chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine decreased, White blood cell count normal, White blood cells urine positive
Clinical narrative: In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some "pressure in her head" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: pH urine normal
Clinical narrative: In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some "pressure in her head" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alcohol withdrawal syndrome, Death, Pulse absent, Resuscitation, Seizure like phenomena
Clinical narrative: In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some "pressure in her head" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocardial infarction
Clinical narrative: Had Heart Attack like symptoms - sent to Hospital
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiovascular symptom, Dehydration
Clinical narrative: Had Heart Attack like symptoms - sent to Hospital
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Pruritus
Clinical narrative: 1418- C/O generalized itching, stomach cramps, became diaphoretic. Initial vital signs- B/P 171/143, HR 105, RR 22, O2 sat 100%.  Oral Benadryl 50 mg given. EMS called when p/t c/o  symptoms increasing to include itching and becoming diaphoretic. 1456- Patient transferred to EMS.
Age: 27.0
Sex: U
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Headache, Impaired work ability, Pain
Clinical narrative: Shortness of breath, chills and body aches. Multiple headaches that go on and off. Had to call off work.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Feeling abnormal, Injection site pain
Clinical narrative: Arm sore and swollen at injection site, severe fatigue, chills, body aches, dizziness, brain fog, nausea
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Nausea, Pain
Clinical narrative: Arm sore and swollen at injection site, severe fatigue, chills, body aches, dizziness, brain fog, nausea
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoglycaemia
Clinical narrative: Patient reports about 2 weeks after getting Pfizer COVID vaccine, she started experiencing severe hypoglycemia in the 60s. She was previously on Tresiba 100 units once daily and Novolog 25 units three times daily with meals. She needed to decrease her insulin doses to Tresiba 30 units once daily and Novolog 10 units three times daily with meals and her blood sugars still remained on the low end of normal. She did not have a reaction to the vaccine (i.e. loss of appetite) and no other precipitating factor that would explain such a significant reduction in insulin requirements.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Chills lasting about 2 hours;Fever lasting about 5 hours.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Lymphadenopathy, Myalgia, Pyrexia
Clinical narrative: 8pm same day, fever, chills, muscle aches. 04feb21: fever chills,headache,muscle aches. 05feb21: only swelling and pain in left armpit lymph node region
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: HEADACHES, BODY ACHES, CHILLS
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Pain, Pruritus, Pyrexia
Clinical narrative: On 1/29/2021 Patient noticed a fine raised rash on arms, trunk, body.  Felt like she needed to "catch my breath".   Had fever of 102.7 F , achiness, fatigue.  States felt itchy, even her toes itched.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular
Clinical narrative: On 1/29/2021 Patient noticed a fine raised rash on arms, trunk, body.  Felt like she needed to "catch my breath".   Had fever of 102.7 F , achiness, fatigue.  States felt itchy, even her toes itched.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Headache, Pain
Clinical narrative: pt states that  she started running fever 99.8 with chills, headache, body aches, vomiting and diarrhea later on the day of the vax.  Next day she only had body aches.  She stated that today 2/5/2021 she has body aches, headache and dizziness.  Pt has not contacted her PCP at this time.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: pt states that  she started running fever 99.8 with chills, headache, body aches, vomiting and diarrhea later on the day of the vax.  Next day she only had body aches.  She stated that today 2/5/2021 she has body aches, headache and dizziness.  Pt has not contacted her PCP at this time.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pyrexia, Syncope
Clinical narrative: Syncope, fever, chills, myalgias
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Electrocardiogram normal, Eye pain, Fatigue, Headache
Clinical narrative: Headache,  fatigue, muscle ache, tachycardia,  sore throat (mild), severe pain at injection site limiting movement, eye pain and blurring. All began approximately 12 hours after vaccination. Did report to the ER at Summit Medical Center 2/3/2021 . Labs were drawn, ekg and cxr done. Md stated all normal. (I had pneumonia and was in a fib upon arrival to Vanderbilt Medical Center when I was admitted there with Covid in March 2020.)
