day. Feeling much better than yesterday.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Pain in extremity, Paraesthesia
Clinical narrative: Tingling and sharpness felt at L shoulder, down posterior arm to fingers
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Pain, Pain in extremity, Toothache
Clinical narrative: 5 days after vaccination toothache on left side of mouth, 9 days after vaccination left elbow achy, 10 days after vaccination all joints on left side of body achy, joints on right side of body achy to a lesser degree. 11 days after vaccincation all joints in body very achy felt like body was under attacke. 12 Days after vaccination achiness began to subside. 18 days after vaccination achiness continues to be present. I had not experienced joint achiness prior to receiving the vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Joint swelling, Toothache
Clinical narrative: 5 days after vaccination toothache on left side of mouth, 9 days after vaccination left elbow achy, 10 days after vaccination all joints on left side of body achy, joints on right side of body achy to a lesser degree. 11 days after vaccincation all joints in body very achy felt like body was under attacke. 12 Days after vaccination achiness began to subside. 18 days after vaccination achiness continues to be present. I had not experienced joint achiness prior to receiving the vaccine.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Itch on upper arm of injection started on Feb 9, 2021.  Rash appeared around Feb  12, 2021 on upper arm. Rash is still in there with an old enlarging circle on the upper arm.
Age: 14.0
Sex: M
Vaccine: HEPA, HPV9
Symptoms: Anaphylactic reaction, Chest pain, Dysphonia, Dyspnoea, Erythema
Clinical narrative: felt malaise, headaches and short of breath/raspy voice followed by red face and then red hives also on his chest. was determined to have  anaphylaxis. given 0.3 ml of epinephrine. then had chest pain and felt like he couldn't feel his hands. oxygen dropped to 88% on pulse ox. was given an adult epi_pen oxygen returned to 97+%, still had increased work of breathing and accessory muscle usage.
Age: 14.0
Sex: M
Vaccine: HEPA, HPV9
Symptoms: Headache, Hypoaesthesia, Malaise, Urticaria
Clinical narrative: felt malaise, headaches and short of breath/raspy voice followed by red face and then red hives also on his chest. was determined to have  anaphylaxis. given 0.3 ml of epinephrine. then had chest pain and felt like he couldn't feel his hands. oxygen dropped to 88% on pulse ox. was given an adult epi_pen oxygen returned to 97+%, still had increased work of breathing and accessory muscle usage.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache 2 days following shot, and up to 7 days following
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Muscle tightness
Clinical narrative: Patient received first dose of Pzifer Vaccine.  Approximately 20 minutes later developed tightness to her posterior neck and shoulders. Encouraged to remain for full 30 minutes, patient continued to report these symptoms. Patient evaluated by RN Observers, denies shortness of breath, mouth/tongue swelling, palpitations, itching, rash.  Patient given 25mg PO Benadryl from Vaccine Clinic RN.  Patient reported she maybe was a little light headed and anxious so she laid down.  About 10 minutes after she reported feeling some better and wanted to go home. Patient counseled by RN, Resource Nurse on signs and symptoms to watch for and when she should call 9-1-1 if symptoms worsen.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Pruritus, Pyrexia, Rash
Clinical narrative: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Mild, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patient experienced small pitchea on arms. Given 25 mg benadryl. Monitored additional 5 minutes, temperature increased, began to complain of bumps around neck. 0.3 mg epinephrine administered and BP monitored. Red rash began to form on face and neck. BP recorded as 99/39 mmHg. Paramedics arrived within 7 minutes of administering epinephrine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Rash, Rash pruritic
Clinical narrative: 12 Feb 4PM left arm swollen, red, and itchy at infection site. 13 Feb 8 am woke up to itchy rash/ hives on stomach, back, buttocks, and legs. Took benadryl until 17 Feb symptoms didn't get better. I went to urgent care and received a steroid shot and prescription antihistamine.  The itchiness and redness decreased later that night.  The rash/hives are still present but, starting to go away.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 12 Feb 4PM left arm swollen, red, and itchy at infection site. 13 Feb 8 am woke up to itchy rash/ hives on stomach, back, buttocks, and legs. Took benadryl until 17 Feb symptoms didn't get better. I went to urgent care and received a steroid shot and prescription antihistamine.  The itchiness and redness decreased later that night.  The rash/hives are still present but, starting to go away.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Bone pain, Chills, Diarrhoea
