chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash, Skin swelling
Clinical narrative: Whole-body skin rash: Rash started on day 4 post-vaccination. It began around elbow joints and spread to between fingers and wrists the first day. On the next day it spread to around shoulders/armpits, groin/buttocks, hands and scalp. On subsequent days it spread to arms, torso, face, knees, ankles, legs and feet in roughly that order. Rashes began to clear from each area roughly 48-72 hours after first appearing. Over-the-counter antihistamines helped reduce puffiness of rashes and manage itchiness. Loratadine was most effective followed by Cetirizine HCl and Diphenhydramine. Over the course of the reaction, rashes spread throughout 80-90% of the surface of my skin. It is currently day 9 post-vaccination and rashes have cleared from many areas, but still remain on about 10-15% of my body.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site cellulitis, Neck pain
Clinical narrative: sore neck, fatigue, arm cellulitis at injection site,  headache. Tylenol taken
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Breast pain, Chills, Erythema, Fatigue
Clinical narrative: Chills,headache,stomache problems,arm was sore red warm,left breast pain and exhaustion.      The redness swelling itching lasted in arm for days. Injection given too low not in muscle. Went to Dr ,BP was 160/90,had headache and neck pain for 10 days straight with no relief..Never had High BP  Just had stress test in December.  BP continues to be higher than before vaccine..  went to neurologist for an existing problem unrelated to vaccine on Feb 9.  BP  170/90, consistent with self monitoring BP at home. I  spoke with about ongoing symptoms since vaccine and he suggested it could be asceptic meningitis.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypertension, Neck pain, Pain in extremity, Peripheral swelling
Clinical narrative: Chills,headache,stomache problems,arm was sore red warm,left breast pain and exhaustion.      The redness swelling itching lasted in arm for days. Injection given too low not in muscle. Went to Dr ,BP was 160/90,had headache and neck pain for 10 days straight with no relief..Never had High BP  Just had stress test in December.  BP continues to be higher than before vaccine..  went to neurologist for an existing problem unrelated to vaccine on Feb 9.  BP  170/90, consistent with self monitoring BP at home. I  spoke with about ongoing symptoms since vaccine and he suggested it could be asceptic meningitis.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin warm
Clinical narrative: Chills,headache,stomache problems,arm was sore red warm,left breast pain and exhaustion.      The redness swelling itching lasted in arm for days. Injection given too low not in muscle. Went to Dr ,BP was 160/90,had headache and neck pain for 10 days straight with no relief..Never had High BP  Just had stress test in December.  BP continues to be higher than before vaccine..  went to neurologist for an existing problem unrelated to vaccine on Feb 9.  BP  170/90, consistent with self monitoring BP at home. I  spoke with about ongoing symptoms since vaccine and he suggested it could be asceptic meningitis.
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Allodynia, Angiogram cerebral normal, Arteriogram carotid normal, Blood creatine phosphokinase increased, CSF glucose increased
Clinical narrative: The patient developed fatigue, malaise, skin allodynia, fever (103.5F) and took acetaminophen and ibuprofen. The fever resolved but he was diaphoretic. He also had a headache, vomiting, then lost consciousness overnight and had a tonic-clonic seizure lasting 10 minutes. He was brought to the emergency department and had 2 more seizures there which was controlled with lorazepam. He was admitted to the hospital and started on broad spectrum antibiotics (acyclovir, ceftriaxone, and vancomycin). On 4/11/21, the patient was extubated and improved symptomatically, and antibiotics were narrowed to doxycycline. He was then discharged on doxycycline and levetiracetam.
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: CSF lymphocyte count increased, Computerised tomogram head, Cytomegalovirus test negative, Endotracheal intubation, Epstein-Barr virus antibody negative
Clinical narrative: The patient developed fatigue, malaise, skin allodynia, fever (103.5F) and took acetaminophen and ibuprofen. The fever resolved but he was diaphoretic. He also had a headache, vomiting, then lost consciousness overnight and had a tonic-clonic seizure lasting 10 minutes. He was brought to the emergency department and had 2 more seizures there which was controlled with lorazepam. He was admitted to the hospital and started on broad spectrum antibiotics (acyclovir, ceftriaxone, and vancomycin). On 4/11/21, the patient was extubated and improved symptomatically, and antibiotics were narrowed to doxycycline. He was then discharged on doxycycline and levetiracetam.
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extubation, Fatigue, Generalised tonic-clonic seizure, Headache, Hyperhidrosis
Clinical narrative: The patient developed fatigue, malaise, skin allodynia, fever (103.5F) and took acetaminophen and ibuprofen. The fever resolved but he was diaphoretic. He also had a headache, vomiting, then lost consciousness overnight and had a tonic-clonic seizure lasting 10 minutes. He was brought to the emergency department and had 2 more seizures there which was controlled with lorazepam. He was admitted to the hospital and started on broad spectrum antibiotics (acyclovir, ceftriaxone, and vancomycin). On 4/11/21, the patient was extubated and improved symptomatically, and antibiotics were narrowed to doxycycline. He was then discharged on doxycycline and levetiracetam.