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Laboratory test normal, Mobility decreased, Myalgia, Oropharyngeal pain
Clinical narrative: Headache,  fatigue, muscle ache, tachycardia,  sore throat (mild), severe pain at injection site limiting movement, eye pain and blurring. All began approximately 12 hours after vaccination. Did report to the ER at Summit Medical Center 2/3/2021 . Labs were drawn, ekg and cxr done. Md stated all normal. (I had pneumonia and was in a fib upon arrival to Vanderbilt Medical Center when I was admitted there with Covid in March 2020.)
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Vision blurred
Clinical narrative: Headache,  fatigue, muscle ache, tachycardia,  sore throat (mild), severe pain at injection site limiting movement, eye pain and blurring. All began approximately 12 hours after vaccination. Did report to the ER at Summit Medical Center 2/3/2021 . Labs were drawn, ekg and cxr done. Md stated all normal. (I had pneumonia and was in a fib upon arrival to Vanderbilt Medical Center when I was admitted there with Covid in March 2020.)
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Night sweats
Clinical narrative: Approximately 12 hours post-injection developed chills (around 10:30 pm). Went to bed and woke up with night sweats, aches, chills, fever (persistently over 100F, topped at 101.3F) and one of the worst headaches I?ve ever had (not hyperbole, truly a monster headache). Slept for small stretches of time, maybe 45-60 mins, before waking. Condition worsened until about 6-7am. Chills persisted but worst symptom was the headache, it was inescapable pain. At 9am, took 400mg ibuprofen and was able to fall asleep.  Woke again around 10:30, soaking wet in sweat, but felt much better. Headache about 95% resolved, fever subsided (temp returned to steady 98.2).  Felt generally tired the rest of the day, but overall much better than the overnight period.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Approximately 12 hours post-injection developed chills (around 10:30 pm). Went to bed and woke up with night sweats, aches, chills, fever (persistently over 100F, topped at 101.3F) and one of the worst headaches I?ve ever had (not hyperbole, truly a monster headache). Slept for small stretches of time, maybe 45-60 mins, before waking. Condition worsened until about 6-7am. Chills persisted but worst symptom was the headache, it was inescapable pain. At 9am, took 400mg ibuprofen and was able to fall asleep.  Woke again around 10:30, soaking wet in sweat, but felt much better. Headache about 95% resolved, fever subsided (temp returned to steady 98.2).  Felt generally tired the rest of the day, but overall much better than the overnight period.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash erythematous, Rash vesicular
Clinical narrative: On day 7 a large rash appeared on my arm at the site of the injection site.  Lasted for 5 days.  Red and blustery with a circumference of about 2 1/2 inches.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Hypoaesthesia, Malaise, Paraesthesia
Clinical narrative: Pt received first Moderna injection and stated she had an episode an hour or so later when she almost passed out but started to feel better within a few minutes.  Later in the day after she had went home she notified the office at 16:30 that she was having some numbness and tingling sensations and not feeling well.  She was instructed to go to the ER for further evaluation.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site pruritus, Neck pain
Clinical narrative: 8 days after getting vaccine, I had injection site redness, pain, and itching, along with a headache and neck pain.  The redness/itching lasted for a couple of days.  The neck pain and headache resolved after 5 days.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Chromaturia, Fatigue, Headache, Laboratory test normal
Clinical narrative: The symptoms started 12 hours after the shot, with chills, fatigue,  severe muscle aches, headache, fever reaching 101 F,  felt like was beaten up. Urine color was brown .Got a bit better after 30 hours, but temp didn?t go below 98.6 F. then After 48 hours notice rash on chest, 2 hours later the rash extended to neck, then to back and face. The fever got up to 101 again. Only to get better after injection with Benadryl and cortisone . 72 h later, rash better, but still there on chest with petechiae.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Petechiae, Pyrexia, Rash
Clinical narrative: The symptoms started 12 hours after the shot, with chills, fatigue,  severe muscle aches, headache, fever reaching 101 F,  felt like was beaten up. Urine color was brown .Got a bit better after 30 hours, but temp didn?t go below 98.6 F. then After 48 hours notice rash on chest, 2 hours later the rash extended to neck, then to back and face. The fever got up to 101 again. Only to get better after injection with Benadryl and cortisone . 72 h later, rash better, but still there on chest with petechiae.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: pt felt dizzy and light headed
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: Fever, chills, nausea, muscle aches, headache
