chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Back pain, Blood pressure increased, Diarrhoea
Clinical narrative: Janssen COVID-19 Vaccine EUA  Injection @ 1130a 1hr after - diarrhea 5hrs after- Rt Arm (opposite arm of shot)  tingling  sensitive to touch 7hrs after- Skin Crawling painful to touch - low back,thighs, arms, scalp 9hrs after- Freezing and fever sweating 12hrs after- 102 fever, racing BP about 180 high for me, Wrist and Elbows Ached terribly, Lower legs - knee down felt swollen but no                               sign of swelling.  Low back Ached with Pain in Right rear side.  Felt like I needed to stretch back and legs tight/anxious.                                slight Headache 14hrs after- took 2 Tylenol PM & slept restlessly until 8:30 a (12hrs later)  8:30a - Much better with slightly achey back and forearms and occasional headache ting... not constant.   Moving slow   Had Covid Nov11 2020.  Symptoms lasted 6week, each week one symptom would go away and a new would arise- -fever 2days -intensively painful skin crawling 2days -loss of taste and smell -diarrhea (still have loose stools and occasional watery) had diarrhea morning of shot -eyes painfully itchy irritated dry - still occurs most days about 3p -extreme exhaustion in afternoon about 1-3p still
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Formication, Headache, Hyperhidrosis, Mobility decreased
Clinical narrative: Janssen COVID-19 Vaccine EUA  Injection @ 1130a 1hr after - diarrhea 5hrs after- Rt Arm (opposite arm of shot)  tingling  sensitive to touch 7hrs after- Skin Crawling painful to touch - low back,thighs, arms, scalp 9hrs after- Freezing and fever sweating 12hrs after- 102 fever, racing BP about 180 high for me, Wrist and Elbows Ached terribly, Lower legs - knee down felt swollen but no                               sign of swelling.  Low back Ached with Pain in Right rear side.  Felt like I needed to stretch back and legs tight/anxious.                                slight Headache 14hrs after- took 2 Tylenol PM & slept restlessly until 8:30 a (12hrs later)  8:30a - Much better with slightly achey back and forearms and occasional headache ting... not constant.   Moving slow   Had Covid Nov11 2020.  Symptoms lasted 6week, each week one symptom would go away and a new would arise- -fever 2days -intensively painful skin crawling 2days -loss of taste and smell -diarrhea (still have loose stools and occasional watery) had diarrhea morning of shot -eyes painfully itchy irritated dry - still occurs most days about 3p -extreme exhaustion in afternoon about 1-3p still
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Pain of skin, Paraesthesia, Poor quality sleep, Pyrexia
Clinical narrative: Janssen COVID-19 Vaccine EUA  Injection @ 1130a 1hr after - diarrhea 5hrs after- Rt Arm (opposite arm of shot)  tingling  sensitive to touch 7hrs after- Skin Crawling painful to touch - low back,thighs, arms, scalp 9hrs after- Freezing and fever sweating 12hrs after- 102 fever, racing BP about 180 high for me, Wrist and Elbows Ached terribly, Lower legs - knee down felt swollen but no                               sign of swelling.  Low back Ached with Pain in Right rear side.  Felt like I needed to stretch back and legs tight/anxious.                                slight Headache 14hrs after- took 2 Tylenol PM & slept restlessly until 8:30 a (12hrs later)  8:30a - Much better with slightly achey back and forearms and occasional headache ting... not constant.   Moving slow   Had Covid Nov11 2020.  Symptoms lasted 6week, each week one symptom would go away and a new would arise- -fever 2days -intensively painful skin crawling 2days -loss of taste and smell -diarrhea (still have loose stools and occasional watery) had diarrhea morning of shot -eyes painfully itchy irritated dry - still occurs most days about 3p -extreme exhaustion in afternoon about 1-3p still
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Tenderness
Clinical narrative: Janssen COVID-19 Vaccine EUA  Injection @ 1130a 1hr after - diarrhea 5hrs after- Rt Arm (opposite arm of shot)  tingling  sensitive to touch 7hrs after- Skin Crawling painful to touch - low back,thighs, arms, scalp 9hrs after- Freezing and fever sweating 12hrs after- 102 fever, racing BP about 180 high for me, Wrist and Elbows Ached terribly, Lower legs - knee down felt swollen but no                               sign of swelling.  Low back Ached with Pain in Right rear side.  Felt like I needed to stretch back and legs tight/anxious.                                slight Headache 14hrs after- took 2 Tylenol PM & slept restlessly until 8:30 a (12hrs later)  8:30a - Much better with slightly achey back and forearms and occasional headache ting... not constant.   Moving slow   Had Covid Nov11 2020.  Symptoms lasted 6week, each week one symptom would go away and a new would arise- -fever 2days -intensively painful skin crawling 2days -loss of taste and smell -diarrhea (still have loose stools and occasional watery) had diarrhea morning of shot -eyes painfully itchy irritated dry - still occurs most days about 3p -extreme exhaustion in afternoon about 1-3p still
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Sensation of foreign body
Clinical narrative: lump/soreness in throat without dyspnea/sob/rash/sense of impending doom.  History of panic attacks, which do not present this way.
