chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Erythema, Fatigue, Headache, Lymphadenopathy
Clinical narrative: - Within a few hours of vaccination, a headache was noted, a fever was developing, and the upper right arm/shoulder was painful to touch and abduction.  Gentle massage and movement of the arm/shoulder every 15-20 minutes was done to accelerate healing.  200mg of Aleve was taken at bedtime.  The headache, fever, and pain resolved after 72 hours. - 19 hours post vaccination, a fever of 100.0 F was observed.  200mg of Motrin was taken.  The fever resolved after 72 hours. - 24 hours post vaccination, pain, redness, and swelling was noted in the lymph nodes of the right armpit and underneath the right arm.  The pain and swelling resolved after 48 hours. - General fatigue was observed and resolved along with the other symptoms.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Tenderness
Clinical narrative: - Within a few hours of vaccination, a headache was noted, a fever was developing, and the upper right arm/shoulder was painful to touch and abduction.  Gentle massage and movement of the arm/shoulder every 15-20 minutes was done to accelerate healing.  200mg of Aleve was taken at bedtime.  The headache, fever, and pain resolved after 72 hours. - 19 hours post vaccination, a fever of 100.0 F was observed.  200mg of Motrin was taken.  The fever resolved after 72 hours. - 24 hours post vaccination, pain, redness, and swelling was noted in the lymph nodes of the right armpit and underneath the right arm.  The pain and swelling resolved after 48 hours. - General fatigue was observed and resolved along with the other symptoms.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Paraesthesia oral
Clinical narrative: Patient developed tongue tingling and a sensation of "possible" difficulty swallowing 1 minute after receiving the vaccine. This then progressed to lip tingling, and "possible" tongue swelling. BP 130/84 100% O2 R 36 P 100 Patient clinically appeared anxious. No obvious angioedema, abnormal heart or lung sounds, or other distress. Patient was given 50mg Oral of benadryl with improvement of symptoms. Patient for about 5 minutes developed subjective upper extremity and RLE tingling that completely resolved. She has expressive aphasia that makes history very difficult. The writer advised going to the ER for further evaluation of the allergic reaction, but she refused. They stated they will go home and consider going if symptoms worsen or they decide to. Risks of not going include worsening condition or death and this was explained. They were advised to f/u with PCP tomorrow and to see allergist before getting next shot. Advised ER sooner if symptoms worsen, although the recommendation is going to the ER right now. Stable on discharge.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Extremely sore arm.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Bone pain, Dizziness, Fatigue
Clinical narrative: 2/19/21 ~3:30 PM: Patient received Moderna vaccine,  experienced no immediate adverse effects. 2/20/21 AM: Patient reports feeling generally unwell/fatigued with symptoms progressing throughout the day. Symptoms included: raised red rash on arms and chest, HR elevated to 130s-170s (patient is otherwise healthy adult who reports struggling to elevate her heart rate that high when exercising 5 days/week),  severe headache, body sweats, and "feeling as if everything was going black." Did not lose consciousness or seek further care.  2/21/21: fever with T-max ~103 per patient report, consulted with pharmacist friend who advised Tylenol q4h to treat fever  - fever reduced to 99.8 with q4h Tylenol.  Bone/joint pain, rash continued, intense stomach pain "like I did 1,000 crunches" per patient. Does not typically experience daily pain or any of the above listed symptoms.  2/22/21-present: taking  PRN Tylenol for fever control and neck/shoulder pain described as "pins and needles".  Endorses daily severe fatigue. Increased nasal drainage/phlegm (no prior hx of post-nasal drip or allergies) and subsequent sore/scratchy throat; also reports sinus pain/discomfort comparable to a sinus infection.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Malaise, Neck pain, Oropharyngeal pain
Clinical narrative: 2/19/21 ~3:30 PM: Patient received Moderna vaccine,  experienced no immediate adverse effects. 2/20/21 AM: Patient reports feeling generally unwell/fatigued with symptoms progressing throughout the day. Symptoms included: raised red rash on arms and chest, HR elevated to 130s-170s (patient is otherwise healthy adult who reports struggling to elevate her heart rate that high when exercising 5 days/week),  severe headache, body sweats, and "feeling as if everything was going black." Did not lose consciousness or seek further care.  2/21/21: fever with T-max ~103 per patient report, consulted with pharmacist friend who advised Tylenol q4h to treat fever  - fever reduced to 99.8 with q4h Tylenol.  Bone/joint pain, rash continued, intense stomach pain "like I did 1,000 crunches" per patient. Does not typically experience daily pain or any of the above listed symptoms.  2/22/21-present: taking  PRN Tylenol for fever control and neck/shoulder pain described as "pins and needles".  Endorses daily severe fatigue. Increased nasal drainage/phlegm (no prior hx of post-nasal drip or allergies) and subsequent sore/scratchy throat; also reports sinus pain/discomfort comparable to a sinus infection.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Productive cough, Pyrexia, Rash papular, Sinus operation
Clinical narrative: 2/19/21 ~3:30 PM: Patient received Moderna vaccine,  experienced no immediate adverse effects. 2/20/21 AM: Patient reports feeling generally unwell/fatigued with symptoms progressing throughout the day. Symptoms included: raised red rash on arms and chest, HR elevated to 130s-170s (patient is otherwise healthy adult who reports struggling to elevate her heart rate that high when exercising 5 days/week),  severe headache, body sweats, and "feeling as if everything was going black." Did not lose consciousness or seek further care.  2/21/21: fever with T-max ~103 per patient report, consulted with pharmacist friend who advised Tylenol q4h to treat fever  - fever reduced to 99.8 with q4h Tylenol.  Bone/joint pain, rash continued, intense stomach pain "like I did 1,000 crunches" per patient. Does not typically experience daily pain or any of the above listed symptoms.  2/22/21-present: taking  PRN Tylenol for fever control and neck/shoulder pain described as "pins and needles".  Endorses daily severe fatigue. Increased nasal drainage/phlegm (no prior hx of post-nasal drip or allergies) and subsequent sore/scratchy throat; also reports sinus pain/discomfort comparable to a sinus infection.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus pain, Throat irritation