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Pyrexia
Clinical narrative: Fever with Tmax=102.4 F on Day 1 post-vaccination.  Fever persisted for ~24 hours, but has since improved and patient has remained afebrile. Loss of appetite starting Day 1 post-vaccination, which lasted for ~2 days.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Muscular weakness, Pain in extremity
Clinical narrative: Pain and weakness in the left shoulder and arm. Onset was 1 week almost to the hour from injection of Moderna Covid vaccine. Symptoms still unresolved.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Endotracheal intubation, Haemoptysis, Muscle spasms
Clinical narrative: Pt had 2nd vaccine, went home and started having "cramping" in all of her muscles.  It became bad enough that she was taken to local ED where she then started coughing up blood, required intubation and about 6 hrs later, died.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Myalgia, Tremor
Clinical narrative: Moderna COVID vaccine Lot#004M20A-2nd dose administered.  At 9 hours I developed moderate chills and shaking with teeth chattering lasting 1.5 hours with full recovery.  Myalgias persist into second day.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling
Clinical narrative: SWELLING AROUND MY EYES
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Myalgia, Tremor
Clinical narrative: At seven hours developed moderate chills and shaking and teeth-chattering lasting 3 hours with complete recovery.  Myalgias starting at 5 hours and persisting into 2nd day.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Left arm rash - itching and pruritis. BP - 146/98; HR -79, respiratory 16. Benadryl 25 mg PO. The pruritis on left upper arm started 1 hour and 15 minutes after receiving the vaccine. Patient verbalized that this always happens to her after receiving any kind of vaccine.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Atrioventricular block, Cardiac pacemaker insertion, Dyspnoea
Clinical narrative: 2 days later pt developed shortness of breath. Went to ER. Had mobitz 2 heart block and required emergency pacemaker placement
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Erythema, Headache, Pain in extremity, Peripheral swelling
Clinical narrative: Head aches, Arm became sore, at about 10:00pm, then noted that is was swollen, red painful to the touch. Area of redness was 70X120mm . Reported that his stomach felt " funny"
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Upper left arm BECAME red, swollen, warm and itchy eight (8) days after inoculation.  Red swollen area  measures 4"by 3".  Also experienced fatigue for several days after receiving the shot but that has cleared up.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: I started not feeling well the Saturday after the vaccine . I just had some sniffles and I was tired. But I have chronic allergies so at first I thought it was that. That afternoon I started by throwing up. And within an hour and a half I had a temperature of 100 and aching so bad I had to beg my husband to take me to urgent care. My 7 o?clock we were at urgent care and I was diagnosed with Covid. By then I was totally sick to my stomach with vomiting and diarrhea. Headache chills
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test, Malaise, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: I started not feeling well the Saturday after the vaccine . I just had some sniffles and I was tired. But I have chronic allergies so at first I thought it was that. That afternoon I started by throwing up. And within an hour and a half I had a temperature of 100 and aching so bad I had to beg my husband to take me to urgent care. My 7 o?clock we were at urgent care and I was diagnosed with Covid. By then I was totally sick to my stomach with vomiting and diarrhea. Headache chills
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: I started not feeling well the Saturday after the vaccine . I just had some sniffles and I was tired. But I have chronic allergies so at first I thought it was that. That afternoon I started by throwing up. And within an hour and a half I had a temperature of 100 and aching so bad I had to beg my husband to take me to urgent care. My 7 o?clock we were at urgent care and I was diagnosed with Covid. By then I was totally sick to my stomach with vomiting and diarrhea. Headache chills
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactate dehydrogenase, Blood thyroid stimulating hormone, Cardiovascular evaluation, Computerised tomogram, Electrocardiogram
Clinical narrative: Few days after vaccine noted significant night sweats--soaking the bed. 13 days after vaccine (1/10) I noted supraclavicular lymphadenopathy (L sided). 14 days later (1/11) I had onset of exertional tachycardia. Heart rate would increase to 120-130 with simple activities like cooking dinner or taking a shower. This was sometimes prolonged with standing and associated with shortness of breath.  The night sweats continued for the next 6 weeks until time of submission. The lymphadenopathy was also noted L axilla and R supraclavicular and has also persisted. 2nd covid moderna vaccine received 1/30/21 with only mild headache.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Full blood count, Headache, Red blood cell sedimentation rate, Ultrasound scan
