chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin, White blood cell count
Clinical narrative: Day #4 after covid vaccine #2 dose: mild sorethroat and mild neck enlarge lymph node - resolved in one day. Day #5: acid reflux symptoms, abdominal bloating - took Tums.. Day #6: chest discomfort with sharp pressure - worse with deep inspiration and temporarily relieved with belching/burping.   Day #7: continues to have chest discomfort - worsening fatigue and some light headedness when bends over or standing up.  EKG c/w acute pericarditis. Started on Colchicine.   Day #8: feels much better and discharged from hospital on Colchicine 0.6mg twice a day.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Bell's palsy, Ear discomfort, Eyelid disorder, Facial paralysis
Clinical narrative: Patient was diagnosed with Bells Palsy. On 3/15/21, patient noticed loss of taste and a sensation in his tongue. On 3/16/21, patient had right sided facial paralysis with some right ear discomfort, right eyelid drooping, right upper temple headache, sensitivity to sounds, and right eye only able to be open halfway. Patient also states that his right eye was watery. He denies a mouth droop. Patient went to urgent care on 3/16 and he was prescribed Prednisone. On 3/18, patient went to see his primary care physician and was prescribed an antiviral. He has not had any new or worsening symptoms since 3/18 pm, but he has not seen much improvement in symptoms either. He describes a small improvement in taste.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperacusis, Lacrimation increased, Sensory loss
Clinical narrative: Patient was diagnosed with Bells Palsy. On 3/15/21, patient noticed loss of taste and a sensation in his tongue. On 3/16/21, patient had right sided facial paralysis with some right ear discomfort, right eyelid drooping, right upper temple headache, sensitivity to sounds, and right eye only able to be open halfway. Patient also states that his right eye was watery. He denies a mouth droop. Patient went to urgent care on 3/16 and he was prescribed Prednisone. On 3/18, patient went to see his primary care physician and was prescribed an antiviral. He has not had any new or worsening symptoms since 3/18 pm, but he has not seen much improvement in symptoms either. He describes a small improvement in taste.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Patient recieved his vaccine at vaccine clinic. During his 15 min post vaccine wait, he lost conciousness and rolled off of the chair onto the floor. Pt was unconcious for approx 5-10 seconds. He woke up and was able to stand and walk with assistance to the treatment area. He was markedly diaphoretic and grey in color. He was oriented to name and location at this time. Reports he did not eat today and drank a beer this morning only. He worked all day, then came for his vaccine. Initial vials as follows: 95/44, Pulse 75, Pulse ox 95% on RA. Dexi 104. temp 97.7 oral. Pt is not a diabetic and denies any heart disease or other medical conditions. He does not have a primary care provider and has not had any check up in years. Given a protein bar, a juice and a bottle of water. Also 1 glucose tablet. He reports he is feeling better. Second set of vitals as follows: 97/59, pulse 80, Pulse 97% on RA. LCTA bil, RRR with no murmurs. Palpated skull, spine and pt denied any pain. No chest pain, difficulty breathing, dizziness or confusion. Second water given. Vitals as follows: 100/60, Pulse 85, Pulse ox 96% on RA. Pt is refusing ambulance. Risks and benefits of EMS evaluation and transport to ER given and pt still refusing x 2.  Spoke to supervising nurse who contacted Dr. Dr states pt ok to be monitored if he is refusing the ambulance. Pt will be discharged home under the care of his wife and his daughter. Daughter will drive him home. Dexi repeated: 125. Repeat vitals: 109/67, pulse 77, Pulse ox is 95% on RA. Discussed with patient need to eat a high protein meal, drink plenty of water and get rest. No work tomorrow and no alcohol. Pt has appt with PCP tomorrow at 11 am for an evaluation. Pt taken outside with RN in wheelchair with a 3rd water. Wife at his side. APN
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt is under 18 years old
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased
Clinical narrative: I estimate the date reaction began. But around that time I began having high blood pressure even though I was on 10mg of Lisinopril. Still ongoing now even though my doctor doubled the lisinopril, and last week changed med to Losarton 50 mg. Now this week this  is doubled to 100 mg. I never had this much high bp before. Maybe it was the Moderna. I do not know what has caused it.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: PATIENT RECEIVED VACCINE AND BECAME NAUSEOUS/DIZZY ALMOST IMMEDIATELY.  PATIENT VOMITED AND FELT BETTER.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Anal incontinence, Confusional state, Dysphonia, Facial paralysis, Muscle contracture
Clinical narrative: Patient received a vaccine at museum sight on  03/23/2021 at 0130 pm according to fiancé. Around 1:30 the next day, his fiance tried to call him and she stated that his voice was garbled, she found him face down with his chin on the table, covered with his own feces and urine.  EMS notes that upon their arrival the pt had a right sided facial droop along with some contracture to his left side.  Pt was originally awake and confused as he gradually became unresponsive and is only responsive to pain of sternal rub. He has no history of stroke. Pt's BP was noted to be 88/50's en route.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, Urinary incontinence