Clinical narrative: 2/19/21 ~3:30 PM: Patient received Moderna vaccine,  experienced no immediate adverse effects. 2/20/21 AM: Patient reports feeling generally unwell/fatigued with symptoms progressing throughout the day. Symptoms included: raised red rash on arms and chest, HR elevated to 130s-170s (patient is otherwise healthy adult who reports struggling to elevate her heart rate that high when exercising 5 days/week),  severe headache, body sweats, and "feeling as if everything was going black." Did not lose consciousness or seek further care.  2/21/21: fever with T-max ~103 per patient report, consulted with pharmacist friend who advised Tylenol q4h to treat fever  - fever reduced to 99.8 with q4h Tylenol.  Bone/joint pain, rash continued, intense stomach pain "like I did 1,000 crunches" per patient. Does not typically experience daily pain or any of the above listed symptoms.  2/22/21-present: taking  PRN Tylenol for fever control and neck/shoulder pain described as "pins and needles".  Endorses daily severe fatigue. Increased nasal drainage/phlegm (no prior hx of post-nasal drip or allergies) and subsequent sore/scratchy throat; also reports sinus pain/discomfort comparable to a sinus infection.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Inflammation, Neuropathy peripheral, Pain in extremity
Clinical narrative: Triggered arthritic flareup.  .  It caused inflamed right hip enough to jam the nerves in the right leg.  Taking 2 anti-inflamatory drugs and treating for pain.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Tremor
Clinical narrative: extreme stomach pain and extreme chills. Unable to stop trembling and extreme exhaustion. headache that lasted for at least 4 days.  stayed in bed for 3 days after first vaccination.  It's been more than 2 weeks and I'm still tired.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Moderna COVID-19 Vaccine EUA
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia
Clinical narrative: On 2/27 patient presented with numbness to face and was seen at the hospital. Thought to have been a stroke but Dr at the hospital thought Bell's Palsy from the COVID-19 Vaccine. Patient states it is getting better
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchospasm, Cough, Muscle tightness
Clinical narrative: woke up at 0500 03/03/2021 with brochospasm, coughing and low peak flows below baseline for asthma. used albuterol and advair inhaler with improvement in peak flow and tightness in chest / upper back and neck.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: Sore arm. Fever 99.9. Body aches. Dizziness. Nausea.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Death, Haemorrhage
Clinical narrative: Case passed away on 2/28/21.  During post vaccination monitoring, case did not have any adverse reactions. When writer spoke to him on 2/26/21 to schedule his second dose, he sounded well.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Electrocardiogram, Stress echocardiogram
Clinical narrative: Shortness of breath on day 3 after dose 1 and chest pain/dizziness on day 5 after receiving dose 1  Had to go to a cardiologist for EKG, and further testing
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Vertigo
Clinical narrative: 2 weeks after the vaccine, I woke up dizzy and it was debilitating. Went to urgent care and was diagnosed with vertigo.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: It is a large red area 2 inches wide and 2 and 1/2 inches tall at the injection site that is raised up and  itchy at times.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Myalgia
Clinical narrative: Patient reports she had the Tdap vaccine on 02/24/2021 around 6:20pm.  On Thursday, 2/25/21 she developed muscle aches and chills around 1 pm that lasted until Friday, 2/26/21 around 4 pm.  She had received her second dose of the COVID vaccine on Friday, 2/12/21.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Burning sensation, Dizziness, Fatigue
Clinical narrative: Fatigue, nasal congestion and headache immediately after vaccination on 2/26/21 and that night fast heart rate,  burning lymph nodes on right side, burning tissue around right hip prosthesis, burning right eye and tongue, severe pain in right glute muscles and lower spine,  back of neck felt still and slightly swollen, lightheaded and felt cold. Symptoms continued the following day. By 2/28/21 burning symptoms and fast heart rate ceased, still had dull headache, congestion and fatigue, plus pain in lower back and right hip. On 3/02/21 noticed hard lump, like a boil, near right hip prosthetis scar, felt cold, tired and dizzy all day. On 3/03/21 another hard lump, like a boil, on left neck.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Furuncle, Headache, Induration, Myalgia
Clinical narrative: Fatigue, nasal congestion and headache immediately after vaccination on 2/26/21 and that night fast heart rate,  burning lymph nodes on right side, burning tissue around right hip prosthesis, burning right eye and tongue, severe pain in right glute muscles and lower spine,  back of neck felt still and slightly swollen, lightheaded and felt cold. Symptoms continued the following day. By 2/28/21 burning symptoms and fast heart rate ceased, still had dull headache, congestion and fatigue, plus pain in lower back and right hip. On 3/02/21 noticed hard lump, like a boil, near right hip prosthetis scar, felt cold, tired and dizzy all day. On 3/03/21 another hard lump, like a boil, on left neck.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Palpitations, Swelling
