chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Paraesthesia
Clinical narrative: Client presented to local Covid Vaccination Site on 11/01/2022 to receive Pfizer Bivalent COVID vaccine Lot#GJ6665 on left arm. At approximately 13:53 while sitting in the observation area client reported to lead nurse ?tingling sensation of both hands.? Client reports this has never happened with previous COVID vaccines. Client denies dizziness, shortness of breath and pain. Client was able to transfer to gravity chair without assistance. At approximately 1355 vital signs were taken by nurse; BP:110/79 mmHg, HR:96, RR:14, O2:97%. Client reports no known allergies a history of insomnia and is taking medication for insomnia (medication not specified.) Client reported she had breakfast around 8 in the morning. At approximately 1405 vital signs were taken by nurse; BP:112/72mmHg, HR:86, O2:98%. Client reported left hand improved, some tingling sensation on right hand. Client rested for ten more minutes in gravity chair. At 1615 vital signs were taken by nurse; BP:113/73mmHg, HR:86, O2: 98%. Client reported to PHN that both hands had improved. Client rested for approximately ten more minutes. At approximately 1625 vital signs were taken by nurse; BP:115/79mmHg, HR:82, O2:97%. Client reported to PHN that tingling sensation on left hand had resolved, right hand sensation was there but it had improved from when she reported. Client reported she felt good to leave. Client reported she was not driving, that she was accompanied by someone. PHN educated client on when to seek medical care. Client verbalized understanding. Client left the facility with a steady gait.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Hemiparesis, Magnetic resonance imaging head abnormal
Clinical narrative: I had a stroke after the vaccination. I have left sided weakness. I went to the ER and had MRI and determined I had a stroke. I take medications and go to therapy.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: Positive rapid antigen test for COVID19 with mild cold symptoms & fatigue 5 days
Age: 74.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Discomfort, Nasal congestion, Pyrexia
Clinical narrative: I received the Moderna Bivalent booster on 10/7/2022. When I went to bed on the night of 11/2/2022, I had a low-grade fever and nasal congestion. During the night, my nose ran continuously. I then developed a dry cough. I got up at about 5 AM on the morning of 11/3/2022 to see what the symptoms of COVID-19 are. After I found out what they are, I decided to take a home test, which yielded a positive result. I have been self-isolating ever since. Today marks the sixth day of isolation for me. I took another home test this morning and got another positive result. On 11/3/2022, I called my doctor to inform her of the situation. She decided not to prescribe me any medication, such as PAXLOVID, as she feared that there would be a negative interaction with the XARELTO I take. Since I couldn't get any prescription medication for COVID-19, I have been treating my symptoms with OTC DELSYM for the cough and OTC diphenhydramine for the discomfort. I have found them to be helpful.
Age: 74.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I received the Moderna Bivalent booster on 10/7/2022. When I went to bed on the night of 11/2/2022, I had a low-grade fever and nasal congestion. During the night, my nose ran continuously. I then developed a dry cough. I got up at about 5 AM on the morning of 11/3/2022 to see what the symptoms of COVID-19 are. After I found out what they are, I decided to take a home test, which yielded a positive result. I have been self-isolating ever since. Today marks the sixth day of isolation for me. I took another home test this morning and got another positive result. On 11/3/2022, I called my doctor to inform her of the situation. She decided not to prescribe me any medication, such as PAXLOVID, as she feared that there would be a negative interaction with the XARELTO I take. Since I couldn't get any prescription medication for COVID-19, I have been treating my symptoms with OTC DELSYM for the cough and OTC diphenhydramine for the discomfort. I have found them to be helpful.
Age: 64.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient was scheduled to receive flu vaccine at clinic, arrived to appointment with registered nurse and admitted to needing flu vaccine, completed flu pre-vaccination checklist. RN later checked System which revealed that patient had already received flu vaccine on 9/20/22 at Health Center. RN informed patient of situation, explained risks (higher likelihood of experiencing side effects. RN informed patient that she can take Tylenol PRN for fever/pain. RN answered all of patient's questions.
Age: 33.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Induration
Clinical narrative: The patient's left arm was erythematous and indurated. The axilla was also erythematous and indurated along with the left side of torso.
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product preparation issue
Clinical narrative: Vaccine was mistakenly administered without proper dilution.  Unknown if any symptoms occurred.  Pharmacy attempted to call patient phone number 4 times but did not receive a return call to the message left.  Pharmacist also called patient's doctor to alert them in case patient presented to the office.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Catatonia, Dizziness, Oropharyngeal pain, Presyncope
Clinical narrative: Patient nearly fainted and appeared as though in a catatonic state for about a minute. When asked if dizzy, patient responded yes. Also, mentioned throat being sore, but this went away after drinking fluids (water, orange juice). Patient's father was there for the entire episode. The episode resolved within 10-15 minutes of onset.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site mass, Injection site warmth, SARS-CoV-2 test negative, Ultrasound scan normal
Clinical narrative: 11/04/2022 09:30PM after I got out of the shower, I noticed I had a soft ball size lump on the right leg. It was red, and hot. It was where the vein doctor gave me the injection at for a problem I was having. I knew what she will say so decided to go to the ER. At the ER they did ultrasound and every was normal. I had a follow up with my vein doctor today 11/08/2022 at 09:45AM to check for the procedure that was done 2 weeks ago. The vein doctor said that the medication that is used in the anti-inflammatory drug that she used in the injection was also used in the vaccine which caused it to flare up where the procedure was done.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood albumin decreased, Glomerular filtration rate normal, Protein urine present, Proteinuria, Urine protein/creatinine ratio
Clinical narrative: One month following bivalent vaccine was diagnosed with high level of proteinuria, GFR normal, kidney biopsy pending
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: A patient received a shingrix shot from our pharmacy on 11/3/22. She had a typical reaction of redness, and swelling at the injection site.   These side effects resolved within the normal 2-3 day range.  However today the injection site is itching, swollen and red to her elbow.  She does not have a fever or trouble breathing.  I advised her to follow up with her doctor in the morning.