Clinical narrative: Patient received a vaccine at museum sight on  03/23/2021 at 0130 pm according to fiancé. Around 1:30 the next day, his fiance tried to call him and she stated that his voice was garbled, she found him face down with his chin on the table, covered with his own feces and urine.  EMS notes that upon their arrival the pt had a right sided facial droop along with some contracture to his left side.  Pt was originally awake and confused as he gradually became unresponsive and is only responsive to pain of sternal rub. He has no history of stroke. Pt's BP was noted to be 88/50's en route.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: shingles
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Post-acute COVID-19 syndrome
Clinical narrative: Covid arm
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Lymph node pain, Lymphadenopathy
Clinical narrative: Extreme fatigue. Swollen lymph nodes in the arm pit of the arm receiving vaccine. Extremely swollen and painful.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient passed away on Monday (March 22nd, 2021)
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Pain, Peripheral swelling
Clinical narrative: swelling in left arm, body aches, nausea, diarrhea
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pruritus, Rash macular, Skin warm, Swelling
Clinical narrative: redness around the injection site began as quarter size yesterday and today the area is size of grapefruit, slightly itchy and warm to touch, some swelling and splotchy--treated with anti-itch cream and worked. All other symptoms persist.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral
Clinical narrative: Numbness around mouth (whole mouth including upper and lower lips) as she had received lidocaine, started 15 min after the vaccine and lasted 4 hours. There no other symptoms
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dyshidrotic eczema, Erythema, Influenza like illness, Rash, Rash erythematous
Clinical narrative: Typical flu-like symptoms for 30  hours.   During that time an increasing skin sensitivity over torso and limbs.  After 36 hours, a very obvious and bad rash on hands that doctor diagnosed as dyshidrotic eczema.  Simultaneously legs were badly marked with dark red dots, especially lower legs, and much overall light red skin over upper legs and torso below neck.  The hands resolved over a few days with steroid cream.  The rest of the body continues, a month later, to feel like a sunburn.  The worst of the look of dark red dots on lower leg diminished over the first couple of weeks.  But even now, it feels like my skin is mildly burned.  I can even press it and release and see white where I pressed, surrounded by red, just like a sunburn.  Overall the skin looks mildly red, but nothing outrageous.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Sensitive skin
Clinical narrative: Typical flu-like symptoms for 30  hours.   During that time an increasing skin sensitivity over torso and limbs.  After 36 hours, a very obvious and bad rash on hands that doctor diagnosed as dyshidrotic eczema.  Simultaneously legs were badly marked with dark red dots, especially lower legs, and much overall light red skin over upper legs and torso below neck.  The hands resolved over a few days with steroid cream.  The rest of the body continues, a month later, to feel like a sunburn.  The worst of the look of dark red dots on lower leg diminished over the first couple of weeks.  But even now, it feels like my skin is mildly burned.  I can even press it and release and see white where I pressed, surrounded by red, just like a sunburn.  Overall the skin looks mildly red, but nothing outrageous.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Rash macular
Clinical narrative: Red raised welp at injection site.  Larger than a quarter but small than a half dollar. Painful to touch but I'm not going to my doctor because of it.  Unless it gets a lot worse later.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Mild Headache all day and body aches
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Injected limb mobility decreased, Injection site erythema, Injection site pain, Joint range of motion decreased
Clinical narrative: About a half hour following injection, patient's left arm was very sore and red at the site.  Within 2-3 hours the injection site was getting painful.  By the evening of her vaccination she was in a lot of pain and could hardly move her left arm at the shoulder area.  The proximal arm and shoulder area now hurts so much that she cannot lift it.. She does not have any numbness of her forearm or hands. She can move her hand and fingers. The pain is focused on her lateral proximal arm area where the needle injection was. However the pain does move up over her shoulder into her upper back.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound joint
Clinical narrative: About a half hour following injection, patient's left arm was very sore and red at the site.  Within 2-3 hours the injection site was getting painful.  By the evening of her vaccination she was in a lot of pain and could hardly move her left arm at the shoulder area.  The proximal arm and shoulder area now hurts so much that she cannot lift it.. She does not have any numbness of her forearm or hands. She can move her hand and fingers. The pain is focused on her lateral proximal arm area where the needle injection was. However the pain does move up over her shoulder into her upper back.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pyrexia
