chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Atrioventricular block first degree, Blood pressure increased, Body temperature increased, Bradycardia, Cardiac pacemaker insertion
Clinical narrative: JAN. 27, '21- NOTICED SHORTNESS OF BREATH DURING REGULAR EXERCISE ROUTINE FOR STRENGTH & FLEXIBILITY. JAN. 28, '21 WEAR A FITBIT ON WRIST- SAW READING OF REST. HEART DOCTOR. COULD NOT GET APPT. UNTIL FED. 2ND. WENT TO URGENT CARE- DIAGNOSIS OF SINUS BRADYCARDIA, DYSPNEA ELEVATED BP, CALF PAIN. REFERRED TO  ER DEPT. WAITED UNTIL NEXT MORN. TO GO TO HOSPITAL.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Condition aggravated, Dyspnoea, Electrocardiogram, Electrocardiogram PR prolongation
Clinical narrative: JAN. 27, '21- NOTICED SHORTNESS OF BREATH DURING REGULAR EXERCISE ROUTINE FOR STRENGTH & FLEXIBILITY. JAN. 28, '21 WEAR A FITBIT ON WRIST- SAW READING OF REST. HEART DOCTOR. COULD NOT GET APPT. UNTIL FED. 2ND. WENT TO URGENT CARE- DIAGNOSIS OF SINUS BRADYCARDIA, DYSPNEA ELEVATED BP, CALF PAIN. REFERRED TO  ER DEPT. WAITED UNTIL NEXT MORN. TO GO TO HOSPITAL.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Heart rate decreased, Ischaemia, Laboratory test, Pain
Clinical narrative: JAN. 27, '21- NOTICED SHORTNESS OF BREATH DURING REGULAR EXERCISE ROUTINE FOR STRENGTH & FLEXIBILITY. JAN. 28, '21 WEAR A FITBIT ON WRIST- SAW READING OF REST. HEART DOCTOR. COULD NOT GET APPT. UNTIL FED. 2ND. WENT TO URGENT CARE- DIAGNOSIS OF SINUS BRADYCARDIA, DYSPNEA ELEVATED BP, CALF PAIN. REFERRED TO  ER DEPT. WAITED UNTIL NEXT MORN. TO GO TO HOSPITAL.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pulmonary oedema, Sinus bradycardia, Systemic lupus erythematosus
Clinical narrative: JAN. 27, '21- NOTICED SHORTNESS OF BREATH DURING REGULAR EXERCISE ROUTINE FOR STRENGTH & FLEXIBILITY. JAN. 28, '21 WEAR A FITBIT ON WRIST- SAW READING OF REST. HEART DOCTOR. COULD NOT GET APPT. UNTIL FED. 2ND. WENT TO URGENT CARE- DIAGNOSIS OF SINUS BRADYCARDIA, DYSPNEA ELEVATED BP, CALF PAIN. REFERRED TO  ER DEPT. WAITED UNTIL NEXT MORN. TO GO TO HOSPITAL.
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Vomiting
Clinical narrative: N&V        lasting 4days fatigue
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Erythema, Fatigue, Pain in extremity
Clinical narrative: Arm soreness redness lightheaded next day weakness/tiredness x2 days
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Chills, Erythema, Flushing
Clinical narrative: During patient observation time, pt. stated                she could not wait any longer to use restroom, urge became strong. When exiting restroom pt. was flushed (red) in face and hands, became weak,  tachycardic, and blood pressure became elevated. Pt. was  still able to communicate verbally. Also, experienced chills.  EMS called and transported pt. out.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: During patient observation time, pt. stated                she could not wait any longer to use restroom, urge became strong. When exiting restroom pt. was flushed (red) in face and hands, became weak,  tachycardic, and blood pressure became elevated. Pt. was  still able to communicate verbally. Also, experienced chills.  EMS called and transported pt. out.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Erythema, Throat irritation
Clinical narrative: 4:14 Pm Pt start coughing  went outside observation door  to get Fresh  air. Bring her start itch throat. Pt skin Turn red face & arm . Provider take the Pt lung clear vital
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arrhythmia, Flushing, Headache
Clinical narrative: PATIENT REPORTED FLUSHING/ARRHYTMIA. BP 170/70. MONITORED PATIENT, RECHECK OF BP AT 15 MIN. INTERAVALS. SECOND BP 160/70, 3RD READ 154/64, FINAL BP 150/70. PATIENT REPORTED HEADACHE, LEFT FACILITY, WILL CONTACT PCP/CARDIOLOGIST.
