chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Confusional state, Decreased appetite, Dizziness, Fatigue
Clinical narrative: Got the vaccine #2 at 4:15 pm on 1-28-2021 that night about 6 I got very tired. I went to bed at 10 pm. I woke up at 11:30 with pain all over my body. I could not raise my left arm  had a fever of 99.9 sore throat headache nausea dizzy I woke up at 3:30 and was very confused. Did not get much sleep at all. I had to stay home from work on Friday 1-29-2021. I stayed on the couch all day was in and out of sleeping. I did not want anyone touching me the pain was horrible. Did not eat much 2 slices of toast and chicken noodle soup. I would take Advil or Tylenol for the pain and fever it would bring my fever back down which runs around 97 degrees but the medication did not help with the pain that I was experiencing. I went to bed at 9 Friday night and woke up at 4 am on Saturday 1-30-2021 and was feeling much better. It is now Tuesday 2-2-2021 I have continued to have a mild headache and I get sleepy all of a sudden once in a while. Other wise the pain is gone and I am able to raise my arm.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypersomnia, Impaired work ability, Nausea, Oropharyngeal pain
Clinical narrative: Got the vaccine #2 at 4:15 pm on 1-28-2021 that night about 6 I got very tired. I went to bed at 10 pm. I woke up at 11:30 with pain all over my body. I could not raise my left arm  had a fever of 99.9 sore throat headache nausea dizzy I woke up at 3:30 and was very confused. Did not get much sleep at all. I had to stay home from work on Friday 1-29-2021. I stayed on the couch all day was in and out of sleeping. I did not want anyone touching me the pain was horrible. Did not eat much 2 slices of toast and chicken noodle soup. I would take Advil or Tylenol for the pain and fever it would bring my fever back down which runs around 97 degrees but the medication did not help with the pain that I was experiencing. I went to bed at 9 Friday night and woke up at 4 am on Saturday 1-30-2021 and was feeling much better. It is now Tuesday 2-2-2021 I have continued to have a mild headache and I get sleepy all of a sudden once in a while. Other wise the pain is gone and I am able to raise my arm.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Sensitive skin, Sleep disorder
Clinical narrative: Got the vaccine #2 at 4:15 pm on 1-28-2021 that night about 6 I got very tired. I went to bed at 10 pm. I woke up at 11:30 with pain all over my body. I could not raise my left arm  had a fever of 99.9 sore throat headache nausea dizzy I woke up at 3:30 and was very confused. Did not get much sleep at all. I had to stay home from work on Friday 1-29-2021. I stayed on the couch all day was in and out of sleeping. I did not want anyone touching me the pain was horrible. Did not eat much 2 slices of toast and chicken noodle soup. I would take Advil or Tylenol for the pain and fever it would bring my fever back down which runs around 97 degrees but the medication did not help with the pain that I was experiencing. I went to bed at 9 Friday night and woke up at 4 am on Saturday 1-30-2021 and was feeling much better. It is now Tuesday 2-2-2021 I have continued to have a mild headache and I get sleepy all of a sudden once in a while. Other wise the pain is gone and I am able to raise my arm.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Flushing, Headache, Nausea
Clinical narrative: very fatigued, achy, headache, flushing, arm pain, nausea, "legs feel like jelly"
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: very fatigued, achy, headache, flushing, arm pain, nausea, "legs feel like jelly"
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed herpes zoster on abdominal wall the day after COVID Moderna #1
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Pain
Clinical narrative: Evening after receiving the 2nd COVID vaccine developed chills, body aches, fatigue temp 100.2 took Tylenol lasted for about 4-5 hours; fell 200 % better the next day.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint range of motion decreased, Pain in extremity
Clinical narrative: Right upper arm/shoulder pain; decreased ROM; states given too high
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Second dose of COVID vaccine series was given on day 16.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: On 1/29/2021 at 10:10 am about 40 minute period of breathlessness/shortness of breath as if asthma attack were coming on. Have not had asthma in 15 years. Later, around 12 noon large red, hot, painful swollen rash came up around 3 inches injection site.  Called primary Dr, and allergist, who said to take antihistamine and pain reliever. Took Claritin and Tylenol. 1/30/2021 awoke and rash was more red,  painful, and swollen, and had spread to 6 inches in diameter. Returned to Vaccination Center, saw Dr on duty who looked at rash and recommended I call my primary for an antibiotic for a skin infection. My primary, prescribed Clindamycin began prescription on 1/31/2021. Night of 1/31/2021 awoke to pain on inner side of left arm, and intense itching in left underarm left chest, and left breast. Took Benadryl. I am still taking clindamycin for 10 days. Redness, swelling, pain reduce each day.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pain in extremity, Pruritus
Clinical narrative: On 1/29/2021 at 10:10 am about 40 minute period of breathlessness/shortness of breath as if asthma attack were coming on. Have not had asthma in 15 years. Later, around 12 noon large red, hot, painful swollen rash came up around 3 inches injection site.  Called primary Dr, and allergist, who said to take antihistamine and pain reliever. Took Claritin and Tylenol. 1/30/2021 awoke and rash was more red,  painful, and swollen, and had spread to 6 inches in diameter. Returned to Vaccination Center, saw Dr on duty who looked at rash and recommended I call my primary for an antibiotic for a skin infection. My primary, prescribed Clindamycin began prescription on 1/31/2021. Night of 1/31/2021 awoke to pain on inner side of left arm, and intense itching in left underarm left chest, and left breast. Took Benadryl. I am still taking clindamycin for 10 days. Redness, swelling, pain reduce each day.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Neuralgic amyotrophy, Pain, Pain in extremity, Pruritus
