chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Throat tightness
Clinical narrative: approx. 5 min after receiving vaccine patient complained of not feeling well. on exam patient was bradycardic at 56, diaphoretic, hot, and altered. Patient continued to deteriorate in mental status.  Patient indicated yes by nodding and clutching throat to airway constriction. Patient given .3mg epi via auto injector in the left thigh. Patient status improved markedly after adminstration. Patient taken to Er for observation and EKG. Patient was discharged without incident.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Nervousness
Clinical narrative: Patient felt anxious after receiving vaccine. no respiratory distress, no itching, no scrathy throat. Patient brought to medical area. felt reassured. Almost immediately felt better. Stated she just felt nervous but feels normal now.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: fever, myalgia, rash, headache, nausea, fatigue
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: fever, myalgia, rash, headache, nausea, fatigue
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Pt developed rash approximately 2 inches in diameter around the injection site 6 days post injection. The rash is hot to the touch, itchy and appears to be getting larger
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Chills, Diarrhoea, Headache
Clinical narrative: Took the vaccine at 930 am   On the 1/18/2121 side effects started around 230 pm  head ache, body and joint pain ,  woke up with fever chills, nausea,   Diarrhea,  pain at the injection site all day on the 1/19/2121  alleve   and dayquil  today no fever some nausea pain under the left hand armpit  still there.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Pain, Pyrexia
Clinical narrative: Took the vaccine at 930 am   On the 1/18/2121 side effects started around 230 pm  head ache, body and joint pain ,  woke up with fever chills, nausea,   Diarrhea,  pain at the injection site all day on the 1/19/2121  alleve   and dayquil  today no fever some nausea pain under the left hand armpit  still there.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Blood count, Burning sensation, Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Arm began to swell and turn red a week after dose was given. Pain also continued in arm (burning, soreness)
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Ear pain, Fatigue, Head discomfort, Headache
Clinical narrative: On 1/8/21 I had pain in my left ear and a feeling of fluid like an earache, also had a pressure type headache behind my eyes and felt fatigued. I stayed home from work and reported it and was told I could return to work on 1/11 (my next scheduled day) by workplace health. I felt fatigue and eye pressure headaches on and off since. I also felt like I was having vision changes. On 1/14/21 I noticed a small, raised, red area at the injection site. Over the weekend it continued to spread over my arm. It is warm and very mild tenderness to palpation but does not itch. I am also feeling tight muscle pain in my left shoulder and left side of my neck.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Injection site erythema, Injection site urticaria, Muscle tightness, Myalgia
Clinical narrative: On 1/8/21 I had pain in my left ear and a feeling of fluid like an earache, also had a pressure type headache behind my eyes and felt fatigued. I stayed home from work and reported it and was told I could return to work on 1/11 (my next scheduled day) by workplace health. I felt fatigue and eye pressure headaches on and off since. I also felt like I was having vision changes. On 1/14/21 I noticed a small, raised, red area at the injection site. Over the weekend it continued to spread over my arm. It is warm and very mild tenderness to palpation but does not itch. I am also feeling tight muscle pain in my left shoulder and left side of my neck.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Ocular discomfort, Skin warm, Tenderness, Visual impairment
Clinical narrative: On 1/8/21 I had pain in my left ear and a feeling of fluid like an earache, also had a pressure type headache behind my eyes and felt fatigued. I stayed home from work and reported it and was told I could return to work on 1/11 (my next scheduled day) by workplace health. I felt fatigue and eye pressure headaches on and off since. I also felt like I was having vision changes. On 1/14/21 I noticed a small, raised, red area at the injection site. Over the weekend it continued to spread over my arm. It is warm and very mild tenderness to palpation but does not itch. I am also feeling tight muscle pain in my left shoulder and left side of my neck.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Delayed onset of redness and itching at injection site discovered in morning (0/20/2021) prior to shower.  Better in afternoon but still visible
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Abdominal distension, Bacterial vulvovaginitis, Fungal infection, Laboratory test