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Abdominal pain upper, Arthralgia, Feeling abnormal, Gait disturbance, Joint range of motion decreased
Clinical narrative: Received vaccine in left arm in afternoon. Felt like foot was falling asleep that night. Woke in morning limping, favoring right leg, had stomach ache. Wasn't himself all day, still limping. Afebrile. As of 03/01/21 pt has fully recovered and is back to baseline.
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Paraesthesia
Clinical narrative: Received vaccine in left arm in afternoon. Felt like foot was falling asleep that night. Woke in morning limping, favoring right leg, had stomach ache. Wasn't himself all day, still limping. Afebrile. As of 03/01/21 pt has fully recovered and is back to baseline.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Needle was not seated well on syringe.  When nurse pushed plunger, most of the vaccine leaked out from between needle and syringe. Nurse estimated patient received just a small fraction of the dose. We revaccinated with a full dose, in the same arm.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Myalgia
Clinical narrative: Day 1 - muscle tenderness in injection arm Day 2 - 1" warm red spot at injection site, tender to touch, muscle tenderness more pronounced Day 3 - 3" warm red spot at injection site, tender to touch, muscle tenderness more pronounced Day 4 - 4.5" warm red spot at injection site, tender to touch, muscle tenderness less pronounced as is redness at injection site
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Pain, Somnolence
Clinical narrative: EXTREME exhaustion, unable to stay awake, nausea vomiting body aches chills symptoms as bad as having the virus, plus vomiting after vaccine
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: EXTREME exhaustion, unable to stay awake, nausea vomiting body aches chills symptoms as bad as having the virus, plus vomiting after vaccine
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Arthralgia, Asthenia, Chills, Diarrhoea
Clinical narrative: Severe pain at isolated to injection site and right arm after injection 3-2-21. Severe fatigue accompanied by muscle and joint aches and pains throughout body, mild chills, nausea, diarrhea  beginning 3-3-21. Visible rash at injection site began 3-4-21 accompanied by continued fatigue, weakness gastrointestinal discomfort and diarrhea.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Injection site pain, Injection site rash, Myalgia, Nausea
Clinical narrative: Severe pain at isolated to injection site and right arm after injection 3-2-21. Severe fatigue accompanied by muscle and joint aches and pains throughout body, mild chills, nausea, diarrhea  beginning 3-3-21. Visible rash at injection site began 3-4-21 accompanied by continued fatigue, weakness gastrointestinal discomfort and diarrhea.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Severe pain at isolated to injection site and right arm after injection 3-2-21. Severe fatigue accompanied by muscle and joint aches and pains throughout body, mild chills, nausea, diarrhea  beginning 3-3-21. Visible rash at injection site began 3-4-21 accompanied by continued fatigue, weakness gastrointestinal discomfort and diarrhea.
Age: 23.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Exposure during pregnancy, Facial paralysis, Foetal heart rate, Hypoaesthesia
Clinical narrative: On the day following receipt of vaccine pt had shoulder pain which got worse.   The following morning she had left sided facial numbness and droop.   Pt is at stated 17 weeks gestation.  EDC  August 10, 2021.  LMP 11/4/220.  Pt is Primigravid.  She, at the time of ED visit did not have any pregnancy related problem.