Clinical narrative: initial more pain, swelling lasting 1 week with itching, then upper arm pain shoulder pain
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: initial more pain, swelling lasting 1 week with itching, then upper arm pain shoulder pain
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus
Clinical narrative: Itchiness at vaccine site beginning 9 days after injection. Continuing itchiness on day 12.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Computerised tomogram thorax, Computerised tomogram thorax abnormal, Condition aggravated, Full blood count
Clinical narrative: Covid positive 1/29/21.  2/1/21, hypoxia, tachycardia.  Admitted to hospital 2/1/21.  Diagnoses:  UTI, Covid-19 infection, hypoxia, sepsis.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Metabolic function test, SARS-CoV-2 test positive, Sepsis, Tachycardia
Clinical narrative: Covid positive 1/29/21.  2/1/21, hypoxia, tachycardia.  Admitted to hospital 2/1/21.  Diagnoses:  UTI, Covid-19 infection, hypoxia, sepsis.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Covid positive 1/29/21.  2/1/21, hypoxia, tachycardia.  Admitted to hospital 2/1/21.  Diagnoses:  UTI, Covid-19 infection, hypoxia, sepsis.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dizziness, Feeling hot, Paraesthesia
Clinical narrative: Patient reports chest warmth, light headed, dizziness, tingling in ears. Transferred to ED for evaluation.  PMHX: Allergy to IV dye, shell fish Pre-medicated: 25mg Benadryl PO x 1
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chest pain, Dizziness, Dysphonia, Erythema
Clinical narrative: Patient reports chest warmth, light headed, dizziness, tingling in ears. Transferred to ED for evaluation.  PMHX: Allergy to IV dye, shell fish Pre-medicated: 25mg Benadryl PO x 1
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hyperhidrosis, Lymphadenopathy, Oral pruritus, Oropharyngeal pain
Clinical narrative: Patient reports chest warmth, light headed, dizziness, tingling in ears. Transferred to ED for evaluation.  PMHX: Allergy to IV dye, shell fish Pre-medicated: 25mg Benadryl PO x 1
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash macular, Tonsillar disorder
Clinical narrative: Patient reports chest warmth, light headed, dizziness, tingling in ears. Transferred to ED for evaluation.  PMHX: Allergy to IV dye, shell fish Pre-medicated: 25mg Benadryl PO x 1
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Neck pain, Pain in extremity
Clinical narrative: Lingering arm pain that seems to be getting worse, extending up into her neck
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Oral mucosal erythema
Clinical narrative: Patient began to experience redness around her mouth which worsened rapidly.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Blister, Burning sensation, Pruritus, Rash
Clinical narrative: Rash as blisters on joint areas of the wrist, fingers, elbows, knees, ankles, toes. Extremely itchy with burning. Triamcinolone Acetonide cream, Zyrtek, Benadryl,  Helps some but still breaking out
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient reports a week after dose she experienced on opposite side of where dose was administered, scalp itchy, her face broke out (hives).  If she doesn't take Benadryl her face itches and hives.  Patient says she developed allergies after HepB shot and influenza vaccine caused he to have vertigo.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Limb discomfort, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: History of Present Illness: is a 42yo female who presents to clinic today for evaluation of redness and swelling that developd since last night on her left arm. She endorses some discomfort extending down the arm and into the hand. Denies itching at this time. She received her first dose of COVID-19 vaccine/Moderna 8 days ago. She states that she initially had a slightly sore arm but no other injection site reaction until now. Denies fever, chills, difficulty breathing/swallowing, scratchy sensation of throat. Denies injection site reactions to other immunizations in the past. She has applied ice to the area and Tylenol. She also denies recent injury or break to skin.   Physical Exam: General:  well developed, well nourished, in no acute distress.   Lungs:  clear bilaterally to auscultation.   Heart:  regular rate and rhythm, normal S1, S2 without murmurs, rubs, or gallops.   Msk:  no deformity, normal gait.   Pulses:  pulses normal in all 4 extremities.   Skin:  16 cm x 14 cm area of swelling with erythema and increased warmth. Skin is intact. Patient notes area is lower than actual injection site. Outlined with skin marker.  Psych:  alert and cooperative; normal mood and affect; normal attention span and concentration.    Problem # 1:  Other serum reaction due to other serum, initial encounter (ICD-999.59) (ICD10-T80.69xA) Outlined area of erythema. Advised patient to use Benadryl and topical steroid cream such as hydrocortisone or triamcinalone. May continue to use Tylenol or ibuprofen as needed. Per UpToDate, delayed injection site reactions to COVID-19 vaccine should not be treated with systemic corticosteroids given potential to reduce immune response. Advised patient to monitor for spreading erythema, fever, "scratchy" sensation to throat and present to ED if she experiences difficulty breathing or swallowing.  Patient Instructions: 1)  Area marked - watch for spreading of redness outside of marked lines. 2)  Use Benadryl as needed. 3)  Apply topical cream such as hydrocortisone or triamcinalone.  4)  Advise having second COVID vaccine dose in opposite arm. 5)  Monitor for fever, difficulty breathing/swallowing, worsening redness, pain at site. If having difficulty breathing/swelling go to nearest ER.  6)  Patient to call if any questions.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure abnormal, Chest pain, Electrocardiogram normal, Nodule, Pain
