chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Injection site warmth, Lymph node pain, Lymph node palpable, Lymphadenopathy
Clinical narrative: I had patient report that she had localized swelling and lymphadenopathy.  I confirmed this on physical exam.  She had localized increased warmth over the left upper outer arm where the vaccine was given at the deltoid.  There was a raised area of skin in a serpiginous pattern circumferentially 3.5 across and 4.5cm in length.  It was blanching and not firm. She had 1 soft lymph node palpable at the left axilla, tender and 1.5cm in size.  She has had no other symptoms other than pain at the injection site for 2 immediately days after the injection was given.  I advised that she fill out the information for v-safe and asked that she report any further program to both v-safe and our office.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pallor, Swelling
Clinical narrative: I had patient report that she had localized swelling and lymphadenopathy.  I confirmed this on physical exam.  She had localized increased warmth over the left upper outer arm where the vaccine was given at the deltoid.  There was a raised area of skin in a serpiginous pattern circumferentially 3.5 across and 4.5cm in length.  It was blanching and not firm. She had 1 soft lymph node palpable at the left axilla, tender and 1.5cm in size.  She has had no other symptoms other than pain at the injection site for 2 immediately days after the injection was given.  I advised that she fill out the information for v-safe and asked that she report any further program to both v-safe and our office.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site swelling, Lymphadenopathy
Clinical narrative: I had patient report that she had localized swelling and lymphadenopathy.  I confirmed this on physical exam.  She had localized increased warmth over the left upper outer arm where the vaccine was given at the deltoid.  There was a raised area of skin in a serpiginous pattern circumferentially 3.5 across and 4.5cm in length.  It was blanching and not firm. She had 1 soft lymph node palpable at the left axilla, tender and 1.5cm in size.  She has had no other symptoms other than pain at the injection site for 2 immediately days after the injection was given.  I advised that she fill out the information for v-safe and asked that she report any further program to both v-safe and our office.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dry throat, Pain, Pyrexia, SARS-CoV-2 test negative, Urticaria
Clinical narrative: 8am  on 12/31/20  she got fever of 100.2 degrees F and body aches and dry throat.  Hives at 6PM the same night on r arm and r temple.  Took benadryl x1 dose and hives went away.  Also took some claritin.    Low grade temp, body aches and dry throat lasted until the evening of 1/1/2021.  She did not see any healthcare professional other than covid testing on 1/4/2021.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Skin warm
Clinical narrative: Redness, heat 4 inch circle, warm you can feel through the clothing.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Lip swelling, Paraesthesia, Paraesthesia oral
Clinical narrative: Lip and nose tingling, lip swelling, metallic test in mouth Sent to the ED for 2 hours given Dexamethasone and Benadryl . Symptoms resolved
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Enlarged and tender supraclavicular lymph node on left side.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Photophobia, Thirst, Vertigo
Clinical narrative: 6 minutes after receiving the injection the patient became dizzy complaining of rotatory vertigo and complained of increased thirst.  She was placed on a stretcher in the observation area and given 3 glasses of water 09:45.  She complained of light sensitivity and a cloth was placed over her eyes.  SaO2 98% HR 63 BP 150/82 RR 18 CBG 95.  when after a few minutes she did not feel better. IV access was obtained and she was given a 1 L bolus of LR. after an hour   she felt better, and was sent home with family for the rest of the day
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: 1st vaccine 12/28/2020. 1/5/2021 new onset of rash from the shoulder halfway down toward elbow. slightly itchy but not painful or tender to touch. no raised bumps. just redness. this was at the injection site, same arm same area though first noticed 1/5/2021 not immediately after injection
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: 1st vaccine 12/28/2020. 1/5/2021 new onset of rash from the shoulder halfway down toward elbow. slightly itchy but not painful or tender to touch. no raised bumps. just redness. this was at the injection site, same arm same area though first noticed 1/5/2021 not immediately after injection
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Nausea, Vomiting
Clinical narrative: Myalgias, chills, nausea/vomiting, headache
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Paraesthesia oral, Throat irritation
Clinical narrative: COUGH, TOUNGE TINGLING , SCRATCHY THROAT 15 MIN POST VACCINE.  EPI AND BENADRLY GIVEN IN CLINIC  EMERGENCY DEPT GAVE DECADRON
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoaesthesia, Obstructive airways disorder, Pruritus, Throat irritation
Clinical narrative: PATIENT REPORTING ITCHING AT 30 MINUTES POST INJECTION. AT 1.5 HOURS POST INJECTION PATIENT REPORTED ITCHY THROAT AND NUMBESS OF LEFT SIDE OF FACE. AT THAT TIME ADVISED TO GO TO EMERGENCY ROOM. NEXT DAY WHEN I FOLLOWED UP WITH PATIENT, SHE REPORTED HER AIRWAY STARTED TO CLOSE AND SHE RECEIVED EPINEPHRINE, AFTER 5 HOURS HER STARTED TO CLOSE AGAIN AND RECEIVED ANOTHER DOSE OF EPINEPHERINE, WAS RELEASED FROM HOSPITAL ROUGHLY 15-16 HOURS AFTER GOING TO ER.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Face oedema, Feeling cold, Hot flush, Paraesthesia