Clinical narrative: Patient received the J&J COVID vaccine around 10:00 a.m.  In the evening began experiencing subjective fevers, chills, nausea, headache.  He took ibuprofen around 4:45 a.m. in the morning and went to work.  Symptoms do not improve and patient presented to ED for evaluation.  Patient denies chest pain, shortness of breath, vomiting, diarrhea, dysuria.  No Hx anaphylaxis.  Denies sensation of upper airway stridor or other respiratory symptoms.  Past medical history is unremarkable.  He is not on home medications.  Denies smoking or illicit drug use.   Patient was given 1 gm Tylenol, 10 mg metoclopramide, and 1 L NS.  Patient improved, and was discharged
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain in extremity, Rash
Clinical narrative: 1st shot lot 016m20A sore arm and weird rash on arm  2nd shot lot 032m20A weird rash on chest with malaise- extended
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Chills, Decreased appetite, Dysphonia, Dyspnoea
Clinical narrative: Within 1/2 hour of vaccine, patient states he had fever, chills, shortness of breath, aches, throughout the body - "eyeballs hurt" - "hair hurts" loss of appetite, lost his sense of taste, increased hoarseness, decrease O2 saturations.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Eye pain, Oxygen saturation decreased, Pain, Pain of skin, Pyrexia
Clinical narrative: Within 1/2 hour of vaccine, patient states he had fever, chills, shortness of breath, aches, throughout the body - "eyeballs hurt" - "hair hurts" loss of appetite, lost his sense of taste, increased hoarseness, decrease O2 saturations.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Lip pain, Lip swelling, Rash, Rash pruritic
Clinical narrative: Rash starting at 8am on 3/26/21 at her feet and ankles bilaterally, itching and painful, spread to face and elbows. Lips began to swell and become painful at 1pm on 3/26/21. Pt treated with diphenhydramine 50mg  and epinephrine 0.3mg. Her rash and lip swelling improved starting 10 minutes following these medications. She was monitored for 1.5hrs and at time of discharge her rash was 80% improved and lips were no longer swollen. Pt did not have throat tightening, shortness of breath or dyspnea. She was given epinephrine for signs and symptoms of angioedema.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Feeling hot, Headache, Hypertension, Nausea
Clinical narrative: Tachycardia body was on fire high bp shaking Nausea feeling of impending doom headache
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Tachycardia body was on fire high bp shaking Nausea feeling of impending doom headache
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pharyngeal paraesthesia
Clinical narrative: Pt was vaccinated at approximately 11:40 AM today. She was given the Pfizer vaccine and observed for 15 minutes. During the observation period, the patient complained of tingling in her throat. She had no throat or tongue swelling, no difficulty breathing, SOB. She was offered PO Benadryl but the patient declined and said she would like to "wait it out". She drank water, ate a snack and felt better. Pt left but upon walking outside to her car she said she felt like she couldn't breath so she returned to the vaccine clinic. Pt reported feeling better upon coming back inside. She had no further c/o SOB or trouble breathing. Pulse ox 99-100% on RA and HR WNL. Pt was given PO Benadryl at 1230 PM. Pt is feeling better. Brother picked her up. Instructed to go to the ER if symptoms return and to inform her doctor of what happened.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nervousness
Clinical narrative: The patient received her 2nd Moderna COVID vaccine on 3/25/21 at 1:00. At 3:00 she began to feel shaky and tired. She is still feeling shaky and tired but has taken any medication or gone to the doctor.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: About six and a half hours after receiving the second COVID-19 Vaccine EUA I became extremely tired. The extreme tiredness lasted 24 hours and then went away.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypertension
Clinical narrative: hypertension and dizziness
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received first dose from her work and missed her appt for her second dose. She called  and requested to get her second dose from us and reported she received moderna. We scheduled her atleast 4 weeks from her first dose. After she received the second dose and we were charting the dose, we noticed her first vaccine was pfizer.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Hypoaesthesia, Immediate post-injection reaction, Joint range of motion decreased
Clinical narrative: Patient experienced pain in left shoulder and arm immediately after first dose of COVID-19 vaccine given on 1/14/21 . The pain continued and she was given the second dose in the left deltoid on 2/9/21 ( Moderna 028L20A). After the second dose, the pain in her left arm and shoulder worsened. She reports pain in left shoulder, pain radiating down left arm, numbness and tingling in left arm, decreased range of motion, and weakness of shoulder.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pain, Paraesthesia, X-ray limb
Clinical narrative: Patient experienced pain in left shoulder and arm immediately after first dose of COVID-19 vaccine given on 1/14/21 . The pain continued and she was given the second dose in the left deltoid on 2/9/21 ( Moderna 028L20A). After the second dose, the pain in her left arm and shoulder worsened. She reports pain in left shoulder, pain radiating down left arm, numbness and tingling in left arm, decreased range of motion, and weakness of shoulder.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Flushing, Swollen tongue, Throat tightness
Clinical narrative: Flushed sensation, throat tightness, tongue swelling
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cyanosis, Lip pruritus, Nausea, Throat irritation, Vomiting