Clinical narrative: History of Present Illness: is a 42yo female who presents to clinic today for evaluation of redness and swelling that developd since last night on her left arm. She endorses some discomfort extending down the arm and into the hand. Denies itching at this time. She received her first dose of COVID-19 vaccine/Moderna 8 days ago. She states that she initially had a slightly sore arm but no other injection site reaction until now. Denies fever, chills, difficulty breathing/swallowing, scratchy sensation of throat. Denies injection site reactions to other immunizations in the past. She has applied ice to the area and Tylenol. She also denies recent injury or break to skin.   Physical Exam: General:  well developed, well nourished, in no acute distress.   Lungs:  clear bilaterally to auscultation.   Heart:  regular rate and rhythm, normal S1, S2 without murmurs, rubs, or gallops.   Msk:  no deformity, normal gait.   Pulses:  pulses normal in all 4 extremities.   Skin:  16 cm x 14 cm area of swelling with erythema and increased warmth. Skin is intact. Patient notes area is lower than actual injection site. Outlined with skin marker.  Psych:  alert and cooperative; normal mood and affect; normal attention span and concentration.    Problem # 1:  Other serum reaction due to other serum, initial encounter (ICD-999.59) (ICD10-T80.69xA) Outlined area of erythema. Advised patient to use Benadryl and topical steroid cream such as hydrocortisone or triamcinalone. May continue to use Tylenol or ibuprofen as needed. Per UpToDate, delayed injection site reactions to COVID-19 vaccine should not be treated with systemic corticosteroids given potential to reduce immune response. Advised patient to monitor for spreading erythema, fever, "scratchy" sensation to throat and present to ED if she experiences difficulty breathing or swallowing.  Patient Instructions: 1)  Area marked - watch for spreading of redness outside of marked lines. 2)  Use Benadryl as needed. 3)  Apply topical cream such as hydrocortisone or triamcinalone.  4)  Advise having second COVID vaccine dose in opposite arm. 5)  Monitor for fever, difficulty breathing/swallowing, worsening redness, pain at site. If having difficulty breathing/swelling go to nearest ER.  6)  Patient to call if any questions.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: History of Present Illness: is a 42yo female who presents to clinic today for evaluation of redness and swelling that developd since last night on her left arm. She endorses some discomfort extending down the arm and into the hand. Denies itching at this time. She received her first dose of COVID-19 vaccine/Moderna 8 days ago. She states that she initially had a slightly sore arm but no other injection site reaction until now. Denies fever, chills, difficulty breathing/swallowing, scratchy sensation of throat. Denies injection site reactions to other immunizations in the past. She has applied ice to the area and Tylenol. She also denies recent injury or break to skin.   Physical Exam: General:  well developed, well nourished, in no acute distress.   Lungs:  clear bilaterally to auscultation.   Heart:  regular rate and rhythm, normal S1, S2 without murmurs, rubs, or gallops.   Msk:  no deformity, normal gait.   Pulses:  pulses normal in all 4 extremities.   Skin:  16 cm x 14 cm area of swelling with erythema and increased warmth. Skin is intact. Patient notes area is lower than actual injection site. Outlined with skin marker.  Psych:  alert and cooperative; normal mood and affect; normal attention span and concentration.    Problem # 1:  Other serum reaction due to other serum, initial encounter (ICD-999.59) (ICD10-T80.69xA) Outlined area of erythema. Advised patient to use Benadryl and topical steroid cream such as hydrocortisone or triamcinalone. May continue to use Tylenol or ibuprofen as needed. Per UpToDate, delayed injection site reactions to COVID-19 vaccine should not be treated with systemic corticosteroids given potential to reduce immune response. Advised patient to monitor for spreading erythema, fever, "scratchy" sensation to throat and present to ED if she experiences difficulty breathing or swallowing.  Patient Instructions: 1)  Area marked - watch for spreading of redness outside of marked lines. 2)  Use Benadryl as needed. 3)  Apply topical cream such as hydrocortisone or triamcinalone.  4)  Advise having second COVID vaccine dose in opposite arm. 5)  Monitor for fever, difficulty breathing/swallowing, worsening redness, pain at site. If having difficulty breathing/swelling go to nearest ER.  6)  Patient to call if any questions.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine
Clinical narrative: I exp severe migraine headaches lasted 5 days.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Induration, Peripheral swelling
Clinical narrative: ONE WEEK AFTER THE INJECTION, my arm swelled up all the way around from elbow to shoulder, it was red, hot, HARD, swollen and ITCHY. I wasn't even sore before that. It took about a week for this to go away completely.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: On day 9 after receiving the injection, I noticed itching at the injection site.  Itching persisted at a low level with a small red patch of skin on day 10 and 11. These events were mild and did not interfere with my daily activities. It is now day 11 and the itching and redness are continuing, so I will click "unknown" for recovery below.