Age: 23.0
Sex: F
Vaccine: FLU4
Symptoms: Primigravida
Clinical narrative: On the day following receipt of vaccine pt had shoulder pain which got worse.   The following morning she had left sided facial numbness and droop.   Pt is at stated 17 weeks gestation.  EDC  August 10, 2021.  LMP 11/4/220.  Pt is Primigravid.  She, at the time of ED visit did not have any pregnancy related problem.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Left forearm pain
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Headache, Nausea
Clinical narrative: Patient was experience nausea, dizziness, vomiting, weakness, headache, and chills. It started around 7am on March 3rd, when she woke up. The symptoms lasted almost all day, and he started to feel better around 6:30pm on the same day, March 3rd. He was able to eat and drink at this time without feeling nauseous. On March 4th, he  experienced mild headache and was feeling a little dizzy, but much better. She is able to eat and drink, and move around the house now.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient was experience nausea, dizziness, vomiting, weakness, headache, and chills. It started around 7am on March 3rd, when she woke up. The symptoms lasted almost all day, and he started to feel better around 6:30pm on the same day, March 3rd. He was able to eat and drink at this time without feeling nauseous. On March 4th, he  experienced mild headache and was feeling a little dizzy, but much better. She is able to eat and drink, and move around the house now.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: 8 days after injection began symptoms of shingles
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Breast swelling, Contusion, Injection site reaction, Muscle spasms
Clinical narrative: burning and cramping in the muscle under the site of vaccination (tricep area), itching on skin, bruising in armpit, pain and swelling on side of the breast, and itchiness in the armpit. All symptoms are exclusively on the side that I received the vaccination.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pruritus
Clinical narrative: burning and cramping in the muscle under the site of vaccination (tricep area), itching on skin, bruising in armpit, pain and swelling on side of the breast, and itchiness in the armpit. All symptoms are exclusively on the side that I received the vaccination.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia
Clinical narrative: Progress Notes Expand AllCollapse All    COVID VACCINE CLINIC 2/24/2021    Subjective Pt. is a 53 y.o. male who was seen at COVID Vaccine Clinic today for his first  dose of the COVID 19 vaccination.    He was given the Pfizer vaccination in the right deltoid muscle.   During his 15 minute waiting period after the injection, the patient began to experience numbness in right forearm and headache.  He denied difficulty breathing, difficulty swallowing, itching and lightheadedness.   This provider was notified of patient reaction and he was then assessed in the emergency area.   Monitored patient for severe reaction symptoms, including but not limited to rapid progression of symptoms and skin changes.     ALLERGY REVIEW OF SYSTEMS:  Patient denies chills, fever, facial swelling, cough, chest tightness, shortness of breath, wheezing, dizziness and headaches    Numbness right forearm.:     Previous Reactions: None    Objective    Vitals Vitals:   02/24/21 1208 BP: 124/77 Pulse: 83 SpO2: 95%      Physical Exam Constitutional:      Appearance: Normal appearance.  HENT:     Head: Normocephalic and atraumatic.     Mouth/Throat:     Comments: No swelling or lips or tongue.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds. No wheezing or rales.  Musculoskeletal:        General: No swelling or deformity.     Comments: No rashes noted on right arm where injection was given. Equal strength in bilateral upper extremities.   Skin:    General: Skin is warm and dry.  Neurological:     General: No focal deficit present.     Mental Status: He is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included:  Tylenol 1000mg and water. Follow up response to treatment: good. Sx completely resolved. Discussed that he may take Ibuprofen this evening if he experiences some numbness in the right forearm or fingers. He denied symptoms of headache and numbness resolved prior to discharge. I walked with patient to exit the facility. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Local reaction (arm pain, bleeding/bruising, mechanical irritation, localized rash)   Electronically Signed 2/24/2021 12:09 PM
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Oropharyngeal discomfort, Swollen tongue
Clinical narrative: Patient complained of the back of her tongue felt swollen and that it felt like "there is a cherry pit stuck in my throat".  Patients BP was elevated. No excessive saliva, No issues with breathing.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: 4 x 1 1/2 " rash noted this am. Denies pain or swelling in the area
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Injection site hypoaesthesia, Injection site pain, Injection site paraesthesia, Injection site rash
Clinical narrative: Rash at injection site with tingling/numbness/burning that turned into onset of shingles.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Muscle spasms
Clinical narrative: 24 hour chills and stomach cramps.  Note: one other side effect exactly one week after vaccine: muscle spasm in center of back--lasted for 4-5 days. Went to chiropractor's office and was told they had several patients who reported the same symptom and came in for support to relieve spasm  Also my older brother, who is 86, had same back spasm symptoms exactly one week after he had Moderna 1st dose at clinic. He went to family doctor and received medication to help relief spasms.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Nausea
Clinical narrative: Weakness, nausea, headache, chills.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncopal episode s/p vaccine administration. Site EMS assessed patient and performed vital signs. Monitored patient until  arrived. transported to  Hospital.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Nausea
Clinical narrative: Severe chills, sweating, severe headache nauseau, fatigue
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Subdural haematoma
Clinical narrative: Bilateral subdural hematoma's
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: death
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Nausea, Rash erythematous, Urinary incontinence
Clinical narrative: Within minutes I had pin prick red dots on my right arm. We were at a drive through clinic waiting the 15 minutes in the parking lot before leaving and had the paramedic from the ambulance come look. I leaned into the seat to let my husband photograph my dots, and where my shoulder was leaning into the seat, I immediately had a smattering of red pin prick dots. They began showing on my left arm. We were advised to go to the ER. My hemoglobin was fine (though clotting factors were off), and he?d see a few reactions like that, so we were sent home.   I had diarrhea, abdominal pain, and severe nausea, but nothing scary or bad.   I woke to not being able to urinate, and that was followed with complete incontinence. I cannot control my bladder at all, cannot urinate on demand, and often don?t realize I?m urinating until I feel the warm gush.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Conjunctivitis, Cough, Nausea, SARS-CoV-2 test positive
Clinical narrative: Residents was previously positive for Covid-19 on 6/17/20.  She received both doses of the Pfizer vaccine.  She tested positive again for Covid-19 on 2/10/21.