Clinical narrative: PATIENT REPORTING ITCHING AT 30 MINUTES POST INJECTION. AT 1.5 HOURS POST INJECTION PATIENT REPORTED ITCHY THROAT AND NUMBESS OF LEFT SIDE OF FACE. AT THAT TIME ADVISED TO GO TO EMERGENCY ROOM. NEXT DAY WHEN I FOLLOWED UP WITH PATIENT, SHE REPORTED HER AIRWAY STARTED TO CLOSE AND SHE RECEIVED EPINEPHRINE, AFTER 5 HOURS HER STARTED TO CLOSE AGAIN AND RECEIVED ANOTHER DOSE OF EPINEPHERINE, WAS RELEASED FROM HOSPITAL ROUGHLY 15-16 HOURS AFTER GOING TO ER.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Paraesthesia oral, Rash
Clinical narrative: PATIENT REPORTING ITCHING AT 30 MINUTES POST INJECTION. AT 1.5 HOURS POST INJECTION PATIENT REPORTED ITCHY THROAT AND NUMBESS OF LEFT SIDE OF FACE. AT THAT TIME ADVISED TO GO TO EMERGENCY ROOM. NEXT DAY WHEN I FOLLOWED UP WITH PATIENT, SHE REPORTED HER AIRWAY STARTED TO CLOSE AND SHE RECEIVED EPINEPHRINE, AFTER 5 HOURS HER STARTED TO CLOSE AGAIN AND RECEIVED ANOTHER DOSE OF EPINEPHERINE, WAS RELEASED FROM HOSPITAL ROUGHLY 15-16 HOURS AFTER GOING TO ER.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypersensitivity
Clinical narrative: PATIENT REPORTING ITCHING AT 30 MINUTES POST INJECTION. AT 1.5 HOURS POST INJECTION PATIENT REPORTED ITCHY THROAT AND NUMBESS OF LEFT SIDE OF FACE. AT THAT TIME ADVISED TO GO TO EMERGENCY ROOM. NEXT DAY WHEN I FOLLOWED UP WITH PATIENT, SHE REPORTED HER AIRWAY STARTED TO CLOSE AND SHE RECEIVED EPINEPHRINE, AFTER 5 HOURS HER STARTED TO CLOSE AGAIN AND RECEIVED ANOTHER DOSE OF EPINEPHERINE, WAS RELEASED FROM HOSPITAL ROUGHLY 15-16 HOURS AFTER GOING TO ER.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: General physical condition normal, Hypoaesthesia, Paraesthesia
Clinical narrative: Patient complained of tingling and numbness in left arm at completion of the 15 minute observation time.  Neuro-Vascular assessment was performed by and was found to be within normal limits. Capillary refill was brisk, skin was dry and warm to touch, no localized reaction was observed at the injection site, bilateral grip was of equal strength and quality.   Observation period was extended for an addition 15 minutes, with no worsening of symptoms.  Patient was offered follow up examination and medical care at the in-house Urgent Care, which the patient denied any further medical treatment at that time.  Patient advised to continue to monitor for neurological changes, loss of mobility or sensation, signs and symptoms of anaphylaxis and if experiencing worsening symptoms,  to seek immediate emergency medical care.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Angioedema
Clinical narrative: Angioedema (swelling around lips) and patient went to ER and received prednisone 20mg tabs 2 daily for 5 days
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Malaise, Peripheral swelling, Vaccination site nodule
Clinical narrative: malaise, left arm swelling/knot at site of vaccine
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dizziness
Clinical narrative: dizzyness within minutes. was told by nurse onsite  this was not an adverse reaction. the paperwork they gave stated otherwise. after about 30-40 mins the dizzyness subsided. no treatment.  chest pain. not sure if heart or lungs. was not due to eating as symptom was steadily getting worse across 3 days whether I ate or  not. was difficult to eat due to the pain.  didnt matter if was sitting, standing or laying down. felt like saran wrap around my heart...sqeezing it...with pain. pain  stayed centered in chest. behind sternum. still there, but tonight does seem a little better. was not intermittetent but was more pain sometimes and less pain sometimes.  longterm outcomes unkn.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Sore arm that got worse the next day.  Low grade fever 17 hours after injection.  Headache 17 hours after injection and throughout the next 24 hours.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Oropharyngeal discomfort, Peripheral swelling, Swollen tongue, Urticaria
Clinical narrative: Hives, closing of throat, sweeling  of tounge, swollen hands, itchy eyes
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus
Clinical narrative: sore spot small lump with red area around vaccine spot and etching
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Headache, Heart rate increased, Hypertension
Clinical narrative: Heart rate was high, felt nauseous, light-headed on and off. BP was high for two after it was given. Took Bendaryl two hours after and heart rate slowly went down to normal. Headache and Sore throat, a little difficult to swallow.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain
Clinical narrative: Heart rate was high, felt nauseous, light-headed on and off. BP was high for two after it was given. Took Bendaryl two hours after and heart rate slowly went down to normal. Headache and Sore throat, a little difficult to swallow.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site rash, Pain, Pruritus, Tenderness
Clinical narrative: Received the vaccine on 12/31/2020. Symptoms: -Soreness developed later on in the evening and remained very sore and tender for a couple days.  -A light headache occurred and went away within a few hours. - After 5 days on of having the vaccine on 1/05/2021 I developed a itching  sensation on my arm And developed a rash on my arm (deltoid) where the vaccine was administered. It is a square shaped rash on my left arm.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives on neck 8 hours later
