chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tremor
Clinical narrative: 1st shot-nothing  2nd shot- shaking all over in 1st 15 minutes, progressing over the next few hours: muscle spasms/jerks, chest pain, SOB, bad right  side pain in upper arm/shoulder, neck, jaw, face. Hard facial spasms, felt like I was in fight/flight physically- but not mentally, dizzy, very nauseous, hearing in right ear would drastically reduce for 30-60 seconds, heart palpitations, stuttering at times, difficulty finding words at times. Was driven to  ER & evaluated (they said nothing was wrong with me-made to feel like I was faking).Called my doctor?s office the next day-symptoms were persistent but less than the previous day.She wouldn?t see me since I was seen in ER. I went to urgent care & got an appointment the following day with a new provider, .  She sent me to ENT, who says it appears Mennier?s was triggered. Started on high dose Prednisone 60 mg tapered dose. My hearing showed some loss in lower frequencies. I feel slightly, very slightly better each day. Extreme fatigue Has also been an issue.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Fatigue, Nausea, Vomiting
Clinical narrative: Severe fatigue the day after receiving vaccine Severe nausea, severe stomach pain,  moderate diarrhea, mild vomiting exactly 36 hours post-dose, lasted approximately 36 hours. Diarrhea and vomiting dissipated after 12 hours, stomach pain continued for approx 36 hours
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Flatulence
Clinical narrative: Severe stomach cramping, gas, diarrhea
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Patient became dizzy, sweaty, pale, and experienced anxiety. Patient's symptoms resolved after 35 minutes.
Sex: U
Vaccine: UNK
Symptoms: Wrong product administered
Clinical narrative: Gave Pfizer for second dose when patient received Moderna for first dose. No reaction during patients observation.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Flushing, Immediate post-injection reaction, Loss of consciousness, Nausea
Clinical narrative: Patient briefly lost consciousness immediately following vaccine administration.  Had shaking, chills, flushed and nausea.    Pt had not eaten at all today.  Administered oral water, snacks.  VS within normal limits.  Discharged with mother after 40 min of monitoring.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Patient briefly lost consciousness immediately following vaccine administration.  Had shaking, chills, flushed and nausea.    Pt had not eaten at all today.  Administered oral water, snacks.  VS within normal limits.  Discharged with mother after 40 min of monitoring.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Slow speech
Clinical narrative: Feeling like I was drugged. Whoozy, not able to think right,  body feeling like was going to collapse. Slowed speech
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: 3/24/2021: PATIENT SCHEDULED E-CLINIC VISIT.  REPORTS FATIGUE, NAUSEA AND HEADACHE PERSIST FOR 4 DAYS POST INJECTION.  MYALGIA, FEVER RESOLVED 2 DAYS POST INJECTION.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: TINGLING IN LIPS, RECEIVED 25MG BENADRYL X 2 DOSES WITH RELIEF. ADVISED TO CALL911 IF LIP OR TONGUE SWELLING OR DIFFICULTY BREATHING.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Red, sore, itchy spot about 1 inches big at vaccination injection site. Feels a little painful
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Atrial fibrillation, Blood culture, Blood gases, Chest X-ray
Clinical narrative: Atrial fibrillation, respiratory distress, acute renal failure
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Metabolic function test, Respiratory distress, SARS-CoV-2 test negative, Troponin normal
Clinical narrative: Atrial fibrillation, respiratory distress, acute renal failure
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: Atrial fibrillation, respiratory distress, acute renal failure
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Oropharyngeal pain, Pain
Clinical narrative: Currently 13 weeks pregnant, no complications.  Symptoms: sore arm, aches, headache, fatigue, low fever, chills, sore throat
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Currently 13 weeks pregnant, no complications.  Symptoms: sore arm, aches, headache, fatigue, low fever, chills, sore throat
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Seizure
Clinical narrative: patient had seizures and cellulitis
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Pt began to feel a slowly worsening  painful edema at the injection site 2 days after injection which worsened markedly between d#8-9. she came to our clinic for evaluation on post injection d#9. Left arm exam notable for 14x10cm warm erythematous area of tense edema overlying the entire left deltoid region with central induration but no fluctuance. No externally obvious hematoma.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: About 30 min after the vaccine, I started to feel symptoms. I had a fever, chills, vomiting, diarrhea. The next day, my arm swelled up at the injection site and was extremely tender, hot, and my whole arm was swollen as well.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: About 30 min after the vaccine, I started to feel symptoms. I had a fever, chills, vomiting, diarrhea. The next day, my arm swelled up at the injection site and was extremely tender, hot, and my whole arm was swollen as well.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site swelling, Rash erythematous
Clinical narrative: Redness and rash, swelling and bump, itching at the injection site developed seven days after the initial dose. The redness and swelling grew to approximately 4" across and 5" long. Treated the rash and itching with topical Benadryl, and the rash, swelling, and itching subsided.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor
Clinical narrative: 1050 Patient in general observation area, signaled to nurse. Color pale, lips cyanotic. taken via w/c to private observation. BP 57/39. States he donated plasma this morning at 0900 and then came for vaccine. Last ate and drank at 0830 1100 BP 79/57; HR 59 offered patient water. Drank 16 oz   EMS called 1104 120/84 HR 79 Color pink  1107 Bp 116/81 HR 70 States he feels much better.  1121 BP 128/85; HR 70  EMS on site, EKG done 1123 BP 127/89 HR 65  1126: EMS released patient. Pt. ambulated to vehicle accompanied by RN Gait steady, No lightheadedness.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased, Palpitations, Tremor
Clinical narrative: Approximately 3 hours after the injection, I felt dizzy and lightheaded.  I went to bed but soon felt my heart pounding.  I got really cold and began to shake uncontrollably.  My heart rate continued to accelerate and I thought it best to seek emergency medical help.  I dialed 911, an ambulance was sent.  EMTs determined that I should go to the hospital for monitoring.  EMTs reported that my vital statistics were elevated.  While at hospital, I was administered a saline IV and was kept there until my vital signs reached normal levels.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Fatigue, Pain
Clinical narrative: I do have osteoarthritis in shoulder, not bad. My left  shoulder ached of course, but by evening, sharp pain if i lifted it or moved my shoulder.  I massaged as advised, ibuprofen, ice, rest.  I had a week of chills, tired, aching,  low temp 99*,  but my arm got worse. My Dr advised continue doing above, ice/heat. I feel i have lost strength in my shoulder and though it has eased, the pain increases when i use my shoulder.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I do have osteoarthritis in shoulder, not bad. My left  shoulder ached of course, but by evening, sharp pain if i lifted it or moved my shoulder.  I massaged as advised, ibuprofen, ice, rest.  I had a week of chills, tired, aching,  low temp 99*,  but my arm got worse. My Dr advised continue doing above, ice/heat. I feel i have lost strength in my shoulder and though it has eased, the pain increases when i use my shoulder.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pharyngeal paraesthesia
Clinical narrative: Pt noted neck stiffness, and tingling around neck/throat area. Pt requested 30 minute observation. When time was up she reported the symptoms. Pulse ox checked by MA, 98%, verbalizing coherently. Given Benadryl 25mg po and discharged to neighbor for transportation home. Pt given ER precautions and she verbalized understanding.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Full blood count, Metabolic function test
Clinical narrative: Pt reports feeling like it was hard to swallow. Pt was given 50 mg Benadryl IM at the vaccination site and continued to be monitor  afterwards. Pt reports that after about 15-30 mins, it start to feel difficult to swallow again. Pt was advised to come to the emergency room. Upon arrival, pt was given medication via IV of 25 mg of benadryl, 125 mg of solumedrol, and 20 mg of pepcid and monitored for further worsening of symptoms
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Blood test, Chills, Computerised tomogram head, Disturbance in attention
Clinical narrative: Cold chills Friday afternoon and night(but consider those the mild side effects) Saturday morning noticed: dizziness with movement(like motion sickness); nausea has continued since then(Sat, Sun, Mon, Tues, Wed) Dizziness has been severe and causing nasea with gagging but not vomiting.  Feeling off balance, using walls etc in order to walk straight. Blurred vision (comes and goes as dizziness increases/decreases)  Difficulty concentrating.   Yesterday(Tuesday) pulling sensation down right side of neck, confusion, blurred vision.  Slight hesitation to writing with right hand(had to concentrate to sign my name etc)
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Retching, Urine analysis, Vision blurred
Clinical narrative: Cold chills Friday afternoon and night(but consider those the mild side effects) Saturday morning noticed: dizziness with movement(like motion sickness); nausea has continued since then(Sat, Sun, Mon, Tues, Wed) Dizziness has been severe and causing nasea with gagging but not vomiting.  Feeling off balance, using walls etc in order to walk straight. Blurred vision (comes and goes as dizziness increases/decreases)  Difficulty concentrating.   Yesterday(Tuesday) pulling sensation down right side of neck, confusion, blurred vision.  Slight hesitation to writing with right hand(had to concentrate to sign my name etc)
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Hypokinesia, Loss of personal independence in daily activities, Myalgia
Clinical narrative: By an hour after, I could barely lift my arm. By bed time that night, I hurt all over my body. Joints, muscles etc. The next 3-4 days I could barely get out of bed. Moving was agony. I treated with Advil as I was told to. It waned a bit over the weeks, but after my second shot 3 weeks later, it reared its head back up and I'm in a constant 8/10 on my pain scale Everything hurts. Blood work normal, doctor just shrugs.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Urine analysis normal
Clinical narrative: By an hour after, I could barely lift my arm. By bed time that night, I hurt all over my body. Joints, muscles etc. The next 3-4 days I could barely get out of bed. Moving was agony. I treated with Advil as I was told to. It waned a bit over the weeks, but after my second shot 3 weeks later, it reared its head back up and I'm in a constant 8/10 on my pain scale Everything hurts. Blood work normal, doctor just shrugs.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received incorrect vaccine as part of series. After Moderna COVID-19 vaccine was administered 03/03/2021, patient was given second shot 03/24/2021 of Pfizer.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness postural
Clinical narrative: while standing up became lightheaded. No chest pain, SOB, diaphoretic, abdominal pain. no tingling at vaccine site
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt was given Pfizer for 2nd dose instead of Moderna.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Tinnitus
