chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Patient received vaccine and then went to sit in designated chair for the 15 minute wait.  As he was walking to the chair he stated that he felt faint, hot, sweaty, weak and shaking.  Upon arriving to the patient, the patient was hot to touch and had beads of sweat to forehead.  Patient was sitting crossed legged on the floor with head down.  Asked patient if he wanted 911 called and patient adamantly declined.  Patient was alert and oriented.  Pharmacy gave patient  a water bottle.  Had patient lie back with feet up.  After a few minutes patient started to feel better.  Had patient stand  up and sat patient in the chair in waiting room.  After going into the exam room for a few minutes to get ready for next patient, I went back into waiting room and patient was sitting on the floor again with legs crossed and head down.  Had patient come back to exam room and lie down on exam table with feet up.  After approx. 10 more minutes, patient was standing up in hallway and stated that he was feeling better and would walk around the store.  Patient left the store without checking back in.  Called patient to follow up at end of shift and patient did not answer.  Left a message letting the patient know we were checking on him.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pharyngeal swelling, Swelling face, Tension headache, Throat tightness
Clinical narrative: at 10 minutes....throat began to swell and close.  At 45 min, face was getting puffy.  At 2 hrs - head felt tight. At 3 hrs - heart racing, shaky, but blood pressure was normal.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: at 10 minutes....throat began to swell and close.  At 45 min, face was getting puffy.  At 2 hrs - head felt tight. At 3 hrs - heart racing, shaky, but blood pressure was normal.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site erythema, Injection site induration, Injection site nodule
Clinical narrative: Chills all night first night, fever next day at 101.7, vomiting , arm swelling like bumblebee stings, hard red knot stayed for 4-5 days, extreme fatigue
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Pyrexia, Vomiting
Clinical narrative: Chills all night first night, fever next day at 101.7, vomiting , arm swelling like bumblebee stings, hard red knot stayed for 4-5 days, extreme fatigue
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: Hot red rash with jagged edges on upper arm below injection spot. Occurred about 1 week after getting first shot of Moderna Covid-19 vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature fluctuation, Chills, Erythema, Fatigue
Clinical narrative: 3/15/21 Starting in the evening about 6:00 after vaccine sore arm; redness; swollen; head fog; weakness; fatigue Middle of the night: cold chills; increased need to drink water; night sweats; could not regulate body temperature;. aches all over body; headaches. 3/16/21 Morning rash on arm; nausea; vomiting; fever 99.2; head fog around 5:00 am.  8:00 am went to the doctor. Fever 99.3 . ran tests. allergic reaction to shot.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Nausea, Night sweats, Pain
Clinical narrative: 3/15/21 Starting in the evening about 6:00 after vaccine sore arm; redness; swollen; head fog; weakness; fatigue Middle of the night: cold chills; increased need to drink water; night sweats; could not regulate body temperature;. aches all over body; headaches. 3/16/21 Morning rash on arm; nausea; vomiting; fever 99.2; head fog around 5:00 am.  8:00 am went to the doctor. Fever 99.3 . ran tests. allergic reaction to shot.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia, Rash, SARS-CoV-2 test negative
Clinical narrative: 3/15/21 Starting in the evening about 6:00 after vaccine sore arm; redness; swollen; head fog; weakness; fatigue Middle of the night: cold chills; increased need to drink water; night sweats; could not regulate body temperature;. aches all over body; headaches. 3/16/21 Morning rash on arm; nausea; vomiting; fever 99.2; head fog around 5:00 am.  8:00 am went to the doctor. Fever 99.3 . ran tests. allergic reaction to shot.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Thirst, Vomiting, White blood cell count increased
Clinical narrative: 3/15/21 Starting in the evening about 6:00 after vaccine sore arm; redness; swollen; head fog; weakness; fatigue Middle of the night: cold chills; increased need to drink water; night sweats; could not regulate body temperature;. aches all over body; headaches. 3/16/21 Morning rash on arm; nausea; vomiting; fever 99.2; head fog around 5:00 am.  8:00 am went to the doctor. Fever 99.3 . ran tests. allergic reaction to shot.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Nausea