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: On Tuesday, Jan 5 pm swelling four by  six inches on upper  right arm very red  hot area .  Area still  the same at 7:30 pm on January 6.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Nausea, Syncope
Clinical narrative: bp 100/54 synocopalepisode; experienced nausea, was anxious prior to injection; states this has happened with another injection in past. is now awake, alert and oriented; 911 called-evaluated by ems; refused transport; observed an additional15 min. s/s resolved; denies sob, rash, edema, etc.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: FELT WARM SCRATCHY THROAT.   OBSERVED
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Flushing, Nausea, Oropharyngeal pain
Clinical narrative: At 10:12 am, Client c/o of sore throat, tightness in throat that relieve quickly, nausea, dry heaves, flushed, light headed and dizziness.  Called for EMT. They arrive at 10:25 am and transported her to the local hospital for observation.   01/06/21-Treatment in hospital blood draw, medications given Zofran, Decadron, Benadryl, and Pepcid, and IV fluids.  Discharged home at 1244.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Retching, Throat tightness
Clinical narrative: At 10:12 am, Client c/o of sore throat, tightness in throat that relieve quickly, nausea, dry heaves, flushed, light headed and dizziness.  Called for EMT. They arrive at 10:25 am and transported her to the local hospital for observation.   01/06/21-Treatment in hospital blood draw, medications given Zofran, Decadron, Benadryl, and Pepcid, and IV fluids.  Discharged home at 1244.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Stomatitis
Clinical narrative: she had sores in her mouth start and to throat
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Injection site hypersensitivity, Injection site oedema, Injection site pain
Clinical narrative: Diarrhea, near syncope, extreme fatigue. Started 30 hours post injection & continued x 48 hours.   Site soreness/edema 24 hours after injection that increased to extreme sensitivity at site after 30 hours which lasted 24 hours.  Left deltoid swollen x 1/2 more than usual size started 36 hours after injection and lasted 36 hours.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Presyncope
Clinical narrative: Diarrhea, near syncope, extreme fatigue. Started 30 hours post injection & continued x 48 hours.   Site soreness/edema 24 hours after injection that increased to extreme sensitivity at site after 30 hours which lasted 24 hours.  Left deltoid swollen x 1/2 more than usual size started 36 hours after injection and lasted 36 hours.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Pain, Pyrexia
Clinical narrative: Dizziness, fever, chills, body aches, severe headache. Taken Tylenol and ibuprofen for fever and pain for 3 days.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: Cold chills,body aches and major headache that lasted about 12 hrs
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Dizziness postural, Headache, Impaired work ability
Clinical narrative: The next day, I had a fever of 100, body aches, sore shoulder, and headaches after getting the vaccine. It's been two days already, and I'm still down with a fever, bad headaches, dizziness, and a sore shoulder - I put ice pack, which didn't really work. Whenever I stand, I feel like I'm gonna pass out. I've been in bed for the past two days, and I can't work.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Pyrexia
Clinical narrative: The next day, I had a fever of 100, body aches, sore shoulder, and headaches after getting the vaccine. It's been two days already, and I'm still down with a fever, bad headaches, dizziness, and a sore shoulder - I put ice pack, which didn't really work. Whenever I stand, I feel like I'm gonna pass out. I've been in bed for the past two days, and I can't work.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Headache, Pain, Pyrexia
Clinical narrative: Fever (101F), body aches, joint pain, headache, left upper abdominal pain (under base of ribs) all lasting apx 16hrs. Then the next 24 hrs just mild HA and some body aches.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Fever (101F), body aches, joint pain, headache, left upper abdominal pain (under base of ribs) all lasting apx 16hrs. Then the next 24 hrs just mild HA and some body aches.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site erythema, Injection site pain
Clinical narrative: My arm started out sore with redness at the injection site, it decreased after a few days. Then the redness came back bigger in size than it was previously. My axilla started having pain, that pain is consistent and doesn?t subside with any intervention.  The pain seems to be increasing by the day. I have not sought evaluation on this, hoping it will go away soon.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Headache, Neck pain, Pain in extremity, Paraesthesia
Clinical narrative: Noted had history of various allergies.  Received vaccine at 6:06 pm and about 10 minutes later noted headache. BP 150/70; p 86. Then neck pain, bilateral leg soreness, and hip pain; R foot tingling, felt warm, itching, no rash noted.  Treated with 25mg  benadryl at 0624 pm; BP 130/82. And went to ED for evaluation via wheelchair/personnel.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Noted had history of various allergies.  Received vaccine at 6:06 pm and about 10 minutes later noted headache. BP 150/70; p 86. Then neck pain, bilateral leg soreness, and hip pain; R foot tingling, felt warm, itching, no rash noted.  Treated with 25mg  benadryl at 0624 pm; BP 130/82. And went to ED for evaluation via wheelchair/personnel.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Lethargy, Myalgia, Nausea, Pyrexia