Clinical narrative: Evening of 1-17-21 felt like I was having horrible vaginal infection symptoms. Saw a primary care physician on 1-18-21 and was found to have a raging yeast infection, bacterial vaginitis and urinary tract infection. I haven't had any of these in 15+ years. I was started on antibiotics. Next morning (1-19-21) felt extreme lower abdominal fullness and pressure and extreme nausea. I got in with my OBGYN at 9am same day and he discovered I had an ovarian cyst. He sent me down for an ultrasound and the results showed I had a ruptured ovarian cyst on my left side and an ovarian cyst on my right side. I have never had an ovarian cyst in my life. The next day (1-20-21) the right cyst ruptured. Having all three infections and two ovarian cysts (when I've never had one before) lead my OBGYN and I to feel it warranted filing a VARES report
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Ovarian cyst, Ultrasound scan, Urinary tract infection, Vaginal infection
Clinical narrative: Evening of 1-17-21 felt like I was having horrible vaginal infection symptoms. Saw a primary care physician on 1-18-21 and was found to have a raging yeast infection, bacterial vaginitis and urinary tract infection. I haven't had any of these in 15+ years. I was started on antibiotics. Next morning (1-19-21) felt extreme lower abdominal fullness and pressure and extreme nausea. I got in with my OBGYN at 9am same day and he discovered I had an ovarian cyst. He sent me down for an ultrasound and the results showed I had a ruptured ovarian cyst on my left side and an ovarian cyst on my right side. I have never had an ovarian cyst in my life. The next day (1-20-21) the right cyst ruptured. Having all three infections and two ovarian cysts (when I've never had one before) lead my OBGYN and I to feel it warranted filing a VARES report
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site swelling, Peripheral swelling, Tenderness, Urticaria
Clinical narrative: Swelling of arm where vaccine was given. Arm swollen and tender. Red raised bump the seize of a silver dollar.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: pt started feeling light headed and sweaty within 5 min of vaccination. pt didn't report symptoms until 2 hours later, when she was given 25 mg of diphenhydramine. then she was being monitored every 60 min for changes
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Throat irritation
Clinical narrative: Patient was received received from observation room after receiving the maderna vaccine complaining of difficulty swallowing and a "funny feeling" in her throat. On observation no signs of swelling or redness tho throat, no hives noted. denies itching. Patient in no distress. vitals BP-174/84, p-84, r-20,  o2Sat- 99. Patient stated she felt better after some rest and drinking water. Patient advised that she must report to the ED is any signs of difficulty breathing, wheezing, hives. patient expressed understanding. Patient left facility with two other individuals.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chest discomfort, Dyspnoea, Oropharyngeal pain, Throat irritation
Clinical narrative: Scratchy throat. Sore throat. Tightness of chest. Labored respirations,  elevated temp.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia
Clinical narrative: Headache, chills, muscle aches
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Dizziness, Flushing, Heart rate, Pruritus
Clinical narrative: Patient had onset of symptoms within five minutes of the vaccination, felt rapid heart rate and dizzy. Had patient lay down, monitored VS every 10 minutes. 1750 - BP 114/70, P 85, R18, O2 100 1800 BP 127/65, P78, R16, O2 100. Drinking water. After 10 minutes heart rate felt better but c/o itching, flushed chest. Gave oral Benadryl 25mg liquid. VS 1810 BP 120/67, P 70, R 16, O2 100%. VS at 1830 BP 115/61, P70, R 15, O2100%
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Vital signs measurement
Clinical narrative: Patient had onset of symptoms within five minutes of the vaccination, felt rapid heart rate and dizzy. Had patient lay down, monitored VS every 10 minutes. 1750 - BP 114/70, P 85, R18, O2 100 1800 BP 127/65, P78, R16, O2 100. Drinking water. After 10 minutes heart rate felt better but c/o itching, flushed chest. Gave oral Benadryl 25mg liquid. VS 1810 BP 120/67, P 70, R 16, O2 100%. VS at 1830 BP 115/61, P70, R 15, O2100%
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Limb discomfort, Memory impairment, Pain in extremity
Clinical narrative: Sore and heavy arm, Memory seems foggy had trouble remembering things I commonly know.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin warm, Swelling
Clinical narrative: Swelling, itchiness, hot to the touch
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Hypoaesthesia oral
Clinical narrative: 0955 - states metallic taste and some numbness of lower lip, declined benadryl. 1000 - states symptoms have resolved 1011 - states feels totally fine. going home to husband, not working today.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Pruritus, Rash
Clinical narrative: Patient reported rash and itchiness on her chest and face that aggravated her eczema. She reported few tiny blisters on her face with pus in them. She took allegra and Benadryl to relieve her symptoms. Her symptoms is slowly getting better, but the itchiness remains. It has been 4 to 5 days since her symptoms appeared.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Hyperhidrosis, Oral pain, Throat irritation, Vital signs measurement
Clinical narrative: Patient states felt some feeling in her mouth. Itchy throat. No shortness of breath. vital signs were stable. Slightly diaphoretic and hot. Had on coat and head scarf. Opened coat. Observed for 15 minutes. Symptoms resolved.