Clinical narrative: Flushed sensation, throat tightness, tongue swelling
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia, Rheumatoid arthritis
Clinical narrative: Chills, 100.4 Fever, Slight Headache, SEVERE attack of Rheumatoid Arthritis One tablet of Tylenol Chills. fever, cured -- Headache persisted for a couple more days --RA persisted for 6-8 days
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site pain, Neck pain, Pain, Submaxillary gland enlargement
Clinical narrative: Left armpit sore and swollen.  Left back side of neck sore and hurt to turn head.  This lasted about 3-4  days.   I can't take any Tylenol or IBUprofen, so I just used a heating pad on them a lot.  Left elbow hurt to bend as well.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization within 6 weeks after receiving vaccine
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chills, Dyspnoea, Full blood count, Lymphopenia
Clinical narrative: ED COURSE & MEDICAL DECISION MAKING Patient is a 20 y.o. male who presents emergency department for evaluation of fevers, chills, nausea, and shortness of breath.  Symptoms occurred approximately 3 to 4 hours after his Covid vaccination today.  He has not felt symptomatic for symptoms related to COVID-19 prior to his vaccination.  Nausea was noted without vomiting and he was given Zofran prior to arrival.  No objective evidence of anaphylaxis or angioedema was noted at urgent care nor was this noted on physical examination.  He does have a fever on arrival with Tylenol taken a little more then an hour prior to arrival.   Chest x-ray negative for findings of COVID-19.  There was no evidence of pneumonia.  His blood counts were otherwise reasonable though he did have relative lymphopenia that can be described in COVID-19 infection.  Metabolic profile was otherwise benign.  Differential diagnosis of his fever include the possibility of a vaccine reaction though the timing is rather quick for this reaction.  Certainly this remains in his differential.  His he has history of asthma and felt short of breath he was given Solu-Medrol.  He was given Toradol with improvement of symptoms as well as IV fluid.  With differential diagnostic considerations that he may have Covid, he was swabbed and tested at bedside.  With his well appearance he was ambulatory in the emergency department.  He was discharged stable condition with recommendations for Tylenol and ibuprofen in the short-term.     Procedures MDM     CHIEF COMPLAINT Fever and Chills     HPI The history is provided by the patient, medical records and the EMS personnel.      Patient is a 20 y.o. male who presents emergency department with fevers, nausea, and shortness of breath.  He has generally not felt well over the course of the last 8 hours after receiving his first Covid vaccination this morning at 9 AM.  Fevers have been noted.  He took Tylenol with 2 tablets an hour prior to arrival.  He has had shortness of breath with a history of asthma.  He denies productive cough, or chest pain.  He denies abdominal pain, or diarrhea.  He denies dysuria or frequency or hematuria.  Seasonal allergies are noted without significant medication allergies.  He denies a sensation of throat closing.  He denies tongue or lip swelling.  He was seen in urgent care and sent to the emergency department for further evaluation.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Metabolic function test, Nausea, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: ED COURSE & MEDICAL DECISION MAKING Patient is a 20 y.o. male who presents emergency department for evaluation of fevers, chills, nausea, and shortness of breath.  Symptoms occurred approximately 3 to 4 hours after his Covid vaccination today.  He has not felt symptomatic for symptoms related to COVID-19 prior to his vaccination.  Nausea was noted without vomiting and he was given Zofran prior to arrival.  No objective evidence of anaphylaxis or angioedema was noted at urgent care nor was this noted on physical examination.  He does have a fever on arrival with Tylenol taken a little more then an hour prior to arrival.   Chest x-ray negative for findings of COVID-19.  There was no evidence of pneumonia.  His blood counts were otherwise reasonable though he did have relative lymphopenia that can be described in COVID-19 infection.  Metabolic profile was otherwise benign.  Differential diagnosis of his fever include the possibility of a vaccine reaction though the timing is rather quick for this reaction.  Certainly this remains in his differential.  His he has history of asthma and felt short of breath he was given Solu-Medrol.  He was given Toradol with improvement of symptoms as well as IV fluid.  With differential diagnostic considerations that he may have Covid, he was swabbed and tested at bedside.  With his well appearance he was ambulatory in the emergency department.  He was discharged stable condition with recommendations for Tylenol and ibuprofen in the short-term.     Procedures MDM     CHIEF COMPLAINT Fever and Chills     HPI The history is provided by the patient, medical records and the EMS personnel.      Patient is a 20 y.o. male who presents emergency department with fevers, nausea, and shortness of breath.  He has generally not felt well over the course of the last 8 hours after receiving his first Covid vaccination this morning at 9 AM.  Fevers have been noted.  He took Tylenol with 2 tablets an hour prior to arrival.  He has had shortness of breath with a history of asthma.  He denies productive cough, or chest pain.  He denies abdominal pain, or diarrhea.  He denies dysuria or frequency or hematuria.  Seasonal allergies are noted without significant medication allergies.  He denies a sensation of throat closing.  He denies tongue or lip swelling.  He was seen in urgent care and sent to the emergency department for further evaluation.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Erythema, Feeling hot, Flushing, Injection site erythema