Clinical narrative: Started getting ringing in my ears about 5 or 6 days after getting my second injection of the Moderna vaccine on March 7th. I received the first injection on February 7th. I didn't notice any side effects  from the first shot other than minor soreness in the injection site of my left arm. I had minor soreness with the second shot as well but it was less than the first. I did take two 400 mg Anacin plus caffeine (32mg) 3 days before my second shot for a sinus headache I  had at the time. I am going to see my ear, nose and throat doctor this Friday 3/26 to have him check me out and maybe get a hearing test if he thinks it's necessary.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: New onset generalized hives on day 9 after 2nd dose of Moderna. Today is day 27 and sx have not yet resolved after PO Medrol pack x1, IM Kenalog injection x1, PO antihistamines prn. Denies previous hx of prolonged hives episode, denies suspected food or enivormental triggers,
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Hypoaesthesia, Magnetic resonance imaging
Clinical narrative: Patient had onset of  numbness in leg while driving home from vaccine appointment.  Subsequently over hours developed numbness in his face and arm.  He did not seek medical attention until 3/19/2021 because he thought this was a side effect that would resolve.  3/19/21 he was seen at Hospital and diagnosed with a CVA.  His symptoms are improved but not resolved at this time.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cough, Emotional distress, Nausea, Pain in extremity
Clinical narrative: She had previous reaction to Paclitaxel and was given vaccine in high risk COVID vaccine allergy clinic. We pretreated her with cetirizine but did not test her to PEG. She developed significant distress, nausea and cough 2-3 minutes after receiving the vaccine. There was no hypotension, wheezing noted. She was treated promptly with epinephrine 0.3 mg. Within five minutes she started to feel better aside from adverse effects from Epi. Left arm and shoulder pain. No significant shortness of breath. She had a large amount of clothing on so were unable to fully see skin but no visible rash. She was transferred to the emergency department.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Tryptase
Clinical narrative: She had previous reaction to Paclitaxel and was given vaccine in high risk COVID vaccine allergy clinic. We pretreated her with cetirizine but did not test her to PEG. She developed significant distress, nausea and cough 2-3 minutes after receiving the vaccine. There was no hypotension, wheezing noted. She was treated promptly with epinephrine 0.3 mg. Within five minutes she started to feel better aside from adverse effects from Epi. Left arm and shoulder pain. No significant shortness of breath. She had a large amount of clothing on so were unable to fully see skin but no visible rash. She was transferred to the emergency department.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncope with seizure like activity lasting 20 seconds; occurred twice within 2-3 minutes while seated in car
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Throat irritation, Throat tightness
Clinical narrative: Patient was brought to hospital. She complained of her throat being itchy and having a cough. In route her throat started to close and they administered Epi and IV Benadryl.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: Patient experienced 10-15 minutes of intense muscle spasms around torso area approximately 30 hours after her covid vaccine
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Chest discomfort, Fatigue, Nausea, SARS-CoV-2 test negative
Clinical narrative: Temporary loss of taste started on 3/21 that lasted 12 hours. Fatigue and chest tightness from 3/20-3/23. Occasional nausea
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Loss of personal independence in daily activities, Malaise
Clinical narrative: First adverse condition symptom began approximately 5 hours after injection with initially mild injection site pain.  Then, the pain radiated to entire upper arm between elbow and shoulder on the right arm by the 6pm.  By 8pm, it was difficult to move or bend arm.  Could not sleep on that arm due to pain.  Next day, pain in arm persisted at full arm between elbow and shoulder, but slightly less.  Arm pain finally went away on its own on Monday March 22nd.  On that same day, feelings of a mild headache began along with congestion and feeling like I'm about to get a cold or similar illness.  By March 24th, fatique, same feeling of illness is to such a point, I am going in for COVID testing at a drive thru facility and I cannot get my physical therapy done because of sudden nasal congestion, fatique and feeling like I'm going to get a sore throat, but do not actually get one.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Pain, Sleep disorder
Clinical narrative: First adverse condition symptom began approximately 5 hours after injection with initially mild injection site pain.  Then, the pain radiated to entire upper arm between elbow and shoulder on the right arm by the 6pm.  By 8pm, it was difficult to move or bend arm.  Could not sleep on that arm due to pain.  Next day, pain in arm persisted at full arm between elbow and shoulder, but slightly less.  Arm pain finally went away on its own on Monday March 22nd.  On that same day, feelings of a mild headache began along with congestion and feeling like I'm about to get a cold or similar illness.  By March 24th, fatique, same feeling of illness is to such a point, I am going in for COVID testing at a drive thru facility and I cannot get my physical therapy done because of sudden nasal congestion, fatique and feeling like I'm going to get a sore throat, but do not actually get one.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hot flush
Clinical narrative: Patient experienced flushing of the face approximately 45 minutes after administration.  She stated that it was not an allergy type rash. Felt like a hot flash
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles (self diagnosis - have had shingles 2 times prior.)