Clinical narrative: Few days after vaccine noted significant night sweats--soaking the bed. 13 days after vaccine (1/10) I noted supraclavicular lymphadenopathy (L sided). 14 days later (1/11) I had onset of exertional tachycardia. Heart rate would increase to 120-130 with simple activities like cooking dinner or taking a shower. This was sometimes prolonged with standing and associated with shortness of breath.  The night sweats continued for the next 6 weeks until time of submission. The lymphadenopathy was also noted L axilla and R supraclavicular and has also persisted. 2nd covid moderna vaccine received 1/30/21 with only mild headache.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Confusional state, Dehydration, Dysarthria, Fatigue
Clinical narrative: Tired / confused/ slurring words/ in-content   Dehydrated
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dehydration, Renal disorder
Clinical narrative: Tired / confused/ slurring words/ in-content   Dehydrated
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea
Clinical narrative: Severe muscle aches in extremities, headache, nausea
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia
Clinical narrative: metallic taste, dizzy, lightheaded
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain
Clinical narrative: CHILLS, BODY ACHES NAUSEA
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Dysphagia, Swelling face
Clinical narrative: Patient received Moderna Covid 19 vaccine on 02/04/21. Patient reported experiencing twitching in right eye the night of 02/04. Patient had swollen face and little difficulty in swallowing upon awakening today (02/05/21). MD treated patient with steroid injection and Benadryl and recommended not to get second dose.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: fever, achiness.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain
Clinical narrative: Chills, Body Aches, Exaustion
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Laboratory test, Rash
Clinical narrative: On 2/1/21 her arm started getting red, and on 2/4/21 her husband noticed a rash breaking out on the arm.  She saw her doctor on Thursday, yesterday.   They gave her Levocetirizine, Methyl Prednisolone, Cephalexin which these seem to be helping her.  She is scheduled for the 2nd vaccine on 2/22/21.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache
Clinical narrative: Report of chills, fatigue and HA started next day post vaccination. Treatment include Tylenol with improvement of HA only. Outcome: Continue to work does not interfere with ADLs.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Muscular weakness, Nausea
Clinical narrative: Shortly after receiving the vaccine, she felt hot, nauseous and legs felt "like jello."
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Feeling abnormal, Laboratory test, Physical examination, Pyrexia
Clinical narrative: Patients daughter called and reported the patient started to feel badly last night with vomiting and diarrhea, she also reported a fever today of 103. MD was called and advised patient go to the hospital to be evaluated. The patient was evaluated at the hospital and has since been discharged to home without further incident.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patients daughter called and reported the patient started to feel badly last night with vomiting and diarrhea, she also reported a fever today of 103. MD was called and advised patient go to the hospital to be evaluated. The patient was evaluated at the hospital and has since been discharged to home without further incident.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Diarrhoea, Dizziness, Headache
Clinical narrative: 6 hrs after injection swelling began and headache (About 9PM). Next morning swelling from shoulder to elbow & headache, chills, tool Tylenol.  No appetite, very loose bowels at 10:00 am, (NOTE: NO fever)  headache, chills continued all day & dizziness was added only when I moved my eyes like to glance at something or trying to read . Woke up, all symptoms were gone except a little swelling around injection site. 48 hours after injection, only very little swelling at injection site.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Peripheral swelling, Swelling
Clinical narrative: 6 hrs after injection swelling began and headache (About 9PM). Next morning swelling from shoulder to elbow & headache, chills, tool Tylenol.  No appetite, very loose bowels at 10:00 am, (NOTE: NO fever)  headache, chills continued all day & dizziness was added only when I moved my eyes like to glance at something or trying to read . Woke up, all symptoms were gone except a little swelling around injection site. 48 hours after injection, only very little swelling at injection site.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Malaise
Clinical narrative: Headache, malaise, joint pain x three days. Improved with ibuprofen
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Cough, Incoherent, Pyrexia, Rhinorrhoea