Age: 32.0
Sex: U
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: itching
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Paraesthesia
Clinical narrative: tingling in L arm radiating to  finger. Became lightheaded and felt BP rise. Symptoms began N 10 minutes after vaccination. ___BP 126/96 P=86 R=18
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Feeling cold, Heart rate increased, Oxygen saturation decreased
Clinical narrative: VASOVAGAL SYNCOPE (PER NOTE)  Narrative:  Patient received vaccine, became dizzy, and cold without sweats.  Albuterol was administered though patient does have breathing problems. O2 stats  dropped and patient heart elevated. Patient was observed and once o2 was given  via NC, O2 increased to 95-96% in minutes and HR returned to baseline of in the  70s. Patient was provided a warm blanket to offset feeling cold.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: VASOVAGAL SYNCOPE (PER NOTE)  Narrative:  Patient received vaccine, became dizzy, and cold without sweats.  Albuterol was administered though patient does have breathing problems. O2 stats  dropped and patient heart elevated. Patient was observed and once o2 was given  via NC, O2 increased to 95-96% in minutes and HR returned to baseline of in the  70s. Patient was provided a warm blanket to offset feeling cold.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain
Clinical narrative: Fatigue, Chills, Injection site pain Narrative:
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Vitreous floaters
Clinical narrative: EYE FLOATERS
Age: 54.0
Sex: F
Vaccine: FLUX
Symptoms: Homicidal ideation
Clinical narrative: HOMICIDAL IDEATION Narrative: Historical
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Fever chills Narrative:
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Injection Site Soreness day 2  Narrative:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache
Clinical narrative: Headache, Arthralgia, chills, fatigue
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Dizziness, Hyperhidrosis, Hypoaesthesia
Clinical narrative: WEAKNESS, NUMBNESS IN ALL LIMBS, CHEST PAIN, NAUSEA, DIAPHORESIS, VASOVAGAL EPISODE Narrative: 35 yo male was seen at urgent care on 03/16/2021 after his covid19 vaccine. Pt stated he first developed chest pain, followed by dizziness, weakness. Felt like he was going to pass out, also had nausea, numbness in all limbs. Chest pain resolved after a few minutes. Pt has no hx of heart disease or diabetes. He had not eaten anything that morning. Denied previous issues with other vaccines. He had not been exposed to COVID19 (not that he knew of). Provider diagnosed patient with vasovagal episode. Patient was placed in supine position and given juice at the urgent care clinic. His blood pressure was 96/61 upon arrival and went up to 104/71. Baseline BP for patient is around 106-132/64-81. All symptoms resolved and pt was discharged home. PMH for patient includes: GERD, tinnitus, asthma
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Presyncope
Clinical narrative: WEAKNESS, NUMBNESS IN ALL LIMBS, CHEST PAIN, NAUSEA, DIAPHORESIS, VASOVAGAL EPISODE Narrative: 35 yo male was seen at urgent care on 03/16/2021 after his covid19 vaccine. Pt stated he first developed chest pain, followed by dizziness, weakness. Felt like he was going to pass out, also had nausea, numbness in all limbs. Chest pain resolved after a few minutes. Pt has no hx of heart disease or diabetes. He had not eaten anything that morning. Denied previous issues with other vaccines. He had not been exposed to COVID19 (not that he knew of). Provider diagnosed patient with vasovagal episode. Patient was placed in supine position and given juice at the urgent care clinic. His blood pressure was 96/61 upon arrival and went up to 104/71. Baseline BP for patient is around 106-132/64-81. All symptoms resolved and pt was discharged home. PMH for patient includes: GERD, tinnitus, asthma
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Chills, Electrocardiogram, Fatigue
Clinical narrative: Narrative:  61 yo female with PMH Gastroparesis, carotid atherosclerosis, cervicalgia, angina, depression, hypothyroid, and IBS. reported having chest pain 1 week after his covid19 vaccine on 2/22/201. Pt said pain/tightness radiated down his left arm. Per patient, he went to his cardiologist on the day of his chest pain and was told that it was "significantly different from his last EKG". Pt was not seen at facility so there is no official record. Pt also reported fatigue/chills evening of the first vaccine x 3 days. This ADR was reported on 3/15/2021 when patient came back for her second covid19 vaccine dose.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Narrative:  61 yo female with PMH Gastroparesis, carotid atherosclerosis, cervicalgia, angina, depression, hypothyroid, and IBS. reported having chest pain 1 week after his covid19 vaccine on 2/22/201. Pt said pain/tightness radiated down his left arm. Per patient, he went to his cardiologist on the day of his chest pain and was told that it was "significantly different from his last EKG". Pt was not seen at facility so there is no official record. Pt also reported fatigue/chills evening of the first vaccine x 3 days. This ADR was reported on 3/15/2021 when patient came back for her second covid19 vaccine dose.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache
Clinical narrative: chills Narrative: Pt took second dose of moderna covid vaccine on 19feb, he reported headache, fatigue and chills on 20feb. His symtoms have improved on 21Feb. no sob, no cp, no fever.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain in extremity
Clinical narrative: arm pain Narrative:  Patient took 2nd dose of moderna covid vaccine on 19feb. He co headache and arm pain starting on 21feb. He states he took advil and symptoms have improved. no sob, no cp. no fever.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Dyspnoea, Malaise, Pain
Clinical narrative: chills, short of breath  Narrative:  Patient contacted provider on 20FEB2021 at 1635 stating she was not  feeling well. She states her symptoms were chills, fever 100.4, shortness of  breath, body aches and tachycardia up to 166. She stated she received her 2nd  COVID vaccine on 19FEB2021 around 1300. She stated she initially felt  tachycardic at midnight, however symptoms have worsened. she states she has  drank a half gallon of water today already. She also reports some chest tightness. I  checked on her with other personnel and she advised to go to ED. She is ambulatory  and stable. (No further information in chart after this as of 3/18/21.)