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site reaction, Injection site urticaria, Lymphadenopathy
Clinical narrative: Swollen gland on right collarbone near shoulder (Still present).  Moderate to severe joint pain in right elbow (reduced pain but still slightly present).  Hives at injection site - lasted one evening (3/23)
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Within two minutes of receiving the vaccination, she developed lightheadedness, sweating, and nausea. She was taken to a private section of the arena and monitored. Vitals were within normal limits. Her symptoms resolved after 10 minutes of monitoring.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature fluctuation, Discomfort, Pain, Sleep disorder
Clinical narrative: 03/22 at nighttime, I began feeling achey and my temperature was unstable. I couldn't sleep throughout the night from discomfort. My left arm was in a lot of pain, my neck, lower back, legs - all aching and hurt to move. This lasted until 3/23 around 6:00pm.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: Large red rash/circle with warmth at injection site
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash
Clinical narrative: Approximately 24 hrs after vaccine I developed a rash on lower right forearm. The rash worsened over the next 4-6 days spreading over most of the right arm, also in neck area, and around waste band area. Right arm became swollen. Treated with topical cortizone 10 cream and aloe vera. On begining of week notified Dr that rash was getting worse and arm swollen. He prescribed Benedryl 25 mg tablets 3 times daily and prescribed MethylPrednisolone tablets 4 mg per tablet in 6 day taper pack. That treatment started today Wed 3/24 at 3PM.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Livedo reticularis
Clinical narrative: Large red circle around injection site which appeared 7 days after shot. The area is probably 4 inches in diameter and there is a large lump accompanying it.  Some itchiness is also accompanying.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Throat irritation
Clinical narrative: About 30 minutes after receiving COVID-19 vaccine by Janssen, patient reported having an itchy throat and some feeling swollenness in her throat. Pharmacist asked if she could breathe and she confirmed she can. Pharmacist asked if she would like to be administered IM injection or oral version of diphenhydramine and patient requested IM version. Pharmacist administered diphenhydramine 25mg intramuscularly and monitored for response where patient reported feeling better and less swelling and itchiness. Patient requested an additional dose due to incomplete resolution of symptoms and about 2-3 minutes later, pharmacist administered an additional dose of diphenhydramine 25mg intramuscularly. Pt was monitored for about 40 minutes until her spouse came to pick her up. Patient was advised to contact her provider and potentially request and epinephrine pen for on-hand use. Pharmacist found a pharmacy, CVS, that carried the epinephrine pen and informed patient where that was so she could inform her provider where to call in the script. Patient left premises reporting feeling like she could breathe fine and no swelling upon leaving the store. The store also provided patient with a box of diphenhydramine (Benadryl) oral tablets to take with her as well as a bottle of water. Her spouse took her so she would not need to drive after feeling potentially drowsy upon injection of diphenhydramine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Immediate post-injection reaction
Clinical narrative: Slight pressure on my chest for about a minute, which slightly impaired my breathing.  Occurred within a minute of receiving the shot. The pressure went away after about a minute and I haven?t experienced any other side effects since then. Not even a sore arm.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt was accidentally vaccinated and did not meet the minimum age requirement of 16 years old for Pfizer vaccine. No other adverse events other than that.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: when RN went to vaccinate the individual  the needle went into his arm and clear fluid ran down his arm and onto the vaccinators gloves.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Medication error, No adverse event, Underdose
Clinical narrative: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse.   NO ADVERSE REACTION, just reporting medication error.   Our Vaccine Task Force, after speaking with CDC and PA DOH, decided to offer the employee an additional COVID-19 vaccine dose.  Thanks.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Delayed and progressive swelling, erythema, and induration around vaccine site.  This started on day 2 after the initial dose and is persistent at 10 days.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure increased, Tachycardia
Clinical narrative: A few days after receiving the vaccine my blood pressure became elevated to 190. If I calmed down it got better. I felt like my heart rate raised a couple of times a day. The spikes in my blood pressure and heart rate lasted about four days. It felt a little like an anxiety attack. I was prescribed a Diuretic which  I took for a week. When you got the second dose I did not have any of the same symptoms.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Fatigue, Hyperhidrosis, Injection site pain