Age: 75.0
Sex: M
Vaccine: UNK
Symptoms: Arthralgia, Injection site pain, Nausea, Pain, Pyrexia
Clinical narrative: Began around 5:00 AM as bad shoulder/arm pain where shot was given - began running fever , very achy all over, nauseous   Treatment - Tylenol - drinking water, rest, contacted doctor's office - checking oxygen levels Seems to keep feeling worse.  Temperature runs between 99.1 to 100.2
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Pruritus, Skin warm, Urticaria
Clinical narrative: Day 6 raised itchy red spot on arm, nickel sized Day 7 larger , hot , pain Day 8 5cm In size, hot, painful , itching
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hypertension, Nausea, Oxygen saturation, Vital signs measurement
Clinical narrative: Patient is a 45 year old female with no significant PMHX who presents today high blood pressure, nausea and chills within 30 min of receiving the 1st dose of the COVID-19 vaccine 4 hours ago Denies rash, shortness of breath, vomiting, diarrhea, trouble swallowing or breathing, swelling of throat, tongue, lips or eyes.  No fever. Patient states her BP was taken when she was having the symptoms and it was 170s systolic.  Patient is presenting today with report of nausea, chills and elevated BP s/p COVID-19 vaccine.  Patient has no evidence of anaphylaxis or severe allergic reaction. . Patient has normal vitals and in no respiratory distress. Will discharge home with close outpatient follow-up.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: 0825 - complained of itchy right forearm, one 0.5 cm flat red area noted, has history of allergies ( stinging insects, crab). Given 25 mg benadryl po. 0855 - no further symptoms, area on right arm unchanged, no other itching, no respiratory symptoms. Not working today - MD in practice. Feels well enough to leave. Will follow up with her allergist.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient stated that the injection site developed a raised, itchy, warm, red bump the size of a nickel.  She also stated that she had a temperature of 98.8 and was tired.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: patient experienced vertigo (dizziness) starting about 20 minutes after receiving the vaccine administration. pt reported symptoms 4 hours after administration and was given 25 mg diphenhydramine with recommendation that if it didn't go away, to take another 25 mg. pt was being monitored every 60 minutes for changes.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Rash erythematous
Clinical narrative: Erythematous rash at the site of the injection with central clearing and surrounding erythema (looks similar to Lyme rash).  Picture is available if needed, noted 2 weeks after inoculation.  No systemic symptoms.  Both IgM and IgG antibodies are present - were absent before vaccination and on 01/14/2021
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Pain in extremity, Rash erythematous
Clinical narrative: One week after receiving first vaccine developed red rash on left arm around injection site. Up until this point only experienced soreness in my left arm for approximately 2 days after injection.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Fatigue, Headache, Sinus disorder
Clinical narrative: Fatigue, headache, upset stomach and ended up sinus issues. Sleeping a lot more than usual
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pruritus, Pyrexia
Clinical narrative: A few minutes after the injection my arm and fingers felt itchy but went away after a few minutes. Tuesday morning I started to have severe chills and headache with a fever. my muscle's and joints were extremely stiff and very painful my bones hurt to the point I could not move very fast. this went on for several days. by the following Monday I felt much better but I am still experiencing some muscle and joint stiffness.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Pyrexia
Clinical narrative: Slight fever for a week (never over 99 degrees). One week later developed hives on injection site.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pruritus, Tachycardia
Clinical narrative: pt started experiencing tachycardia, dizziness, and itchiness within 2 minutes of receiving vaccine. pt reported symptoms 2 hours after receiving vaccine and was given 25 mg of diphenhydramine. pt was monitored every 60 minutes for changes.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature, Decreased appetite, Fatigue, Headache, Injection site discolouration