Clinical narrative: Late onset of side effects started on day 6 with mild sluggishness.  Progressed to severe mental confusion and incoherence.  Fever of 100 this morning (Feb/5) and  wet cough with  lots of mucous. Still going on and we are trying to control with Tylenol and Coricidine
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Sluggishness
Clinical narrative: Late onset of side effects started on day 6 with mild sluggishness.  Progressed to severe mental confusion and incoherence.  Fever of 100 this morning (Feb/5) and  wet cough with  lots of mucous. Still going on and we are trying to control with Tylenol and Coricidine
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site rash, Malaise, Pruritus, Rash erythematous
Clinical narrative: Moderna COVID-19 01/22/2021: I noticed my arm was itching while at work on the afternoon of 01/22/21 (one week after receiving the injection). That evening, upon inspecting the area, I noticed a 4cmx7cm rash around the vaccine injection site. The rash was raised, red, and mildly pruritic. The erythema subsided a bit that evening, leaving a faint, flat rash that did not itch. 01/23/21-01/25/21: I experienced increased fatigue and a general feeling of malaise, but did not note any changes to the rash or injection site.  01/26/21: I woke to find the rash had increased in size (approx. 7cmx15cm) and had a distinct, darker red border. The border progressively became more pronounced and darker. The rash remained that way through the day.  01/27/2021: I woke to find the rash had resolved entirely and have not had any symptoms since.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic
Clinical narrative: Moderna COVID-19 01/22/2021: I noticed my arm was itching while at work on the afternoon of 01/22/21 (one week after receiving the injection). That evening, upon inspecting the area, I noticed a 4cmx7cm rash around the vaccine injection site. The rash was raised, red, and mildly pruritic. The erythema subsided a bit that evening, leaving a faint, flat rash that did not itch. 01/23/21-01/25/21: I experienced increased fatigue and a general feeling of malaise, but did not note any changes to the rash or injection site.  01/26/21: I woke to find the rash had increased in size (approx. 7cmx15cm) and had a distinct, darker red border. The border progressively became more pronounced and darker. The rash remained that way through the day.  01/27/2021: I woke to find the rash had resolved entirely and have not had any symptoms since.
Age: 1.58
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness and swelling to left thigh
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever 100.6 Chills and body aches Nausea Extreme arm pain radiating down to hand on injection side Tired All started 9 hours after injection and have continued for almost 24 hours not getting better
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Hypoacusis
Clinical narrative: I first felt like I had a buzzing feeling in my head for about 4 hours.. I went to bed and once I woke up I could not hear in my left ear.. I lost 80% of my hearing in my left ear for two days
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Hyperhidrosis, Vomiting
Clinical narrative: 48 hours after shot, light headed, sweating, diarrhea, vomit
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Diarrhoea, Epistaxis, Fatigue
Clinical narrative: nose bleeds times 2, nausea, vomiting, diarrhea, upset stomach, abdominal pain, tiredness, pain at injection site.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Vomiting
Clinical narrative: nose bleeds times 2, nausea, vomiting, diarrhea, upset stomach, abdominal pain, tiredness, pain at injection site.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test abnormal, No adverse event, Saliva analysis
Clinical narrative: Vault saliva test taken on 2/03/2021 results Positive.  No symptoms
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Anxiety, Chest discomfort, Erythema, Palpitations
Clinical narrative: Pt returned to clinic after leaving the site and sitting in her car for 1-2 minutes. Per pt, she began to feel "itchy" in her right arm (vaccine administered in left) and returned to clinic c/o concern for allergic reaction. Pt initially presented to RN, who notified  This RN for further assessment of the patient.    Upon initial assessment, pt appeared anxious and was c/o itching in her bilateral arms, pressure and "tightness" in her chest. Approximately 3 in x 3 in area of erythema visualized to upper right arm, with 3 hives surrounding the area. No erythema visualized to vaccine site, however, 2 hives were visualized to right upper arm. No diffuse erythema or hives noted. Lungs CTA bilaterally, HR 76 w/palpation. Site Manager, and RN to pt's side. EMS contacted. This RN waited at pt's side for continued assessment while awaiting EMS.  Electronically signed by RN at 2/5/2021 16:00