Clinical narrative: Moderna COVID-19 Vaccine EUA  Patient has no severe allergies to ingredients in the vaccine.   10 minutes after injection: severe increase in blood pressure, feelings of dizziness, severe nausea, heaving, sweating 8 hours after injection: feeling feverish, soreness near injection site, tiredness  Treatment: soft foods and cola to ease nausea immediately after injection
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Retching
Clinical narrative: Moderna COVID-19 Vaccine EUA  Patient has no severe allergies to ingredients in the vaccine.   10 minutes after injection: severe increase in blood pressure, feelings of dizziness, severe nausea, heaving, sweating 8 hours after injection: feeling feverish, soreness near injection site, tiredness  Treatment: soft foods and cola to ease nausea immediately after injection
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Ulcer
Clinical narrative: Ulcers in mouth, throat, tongue, and on the outside of my vaginal area.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Arthralgia, Condition aggravated, Swelling, Swelling face
Clinical narrative: I noticed that I started swelling -  my hands and my feet especially; my Provider noticed it - she noticed my face was really swollen (I work at the office of my provider). It happened a week after the vaccine - she put me on Lasix to help with the swelling and my joints had pain. It flared up my joint pain from Fibromyalgia. Two weeks after that I started losing a lot of hair - it was more handfuls then I had ever lost before. It lasted up through when I got the second shot. The Lasix brought the swelling down in my face but it didn't bring it down in my legs.  Fibromyalgia symptoms and swelling and still a little hair loss (although hair loss was slowing down)was happening at time of second vaccine.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle tightness, Sensory loss
Clinical narrative: MUSCLE TIGHTNESS AND LOSS OF SENSATION IN LEFT ARM FOR LAST 3 WEEKS. SAME ARE AS VACCINATION WAS DONE.
Age: 36.0
Sex: U
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse.   NO ADVERSE REACTION, just reporting medication error.   Our Vaccine Task Force, after speaking with CDC and PA DOH, decided to offer the employee an additional COVID-19 vaccine dose.  Thanks.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Ocular hyperaemia
Clinical narrative: Woke up Morning after vaccine with bloodshot eyes
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Next morning I woke up with a sore upper left arm that carried through until around noon on Friday, 3/12/21.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Nervousness, Syncope
Clinical narrative: The Pt is a 22 year old female who had a syncopal episode following her 2nd Pfizer vaccination to the left deltoid. She states that she was "feeling nervous" before the vaccination and did not eat before her vaccine. Following administration, she felt an onset of dizziness while walking away from the vaccination tent. The Pt immediately returned to the tent, told a clinician that she was feeling unwell, and was helped into a chair where she had LOC of about 3 seconds. No head trauma. Upon evaluation, the Pt endorses lightheadedness but denies diplopia, nausea, vomiting, or diaphoresis. Pt also denies any swelling of the face/lips/eye, difficulty swallowing, tightness of the throat, or itching of the skin.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, C-reactive protein, Magnetic resonance imaging
Clinical narrative: Loss of vision started approx 2 weeks after 2nd vaccine (Moderna)
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Rash erythematous, Vaccination site pain
Clinical narrative: Large bruise (2" wide, 3"long) became very dark noticed ten (10) hours after vaccine injected. Large red rash on arm noticed eight (8) days later, extending above and below bruise. Not itchy. Arm had some pain at site of vaccination day after vaccination.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Rash
Clinical narrative: Extreme joint pain in my right elbow that worsens when my arm is bent for any length of time.  Still in pain and 2 1/2 weeks later.  Rash that began on 3/19/2021.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased
Clinical narrative: Temperature 102.5. Took Tylenol extra strength every 4 hours. Temperature became normal around 6 pm on March 23.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Oropharyngeal pain
Clinical narrative: numb lips and sore throat- lasted about an hour.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Eye swelling, Fatigue, Headache
Clinical narrative: 30minutes after injection: Swelling lips, eyes, face , throat red face fast heartbeat dizziness fatigue and headache next morning
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Lip swelling, Pharyngeal swelling, Swelling face
Clinical narrative: 30minutes after injection: Swelling lips, eyes, face , throat red face fast heartbeat dizziness fatigue and headache next morning
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Headache and extreme fatigue
Age: 67.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Swelling, redness, intense itching, lasting 3 days
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure via skin contact, Syringe issue, Underdose
Clinical narrative: The vaccinator reports that she attempted to administer the vaccine using a 1cc vanishpoint syringe/1inch needle, she inserted the needle into the deltoid, and when the vaccinator pushed the plunger the vaccine leaked out at the joint between the needle and syringe,  and dripped down patient arm, vaccinator believes less than half (if any)  vaccine was inserted into the patient.  another dose of vaccine was given, with the agreement of the patient.