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Expired product administered, Product storage error
Clinical narrative: Pt was given Varivax lot # T027305 in L arm. After vaccine was given it was discovered that vaccine had expiration date of 08/12/2022. Dr. was made aware of error and examined the pt. Pt was then monitored for 15 minutes. Pt left clinic with father feeling well. Advised to go to ER if SOB, rash, or hives develops. Pt verbalized understanding. Vaccine was pulled from box labeled with lot number U033046 and expiration date 10/21/2023. Vials in box checked afterwards and other vials match box.
Age: 50.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Fever, terrible body soreness, extreme fatigue, fever that naproxen or ibuprofen don't break
Age: 69.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Blister, Pruritus, Rash
Clinical narrative: PATIENT STATES AFTER RECIEVING VACCINATIONS, HE DEVELOPED A RASH AND ITCHING ALL OVER HIS THIGH, BUTTOCKS, ARM WITH LIGHT BLISTERS.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Headache, chills, body aches, fatigue
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Severe pain, swelling and redness on injection side 6x6 inch. Tenderness to touch and difficulty moving arm.
Age: 29.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Abdominal pain, Chills, Dizziness, Headache, Hypoaesthesia
Clinical narrative: Onset of chills transitioned to full body tremors; after lying flat body went numb from neck down to lower legs, muscle cramps in thighs and hands (index finger and thumb constricted, unable to straighten) during tremors. Abdominal cramps also occurred at this time. Shaking subsided after blankets and heating pad applied. Numbness eventually subsided leaving entire body woosy with nausea, headache, and lightheadedness/dizziness. Event lasted from 9:30 PM - 12:30 AM.
Age: 29.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Muscle spasms, Nausea, Tremor
Clinical narrative: Onset of chills transitioned to full body tremors; after lying flat body went numb from neck down to lower legs, muscle cramps in thighs and hands (index finger and thumb constricted, unable to straighten) during tremors. Abdominal cramps also occurred at this time. Shaking subsided after blankets and heating pad applied. Numbness eventually subsided leaving entire body woosy with nausea, headache, and lightheadedness/dizziness. Event lasted from 9:30 PM - 12:30 AM.
Age: 22.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Diarrhoea, Fatigue, Full blood count, Influenza virus test negative, Pain
Clinical narrative: 4 days of high fever over 103 that will not come down even with Tylenol.  Have been to the doctor and covid and flu tests are negative. Body aches, fatigue, diarrhea.
Age: 22.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: 4 days of high fever over 103 that will not come down even with Tylenol.  Have been to the doctor and covid and flu tests are negative. Body aches, fatigue, diarrhea.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Conjunctivitis, Eye pain
Clinical narrative: left eye pain and conjunctivitis
Age: 24.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Dizziness, Dizziness postural, Vertigo
Clinical narrative: Vértigo. Feeling very dizzy after receiving the vaccines. I especially feel this when standing up, moving. I do not feel this when lying down or sitting.  This symptom started at approx 6:30pm on Nov. 7, 2022 after receiving the vaccine at approx. 10:30am on Nov. 7, 2022. I did not have any side effects during the 15 minute period after the shots.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Syringe issue, Underdose
Clinical narrative: When I went to administer the vaccine the syringe retracted too soon. The patient did not receive the full dose, less than 1/2. I drew up another dose and administered to the the patient.
Age: 46.0
Sex: F
Vaccine: HPV9
Symptoms: Pain in extremity
Clinical narrative: sore arm
Age: 43.0
Sex: M
Vaccine: HPV9, HPV9
Symptoms: Immediate post-injection reaction, Injection site pain, Pain, Product administered at inappropriate site
Clinical narrative: This is the third of 3 injections. It felt immediately different and too high on the arm. Since the injection I have pain in my left shoulder with nearly any activity. Lifting my hand above my head hurts. I had not prior shoulder injury or problems.