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness, Lumbar puncture abnormal, Malaise, Pyrexia, Seizure
Clinical narrative: The patient developed fatigue, malaise, skin allodynia, fever (103.5F) and took acetaminophen and ibuprofen. The fever resolved but he was diaphoretic. He also had a headache, vomiting, then lost consciousness overnight and had a tonic-clonic seizure lasting 10 minutes. He was brought to the emergency department and had 2 more seizures there which was controlled with lorazepam. He was admitted to the hospital and started on broad spectrum antibiotics (acyclovir, ceftriaxone, and vancomycin). On 4/11/21, the patient was extubated and improved symptomatically, and antibiotics were narrowed to doxycycline. He was then discharged on doxycycline and levetiracetam.
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Venogram normal, Viral test, Vomiting
Clinical narrative: The patient developed fatigue, malaise, skin allodynia, fever (103.5F) and took acetaminophen and ibuprofen. The fever resolved but he was diaphoretic. He also had a headache, vomiting, then lost consciousness overnight and had a tonic-clonic seizure lasting 10 minutes. He was brought to the emergency department and had 2 more seizures there which was controlled with lorazepam. He was admitted to the hospital and started on broad spectrum antibiotics (acyclovir, ceftriaxone, and vancomycin). On 4/11/21, the patient was extubated and improved symptomatically, and antibiotics were narrowed to doxycycline. He was then discharged on doxycycline and levetiracetam.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Pimple like bumps are on her legs  She placed ice on her leg RN rec taking Benedryl and cortizone cream, cont. monitoring for 24hrs- If the bumps continue, pls make an appt with her Dr
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Face injury, Facial pain, Fall, Hyperhidrosis
Clinical narrative: Fell to floor from chair in observation area. OC related to vaccine administration. Pain in right cheek. Pain level 2.5/10. Vaso-vagal response post vaccine injection. Vital Signs: BP 100/60 HR 85 Resp 20 O2Sat 98 , Skin Signs: Cool and dry, Clammy,  Circulation: Cap refill <2sec, Respiratory: Breath sound clear bilaterally, Initial Treatment: Water/observation/elevated les bilateral. Assessed/evaluation by Dr. 10:25 AM, Vital Signs: BP 100/72 HR 85 Resp 20 O2Sat 72, Skin Signs: Cool and dry, clammy, Circulation: Cap refill <2sec, Respiratory: Breath sound clear bilaterally  Follow up Treatment: Mask Oxygen administration for 10 min. 10:25-10:35 AM. Ice pack to right cheek, approx. 4 L and reduced to 2 L/min\, 10:35 AM\, Vital Signs: HR 98  Resp 20 O2sat 99, Skin Signs: Cool and dry, clammy, diaphoretic Circulation: Cap refill <2sec, Respiratory: Breath sound clear bilaterally 10:45 AM, Vital Signs: BP 120/82 HR 76 Resp 20 O2Sat 97, Follow up Treatment: 10:45 skin warm and dry, alert and oriented x3. Cap refill <2sec ,Notes:  Recommended parent to contact peds office for injury to right cheek. Continue to maintain good hydration at home the rest of the day. Home with father at 10:55 AM
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Fell to floor from chair in observation area. OC related to vaccine administration. Pain in right cheek. Pain level 2.5/10. Vaso-vagal response post vaccine injection. Vital Signs: BP 100/60 HR 85 Resp 20 O2Sat 98 , Skin Signs: Cool and dry, Clammy,  Circulation: Cap refill <2sec, Respiratory: Breath sound clear bilaterally, Initial Treatment: Water/observation/elevated les bilateral. Assessed/evaluation by Dr. 10:25 AM, Vital Signs: BP 100/72 HR 85 Resp 20 O2Sat 72, Skin Signs: Cool and dry, clammy, Circulation: Cap refill <2sec, Respiratory: Breath sound clear bilaterally  Follow up Treatment: Mask Oxygen administration for 10 min. 10:25-10:35 AM. Ice pack to right cheek, approx. 4 L and reduced to 2 L/min\, 10:35 AM\, Vital Signs: HR 98  Resp 20 O2sat 99, Skin Signs: Cool and dry, clammy, diaphoretic Circulation: Cap refill <2sec, Respiratory: Breath sound clear bilaterally 10:45 AM, Vital Signs: BP 120/82 HR 76 Resp 20 O2Sat 97, Follow up Treatment: 10:45 skin warm and dry, alert and oriented x3. Cap refill <2sec ,Notes:  Recommended parent to contact peds office for injury to right cheek. Continue to maintain good hydration at home the rest of the day. Home with father at 10:55 AM
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Headache, Nausea, Vertigo
Clinical narrative: I have severe dizziness when I am laying down/sleeping.  Each time I wake up 1-2 times per night) my head is spinning.  When I am awake and standing I don't have the spinning, but I do have a faint headache/fog and with that, nausea.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Impaired work ability, Injection site pain, Nausea, Pain
Clinical narrative: I WAS NOT EXPECTING SYMPTOMS WITH THE FIRST SHOT, WAS TOLD IT "NORMALLY" DIDN'T HAPPEN, BUT TO EXPECT SYMTOMS WITH 2ND DOSE.  I WENT BED FEELING FINE, WOKE UP ABOUT MIDNIGHT WITH BODY ACHES IN EVERY PART OF MY BODY, CHILLS, FEVER, NAUSEA.  ARM IS VERY SORE, NOT EXPECTING THAT MUCH PAIN AT INJECTION SITE. I AM NOT ABLE TO WORK TODAY WITH THESE SYMTOMS WHICH HAVE SUBSIDED A LITTLE BIT, BUT NOT MUCH.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: I WAS NOT EXPECTING SYMPTOMS WITH THE FIRST SHOT, WAS TOLD IT "NORMALLY" DIDN'T HAPPEN, BUT TO EXPECT SYMTOMS WITH 2ND DOSE.  I WENT BED FEELING FINE, WOKE UP ABOUT MIDNIGHT WITH BODY ACHES IN EVERY PART OF MY BODY, CHILLS, FEVER, NAUSEA.  ARM IS VERY SORE, NOT EXPECTING THAT MUCH PAIN AT INJECTION SITE. I AM NOT ABLE TO WORK TODAY WITH THESE SYMTOMS WHICH HAVE SUBSIDED A LITTLE BIT, BUT NOT MUCH.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus
Clinical narrative: My arm has a huge bump at the needle point.  It is red and itchy.  I don't know if she just didn't get it in the muscle or injected it just under the skin.  It has not gone down at all  in 48 hrs.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Skin discolouration
Clinical narrative: Noticed a quarter sized yellowish green spot on my abdomen and then on Tuesday 4/20/2021 I had a vision incident where I saw images of lines in the fire ground that lasted about 1 minute
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive PCR covid test on 4/18/21
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypoaesthesia, Nausea, Pain in extremity
Clinical narrative: 4/19/21 my left arm hurt and was numb/tingling from my shoulder to my finger tips. 4/20/21 I started to feel nauseated and extremely tired. Later in the day the nausea went away and a headache started. 4/21/21 my left shoulder, wrist, and the bend hurt. Still extremely tired with a slight headache.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Sleep disorder, Stress, Tinnitus
Clinical narrative: My tinnitus symptoms have been raging since I have received my second dose of phizer covid-19 vacination.   I can not say 100% that the vacine is the the sole reason for the extreme symptoms  but can tie nothing else to the change. The ringing, screeching and high pitch sounds are louder than I have ever e,peri encased in my 15 years with tinnitus.   I TS constant,  unnerving,  stressful,  and never ending.  Difficult to impossible to sleep  and if I do happen to fall asleep the symptoms wake me up within an hour.  Kinda at my wits end at this piint.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dysgeusia, Pruritus, Pyrexia, Vomiting
Clinical narrative: Itching head to toe Chills fever  Metal taste Vomiting  Down two weeks after first shot and two weeks after second shot
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Tremor
Clinical narrative: Patient felt anxious after vaccine administration about 5 minutes after dose given. Tremors in hands. No difficulty breathing or swelling. Patient states she gets anxious every now and then. Patient monitored for about 30 minutes. She felt "better" and was able to get up and leave when she felt comfortable.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Heart rate increased, Heart rate irregular
Clinical narrative: Increased heart rate for 3-4 hours (120-150 bpm at baseline) Fluctuating heart rate upon getting up or moving slowly Irregular ECG at 2.5 hours after vaccination
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Cough, Electrocardiogram, Laboratory test
Clinical narrative: After the 15 minutes, we left and I started coughing and felt like I was having a asthma attack. I didn't have my rescue inhaler with me so when I got home I got the inhaler and my oxygen was at 96, I took a Benadryl and I felt like i was going to die and my oxygen was down to 86. I called 911 and when they got there, everything was back to normal, but I feel like I feel after having a bad asthma attack and there is flehm that I cannot cough up.  I went to the ER and I guess I got scared.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles ( Still active)         I had shingles on August 11, 2020      The shingles came in same area and other spots this time they are more severe than before.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: pt was hospitalized within 6 weeks of COVID vaccine
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Cardiac failure, Hypoxia, Malnutrition, Pneumonia
Clinical narrative: pt was hospitalized within 6 weeks of COVID vaccine
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Scan with contrast, Splenic infarction, Splenic thrombosis, Swelling
Clinical narrative: Swollen spleen, blood clot in spleen,  splenal infarct.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: MODERNA VACCINE GIVEN TO UNAUTHORIZED AGE GROUP (16 Y/O AT TIME OF VACCINATION).  WE DID NOT REALIZE UNTIL AFTER VACCINE WAS ADMINISTERED.  PT AND GUARDIAN WERE CONTACTED AND PT HAD NO ADVERSE EFFECTS.  PT WILL RECEIVE 2ND DOSE 28 DAYS AFTER 1ST DOSE AS PER CDC GUIDANCE AND PER PT AND GUARDIAN WISHES.  PT DID NOT FILL OUT ONLINE SCREENER WHEN SHE REGISTERED THAT CONFIRMED THAT SHE WAS CORRECT AGE TO RECEIVE THE VACCINE.  WE HAVE NEW STORE POLICIES IN PLACE TO PREVENT THIS FROM HAPPENING AGAIN (CHECKING ID'S AND MATCHING WITH DOB ON INTAKE FORMS)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Menstruation irregular, Mobility decreased, Urticaria
Clinical narrative: The day of the injection i broke out in hives. 3/9/21   My period started early and lasted for 8 days. It normally lasts for 3. Then I ended up starting early again and am currently and actively bleeding. It has been 8 days again. This started the weekend after I got the vaccine.   Also. In the muscle around the injection site when I lift heavy things it feels like I'm being pinched or hurt. This started April 17th ish.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Pain in extremity, Pyrexia
Clinical narrative: Fever, chillness, sore arm
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lethargy, Somnolence
Clinical narrative: I am a Covid survivor (January, 2021) and the reaction to the vaccine was exactly the same as my Covid symptoms.  Extreme lethargy, headache,  sleepiness.  I could hardly make it across the room and was not able to go into work.  This lasted about 24 hours.  I will not be taking the second shot.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Full blood count, Metabolic function test, Rash maculo-papular, Rash pruritic
Clinical narrative: On 4/17/21 (14 days after 2nd dose of vaccine), developed diffuse maculopapular, pruritic rash on torso and extremities, sparing face, palms, soles.    Some, but not all, of the lesions blanch.   No fever.  Does not feel ill.   Thorough history is negative for other possible triggers (no new meds, no recent illness, no other vaccines, no new soaps/lotions/topicals, no new/unusual foods).  No history of atopy.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate
Clinical narrative: On 4/17/21 (14 days after 2nd dose of vaccine), developed diffuse maculopapular, pruritic rash on torso and extremities, sparing face, palms, soles.    Some, but not all, of the lesions blanch.   No fever.  Does not feel ill.   Thorough history is negative for other possible triggers (no new meds, no recent illness, no other vaccines, no new soaps/lotions/topicals, no new/unusual foods).  No history of atopy.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Pyrexia, Vomiting
Clinical narrative: Client called yesterday in regards to symptoms after having 2nd covid vaccine.  Client's 2nd Moderna Covid vaccine admin. on 04/17/2021.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Injection site hypoaesthesia, Injection site pain
Clinical narrative: Pt reports pain as soon as injection happened. Reports Numbness in Right shoulder and area around injection site. Denies any redness or swelling. No other symptoms of covid 19. Discussed cold compress for 20 minutes and reaching out to PCP.  Advised on s&s to monitor for and when to seek further medical treatment or call 911.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Myalgia, Pyrexia
Clinical narrative: chills, muscle aches, fever, fatigue
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pustule, Rash papular
Clinical narrative: reddened area with raised pustule
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pain
Clinical narrative: 12 hours post vaccine nausea body aches headaches 101.3 fever chills lasting 24 hours followed by more nausea and diarrhea
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 12 hours post vaccine nausea body aches headaches 101.3 fever chills lasting 24 hours followed by more nausea and diarrhea
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Paraesthesia oral
Clinical narrative: NUMB FACE, TINGLING LIPS, LIGHT HEADED AND DIZZY
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient hospitalized within 6 weeks of receiving COVID vaccination.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Dyspnoea, Heart rate, Hypertension, Pruritus
Clinical narrative: Pt received vaccine at 10:10 AM, at 10:22 AM pt then reported some itchiness and hives to bilateral hands. The observation nurse alerted staff. Pt reported her throat also felt itchy, initially denying any feelings of SOB or difficulty breathing. Pt BP taken at 10:22 AM 168/84. 50 mg Benadryl administered IM to R. deltoid. Pt then began stating that she felt difficulty breathing. At this time 0.3 mg Epi administered to r. thigh. EMS was called and en route during this time. Blood pressure taken multiple times and remained hypertensive. EMS arrived at 10:32 AM. Pt vitals 98% oxygen on room air, PR 67 96.9 temp, 20 RR 152/82. Pt then transported by EMS to local hospital.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory rate, Urticaria, Vital signs measurement
Clinical narrative: Pt received vaccine at 10:10 AM, at 10:22 AM pt then reported some itchiness and hives to bilateral hands. The observation nurse alerted staff. Pt reported her throat also felt itchy, initially denying any feelings of SOB or difficulty breathing. Pt BP taken at 10:22 AM 168/84. 50 mg Benadryl administered IM to R. deltoid. Pt then began stating that she felt difficulty breathing. At this time 0.3 mg Epi administered to r. thigh. EMS was called and en route during this time. Blood pressure taken multiple times and remained hypertensive. EMS arrived at 10:32 AM. Pt vitals 98% oxygen on room air, PR 67 96.9 temp, 20 RR 152/82. Pt then transported by EMS to local hospital.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Sensitive skin
Clinical narrative: I have a rash on my stomach and skin sensitivity all across my left side. This started on April 20, 10 days after inoculation. I have not deviated from my normal routines in any other way than receiving the vaccine.  The rash is small and the pain is minimal, it feels like the kind of pain that directly precedes a muscle spasm, only it's been constant since onset. I am not personally concerned, but wanted to add to all data that is being collected.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Malaise, Syncope, Vital signs measurement
Clinical narrative: Within minutes of pt receiving covid vaccine, verbalized to 'not feel well' and fainted. A friend and staff members gently assisted pt to the floor. Immediate assessment of vital signs and pt taken to private area for monitoring. Pt may have had vasovagal response due to anxiety.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Hordeolum, Sinus pain, Skin warm, Swelling face
Clinical narrative: The next day I had very limited energy/felt like a shell of myself. Day 3 I woke up with extreme sinus cavity pain on my left side and a stye in my eye which progressed to get very severe to the point of on day 4 the top part of my face swelling and being hot.  I called HCP and did a virtual visit and was placed on an antibiotic and eye ointment for 7 days.  At the end of the antibiotic being completely taken the stye was completely gone but there was a still an aching in the sinus cavity.  A week later it became severe again and my left eye started swelling underneath so I had another tele appointment with HCP and was given a 10 day antibiotic - Augmentin and antibiotic eye drops
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Body temperature increased, Pain
Clinical narrative: Body aches started Saturday evening.  Ran a temperature of 101 to 102.5 for 4 days.  She had lower back pain "ovary pain" she describes worse than labor pains
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Hives on my neck, came out around 4 hour post shot mark. Itchy and red.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure measurement, Petechiae