Clinical narrative: patient stated experienced "labored" breathing and he took himself to the ER. did not experience rash, itching, hives, swelling of mouth, lips, or throat. Pt is also experiencing severe nausea and headache.  Patient was instructed if continued to experience labored breathing to reach out to his primary care provider or seek medical attention.  Patient did not have any reaction to first dose in series.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Biopsy skin, Blood test, Paraesthesia, Pruritus
Clinical narrative: Full body rash, itchy, pins and needle feeling all over the body. Some joint pain. Noticed the day after the second shot. Got progressively worse over the next day. I Saw PCP Doctor Friday and Dermatologist On Monday. The treatment has been bed rest, 4mg MethlPREDNISolone and Clobetasol 0.05%. Some of the rash is clearing up.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash, Urine analysis
Clinical narrative: Full body rash, itchy, pins and needle feeling all over the body. Some joint pain. Noticed the day after the second shot. Got progressively worse over the next day. I Saw PCP Doctor Friday and Dermatologist On Monday. The treatment has been bed rest, 4mg MethlPREDNISolone and Clobetasol 0.05%. Some of the rash is clearing up.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Chills, Dehydration, Dysarthria, Dysphagia
Clinical narrative: 2 hours after vaccine -fever, chills muscle aches adn stiffness.  treated with ibuprofen  and cold pack.    Next day - difficulty swallowing, chewing and speaking, alot of mucus in throat, difficulty breathing .   Was lethargic, dehydrated. Used inhalers , benedryl, musinex, Still have chills and fever, and headaches.  and aches.   Difficulty eating and drinking.  Was gagging and dry heaves. Called neurologist and family doctor and suggested go to ER.  (did not go because of fear of getting covid)   Too fatigued and week to walk. No Balance.  Had electrical shocks up and down body.  Immobile.  Still experiencing immobility a week later
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Eating disorder, Electric shock sensation, Fatigue, Gait disturbance
Clinical narrative: 2 hours after vaccine -fever, chills muscle aches adn stiffness.  treated with ibuprofen  and cold pack.    Next day - difficulty swallowing, chewing and speaking, alot of mucus in throat, difficulty breathing .   Was lethargic, dehydrated. Used inhalers , benedryl, musinex, Still have chills and fever, and headaches.  and aches.   Difficulty eating and drinking.  Was gagging and dry heaves. Called neurologist and family doctor and suggested go to ER.  (did not go because of fear of getting covid)   Too fatigued and week to walk. No Balance.  Had electrical shocks up and down body.  Immobile.  Still experiencing immobility a week later
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Immobile, Increased upper airway secretion, Lethargy, Mastication disorder
Clinical narrative: 2 hours after vaccine -fever, chills muscle aches adn stiffness.  treated with ibuprofen  and cold pack.    Next day - difficulty swallowing, chewing and speaking, alot of mucus in throat, difficulty breathing .   Was lethargic, dehydrated. Used inhalers , benedryl, musinex, Still have chills and fever, and headaches.  and aches.   Difficulty eating and drinking.  Was gagging and dry heaves. Called neurologist and family doctor and suggested go to ER.  (did not go because of fear of getting covid)   Too fatigued and week to walk. No Balance.  Had electrical shocks up and down body.  Immobile.  Still experiencing immobility a week later
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal stiffness, Myalgia, Pain, Pyrexia, Retching
Clinical narrative: 2 hours after vaccine -fever, chills muscle aches adn stiffness.  treated with ibuprofen  and cold pack.    Next day - difficulty swallowing, chewing and speaking, alot of mucus in throat, difficulty breathing .   Was lethargic, dehydrated. Used inhalers , benedryl, musinex, Still have chills and fever, and headaches.  and aches.   Difficulty eating and drinking.  Was gagging and dry heaves. Called neurologist and family doctor and suggested go to ER.  (did not go because of fear of getting covid)   Too fatigued and week to walk. No Balance.  Had electrical shocks up and down body.  Immobile.  Still experiencing immobility a week later
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthma, Chills, Dehydration, Dysphagia, Dyspnoea