Age: 43.0
Sex: M
Vaccine: HPV9, HPV9
Symptoms: Injection site pain
Clinical narrative: This is the third of 3 injections. It felt immediately different and too high on the arm. Since the injection I have pain in my left shoulder with nearly any activity. Lifting my hand above my head hurts. I had not prior shoulder injury or problems.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Memory impairment
Clinical narrative: About 30 days after my second vaccine I noticed my short term memory deteriorating. I was terrified I was getting Alzheimer?s at 47 yo and was talking at work and found that 4 of my coworkers that got the same vaccines were having the same issues. One of the girls recently had a CT scan  I will pick up my phone or go to my email and cannot remember for what. I cannot remember if I have taken my medications. I?ll call someone and cannot remember why.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure increased, Cough, Dyspnoea, Headache
Clinical narrative: In addition to fever the day after, headaches several days, then a cough, all of the sudden in October (22nd or so) I started feeling something odd in my chest/throat. Not pain, but similar to a fast heartrate and/or difficulty breathing.  Similar to anxiety in stressful situation, but that is rare with me.  I finally checked my blood pressure, although mine has ALWAYS been lOw.  It showed elevated.  I haven't went to the doctor yet, hoping it would stop, but I'm going to have to make an appointment because something isn't right.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Pyrexia
Clinical narrative: In addition to fever the day after, headaches several days, then a cough, all of the sudden in October (22nd or so) I started feeling something odd in my chest/throat. Not pain, but similar to a fast heartrate and/or difficulty breathing.  Similar to anxiety in stressful situation, but that is rare with me.  I finally checked my blood pressure, although mine has ALWAYS been lOw.  It showed elevated.  I haven't went to the doctor yet, hoping it would stop, but I'm going to have to make an appointment because something isn't right.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given a booster of the monovalent Pfizer COVID vaccine instead of the bivalent booster
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea, Throat irritation
Clinical narrative: Patient reported a scratchy throat and difficulty breathing. Patient received Epinephrine 0.5mg IM. Symptoms subsided and she was discharged without any further incidents
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Paraesthesia
Clinical narrative: Pins and needles in arm and leg.  Started in the leg, then his arm.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the monovalent Pfizer COVID vaccine as a booster instead of the bivalent booster
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Carpal tunnel syndrome, Exposure during pregnancy, Grip strength decreased, Mobility decreased
Clinical narrative: It is my first pregnancy. I am 21 weeks along and due March 17, 2023. The morning after receiving my booster shot (my fourth shot total) for the COVID vaccine, I experienced extreme pain in both my arms and hands. I could not move or pick anything up. On the third day, the pain subsided in my left arm but was higher and concentrated to my right arm. If I kept my arm very still for an extended period of time, the pain would lessen. I could not move my arm and it was debilitating pain. For the two days following my vaccination, I would say my pain levels were at a 10 (on a scale of 1-10).  By the fourth day, the pain had gotten better (level 7 or 8) and wasn?t covering my entire arm and hands. It was only in certain spots on my arm and in my hand. However, I still could not grip anything nor could I pick things up so I decided to see a doctor. I didn?t have a primary care physician at the time so I went to the Emergency Room. They suspected it may be carpal tunnel and treated it as such. They gave me acetaminophen, a lidocaine patch, and a wrist brace. It provided temporary relief. I am now on my fifth day out from my vaccination and I am still having wrist pain in both wrists (level 5 or 6), along with arm pain in the arm I got my shot in.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: It is my first pregnancy. I am 21 weeks along and due March 17, 2023. The morning after receiving my booster shot (my fourth shot total) for the COVID vaccine, I experienced extreme pain in both my arms and hands. I could not move or pick anything up. On the third day, the pain subsided in my left arm but was higher and concentrated to my right arm. If I kept my arm very still for an extended period of time, the pain would lessen. I could not move my arm and it was debilitating pain. For the two days following my vaccination, I would say my pain levels were at a 10 (on a scale of 1-10).  By the fourth day, the pain had gotten better (level 7 or 8) and wasn?t covering my entire arm and hands. It was only in certain spots on my arm and in my hand. However, I still could not grip anything nor could I pick things up so I decided to see a doctor. I didn?t have a primary care physician at the time so I went to the Emergency Room. They suspected it may be carpal tunnel and treated it as such. They gave me acetaminophen, a lidocaine patch, and a wrist brace. It provided temporary relief. I am now on my fifth day out from my vaccination and I am still having wrist pain in both wrists (level 5 or 6), along with arm pain in the arm I got my shot in.
Age: 17.0
Sex: M
Vaccine: FLU4, HEPA, IPV, MMR, TDAP, VARCEL
Symptoms: Vomiting
Clinical narrative: Patient threw up 1 time after receiving vaccines
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Herpes zoster
Clinical narrative: Developed shingles 24 hours after vaccine
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Insomnia, Myalgia, Nausea
Clinical narrative: Headache, Myalgia,  difficulty sleeping, nausea Narrative:
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Bed rest, Guillain-Barre syndrome
Clinical narrative: Reports Guillain-Barre Syndrome secondary to Moderna COVID vaccine. Completely bed ridden then transferred to hospice.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: GAVE MONOVALENT INSTEAD OF BIVALENT. 0 TREATMENT, OUTCOME WITHOUT SIGNS OR SYMTOMS OF ADVERSE EFFECT.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: GAVE MONOVALENT INSTEAD OF BIVALENT. 0 TREATMENT, OUTCOME WITHOUT SIGNS OR SYMPTOMS OF ADVERSE EFFECT
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Platelet count decreased, Rash, Thrombocytopenia
Clinical narrative: Narrative: The patient received their 4th dose of Moderna COVID 19 Vaccine on 19 October 2022 and experienced rash and thrombocytopenia drop in his platelet counts to 75. The patient was treated with prednisone and ibuprofen. The patient returned to the clinic on 2 November 2022 with residual arthritic pain and rash, but platelets returned to normal.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Pruritus, Tenderness
Clinical narrative: Narrative: Patient received Moderna Bivalent Booster Vaccine on 11 October 2022. The patient experienced redness and itching that was initially 2.5cc on the day of injection and spread to cover approximately 15x15cm on the lateral arm. The area was bright red and tender to the touch. The patient was treated with diphenhydramine.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Mobility decreased, Myalgia
Clinical narrative: Narrative: The patient received the third dose o Pfizer COVID 19 Vaccine and experinced severe malaise and myalgias to the point the patient could not move or get out of bed.