Age: 1.0
Sex: F
Vaccine: UNK
Symptoms: Haemophilus test positive, Unevaluable event
Clinical narrative: Pt tested positive for Haemophilus Influenzae via throat culture obtained on 1/29/2021, which indicates a vaccine failure.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Heart palpitations
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Fatigue, Hyperventilation, Malaise, Nasopharyngitis
Clinical narrative: Itching of back of head, neck, stomach and back(between shoulder blades) - Took 2 Benadryl immediately. Next day - Extremely cold - could not get warm and very tired. 3rd. day -  Heavy breathing with feeling  as if I would get sick. 4th & 5th day - Still chest heaviness and very tired.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itching of back of head, neck, stomach and back(between shoulder blades) - Took 2 Benadryl immediately. Next day - Extremely cold - could not get warm and very tired. 3rd. day -  Heavy breathing with feeling  as if I would get sick. 4th & 5th day - Still chest heaviness and very tired.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second dose of COVID vaccine series was given on day 16.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Received first dose 1/8/21. woke up 1/18/21 with severe vertigo. Still has it. Was started on Meclizine, with no effects. Started on prednisone yesterday 2/1/21
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Pruritus, Rash
Clinical narrative: tingling and numbness in right arm itching and rash around left wrist
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Burning sensation, Joint range of motion decreased, Loss of personal independence in daily activities
Clinical narrative: At the time of the injection I felt immediate pain and burning. The next morning when I woke up I was unable to move my shoulder without excruciating pain. I had almost no range of motion. I had absolutely no strength. I started to take ibuprofen and cycle with Tylenol. I treated with heat, ice, icy hot and salon pass patches. My pain is located where my joint or rotator cuff would be located. I had no deltoid pain this time. My shots were both from the same lot. It is now eight days and I have some relief but still some pain, loss of motion and loss of strength. When I reported it to health programs they asked me to fill out this form. I am going to continue on the same regimen and hope it resolves itself. I have been doing a lot of things one-handed and trying to avoid use of my left arm.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain
Clinical narrative: At the time of the injection I felt immediate pain and burning. The next morning when I woke up I was unable to move my shoulder without excruciating pain. I had almost no range of motion. I had absolutely no strength. I started to take ibuprofen and cycle with Tylenol. I treated with heat, ice, icy hot and salon pass patches. My pain is located where my joint or rotator cuff would be located. I had no deltoid pain this time. My shots were both from the same lot. It is now eight days and I have some relief but still some pain, loss of motion and loss of strength. When I reported it to health programs they asked me to fill out this form. I am going to continue on the same regimen and hope it resolves itself. I have been doing a lot of things one-handed and trying to avoid use of my left arm.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: 24 hours after the injection, my arm hurt and there was a swollen bump.  That went away within 2 days.  The following Thursday, my arm began to itch.  The injection site became swollen and red again.  The red bump grew to a diameter of about 6 inches over the next day.  5 days later, it is still itchy and I still have a large bump.  It is not as red as it was before.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: This individual called in to report that approximately one week ago she developed a reddened area approximately the size of a grapefruit that is warm, red, and itchy on the arm she received the Covid- 19 vaccination.  She denies it getting bigger in size, streaking down her arm, or fever. Being that is has been a week without improvement, she was recommended to discuss with her family physician.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Complement factor C4, Eye pruritus, Eye swelling, Pruritus, Rash erythematous
Clinical narrative: Received #2 dose of Pfizer Covid19 Vaccine on 1/08/21 at 10 AM. Approximately 12 hours later she woke up with right eye pruritus with sensitivity, maculopapular erythematous rash and itching over left cheek to temple. She was rubbing at her eyes and did develop local swelling around the right eye. She treated herself with benadryl and advil. Her swelling and eye sensitivity decreased later that day but she developed a fixed itchy maculopapular rash on btl forearms (pictures in chart). She works in the ED as a technician and was seen during her shift 36 hours post shot. Diagnosed with a possible delayed reaction to the vaccine and discharged with prednisone, allegra, hydroxyzine. Symptoms have resolved except for residual hyperpigmentation over areas on forearms where the rash was and still feels itchy, though this increased after stopping antihistamines for her visit.  She reports no episodes of lightheadedness/syncope, increased nasal congestion, difficulty breathing post vaccine. She has no history of anaphylaxis or allergic reaction to prior vaccines.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash maculo-papular, Sensitive skin, Skin hyperpigmentation, Tryptase