Clinical narrative: loss of appetite, temperature, bad headaches, fatigue, injection site sore for 8 days(pink, little hot), just generally not up to par at all for 3 days
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site warmth
Clinical narrative: loss of appetite, temperature, bad headaches, fatigue, injection site sore for 8 days(pink, little hot), just generally not up to par at all for 3 days
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Erythema, edema, warmth, itching, tenderness at injection site. Onset 7 days post-vaccination, evaluated on day 8. No systemic symptoms.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Optic neuritis
Clinical narrative: Optic Neuritis, MRI confirmed, treated with IV steroids with resolution.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Headache, pain in left arm, fever, chills,  body aches, nauseous, fatigue
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Headache, pain in left arm, fever, chills,  body aches, nauseous, fatigue
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Palpitations
Clinical narrative: palpitation (likely PACs)
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Rash pruritic
Clinical narrative: Moderna COVID-19 Vaccine EUA. Red, irritating (itchy) rash on forearms, calves, neck, chest, stomach, and back.
Age: 82.0
Sex: M
Vaccine: UNK
Symptoms: No adverse event
Clinical narrative: None stated.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound eye, Vision blurred
Clinical narrative: received the vaccine on 12/22/2020. Took a nap on 12/26/2020 around 1400 and woke up and noticed that left eye had blurry vision. He washed it and it was still blurry. After 1 hour, he decided to go to the ED- was worried about possible stroke in his eye or retinal detachment.  No retinal detachment found in ED; was discharged from the ED, not admitted into the hospital. Followed up with ophthalmologist as instructed on 12/27/2020.  Retinal scan done and found no retinal detachment but the doctor found fluid found behind the retina.  MD recommends rest, less stress at work.   Unknown if related to vaccine per MD - mentioned no data is available to compare.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Dizziness, Immediate post-injection reaction
Clinical narrative: Patient reported lightheadedness immediately after vaccine given.  Transported to recliner via wheelchair.  BP reading 108/80, given PO fluids and symptoms resolved shortly after.   Assessed by the physician on site and cleared for release.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Oxygen saturation, Pruritus
Clinical narrative: Bitter taste and itching (General)  Received Benadryl 50 mg and improved
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dysphagia, Injection site pruritus, Pruritus, Respiration abnormal
Clinical narrative: 5 mins: mild site itching 15mins: whole body itching mod 20 mins: tongue swelling, coughing 25 mins: difficulty swallowing, tight breathing  Pt was given 2nd round of 25 mg benedryl, epinephrine, Prednisone, albuterol breathing treatment and monitored for 3 hours. Sent home on 5 day course or prednisone
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: 5 mins: mild site itching 15mins: whole body itching mod 20 mins: tongue swelling, coughing 25 mins: difficulty swallowing, tight breathing  Pt was given 2nd round of 25 mg benedryl, epinephrine, Prednisone, albuterol breathing treatment and monitored for 3 hours. Sent home on 5 day course or prednisone
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Tenderness
Clinical narrative: Tenderness, swelling 7 days after covid vaccine
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dizziness, Fatigue, Headache
Clinical narrative: Received vaccine at 18:45 on 01/19/2020  Woke up at 10:00 01/20/2021 after approx 8-9 hours of sleep with symptoms: Nausea  Headache Dizziness  Dry Cough Chest/Lung Tightness Full Body Aches Fatigue/Lethargy
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Nausea, Pain
Clinical narrative: Received vaccine at 18:45 on 01/19/2020  Woke up at 10:00 01/20/2021 after approx 8-9 hours of sleep with symptoms: Nausea  Headache Dizziness  Dry Cough Chest/Lung Tightness Full Body Aches Fatigue/Lethargy
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives - received Benadryl 50 mg and Epi-Pen