Clinical narrative: Fatigue, nasal congestion and headache immediately after vaccination on 2/26/21 and that night fast heart rate,  burning lymph nodes on right side, burning tissue around right hip prosthesis, burning right eye and tongue, severe pain in right glute muscles and lower spine,  back of neck felt still and slightly swollen, lightheaded and felt cold. Symptoms continued the following day. By 2/28/21 burning symptoms and fast heart rate ceased, still had dull headache, congestion and fatigue, plus pain in lower back and right hip. On 3/02/21 noticed hard lump, like a boil, near right hip prosthetis scar, felt cold, tired and dizzy all day. On 3/03/21 another hard lump, like a boil, on left neck.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Dizziness, Electrocardiogram normal, Full blood count normal
Clinical narrative: Patient received 1st dose of his Covid vaccine;  after~10 min, during observation period, he was noticed to become pale ,diaphoretic and with decreased level of responsiveness;  was put on the stretcher. Physician who was monitoring the vaccination area reported: "BP 110/64 HR 76 Sat 95%   Patient was feeling better upon being placed supine and was verbalizing as well.  Denied chest pain and shortness of breath. Just felt dizzy and weak." Patient was taken to ER; CBC,CMP,ECG- all normal and he was discharged after 2 hrs of observation with diagnosis of Vasovagal Syncope. Today, patient is well and went to work as per his spouse. Patient has history of similar syncope or near syncope events in the past during stressful situations, like seen blood .
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Metabolic function test, Pallor, Syncope
Clinical narrative: Patient received 1st dose of his Covid vaccine;  after~10 min, during observation period, he was noticed to become pale ,diaphoretic and with decreased level of responsiveness;  was put on the stretcher. Physician who was monitoring the vaccination area reported: "BP 110/64 HR 76 Sat 95%   Patient was feeling better upon being placed supine and was verbalizing as well.  Denied chest pain and shortness of breath. Just felt dizzy and weak." Patient was taken to ER; CBC,CMP,ECG- all normal and he was discharged after 2 hrs of observation with diagnosis of Vasovagal Syncope. Today, patient is well and went to work as per his spouse. Patient has history of similar syncope or near syncope events in the past during stressful situations, like seen blood .
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Neuralgia
Clinical narrative: I feel pain in the injection site which is on the left arm the same day get dosed. However, the nerve pain spread to the area under left breast and the left breast area and then middle of the rib  cage. during the first week, the pain is sharp like needle pin. the pain level is about 7 out of 0-10 scale. I went to see the PCP and was given the gabapentin. I also took advil pm. The pain get relief when I was on medication. It has been more than 2 weeks and the pain has not gone yet.  One of my friend also get the vaccine on the same day same pharmacy location, she got severe nerve pain in the left side of face and head. She had worse pain than mine.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Received second dose on 2/26/2021  Most concerning is Covid Arm   Red, swollen, hot to touch. Covers left arm from site of injection approx 3? wide 6? long. Appears to be moving downward. At its worst  on 2/29. Still warm to touch and red today 3/3  I applied Benadryl itch stop to arm and began taking 1 tablet of Benadryl twice daily  Other reactions of chills, slight fever, and fatigue were expected.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Received second dose on 2/26/2021  Most concerning is Covid Arm   Red, swollen, hot to touch. Covers left arm from site of injection approx 3? wide 6? long. Appears to be moving downward. At its worst  on 2/29. Still warm to touch and red today 3/3  I applied Benadryl itch stop to arm and began taking 1 tablet of Benadryl twice daily  Other reactions of chills, slight fever, and fatigue were expected.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoaesthesia oral, Lip swelling, Mouth swelling, Paraesthesia oral
Clinical narrative: SOB, numbness, tingling, swelling in lips and mouth.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Headache, Impaired work ability, Pain
Clinical narrative: body aches, chills, fever, h/a, low back pain, out of work x2 days
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: body aches, chills, fever, h/a, low back pain, out of work x2 days
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Facial pain, Facial paralysis, Lacrimation increased
Clinical narrative: C/O droop to left side of face with drooling,  watery left eye, pain to face.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site erythema, Vertigo
Clinical narrative: redness around the vaccine entry and vertigo
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase increased, Blood albumin normal, Blood alkaline phosphatase normal
Clinical narrative: Edema to mid calf with maximum of 1cm indentation.  No history of previous episodes of edema.  Slowly improved daily until completely gone 3/3/21
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal
Clinical narrative: Edema to mid calf with maximum of 1cm indentation.  No history of previous episodes of edema.  Slowly improved daily until completely gone 3/3/21
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium decreased, Blood thyroid stimulating hormone normal, Blood urea normal, Carbon dioxide normal
Clinical narrative: Edema to mid calf with maximum of 1cm indentation.  No history of previous episodes of edema.  Slowly improved daily until completely gone 3/3/21
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin normal, Oedema peripheral, Protein total normal
Clinical narrative: Edema to mid calf with maximum of 1cm indentation.  No history of previous episodes of edema.  Slowly improved daily until completely gone 3/3/21
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Lymphadenopathy, Nausea, Vomiting
Clinical narrative: headache/ nausea/diarehha/vomiting/swollen lymph nodes above collar bone
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain
Clinical narrative: head ache. joint ache. fatigue. sore sight of injection
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: Itchiness began to occur 4 days after at injection site. Itchiness became increasingly intense. The area around the injection site around day 5-6 became hard and disc-shaped with redness within a 2 1/2" radius around injection site.  The area became raised on day 6 for 5 more days. Day 13, the itching, raised and most of the redness has subsided. I have noticed, though, that the redness has become oval shaped rather that circular in line with the muscle.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Headache, Oropharyngeal pain, Pain
Clinical narrative: patient started having headache Chills Body aches sore throat 1 month after having her second dose of Moderna Vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: patient started having headache Chills Body aches sore throat 1 month after having her second dose of Moderna Vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety disorder
Clinical narrative: Patient was generalized anxiety disorder. Onsite EMS was called vitals BP 164/94  99% O2 room air  HR 92 . Patient refused evaluation/care  and released agianst medical advice.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizzy, lightheaded
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Chest X-ray normal, Chills, Migraine, Nausea
Clinical narrative: high fever, chills, tremors, night sweats, dry heaves, migraine, nauseous.  began 8 am and ended 2 AM on Tuesday morning.  Then 3 days later developed bronchitis.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Night sweats, Pyrexia, Retching, SARS-CoV-2 test negative, Tremor
Clinical narrative: high fever, chills, tremors, night sweats, dry heaves, migraine, nauseous.  began 8 am and ended 2 AM on Tuesday morning.  Then 3 days later developed bronchitis.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Herpes zoster, Pain, Pain in extremity
Clinical narrative: pt states that the next day after receiving the vax her arm was sore.  On Wed, arm still hurt, Thursday and Friday she felt ok but still had a red spot on her right arm. On 2/21/2021 she had pain in right chest area and back of  right shoulder blade.  She noticed she had red pimples on her sternum.  On 2/22/2021 she developed rash on her back and chest.  She had a headache, pain in her back and shoulder area and her blood pressure was up.  She noticed the pimples on her chest/sternum area had burst.  She went to her PCP on 2/23/2021 where she was diagnosed w/ shingles and was given a prescription for valacyclovir. Pt completed her meds on 3/2/2021. Pt still has burning and pain.  Rash is still present but has not spread and is using Calamine lotion to help dry it up.  She is scheduled to have blood work on 3/6/2021 and will see her doctor again on 3/12/2021.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin burning sensation
Clinical narrative: pt states that the next day after receiving the vax her arm was sore.  On Wed, arm still hurt, Thursday and Friday she felt ok but still had a red spot on her right arm. On 2/21/2021 she had pain in right chest area and back of  right shoulder blade.  She noticed she had red pimples on her sternum.  On 2/22/2021 she developed rash on her back and chest.  She had a headache, pain in her back and shoulder area and her blood pressure was up.  She noticed the pimples on her chest/sternum area had burst.  She went to her PCP on 2/23/2021 where she was diagnosed w/ shingles and was given a prescription for valacyclovir. Pt completed her meds on 3/2/2021. Pt still has burning and pain.  Rash is still present but has not spread and is using Calamine lotion to help dry it up.  She is scheduled to have blood work on 3/6/2021 and will see her doctor again on 3/12/2021.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea
Clinical narrative: Ate breakfast and lunch.  Slight nausea, headache, fatigue started Sunday 2/21/2021 around 2:00 pm..  Slept the rest of the day, off and on.  Ate one piece dry toast and drank water.  Monday, 2/22/2021 got up and felt fine.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Ache in upper right arm. SEVERE ache in right fingers. Tylenol and ice pack for 3 days slowly reduced symtoms and they are totally gone now.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Limb discomfort, Muscular weakness
Clinical narrative: Fatigue, some muscle weakness in limbs (feels related to fatigue -- arms and legs just feel heavier than usual), muscle soreness in upper arm where injection was placed, neck tension, headache. All of these symptoms started around 4:30PM. As of this report, headache, muscle weakness, and fatigue have resolved. Still have some neck tension (though that is common for me as I work at a computer), and injection site muscle pain is much improved but still noticeable when I move my arm or touch the site.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain
Clinical narrative: Fatigue, some muscle weakness in limbs (feels related to fatigue -- arms and legs just feel heavier than usual), muscle soreness in upper arm where injection was placed, neck tension, headache. All of these symptoms started around 4:30PM. As of this report, headache, muscle weakness, and fatigue have resolved. Still have some neck tension (though that is common for me as I work at a computer), and injection site muscle pain is much improved but still noticeable when I move my arm or touch the site.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Patient reported covid arm appearing 1 week following vaccination (redness, itching at vaccination site)
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Rash, SARS-CoV-2 test positive
Clinical narrative: I received the vaccine on Saturday  2/20/2021 at 11:15 am  a couple hours later I started feeling headaches and fatigue tested positive for Covid on Monday.  I had a temperature on Saturday 2/27 and yesterday I woke up with a rash on my hands and arms
Age: 65.0
Sex: M
Vaccine: UNK
Symptoms: Pruritus, Skin lesion, Sleep disorder, Urticaria
Clinical narrative: Broke out in Hives all over my body and got several lesions, all itching badly. Head to toe.. Unable to sleep..