Clinical narrative: 2 hours after vaccine -fever, chills muscle aches adn stiffness.  treated with ibuprofen  and cold pack.    Next day - difficulty swallowing, chewing and speaking, alot of mucus in throat, difficulty breathing .   Was lethargic, dehydrated. Used inhalers , benedryl, musinex, Still have chills and fever, and headaches.  and aches.   Difficulty eating and drinking.  Was gagging and dry heaves. Called neurologist and family doctor and suggested go to ER.  (did not go because of fear of getting covid)   Too fatigued and week to walk. No Balance.  Had electrical shocks up and down body.  Immobile.  Still experiencing immobility a week later
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electric shock sensation, Fatigue, Headache, Immobile, Increased upper airway secretion
Clinical narrative: 2 hours after vaccine -fever, chills muscle aches adn stiffness.  treated with ibuprofen  and cold pack.    Next day - difficulty swallowing, chewing and speaking, alot of mucus in throat, difficulty breathing .   Was lethargic, dehydrated. Used inhalers , benedryl, musinex, Still have chills and fever, and headaches.  and aches.   Difficulty eating and drinking.  Was gagging and dry heaves. Called neurologist and family doctor and suggested go to ER.  (did not go because of fear of getting covid)   Too fatigued and week to walk. No Balance.  Had electrical shocks up and down body.  Immobile.  Still experiencing immobility a week later
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lethargy, Mastication disorder, Musculoskeletal stiffness, Myalgia, Pyrexia
Clinical narrative: 2 hours after vaccine -fever, chills muscle aches adn stiffness.  treated with ibuprofen  and cold pack.    Next day - difficulty swallowing, chewing and speaking, alot of mucus in throat, difficulty breathing .   Was lethargic, dehydrated. Used inhalers , benedryl, musinex, Still have chills and fever, and headaches.  and aches.   Difficulty eating and drinking.  Was gagging and dry heaves. Called neurologist and family doctor and suggested go to ER.  (did not go because of fear of getting covid)   Too fatigued and week to walk. No Balance.  Had electrical shocks up and down body.  Immobile.  Still experiencing immobility a week later
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Speech disorder
Clinical narrative: 2 hours after vaccine -fever, chills muscle aches adn stiffness.  treated with ibuprofen  and cold pack.    Next day - difficulty swallowing, chewing and speaking, alot of mucus in throat, difficulty breathing .   Was lethargic, dehydrated. Used inhalers , benedryl, musinex, Still have chills and fever, and headaches.  and aches.   Difficulty eating and drinking.  Was gagging and dry heaves. Called neurologist and family doctor and suggested go to ER.  (did not go because of fear of getting covid)   Too fatigued and week to walk. No Balance.  Had electrical shocks up and down body.  Immobile.  Still experiencing immobility a week later
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Influenza, Malaise, Mobility decreased, Pyrexia
Clinical narrative: 3p received infection. 8:15 severe chills, vomiting until 2am. From 2am through the next day fever ( 100c) with it breaking through the night. Mild flu the next day with  general Malaise.  The chills were so intense that I was constricted for much of the time with little relieve. I would call them violent chills with a tetany kind of full body involvement.  Never have  I experienced chills like I have described. I?ve never had a reaction to vaccines and tend have a high tolerance. I did not contact my physician but spoke to colleagues who suggested  report the experience.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 3p received infection. 8:15 severe chills, vomiting until 2am. From 2am through the next day fever ( 100c) with it breaking through the night. Mild flu the next day with  general Malaise.  The chills were so intense that I was constricted for much of the time with little relieve. I would call them violent chills with a tetany kind of full body involvement.  Never have  I experienced chills like I have described. I?ve never had a reaction to vaccines and tend have a high tolerance. I did not contact my physician but spoke to colleagues who suggested  report the experience.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Nausea, vomiting and headache
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Death, Eye movement disorder, Feeling abnormal, Resuscitation