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Pt returned to clinic after leaving the site and sitting in her car for 1-2 minutes. Per pt, she began to feel "itchy" in her right arm (vaccine administered in left) and returned to clinic c/o concern for allergic reaction. Pt initially presented to RN, who notified  This RN for further assessment of the patient.    Upon initial assessment, pt appeared anxious and was c/o itching in her bilateral arms, pressure and "tightness" in her chest. Approximately 3 in x 3 in area of erythema visualized to upper right arm, with 3 hives surrounding the area. No erythema visualized to vaccine site, however, 2 hives were visualized to right upper arm. No diffuse erythema or hives noted. Lungs CTA bilaterally, HR 76 w/palpation. Site Manager, and RN to pt's side. EMS contacted. This RN waited at pt's side for continued assessment while awaiting EMS.  Electronically signed by RN at 2/5/2021 16:00
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Pain, Pain in extremity
Clinical narrative: 2/2/21; fever, body aches, chills, nausea, sore arm Patient is still very fatigues, but no fever
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 2/2/21; fever, body aches, chills, nausea, sore arm Patient is still very fatigues, but no fever
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Throat irritation
Clinical narrative: chest pain with throat irritation 1 day after receiving vaccine. no anaphylaxis. symptoms resolved.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure fluctuation, Blood pressure measurement, Blood pressure systolic, Chest pain, Echocardiogram
Clinical narrative: chest pain with throat irritation 1 day after receiving vaccine. no anaphylaxis. symptoms resolved.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Fatigue, Heart rate, Heart rate increased, Lethargy
Clinical narrative: chest pain with throat irritation 1 day after receiving vaccine. no anaphylaxis. symptoms resolved.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat irritation, Troponin, Troponin increased
Clinical narrative: chest pain with throat irritation 1 day after receiving vaccine. no anaphylaxis. symptoms resolved.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: 1.  Very sore arm diminishing over 36 hours    2.  diarrhea around 36 hours after    3.  mildly lethargic for about 4-5 days    4.  Mild headache for about a week.    5.   after one week a large red, itchy, swollen area appeared at the injection sight (approx. 2" x 4") reduced over 12 hours to small area swollen and red at injection sight and that still exists 2 weeks later.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pain in extremity
Clinical narrative: 1.  Very sore arm diminishing over 36 hours    2.  diarrhea around 36 hours after    3.  mildly lethargic for about 4-5 days    4.  Mild headache for about a week.    5.   after one week a large red, itchy, swollen area appeared at the injection sight (approx. 2" x 4") reduced over 12 hours to small area swollen and red at injection sight and that still exists 2 weeks later.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Electrocardiogram normal, Swollen tongue
Clinical narrative: Patient started to have chest pain, SOB, dizziness, and feeling as if tongue were swelling 5 minutes after receiving 1st Moderna dose.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: FEVER, CHILLS, MUSCLE PAIN
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Beginning approximately 72 hours after receiving his first dose of the Moderna, he noted redness around the injection site of the left arm. He said the area felt warm to the touch and was slightly itchy. This lasted for 3-4 days before it resolved on its own without treatment.  Today (13 days post vaccination) he noted the rash on the left arm return but it was fainter than when it first came up around 72 hours after vaccination. He states the area today is 3.5 inches by 1.5 inches in size on the left arm only.  He denies other symptoms or changes in  skin care routine.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Pain, Pyrexia
Clinical narrative: chills, fever, headache, body aches, dizzy,
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Groin pain
Clinical narrative: I had no side effects from the vaccine, but 2 days later  I started getting a severe pain in my right groin area  that spread to the left side also by the next day. The pain was severe and I wasn't able to walk for two days and even now, 9 days later, it still is giving me some pain. I don't remember hurting myself and I have no idea if the vaccine has anything to do with what happened, but I was told to report it . I called my healthcare provider and they told me to call the health dept and the health dept told me to go online and fill out this form.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: fatigue, headache achy
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac monitoring, Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: Present to ED for chest pain, nausea, chest heaviness, mild headache and slight SOB with lower extremity swelling, Hospitalized starting today 2/5. EKG shows Afib with RVR (new oneset). Still in hospital at this time
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Headache, Nausea, Peripheral swelling
Clinical narrative: Present to ED for chest pain, nausea, chest heaviness, mild headache and slight SOB with lower extremity swelling, Hospitalized starting today 2/5. EKG shows Afib with RVR (new oneset). Still in hospital at this time
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Vomiting