Clinical narrative: P:  Vaccine reaction HPI- patient received her vaccine at 930.  At 9:50 she c/o feeling hot and itchy.  No dyspnea, no angioedema sx, no nausea O 950:  bp 126/80, p 79, o2 sat 98% No distress,  Alert/oriented, slightly anxious appearing Wearing heavy sweatshirt over 2 additional layers, typically wears this sweatshirt for warmth when outside.   HEENT:  Face is flushed/red, no urticaria/hives.  No diaphoresis Mouth:  Lips pink, no edema, Pharynx: no redness,  Left tonsil 4+ and right tonsil 2+ this is pts baseline and she is scheduled for tonsillectomy in 2 weeks.  No angioedema Lungs: clear,  No wheezing, no stridor anterior and posterior lung fields CV: rrr Skin:  Left arm, some mild redness to area surrounding injection site. patient was observed scratching/rubbing the area a few times during her observation Patient encouraged to remove her heavy outer sweatshirt, given water Given 25 mg of benadryl- patient refused to take 50mg dose.  After sitting with observation for another 20 minutes, she was no longer flushed, or feeling warm.  Stated she was much better.  A:  Localized reaction to Covid vaccine-  Warm feeling most likely related to being overheated vs stress reaction to vaccine vs mild hypersensitivity response P:  Discussed red flag sx to seek treatment for- dyspnea, sensation of obstructed breathing, facial swelling, itchy throat, nausea- will discuss second dose after observation for ongoing sx.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: P:  Vaccine reaction HPI- patient received her vaccine at 930.  At 9:50 she c/o feeling hot and itchy.  No dyspnea, no angioedema sx, no nausea O 950:  bp 126/80, p 79, o2 sat 98% No distress,  Alert/oriented, slightly anxious appearing Wearing heavy sweatshirt over 2 additional layers, typically wears this sweatshirt for warmth when outside.   HEENT:  Face is flushed/red, no urticaria/hives.  No diaphoresis Mouth:  Lips pink, no edema, Pharynx: no redness,  Left tonsil 4+ and right tonsil 2+ this is pts baseline and she is scheduled for tonsillectomy in 2 weeks.  No angioedema Lungs: clear,  No wheezing, no stridor anterior and posterior lung fields CV: rrr Skin:  Left arm, some mild redness to area surrounding injection site. patient was observed scratching/rubbing the area a few times during her observation Patient encouraged to remove her heavy outer sweatshirt, given water Given 25 mg of benadryl- patient refused to take 50mg dose.  After sitting with observation for another 20 minutes, she was no longer flushed, or feeling warm.  Stated she was much better.  A:  Localized reaction to Covid vaccine-  Warm feeling most likely related to being overheated vs stress reaction to vaccine vs mild hypersensitivity response P:  Discussed red flag sx to seek treatment for- dyspnea, sensation of obstructed breathing, facial swelling, itchy throat, nausea- will discuss second dose after observation for ongoing sx.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Patient felt throat closing and went to the ER
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Headache, Myalgia, Pain
Clinical narrative: 10 pm of 3/23 I started feeling headache and muscle pain.  By 4:30 3/24 I was in great pain across multiple locations across my body. I also had a heaviness in my chest, making it uncomfortable to breath.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt was 17 years old at time of first Moderna injection. Moderna is indicated for ages 18 and over.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia, Vomiting
Clinical narrative: tingling all over forehead, nausea vomitting, released in stable condition
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Hypoacusis, Vision blurred
Clinical narrative: Dizziness Blurry vision Sweating Muffled hearing
Age: 103.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Oedema peripheral
Clinical narrative: Edema in arm and especially hand.  Very swollen like a balloon, non-pitting, still, one month since second dose of vaccine. Pain in lymph nodes under left arm..
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: For 24 hours straight he ran a fever over 103 (confirmed by three different thermometers in 3 different locations with Tylenol on board and stripped w cold compresses. Temp gradually lowered next few days. I think it?s because he?s so little.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 16 yo F received Dose 1 of Moderna vaccine in left arm on 3/26/21 @ 1052. Patient was observed for 15 minutes as per protocol; no adverse events were noted.  Due to inadvertent administration outside of EUA age range, event is being reported as per Moderna COVID-19 Vaccine EUA.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Skin warm
Clinical narrative: A few hours after vaccine, patient reports developing bilateral red hot rash on neck and bilateral upper shoulders that felt like severe sun burn.  Over the next 24hrs, symptoms abated/resolved
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort
Clinical narrative: patient had throat discomfort, benadryl given, epi given, EMS notified, patient declined further evaluation in the EMS and further evaluation in the ER. patient was asymptomatic upon departure of clinic, vitals stable and taken by EMS
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Paraesthesia
Clinical narrative: Continual feeling of pin prick, itchiness, and pain at site of injection, even weeks later (today is more than a month later).