Clinical narrative: Received #2 dose of Pfizer Covid19 Vaccine on 1/08/21 at 10 AM. Approximately 12 hours later she woke up with right eye pruritus with sensitivity, maculopapular erythematous rash and itching over left cheek to temple. She was rubbing at her eyes and did develop local swelling around the right eye. She treated herself with benadryl and advil. Her swelling and eye sensitivity decreased later that day but she developed a fixed itchy maculopapular rash on btl forearms (pictures in chart). She works in the ED as a technician and was seen during her shift 36 hours post shot. Diagnosed with a possible delayed reaction to the vaccine and discharged with prednisone, allegra, hydroxyzine. Symptoms have resolved except for residual hyperpigmentation over areas on forearms where the rash was and still feels itchy, though this increased after stopping antihistamines for her visit.  She reports no episodes of lightheadedness/syncope, increased nasal congestion, difficulty breathing post vaccine. She has no history of anaphylaxis or allergic reaction to prior vaccines.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Mobility decreased, Muscle strain, Musculoskeletal discomfort, Myalgia
Clinical narrative: Started with body pains a few hours after injection. The next day I had chest pain but more like muscle chest pain.. took Tylenol with no relief. My bank gave out 2 days after vaccine without doing anything. I was just standing and it went out. My left low back became a little swollen and could not stand straight. The chest muscle pain is still happening. I was just prescribed muscle relaxers
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Swelling
Clinical narrative: Started with body pains a few hours after injection. The next day I had chest pain but more like muscle chest pain.. took Tylenol with no relief. My bank gave out 2 days after vaccine without doing anything. I was just standing and it went out. My left low back became a little swollen and could not stand straight. The chest muscle pain is still happening. I was just prescribed muscle relaxers
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pyrexia
Clinical narrative: Nausea followed by chills, fever, vomiting, severe diarrhea, headache.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Nausea followed by chills, fever, vomiting, severe diarrhea, headache.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Chills, Decreased appetite, Groin pain
Clinical narrative: Started with 3 strong jabs.  1 in shoulder, 1 in stomach and 1 in groin.  Very stabbing painful jabs but only lasted 1 second.  Chills a few hours later that lasted about 4 hours.  Next morning felt stomach sick.  Couldn't eat or drink anything but water.  Barely make it to the bathroom because joints hurt and just felt sick.  Tried toast and coffee, tasted terrible.  I am a very strong coffee drinker.  Haven't been able to drink it since vaccination because nothing tastes or smells the same.  Went to primary yesterday because haven't been able to sleep.  Told him weird taste and smell, can't eat anything and I feel like my muscle is very weak. Trouble getting in car yesterday for work.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Mobility decreased, Muscular weakness, Parosmia, Sleep disorder
Clinical narrative: Started with 3 strong jabs.  1 in shoulder, 1 in stomach and 1 in groin.  Very stabbing painful jabs but only lasted 1 second.  Chills a few hours later that lasted about 4 hours.  Next morning felt stomach sick.  Couldn't eat or drink anything but water.  Barely make it to the bathroom because joints hurt and just felt sick.  Tried toast and coffee, tasted terrible.  I am a very strong coffee drinker.  Haven't been able to drink it since vaccination because nothing tastes or smells the same.  Went to primary yesterday because haven't been able to sleep.  Told him weird taste and smell, can't eat anything and I feel like my muscle is very weak. Trouble getting in car yesterday for work.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder
Clinical narrative: Started with 3 strong jabs.  1 in shoulder, 1 in stomach and 1 in groin.  Very stabbing painful jabs but only lasted 1 second.  Chills a few hours later that lasted about 4 hours.  Next morning felt stomach sick.  Couldn't eat or drink anything but water.  Barely make it to the bathroom because joints hurt and just felt sick.  Tried toast and coffee, tasted terrible.  I am a very strong coffee drinker.  Haven't been able to drink it since vaccination because nothing tastes or smells the same.  Went to primary yesterday because haven't been able to sleep.  Told him weird taste and smell, can't eat anything and I feel like my muscle is very weak. Trouble getting in car yesterday for work.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Cough, Fatigue, Pyrexia
Clinical narrative: pt states she had fatigue, joint pain, fever and chills starting a couple of days after covid vax.  Pt is still having chills, fever, fatigue  and now has cough.  Fever ranges from 99.8- 101.0, it varies from day to day, comes and goes.  Pt has started taking Aleve to help w/ symptoms. Pt tried calling her PCP but office was closed so will try calling PCP again tomorrow.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cold sweat, Feeling cold, Hypertension, Pain
Clinical narrative: Tachycardia and hypertension, cold and clammy within 4-6 hours of receiving 2nd COVID vaccine dose, was seen in ER, treated and released.  Reports feeling weak and achy for next 2 days
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Tachycardia and hypertension, cold and clammy within 4-6 hours of receiving 2nd COVID vaccine dose, was seen in ER, treated and released.  Reports feeling weak and achy for next 2 days