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tachycardia
Clinical narrative: chills, short of breath  Narrative:  Patient contacted provider on 20FEB2021 at 1635 stating she was not  feeling well. She states her symptoms were chills, fever 100.4, shortness of  breath, body aches and tachycardia up to 166. She stated she received her 2nd  COVID vaccine on 19FEB2021 around 1300. She stated she initially felt  tachycardic at midnight, however symptoms have worsened. she states she has  drank a half gallon of water today already. She also reports some chest tightness. I  checked on her with other personnel and she advised to go to ED. She is ambulatory  and stable. (No further information in chart after this as of 3/18/21.)
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety
Clinical narrative: anxiety Narrative:
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia
Clinical narrative: paresthesia, lightheadedness.  Narrative:  At the conclusion of his vaccination wait period, he alerted post-vaccination monitoring nursing staff to c/o mild lightheadedness and left LE paresthesia. Both started just at the end of the 15 minute wait period. He denied pruritus, urticaria/hives, swelling/angioedema, flushing, confusion/disorientation, dizziness, weakness, LOC, SOB/stridor, tachycardia/palpitations, nausea/vomiting, or abdominal cramping. Did note h/o lumbar issues and having experienced neuropathy in the past over his right LE. O: T98.7F BP 135/82 RR 77 RR 10-11 Sp02 97% on RA Gen: non-toxic, not in distress, answering questions appropriately, pleasant, well groomed HEENT: atraumatic/normocephalic, PERRL, throat non-erythematous/no exudate, no swelling Neck: no swelling CV: regular rate and rhythm, normal Sl/S2, no murmurs Pulm: clear to auscultation bilaterally with no wheezes/rales/rhonci Ext: moves all 4 spontaneously, no edema Skin: no lesions or rashes, no urticaria Neuro: CN Ill-XII grossly intact, 5/5 strength UE and LE, sensation equal on b/l LE. Visualized ambulating >100 feet - gait normal/non-antalgic. Assisted stretching manuvers did not elicit/exacerbate/alleviate parestheisa Psych: appropriate, thoughts linear and non-tangential A/P: 66 yo Veteran at vaccination clinic for 1st dose of Moderna, who experienced post vaccination adverse effect. Lightheadedness resolved and left LE paresthesia w/vast improvement upon rest/stretching for another 15 minutes after sx onset. Reassurance provided.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Tachycardia
Clinical narrative: Noted inc cough and tachycardia 1 hour after injection. Did not require medical treatment. Repots consuming lagrge amts of caffiene as well.   Narrative:
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Vomiting
Clinical narrative: Sweating When Veteran returned to receive his 2nd Pfizer COVID-19 vaccine on 3/15/21, he reported that he had a mild reaction on the day of his first vaccine (2/23/21). Approximately 15 minutes after the vaccine, he experienced sweating, nausea, and one episode of vomiting. After drinking some water, the symptoms self-resolved within 3-5 minutes.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hot flush, Impaired work ability, Injection site pain, Nausea
Clinical narrative: Hot flashes, Injection site pain, body aches  Narrative: Patient received first dose on 2/24/21. Patient reports experiencing  headache (9/10 pain scale), nausea, hotflashes, injection site pain, and body  aches approximately I hour after vaccine. Patient had to use " sick leave" for  work.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Hot flashes, Injection site pain, body aches  Narrative: Patient received first dose on 2/24/21. Patient reports experiencing  headache (9/10 pain scale), nausea, hotflashes, injection site pain, and body  aches approximately I hour after vaccine. Patient had to use " sick leave" for  work.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site swelling
Clinical narrative: fatigue, swelling at injection site
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Amyotrophic lateral sclerosis, Asthenia, Dysphagia, Dyspnoea, Weight decreased
Clinical narrative: weakness;dysphagia,dyspnea, weight loss Narrative: Around the time of the first vaccination she developed several progressive symptoms of weakness, dysphagia and weight loss (but it is unclear whether she had mild symptoms before the vaccine). Patient was seen March 11,2021 and then referred to neurology 3/16/21/where ALS is suspected. It is unclear if it is directly related to the vaccine but timing coincides with vaccination.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Injection site warmth
Clinical narrative: Felt warmness in R injection site, radiating to neck and  head. Lasted 10 minutes, no treatment required. resolved on  own. Narrative:
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Neck pain, Pain in extremity
Clinical narrative: R arm/neck pain injection site.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Costochondritis, Incomplete course of vaccination, Pain, Pain in extremity
Clinical narrative: Left arm sharp pain  Narrative:  Pain level increased from 5/10 to 10/10 pain level. He was seen at the local hospital with the diagnosis of"costochondritis". He is advised to f/u with his PCP to address ongoing pain. He requested to cancel his second vaccine appt.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Headache, Injection site pain, Myalgia
Clinical narrative: Headache, Myalgia, FATIGUE, CHILLS, SITE SORENESS Narrative:
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Headache, Fever, CoughWheeze, NauseaVomiting, bodyaches Narrative:  reported mild symptoms. Will treat at home with OTC meds  Other Relevant History:
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, Wheezing