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Agitation, BlurredVision, Confusion, Anaphylaxis, UrticariaPruritus, Syncope, Pt experienced reaction three days PRIOR to first vaccine - event documentation only. Narrative: Pt has history of likely environmental allergies resulting in 4-5 mild reactions annually. Has seen allergist-immunologist in the community and has epi-pens, ranitidine and diphenhydramine. Had reaction three days PRIOR to first covid vaccine dose. She did NOT experience any untoward reaction to either dose of vaccine.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain upper, Bacterial test negative, Blood culture negative, Cardio-respiratory arrest
Clinical narrative: Narrative:  Patient seen in ED 1-17-21 with c/c of "bloated with epigastric pain". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been "feeling kind of bad all day". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Confusional state, Death, Electrocardiogram change, Feeling abnormal
Clinical narrative: Narrative:  Patient seen in ED 1-17-21 with c/c of "bloated with epigastric pain". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been "feeling kind of bad all day". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Gait inability, General physical health deterioration, Liver function test normal, Myalgia, Procalcitonin increased
Clinical narrative: Narrative:  Patient seen in ED 1-17-21 with c/c of "bloated with epigastric pain". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been "feeling kind of bad all day". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Resuscitation, Supraventricular tachycardia, Systemic inflammatory response syndrome, Tachycardia
Clinical narrative: Narrative:  Patient seen in ED 1-17-21 with c/c of "bloated with epigastric pain". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been "feeling kind of bad all day". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Narrative:  Patient seen in ED 1-17-21 with c/c of "bloated with epigastric pain". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been "feeling kind of bad all day". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Fatigue, Full blood count normal, Headache, Metabolic function test
Clinical narrative: HEADACHE, TIRENESS, ITCHING, BURNING SENSATION OF THE SKIN, MILD FINE, GENERALIZED SYMETRICAL RASH, WORSE IN ARMS, CHEST AND ABDOMEN. NOW NO HEADACHE/PAIN IN INJECTION SITE, BUT CONTINUES WITH RASH, BURNING SENSATION AND ITCHING DESPITE SOLUMEDROL INTRAVENOUS ON 10/13/2020 AT DOCTOR'S OFFICE, HYDROXYZINE 25 MG THREE TIMES A DAY, BETAMETHOSNE CREAM SINCE 01/13/2020 AND PREDNISONE 50 MG BY MOUTH DAILY SINCE 1/18/2020
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: HEADACHE, TIRENESS, ITCHING, BURNING SENSATION OF THE SKIN, MILD FINE, GENERALIZED SYMETRICAL RASH, WORSE IN ARMS, CHEST AND ABDOMEN. NOW NO HEADACHE/PAIN IN INJECTION SITE, BUT CONTINUES WITH RASH, BURNING SENSATION AND ITCHING DESPITE SOLUMEDROL INTRAVENOUS ON 10/13/2020 AT DOCTOR'S OFFICE, HYDROXYZINE 25 MG THREE TIMES A DAY, BETAMETHOSNE CREAM SINCE 01/13/2020 AND PREDNISONE 50 MG BY MOUTH DAILY SINCE 1/18/2020
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis
Clinical narrative: Developed cellulitis. Put on antibiotics.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness, Urticaria
Clinical narrative: Hives, tightness of throat
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Product administered at inappropriate site
Clinical narrative: Vaccine was administered very high, presumably in the joint space, rather than the deltoid. Patient experienced intense pain in the entire shoulder area for 24 hours following administration. After initial 24 hours, pain remained more localized in the joint itself. Pain is intensified when moving out of the neutral position.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Injection site erythema, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: 1/7 - Got vaccine, minor soreness in arm at injection site. 1/8 - Soreness in arm at injection site, no discoloration nor lump. Sore back and abdominal muscles. 1/9 - Some minor soreness remaining, resolved by end of day. 1/10-1/15 - No soreness, discoloration, lump, nor other symptoms of any kind. 1/16 - Suddenly noticed a hard lump at injection site, apx. 2" diameter. Lump was minorly itchy and sore to touch, and area was red and hot.  1/16-1/20 - Lump gradually reduced in size, itch and pain resolved. Redness remains.  1/20 - Redness at inj. site has progressed to a bullseye pattern. There's a center red spot apx. 1" diameter, surrounded first by a ring of normal skin, then by a ring of redness. Diameter of outer red ring apx. 2".