Age: 14.0
Sex: M
Vaccine: HPV9, MMRV
Symptoms: Extra dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: MMRV given after the age of 12. New to working with pediatrics and was not aware of the age. Also this was the 3rd dose of MMR and Varicella which was not needed. Patient tolerated injections well. No adverse reactions known.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, DTAPIPV, MMRV, MMRV
Symptoms: Injection site erythema, Injection site pain, Skin reaction
Clinical narrative: Skin reaction with pain and redness to U Rt arm. Benadryl at night/apply ice/watch for worsening symptoms.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, DTAPIPV, FLU4, MMRV
Symptoms: Body temperature increased, Erythema, Peripheral swelling, Respiratory tract congestion
Clinical narrative: Left arm red and swollen, temp 101, congestion   Tx: alternate ice/heat take claritin/zyrtec
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: patient was given orange cap 5-11 pfizer as a booster instead of Bivalent. Staff as been educated on updated protocol and Provider was notified.
Age: 66.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Arthralgia, Headache, Limb discomfort, Myalgia, Pain in extremity
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, "arms heavy" ; pain and soreness in arms and shoulders Narrative:  advised employee to see PCP
Age: 66.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Pyrexia
Clinical narrative: Headache, Myalgia, Arthralgia, Fever, "arms heavy" ; pain and soreness in arms and shoulders Narrative:  advised employee to see PCP
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Fatigue, Headache, Impaired work ability, Nausea
Clinical narrative: Headache, Myalgia, Angioedema, SkinRash, Rash, UrticariaPruritus, NauseaVomiting, ARM BECAME PROGRESSIVELY MORE PAINFUL; THROB, LEFT WORK ONE HOUR EARLY, FELT TIRED; MYALGIA LEFT ARM, NAUSEA Narrative:  FIRST FEW HOURS LEFT ARM PAIN AND THROBBING, HEADACHE ABOUT AN HOUR AFTER VACCINE; NAUSEA IN THE AFTERNOON, LEFT WORK ONE HOUR EARLY, AT HOME, LAID DOWN, WHEN AWOKE, ABOUT 9P, FACE WAS ITCHING, SWELLING OF FACE AND EYES 9CARRIES EPI PEN, SUFFERS FROM ALLERGIES), USED DESONIX CREAM ON FACE (FOR ITCHING FROM MD FOR ALLERGIC REACTIONS), LIPS TINGLING, TOOK BENADRYL PO, TUESDAY AM RED SPLOTCHES ON FACE, USED DESONIX AND TOOK BENADRYL. TODAY (WED) STILL ITCHING AROUND CHEEKS, UNDER EYES, AROUND MOUTH. ON MONDAY THROUGH TODAY FELT TIRED AND HEADACHE. (NOT RESOLVED; ONGOING); PLANS TO TAKE BENADRYL WHEN ARRIVES HOME TODAY.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia oral, Pruritus, Rash
Clinical narrative: Headache, Myalgia, Angioedema, SkinRash, Rash, UrticariaPruritus, NauseaVomiting, ARM BECAME PROGRESSIVELY MORE PAINFUL; THROB, LEFT WORK ONE HOUR EARLY, FELT TIRED; MYALGIA LEFT ARM, NAUSEA Narrative:  FIRST FEW HOURS LEFT ARM PAIN AND THROBBING, HEADACHE ABOUT AN HOUR AFTER VACCINE; NAUSEA IN THE AFTERNOON, LEFT WORK ONE HOUR EARLY, AT HOME, LAID DOWN, WHEN AWOKE, ABOUT 9P, FACE WAS ITCHING, SWELLING OF FACE AND EYES 9CARRIES EPI PEN, SUFFERS FROM ALLERGIES), USED DESONIX CREAM ON FACE (FOR ITCHING FROM MD FOR ALLERGIC REACTIONS), LIPS TINGLING, TOOK BENADRYL PO, TUESDAY AM RED SPLOTCHES ON FACE, USED DESONIX AND TOOK BENADRYL. TODAY (WED) STILL ITCHING AROUND CHEEKS, UNDER EYES, AROUND MOUTH. ON MONDAY THROUGH TODAY FELT TIRED AND HEADACHE. (NOT RESOLVED; ONGOING); PLANS TO TAKE BENADRYL WHEN ARRIVES HOME TODAY.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash macular, Swelling face
Clinical narrative: Headache, Myalgia, Angioedema, SkinRash, Rash, UrticariaPruritus, NauseaVomiting, ARM BECAME PROGRESSIVELY MORE PAINFUL; THROB, LEFT WORK ONE HOUR EARLY, FELT TIRED; MYALGIA LEFT ARM, NAUSEA Narrative:  FIRST FEW HOURS LEFT ARM PAIN AND THROBBING, HEADACHE ABOUT AN HOUR AFTER VACCINE; NAUSEA IN THE AFTERNOON, LEFT WORK ONE HOUR EARLY, AT HOME, LAID DOWN, WHEN AWOKE, ABOUT 9P, FACE WAS ITCHING, SWELLING OF FACE AND EYES 9CARRIES EPI PEN, SUFFERS FROM ALLERGIES), USED DESONIX CREAM ON FACE (FOR ITCHING FROM MD FOR ALLERGIC REACTIONS), LIPS TINGLING, TOOK BENADRYL PO, TUESDAY AM RED SPLOTCHES ON FACE, USED DESONIX AND TOOK BENADRYL. TODAY (WED) STILL ITCHING AROUND CHEEKS, UNDER EYES, AROUND MOUTH. ON MONDAY THROUGH TODAY FELT TIRED AND HEADACHE. (NOT RESOLVED; ONGOING); PLANS TO TAKE BENADRYL WHEN ARRIVES HOME TODAY.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia
Clinical narrative: Myalgia & Arthralgia Narrative:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Nausea, Parosmia
Clinical narrative: reports that her vaccine reaction has not resolved. worsening change in sense of smell, reports phantom nasty smell causing nausea, loss of appetite, is now taking zofran in a routine basis, and being followed by ENT and Nutritionist due to only eating e Narrative: employee states she is seeing pcp, ent, nutritionist, and pcp for her adverse reaction
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia & Fever Narrative:
Age: 51.0
Sex: M
Vaccine: COVID19-2
Symptoms: Erythema multiforme, Pruritus, Urticaria
Clinical narrative: ErythemaMultiform & UrticariaPruritus Narrative:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Myalgia, Pyrexia
Clinical narrative: Dizziness, Headache, Myalgia, Fever, NauseaVomiting, unable to sleep, chills Narrative:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Vomiting
Clinical narrative: Dizziness, Headache, Myalgia, Fever, NauseaVomiting, unable to sleep, chills Narrative:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension
Clinical narrative: HYPERtension Narrative:
Age: 31.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Impaired work ability, Rash
Clinical narrative: Arthralgia & SkinRash Missed work x 2 days, due to pain in joints (ankels, hips, knees)
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 94.0
Sex: M
Vaccine: FLUX
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Fatigue
Clinical narrative: Narrative:  Patient recently received his 4th moderna COVID immunization. He has not had any issues/concerns/reactions to previously administered vaccines. After receiving this 4th vaccine the patient and his wife noted that he was more fatigued than usual and they report that this fatigue resulted in him falling twice. These falls both occurred within the week following the vaccine administration. Patient is an elderly man who receives help from his wife with daily cares as well as is a part of home based primary care. There are multiple additional reasons for why the patient could have been fatigued and fallen. Patient also has diabetes and takes multiple medications that put him at increased risk for hypoglycemia which can cause fatigue and falls as well. The report noted that this reaction was only being reported as an adverse event in case the patient wanted to receive another booster in the future then the providers would know to educate on how to avoid falls. Patient as not had any documented falls since this event and has now expressed interest in receiving the bivalent booster.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Cognitive disorder, Computerised tomogram thorax abnormal, Thrombosis
Clinical narrative: Narrative:  In June 2021, patient was admitted to Hospital for PE and CHF exacerbation and was discharged later in June 2021. Patient had extensive B/L PE, no right strain as seen on CT 5/26. Appears stable. However, his sister (POA) has refused the second dose and the booster. Per hospital chart notes, "Patient's sister stated that Patient had a reaction to 1st vaccine resulting in a blood clot and he is not cognitively intact to understand the risk of receiving another COVID-19 Vaccine"
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction
Clinical narrative: Narrative:  Per Health Note on 02/25/2022, patient had a severe reaction to COVID-19 PEG component characterized by anaphylaxis. No further documentation of the reaction identified. Per Regulatory Authority review, patient received the Moderna Immunization at the Hospital, however this is not reflected by Health Authority review. Patient lacking documentation to support this ADR. No supporting documentation in database or Regulatory Authority. Per note, patient received at Public Health: Moderna vaccine x 2. Anaphylactic reaction x2 per patient Per review of medication history, patient was not taking any other medications that are well known to cause an allergic reaction. Has hx of anaphylaxis to peppermint oil as well. No additional treatment for this severe ADR or any hospitalization notes identified.