Age: 79.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Acoustic neuroma, Angiogram, Asthenia, Blood pressure increased, Chest X-ray
Clinical narrative: First and second day (1/21/2021 and 1/22/2021)  after receiving vaccine: sore arm, slight fatigue. Fourth day (1/25/2021), extreme vertigo, nausea, vomiting, weakness, unable to stand. Husband called primary care physician who said I should go to ER immediately. Blood pressure elevated. Fluids administered. Chest X-ray, CT head. Morning of 1/26/2021,MRI brain w/o contrast. Later same day: MRA head, MRA head IAC w/ and w/o contrast. MRI IAC, MRV w/o contrast. Ultrasound carotid duplex bilateral. Diagnosed with Right Vestibular Schwannoma, benign, measures approximately 1.5 x 0.9 x 1 cm. Remained hospitalized until 1/27/2021 about 7:00pm. Follow-up with physician. primary care physician; (Otologist and Neurotologist,) and (Clinical Audiologist) at. Follow-up treatments will include consultations with above physicians, additional MRIs and CTs, and possible targeted radiation or surgery.
Age: 79.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Computerised tomogram head, Dysstasia, Fatigue, Magnetic resonance imaging head, Nausea
Clinical narrative: First and second day (1/21/2021 and 1/22/2021)  after receiving vaccine: sore arm, slight fatigue. Fourth day (1/25/2021), extreme vertigo, nausea, vomiting, weakness, unable to stand. Husband called primary care physician who said I should go to ER immediately. Blood pressure elevated. Fluids administered. Chest X-ray, CT head. Morning of 1/26/2021,MRI brain w/o contrast. Later same day: MRA head, MRA head IAC w/ and w/o contrast. MRI IAC, MRV w/o contrast. Ultrasound carotid duplex bilateral. Diagnosed with Right Vestibular Schwannoma, benign, measures approximately 1.5 x 0.9 x 1 cm. Remained hospitalized until 1/27/2021 about 7:00pm. Follow-up with physician. primary care physician; (Otologist and Neurotologist,) and (Clinical Audiologist) at. Follow-up treatments will include consultations with above physicians, additional MRIs and CTs, and possible targeted radiation or surgery.
Age: 79.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Pain in extremity, Scan with contrast, Ultrasound Doppler abnormal, Venogram, Vertigo
Clinical narrative: First and second day (1/21/2021 and 1/22/2021)  after receiving vaccine: sore arm, slight fatigue. Fourth day (1/25/2021), extreme vertigo, nausea, vomiting, weakness, unable to stand. Husband called primary care physician who said I should go to ER immediately. Blood pressure elevated. Fluids administered. Chest X-ray, CT head. Morning of 1/26/2021,MRI brain w/o contrast. Later same day: MRA head, MRA head IAC w/ and w/o contrast. MRI IAC, MRV w/o contrast. Ultrasound carotid duplex bilateral. Diagnosed with Right Vestibular Schwannoma, benign, measures approximately 1.5 x 0.9 x 1 cm. Remained hospitalized until 1/27/2021 about 7:00pm. Follow-up with physician. primary care physician; (Otologist and Neurotologist,) and (Clinical Audiologist) at. Follow-up treatments will include consultations with above physicians, additional MRIs and CTs, and possible targeted radiation or surgery.
Age: 79.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Vomiting
Clinical narrative: First and second day (1/21/2021 and 1/22/2021)  after receiving vaccine: sore arm, slight fatigue. Fourth day (1/25/2021), extreme vertigo, nausea, vomiting, weakness, unable to stand. Husband called primary care physician who said I should go to ER immediately. Blood pressure elevated. Fluids administered. Chest X-ray, CT head. Morning of 1/26/2021,MRI brain w/o contrast. Later same day: MRA head, MRA head IAC w/ and w/o contrast. MRI IAC, MRV w/o contrast. Ultrasound carotid duplex bilateral. Diagnosed with Right Vestibular Schwannoma, benign, measures approximately 1.5 x 0.9 x 1 cm. Remained hospitalized until 1/27/2021 about 7:00pm. Follow-up with physician. primary care physician; (Otologist and Neurotologist,) and (Clinical Audiologist) at. Follow-up treatments will include consultations with above physicians, additional MRIs and CTs, and possible targeted radiation or surgery.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Client experienced a scratchy throat after her 1st dose of vaccine.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dyspnoea, Fatigue, Injection site erythema
Clinical narrative: Extreme Fatigue, shortness of breath, chills, redness and pain on site of shot, generalized body ache and joints, low grade
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Pyrexia
Clinical narrative: Extreme Fatigue, shortness of breath, chills, redness and pain on site of shot, generalized body ache and joints, low grade
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse.   NO ADVERSE REACTION, just reporting medication error.   Our Vaccine Task Force, after speaking with CDC and DOH, decided to offer the employee an additional COVID-19 vaccine dose.  Thanks.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Throat tightness
Clinical narrative: Pfizer-BioNTech Covid 19 Vaccine EUA Tight throat about an hour after vaccine injection. Tight throat lasted 14 days. Took ibuprofen . Itchy all over after 24 hours. Lasted 14 days
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Throat tightness, Viral test