Clinical narrative: Severe pain in muscles, bones, stomach and intestines.  Severe chills, to the point that the chattering chipped a tooth.  Diarrhea, vomiting, to the point that I was unable to keep even water down for about the first 36 hours.  The shaking subsided, but the chills and severe muscle pain continued for three days. My bowels are still painful after three full days, but skin and muscle pain has subsided.  During the three days of pain, I slept about 20 out of 24 hours.  When awake, I tried to read but was unable to concentrate.  Same for TV.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Gastrointestinal pain, Hypersomnia, Myalgia, Pain of skin
Clinical narrative: Severe pain in muscles, bones, stomach and intestines.  Severe chills, to the point that the chattering chipped a tooth.  Diarrhea, vomiting, to the point that I was unable to keep even water down for about the first 36 hours.  The shaking subsided, but the chills and severe muscle pain continued for three days. My bowels are still painful after three full days, but skin and muscle pain has subsided.  During the three days of pain, I slept about 20 out of 24 hours.  When awake, I tried to read but was unable to concentrate.  Same for TV.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Tooth fracture, Tremor, Vomiting
Clinical narrative: Severe pain in muscles, bones, stomach and intestines.  Severe chills, to the point that the chattering chipped a tooth.  Diarrhea, vomiting, to the point that I was unable to keep even water down for about the first 36 hours.  The shaking subsided, but the chills and severe muscle pain continued for three days. My bowels are still painful after three full days, but skin and muscle pain has subsided.  During the three days of pain, I slept about 20 out of 24 hours.  When awake, I tried to read but was unable to concentrate.  Same for TV.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: Redness in arm did not appear until 10 days post injection. Over the course of 3 days the redness increased in size. The redness is decreasing in intensity but still traveling down the arm as of today.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Diarrhoea, Epistaxis, Erythema, Fatigue
Clinical narrative: Nerve pain, tingling in arms, hands, legs and feet, and then extending to scalp, lips, and tongue. Tingling and numbing sensation in pelvis and hip areas, that then extended to perianal area and eventually severe bleeding hemorrhoids and pressure in anal area. Diarrhea over one week period. Lymph nodes also swollen on right side, in front of ear with redness and pain lasting one day. Lymph nodes swollen under left arm during recent mammogram. Nose bleed x 1. Fogginess and overall fatigue.  Pain in lower back near hips with a burning sensation.  Ringing in ears, both. Fever and body aches day after second dose of vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Haemorrhoids, Hypoaesthesia, Lymphadenopathy, Mammogram
Clinical narrative: Nerve pain, tingling in arms, hands, legs and feet, and then extending to scalp, lips, and tongue. Tingling and numbing sensation in pelvis and hip areas, that then extended to perianal area and eventually severe bleeding hemorrhoids and pressure in anal area. Diarrhea over one week period. Lymph nodes also swollen on right side, in front of ear with redness and pain lasting one day. Lymph nodes swollen under left arm during recent mammogram. Nose bleed x 1. Fogginess and overall fatigue.  Pain in lower back near hips with a burning sensation.  Ringing in ears, both. Fever and body aches day after second dose of vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neuralgia, Pain, Paraesthesia, Paraesthesia oral, Pyrexia
Clinical narrative: Nerve pain, tingling in arms, hands, legs and feet, and then extending to scalp, lips, and tongue. Tingling and numbing sensation in pelvis and hip areas, that then extended to perianal area and eventually severe bleeding hemorrhoids and pressure in anal area. Diarrhea over one week period. Lymph nodes also swollen on right side, in front of ear with redness and pain lasting one day. Lymph nodes swollen under left arm during recent mammogram. Nose bleed x 1. Fogginess and overall fatigue.  Pain in lower back near hips with a burning sensation.  Ringing in ears, both. Fever and body aches day after second dose of vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Pain in extremity