Age: 53.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Urticaria
Clinical narrative: Seconds after vaccination patient showed signs of irritation (hives) on chest, neck, and upper extremities. No issues with airway. Treatment by provider included 0.3 mg of Epinephrine and 10mg or Zyrtec post medication patient visibly improved. Patient was held for observation for and hour.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Hypoaesthesia, Limb discomfort, Throat irritation
Clinical narrative: L arm numbness, L arm heaviness, chest tightness, itchy throat-cleared by EMS
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous, Rash macular
Clinical narrative: Splotchy red rash appeared around injection side ~10 days after injection. Not painful or itchy
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Conversion disorder, Death, Dysphagia, Fatigue, Pyrexia
Clinical narrative: approximately 24 hours post vaccine Patient developed a low grade fever of 99.5 and had increased fatigue. 48 hours later she had decreased neurological functioning. 02/23 she had difficulty swallowing. 02/23 She was admitted to hospice services. 02/26 she passed just before 10 am.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Chest discomfort, Chest pain, Chronic obstructive pulmonary disease
Clinical narrative: Vaccinated with Pfizer COVID vaccine on 1/21/21 and 2/12/21. Unknown facility, lot number  Hospital course 2/24 ? 2/26/21 2/24 Chief complaint: Chest Pain. Per EMS - CP and SOB started 1220. Mid CP radiating to left arm. semi-relief with nitro x 2. Reports N. Denies V and no other symptoms. Hx cardiac stents, MI.  HPI: Patient is a 77-year-old female who presents to the ER for evaluation of chest pain.  Patient states that her chest pain started this afternoon around 1230 when she was cooking lunch.  She says it lasted for about 10 minutes and was a intense substernal chest pressure sensation with radiation down her left arm.  She had associated shortness of breath and diaphoresis and also endorsed nausea without vomiting.  Patient also states she is had some occasional dizziness which she described as a room spinning sensation is made worse when she is in positions and standing or moves her head.  She has a history of 2 heart attacks and 2 stents placed which were done.  She has no local cardiology follow-up and she lives at an apartment and follows with pace.  EMS gave her 4 aspirin prior to arrival she takes no blood thinners but she does take Plavix.  Patient has a history of COPD and also endorses some wheezing, she says they took her nebulizer away from her for fear of spreading coronavirus and she is oxygen dependent at nighttime.  COVID positive 2/24/21 (this assay amplifies and detects The target rna using real-time pcr. Testing performed on cepheid genexpert) Patient states she tested negative for COVID 19 last week at her PCP and got her 2nd COVID 19 vaccine on 2/11/2021. She reports having dinner with a friend 3 weeks ago who just passed away from COVID 19.  EKG shows normal sinus rhythm with incomplete right bundle branch block and no obvious ST segment elevations or acute ischemic intervals Troponin negative  Patient admitted to the COVID unit.  Home (baseline) O2 requirement 2.5L at night  2/25: 3L O2 nasal cannula continuously, reduced to 2L within 12 hours No fever COPD with acute exacerbation: Diffusely wheezing bilaterally and in tripod position on exam.  Start IV Solu-Medrol  COVID-19 viral infection: Start IV Remdesivir as she is now requiring supplemental oxygen.  IV steroids as above.   Chest pain, history of CAD with previous stenting --Denies any chest pain on exam.  EKG negative for ischemic changes.  Troponin negative x1.  Continue to trend troponin x2 more occurrences. --Continue Aspirin, Plavix, statin, Imdur.   Anxiety disorder: Continue Prozac.  Add Xanax 0.25 mg 3 times daily as needed.   2/26: medically ready for discharge to SNF COVID unit.  Augmentin 875/125 x 7 days dexamethasone 6mg daily x 8 days
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count normal, Dizziness, Dyspnoea, Echocardiogram, Electrocardiogram normal
Clinical narrative: Vaccinated with Pfizer COVID vaccine on 1/21/21 and 2/12/21. Unknown facility, lot number  Hospital course 2/24 ? 2/26/21 2/24 Chief complaint: Chest Pain. Per EMS - CP and SOB started 1220. Mid CP radiating to left arm. semi-relief with nitro x 2. Reports N. Denies V and no other symptoms. Hx cardiac stents, MI.  HPI: Patient is a 77-year-old female who presents to the ER for evaluation of chest pain.  Patient states that her chest pain started this afternoon around 1230 when she was cooking lunch.  She says it lasted for about 10 minutes and was a intense substernal chest pressure sensation with radiation down her left arm.  She had associated shortness of breath and diaphoresis and also endorsed nausea without vomiting.  Patient also states she is had some occasional dizziness which she described as a room spinning sensation is made worse when she is in positions and standing or moves her head.  She has a history of 2 heart attacks and 2 stents placed which were done.  She has no local cardiology follow-up and she lives at an apartment and follows with pace.  EMS gave her 4 aspirin prior to arrival she takes no blood thinners but she does take Plavix.  Patient has a history of COPD and also endorses some wheezing, she says they took her nebulizer away from her for fear of spreading coronavirus and she is oxygen dependent at nighttime.  