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dyspnoea, Fatigue, Gait disturbance, Mobility decreased
Clinical narrative: Sore arm directly after injection which lasted 2 weeks, 3 hours after injection had significant shortness of breath which lasted over 24-36 hours, then during the same time period began severe joint pain which made it very difficult to walk or move for approx 4 days, fatigue for 1 week, and joint pain has lessened, although still ongoing, although not as severe as the first 4 days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm directly after injection which lasted 2 weeks, 3 hours after injection had significant shortness of breath which lasted over 24-36 hours, then during the same time period began severe joint pain which made it very difficult to walk or move for approx 4 days, fatigue for 1 week, and joint pain has lessened, although still ongoing, although not as severe as the first 4 days.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure normal, Cardiovascular evaluation, Hypertension
Clinical narrative: high readings in blood pressure on Monday, Tuesday, and Wednesday-  4 readings taken each day- 178/100 , 174/103, 175/106, 163/93, 175/101, 162/103, 185/105, 177/103, 171/98  starting thursday morning, all subsequent readings back to normal-  124/78, 113/78,  etc. everything fine now There had been no change in daily diet nor medication to cause the high readings, all started a couple of days after 1st dose of vaccine
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypersomnia, Pain
Clinical narrative: Shot was given on 02-24-2021 around 12 noon.  On the next day 02-25-2021 around noon driving home from a meeting I started to feel very tired and body aching.  By the time I got home I felt drained and hurting all over.  Did not ever have a fever but did have a slight headache several times with the 24 hour period of my reaction.  Upon arrival to my home, I laid down on my couch - needed to rest.  I stayed asleep off and on, on the couch until 10 p.m. that evening.  I felt that every bone in my body ached and I was so tired.  I didn't want to eat or drink anything - just rest.  I went to bed and again slept all through the night until 10 a.m. the next morning - Friday, February 26, 2021.  When I woke up I felt better but still not up to par.  I mostly relaxed all that day - just didn't have the strength to do anything.  Gradually over the weekend I felt my strength coming back and by Monday, I was much better.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Dehydration
Clinical narrative: became dehydrated in spite of drinking water and started  Pedialyte right before the stroke Admitted into the hospital on March 19th  late morning early afternoon.  via ambulance to helicopter At hospital
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Itchy, red rash on inner elbow of right arm, tricep of left arm, upper thigh of right leg, top of left foot, right buttocks, and fingers on both hands.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Rash, Swelling
Clinical narrative: Patient reported arm pain, itchy rash and swelling after receiving the vaccine. It has been 3 days and she doesn't have any resolution of symptoms.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Headache, Oropharyngeal discomfort
Clinical narrative: At 1405, patient began c/o headache with a 9/10 pain level.  Patient had been waiting approximately 30 minutes post-vaccination due to previous reaction to flu vaccine.  Vital signs were taken by MSN RN and EMT  at 1405 with BP of 179/98, HR 72 and O2 Sat of 95%.  Patient also stated that "her throat felt like something was stuck in  it like indigestion".  Patient also states that she took 1000 mg of Tylenol at 1200 with food prior to vaccination.  At approximately 1430, a second set of vital signs were taken with BP 179/89, HR 73, and O2 sat of 95%.  Patient was offered and accepted ambulance for further evaluation.  Due to increased BP and HA, patient was then transported to Regional Hospital for further evaluation.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Interchange of vaccine products
Clinical narrative: The patient had no adverse reaction. She received a Quadracel for her 3rd dose of Dtap and Polio because she was behind and receiving multiple vaccines this vaccine was given in error.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Chills, Dizziness, Headache, Injection site erythema
Clinical narrative: "covid arm": inflammed/red, itchy, tender, and painful oval on the skin a couple inches distally away from injection site First noticed 3/24/21 8:00AM. 1"x2" oval Grew continuously at least until today (3/26/21 3:00PM) to 4"x6" oval, still distal from injection side  Other adverse events: 3/22/21 7PM: fever; 3/23/21: fever, chills, nausea, dizziness/unsteadiness; 3/24: fever, nausea after eating, dizziness/unsteadiness, headache; 3/25: nausea after eating, headache <-- All of these other adverse events have resolved by 3/26/21.  Same adverse effects, though to a lesser degree, after 1st dose in series.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Nausea, Pyrexia
Clinical narrative: "covid arm": inflammed/red, itchy, tender, and painful oval on the skin a couple inches distally away from injection site First noticed 3/24/21 8:00AM. 1"x2" oval Grew continuously at least until today (3/26/21 3:00PM) to 4"x6" oval, still distal from injection side  Other adverse events: 3/22/21 7PM: fever; 3/23/21: fever, chills, nausea, dizziness/unsteadiness; 3/24: fever, nausea after eating, dizziness/unsteadiness, headache; 3/25: nausea after eating, headache <-- All of these other adverse events have resolved by 3/26/21.  Same adverse effects, though to a lesser degree, after 1st dose in series.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lymphadenopathy, Nausea, Pain
Clinical narrative: Body aches, fatigue, nausea, headache, lymph node above collarbone swollen.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea, Paraesthesia, Skin warm