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pruritus
Clinical narrative: 1/7 - Got vaccine, minor soreness in arm at injection site. 1/8 - Soreness in arm at injection site, no discoloration nor lump. Sore back and abdominal muscles. 1/9 - Some minor soreness remaining, resolved by end of day. 1/10-1/15 - No soreness, discoloration, lump, nor other symptoms of any kind. 1/16 - Suddenly noticed a hard lump at injection site, apx. 2" diameter. Lump was minorly itchy and sore to touch, and area was red and hot.  1/16-1/20 - Lump gradually reduced in size, itch and pain resolved. Redness remains.  1/20 - Redness at inj. site has progressed to a bullseye pattern. There's a center red spot apx. 1" diameter, surrounded first by a ring of normal skin, then by a ring of redness. Diameter of outer red ring apx. 2".
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Swelling and redness at injection site; itching
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pruritus, Urticaria
Clinical narrative: had itching and tingling the next day. with in 2 days hives all over chest and arms.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Erythema, Pain, Paraesthesia, Pruritus
Clinical narrative: Red, Blotchy rash appeared on right lower abdomen, Starting about 2 inches from umbilicus wrapping around intermittently to back 1 inch to right of spine. Rash was very painful-stabbing, searing burning pain, itching, tingling. rash was various sizes with fluid filled blisters.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash macular
Clinical narrative: Red, Blotchy rash appeared on right lower abdomen, Starting about 2 inches from umbilicus wrapping around intermittently to back 1 inch to right of spine. Rash was very painful-stabbing, searing burning pain, itching, tingling. rash was various sizes with fluid filled blisters.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Complement factor C4, Complement factor normal, Endotracheal intubation, SARS-CoV-2 test positive
Clinical narrative: significant facial/lip angioedema first noted ~20 hours post vaccination, leading to intubation in ED due to concern for airway protection.  extubated and discharged in 2 days
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Tryptase
Clinical narrative: significant facial/lip angioedema first noted ~20 hours post vaccination, leading to intubation in ED due to concern for airway protection.  extubated and discharged in 2 days
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Erythema, Limb discomfort, Lymph node pain
Clinical narrative: After over a week post vaccination I have noticed redness under the vaccination site that was warm to touch. Also noted significant discomfort and soreness in the armpit are and around the shoulder of the vaccinated arm. After palpating, I could locate several enlarged lymph nodes that were tender. The arm still has swelling and redness, however, lymph nodes are less tender although still sore.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Peripheral swelling, Vaccination site reaction, Vaccination site warmth
Clinical narrative: After over a week post vaccination I have noticed redness under the vaccination site that was warm to touch. Also noted significant discomfort and soreness in the armpit are and around the shoulder of the vaccinated arm. After palpating, I could locate several enlarged lymph nodes that were tender. The arm still has swelling and redness, however, lymph nodes are less tender although still sore.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: Body aches, chills, headache.  Treated with Tylenol for 24 hours and symptoms have started to subside
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: none
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Lymphadenopathy, Pain in extremity
Clinical narrative: Sore arm and injection site x 48hrs and fatigue, following vaccination. After 48hrs, swollen lymph node and pain under left underarm developed.  Left underarm continues to be painful on the 3rd day of vaccine, as well as fatigue.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Blood glucose abnormal, Diarrhoea, Full blood count normal, Human chorionic gonadotropin negative
Clinical narrative: On Jan 12, the patient developed  positional vertigo and nausea as well as sore arm. Vertigo resolved when she fell asleep.  Vertigo returned on Jan 16 and17.  Diarrhea occurred 6 times on Jan 17.  The patient noticed significant diffuse loss of hair from January 16 to 19. She continues to have some nausea.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lipase normal, Metabolic function test, Nausea, Pain in extremity, Vertigo positional