Age: 60.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Patient walked in to clinic 3/4 to discuss reaction to a vaccine.  Patient received PPSV23 and Shingrix, both in left arm.  Left arm is red, hard, hot, and some swelling present.  Can feel the heat radiating through patient's shirt.  Patient also reported that she had a fever, vomiting, and some shakes.   Home care given of Tylenol, ibuprofen, and cool compresses.
Age: 60.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Tremor, Vomiting
Clinical narrative: Patient walked in to clinic 3/4 to discuss reaction to a vaccine.  Patient received PPSV23 and Shingrix, both in left arm.  Left arm is red, hard, hot, and some swelling present.  Can feel the heat radiating through patient's shirt.  Patient also reported that she had a fever, vomiting, and some shakes.   Home care given of Tylenol, ibuprofen, and cool compresses.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Eczema
Clinical narrative: Eczema broke out all over my palms and fingers of both hands. Diagnosed by dermatologist, Dr . She prescribed Clobetasol Cream .05% topical.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Feeling hot, Nausea
Clinical narrative: Lightheadednsss immediately after vaccination. Slight nausea that resolved within a minute, hot feeling, and slightly elevated blood pressure of 142/92.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Fever, chills, red swollen hot arm at injection sight(about the size of a softball), muscle aches, tiredness
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Fever, chills, red swollen hot arm at injection sight(about the size of a softball), muscle aches, tiredness
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Slight facial numbness mostly on the left side of the face (the same side I was vaccinated on)
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, Chills, Fatigue, Headache
Clinical narrative: Fatigue headache  chills upset stomach  some back pain
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Injected limb mobility decreased, Insomnia, Movement disorder, Pain
Clinical narrative: Extreme pain in left arm around 7-8 pm the same day of the injection (7/9/20). This was not just soreness; it hurt as badly as a broken bone and took my breath. It lasted for 4-5 hours until I finally was able to go to sleep. At the same time as the intense pain, I lost all use of my left arm which is the arm in which the injection had been given. My left arm would not move at all when I tried to lift it. I finally had to put my hand in my pocket to keep my arm out of the way. I could feel my arm but it just would not respond - no movement, not able to even wiggle my fingers. The next day (7/10/20), the pain was gone and I just had normal soreness but I was still not able to use my left arm. As the day went on, I gained back some use of the arm and was able to move my fingers and raise my arm about 3 inches. It took until 7/15/20 (6 days) to gain full use of my left arm.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: Extreme pain in left arm around 7-8 pm the same day of the injection (7/9/20). This was not just soreness; it hurt as badly as a broken bone and took my breath. It lasted for 4-5 hours until I finally was able to go to sleep. At the same time as the intense pain, I lost all use of my left arm which is the arm in which the injection had been given. My left arm would not move at all when I tried to lift it. I finally had to put my hand in my pocket to keep my arm out of the way. I could feel my arm but it just would not respond - no movement, not able to even wiggle my fingers. The next day (7/10/20), the pain was gone and I just had normal soreness but I was still not able to use my left arm. As the day went on, I gained back some use of the arm and was able to move my fingers and raise my arm about 3 inches. It took until 7/15/20 (6 days) to gain full use of my left arm.
Age: 83.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain upper, Cough, Diarrhoea, Dyspnoea, Headache
Clinical narrative: cold, cough, shortness of breath, headaches, stomach pains, diarrhea, low grade fever, lethargy
Age: 83.0
Sex: F
Vaccine: UNK
Symptoms: Lethargy, Nasopharyngitis, Pyrexia
Clinical narrative: cold, cough, shortness of breath, headaches, stomach pains, diarrhea, low grade fever, lethargy
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Lethargy, Pain
Clinical narrative: I started feeling chills around 9:00 in the evening of the day (Saturday) I received the vaccine.  I took my temperature and it was 99.1.  I went to bed because I also felt great fatigue.  All night I had body aches and chills.  I took my temperature several times during the night.  The highest it got was 101.1.  By 9:00 the next morning my temperature returned to normal and the chills and body aches were gone.  I did, however, continue to feel very lethargic the entire day (Sunday).  It wasn't until Monday that I felt normal again.  None of these side effects were so concerning that I contacted a medical facility but I felt like they were worth reporting just for the data.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Fatigue, Feeling abnormal, Flushing, Limb discomfort
Clinical narrative: Patient received a COVID vaccination for her second dose on 3/3/21 at 1538.  She had informed the staff of the clinic that she did have a local reaction following her first dose (9days later) that she saw her PCP for. This was just treated with Zyrtec and no further intervention.  At 25 minutes following her second dose PA noticed that the patient appeared flushed.  He checked with the patient and she said she was ok.  A few minutes later noticed the patient was even more flushed.  At that time went and evaluated the patient - her BP was elevated 150/94 HR of 112 ad Pulse ox of 96%.  The patient reported feeling different than how she felt after her previous injection.  Clinic team offered for patient to be transferred to ER for further evaluation if she would like which the patient accepted.  She was transferred to ER via wheelchair in less than 5 minutes in stable condition with mild nausea.  She was cared for in ER by Dr.  Patient reported feeling tired and 'heavy' in the ER.  Dr evaluation found a generally healthy patient with a non-toxic appearance  Lungs were clear and no obvious signs of swelling or other signs of an immediate allergic reaction.  Patient was given oral diphenhydramine and observed until she felt comfortable going home.  Discharged from ER at 1733