Age: 38.0
Sex: M
Vaccine: FLUX
Symptoms: Allergy to vaccine, Rash
Clinical narrative: Narrative: No documentation of initial allergy in System beyond 2006, however it is reported that the allergy occurred in 2002. Notes documenting the allergy states variations of "allergic to influenza vaccine - skin rash." Logged as severe upon recent transition to facility, however without documentation of treatment. No documentation of a life-threatening reaction. No influenza vaccines reported in System.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: COVID-19, Hypersensitivity
Clinical narrative: Narrative: No documentation of ADR. Documentation of vaccine administration found, however no supporting evidence between date of administration to date of documentation of allergy. Patient also diagnosed with COVID at the time of allergy logged, which could present with similar symptoms.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: loss taste/smell Narrative:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Nausea, Parosmia
Clinical narrative: phantosmia Narrative:  reported the adverse reaction today 9-16-2022. reports had to leave her work for nausea due to phantom odor
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, Myalgia, Nausea
Clinical narrative: Headache, Myalgia, Fever, nausea, malaise, fatigue
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, Myalgia, Fever, nausea, malaise, fatigue
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bed rest, Fatigue, Headache, Insomnia, Loss of personal independence in daily activities
Clinical narrative: Headache, Myalgia,  Insomnia incapacitating insomnia, headache fatigue, myalgias. Treated with fluids and bedrest.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia
Clinical narrative: Headache, Myalgia,  Insomnia incapacitating insomnia, headache fatigue, myalgias. Treated with fluids and bedrest.
Age: 58.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Alcohol withdrawal syndrome, Suicidal ideation
Clinical narrative: Narrative:  Patient admitted to the hospital within 30 days of receiving MODERNA COVID-19 vaccine. Patient is admitted for alcohol withdrawal with suicidal ideation.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: left arm injection site swelling & redness started to get bigger by the end of the night of 3/11/2022 Narrative:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Injection site pain, Injection site swelling, Malaise
Clinical narrative: Headache, Arthralgia, Fever, PAIN/SWELLING BILAT HANDS, MALAISE, POUNDING HEADACHE, PAIN/SWELLING INJECTION SITE, FEVER 101.4
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Headache, Arthralgia, Fever, PAIN/SWELLING BILAT HANDS, MALAISE, POUNDING HEADACHE, PAIN/SWELLING INJECTION SITE, FEVER 101.4
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Parosmia, Pruritus, Sensation of foreign body, Taste disorder, Urticaria
Clinical narrative: Narrative:  Patient states that an hour and 15 mins after his first vaccine he developed urticaria on his chest and itching from head to foot that lasted 24 hours. In addition his smell and taste was off and he felt a lump in his throat for about 6 hours. After consultation with Nurse Practioner and counseling eith patient he elected not to get vacccine. He was offered the Jannson Vaccine in 2 weeks but declined. No evidence of hospitalization or treatment with medication to combat these symptoms.
Age: 13.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Vaccination site cyst, Vaccination site swelling
Clinical narrative: Swelling at site of HPV vaccination which enlarged to a 2cm x 2cm fluid filled cyst. Non-tender, no redness.  Area remained swollen at the same size for about a week then began slowly to decrease in size.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Asthenia, Blood creatinine increased, C-reactive protein increased, COVID-19
Clinical narrative: COVID+ 11/7/22 - Vaccination status - moderna x3 BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: PA Admission Date: 11/7/2022 Discharge Date: 11/8/2022   DISCHARGE DIAGNOSES 1. COVID-19 2. Chronic obstructive pulmonary disease with acute exacerbation 3. Paroxysmal atrial fibrillation 4. Hypertension 5. Hyperlipidemia 6. Chronic diastolic heart failure 7. Chronic back pain 8. Lumbar radiculopathy 9. Rheumatoid arthritis 10. Nicotine use disorder   DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 64 y.o. male COPD not on home oxygen (supposed to be on 2L at night), hypertension, hyperlipidemia, diastolic congestive heart failure, sleep apnea and paroxysmal Afib (Watchmans and ASA 81) for concerns of 1 week history of upper respiratory infection symptoms as well as wheezing and shortness of breath.  He is found to be COVID 19 positive in the emergency department. Chest x-ray unremarkable.  He received DuoNebs as well as IV steroids with some improvement.  He was also started on remdesivir given for oxygen but baseline.  He is admitted for further management of COVID and chronic obstructive pulmonary disease exacerbation.  Labs demonstrated elevated CRP and D-dimer.  He was admitted for 1 day and was weaned off of oxygen on the morning after admission.  Lung exam was significantly improved with you minimal scattered wheezing and no rhonchi.  He stated that he felt much improved after initiation of nebulized treatments and steroids.  He noted that he was using a nebulizer at home.  He remained off of oxygen also today and stated that he would like to go home.  He was stable at this time and he tolerated ambulation and ADLs throughout the day off of oxygen.  He was discharged on 11/08 in stable improved condition with 5 days of prednisone 40 mg to complete a 7 day course.  He was also sent with a new script for nebulizers and home skilled nursing PT and OT referrals.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Decreased appetite, Dehydration, Diarrhoea, Fatigue