Clinical narrative: Temp 103. Lowers to 101 after Motrin then back up in 1-2 hours to 103 Chills Bad Headache Sore arm
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chest discomfort, Fatigue, Headache, Musculoskeletal discomfort
Clinical narrative: 48 hours after my first vaccine I started having a vaginal discharge that appeared the color of milky tea. No obvious bleeding, no cramps, no itching, no odor, no rash or other symptom. It required me to change a panti-liner 6-7 times qd for seven days. Sometimes it was absorbed by the pad, sometimes it appeared to be like jelly.   At the same time I started to feel symptoms of a cold; chest pressure, increased fatigue, mild headache, joint discomfort. Oral temp was 100.2 F. usual is 96.4-97.6F.  Later I woke with a night sweat, my body and the sheets were soaked but I was too tired to change them. The next morning I felt fine. Only the vaginal discharge continued unchanged for one week.  Hx complete hysterectomy.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Night sweats, Vaginal discharge
Clinical narrative: 48 hours after my first vaccine I started having a vaginal discharge that appeared the color of milky tea. No obvious bleeding, no cramps, no itching, no odor, no rash or other symptom. It required me to change a panti-liner 6-7 times qd for seven days. Sometimes it was absorbed by the pad, sometimes it appeared to be like jelly.   At the same time I started to feel symptoms of a cold; chest pressure, increased fatigue, mild headache, joint discomfort. Oral temp was 100.2 F. usual is 96.4-97.6F.  Later I woke with a night sweat, my body and the sheets were soaked but I was too tired to change them. The next morning I felt fine. Only the vaginal discharge continued unchanged for one week.  Hx complete hysterectomy.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure increased, Breath sounds abnormal, Cardiac arrest, Coronary artery disease
Clinical narrative: The patient came to the Emergency Room at approx 3:30 am on 02/03/2021 with pain in right arm (same arm the COVID vaccine had been administered in approx 12 hours earlier) and feeling generally unwell. Patient was concerned about possibility of gout flare or that something was wrong with her arm. Elevated blood pressure was noted; this was attributed to anxiety. She was evaluated, given 500 mg Tylenol, and discharged since the pain was decreasing and blood pressure was stabilized. Patient instructed to follow-up with physician.  The next day,  on 02/04/2021, the patient arrived at the Emergency Room by ambulance; cardiac arrest was the chief complaint. The patient's daughter stated the patient had been "feeling generally poor and then suddenly collapsed." Daughter described "gurgling respirations" and being unresponsive. 911 was called, police arrived within 5 minutes and initiated CPR. Epinephrine, atropine, lidocaine and bicarb administered after arrival to Emergency Room.  Shockable rhythm never demonstrated. Patient never recovered spontaneous respiration or movement.   The death was called at 23:04. Coronary artery disease with cardiac arrest is the cause from the ER records; the coroner is putting COVID-19 vaccination in Part 1 of the death certificate.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Malaise, Pain in extremity, Resuscitation, Syncope
Clinical narrative: The patient came to the Emergency Room at approx 3:30 am on 02/03/2021 with pain in right arm (same arm the COVID vaccine had been administered in approx 12 hours earlier) and feeling generally unwell. Patient was concerned about possibility of gout flare or that something was wrong with her arm. Elevated blood pressure was noted; this was attributed to anxiety. She was evaluated, given 500 mg Tylenol, and discharged since the pain was decreasing and blood pressure was stabilized. Patient instructed to follow-up with physician.  The next day,  on 02/04/2021, the patient arrived at the Emergency Room by ambulance; cardiac arrest was the chief complaint. The patient's daughter stated the patient had been "feeling generally poor and then suddenly collapsed." Daughter described "gurgling respirations" and being unresponsive. 911 was called, police arrived within 5 minutes and initiated CPR. Epinephrine, atropine, lidocaine and bicarb administered after arrival to Emergency Room.  Shockable rhythm never demonstrated. Patient never recovered spontaneous respiration or movement.   The death was called at 23:04. Coronary artery disease with cardiac arrest is the cause from the ER records; the coroner is putting COVID-19 vaccination in Part 1 of the death certificate.