Clinical narrative: Information here obtained from daughter: on Thursday patient had an uneventful fistulagram with angioplasty.  Patient got vaccine at end of usual Friday am dialysis treatment.  He was observed for about 30" and no untoward event noted, vitals usual.   At home on Saturday morning, seemed not quite himself by wife as reported by daughter, from whom i got his information.  He gets up late as hemodialysis starts at 515 am.   No reported problems on Friday.   On Saturday morning, he seemed not himself but sat down and ate breakfast around 9 am.  On getting up from table he got suddenly weak, his head rolled back and his eyes rolled up.  911 called and he was given resuscitation efforts of unknown duration which were unsuccessful.  He was pronounced dead at 11 am and the mortuary was called.  No premortem labs, et al.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia oral, Pharyngeal paraesthesia, Swollen tongue, Throat tightness
Clinical narrative: 4 minutes after COVID vaccine: Tongue tingly then tongue and lips swelled up by 9 minutes. Did not progress til after 30 minute monitoring. On 10 minute ride home the roof of my mouth felt pressure then tingling in throat began. after arrived home throat felt like it was closing so I immediately took the Epi-Pen. Shortly after the Epi Pen the symptoms subsided.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Pain, Pyrexia
Clinical narrative: Chills,  Fever (between 101 - 102),  Severe Aches,  It took effort just to get up out of bed.  A very miserable day and a half.  It is a little over 2 days since the onset of symptoms and it seems pretty much over.   I  had  mild side effects after the first dose.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Head injury, Loss of consciousness, Presyncope, Skin abrasion, Tonic clonic movements
Clinical narrative: Client was in 30 minute observation room post receiving the Moderna COVID-19 vaccine. The observation staff, in the room reported the client stood and suddenly dropped to the floor losing consciousness  and experienced tonic- clonic type movements. The client hit his head on the carpeted floor when he fell and had an abrasion on the left side of his forehead. The impression was that a vasovagal event had occurred.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Electrocardiogram, Fall, Head injury, Syncope
Clinical narrative: Client was in 30 minute observation room post receiving the Moderna COVID-19 vaccine. The observation staff, in the room reported the client stood and suddenly dropped to the floor losing consciousness  and experienced tonic- clonic type movements. The client hit his head on the carpeted floor when he fell and had an abrasion on the left side of his forehead. The impression was that a vasovagal event had occurred.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Pallor
Clinical narrative: Notified by pharmacy technician that patient had 'passed out' in parking lot. Patient found lying on the ground, pale but awake. Patient had been instructed to wait in the store for 15 minutes after vaccination in case of any adverse reaction but, per police, decided to wait in the car instead. He then began to feel lightheaded and decided to come back into the clinic. He passed out on his way. Civilian notified policeman that patient was passed out and EMS was called. EMS arrived shortly after I went out to parking lot to check on the patient. Patient was alert and oriented for EMS, reported history of HTN. He continued to c/o feeling lightheaded and BP per EMS was 77/48mmHg. Patient taken by ambulance for further evaluation and treatment.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Electrocardiogram, Feeling abnormal, Nausea
Clinical narrative: 03/16/2021 @ 1340 received vaccine 03/16/2021@1346 reported feeling "funny", lightheaded and nauseous 03/16/2021@ 1354 vomiting multiple times and complaints of trouble breathing .  HR 140's, B/P 140/84, RR 26, O2 Sat 100% on room air.  Continuous monitoring in place (monitor O2 saturation, EKG leads in place for HR and Rhythm, B/P to cycle every 5 minutes) nurse and physician at bedside. @ 1403- medications given (decadron. benadryl, pepcid and zofran)  denies shortness of breath at this time but vomiting continues.   @ 14:15- Ativan IV Given.    @14:30 Pt sleeping, HR in the 80's, O2 saturation 100% on room air, blood pressure stable, pt easy to arouse, denies shortness of breath @15:00- patient vital signs stable.  Continue to monitor.  @16:00- patient remained stable.  Vital signs with in normal limits and pt denies any shortness of breath or feeling funny.   Discharged to home with husband.