Clinical narrative: Vision change 20-30 seconds Nausea/vomiting Lightheaded  Sweaty Warm Paresthesia in hands
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment, Vomiting
Clinical narrative: Vision change 20-30 seconds Nausea/vomiting Lightheaded  Sweaty Warm Paresthesia in hands
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Disturbance in attention, Headache
Clinical narrative: Fever, chills, body aches, muscle and joint pain, nausea, vomiting, diarrhea, trouble concentrating , headache. These symptoms lasted about 30 hours.  Headache, trouble concentrating, pain at injection site have lasted almost 48 hours and continue to exist but have been reduced over time
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Nausea, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, muscle and joint pain, nausea, vomiting, diarrhea, trouble concentrating , headache. These symptoms lasted about 30 hours.  Headache, trouble concentrating, pain at injection site have lasted almost 48 hours and continue to exist but have been reduced over time
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Fever, chills, body aches, muscle and joint pain, nausea, vomiting, diarrhea, trouble concentrating , headache. These symptoms lasted about 30 hours.  Headache, trouble concentrating, pain at injection site have lasted almost 48 hours and continue to exist but have been reduced over time
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Injection site erythema, Injection site pain, Pain, Pyrexia
Clinical narrative: Severe body aches, pain when trying to walk, weak, fever, diarrhea. Fever came on after 24 hours of injection. Body aches started the morning after the injection. Pain and redness at injection site more than 48 hours after injection. Feeling of weakness still on the 2nd day after.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Swelling face
Clinical narrative: Patient reported facial swelling to the right cheek area and pain around the left eye socket.  These symptoms appeared overnight, and the patient first noticed them upon awakening.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Physical examination, Post herpetic neuralgia, X-ray
Clinical narrative: Postherpetic Neuralgia
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema
Clinical narrative: Patient complaint of redness on left arm and neck also was flushed in face. No complaint of shortness of breath or rash. Vital signs within normal. Pulse Ox %100.  Symptoms improved and was discharged home at 1040.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: dose not indicated under 18, Patient will be 18 on 5-29-2021. Called patient today and no adverse events to report. We have notified her doctor.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient requested a Shingrix vaccine, but was given a COVID19 vaccine instead.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: chills, body ache, headache
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest discomfort, Pain, Peripheral swelling, Pruritus
Clinical narrative: Within 30 min of the shot, my arm began to swell and itch. My face and some part of my body began to itch as well. Within the next hour, my jaw began to lock and my throat began to burn/tighten. Within this timespan, my body, especially my back began to ache as well as my chest feeling tight.  After three hours, I went to the on-campus clinic and they gave me 50mg of Benadryl.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Throat tightness, Trismus
Clinical narrative: Within 30 min of the shot, my arm began to swell and itch. My face and some part of my body began to itch as well. Within the next hour, my jaw began to lock and my throat began to burn/tighten. Within this timespan, my body, especially my back began to ache as well as my chest feeling tight.  After three hours, I went to the on-campus clinic and they gave me 50mg of Benadryl.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: Very sore arm and tired for two days.  7 days later, red, hard, itchy at injection site Have not done treatment yet but will take Benadryl tonight (8th day from vaccine, arm is hot, red, itchy)
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Very sore arm and tired for two days.  7 days later, red, hard, itchy at injection site Have not done treatment yet but will take Benadryl tonight (8th day from vaccine, arm is hot, red, itchy)
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Blood glucose increased, Blood pressure measurement, Blood test, Cold sweat
Clinical narrative: blood sugar 300-500 low blood pressure 70/54 headache pain in right leg llimited mobility right arm painful ;limited memory clamy feeling  sweaty
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Hypotension, Memory impairment, Mobility decreased
Clinical narrative: blood sugar 300-500 low blood pressure 70/54 headache pain in right leg llimited mobility right arm painful ;limited memory clamy feeling  sweaty
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: blood sugar 300-500 low blood pressure 70/54 headache pain in right leg llimited mobility right arm painful ;limited memory clamy feeling  sweaty
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth, Rash erythematous
Clinical narrative: I developed "Moderna Arm"  red rash that is warm and a little swollen at the injection site.  It is a little itchy and sore but not to the extent that I took anything to treat symptoms.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Vaccine vial was short 1 dose
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Nausea, Pain, Pyrexia
Clinical narrative: body aches, low grade fever, nausea, cold sweats
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Hyperacusis, Injection site pain
Clinical narrative: Fatigue/extreme tiredness, sound sensitivity, pain at the injection site, brain fog (lack of mental acuity),  dull  persistent headache even after tylenol, aspirin, and ibruprofen,