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Patient received a COVID vaccination for her second dose on 3/3/21 at 1538.  She had informed the staff of the clinic that she did have a local reaction following her first dose (9days later) that she saw her PCP for. This was just treated with Zyrtec and no further intervention.  At 25 minutes following her second dose PA noticed that the patient appeared flushed.  He checked with the patient and she said she was ok.  A few minutes later noticed the patient was even more flushed.  At that time went and evaluated the patient - her BP was elevated 150/94 HR of 112 ad Pulse ox of 96%.  The patient reported feeling different than how she felt after her previous injection.  Clinic team offered for patient to be transferred to ER for further evaluation if she would like which the patient accepted.  She was transferred to ER via wheelchair in less than 5 minutes in stable condition with mild nausea.  She was cared for in ER by Dr.  Patient reported feeling tired and 'heavy' in the ER.  Dr evaluation found a generally healthy patient with a non-toxic appearance  Lungs were clear and no obvious signs of swelling or other signs of an immediate allergic reaction.  Patient was given oral diphenhydramine and observed until she felt comfortable going home.  Discharged from ER at 1733
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Swollen tongue
Clinical narrative: The above patient received COVID-19 vaccine at 1400 on 03MAR21.  She came to the EH&S office at 1430 complaining of tingling lips and mild tongue swelling.  She was given Benadryl 25 mg po at 1437 by RN.  The patient emailed later that same day at 2139 and stated that she was completely fine.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Head discomfort, Injected limb mobility decreased, Pain
Clinical narrative: Overall skin ache, slight fever (highest reading 99), fatigue, head/chest congestion, very sore injection arm restricting movement, chills on the first overnight. Continued eating and drinking fluids. I cancelled all other activities. I have not fully recovered but approximately 45 hours after the injection, the symptoms subsided.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Respiratory tract congestion
Clinical narrative: Overall skin ache, slight fever (highest reading 99), fatigue, head/chest congestion, very sore injection arm restricting movement, chills on the first overnight. Continued eating and drinking fluids. I cancelled all other activities. I have not fully recovered but approximately 45 hours after the injection, the symptoms subsided.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Decreased appetite, Fatigue, Feeling cold
Clinical narrative: Beginning approximately 12 hours after second dose I experienced chills, muscle and joint pain, fatigue, pain at injection site, headache, nausea, loss of appetite, thirst, strange taste in the mouth, red burning rash across cheeks, nose and chin, watering eyes.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Lacrimation increased, Myalgia, Nausea
Clinical narrative: Beginning approximately 12 hours after second dose I experienced chills, muscle and joint pain, fatigue, pain at injection site, headache, nausea, loss of appetite, thirst, strange taste in the mouth, red burning rash across cheeks, nose and chin, watering eyes.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Taste disorder, Thirst
Clinical narrative: Beginning approximately 12 hours after second dose I experienced chills, muscle and joint pain, fatigue, pain at injection site, headache, nausea, loss of appetite, thirst, strange taste in the mouth, red burning rash across cheeks, nose and chin, watering eyes.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, Computerised tomogram, Loss of consciousness, Seizure
Clinical narrative: Approx 7 hours after receiving the vaccine client says he heard a loud roar and lost consciousness. Wife called EMSA and they met her and was transported to Hospital with seizure like activity for approx. 3 minutes. He has never had a seizure before. They were not sure if the seizure was R/T his stroke or the vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, Chest pain, Eructation, Vomiting
Clinical narrative: 11th in the evening, I suddenly had gastric pain in Stomach and was belching a lot. Then it started hurting with a lot of chest pain. The pain started going behind my back and pressure and we went to ER and when I went to take my urine test and I threw up a lot. I felt pretty good after that. My reports from tests came back okay. They told me to take over the counter Prilosec and gave a prescription for Zofran.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chills, Disorientation, Fatigue, Headache
Clinical narrative: Severe Headache Random Severe Muscle Pain Fatigue Joint Pain Chills/Feverish Minor Disorientation
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Severe Headache Random Severe Muscle Pain Fatigue Joint Pain Chills/Feverish Minor Disorientation
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Influenza
Clinical narrative: Severe Headache Random Severe Muscle Pain Fatigue Joint Pain Chills/Feverish Minor Disorientation
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Severe Headache Random Severe Muscle Pain Fatigue Joint Pain Chills/Feverish Minor Disorientation