Clinical narrative: Headache, Fever, CoughWheeze, NauseaVomiting, bodyaches Narrative:  reported mild symptoms. Will treat at home with OTC meds  Other Relevant History:
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Headache, Nausea, Pain
Clinical narrative: Headache, Fever, CoughWheeze, Diarrhea, NauseaVomiting, bodyaches Narrative:  Reported mild symptoms. Treating at home with OTC meds  Other Relevant History:
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting, Wheezing
Clinical narrative: Headache, Fever, CoughWheeze, Diarrhea, NauseaVomiting, bodyaches Narrative:  Reported mild symptoms. Treating at home with OTC meds  Other Relevant History:
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Injection site pain, Injection site swelling, Nausea
Clinical narrative: Headache, Fever, CoughWheeze, Nausea Vomiting, body aches, slight soreness and swelling around injection site reported mild symptoms. Will treat at home with OTC meds
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vomiting, Wheezing
Clinical narrative: Headache, Fever, CoughWheeze, Nausea Vomiting, body aches, slight soreness and swelling around injection site reported mild symptoms. Will treat at home with OTC meds
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Injection site pain, Lymphadenopathy, Myalgia
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, Rash, NauseaVomiting,  INJECTION SITE PAIN, SWOLLEN GLANDS  Narrative:   Other Relevant History:
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Rash, Vomiting
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, Rash, NauseaVomiting,  INJECTION SITE PAIN, SWOLLEN GLANDS  Narrative:   Other Relevant History:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Injection site pain, Injection site swelling Narrative:  Other Relevant History:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Myalgia
Clinical narrative: Myalgia, Arthralgia, chills and weakness Narrative:  Other Relevant History:
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Myalgia Narrative:  Other Relevant History:
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain
Clinical narrative: Headache Injection site pain, Fatigue
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Injection site discomfort, Limb discomfort, Muscle tightness
Clinical narrative: Dizziness, Diarrhea, TIGHTNESS TO INJECTION SITE AND ARM, NECK Narrative:  Other Relevant History:
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Nausea, Vomiting
Clinical narrative: NauseaVomiting Injection site pain, Fatigue Narrative:
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Fatigue
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Injection site pain Narrative
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Vomiting
Clinical narrative: NauseaVomiting Injection site pain Narrative:  Other Relevant History:
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling jittery, Headache
Clinical narrative: Headache Fatigue, jittery
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain
Clinical narrative: Injection site pain, Fatigue
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain
Clinical narrative: Injection site pain, Fatigue Narrative:
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: Headache Injection site pain Narrative:
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Headache, Arthralgia, Injection site pain, injection site erythema, Injections site swelling, Fatigue Narrative:
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Headache, Arthralgia, Injection site pain, injection site erythema, Injections site swelling, Fatigue Narrative:
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: Headache Injection site pain Narrative:  Other Relevant History:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia
Clinical narrative: Myalgia Injection site pain Narrative:  Other Relevant History:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain
Clinical narrative: Injection site pain, Fatigue Narrative:  Other Relevant History:
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, Fatigue Narrative:  Other Relevant History:
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: Headache Injection site pain
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Arthralgia Injection site pain Narrative:
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Headache, Nausea, Rhinorrhoea
Clinical narrative: Confusion, Dizziness, Headache, Nausea Vomiting, Runny Nose
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Confusion, Dizziness, Headache, Nausea Vomiting, Runny Nose
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: Headache Injection site pain Narrative:  Other Relevant History:
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Fatigue, Headache, Myalgia
Clinical narrative: Headache, Myalgia, Arthralgia, NauseaVomiting, LIGHTHEADED, FATIGUE Narrative:  Other Relevant History:
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Headache, Myalgia, Arthralgia, NauseaVomiting, LIGHTHEADED, FATIGUE Narrative:  Other Relevant History:
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Vomiting
Clinical narrative: NauseaVomiting Injection site pain Narrative:  Other Relevant History:
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Myalgia
Clinical narrative: Myalgia Injection site pain, Fatigue Narrative:  Other Relevant History:
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Injection site swelling, Myalgia
Clinical narrative: Injection site pain, Injection site swelling
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain
Clinical narrative: Arthralgia Injection site pain, Fatigue, Chills Narrative:  Other Relevant History:
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain
Clinical narrative: Arthralgia Injection site pain, Fatigue, Chills Narrative:  Other Relevant History:
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Myalgia
Clinical narrative: Myalgia Injection site pain, Chills Narrative:  Other Relevant History:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: Headache severe HA injection site pain Narrative:  Other Relevant History:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Myalgia, Nausea, Vomiting
Clinical narrative: Myalgia, NauseaVomiting, CHILLS Narrative:  Other Relevant History:
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Headache, Myalgia
Clinical narrative: Headache, Myalgia, Arthralgia,  joint pain was limited to both wrists, elbows, shoulders and neck  Narrative:  I took Advil for 72 hours (2/5/21 to 2/7/21) to minimize the joint pain  and headache. However, the joint pain (both wrists, elbows, shoulders and neck)  and headache returned on 2/15/21 and lasted continuously until 2/19/21. It was  treated with OTC Advil to address the joint pain and headache.   Other Relevant History:
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: Myalgia, Fever, NauseaVomiting, Chills Narrative:  Other Relevant History:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Myalgia, Nausea, Vomiting
Clinical narrative: Myalgia, Arthralgia, NauseaVomiting, Injection site pain Narrative:  Other Relevant History:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Heart rate increased, Hyperhidrosis, Myalgia
Clinical narrative: Myalgia & Tachycardia Narrative:  sweats; fast heart rate; chills; fatigue during the 15 mins post vaccine  Other Relevant History:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Myalgia & Tachycardia Narrative:  sweats; fast heart rate; chills; fatigue during the 15 mins post vaccine  Other Relevant History:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Headache, Myalgia, Injection site pain, Fatigue Narrative:  Other Relevant History:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain
Clinical narrative: Headache Injection site pain, Fatigue Narrative:
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, Injection site pain, Chills, Fatigue
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, Injection site pain, Chills, Fatigue
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Injection site pain, Myalgia
Clinical narrative: Myalgia Injection site pain, Injection site erythema
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer, Arthralgia, Decreased appetite, Fatigue, Headache
Clinical narrative: Headache, Myalgia, Arthralgia, Injection site pain, Anorexia, Fatigue, Aphthous Ulcer
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia
Clinical narrative: Headache, Myalgia, Arthralgia, Injection site pain, Anorexia, Fatigue, Aphthous Ulcer
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lymphadenopathy
Clinical narrative: Injection site pain, Swollen axillary gland Narriave:
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pruritus, Urticaria
Clinical narrative: UrticariaPruritis Injection site pain, Injection site erythema, Injection site swelling
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Injection site erythema
Clinical narrative: Injection site erythema, Lower back pain  Narrative:
Age: 71.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia, Rash
Clinical narrative: FEVER; RASH  Narrative:  A 70yo male with a history of hypertension and hyperlipidemia presented to the Primary Care Medical center through Tele visit, on September 14, 2020, to establish care. A historical ADR of Influenza vaccine induced rash and fever - flu vaccine in 1977, was reported by a staff RN who had a telephone conversation with the patient on September 11, 2020. Detailed information regarding treatment, type of vaccine where it was administered and by whom was not included in the report and unable to retrieve
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Nausea, Vomiting
Clinical narrative: NauseaVomiting & HYPERtension Narrative:  Nausea, resolved quickly BP 141/91 P 72 R 18 O2 SAT 97% RA, after 10 min in recliner resolved BP 127/82 P 77 R 18 O2 SAT 97% RA  Other Relevant History:
Age: 3.0
Sex: M
Vaccine: DTAP, PNC13
Symptoms: Dysuria, Inappropriate schedule of product administration, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 3 yo intentionally underimmunized boy seen 3/9 for dysuria, noted to have small abrasions at foreskin/glans, c/o dysuria but unable to give urine specimen in clinic, advised to apply vaseline/aquaphor, has been doing and pt symptoms improving. At 3/9 visit pt received DTaP and PCV13 catchup immunization, both in left leg. A few hours after visit mom noted swelling and slight redness at site, with c/o pain when touched. No fever , no respiratory symptoms. Area of swelling grew until approximately 10 cm X 10 cm but did not become more red.  Area visualized on video visit 3/12, pinkish and possibly slightly raised, no red streaking or drainage, Ice, acetaminophen/ibuprofen recommended, return precautions reviewed.
Age: 3.0
Sex: M
Vaccine: DTAP, PNC13
Symptoms: Intentional dose omission, Underimmunisation
Clinical narrative: 3 yo intentionally underimmunized boy seen 3/9 for dysuria, noted to have small abrasions at foreskin/glans, c/o dysuria but unable to give urine specimen in clinic, advised to apply vaseline/aquaphor, has been doing and pt symptoms improving. At 3/9 visit pt received DTaP and PCV13 catchup immunization, both in left leg. A few hours after visit mom noted swelling and slight redness at site, with c/o pain when touched. No fever , no respiratory symptoms. Area of swelling grew until approximately 10 cm X 10 cm but did not become more red.  Area visualized on video visit 3/12, pinkish and possibly slightly raised, no red streaking or drainage, Ice, acetaminophen/ibuprofen recommended, return precautions reviewed.