Clinical narrative: Pfizer-BioNTech Covid 19 Vaccine EUA Tight throat about an hour after vaccine injection. Tight throat lasted 14 days. Took ibuprofen . Itchy all over after 24 hours. Lasted 14 days
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness and lightheaded after vaccination
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Hyperhidrosis, Pyrexia
Clinical narrative: Headache followed by fever and sweats. Vomiting and diarrhea (each twice) then chills. And then it was over. About 2 hours total for the event.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Headache followed by fever and sweats. Vomiting and diarrhea (each twice) then chills. And then it was over. About 2 hours total for the event.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Disorientation, Dizziness, Oxygen saturation decreased, Seizure
Clinical narrative: She first felt dizzy and light headed about 15-20 mins after shot. An hour later she used the bathroom on herself and was disoriented. The ambulance was called, her oxygen levels were low and she was taken to the hospital. She has seizures at the hospital and she has been sedated ever since.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Biopsy, Computerised tomogram, Confusional state, Magnetic resonance imaging, Neurological symptom
Clinical narrative: She first felt dizzy and light headed about 15-20 mins after shot. An hour later she used the bathroom on herself and was disoriented. The ambulance was called, her oxygen levels were low and she was taken to the hospital. She has seizures at the hospital and she has been sedated ever since.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Seizure like phenomena, Vomiting
Clinical narrative: She first felt dizzy and light headed about 15-20 mins after shot. An hour later she used the bathroom on herself and was disoriented. The ambulance was called, her oxygen levels were low and she was taken to the hospital. She has seizures at the hospital and she has been sedated ever since.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dry eye, Fatigue, Headache, Myalgia
Clinical narrative: Very sore arm, muscle aches, fatigue, slight off and on headache, dry eyes, slight nausea, tickle in throat with light coughing.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Throat irritation
Clinical narrative: Very sore arm, muscle aches, fatigue, slight off and on headache, dry eyes, slight nausea, tickle in throat with light coughing.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Tachycardia, Throat tightness
Clinical narrative: tachycardia, chest tightness, SOB, dizziness, throat tightness about 20 minutes after vaccination. Epi-pen administered shortly after patient reported symptoms.  Symptoms improved within 1-2 minutes of epi-pen administration.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Burning sensation, Electromyogram, Flushing, Hot flush
Clinical narrative: About 5 days after the shot i woke up with pains in my thigh along w tingling,numbing,burning sensations in my left leg.  Persistent for about 2 weeks slowly getting better. About 10 days later same inmy left arm. Also feeling flush & hot flashes & sweats
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypoaesthesia, Laboratory test, Magnetic resonance imaging head, Pain in extremity
Clinical narrative: About 5 days after the shot i woke up with pains in my thigh along w tingling,numbing,burning sensations in my left leg.  Persistent for about 2 weeks slowly getting better. About 10 days later same inmy left arm. Also feeling flush & hot flashes & sweats
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Ultrasound Doppler
Clinical narrative: About 5 days after the shot i woke up with pains in my thigh along w tingling,numbing,burning sensations in my left leg.  Persistent for about 2 weeks slowly getting better. About 10 days later same inmy left arm. Also feeling flush & hot flashes & sweats
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Flushing, Lip swelling, Pruritus, Swelling face, Swollen tongue
Clinical narrative: Mild swelling of the tongue, lips and face, feeling flushed, itchy upper back.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Lip swelling, Pruritus, Swollen tongue
Clinical narrative: Mild swelling of the tongue, lips and face, feeling flushed, itchy upper back.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Pain in extremity
Clinical narrative: sore arm fir 2 days, diarrhea for days and coning
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Dizziness, Dyspepsia, Dyspnoea
Clinical narrative: Patient complains of nausea.  This is nausea, without vomiting.  This has been present for the past 2 weeks.  The frequency of episodes is several times daily.  Associated symptoms include lightheadedness and weakness.  Pt received her first Moderna COVID-19 vaccine on 3/11/21, she has been experiencing these symptoms since that date. ROS:  CONSTITUTIONAL:  Negative for chills, fatigue, fever, and weight change.   CARDIOVASCULAR:  Positive for tachycardia.   RESPIRATORY:  Positive for dyspnea and unusual chest pain.   GASTROINTESTINAL:  Positive for heartburn.   MUSCULOSKELETAL:  Positive for bilat leg pain.   NEUROLOGICAL:  Positive for weakness.   PSYCHIATRIC:  Positive for frustrated.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Frustration tolerance decreased, Nausea, Pain in extremity, Tachycardia