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea 15 minutes after getting the vaccine. three up twice and then felt better
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature decreased, Headache, Nausea, Renal pain
Clinical narrative: Swollen itchy rash around injection site 13 days after vaccine. Also, extremely low body temp (under 93°). Nausea, headache, kidney pain, felt loopy. All occurred at time the rash was discovered.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site swelling
Clinical narrative: About 7 days later bigger, bigger around the injection site and  I took antibiotics. I took pictures of the area looked like the size of golf ball.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dysarthria, Lymphadenopathy, Paraesthesia oral, Pharyngeal swelling, Swollen tongue
Clinical narrative: 2 days after receiving my first dose my tongue began to feel tingly and swell, I could feel the tightness in the back and in my lymph nodes as well. I began to have sensitivity to spicy foods on Thursday. On Friday I woke up and my words were slurring as my tongue felt more swollen  and I started to notice some slight swelling in my throat, maybe 5%. I started gargling diphenhydramine on Friday night and that helped a lot, I also took loratadine and Fexofenadine. By Sunday my symptoms were masked by the allergy drugs and I stopped taking the diphenhydramine. 1 week later, 12 days post Moderna Vaccinne I stopped taking the fexofenadine and Loratadine. I continued to have tongue irritation and a sore on my tongue for 2.5 weeks. I then had an adverse event after the 2nd shot as well.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: patient did not disclose to vaccinator that he had received Jannsen COVID-19 vaccine on 3/22/21.  Patient answered "NO" to the questions "Have you ever received a dose of COVID-19 vaccine?" and "Have you received a vaccine in the last 14 days?"  on the consent form.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Resuscitation
Clinical narrative: Pt came into Emergency Department with resuscitation efforts in progress. Patient spouse states no known health concerns but was feeling unwell after 2nd dose of vaccine on Monday.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Vaccine vial was short 1 dose
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac normal, Chest pain, Echocardiogram, Echocardiogram abnormal, Effusion
Clinical narrative: 24 hours following administration patient developed body aches, fever (101), sore throat and nausea.  72 hours after receiving the shot he developed sudden onset substernal chest pain described as sharp and burning with radiation to his bilateral arms.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Ejection fraction, Electrocardiogram ST segment abnormal, Myocarditis, Nausea, Oropharyngeal pain
Clinical narrative: 24 hours following administration patient developed body aches, fever (101), sore throat and nausea.  72 hours after receiving the shot he developed sudden onset substernal chest pain described as sharp and burning with radiation to his bilateral arms.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pericarditis, Pyrexia, Troponin increased
Clinical narrative: 24 hours following administration patient developed body aches, fever (101), sore throat and nausea.  72 hours after receiving the shot he developed sudden onset substernal chest pain described as sharp and burning with radiation to his bilateral arms.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction
Clinical narrative: Patient described symptoms consistent with expected effects of Moderna mRNA vaccine, at the anticipated time-frame, and was advised so. Patient requested the event be reported anyway.  Patient did not express that these effects were severe, or that they warranted medical intervention.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Tremor
Clinical narrative: PT STATES SHE IS SHAKING (WHICH IS VISIBLY SEEN) AND STATES THAT SHE IS FEELING ANXIOUS. PT WAS TALKED TO AND CALMED DOWN. PT TOOK DEEP BREATHS IN AND OUT TO RELAX HER NERVES. @1400 PM PT STATES THAT SHE FEELS FINE AND IS ABLE TO DRIVE. VS @ 1:50 PM  BP 119/79 HR 85 SpO2 98%
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Pain in extremity, Pruritus
Clinical narrative: PATIENT EXPERIENCING SEVERE ITCHINESS OVER GENERALIZED BODY, MORESO ON TORSO, HANDS AND FEET. PATIENT ALSO EXPERIENCING LEFT ARM PAIN AND WEAKNESS EVEN WITH VACCINATION TO THE RIGHT DELTOID.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Syncope, Vagus nerve disorder
Clinical narrative: After injection, began to feel faint.  BP 90/50, Blood Sugar 107, 911 activated.  Transported via ambulance.  On 3/26/2021, follow up phone call - Subject indicated it was most likely a Vagus Nerve response and not an adverse reaction.  Stated she was a little achy and tired today, 3/26/21.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Pt in observation area, felt lightheaded Pale/ diaphoretic  Laid to floor with feet elevated, cool rag to forehead Vitals:  104/58, HR 58, 99% (laying on floor)  1345 Pt states feeling much better Vitals:  101/68, HR 84, 99% SpO2  1350 Pt sitting on floor, eating granola bar and drinking water Vitals: 110/72, HR 79, 99%  1400 Pt sitting up in chair, states feeling well BP 107/75, HR 91, 98%
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none at this time
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Seizure
Clinical narrative: customer passed out and or had seizure and EMS was called. customer is alert and fine now.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site reaction, Urticaria
Clinical narrative: 1.  A day following the vaccine two days of  extreme fatigue .   2. A week following the vaccine, Covid arm, red spot at the location of the vaccine developed into extremely itchy hives, at the arm the vaccine was administered, right arm.  The hives expanded down to the elbow of the right arm throughout the upper arm, right upper chest area and right  upper back area.  The hives lasted for about two weeks.