Clinical narrative: On Jan 12, the patient developed  positional vertigo and nausea as well as sore arm. Vertigo resolved when she fell asleep.  Vertigo returned on Jan 16 and17.  Diarrhea occurred 6 times on Jan 17.  The patient noticed significant diffuse loss of hair from January 16 to 19. She continues to have some nausea.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Impaired work ability, Pain in extremity
Clinical narrative: On Tues, 1/12 I started feeling like I was getting a cold  because I got the chills when I got home, but not the flu because I had my flu shot in Oct.2020     Wednesday 1/13 I left work because I started with vomiting, diarhhea , a light headache and my arm was real sore.  That continued on through that night and into the next morning.  So I had to call in at work that morning 1/14.  I finally started feeling better by friday night, 1/15.  The headache was gone and the chills were only slight and I could finally keep some toast down.  Before that I could only slightly keep liquids down.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: On Tues, 1/12 I started feeling like I was getting a cold  because I got the chills when I got home, but not the flu because I had my flu shot in Oct.2020     Wednesday 1/13 I left work because I started with vomiting, diarhhea , a light headache and my arm was real sore.  That continued on through that night and into the next morning.  So I had to call in at work that morning 1/14.  I finally started feeling better by friday night, 1/15.  The headache was gone and the chills were only slight and I could finally keep some toast down.  Before that I could only slightly keep liquids down.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Lip swelling, Urticaria
Clinical narrative: Patient developed lip swelling, facial numbness and area of hives on the thigh. Symptoms started day after the vaccine and resolved after 24 hours.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Tenderness
Clinical narrative: No adverse reactions until day 8 at the injection site.  Red,  swelling, warm to the touch, and itching.  Also, tenderness in the armpit
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache
Clinical narrative: Headache, fatigue, chills following day, symptoms subsided the following  day
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Joint swelling, Pruritus, Rash, Swelling
Clinical narrative: Itching, burning, rash, swelling (mostly at ankles)
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Vaccination site reaction, Vaccination site warmth
Clinical narrative: Vaccinated on 1/11/21 and on 1/18/21 I developed redness, warmth, and itchiness at the vaccine site, worsened the next day, applied topically hydrocortisone cream and redness and itchiness decreased 1/20/21
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Lymphadenopathy, Pain
Clinical narrative: Day one, diarrhea, sore arm, headache, fatigue . Day 2 sore arm, fatigue  day 3 fatigue day 4 headache day 5 headache day 6 swollen neck lymph nodes as well as armpits and body aches
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Day one, diarrhea, sore arm, headache, fatigue . Day 2 sore arm, fatigue  day 3 fatigue day 4 headache day 5 headache day 6 swollen neck lymph nodes as well as armpits and body aches
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Delayed redness, swelling, hot to touch 48+ hours after injection
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Headache, Pain in extremity, Pyrexia
Clinical narrative: felt warm, slight fever, headache, very sore arm.  Dizzy.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash papular, Urticaria
Clinical narrative: 4 days after receiving vaccine , I broke out in hives (raised itchy rash all over my body). I cannot rule out if this was due to a new soap product that I started using on Jan 19th or because of vaccine or other environmental factor. I have been treating the rash with Benadryl and cortisone 10 cream purchased OTC.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Joint swelling, Peripheral swelling
Clinical narrative: The back of my knee has a bulge; my calf is swollen; my knee makes a noise as I go up the stairs; it is uncomfortable to walk/climb stairs
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Pyrexia, Vomiting
Clinical narrative: Moderna COVID-19 Vaccine EUA 1 hour after injection, vomiting ensued and persisted through the evening. Low-grade fever (treated with Tylenol).  Also experiencing weakness and fatigue.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on injection arm started 7 days after injection. Rash fully cleared up after 14 days from onset of rash, which was 21 days after injection.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Discomfort, Lymph node pain, Swelling