Clinical narrative: Patient complains of nausea.  This is nausea, without vomiting.  This has been present for the past 2 weeks.  The frequency of episodes is several times daily.  Associated symptoms include lightheadedness and weakness.  Pt received her first Moderna COVID-19 vaccine on 3/11/21, she has been experiencing these symptoms since that date. ROS:  CONSTITUTIONAL:  Negative for chills, fatigue, fever, and weight change.   CARDIOVASCULAR:  Positive for tachycardia.   RESPIRATORY:  Positive for dyspnea and unusual chest pain.   GASTROINTESTINAL:  Positive for heartburn.   MUSCULOSKELETAL:  Positive for bilat leg pain.   NEUROLOGICAL:  Positive for weakness.   PSYCHIATRIC:  Positive for frustrated.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Livedo reticularis
Clinical narrative: sore arm, swollen red circular, pain to touch, rash, size of baseball
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Electrocardiogram normal
Clinical narrative: The patient began feeling as if her chest was tight and she was going to have an anaphylactic reaction similar to the last time she had one.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture positive, C-reactive protein increased, Chills, Cough, Culture urine
Clinical narrative: Clinic visit on 3/19 reported feeling very fatigued the following 48 hrs after COVID vaccination then symptoms continued to progress over last 4-5 days. Reported headache, body aches, chills, decreased appetite, fatigue, nausea, fever, mild cough. Treated with Cipro pending urine culture. Presented to ER 3/20 for positive blood cultures, admitted to hospital, treated with Gentamicin and Zosyn discharged home 3/24.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Exposure to contaminated device, Fatigue, Headache, Nausea
Clinical narrative: Clinic visit on 3/19 reported feeling very fatigued the following 48 hrs after COVID vaccination then symptoms continued to progress over last 4-5 days. Reported headache, body aches, chills, decreased appetite, fatigue, nausea, fever, mild cough. Treated with Cipro pending urine culture. Presented to ER 3/20 for positive blood cultures, admitted to hospital, treated with Gentamicin and Zosyn discharged home 3/24.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Serratia infection
Clinical narrative: Clinic visit on 3/19 reported feeling very fatigued the following 48 hrs after COVID vaccination then symptoms continued to progress over last 4-5 days. Reported headache, body aches, chills, decreased appetite, fatigue, nausea, fever, mild cough. Treated with Cipro pending urine culture. Presented to ER 3/20 for positive blood cultures, admitted to hospital, treated with Gentamicin and Zosyn discharged home 3/24.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: At injection site, 2" circular, red, slightly swollen, very itchy rash that lasted for three days and slowly extended toward my lower arm as time went on.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Heart rate increased, Impaired work ability
Clinical narrative: Right after I felt dizzy, then. Nausea, around 4pm , my arm starte to ache tremendously  At night like prob 11pm body ache started Later early very morning fever n the pain n my arm was even worse took Tylenol  woke up at 7 signed in at work took Tylenol again But like  arnd 11am fever started again, my chest aches my heart was going faster than usual Nite easy to breath had to stop working. And May down took Advil  Today 3/24/21 pain in arm is almost gone, fever gone,  headache is still there, body ache mush less But heart beating fast. and from time to time  I feel it?s hard to breath
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: Right after I felt dizzy, then. Nausea, around 4pm , my arm starte to ache tremendously  At night like prob 11pm body ache started Later early very morning fever n the pain n my arm was even worse took Tylenol  woke up at 7 signed in at work took Tylenol again But like  arnd 11am fever started again, my chest aches my heart was going faster than usual Nite easy to breath had to stop working. And May down took Advil  Today 3/24/21 pain in arm is almost gone, fever gone,  headache is still there, body ache mush less But heart beating fast. and from time to time  I feel it?s hard to breath
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Pyrexia, Rhinorrhoea
Clinical narrative: Adverse events:  Experienced sore left arm at injection site about 4 hours after vaccination & onset of headaches and a fever approximately 12 hours after vaccination received.  This morning had a fever of 100°F and a runny nose. The fever stopped after a long 4-5 hour nap. Arm is still sore, but not as sore as the day before.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Angiopathy, Antinuclear antibody positive, Basophil count decreased, Basophil percentage, Blood albumin normal
Clinical narrative: Patient reported swelling of left hand and forearm started 2 days after vaccination. Was evaluated by PCP on 3/11/21. Noted swelling left hand, wrist, forearm. few small areas of patchy erythema. u/s negative for DVT. inflammatory markers elevated, uric acid elevated. Given prednisone burst and taper with some improvement in symptoms, but not full resolution. Seen by rheumatology on 3/24/21 with broad differential and plan to monitor/close f/u. recommended against second vaccine dose for now.