COVID positive 2/24/21 (this assay amplifies and detects The target rna using real-time pcr. Testing performed on cepheid genexpert) Patient states she tested negative for COVID 19 last week at her PCP and got her 2nd COVID 19 vaccine on 2/11/2021. She reports having dinner with a friend 3 weeks ago who just passed away from COVID 19.  EKG shows normal sinus rhythm with incomplete right bundle branch block and no obvious ST segment elevations or acute ischemic intervals Troponin negative  Patient admitted to the COVID unit.  Home (baseline) O2 requirement 2.5L at night  2/25: 3L O2 nasal cannula continuously, reduced to 2L within 12 hours No fever COPD with acute exacerbation: Diffusely wheezing bilaterally and in tripod position on exam.  Start IV Solu-Medrol  COVID-19 viral infection: Start IV Remdesivir as she is now requiring supplemental oxygen.  IV steroids as above.   Chest pain, history of CAD with previous stenting --Denies any chest pain on exam.  EKG negative for ischemic changes.  Troponin negative x1.  Continue to trend troponin x2 more occurrences. --Continue Aspirin, Plavix, statin, Imdur.   Anxiety disorder: Continue Prozac.  Add Xanax 0.25 mg 3 times daily as needed.   2/26: medically ready for discharge to SNF COVID unit.  Augmentin 875/125 x 7 days dexamethasone 6mg daily x 8 days
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fibrin D dimer normal, Hyperhidrosis, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Vaccinated with Pfizer COVID vaccine on 1/21/21 and 2/12/21. Unknown facility, lot number  Hospital course 2/24 ? 2/26/21 2/24 Chief complaint: Chest Pain. Per EMS - CP and SOB started 1220. Mid CP radiating to left arm. semi-relief with nitro x 2. Reports N. Denies V and no other symptoms. Hx cardiac stents, MI.  HPI: Patient is a 77-year-old female who presents to the ER for evaluation of chest pain.  Patient states that her chest pain started this afternoon around 1230 when she was cooking lunch.  She says it lasted for about 10 minutes and was a intense substernal chest pressure sensation with radiation down her left arm.  She had associated shortness of breath and diaphoresis and also endorsed nausea without vomiting.  Patient also states she is had some occasional dizziness which she described as a room spinning sensation is made worse when she is in positions and standing or moves her head.  She has a history of 2 heart attacks and 2 stents placed which were done.  She has no local cardiology follow-up and she lives at an apartment and follows with pace.  EMS gave her 4 aspirin prior to arrival she takes no blood thinners but she does take Plavix.  Patient has a history of COPD and also endorses some wheezing, she says they took her nebulizer away from her for fear of spreading coronavirus and she is oxygen dependent at nighttime.  COVID positive 2/24/21 (this assay amplifies and detects The target rna using real-time pcr. Testing performed on cepheid genexpert) Patient states she tested negative for COVID 19 last week at her PCP and got her 2nd COVID 19 vaccine on 2/11/2021. She reports having dinner with a friend 3 weeks ago who just passed away from COVID 19.  EKG shows normal sinus rhythm with incomplete right bundle branch block and no obvious ST segment elevations or acute ischemic intervals Troponin negative  Patient admitted to the COVID unit.  Home (baseline) O2 requirement 2.5L at night  2/25: 3L O2 nasal cannula continuously, reduced to 2L within 12 hours No fever COPD with acute exacerbation: Diffusely wheezing bilaterally and in tripod position on exam.  Start IV Solu-Medrol  COVID-19 viral infection: Start IV Remdesivir as she is now requiring supplemental oxygen.  IV steroids as above.   Chest pain, history of CAD with previous stenting --Denies any chest pain on exam.  EKG negative for ischemic changes.  Troponin negative x1.  Continue to trend troponin x2 more occurrences. --Continue Aspirin, Plavix, statin, Imdur.   Anxiety disorder: Continue Prozac.  Add Xanax 0.25 mg 3 times daily as needed.   2/26: medically ready for discharge to SNF COVID unit.  Augmentin 875/125 x 7 days dexamethasone 6mg daily x 8 days
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Lipids increased, Nausea, Neutrophil count increased, Neutrophil percentage increased, Pain
Clinical narrative: Vaccinated with Pfizer COVID vaccine on 1/21/21 and 2/12/21. Unknown facility, lot number  Hospital course 2/24 ? 2/26/21 2/24 Chief complaint: Chest Pain. Per EMS - CP and SOB started 1220. Mid CP radiating to left arm. semi-relief with nitro x 2. Reports N. Denies V and no other symptoms. Hx cardiac stents, MI.  HPI: Patient is a 77-year-old female who presents to the ER for evaluation of chest pain.  Patient states that her chest pain started this afternoon around 1230 when she was cooking lunch.  She says it lasted for about 10 minutes and was a intense substernal chest pressure sensation with radiation down her left arm.  She had associated shortness of breath and diaphoresis and also endorsed nausea without vomiting.  Patient also states she is had some occasional dizziness which she described as a room spinning sensation is made worse when she is in positions and standing or moves her head.  She has a history of 2 heart attacks and 2 stents placed which were done.  She has no local cardiology follow-up and she lives at an apartment and follows with pace.  EMS gave her 4 aspirin prior to arrival she takes no blood thinners but she does take Plavix.  