Clinical narrative: Left Axcillary pain and swelling with, moderate lymph node tenderness. Pain Grade 7/10. Discomfort developed during the late night following injection.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Pyrexia, Unresponsive to stimuli
Clinical narrative: Patient states that she started experiencing symptoms on 1/16/21 morning. Patient notes that she had a fever of 103.9. She notes weakness and wasn't able to get out of bed. Fever, weakness, chills, fatigue, unresponsiveness.  Patient states at one point she became unresponsive per her daughter. EMS was called to patient's home and patient appeared not alert and wasn't able to answer EMS questions. Patient states that her fever has since broke and denies any current fevers. Patient states that she continues to feel very weak. Patient states that she has been resting in bed and increased her water intake. Patient did test positive for COVID on 10/20/20. Patient inquiring if she should receive second COVID vaccine due to symptoms she experienced with first vaccine.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Pruritus, Somnolence
Clinical narrative: Itchy back, dizziness, nausea, groggy
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: itching
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Feeling cold, Pruritus, Rash
Clinical narrative: Patient was 22 minutes into her 30 minute monitoring period after receiving Moderna COVID-19 Vaccine and complained of itching around her neck. Visible rash around her neck. Generalized rash on her trunk, left arm, and redness in both ear lobes. EMS was called. Pt ambulated to cot. BP at 05:15pm was 140/90. One dose of 0.5mg/(0.5mL) epinephrine administered to right anterolateral thigh. BP at 05:23pm was 160/110. Pt began to shiver and was cool to the touch, blanket placed. EMS arrived at 05:30pm and left with Pt at 05:38pm. Pt talking/laughing throughout event. Pt taken to hospital. Benadryl was given and was observed for 2 hours then discharged.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Urticaria
Clinical narrative: Pt. broke out in hives immediately after receiving  Moderna vaccine. No SOB, face or tongue swelling and no other complaints. Pt. was observed  in the vaccine  clinic and evaluated by the  clinic physician. Hives persisted and started to itch. Pt. was taken to UTC accompanied by an RN. Pt. did not want to take Benadryl because she stated it would make here sleepy.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Oropharyngeal pain, Pain, Papule, Pharyngeal swelling
Clinical narrative: Starting 01/16/2021, there was itchiness and a cluster of red papules/wheals that showed up on my right back. The rash continued to spread the next few days with increasing papules and itchiness. The rash is localized to my torso. Most are on my right abdomen and right back but is now spreading to my left side and upper back. There are also a few under and on my right breast and below both my armpit areas. The rash is still erythematous, with some that are papular and some appearing like vesicles. There is still itchiness and some stinging sensation. I am currently on Hydroxyzine 25MG at night and Zyrtec OTC during day but it has only been 2 days since I started the meds. The itch does wake me up at night time. So far the antihistamines have helped a bit with the itch. At the same time, I appear to have a sore throat though it feels more like a mild swelling of my throat as whenever I swallow it feels sore.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash erythematous, Rash papular, Urticaria
Clinical narrative: Starting 01/16/2021, there was itchiness and a cluster of red papules/wheals that showed up on my right back. The rash continued to spread the next few days with increasing papules and itchiness. The rash is localized to my torso. Most are on my right abdomen and right back but is now spreading to my left side and upper back. There are also a few under and on my right breast and below both my armpit areas. The rash is still erythematous, with some that are papular and some appearing like vesicles. There is still itchiness and some stinging sensation. I am currently on Hydroxyzine 25MG at night and Zyrtec OTC during day but it has only been 2 days since I started the meds. The itch does wake me up at night time. So far the antihistamines have helped a bit with the itch. At the same time, I appear to have a sore throat though it feels more like a mild swelling of my throat as whenever I swallow it feels sore.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Injection site pain, Pain
Clinical narrative: Fever 103, chills, shaking, major body and joint aches, pain at injection site, headache
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: Fever 103, chills, shaking, major body and joint aches, pain at injection site, headache