Age: 1.33
Sex: F
Vaccine: DTAPIPVHIB, FLU4, VARCEL
Symptoms: Cellulitis, Cerebral palsy, Erythema, Induration, Injection site reaction
Clinical narrative: Mild case of CP. Area on right thigh is red, firm, & warm to touch. Dx: B01.9 - Varicella without complication       L03.112 - Cellulitis of right upper extremity T80.90XA - Injection site Reaction.
Age: 1.33
Sex: F
Vaccine: DTAPIPVHIB, FLU4, VARCEL
Symptoms: Skin warm, Varicella
Clinical narrative: Mild case of CP. Area on right thigh is red, firm, & warm to touch. Dx: B01.9 - Varicella without complication       L03.112 - Cellulitis of right upper extremity T80.90XA - Injection site Reaction.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Nausea, Vomiting
Clinical narrative: NauseaVomiting hot flashes Narrative:  Other Relevant History:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus
Clinical narrative: itching at injection site during the first 15 min post vaccine
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Myalgia
Clinical narrative: Sedation, Myalgia, Arthralgia, Chills
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Pruritus, Urticaria
Clinical narrative: Headache, UrticariaPruritus, Injection site pain, Chills Narrative:  All events lasted 24 hours after vaccination  Other Relevant History:
Age: 98.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: FATIGUE
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia
Clinical narrative: Headache & Myalgia
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Intraocular pressure test, Myalgia
Clinical narrative: Myalgia fatigue, orbital pressure
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Headache Fatigue Events lasted 24 ours after vaccination
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Arthralgia Injection site pain
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site pain, Myalgia
Clinical narrative: Myalgia, Arthralgia,  Injection site pain, Fatigue Narrative: All events lasted 24 hours after vaccination
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Injection site pain
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache Narrative:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain
Clinical narrative: Headache Injection site pain, Fatigue Narrative:  Other Relevant History:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Vomiting
Clinical narrative: NauseaVomiting Injection site pain Narrative:
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Vomiting
Clinical narrative: Headache, Myalgia & NauseaVomiting Narrative:  Other Relevant History:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Fever chills X1 day, swollen red area around inj site for 5 days. Narrative:  Other Relevant History:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Discomfort, Pain
Clinical narrative: pain, discomfort, diarrhea Narrative:  Other Relevant History:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Pain
Clinical narrative: pain, discomfort Narrative:  Other Relevant History:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: sore arm Narrative:  Other Relevant History:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity
Clinical narrative: sore arm, fatigue, headache Narrative:  Other Relevant History:
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: rash on back of left arm Narrative:  Other Relevant History:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Vomiting
Clinical narrative: NauseaVomiting SORE ARM Narrative:  Other Relevant History:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Injection site pain
Clinical narrative: Headache, Myalgia, Chills, sweats, fatigue, pain at injection site Narrative:  Other Relevant History:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Headache, Myalgia, Chills, sweats, fatigue, pain at injection site Narrative:  Other Relevant History:
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cough, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, CoughWheeze & Rash Narrative:  Other Relevant History:
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Wheezing
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, CoughWheeze & Rash Narrative:  Other Relevant History:
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Headache, Myalgia, Nausea
Clinical narrative: Headache, Myalgia, Arthralgia, Diarrhea & NauseaVomiting Narrative:  Other Relevant History:
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Headache, Myalgia, Arthralgia, Diarrhea & NauseaVomiting Narrative:  Other Relevant History:
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Headache, Injection site pain, Myalgia
Clinical narrative: Headache, Myalgia, chills, site pain Narrative:  Other Relevant History:
Age: 60.0
Sex: M
Vaccine: PPV
Symptoms: Hypersensitivity, Pruritus, Rash
Clinical narrative: RASH Narrative:  59 yo M patient s/o to me by Dr. as presenting with  the CC of having an allergic reaction to the Pneumonia vaccine received  yesterday, and awaiting re-evaluation after having been given IV dexamethasone, IV benadryl, and IV famotidine. Patient is currently resting comfortably in bed without any evidence of distress or discomfort. He denies any complaints or  concerns at this time, and states that the rash and itching have noticeably improved.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Respiratory distress, Urticaria
Clinical narrative: URTICARIA; RESPIRATORY DISTRESS  Narrative:  A 43yo female with historical ADR of respiratory distress and urticarial from an influenza vaccine Type of Influenza vaccine, manufacturer, date and place of vaccination were not specified by the reporting nurse. Unable to find Influenza vaccination history on the patient's Immunization record and unable to access immunization record
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: DOSING ERROR (VACCINATION ADMINISTERED TOO CLOSE TOGETHER) Narrative: Patient received first COVID vaccine 2/27/21. Herpes zoster recombinant vaccine was administered only a couple days later on 3/1/21. Order for Herpes zoster had activated 12/17/20. Vaccine given 3/1 per active order and pursuant to clinical reminder. No noted adverse reaction related to this administration error.