Patient has a history of COPD and also endorses some wheezing, she says they took her nebulizer away from her for fear of spreading coronavirus and she is oxygen dependent at nighttime.  COVID positive 2/24/21 (this assay amplifies and detects The target rna using real-time pcr. Testing performed on cepheid genexpert) Patient states she tested negative for COVID 19 last week at her PCP and got her 2nd COVID 19 vaccine on 2/11/2021. She reports having dinner with a friend 3 weeks ago who just passed away from COVID 19.  EKG shows normal sinus rhythm with incomplete right bundle branch block and no obvious ST segment elevations or acute ischemic intervals Troponin negative  Patient admitted to the COVID unit.  Home (baseline) O2 requirement 2.5L at night  2/25: 3L O2 nasal cannula continuously, reduced to 2L within 12 hours No fever COPD with acute exacerbation: Diffusely wheezing bilaterally and in tripod position on exam.  Start IV Solu-Medrol  COVID-19 viral infection: Start IV Remdesivir as she is now requiring supplemental oxygen.  IV steroids as above.   Chest pain, history of CAD with previous stenting --Denies any chest pain on exam.  EKG negative for ischemic changes.  Troponin negative x1.  Continue to trend troponin x2 more occurrences. --Continue Aspirin, Plavix, statin, Imdur.   Anxiety disorder: Continue Prozac.  Add Xanax 0.25 mg 3 times daily as needed.   2/26: medically ready for discharge to SNF COVID unit.  Augmentin 875/125 x 7 days dexamethasone 6mg daily x 8 days
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Serum ferritin normal, Troponin I normal
Clinical narrative: Vaccinated with Pfizer COVID vaccine on 1/21/21 and 2/12/21. Unknown facility, lot number  Hospital course 2/24 ? 2/26/21 2/24 Chief complaint: Chest Pain. Per EMS - CP and SOB started 1220. Mid CP radiating to left arm. semi-relief with nitro x 2. Reports N. Denies V and no other symptoms. Hx cardiac stents, MI.  HPI: Patient is a 77-year-old female who presents to the ER for evaluation of chest pain.  Patient states that her chest pain started this afternoon around 1230 when she was cooking lunch.  She says it lasted for about 10 minutes and was a intense substernal chest pressure sensation with radiation down her left arm.  She had associated shortness of breath and diaphoresis and also endorsed nausea without vomiting.  Patient also states she is had some occasional dizziness which she described as a room spinning sensation is made worse when she is in positions and standing or moves her head.  She has a history of 2 heart attacks and 2 stents placed which were done.  She has no local cardiology follow-up and she lives at an apartment and follows with pace.  EMS gave her 4 aspirin prior to arrival she takes no blood thinners but she does take Plavix.  Patient has a history of COPD and also endorses some wheezing, she says they took her nebulizer away from her for fear of spreading coronavirus and she is oxygen dependent at nighttime.  COVID positive 2/24/21 (this assay amplifies and detects The target rna using real-time pcr. Testing performed on cepheid genexpert) Patient states she tested negative for COVID 19 last week at her PCP and got her 2nd COVID 19 vaccine on 2/11/2021. She reports having dinner with a friend 3 weeks ago who just passed away from COVID 19.  EKG shows normal sinus rhythm with incomplete right bundle branch block and no obvious ST segment elevations or acute ischemic intervals Troponin negative  Patient admitted to the COVID unit.  Home (baseline) O2 requirement 2.5L at night  2/25: 3L O2 nasal cannula continuously, reduced to 2L within 12 hours No fever COPD with acute exacerbation: Diffusely wheezing bilaterally and in tripod position on exam.  Start IV Solu-Medrol  COVID-19 viral infection: Start IV Remdesivir as she is now requiring supplemental oxygen.  IV steroids as above.   Chest pain, history of CAD with previous stenting --Denies any chest pain on exam.  EKG negative for ischemic changes.  Troponin negative x1.  Continue to trend troponin x2 more occurrences. --Continue Aspirin, Plavix, statin, Imdur.   Anxiety disorder: Continue Prozac.  Add Xanax 0.25 mg 3 times daily as needed.   2/26: medically ready for discharge to SNF COVID unit.  Augmentin 875/125 x 7 days dexamethasone 6mg daily x 8 days
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, Wheezing, White blood cell count normal
Clinical narrative: Vaccinated with Pfizer COVID vaccine on 1/21/21 and 2/12/21. Unknown facility, lot number  Hospital course 2/24 ? 2/26/21 2/24 Chief complaint: Chest Pain. Per EMS - CP and SOB started 1220. Mid CP radiating to left arm. semi-relief with nitro x 2. Reports N. Denies V and no other symptoms. Hx cardiac stents, MI.  HPI: Patient is a 77-year-old female who presents to the ER for evaluation of chest pain.  Patient states that her chest pain started this afternoon around 1230 when she was cooking lunch.  She says it lasted for about 10 minutes and was a intense substernal chest pressure sensation with radiation down her left arm.  She had associated shortness of breath and diaphoresis and also endorsed nausea without vomiting.  Patient also states she is had some occasional dizziness which she described as a room spinning sensation is made worse when she is in positions and standing or moves her head.  She has a history of 2 heart attacks and 2 stents placed which were done.  She has no local cardiology follow-up and she lives at an apartment and follows with pace.  EMS gave her 4 aspirin prior to arrival she takes no blood thinners but she does take Plavix.  