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: SOB; not anaphylaxis
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema
Clinical narrative: Arm got red rosy pink for more then a week no pain could sleep on it
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Pain in extremity, Syncope
Clinical narrative: Sore arm. 12 hours later I collapsed and fell to the floor. Spouse called para medics.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Blood count, Chest X-ray, Chest discomfort, Electrocardiogram, Heart rate increased
Clinical narrative: Face numb, rapid heart, chest pressure
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Face numb, rapid heart, chest pressure
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Palpitations
Clinical narrative: 1 hour after injection, pt c/o palpitations and a brief episode of her lips suddenly felt cold and then quickly returning to normal. She has also has experienced palpitations intermittently in the weeks following vaccination.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Paraesthesia, Pyrexia
Clinical narrative: Within 24 hours of second dose- Fever, dizziness, arm tingling,  headache
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Lip swelling
Clinical narrative: Two days after vaccination there was slight swelling of my upper lip when I woke up.  It gradually subsided throughout the day.  I also noticed a quarter size red, warm, tender spot at injection site of my left arm on  the 9th day after receiving the vaccine.  12 hours later it had spread to be about 3 inches in diameter. Still warm and tender to the touch.  No improvement today (day 10).
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever,  chills, full body aches, headache, fatigue
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Chest X-ray, Computerised tomogram head, Differential white blood cell count
Clinical narrative: Two days, 1/29 ,after shot, vomiting and fatigue,  emergency room visit on 1/31 , additional ER visit on 2/01.  Continual slight stomach upset but general fatigue and weakness still prevalent.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Full blood count, Metabolic function test, SARS-CoV-2 test
Clinical narrative: Two days, 1/29 ,after shot, vomiting and fatigue,  emergency room visit on 1/31 , additional ER visit on 2/01.  Continual slight stomach upset but general fatigue and weakness still prevalent.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Vomiting
Clinical narrative: Two days, 1/29 ,after shot, vomiting and fatigue,  emergency room visit on 1/31 , additional ER visit on 2/01.  Continual slight stomach upset but general fatigue and weakness still prevalent.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Back pain, Blood pH increased, Blood pressure increased, Confusional state
Clinical narrative: 1-12-21 Resident is complaining of heart pain. Resident blood pressure is 228/105.  1-22-21 Dx UTI 1-13-21     His nurse called MD at approximately 0645, reported to him that it was reported to this nurse that resident has not slept in 2 days and night, has an increased blood pressure, reports severe pain in lower back, and appears to be uncomfortable Resident is able to verbalize his pain and where it is at, but is unable to explain the quality of the pain or give a number on the 0/10 pain scale.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Insomnia, Pollakiuria, Urine analysis, White blood cell count increased
Clinical narrative: 1-12-21 Resident is complaining of heart pain. Resident blood pressure is 228/105.  1-22-21 Dx UTI 1-13-21     His nurse called MD at approximately 0645, reported to him that it was reported to this nurse that resident has not slept in 2 days and night, has an increased blood pressure, reports severe pain in lower back, and appears to be uncomfortable Resident is able to verbalize his pain and where it is at, but is unable to explain the quality of the pain or give a number on the 0/10 pain scale.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Diarrhoea, Ear pain, Headache, Malaise
Clinical narrative: fever, headache, muscle aches, diarrhea, nausea, breast on injection site painful, sore throat, right ear ache, malaise
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: fever, headache, muscle aches, diarrhea, nausea, breast on injection site painful, sore throat, right ear ache, malaise
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid, COVID-19, Chest X-ray, Cough, Decreased appetite
Clinical narrative: Upper respiratory symptoms with cough and mild fever.  Anorexia.  1/28/21, initially returned from ER but sent back to ER 1/29/21, for persistent symptoms and poor oral intake.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Full blood count, Hypophagia, Lactic acidosis, Metabolic function test
Clinical narrative: Upper respiratory symptoms with cough and mild fever.  Anorexia.  1/28/21, initially returned from ER but sent back to ER 1/29/21, for persistent symptoms and poor oral intake.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory symptom, SARS-CoV-2 test positive, Urinary tract infection, Urine analysis
Clinical narrative: Upper respiratory symptoms with cough and mild fever.  Anorexia.  1/28/21, initially returned from ER but sent back to ER 1/29/21, for persistent symptoms and poor oral intake.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Urinary system X-ray, Urticaria
Clinical narrative: Dry Hives, Nausea
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paresis
Clinical narrative: Bells Palsy, facial weakness,
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Feeling abnormal, Gait disturbance, Headache