Clinical narrative: Adverse Reactions: Chills, Nausea, Low Grade Fever (100.5-100.6), Lethargy, muscle pain Treatment: Ibuprofen 200mg: 4 tabs (800 mg) taken once for single dose Outcome: Fever lowered, however, lethargy remained all day. The next morning (12/31/2020) I felt completely fine.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Dysphagia, Eye swelling, Hypersensitivity, Impaired work ability
Clinical narrative: On 1/5/2021- Pt. noticed left eye lid was starting to swell in the corner of her eye at 1 pm. It then became bigger and started to shut her eye. Her right eye then started to swell around 2 pm and she began to have difficulty talking and swallowing. She was not short of breath but felt like her throat was tightening. She arrived to work at 2:50 pm and informed her boss who sent her to the employee health department. She reported having oral Benadryl and  was going to take that. Anesthesiology evaluated her, felt it was a progressive allergic reaction, and recommended evaluation at an urgent care or ED. She later developed hives, her lower lip became swollen.  She was later evaluated at Emergency Department. She will be able to provide you with information on the doctor, treatment. She was prescribed a course of prednisone and will have allergy testing scheduled. MD indicated uncertain if caused by vaccine.   She missed work on 1/6 due to the ongoing reaction which had improved.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lip swelling, Swelling of eyelid, Throat tightness, Urticaria
Clinical narrative: On 1/5/2021- Pt. noticed left eye lid was starting to swell in the corner of her eye at 1 pm. It then became bigger and started to shut her eye. Her right eye then started to swell around 2 pm and she began to have difficulty talking and swallowing. She was not short of breath but felt like her throat was tightening. She arrived to work at 2:50 pm and informed her boss who sent her to the employee health department. She reported having oral Benadryl and  was going to take that. Anesthesiology evaluated her, felt it was a progressive allergic reaction, and recommended evaluation at an urgent care or ED. She later developed hives, her lower lip became swollen.  She was later evaluated at Emergency Department. She will be able to provide you with information on the doctor, treatment. She was prescribed a course of prednisone and will have allergy testing scheduled. MD indicated uncertain if caused by vaccine.   She missed work on 1/6 due to the ongoing reaction which had improved.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Dysphonia, Eye swelling, Impaired work ability, Lip swelling
Clinical narrative: On 1/5/2021- Pt. noticed left eye lid was starting to swell in the corner of her eye at 1 pm. It then became bigger and started to shut her eye. Her right eye then started to swell around 2 pm and she began to have difficulty talking and swallowing. She was not short of breath but felt like her throat was tightening. She arrived to work at 2:50 pm and informed her boss who sent her to the employee health department. She reported having oral Benadryl and  was going to take that. Anesthesiology evaluated her, felt it was a progressive allergic reaction, and recommended evaluation at an urgent care or ED. She later developed hives, her lower lip became swollen.  She was later evaluated at Emergency Department. She will be able to provide you with information on the doctor, treatment. She was prescribed a course of prednisone and will have allergy testing scheduled. MD indicated uncertain if caused by vaccine.   She missed work on 1/6 due to the ongoing reaction which had improved.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling, Pruritus, Sensation of foreign body, Throat irritation, Urticaria
Clinical narrative: On 1/5/2021- Pt. noticed left eye lid was starting to swell in the corner of her eye at 1 pm. It then became bigger and started to shut her eye. Her right eye then started to swell around 2 pm and she began to have difficulty talking and swallowing. She was not short of breath but felt like her throat was tightening. She arrived to work at 2:50 pm and informed her boss who sent her to the employee health department. She reported having oral Benadryl and  was going to take that. Anesthesiology evaluated her, felt it was a progressive allergic reaction, and recommended evaluation at an urgent care or ED. She later developed hives, her lower lip became swollen.  She was later evaluated at Emergency Department. She will be able to provide you with information on the doctor, treatment. She was prescribed a course of prednisone and will have allergy testing scheduled. MD indicated uncertain if caused by vaccine.   She missed work on 1/6 due to the ongoing reaction which had improved.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: Patient reported a fever and tingling to his face in the morning on 12/17/20. EHS followed up with him at 11:30 am on 12/17. He reported that the fever had resolved, and he was no longer having tingling to his face. He denied paralysis to his face, shortness of breath, and chest pain.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood potassium decreased, Body temperature increased, Cardiac monitoring, Chest X-ray normal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine: Emergency Department Visit 01/07/21: 47 y.o. female who presents with complaints of fever, rapid heart rate and body aches that began around 1 PM this afternoon.  Patient states that she received her second Covid vaccination yesterday and began developing symptoms today.  States she had a temperature of 102.  She is a nurse here in the rehabilitation center.  