Clinical narrative: Vomiting and chest pain. Patient was transported to ED
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Dry mouth, Fall, Injection site pain, Mobility decreased, Muscular weakness
Clinical narrative: On January 22nd to at 9:27 a.m. He received the Pfizer Covid-19 vaccine in his right arm.  By 3:00 p.m. That day he had soreness at the injection site and by 10:00 p.m. he noticed difficulty using his arms to the transfer.  There was particular difficulty with the proximal left upper extremity and bracing himself and he fell to the floor.  He feels that both arms are weaker since the injection.  He had some pain in the arms particularly at the injection site initially but that has resolved.  He had dry mouth up until February 2nd.  By February 2nd he could start to transfer a bit better from a chair to his driver seat in the van.  He is still not back to his baseline function.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal disorder, Neurological examination
Clinical narrative: On January 22nd to at 9:27 a.m. He received the Pfizer Covid-19 vaccine in his right arm.  By 3:00 p.m. That day he had soreness at the injection site and by 10:00 p.m. he noticed difficulty using his arms to the transfer.  There was particular difficulty with the proximal left upper extremity and bracing himself and he fell to the floor.  He feels that both arms are weaker since the injection.  He had some pain in the arms particularly at the injection site initially but that has resolved.  He had dry mouth up until February 2nd.  By February 2nd he could start to transfer a bit better from a chair to his driver seat in the van.  He is still not back to his baseline function.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Slightly itchy and painful generalized rash around my entire torso and up my neck.  Some itchiness in my limbs but no visible rash. Pt took Benadryl 25mg PO without  any relief. 5 Feb: rash is spreading around chest area lower abdomen and around back side. No reports of dyspnea.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Rash, Rash pruritic
Clinical narrative: Slightly itchy and painful generalized rash around my entire torso and up my neck.  Some itchiness in my limbs but no visible rash. Pt took Benadryl 25mg PO without  any relief. 5 Feb: rash is spreading around chest area lower abdomen and around back side. No reports of dyspnea.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Neck pain
Clinical narrative: Pain in back of neck left side. Comes and goes. Able to move neck around.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Fatigue, Headache, Muscular weakness, Nausea
Clinical narrative: Severe headache 4 hours after shot, generalized muscle weakness all over 12-15 hours after shot (felt paralyzed), fever (100.5) 12-15 hours after shot, nausea and moderate abdominal cramping morning after shot, extreme fatigue for 1 week following shot
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Severe headache 4 hours after shot, generalized muscle weakness all over 12-15 hours after shot (felt paralyzed), fever (100.5) 12-15 hours after shot, nausea and moderate abdominal cramping morning after shot, extreme fatigue for 1 week following shot
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Dizziness, Nausea
Clinical narrative: 1am this morning chills, later 6am tried to get up severe chills, nausea, very dizzy, and joint pain. Husband laid her down on the floor for about 15-20 minutes, also extremely weak. By 8am symptoms lifted slightly and was able to rest most of the day.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Pruritus, Rash
Clinical narrative: chest tightness, rash on neck/chest with itchiness
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swelled lymph nodes in left neck and left axilla. Treatment-PCP notified. naproxen for discomfort and warm compresses applied to sites. Nodes still swelled, not as painful on 2/5/2021
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Skin warm
Clinical narrative: DELAYED INJECTION REACTION :RASH/WARM /RED
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: severe dizziness, followed by vomiting, continued dizziness for several hours
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: sore arm, achy
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Periorbital swelling, Swelling face, Throat tightness
Clinical narrative: Cough- but the type of cough is not uncommon for me due to allergies  Puffy eyes/face started around 2:30-3pm Tight throat, felt restricted started around 3:30pm Took Benadryl at 4:30pm Went to Urgent Care at 5:30pm  Took Prednisone at urgent care Got a prescription to continue prednisone for the next two days & an epi pen to have at home in case it was needed
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Headache
Clinical narrative: Headache chills  coughing this is still going on since the 25th of January.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Injection site rash, Injection site warmth, Telemedicine
Clinical narrative: I have a metallic taste in my mouth and my arm still looks like covid arm and it?s been 2 weeks. It?s still warm to the touch