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: swelling in Lymph node under left arm
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Pruritus, Pustule, Rash
Clinical narrative: Onset of pruritis R lower back with onset of rash next day with development of clear pustules.   Patient seen by PCM  on Monday February 8th and diagnosed with Shingles and treated with antivirals with resolution of symptoms/rash
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient vomited 2 min after receiving vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling cold, Headache, Tremor
Clinical narrative: Employee presented for Dose #1 Moderna injection for COVID 19.  Prior to injection, employee verbalized her anxiety and fear of the possible side effects of vaccine.  Employee received vaccine in R arm with no issues.  While in observation area, employee reported new onset headache and dizziness.  HX: reflux. No allergies. 0957 VS 143/73 HR 78 99%on room air 1003 143/71 HR 78 08% on room air 1017  141/71  HR 76 99% on room air (employee began to feel shaky and cold)  Warm linens and OJ provided 1038  112/57  HR 74 99% on room air. T 98.2 1045 121/57 HR 76 99% room air  Employee states shakiness has resolved.  Headache and dizziness have improved. Employee taken via wheelchair to valet where her daughter was awaiting to take her home.  Employee given VACCINE hotline number to call should her symptoms worsen or if she has further questions.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Injection site pruritus, Injection site rash
Clinical narrative: The day I received my Vaccine, they poked me with the  injection but it leaked down my arm. They poked me again and the vaccine went in. I did not receive any side effects after this vaccine until one week later. I woke up with a very hot, itchy rash on my upper left arm.  I called pharmacist and was told to apply hydrocortisone on the rash, take benadryl for itching  and tylenol for pain. I started doing it immediately but today is day 3 and I still have the same side effects. This includes headache, fatigue, itchy rash, and lightheaded.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Rash pruritic, Syringe issue, Underdose
Clinical narrative: The day I received my Vaccine, they poked me with the  injection but it leaked down my arm. They poked me again and the vaccine went in. I did not receive any side effects after this vaccine until one week later. I woke up with a very hot, itchy rash on my upper left arm.  I called pharmacist and was told to apply hydrocortisone on the rash, take benadryl for itching  and tylenol for pain. I started doing it immediately but today is day 3 and I still have the same side effects. This includes headache, fatigue, itchy rash, and lightheaded.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Hypoaesthesia oral
Clinical narrative: Numbness to roof of mouth and difficulty swallowing experienced around 1455 pm, but not reported until 1520 pm; Benadryl 50 mg IM given at 1522;  EMS called at 1524 and client transported to Hospital via ambulance approximately 20-30 minutes after arrival.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness
Clinical narrative: Pt felt lightheaded after vaccination. Pt was brought into the medical room and lied on stretcher to rest. Pt initial vs were elevated for bp and hr. Pt was anxious. After 15-20 mins pt felt better and lightheadedness was gone. Pt vs were better and bp hr decreased to normal levels ( 138/87, 94). Pt was released. To observation area and pt checked out.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Pain in extremity, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: March 3, 2021 Arm started itching,  Arm  has been sore for 3 days, warm to touch and swollen.  Rash appeared around injection site and below.  Size of rash 6" long x 3" across.  Applied ice throughout day and evening.  Found information online regarding COVID Arm reactions and pictures which looked like my rash. March 5, 2021 - rash is less but arm still swollen
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash papular, Rash pruritic
Clinical narrative: Rash on upper right and left thigh, r/L buttocks, r/L thigh behind leg, rash on R palm. Itching, raised. 7 days post injection. No treatment as of yet
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site warmth, Skin exfoliation, Skin weeping
Clinical narrative: At one week after my 1st COVID vaccine shot, a red warm circle appeared on left arm below injection site midway between shoulder and elbow.  It was about 4 inches across and very red.  Almost no itch, no blistering, no weeping.  It grew each day until it covered 3/4 of the circumference of my arm. A week later, it spawned a second bright red circle in crook of left elbow. Then original lesion faded away.  For a couple of days as it faded, I could see 'purple' tracery beneath my skin at the site of the former redness.  The second lesion in the elbow crook has no itching, but is prone to scaling and weeping.  I use a drying gel agent over it.  It has not grown beyond the 3-4 inches it was at the beginning and is now beginning yesterday to fade.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Nausea, Pyrexia
Clinical narrative: Chills lasted 1 hour Low grade fever lasted a few hours hives still going Cough-days Nausea-lasted 30 min for 2 mornings headache-lasted 1 hour
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Electrocardiogram, Hypertension
Clinical narrative: Developed soreness in left shoulder and chest area. On Mar 2, 2021 I measured my blood pressure at 5:00AM to be 163 over 99.  My normal blood pressure is 130-135 over 71-75.  Went to the emergency room where an EKG. chest ex-ray and blood work were performed.  Doctor reported that all test were normal but blood pressure was still high at 146 over 89.  I have continually monitored my blood pressure as follows: 3/2 @ 10:00 PM 144/73;  3/3 @ 7:00 AM 147/77;  3/3 @ 10:00PM; 165/83:  3/4 @ 7:00AM 165/83:  3/5 @8:00AM 157/77.   The ER doctor Dr. indicated that the vaccine could have caused inflamation which caused the change in blood pressure