She denies any cough, sore throat, abdominal pain that is new, vomiting, diarrhea or bloody stools.  She has had no urinary symptoms.  She denies any leg swelling or pain.  No history of DVT or pulmonary embolism.  No recent travel, immobilizations, surgeries, bedrest or history of malignancy.  No hemoptysis.  Again, no cough.  Patient is taken no medications for the symptoms other than Tylenol which she states has not improved her symptoms. ROS negative. No pertinent history - Ovarian cyst, Spontaneous abortion, Uterine fibroid. She is given a liter normal saline 1 ibuprofen as she has allergies and side effects to multiple medications including pain medication and the patient did refuse any pain medications other than ibuprofen.  Symptoms are consistent with side effects of the Covid vaccine.  She does not appear ill appearing.  She has no fever at this time.  She does state that her symptoms are somewhat improved.  Chest x-ray and labs are otherwise unremarkable.  Encouraged the patient to get rest, drink plenty fluids and take ibuprofen and follow-up with her primary physician or return if symptoms worsen.  This is the patient's second dose of vaccine for Covid.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Heart rate increased, Pain, Pyrexia, White blood cell count increased
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine: Emergency Department Visit 01/07/21: 47 y.o. female who presents with complaints of fever, rapid heart rate and body aches that began around 1 PM this afternoon.  Patient states that she received her second Covid vaccination yesterday and began developing symptoms today.  States she had a temperature of 102.  She is a nurse here in the rehabilitation center.  She denies any cough, sore throat, abdominal pain that is new, vomiting, diarrhea or bloody stools.  She has had no urinary symptoms.  She denies any leg swelling or pain.  No history of DVT or pulmonary embolism.  No recent travel, immobilizations, surgeries, bedrest or history of malignancy.  No hemoptysis.  Again, no cough.  Patient is taken no medications for the symptoms other than Tylenol which she states has not improved her symptoms. ROS negative. No pertinent history - Ovarian cyst, Spontaneous abortion, Uterine fibroid. She is given a liter normal saline 1 ibuprofen as she has allergies and side effects to multiple medications including pain medication and the patient did refuse any pain medications other than ibuprofen.  Symptoms are consistent with side effects of the Covid vaccine.  She does not appear ill appearing.  She has no fever at this time.  She does state that her symptoms are somewhat improved.  Chest x-ray and labs are otherwise unremarkable.  Encouraged the patient to get rest, drink plenty fluids and take ibuprofen and follow-up with her primary physician or return if symptoms worsen.  This is the patient's second dose of vaccine for Covid.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Pain, Pain in extremity
Clinical narrative: body aches and sore arm. body aches started up on the 6th of January. Headache as well and a cough.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature abnormal, Chills, Dizziness, Fatigue, Pain
Clinical narrative: Started 45 minutes after, feeling faint and fatigued. Next morning feeling generalized pain fatigue later in the day had a temp and feeling chills as well.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Hypoaesthesia, Injection site hypoaesthesia, Injection site paraesthesia, Paraesthesia
Clinical narrative: Numbness and tingling on the injection site and the left side of your face. Also reports a metallic taste in her mouth
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID on 01/06/2021
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Palpitations
Clinical narrative: Heart racing 120 bpm, felt numbness on left side, lasted about 5 minutes
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Mobility decreased, Pain, Pyrexia
Clinical narrative: a day after receiving the vaccine, she felt some soreness to injection site and arm, unable to raise arm up; felt achy, fatigued then at the end of the day, noticed fever, temperature going up from 97 to 99 to100, then as high as 101 F over a 4 hour time frame; she took ibuprofen 400mg that night then awoke this morning feeling better; she has not taken any more fever reducing medications and has no fever today even though her arm is still sore, she can move it more now and just sore to touch
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: a day after receiving the vaccine, she felt some soreness to injection site and arm, unable to raise arm up; felt achy, fatigued then at the end of the day, noticed fever, temperature going up from 97 to 99 to100, then as high as 101 F over a 4 hour time frame; she took ibuprofen 400mg that night then awoke this morning feeling better; she has not taken any more fever reducing medications and has no fever today even though her arm is still sore, she can move it more now and just sore to touch
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia, Mobility decreased, Nausea, Paraesthesia
Clinical narrative: Patient presented for Moderna COVID vaccine  and was asked to wait 15 min post vaccine for monitoring. Patient presented with numbness, tingling sensation in the neck and left wrist pain with weakness including 4th and 5th digit. Injection was administered in opposite arm (right). Tingling sensation then escalated to whole body with nausea and dizziness. BP reading was 149/78 and 160/74 with 15 min intervals. EMS was contacted at 1355 to transport patient to the ED. Numbness and tingling in the knee, unable to use left hand to text and left side whole body. Patient is able to elevate both arms at same level. EMS arrived at 1408 and transported patient to the ED at 1411