Age: 64.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: DOSING ERROR (VACCINATION ADMINISTERED TOO CLOSE  TOGETHER Patient received first COVID vaccine 2/27/21. Herpes zoster recombinant vaccine was administered only a couple days later on 3/1/21. Order for Herpes zoster had been activated 12/17/20. Vaccine given 3/1 per active order and pursuant to clinical reminder. No noted adverse reaction related to this administration error.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: DVT left leg 3/19/21 Brother with DVT from vaccine as well
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: fever  bodyaches headache fatigue chills
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nodule, Pain
Clinical narrative: Chills bodyaches knot on arm at site
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chest pain, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Adverse effect of vaccine Quality: headache, fever up to 102, body ache, fatigue, N without V, redness and swelling to injection  site, itching Severity: moderate Timing: continuous Duration: 4 days Associated signs and symptoms: Denies Swelling of face, lips, mouth, eyelids Denies chest pain, SOB, Wheezing, abd pain, Severe, headaches, dizziness
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site swelling, Lip swelling, Mouth swelling
Clinical narrative: Adverse effect of vaccine Quality: headache, fever up to 102, body ache, fatigue, N without V, redness and swelling to injection  site, itching Severity: moderate Timing: continuous Duration: 4 days Associated signs and symptoms: Denies Swelling of face, lips, mouth, eyelids Denies chest pain, SOB, Wheezing, abd pain, Severe, headaches, dizziness
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pruritus, Pyrexia, Swelling face
Clinical narrative: Adverse effect of vaccine Quality: headache, fever up to 102, body ache, fatigue, N without V, redness and swelling to injection  site, itching Severity: moderate Timing: continuous Duration: 4 days Associated signs and symptoms: Denies Swelling of face, lips, mouth, eyelids Denies chest pain, SOB, Wheezing, abd pain, Severe, headaches, dizziness
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling of eyelid, Wheezing
Clinical narrative: Adverse effect of vaccine Quality: headache, fever up to 102, body ache, fatigue, N without V, redness and swelling to injection  site, itching Severity: moderate Timing: continuous Duration: 4 days Associated signs and symptoms: Denies Swelling of face, lips, mouth, eyelids Denies chest pain, SOB, Wheezing, abd pain, Severe, headaches, dizziness
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Phlebitis superficial
Clinical narrative: Superficial Phlebitis R calf in patient on Eliquis for coagulopathy 2 weeks after 2nd shot.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: LESS THAN FULL DOSE GIVEN BUT CONSIDERABLY MORE THAN 1/2 DOSE GIVEN. ESTIMATED 90-95% GIVEN. NO HARM TO PATIENT
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Swollen arm below injection site, very red area around arm, low-grade fever
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Gait inability, Headache, Laboratory test
Clinical narrative: pt reports 2nd dose 3/16/2021-apx 2pm chills, headache, woke 7am 3/17/2021- Severe HA, leg pain, joint pain- unable to ambulate, leg pain has improved not resolved
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: pt reports 2nd dose 3/16/2021-apx 2pm chills, headache, woke 7am 3/17/2021- Severe HA, leg pain, joint pain- unable to ambulate, leg pain has improved not resolved
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Throat tightness
Clinical narrative: Pt developed sensation of throat closing on leftside (Lt deltoid inj) slight hoarseness 10 min post vaccination with first Moderna dose. Epinephrine 0.3 at 8:10 Rt VL. Pt transported to ER for further evaluation VS 805 114/76-98% P75 VS 8:15 117/86 98% P86
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site discharge, Injection site erythema, Injection site haemorrhage, Localised infection, Pain in extremity
Clinical narrative: Reason for Appointment  1. INFECTION IN ARM AFTER VACCINE  History of Present Illness  General:  Pt initiated and verbally consents to phone visit, pt without capability of televisit in lieu of clinic visit to limit exposure/contact during COVID19 pandemic. The pt and myself are present for today's visit.  68 y/o male presents today with c/o arm infection after vaccination. Pt had his second Moderna COVID-19 vaccine on 03/11/2021. He noted a sore arm after vaccinatino, but had no serious reactions or side effets immediately following vaccination. 2 days after vaccination, he noticed a small streak of blood from his injection site on his pillow. He covered the area with a bandaid. When later removing the bandaid, he noticed the area was red and there was some clear fluid on the bandaid. He cleaned the area with some peroxide and used some antibiotic ointment on it. The next day he noticed that in addition to the area being red, there was now an area of white pus approximately the size of a dime at the injection site. Pt notes that he called the Health Department to report the issue, they told him to contact his PCP which is why this appointment was scheduled. Pt did request an in-person appointment, but was told that he would have to schedule a phone visit with me. Today, the pt reports that there is still an area of pus about the size of a dime at the injection site. The surrounding area of redness is reducing. He notes that the pain in his arm also seems improved today. Pt denies fever, chills, lightheadedness/dizziness, N/ V, palpitations.  