Clinical narrative: Slight petechiae to face and neck and light headed. BP 118/76. Per wife pt experiences rash like symptoms with each new medication. After observation pt discharged home with wife.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival bleeding
Clinical narrative: Patient had bleeding gums within about 12 hours of having the vaccine.  Bleeding gums lasted about 48 hours.  She also had a nose bleed which started about 24 hours after the vaccine was given and lasted 2-4 hours
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Injection site reaction
Clinical narrative: Chills, body aches, extreme exhaustion, headache, soreness at injection site, swollen lymph glands in armpit of injection arm
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain
Clinical narrative: Chills, body aches, extreme exhaustion, headache, soreness at injection site, swollen lymph glands in armpit of injection arm
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash papular
Clinical narrative: Developed bumpy rash on LEFT (received injection in RIGHT arm due to being left handed) upper arm/shoulder with smaller rashes on forearm and inner elbow. Does not itch. Minor pain from clothing rubbing it. Taking Advil.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Myalgia, Rash vesicular
Clinical narrative: Developed bumpy rash on LEFT (received injection in RIGHT arm due to being left handed) upper arm/shoulder with smaller rashes on forearm and inner elbow. Does not itch. Minor pain from clothing rubbing it. Taking Advil.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Pain in extremity
Clinical narrative: "Symptoms began on same day as vaccination. Symptoms were identical to when I actually had the COVID infection in January-2021. No energy, hot and cold chills, headaches, arm ache, etc., all of which lasted 5-7 days.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Feeling cold, Hypoaesthesia, Musculoskeletal chest pain
Clinical narrative: Pt to ED on 3/1621 with : "pt c/o left sided chest and rib pain. pt states that other symptoms along with the pain started today. Pt is c/o SOB, numbness and tingling in bilateral upper extremities, bodyaches and "feeling cold." PT dx with PE of unknown origin
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Pulmonary embolism
Clinical narrative: Pt to ED on 3/1621 with : "pt c/o left sided chest and rib pain. pt states that other symptoms along with the pain started today. Pt is c/o SOB, numbness and tingling in bilateral upper extremities, bodyaches and "feeling cold." PT dx with PE of unknown origin
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Back pain, Chest pain, Dyspnoea
Clinical narrative: with several days of receiving the shot the following symptoms occurred:  severe headache backache severe pain in your abdomen or stomach pain in your chest leg pains joint pains shortness of breath
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain in extremity
Clinical narrative: with several days of receiving the shot the following symptoms occurred:  severe headache backache severe pain in your abdomen or stomach pain in your chest leg pains joint pains shortness of breath
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient experienced syncope post vaccination, recovered and released
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral
Clinical narrative: Patient complains of hearing loss in left ear since receiving vaccine-referred to ENT
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No treatment needed by health officials. Stayed home, rested and symptoms eventually subsided.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT ONLY 16 YEARS 6 MONTHS RECEIVED MODERNA VACCINE APPROVED FOR 18 YEARS OR OLDER
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lethargy
Clinical narrative: Severe chills and lethargy on Monday - slept all day. Moderate chills and slight headache on right rear in the morning on Tuesday. A little lasting lethargy today.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenopia, Dizziness, Eye irritation, Feeling abnormal
Clinical narrative: 4/10/21 awoke 0600 with severe headache, injection site sore along with entire upper arm, aching muscles in both shoulders and neck, severe dizziness, eye "fatigue" and burning, feeling of "fog head" (difficulty concentrating)
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Neck pain, Pain in extremity
Clinical narrative: 4/10/21 awoke 0600 with severe headache, injection site sore along with entire upper arm, aching muscles in both shoulders and neck, severe dizziness, eye "fatigue" and burning, feeling of "fog head" (difficulty concentrating)
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Headache, Injection site pain, Nausea
Clinical narrative: Severe Nausea, Fever, Chills, Backache, Headache, Sore injection site.  Worst I've ever felt except when I had the flu. Symptoms lasted one day, except for fever and sore injection site. Those lasted 2 days.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Severe Nausea, Fever, Chills, Backache, Headache, Sore injection site.  Worst I've ever felt except when I had the flu. Symptoms lasted one day, except for fever and sore injection site. Those lasted 2 days.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Pruritus, Rash