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: On January 6, the area around the injection site started itching. I then noticed it was more tender. The area is now red, raised, swollen, tight and warm. The area is about the size of a deck of cards. I have now taken 50mg of diphenhydramine PO and 1000mg of Tylenol PO.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Skin tightness
Clinical narrative: On January 6, the area around the injection site started itching. I then noticed it was more tender. The area is now red, raised, swollen, tight and warm. The area is about the size of a deck of cards. I have now taken 50mg of diphenhydramine PO and 1000mg of Tylenol PO.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Acne
Clinical narrative: Broke out with  pimples all over body
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever up to 102 accompanied by headache, fatigue and significant body aches. Onset of severe symptoms about 12.5 hours after administration, treated with Tylenol (1gm q6H) and ibuprofen 600mg q6H alternating. Fever initially unresponsive to antipyretic. 24 hours post-administration has decreased to 99.4.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Flushing
Clinical narrative: Approximately 7 minutes after the vaccination was given, my face became red and flushed and I experienced a sensation of heat in my body.  I recieved additional monitoring by staff and felt better approximately 20 minutes later
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Neck pain, Pyrexia
Clinical narrative: Headache, neck pain, trapeze muscle pain, nausea, fever of 101.2. Lasted a few hours resolved with ibuprofen.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: I received my first dose of the Moderna COVID-19 vaccine on 12/29/2020 and to date, have had mild symptoms, which I have reported via the V Safe Check Ins. To date, I experienced some injection site soreness with redness for a few days post vaccine and had minimal swelling on the day after vaccination.  This evening, I noticed a sudden onset of severe swelling at the site of the injection accompanied with redness, which as noted above, had previously resolved approximately 3 days post vaccination. In addition, the area surrounding the injection site is now warm to the touch and is mildly itchy. In taking  the temperature of the injection site versus the rest of the arm, it is running about 3 degrees warmer than the rest of my arm.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: Swelling, redness and pain at injection site. Parameters of inflammation marked to monitor for worsening.  Still monitoring have not had to seek medical attention yet.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: My left arm began to swell around the site where I got the vaccine. It became very warm, bright red, and felt hard to the touch. It was also incredibly painful,  such as when my shirt was just resting on it, as shirts do. This lasted for 2 days and it still has some redness and sensitivity. The joints on my hands and wrist also became swollen and incredibly sore, and this has still not gone away.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Joint swelling
Clinical narrative: My left arm began to swell around the site where I got the vaccine. It became very warm, bright red, and felt hard to the touch. It was also incredibly painful,  such as when my shirt was just resting on it, as shirts do. This lasted for 2 days and it still has some redness and sensitivity. The joints on my hands and wrist also became swollen and incredibly sore, and this has still not gone away.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest discomfort, Diplopia, Dizziness, Electrocardiogram normal
Clinical narrative: Client felt dizzy, mouth and upper throat went numb, chest tight, shakey, felt terrible.  Seeing double and nauseated.  went to ER and received IV benadryl and relieved many symptoms but had heart rate escalating and dizzy continuously.  Body aches
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Heart rate increased, Hypoaesthesia oral, Nausea, Pain
Clinical narrative: Client felt dizzy, mouth and upper throat went numb, chest tight, shakey, felt terrible.  Seeing double and nauseated.  went to ER and received IV benadryl and relieved many symptoms but had heart rate escalating and dizzy continuously.  Body aches
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal hypoaesthesia, Tremor
Clinical narrative: Client felt dizzy, mouth and upper throat went numb, chest tight, shakey, felt terrible.  Seeing double and nauseated.  went to ER and received IV benadryl and relieved many symptoms but had heart rate escalating and dizzy continuously.  Body aches
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Injection site bruising, Injection site rash, Rash erythematous, Rash pruritic
Clinical narrative: Approximately 8 days after receiving the Moderna injection, I had a reaction in my upper arm (left arm-the one I received the vaccination in).  My upper arm broke out in what looked like a bright red rash in the area of the injection.  The first thing that happened was it started itching, so I scratched it, then realized the area was very warm, so I looked and noticed the bright red color of it.  Also, at the same time, the area felt almost bruised when I scratched, but it wasn't bruised to look at, maybe under the skin it was bruised?  It got to be about 4 inches by 2-3 inches and then within a couple days, it went away.  I did put hydrocortisone cream on it off and on. As an interesting aside---when I had the first dose of Shingrix I broke out with a rash below the area where they gave me the vaccination.  This rash happened within a day or so of the vaccine, whereas with the Moderna, it was a tad more than a week later.  This was also my left arm.  With Shingrix though, it was a bit larger and raised up a bit.  That only lasted for a few days also.  I don't remember which arm I had the second Shingrix vaccine in, but I do not remember any adverse reaction after receiving it.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bursitis, Mobility decreased