Clinical narrative: COVID+ 11/7/22 - Vaccination status - moderna x3 BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: PA Admission Date: 11/7/2022 Discharge Date: 11/8/2022   DISCHARGE DIAGNOSES 1. COVID-19 2. Chronic obstructive pulmonary disease with acute exacerbation 3. Paroxysmal atrial fibrillation 4. Hypertension 5. Hyperlipidemia 6. Chronic diastolic heart failure 7. Chronic back pain 8. Lumbar radiculopathy 9. Rheumatoid arthritis 10. Nicotine use disorder   DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 64 y.o. male COPD not on home oxygen (supposed to be on 2L at night), hypertension, hyperlipidemia, diastolic congestive heart failure, sleep apnea and paroxysmal Afib (Watchmans and ASA 81) for concerns of 1 week history of upper respiratory infection symptoms as well as wheezing and shortness of breath.  He is found to be COVID 19 positive in the emergency department. Chest x-ray unremarkable.  He received DuoNebs as well as IV steroids with some improvement.  He was also started on remdesivir given for oxygen but baseline.  He is admitted for further management of COVID and chronic obstructive pulmonary disease exacerbation.  Labs demonstrated elevated CRP and D-dimer.  He was admitted for 1 day and was weaned off of oxygen on the morning after admission.  Lung exam was significantly improved with you minimal scattered wheezing and no rhonchi.  He stated that he felt much improved after initiation of nebulized treatments and steroids.  He noted that he was using a nebulizer at home.  He remained off of oxygen also today and stated that he would like to go home.  He was stable at this time and he tolerated ambulation and ADLs throughout the day off of oxygen.  He was discharged on 11/08 in stable improved condition with 5 days of prednisone 40 mg to complete a 7 day course.  He was also sent with a new script for nebulizers and home skilled nursing PT and OT referrals.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer normal, Hypoxia, Malaise, SARS-CoV-2 test positive
Clinical narrative: COVID+ 11/7/22 - Vaccination status - moderna x3 BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: PA Admission Date: 11/7/2022 Discharge Date: 11/8/2022   DISCHARGE DIAGNOSES 1. COVID-19 2. Chronic obstructive pulmonary disease with acute exacerbation 3. Paroxysmal atrial fibrillation 4. Hypertension 5. Hyperlipidemia 6. Chronic diastolic heart failure 7. Chronic back pain 8. Lumbar radiculopathy 9. Rheumatoid arthritis 10. Nicotine use disorder   DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 64 y.o. male COPD not on home oxygen (supposed to be on 2L at night), hypertension, hyperlipidemia, diastolic congestive heart failure, sleep apnea and paroxysmal Afib (Watchmans and ASA 81) for concerns of 1 week history of upper respiratory infection symptoms as well as wheezing and shortness of breath.  He is found to be COVID 19 positive in the emergency department. Chest x-ray unremarkable.  He received DuoNebs as well as IV steroids with some improvement.  He was also started on remdesivir given for oxygen but baseline.  He is admitted for further management of COVID and chronic obstructive pulmonary disease exacerbation.  Labs demonstrated elevated CRP and D-dimer.  He was admitted for 1 day and was weaned off of oxygen on the morning after admission.  Lung exam was significantly improved with you minimal scattered wheezing and no rhonchi.  He stated that he felt much improved after initiation of nebulized treatments and steroids.  He noted that he was using a nebulizer at home.  He remained off of oxygen also today and stated that he would like to go home.  He was stable at this time and he tolerated ambulation and ADLs throughout the day off of oxygen.  He was discharged on 11/08 in stable improved condition with 5 days of prednisone 40 mg to complete a 7 day course.  He was also sent with a new script for nebulizers and home skilled nursing PT and OT referrals.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: C-reactive protein increased, COVID-19, Chest X-ray normal, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: COVID+ 11/7/22 - Vaccination status - moderna x3 BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: PA Admission Date: 11/7/2022 Discharge Date: 11/8/2022   DISCHARGE DIAGNOSES 1. COVID-19 2. Chronic obstructive pulmonary disease with acute exacerbation 3. Paroxysmal atrial fibrillation 4. Hypertension 5. Hyperlipidemia 6. Chronic diastolic heart failure 7. Chronic back pain 8. Lumbar radiculopathy 9. Rheumatoid arthritis 10. Nicotine use disorder   DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 64 y.o. male COPD not on home oxygen (supposed to be on 2L at night), hypertension, hyperlipidemia, diastolic congestive heart failure, sleep apnea and paroxysmal Afib (Watchmans and ASA 81) for concerns of 1 week history of upper respiratory infection symptoms as well as wheezing and shortness of breath.  He is found to be COVID 19 positive in the emergency department. Chest x-ray unremarkable.  He received DuoNebs as well as IV steroids with some improvement.  He was also started on remdesivir given for oxygen but baseline.  He is admitted for further management of COVID and chronic obstructive pulmonary disease exacerbation.  Labs demonstrated elevated CRP and D-dimer.  He was admitted for 1 day and was weaned off of oxygen on the morning after admission.  Lung exam was significantly improved with you minimal scattered wheezing and no rhonchi.  He stated that he felt much improved after initiation of nebulized treatments and steroids.  He noted that he was using a nebulizer at home.  He remained off of oxygen also today and stated that he would like to go home.  He was stable at this time and he tolerated ambulation and ADLs throughout the day off of oxygen.  He was discharged on 11/08 in stable improved condition with 5 days of prednisone 40 mg to complete a 7 day course.  He was also sent with a new script for nebulizers and home skilled nursing PT and OT referrals.