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Mobility decreased, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Low grade fever, muscle aches in lower back and legs, fatigue experienced less than 24 hours after time of vaccination, worsening throughout the day. Marked improvement by 30 hours post-injection - only arm soreness and lack of mobility in arm experienced at that time. Recovered fully approximately 72-96 hours later.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Back pain, Blood test, Brain natriuretic peptide, Chest X-ray
Clinical narrative: It began with right arm soreness and progressed to aches and low grade fever within the first 24 hours. Then it moved on to mid-sternal chest pain that radiated to my back and I had shortness of breath that increased with deep breathing after about 48 hours.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Electrocardiogram, Full blood count, Metabolic function test
Clinical narrative: It began with right arm soreness and progressed to aches and low grade fever within the first 24 hours. Then it moved on to mid-sternal chest pain that radiated to my back and I had shortness of breath that increased with deep breathing after about 48 hours.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, Pyrexia, Troponin
Clinical narrative: It began with right arm soreness and progressed to aches and low grade fever within the first 24 hours. Then it moved on to mid-sternal chest pain that radiated to my back and I had shortness of breath that increased with deep breathing after about 48 hours.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Nausea, Vomiting
Clinical narrative: Abdominal pain and discomfort (pain level 0-10=10) nausea and vomiting. Calling doctor for advice.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patients wife, noticed a red and slightly swollen, slightly warm spot on Patients right arm this morning around 9am. located in the spot where he received his shot.   He did not complain of discomfort.  He did not not complain of being tired.   We do not know when it first appeared.  It was not there the first few days, then we quit checking.  As of now, 5pm, it seems less red than earlier today.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Clumsiness, Feeling abnormal
Clinical narrative: Extreme chills 3 hours. Used weighted blankets; achieved slow warm up and chills stopped  Elevated temperature 101.8 - 100.8  -- Days 2- 4 in evenings after normal temp all days.- Took    acetaminophen.  Brain fog , physical clumsiness of movements.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Hypersensitivity, Paraesthesia, Paraesthesia oral, Pruritus
Clinical narrative: Allergic reaction, including tingling sensation on tongue and cheek that lasted 24 hours, reddening of the face that lasted for three days, and itchy feeling on head for three days.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Nausea, Tachycardia
Clinical narrative: nausea, SOB, tachycardia, gave epi injection and oxygen with non-rebreather, EMS took pt to ER
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Fatigue, Headache, Impaired work ability, Injection site pain
Clinical narrative: With the 1st dose I had myalgia, arthralgia and pain at the injection site which began the next morning when I woke up at around 10:00 am and lasted 48 hours.  For the 2nd dose, the reaction was more profound.  I had pain at the injection site within 6 hours of the injection and by the next day around 11:00 am I woke up with myalgia, arthralgia, fever of 101.2 F, fatigue, headache, and sore throat.  Symptoms lasted for 4 days and I missed 2 days of work.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: With the 1st dose I had myalgia, arthralgia and pain at the injection site which began the next morning when I woke up at around 10:00 am and lasted 48 hours.  For the 2nd dose, the reaction was more profound.  I had pain at the injection site within 6 hours of the injection and by the next day around 11:00 am I woke up with myalgia, arthralgia, fever of 101.2 F, fatigue, headache, and sore throat.  Symptoms lasted for 4 days and I missed 2 days of work.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Oropharyngeal pain, Pyrexia, Rash
Clinical narrative: Headache, sore throat, fatigue, low grade fever, small rash on face.
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: "Pfizer-Bio-Tech COVID-19 Vaccine EUA" ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬Individual came in Clinic for 2 nd dose of Covid-19 Vaccine.  When individual was asked if this is visit for the second dose of Pfizer vaccine she said yes. She did not have her vaccination card for the first dose on hand.  Her vaccine card was misplaced.  I give the Pfizer vaccine then proceeded to complete the client vaccine card. I went to computer to get the 1 st information that is when I noticed she had received Moderna as the 1st dose. Patient did not report any reaction to the vaccine during her 30-minute wait period.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Cheilitis, Heart rate increased, Oral herpes
Clinical narrative: Cold sore inside part of lip,  single angiodema type rash/hive on outside part of lip directly opposite cold sore, elevated resting heart rate at 95-105 (normal 71-80