Clinical narrative: Shoulder bursitis pain immobility
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itching
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pain
Clinical narrative: The first 2 days after the shot my arm was sore. That went away and then on 1/5/21 my arm became sore, red, raised and warm around the injection site. It still is 1/6/21 along with body aches
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: The first 2 days after the shot my arm was sore. That went away and then on 1/5/21 my arm became sore, red, raised and warm around the injection site. It still is 1/6/21 along with body aches
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pain, Pyrexia
Clinical narrative: LOW GRADE FEVER, 99.9, MILD BODY ACHES, MILD MALAISE LASTED ABOUT 24 HOURS
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site warmth, Limb discomfort
Clinical narrative: 1 week after I felt welts on my arm around the injection site that we're itchy.  I took Benadryl and applied an ice pack.  The next day where the welts were my arm is now red and warm feeling.; Slightly itchy.  My arm has felt heavy like a swollen feeling although not swollen - as if my arm was asleep.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Urticaria
Clinical narrative: 1 week after I felt welts on my arm around the injection site that we're itchy.  I took Benadryl and applied an ice pack.  The next day where the welts were my arm is now red and warm feeling.; Slightly itchy.  My arm has felt heavy like a swollen feeling although not swollen - as if my arm was asleep.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing
Clinical narrative: Had a flushed feeling across her chest no shortness of breath or rash  noted .  Was given 50 mg Benadryl   watched for another 30 minutes no other issues.  Stable and is feeling fine.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Fatigue, Feeling hot, Illusion, Somnolence
Clinical narrative: Fairly rapid onset of excess fatigue, difficulty keeping eyes open associated with oscillating vision, near simultaneous distortion of sound (at the time was watching a show using my phone, and the actors no longer sounded like themselves), sense of subtle disequilibrium, and a sense of intense heat involving my upper abdomen and lower chest, centered around my xiphoid process as if being pressed up against a space heater, the latter symptom was non-painful, perhaps the best example is the feeling one has after receiving intravenous contrast dye for CT imaging although more the "warmth" was more intense. Lasted 90-120 minutes before going to sleep, then gone by morning.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Fairly rapid onset of excess fatigue, difficulty keeping eyes open associated with oscillating vision, near simultaneous distortion of sound (at the time was watching a show using my phone, and the actors no longer sounded like themselves), sense of subtle disequilibrium, and a sense of intense heat involving my upper abdomen and lower chest, centered around my xiphoid process as if being pressed up against a space heater, the latter symptom was non-painful, perhaps the best example is the feeling one has after receiving intravenous contrast dye for CT imaging although more the "warmth" was more intense. Lasted 90-120 minutes before going to sleep, then gone by morning.
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Acute disseminated encephalomyelitis, Bacterial tracheitis, Biopsy brain, CSF test, Central nervous system inflammation
Clinical narrative: Patient was admitted to the hospital, critically ill and intubated in the ICU with encephalomyelitis consistent with acute disseminated encephalomyelitis (ADEM) associated with MOG-IgG positivity (or MOGAD).  Course complicated by respiratory failure, paroxysmal sympathetic hyperactivity,  optic neuritis, staph aureus tracheitis requiring antibiotics and ongoing encephalopathy. - underwent thorough infectious work up, multiple MRIs, lumbar puncture and brain biopsy - underwent several days of electroencephalogram (EEG) - Received 5 days IV methyl prednisone followed by a slow taper - Received 6 days of plasma exchange or PLEX - Received IVIg 2mg/kg (and will received monthly IVIg for 6 months)
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Critical illness, Cytogenetic analysis, Electroencephalogram, Encephalomyelitis, Encephalopathy
Clinical narrative: Patient was admitted to the hospital, critically ill and intubated in the ICU with encephalomyelitis consistent with acute disseminated encephalomyelitis (ADEM) associated with MOG-IgG positivity (or MOGAD).  Course complicated by respiratory failure, paroxysmal sympathetic hyperactivity,  optic neuritis, staph aureus tracheitis requiring antibiotics and ongoing encephalopathy. - underwent thorough infectious work up, multiple MRIs, lumbar puncture and brain biopsy - underwent several days of electroencephalogram (EEG) - Received 5 days IV methyl prednisone followed by a slow taper - Received 6 days of plasma exchange or PLEX - Received IVIg 2mg/kg (and will received monthly IVIg for 6 months)