Clinical narrative: Itchy Measles-like rash started on the injection site and spread across my body (Sides and Chest) and to my right arm. Rash also spread to my legs. I was prescribed Fexofenadine (1 tablet by mouth every morning for 10 days) and triamcinolone (apply to affected areas for two weeks Monday through Friday). The rash slowly reduced from being severely itchy to mild itchiness, and some hyper pigmentation and reduced swelling after a week of appearing.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PT WAS IN UNAUTHORIZED AGE GROUP TO RECEIVE THE MODERNA VACCINE (17 AT TIME OF 1ST VACCINATION)  WE DID NOT REALIZE THE ERROR UNTIL PT HAD RECEIVED THE 1ST DOSE OF VACCINE.  HE AND HIS GUARDIAN WERE CONTACTED AND HE DID NOT HAVE ANY ADVERSE EFFECTS.  HIS PARENT HAD FALSIFIED HIS DOB ON OUR ONLINE REGISTRATION TO GET HIM AN APPT AND WE DID NOT REALIZE THIS UNTIL AFTER THE DOSE WAS ADMINISTERED.  WE HAVE NEW POLICIES TO PREVENT THIS FROM HAPPENING AGAIN (CHECKING ID'S IN STORE, VERIFYING DOB MATCHES INFO PROVIDED).  PT WILL BE 18 WHEN HE IS DUE FOR HIS 2ND DOSE.
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Minor received both Moderna vaccinations before her 18th birthday.  Guardian did not consent to the vaccination. Deptartment of Health verified with statistical records that the patients DOB is 04/19/2003 which made the vaccine a contraindication.  1st Moderna vaccine given: 01/31/2021 2nd Moderna vaccine givien: 02/28/2021  No known adverse reactions noted.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Myalgia, Nausea, Pain
Clinical narrative: Side effects started around 10:30pm  the evening of the vaccination. Was awaken from sleep to my body feeling like a burn victim (not like my body was hot, but literally burned) from the top of my neck to the end of my ankles. Extreme nausea and fever reached 101. Those were the worst symptoms but also had horrible muscle and joint pain that didn't experience with the first shot, chills and shaking and body aches.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Skin burning sensation, Tremor
Clinical narrative: Side effects started around 10:30pm  the evening of the vaccination. Was awaken from sleep to my body feeling like a burn victim (not like my body was hot, but literally burned) from the top of my neck to the end of my ankles. Extreme nausea and fever reached 101. Those were the worst symptoms but also had horrible muscle and joint pain that didn't experience with the first shot, chills and shaking and body aches.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient is a 25 year-old Male with past medical history of nothing. Patient presented to the Center vaccination site for their first Pfizer vaccination.  Patient received vaccination at 11:02. Approximately 10 minutes after receiving vaccination patient began experiencing Dizziness.  Patient did not lose consciousness. Patient did not fall, hit their head or sustain any injuries. On exam patient  GENERAL: Does not appear to be in distress, is alert and fully oriented, following commands.  RESP: Speaking in full sentences, no cough, no signs of respiratory distress, no audible wheezing  SKIN: No visible rash or lesion.   SKIN: Positive for: moist. Patient had no urticaria, angioedema, or other signs of severe allergic reaction/anaphylaxis.  Patient was brought to vaccination observation area and vitals were as follows     Blood pressure 95/.59 initial and now 102/64 Heart rate 69 bpm now 80 O2 saturation 100 % on room air Respiratory Rate 12     Patient was placed in supine position and legs were elevated.  Patient showed rapid improvement towards complete resolution of symptoms.  Patient was able to tolerate p.o.  Patient was observed for at least 15 minutes after onset of symptoms.  Patient reported significant improvement and was able to ambulate with steady gait. Patient requesting to return home. Patient is well appearing and repeat vital signs at time of discharge were stable.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Hypoaesthesia, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Left arm pain with paresthesia, left hand with paresthesia, weakness, numbness, pain Treated with NSAID
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic shock, Blood glucose, Body temperature increased, Chest X-ray, Dizziness
Clinical narrative: The adverse reaction begin with dizziness, light headiness and increased body temp. Upon being released from vaccine location while driving an allergic reaction occurred causing swelling of the throat, skin change to red and rash like. I called 911 as I had trouble breathing and an ambulance took me to the hospital and administred epinephrine and benadryl. They called it analphlatic shock or extreme allergic reaction.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Erythema, Metabolic function test, Pharyngeal swelling
Clinical narrative: The adverse reaction begin with dizziness, light headiness and increased body temp. Upon being released from vaccine location while driving an allergic reaction occurred causing swelling of the throat, skin change to red and rash like. I called 911 as I had trouble breathing and an ambulance took me to the hospital and administred epinephrine and benadryl. They called it analphlatic shock or extreme allergic reaction.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: The adverse reaction begin with dizziness, light headiness and increased body temp. Upon being released from vaccine location while driving an allergic reaction occurred causing swelling of the throat, skin change to red and rash like. I called 911 as I had trouble breathing and an ambulance took me to the hospital and administred epinephrine and benadryl. They called it analphlatic shock or extreme allergic reaction.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Breast disorder female, Poor feeding infant
Clinical narrative: Approximately 36 hours after initial vaccine administration I experienced a sudden drop in breastmilk supply, with no other changes that could explain this change other than receiving the vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: 1150:                                1200: HR: 68, Resp: 18, BP 118/73, O2 sats: 100% HR: 74                               1205: HR: 100, Resp: 20, BP: 122/77, O2 sats: 98% Resp: 20 BP: 112/73 O2 sats: 100%