Vital Signs  WI 188, Ht 5 ft 6 in, BMI 30.34 Index, Ht-cm 167.64 cm, Wt-kg 85.28 kg.  Examination  General Examination:  GENERAL APPEARANCE: alert, in no distress.  LUNGS: Speaks in full sentences, no respiratory distress, no audible stridor or wheezing.  NEUROLOGIC: alert and oriented.  PSYCH: alert, oriented x4, cognitive function intact, speech clear.  Assessments  1. Adverse effect of other vaccines and biological substances, initial encounter - (Primary)  2. Infection following immunization, initial encounter - Treatment  I. Adverse effect of other vaccines and biological substances, initial encounter  Notes: From pt's history, this sounds like a mild superficial skin infection. Pt may benefit form I&D. I attempted to schedule the pt with a provider in our office today, but there is no availablility. He has been advised to go tot an urgent care or to the ER for treatment. Pt is to f/u with me next week. I will be requesting that my staff file a VAERS for this patient.  2. Others  Notes: 30 minutes spent on this phone visit.  Follow Up  1 Week (Reason: Injection site infection)
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Induration, Pain, Skin warm
Clinical narrative: severe HA Arm with heat, soreness and a knot Body aches
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Injection site nodule, Injection site warmth
Clinical narrative: HA 0 energy heat and knot at injection site Chills  low grade Temp.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: HA 0 energy heat and knot at injection site Chills  low grade Temp.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache
Clinical narrative: Chills, temp, headache
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Headache, Myalgia, Pain
Clinical narrative: Joint and muscle pain Dizziness HA Body aches
Age: 44.0
Sex: U
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Pain, Pyrexia
Clinical narrative: fever   headache chills  bodyaches dizziness
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Pain, Pain in extremity
Clinical narrative: Temp 102. Arm soreness Chills Body Aches felt faint when standing
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site vesicles
Clinical narrative: local redness/swelling at site c blisters . Raised Redness about 5in circle. site itchy
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Nausea, Vomiting
Clinical narrative: nausea vomiting backpain
Age: 65.0
Sex: U
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Syncope
Clinical narrative: fainted fever body aches
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain in extremity
Clinical narrative: Chills HA Arm soreness
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: chills fever fatigue
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Hyperhidrosis, Pain, Pain in extremity
Clinical narrative: Body Aches   Arm soreness chills sweats Feels awful
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Fever chills muscle aches headache
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nodule, Pain, Pyrexia
Clinical narrative: fever chills body aches egg sized knot on arm
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Ear discomfort, Headache, Pain
Clinical narrative: chills aches HA ears stopped up 100' temp
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain, Vomiting
Clinical narrative: aches chills nauseous/vomiting
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Gastrointestinal disorder, Influenza like illness, Pain
Clinical narrative: Body  Aches  Flu like symptoms  Joints hurt   GI issues
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Leg Rash
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia
Clinical narrative: Low grade temp fatigue
Sex: U
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain
Clinical narrative: fatigue   x 2 full days Temp - Body Aches chills
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Pyrexia
Clinical narrative: fever today (2/8/21) cold sweats
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising
Clinical narrative: Bruising at site
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Injection site swelling
Clinical narrative: Sore shoulder Swelling @ site headache
Sex: F
Vaccine: COVID19
Symptoms: Injection site nodule, Injection site warmth
Clinical narrative: Knot the size of fist at injection site heat at site.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Pain, Pyrexia
Clinical narrative: body aches headache chills joint pain fever
Age: 65.0
Sex: U
Vaccine: COVID19
Symptoms: Chills, Myalgia, Oropharyngeal pain, Pain in extremity
Clinical narrative: Sore throat- Mild Chills Muscle aches arm soreness
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Myalgia, Nausea, Pyrexia
Clinical narrative: muscle pain  nausea/ joint pain involuntery rigors (chills)x48hrs fever
Age: 60.0
Sex: U
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pain in jaw, Pyrexia
Clinical narrative: fever  headaches chills  jaw pain body aches
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Feeling cold, Pain
Clinical narrative: Body Aches chills cough felt cold
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Disorientation, Emotional poverty, Injection site pain, Pyrexia
Clinical narrative: arm swollen @ site disoriented balance off emotionally off shaking low grade fever
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: arm swollen @ site disoriented balance off emotionally off shaking low grade fever
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Injection site swelling, Tremor
Clinical narrative: chills, shakes No appitete fatigued Arm swollen @ site
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea
Clinical narrative: HA Nausea