Clinical narrative: 1st five days i was fine then wed morning felt like i was hot by a truck. I have dizziness, cant walk straight,  headache, muscles pain and joint pains
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: 1st five days i was fine then wed morning felt like i was hot by a truck. I have dizziness, cant walk straight,  headache, muscles pain and joint pains
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Hypoaesthesia, Mouth swelling, Nausea
Clinical narrative: Vaccine administered by RN on 2/02/2021 at 11:50am.  Location was at Nursing Home.  Coordinating facility for vaccines is the Health District. Within five minutes after vaccine administration, the patient's co-worker informed the patient that she had some redness on her neck. Patient left dining hall where vaccines were being administered and upon return, RN with HD asked patient how she was feeling.  The patient was noted to have a red neck and chest with some petechiae on neck and chest. Patient c/o headeache and numb right arm, same arm used for vaccine.  At 12pm, 25mg PO of Diphenhydramine was given by RN. The patient c/o nausea and started to vomit. HR was assessed by RN at a radial rate of 106 BPM. Patient stated her head was hurting worse and continued to vomit. RN, called EMS. Cold compress given to patient and patient was assisted to restroom by RN. Upon exiting the restroom, patient started vomiting again and stated her throat was itching and tongue felt swollen. She stated she was allergic to vanilla and her throat felt the same as when she reacts to vanilla. RN, attempted to visually inspect the patient's throat/tongue/mouth and noted that back of the mouth was edematous and unable to visually see the throat. 12:11 pm, 0.3 mg of epinephrine administed by EPIPEN into right lateral thigh. EMS arrived at 12:15pm. Patient assessed by EMS and agreed to transport to Hospital for evaluation. EMS and RN assisted patient to stretcher for transport. Nursing Supervisor, with Health District notified by phone by RN.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Petechiae, Swollen tongue, Throat irritation, Vomiting
Clinical narrative: Vaccine administered by RN on 2/02/2021 at 11:50am.  Location was at Nursing Home.  Coordinating facility for vaccines is the Health District. Within five minutes after vaccine administration, the patient's co-worker informed the patient that she had some redness on her neck. Patient left dining hall where vaccines were being administered and upon return, RN with HD asked patient how she was feeling.  The patient was noted to have a red neck and chest with some petechiae on neck and chest. Patient c/o headeache and numb right arm, same arm used for vaccine.  At 12pm, 25mg PO of Diphenhydramine was given by RN. The patient c/o nausea and started to vomit. HR was assessed by RN at a radial rate of 106 BPM. Patient stated her head was hurting worse and continued to vomit. RN, called EMS. Cold compress given to patient and patient was assisted to restroom by RN. Upon exiting the restroom, patient started vomiting again and stated her throat was itching and tongue felt swollen. She stated she was allergic to vanilla and her throat felt the same as when she reacts to vanilla. RN, attempted to visually inspect the patient's throat/tongue/mouth and noted that back of the mouth was edematous and unable to visually see the throat. 12:11 pm, 0.3 mg of epinephrine administed by EPIPEN into right lateral thigh. EMS arrived at 12:15pm. Patient assessed by EMS and agreed to transport to Hospital for evaluation. EMS and RN assisted patient to stretcher for transport. Nursing Supervisor, with Health District notified by phone by RN.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Hepatic vein thrombosis, Liver abscess
Clinical narrative: Thrombosis, right hepatic vein, Hepatic Abscess ( 10 cm)
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Breast pain, Chills, Erythema, Mastitis, Pain
Clinical narrative: 5 days after (jan4th) the first shot (dec 29th) I developed mastitis and 3 days (jan 29th) after the second one (Jan 26) I developed mastitis again. Something I never had before these shots in my 14 months of nursing. Development of mastitis was very sudden within a few hours of having breast pain -breast was red/hot, had chills, mild fever and body aches. Mastitis was in the same breasts each time but I did get the shot in different arms each time. Urgent care 1/4/2021 and Telehealth visit 1/30/2021, prescribed antibiotics
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Skin warm
Clinical narrative: 5 days after (jan4th) the first shot (dec 29th) I developed mastitis and 3 days (jan 29th) after the second one (Jan 26) I developed mastitis again. Something I never had before these shots in my 14 months of nursing. Development of mastitis was very sudden within a few hours of having breast pain -breast was red/hot, had chills, mild fever and body aches. Mastitis was in the same breasts each time but I did get the shot in different arms each time. Urgent care 1/4/2021 and Telehealth visit 1/30/2021, prescribed antibiotics
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Tenderness
Clinical narrative: Swollen, itchy injection site (after ten days). Underarm tenderness. Persistent for a day at present, not getting worse.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: A Pfizer vaccination was administered as a booster series on a patient on 01/28/2021 who originally received the Moderna vaccine as their primary dose on 01/08/2021.  Upon discovering the medication error, the patient was contacted via telephone to explain what had occurred.  Discussion with the hospital pharmacist resulted in the decision to offer the patient antibody testing on 02/11/2021 to determine if antibodies were successfully established.  The patient reported no side effects experienced with the booster vaccination.  If antibodies exist on the test scheduled for 02/11/2021, no further action will be taken.  If no antibodies exist, then a follow-up booster Pfizer booster shot will be administered on 02/18/2021.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Fever chills headache for 12 hours occurring 24 hours after 2nd COVID injection