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fibrin D dimer increased, Lumbar radiculopathy, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: COVID+ 11/7/22 - Vaccination status - moderna x3 BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: PA Admission Date: 11/7/2022 Discharge Date: 11/8/2022   DISCHARGE DIAGNOSES 1. COVID-19 2. Chronic obstructive pulmonary disease with acute exacerbation 3. Paroxysmal atrial fibrillation 4. Hypertension 5. Hyperlipidemia 6. Chronic diastolic heart failure 7. Chronic back pain 8. Lumbar radiculopathy 9. Rheumatoid arthritis 10. Nicotine use disorder   DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 64 y.o. male COPD not on home oxygen (supposed to be on 2L at night), hypertension, hyperlipidemia, diastolic congestive heart failure, sleep apnea and paroxysmal Afib (Watchmans and ASA 81) for concerns of 1 week history of upper respiratory infection symptoms as well as wheezing and shortness of breath.  He is found to be COVID 19 positive in the emergency department. Chest x-ray unremarkable.  He received DuoNebs as well as IV steroids with some improvement.  He was also started on remdesivir given for oxygen but baseline.  He is admitted for further management of COVID and chronic obstructive pulmonary disease exacerbation.  Labs demonstrated elevated CRP and D-dimer.  He was admitted for 1 day and was weaned off of oxygen on the morning after admission.  Lung exam was significantly improved with you minimal scattered wheezing and no rhonchi.  He stated that he felt much improved after initiation of nebulized treatments and steroids.  He noted that he was using a nebulizer at home.  He remained off of oxygen also today and stated that he would like to go home.  He was stable at this time and he tolerated ambulation and ADLs throughout the day off of oxygen.  He was discharged on 11/08 in stable improved condition with 5 days of prednisone 40 mg to complete a 7 day course.  He was also sent with a new script for nebulizers and home skilled nursing PT and OT referrals.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Wheezing
Clinical narrative: COVID+ 11/7/22 - Vaccination status - moderna x3 BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: PA Admission Date: 11/7/2022 Discharge Date: 11/8/2022   DISCHARGE DIAGNOSES 1. COVID-19 2. Chronic obstructive pulmonary disease with acute exacerbation 3. Paroxysmal atrial fibrillation 4. Hypertension 5. Hyperlipidemia 6. Chronic diastolic heart failure 7. Chronic back pain 8. Lumbar radiculopathy 9. Rheumatoid arthritis 10. Nicotine use disorder   DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 64 y.o. male COPD not on home oxygen (supposed to be on 2L at night), hypertension, hyperlipidemia, diastolic congestive heart failure, sleep apnea and paroxysmal Afib (Watchmans and ASA 81) for concerns of 1 week history of upper respiratory infection symptoms as well as wheezing and shortness of breath.  He is found to be COVID 19 positive in the emergency department. Chest x-ray unremarkable.  He received DuoNebs as well as IV steroids with some improvement.  He was also started on remdesivir given for oxygen but baseline.  He is admitted for further management of COVID and chronic obstructive pulmonary disease exacerbation.  Labs demonstrated elevated CRP and D-dimer.  He was admitted for 1 day and was weaned off of oxygen on the morning after admission.  Lung exam was significantly improved with you minimal scattered wheezing and no rhonchi.  He stated that he felt much improved after initiation of nebulized treatments and steroids.  He noted that he was using a nebulizer at home.  He remained off of oxygen also today and stated that he would like to go home.  He was stable at this time and he tolerated ambulation and ADLs throughout the day off of oxygen.  He was discharged on 11/08 in stable improved condition with 5 days of prednisone 40 mg to complete a 7 day course.  He was also sent with a new script for nebulizers and home skilled nursing PT and OT referrals.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood glucose decreased, COVID-19, Chest pain, Constipation, Dysphagia
Clinical narrative: 09/10/22 presents to EC ED for "dysphagia". PMHx of "SBO, DM II, Stage IV lung cancer on chemo/radiation (last session 3-4 weeks ago)"
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Oropharyngeal pain, Productive cough, Respiratory tract congestion, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: 09/10/22 presents to EC ED for "dysphagia". PMHx of "SBO, DM II, Stage IV lung cancer on chemo/radiation (last session 3-4 weeks ago)"
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Dysphagia, SARS-CoV-2 test positive
Clinical narrative: 09/10/22 presents to EC ED for "dysphagia". PMHx of "SBO, DM II, Stage IV lung cancer on chemo/radiation (last session 3-4 weeks ago)"
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Body temperature, COVID-19, SARS-CoV-2 test
Clinical narrative: some fatigue; sore arm / all in the left upper armmuscle which remained sore for several days each time; This spontaneous case was reported by a patient and describes the occurrence of FATIGUE (some fatigue) and VACCINATION SITE PAIN (sore arm / all in the left upper arm muscle which remained sore for several days each time) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 prophylaxis.     No Medical History information was reported.    On 20-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced FATIGUE (some fatigue) and VACCINATION SITE PAIN (sore arm / all in the left upper armmuscle which remained sore for several days each time). At the time of the report, FATIGUE (some fatigue) outcome was unknown and VACCINATION SITE PAIN (sore arm / all in the left upper armmuscle which remained sore for several days each time) had resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing remained unchanged. No concomitant medication was reported. Reportedly, patient had no other events other than some fatigue and a sore arm. No treatment information was provided.   This case was linked to MOD-2022-669895, MOD-2022-668051, MOD-2022-662883, MOD-2022-662837 (Patient Link).