Patient has a history of COPD and also endorses some wheezing, she says they took her nebulizer away from her for fear of spreading coronavirus and she is oxygen dependent at nighttime.  COVID positive 2/24/21 (this assay amplifies and detects The target rna using real-time pcr. Testing performed on cepheid genexpert) Patient states she tested negative for COVID 19 last week at her PCP and got her 2nd COVID 19 vaccine on 2/11/2021. She reports having dinner with a friend 3 weeks ago who just passed away from COVID 19.  EKG shows normal sinus rhythm with incomplete right bundle branch block and no obvious ST segment elevations or acute ischemic intervals Troponin negative  Patient admitted to the COVID unit.  Home (baseline) O2 requirement 2.5L at night  2/25: 3L O2 nasal cannula continuously, reduced to 2L within 12 hours No fever COPD with acute exacerbation: Diffusely wheezing bilaterally and in tripod position on exam.  Start IV Solu-Medrol  COVID-19 viral infection: Start IV Remdesivir as she is now requiring supplemental oxygen.  IV steroids as above.   Chest pain, history of CAD with previous stenting --Denies any chest pain on exam.  EKG negative for ischemic changes.  Troponin negative x1.  Continue to trend troponin x2 more occurrences. --Continue Aspirin, Plavix, statin, Imdur.   Anxiety disorder: Continue Prozac.  Add Xanax 0.25 mg 3 times daily as needed.   2/26: medically ready for discharge to SNF COVID unit.  Augmentin 875/125 x 7 days dexamethasone 6mg daily x 8 days
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush
Clinical narrative: hot flashes
Age: 1.42
Sex: M
Vaccine: DTAP, FLU4
Symptoms: No adverse event
Clinical narrative: No adverse reaction, need to have vaccines administered again.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lacrimation increased, Pruritus, Throat irritation
Clinical narrative: Fine after administration during the observation period.  At 7 or 7:30 pm patient started itching on face, back , arms and left leg.  patient says the itching was mild to moderate.  No visible rash.  Patient compared the itching to what happened after she took codeine.  Then throat started itching, no shortness of breath or difficulty breathing.  Eye also started watering.  At midnight the patient took a Benadryl and this help relieve the itching.  all the patient noticed was the injection site pain.  Today she is still itching, but it is mild and did not warrant Benadryl. Advised patient if she experiences any form of shortness of breath to go to the emergency room.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Body temperature decreased, Hypothermia, Hypoxia, Tachycardia
Clinical narrative: Patient presented to the ED reporting that he was feeling "real weak". In the ED, he was found to be hypoxic, tachycardic, and hypothermic with a temperature of 93.2. Pt has history of COPD (on chronic oxygen), HTN, CAD, atrial fibrillation, spinal stenosis, bilateral pleural effusions requiring thoracentesis. Per the EUA, hospitalizations are to be reported irrespective of attribution to vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT IS UNDER 18 YEARS OLD
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: Patient had general  malaise unknown cause. Onsite EMS was called vitals BP135/92   99% O2 room air  HR 82 . Patient refused evaluation/care  and released agianst medical advice.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: I developed a rash of little tiny red bumps around my stomach to my back. my back is very itchy. Its from my waist down and all the way around. its spotty.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Fatigue, Feeling cold, Injection site pain, Loss of personal independence in daily activities
Clinical narrative: Fatigue, achiness, vomiting, severe chills and cold feeling, fever 101.5, stomach pain, injection site pain. All symptoms persisted for 48 hours. At 72 hours fatigue and nausea remained. Unable to complete daily life activities.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Fatigue, achiness, vomiting, severe chills and cold feeling, fever 101.5, stomach pain, injection site pain. All symptoms persisted for 48 hours. At 72 hours fatigue and nausea remained. Unable to complete daily life activities.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Memory impairment
Clinical narrative: This woman had her first Moderna Covid 19 vaccine on 3-2-21 around 9:30am.  Nothing significant or different occurred in this woman's day after her vaccine.  Her husband had to wake her up for an appointment around 7:00am, which is unusual for her.  She usually wakes on her own around 6:00am.  She was moderately confused, unable to dress herself, or care for herself to get ready for the day or her appointment.  She did not remember that she had an appointment for an MRI this morning.  Her MRI appointment was scheduled for 9:30am and he did take her for that appiontment.  He was not allowed to go back with her.  He did call Dr. office.  She is out of the office and they referred her to the Clinic.  He stated he would not take her there.  I referred him to take her to the Emergency room, which is just down the hall from where she was having her MRI.  He isn't sure how well she will do without him and she is not able to care for herself or understand basic instructions to undress, lie down, etc.  He stated that he will likely take her to the Emergency room since her doctor is not available to see her.