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Developed soreness in left shoulder and chest area. On Mar 2, 2021 I measured my blood pressure at 5:00AM to be 163 over 99.  My normal blood pressure is 130-135 over 71-75.  Went to the emergency room where an EKG. chest ex-ray and blood work were performed.  Doctor reported that all test were normal but blood pressure was still high at 146 over 89.  I have continually monitored my blood pressure as follows: 3/2 @ 10:00 PM 144/73;  3/3 @ 7:00 AM 147/77;  3/3 @ 10:00PM; 165/83:  3/4 @ 7:00AM 165/83:  3/5 @8:00AM 157/77.   The ER doctor Dr. indicated that the vaccine could have caused inflamation which caused the change in blood pressure
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness
Clinical narrative: Dizziness and weakness started the morning after vaccination, and gone by that late afternoon Treated with not moving and laying down
Age: 51.0
Sex: M
Vaccine: UNK
Symptoms: Asthenia, Chills
Clinical narrative: Shivering, chills, weakness
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Sluggishness, Tremor
Clinical narrative: When my alarm went off my arm was very shakey - almost dropped the clock.  I felt like I was in slow motion, very tired, sore arm, although not as sore as the day after the first dose.  As the morning wore on I felt lke I was really dragging myself through my work, also felt feverish.  Shortly after 11:30 AM I gave up trying to work and laid down on the bed - slept 'hard" off and on and did not move until 4:30.  Temp was 101.2.  I felt better but still not well - went to bed at 9 (normally 10:30 t0 11:30), fell right to sleep and slept soundly until around 6.  I feel back to normal today.  I haven't had a fever in over a decade, although I did feel slightly feverish late afternoon the day after my first dose.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache
Clinical narrative: Joint pain mild headache
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: death
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Aphasia, Bedridden, Blood creatinine increased, Blood sodium increased
Clinical narrative: 3/3/21 er to hospital admission:  81 y.o. female with a history of Parkinson's in previous stroke.  The patient basically is maintained in the nursing home in this state of being bed-bound and nonverbal.  She was recently transferred to Rehab after she developed a stage IV sacral ulcer at a previous nursing home.  The patient had been seeing wound care and doing very well.  Her stage IV sacral ulcer had been healed to a stage II.  She had been gaining weight.  Unfortunately, at her wound care appointment yesterday the wound had decompensated a little bit and had started to drain some purulent material.  It also enlarged in size a little bit.  I was called yesterday afternoon and the nursing home reported the patient was not wanting to eat or drink.  Lab work showed a sodium of 170 and creatinine consistent with acute kidney injury.  She also appeared to have a urinary tract infection.  Because of her critical labs she was sent to the nursing home.  The patient was evaluated in the nursing home and then admitted to the floor.  She was given Zosyn and vancomycin and started on IV fluids.  The emergency room physician did counsel the family that the prognosis was very grim.  The patient has done reasonably well overnight.  She has been grimacing quite a bit and the family has decided they just want her kept comfortable    comfort care during admission
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Decubitus ulcer, Diet refusal, Grimacing, Purulent discharge, Urinary tract infection
Clinical narrative: 3/3/21 er to hospital admission:  81 y.o. female with a history of Parkinson's in previous stroke.  The patient basically is maintained in the nursing home in this state of being bed-bound and nonverbal.  She was recently transferred to Rehab after she developed a stage IV sacral ulcer at a previous nursing home.  The patient had been seeing wound care and doing very well.  Her stage IV sacral ulcer had been healed to a stage II.  She had been gaining weight.  Unfortunately, at her wound care appointment yesterday the wound had decompensated a little bit and had started to drain some purulent material.  It also enlarged in size a little bit.  I was called yesterday afternoon and the nursing home reported the patient was not wanting to eat or drink.  Lab work showed a sodium of 170 and creatinine consistent with acute kidney injury.  She also appeared to have a urinary tract infection.  Because of her critical labs she was sent to the nursing home.  The patient was evaluated in the nursing home and then admitted to the floor.  She was given Zosyn and vancomycin and started on IV fluids.  The emergency room physician did counsel the family that the prognosis was very grim.  The patient has done reasonably well overnight.  She has been grimacing quite a bit and the family has decided they just want her kept comfortable    comfort care during admission
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Weight increased
Clinical narrative: 3/3/21 er to hospital admission:  81 y.o. female with a history of Parkinson's in previous stroke.  The patient basically is maintained in the nursing home in this state of being bed-bound and nonverbal.  She was recently transferred to Rehab after she developed a stage IV sacral ulcer at a previous nursing home.  The patient had been seeing wound care and doing very well.  Her stage IV sacral ulcer had been healed to a stage II.  She had been gaining weight.  Unfortunately, at her wound care appointment yesterday the wound had decompensated a little bit and had started to drain some purulent material.  It also enlarged in size a little bit.  I was called yesterday afternoon and the nursing home reported the patient was not wanting to eat or drink.  Lab work showed a sodium of 170 and creatinine consistent with acute kidney injury.  She also appeared to have a urinary tract infection.  Because of her critical labs she was sent to the nursing home.  The patient was evaluated in the nursing home and then admitted to the floor.  She was given Zosyn and vancomycin and started on IV fluids.  The emergency room physician did counsel the family that the prognosis was very grim.  The patient has done reasonably well overnight.  She has been grimacing quite a bit and the family has decided they just want her kept comfortable    comfort care during admission