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough
Clinical narrative: Phlegmy throat, BP 191/110(137), 98 % o2, 86 pulse. 10 mg Zyrtec given per MD orders, Pt transferred to FM.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia, Rash, Swollen tongue
Clinical narrative: Patient rec'd her second dose of the covid vaccine on 4/15 . The next day she experienced fever/chills/fatigue. It progressed to a whole body raised rash and a swollen discolored tongue.  The rash worsened and she saw her PCP on 4/20. The PCP recommended a course of prednisone but the patient declined and is managing symptoms with OTC topical products.  Rash is slowly resolving but her tongue is still irritated and discolored.  She still has significant fatigue.  No unusual reaction after the first dose
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue discolouration, Tongue discomfort
Clinical narrative: Patient rec'd her second dose of the covid vaccine on 4/15 . The next day she experienced fever/chills/fatigue. It progressed to a whole body raised rash and a swollen discolored tongue.  The rash worsened and she saw her PCP on 4/20. The PCP recommended a course of prednisone but the patient declined and is managing symptoms with OTC topical products.  Rash is slowly resolving but her tongue is still irritated and discolored.  She still has significant fatigue.  No unusual reaction after the first dose
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Pfizer for first dose and 3 weeks later received Moderna vaccine for second dose
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Minor received both Moderna vaccination 2 months before her 18th birthday. Guardian did not consent to the vaccination. Department of Health verified with statistical records that the patients DOB is 4/19/2003 which made the vaccine a contraindication.  1st Moderna vaccine given: 02/01/2021 2nd Moderna vaccine given: 02/26/2021  No known adverse reactions noted.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes
Clinical narrative: Developed a cold sore the day after the vaccine. Of course it might not be related but it is rare for me to get cold sores and I've read about people possibly getting shingles activated.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Body aches, low grade fever, fatigue, site of injection was red, swollen, warm to touch
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Body aches, low grade fever, fatigue, site of injection was red, swollen, warm to touch
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pruritus, Swelling
Clinical narrative: Patient received the Covid-19 vaccine. She reports symptoms of itchiness, swelling, and dizziness.  Pt stayed in the clinic for an additional 30 min after Diphenhydramine 50 mg/mL (1002) was given IM in right deltoid.   Vitals:  1002:  B/P: 102/60 HR: 102/60 O2: 96 RR: 16  1015: B/P: 98/62 HR: 82 O2: 99 RR: 12   1023 B/P: 100/62 HR: 76 O2: 99 RR: 18
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: pt was seen in ED and hospitalized within 6 weeks of COVID vaccine
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoacusis, Lymphadenopathy, Paraesthesia
Clinical narrative: Swollen lymph node under right are, slight tingling in right ear canal, slight tingling of exterior right chin, increased hearing issues in right ear since time of vaccine.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Minor received 1st Moderna vaccinations 2 months before her 18th birthday.  Guardian did not consent to the vaccination.  Department of Health verified with statistical records that the patients DOB which made the vaccine a contraindication.  1st Moderna vaccine given: 01/27/2021   No known adverse reactions noted.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to ED on 3/24/21, and also had another ED visit on 3/28/21 where she was subsequently admitted. These visits were within 6 weeks of receiving COVID vaccination.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Peripheral coldness, Pyrexia
Clinical narrative: At 9:00pm I began to have wracking, shaking waves of severe chills that lasted until 10:30pm.  The remainder of the night I could not -no matter what method used - get my feet warm until 4:00AM when that finally stopped.  The entire next day I felt extremely tired and had a low fever of around 99.2.  On the advice of a friend who is an ER nurse, I started as soon as woke up alternating 800mg Advil with 1000mg Tylenol.  By 24 hrs later I feel fine,
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Skin reaction
Clinical narrative: skin came off and was a half inch scar that showed with white liquids coming out.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Nausea, Retching, Vomiting
Clinical narrative: Patient received COVID vaccine intramuscular in right arm. Patient was waiting in waiting area then notified the front desk  6 minutes after injection, that he was having dizziness and nausea.  APA advised patient to have a seat and went to notify RN about the patients status. Registered nurse went to see about the patient. Patient was slumped in the seat with labored breathing, gagging and eyes rolled back.  EMS was notified. RN removed mask, assisted patient to lean over,  to allow patient to vomit in trash can.  As patient continued to vomit and started regaining consciousness after about 30 seconds. Vomiting was complete.  Symptoms had subsided. EMS arrived and examined patient.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Gingival pain