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Endotracheal intubation, Immunoglobulin therapy, Intensive care, Lumbar puncture, Magnetic resonance imaging
Clinical narrative: Patient was admitted to the hospital, critically ill and intubated in the ICU with encephalomyelitis consistent with acute disseminated encephalomyelitis (ADEM) associated with MOG-IgG positivity (or MOGAD).  Course complicated by respiratory failure, paroxysmal sympathetic hyperactivity,  optic neuritis, staph aureus tracheitis requiring antibiotics and ongoing encephalopathy. - underwent thorough infectious work up, multiple MRIs, lumbar puncture and brain biopsy - underwent several days of electroencephalogram (EEG) - Received 5 days IV methyl prednisone followed by a slow taper - Received 6 days of plasma exchange or PLEX - Received IVIg 2mg/kg (and will received monthly IVIg for 6 months)
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Optic neuritis, Paroxysmal sympathetic hyperactivity, Plasmapheresis, Respiratory failure
Clinical narrative: Patient was admitted to the hospital, critically ill and intubated in the ICU with encephalomyelitis consistent with acute disseminated encephalomyelitis (ADEM) associated with MOG-IgG positivity (or MOGAD).  Course complicated by respiratory failure, paroxysmal sympathetic hyperactivity,  optic neuritis, staph aureus tracheitis requiring antibiotics and ongoing encephalopathy. - underwent thorough infectious work up, multiple MRIs, lumbar puncture and brain biopsy - underwent several days of electroencephalogram (EEG) - Received 5 days IV methyl prednisone followed by a slow taper - Received 6 days of plasma exchange or PLEX - Received IVIg 2mg/kg (and will received monthly IVIg for 6 months)
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram abnormal, Headache, Nervousness, Palpitations
Clinical narrative: Moderna vaccine EUA within 4 minutes i began to feel faint, heart started pounding ,immediate headache and was very shaky.  I was laid down, cold compress. It came in waves over a period of 20 minutes. I was given a few sips of water. When it did not resolve I was taken to the ER and given IV fluids.  The doctor said I had an adverse reaction to something in the vaccine. The chief of Infectious disease thought I had a vaso vagel response.  While I am nervous to get the second vaccine , I will go forward and get it..
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Tachycardia, Tremor
Clinical narrative: Moderna vaccine EUA within 4 minutes i began to feel faint, heart started pounding ,immediate headache and was very shaky.  I was laid down, cold compress. It came in waves over a period of 20 minutes. I was given a few sips of water. When it did not resolve I was taken to the ER and given IV fluids.  The doctor said I had an adverse reaction to something in the vaccine. The chief of Infectious disease thought I had a vaso vagel response.  While I am nervous to get the second vaccine , I will go forward and get it..
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Feeling hot, Headache, Impaired work ability
Clinical narrative: 1/5/21-About an hour after receiving vaccine, I had mild nausea, my left arm kind of hurt after receiving the vaccine.. which is weird because I got it in my right arm.  1/5/21- Around 8:00 PM I noticed raised red bumps on both of my forearms.. it?s worse on the right arm. It looked like a mild rash. Around 10:00 PM I developed chills, muscle aches, my right arm was in a lot of pain, I had a slight headache, nausea, and my temperature kept going up. I?ve been taking Advil/ Tylenol to try and get my temperature down.. but after every dose wears off my temp goes back up. I kept waking up multiple times in the middle of the night. In the middle of the night around 2AM, my temperature was as high as 102.9.  Later on in the night around 4AM, my chills had stopped and I actually felt really warm.   1/6/21- I woke up about 6:30 AM and had to call out of work. My temp was about 98 something at this point and I still had muscle aches.  I slept most of the day and my temp continues to go over 100 now every time a dose of Advil wears off. I still have muscle aches and there is still a lot of pain at the injection site. My arm doesn?t hurt as bed as it did though. However, the rash on my forearms is still there. On my right forearm it looks worse than it did yesterday.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Nausea, Pain in extremity, Rash
Clinical narrative: 1/5/21-About an hour after receiving vaccine, I had mild nausea, my left arm kind of hurt after receiving the vaccine.. which is weird because I got it in my right arm.  1/5/21- Around 8:00 PM I noticed raised red bumps on both of my forearms.. it?s worse on the right arm. It looked like a mild rash. Around 10:00 PM I developed chills, muscle aches, my right arm was in a lot of pain, I had a slight headache, nausea, and my temperature kept going up. I?ve been taking Advil/ Tylenol to try and get my temperature down.. but after every dose wears off my temp goes back up. I kept waking up multiple times in the middle of the night. In the middle of the night around 2AM, my temperature was as high as 102.9.  Later on in the night around 4AM, my chills had stopped and I actually felt really warm.   1/6/21- I woke up about 6:30 AM and had to call out of work. My temp was about 98 something at this point and I still had muscle aches.  I slept most of the day and my temp continues to go over 100 now every time a dose of Advil wears off. I still have muscle aches and there is still a lot of pain at the injection site. My arm doesn?t hurt as bed as it did though. However, the rash on my forearms is still there. On my right forearm it looks worse than it did yesterday.