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient returned early for his second dose and was vaccinated too early.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discolouration, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site vesicles
Clinical narrative: Moderna COVID-19 Vaccine EUA       On Feb 18, 2021 injection site started to itch, turned red, small knot with a little bit of swelling and warm to the touch.   Looked like small blisters in affected area.  By Feb 21 it was still pink and looked like blisters had popped.  Remained discolored  through Feb 26.  Fine now.  I did not sign up for until this week and did not know how to report it on that site.  Saw this site on my paperwork.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: Moderna COVID-19 Vaccine EUA       On Feb 18, 2021 injection site started to itch, turned red, small knot with a little bit of swelling and warm to the touch.   Looked like small blisters in affected area.  By Feb 21 it was still pink and looked like blisters had popped.  Remained discolored  through Feb 26.  Fine now.  I did not sign up for until this week and did not know how to report it on that site.  Saw this site on my paperwork.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain in extremity, Pyrexia
Clinical narrative: Headache, chills, 103 fever, arm pain. Fever lasted over 24 hours.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Itchy c ircular rash, 5 cm in diameter, at injection site on left upper arm first appearing a week after vaccine
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: itchy rash on upper arm
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: Throat swelling and px.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Pyrexia
Clinical narrative: Tingling/numbness on left side of head and face soon after administration, subsided within a few hours but returned six days later. Still have residual sensation, no paralysis.  Fever beginning 7 pm (9 hrs post vaccination) and continuing through next day, 99-101 degrees; no fever on third day. BUT six days later, when facial symptoms appeared again, temperature 99 degrees. Now normal again.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological examination normal, Tinnitus
Clinical narrative: Developed isolated bilateral tinnitus (first noticed around 1.5 - 2 weeks after 1st dose of COVID vaccine was administered on 1/9/2021). Have since been seen by neurologist and had audiology exam (both completely normal on 2/23/2021). Isolated tinnitus persists, but does not interfere with sleep or work or life, and has not worsened after 2nd dose of COVID vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Breast pain, Herpes zoster, Pruritus, Rash erythematous
Clinical narrative: I had my first COVID vaccine on 1/16/21. I had my second one on 2/5/21. On 2/9/21 I started experiencing a sharp pain in my left breast. On 2/10/21 I had sharp pain in between my shoulder blades. On 2/11/21 I noticed a small red rash-like spot in between my breast. I woke up on 2/12/21 in incredible pain on my back, so I lifted my shirt to look in the mirror and that is when I noticed a blister type rash from the middle of my back wrapping around the front of my body covering my left breast. I went to see the PA at my PCP's office. She diagnosed me with shingles. She placed me on an anti-viral medication for a week, and gabapentin (nerve medication) for a month. It has been 3 weeks today since I first began treatment and I have not fully recovered yet. My blisters dried up about a week ago, but ever since then I have been incredibly itchy, which has kept me up every night for over a week now. On 3/3/21 I called my PCP's office and they started me on Prednisone for 6 days. I am 2 days into treatment and I still have not had relief from the itching.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash vesicular, Sleep disorder
Clinical narrative: I had my first COVID vaccine on 1/16/21. I had my second one on 2/5/21. On 2/9/21 I started experiencing a sharp pain in my left breast. On 2/10/21 I had sharp pain in between my shoulder blades. On 2/11/21 I noticed a small red rash-like spot in between my breast. I woke up on 2/12/21 in incredible pain on my back, so I lifted my shirt to look in the mirror and that is when I noticed a blister type rash from the middle of my back wrapping around the front of my body covering my left breast. I went to see the PA at my PCP's office. She diagnosed me with shingles. She placed me on an anti-viral medication for a week, and gabapentin (nerve medication) for a month. It has been 3 weeks today since I first began treatment and I have not fully recovered yet. My blisters dried up about a week ago, but ever since then I have been incredibly itchy, which has kept me up every night for over a week now. On 3/3/21 I called my PCP's office and they started me on Prednisone for 6 days. I am 2 days into treatment and I still have not had relief from the itching.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Throat tightness
Clinical narrative: Participant was anxious, staff attempted to calm her, however, then she stated, "it feels like my throat is closing."  Epi Pen 0.3 mg. administered IM.  EMS called - upon arrival participant continued to complain of tightness in throat - transported to hospital