Clinical narrative: Went to the dentist on 4/17/21 for routine cleaning.  My gums became sore the next day.  Today is 4/21, 4 days later and my gums are still sore.  Normal gum soreness for me after a cleaning goes away by the next day when I wake up.    On Sunday 4/18, I was working on the car and bruised my arm/wrist in a couple of places.  That evening the locations bruised up really good and was tender.  Today the areas are still tender and have dark bruising patterns.   I generally do not bruise like this, and frankly was surprised bruises even appeared.   Yes, I did bang my arm on the car a couple of times, but no where hard enough to receive this kind of bruising.  I do not think this is an issue for me -- more of "just dealing with the inconvenience," but am curious if this is some sort of side effect from the vaccine.  I could not find any information online related to "easily bruises" at all.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Pyrexia
Clinical narrative: Sore arm at injection site, body aches,  fever 100.7
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arthralgia, Back pain, Echocardiogram normal, Pulmonary embolism
Clinical narrative: Call this afternoon regarding safety of in setting of recent Moderna COVID-19 vaccine receipt.     Question related to autoimmune heparin-like thrombotic thrombocytopenia as currently in the news related to J&J vaccine.  Reported incidents that led to FDA pause of J&J vaccine related to arterial events with overt thrombocytopenia and PF4 antibody positive. Limited data available to suggest link to mRNA vaccines at this time but data being collected daily regarding therapies.     Reviewing chart, patient has several risk factors for VTE development (OSA, hx prostate cancer, age, PMR +/- steroids; there is also a mention of unilateral edema in which patient was referred for Doppler but date of this request is unknown to writer so unable to determine if occurred prior to or after vaccine receipt. Also mention of knee pain back to 3/2021 OV with Dr. so unclear if mobility issues although participants in cardiac rehab.     Labs reviewed and mild thrombocytopenia today (148k) and 171k on 10/2020.     Naranjo score 2, suggesting possible correlation but low score overall.     Overall, given presentation and information provided, appears anticoagulation for acute PE is safe. Theoretically would consider enoxaparin 80 mg SQ BID over UFH infusion but defer to medicine.   Additional notes:  2D echo: EF wnl, impaired LV diastolic filling  bilat LE dopplers; negative for DVT  He was transitioned to eliquis RX for PE treatment Discussed AC treatment with on call cardiology, as no stents are in place that I am aware of and the patient denies placement of stents, only CABG in 1995, then stop asa/plavix and continue only with eliquis at this time  Recommend f/u with hematology/oncology in the next 2 weeks for PE management and evaluation  Recommend f/u with Cardiology in the next 2 weeks for further management  AC precautions was reviewed with the patient and his wife prior to discharge and including when to seen medical attention due to increased risk of bleeding events. They both verbalized understanding.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombocytopenia, Ultrasound Doppler normal
Clinical narrative: Call this afternoon regarding safety of in setting of recent Moderna COVID-19 vaccine receipt.     Question related to autoimmune heparin-like thrombotic thrombocytopenia as currently in the news related to J&J vaccine.  Reported incidents that led to FDA pause of J&J vaccine related to arterial events with overt thrombocytopenia and PF4 antibody positive. Limited data available to suggest link to mRNA vaccines at this time but data being collected daily regarding therapies.     Reviewing chart, patient has several risk factors for VTE development (OSA, hx prostate cancer, age, PMR +/- steroids; there is also a mention of unilateral edema in which patient was referred for Doppler but date of this request is unknown to writer so unable to determine if occurred prior to or after vaccine receipt. Also mention of knee pain back to 3/2021 OV with Dr. so unclear if mobility issues although participants in cardiac rehab.     Labs reviewed and mild thrombocytopenia today (148k) and 171k on 10/2020.     Naranjo score 2, suggesting possible correlation but low score overall.     Overall, given presentation and information provided, appears anticoagulation for acute PE is safe. Theoretically would consider enoxaparin 80 mg SQ BID over UFH infusion but defer to medicine.   Additional notes:  2D echo: EF wnl, impaired LV diastolic filling  bilat LE dopplers; negative for DVT  He was transitioned to eliquis RX for PE treatment Discussed AC treatment with on call cardiology, as no stents are in place that I am aware of and the patient denies placement of stents, only CABG in 1995, then stop asa/plavix and continue only with eliquis at this time  Recommend f/u with hematology/oncology in the next 2 weeks for PE management and evaluation  Recommend f/u with Cardiology in the next 2 weeks for further management  AC precautions was reviewed with the patient and his wife prior to discharge and including when to seen medical attention due to increased risk of bleeding events. They both verbalized understanding.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Disorientation, Headache, Injection site pain
Clinical narrative: Headache, fever, chills, lethargy, disorientation, loss of appetite, muscle soreness, pain at injection site.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Myalgia, Pyrexia
Clinical narrative: Headache, fever, chills, lethargy, disorientation, loss of appetite, muscle soreness, pain at injection site.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: intermittent vaginal bleeding lasting approximately 3-4 days.  First occurrence happened approximately 3-4 weeks after 2nd vaccination and lasted 3 days.  Second occurrence began 04/19/21 and is persistent.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Itchy rash on palms of hands and fingers. Rash more widespread on left palm, with smaller rash on right palm