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Pain
Clinical narrative: EXTREME FATIGUE, BODY ACHES, UNABLE TO WORK 1/31/21
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Dizziness, Fatigue, Headache
Clinical narrative: Dizzyness weakness tiredness. Ongoing. Muscle and joint pain headaches nausea  unwell
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Nausea
Clinical narrative: Dizzyness weakness tiredness. Ongoing. Muscle and joint pain headaches nausea  unwell
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Nervousness
Clinical narrative: Felt anxious and nervous 5 minutes after Pfizer vaccine. Patient drank 2 bottles of water and rested. BP 119/80, pulse 77, O2 sat 100%. Patient started feeling better. No new anxiety and nervousness. No other symptoms. Stable to go home.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus, Injection site warmth
Clinical narrative: large red spot around injection site approx 3 to 4 inches in diameter, hot to the touch, itchy, hard lump at injection site on day 9 and 10 from 1st injection
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Injection site pain, Nausea, Pyrexia
Clinical narrative: Fever became elevated from 99.0 F at 8:00 AM on day following injection (02/02/2021) to 101.6 F within 4 hours of same day. Slight nausea and total loss of appetite. Minor pain at injection site.
Age: 32.0
Sex: F
Vaccine: UNK
Symptoms: Discomfort, Influenza like illness, Pain, Pain in extremity
Clinical narrative: Covid 19 like symptoms, discomfort, feeling of flu like symptoms, pain generalized, leg pain
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Lymph node pain, Lymphadenopathy, Tenderness
Clinical narrative: Pain, swelling at injection site, swelling started to reduce around day 3 and was gone by day 6;  Multiple Lymph Nodes around left collar bone began to enlarge day 3 and are still enlarged as I write this 2/2/2021. Some soreness if touched.  No other symptoms.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest pain, Computerised tomogram normal, Electrocardiogram normal, Pulmonary pain
Clinical narrative: On 1/28/2021, starting having severe pain in chest/lungs and especially a quarter size area above rib cage located on top of right breast next to breast bone. This area was especially painful when pressure applied. No shortness of breath.  Symptoms lasted for about 10 hours and  subsided somewhat on 1/29/2021.  Severe pain symptoms returned early morning on 1/30/2021 and resulted in my going to the ER at the local hospital around 10:00 a.m.  An EKG , CT scan, and blood tests determined no heart attack or other life threatening conditions and I was released from the hospital around 4:00 p.m., still experiencing pain without a cause being determined.  Pain and painful area were no longer present on 1/31/2021.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: On 1/28/2021, starting having severe pain in chest/lungs and especially a quarter size area above rib cage located on top of right breast next to breast bone. This area was especially painful when pressure applied. No shortness of breath.  Symptoms lasted for about 10 hours and  subsided somewhat on 1/29/2021.  Severe pain symptoms returned early morning on 1/30/2021 and resulted in my going to the ER at the local hospital around 10:00 a.m.  An EKG , CT scan, and blood tests determined no heart attack or other life threatening conditions and I was released from the hospital around 4:00 p.m., still experiencing pain without a cause being determined.  Pain and painful area were no longer present on 1/31/2021.
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever of 99.0 for 24 hours after vaccination. took tylenol throughout the night. Did not seek medical treatment
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: This patient attended a community vaccination event. His guardian requested that he be vaccinated while he was there with her. The medical assistant complied with the request. Moderna vaccine is not approved for people under the age of 18. This patient should not have received the vaccine. He has not had any adverse effects from the vaccine at this point.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction - reporting vaccine given to patient under 18. Patient had parental/guardian consent.
Sex: U
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Prophylaxis
Clinical narrative: dull pain in my side; This case was reported by a consumer via interactive digital media and described the occurrence of pain dull in a adult patient who received Herpes zoster (Shingrix) for prophylaxis.   On an unknown date, the patient received Shingrix. In December 2020, less than a week after receiving Shingrix, the patient experienced pain dull. On an unknown date, the outcome of the pain dull was unknown.   It was unknown if the reporter considered the pain dull to be related to Shingrix.  Additional information was provided as follows: The age at vaccination was not reported. The age group was captured as an adult as per vaccine indication. The patient stated that he/she had pain in side, was that a side effect of his/her Shingrix vaccination from 4 days before reporting.