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 03/16/2021 @ 1340 received vaccine 03/16/2021@1346 reported feeling "funny", lightheaded and nauseous 03/16/2021@ 1354 vomiting multiple times and complaints of trouble breathing .  HR 140's, B/P 140/84, RR 26, O2 Sat 100% on room air.  Continuous monitoring in place (monitor O2 saturation, EKG leads in place for HR and Rhythm, B/P to cycle every 5 minutes) nurse and physician at bedside. @ 1403- medications given (decadron. benadryl, pepcid and zofran)  denies shortness of breath at this time but vomiting continues.   @ 14:15- Ativan IV Given.    @14:30 Pt sleeping, HR in the 80's, O2 saturation 100% on room air, blood pressure stable, pt easy to arouse, denies shortness of breath @15:00- patient vital signs stable.  Continue to monitor.  @16:00- patient remained stable.  Vital signs with in normal limits and pt denies any shortness of breath or feeling funny.   Discharged to home with husband.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Migraine
Clinical narrative: Bad headache/migraine 3rd day, generally feeling bad from 3rd thru 5th day
Age: 78.0
Sex: M
Vaccine: UNK
Symptoms: Tremor
Clinical narrative: Have tremors and shaking after 2nd dose
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Oral herpes
Clinical narrative: Patient reports getting a fever blister the day after receiving the vaccine. Patient states that this does not bother him and he did not seek medical attention.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Pruritus
Clinical narrative: It is making me itch all over but no hives, and it is messing with my asthma.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Night of 3/06/21    -headache    -severe chills    -high fever    -body aches    -fatigue Above symptoms disappeared on 3/09/21  3/09/21    -began tasting/smelling a very strange taste, almost like dog food, when eating most foods    -taste either completely masked over the normal taste of the food or mixed with it    -taste made it unbearable to eat certain foods that were my favorite foods before    -foods that are affected       -meats       -flour based foods(tortillas, pancakes, cookies, etc.)       -fried foods    -foods that aren't affected       -fruits       -sweets/sugars       -liquids(that I've tested such as tea, coffee, milk, water, flavored water, etc.)    -this taste severely limits the foods that I can eat and is still present as of 3/16/21
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Taste disorder
Clinical narrative: Night of 3/06/21    -headache    -severe chills    -high fever    -body aches    -fatigue Above symptoms disappeared on 3/09/21  3/09/21    -began tasting/smelling a very strange taste, almost like dog food, when eating most foods    -taste either completely masked over the normal taste of the food or mixed with it    -taste made it unbearable to eat certain foods that were my favorite foods before    -foods that are affected       -meats       -flour based foods(tortillas, pancakes, cookies, etc.)       -fried foods    -foods that aren't affected       -fruits       -sweets/sugars       -liquids(that I've tested such as tea, coffee, milk, water, flavored water, etc.)    -this taste severely limits the foods that I can eat and is still present as of 3/16/21
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: My Dad found he could not sleep that night until nearly 6 am. He tossed and turned but only slep a couple of hours. Mind racing, but no restless legs syndrome. The next day, he had no soreness at all, but he woke up constantly all night and couldn?t settle to sleep. That happened for the subsequent  5 nights after the vaccine, he just got short naps. On Tuesday the cardiologist said he could safely take melatonin ( he also tends to low bp) and he took 10mg tap(last 5 mg time released). He woke up frequently but was able to get back to sleep. He has been taking that tablet most nights and sleeping better.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Communication disorder, Palpitations, Pyrexia
Clinical narrative: Low grade fever Weakness Difficulty talking Heart palpitations
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Headache, Hyperhidrosis
Clinical narrative: Beginning the evening of the vaccine pt spiked a fever, experienced migraine-like symptoms and excessive joint pain in the hips. That evening sleep was irregular with waves of chills and excessive sweating.  The following day a headache continued until about 12pm and then the body seemed to go back to normal.  Two days after the initial vaccine there has remained consistent muscle weakness in OS (left) knee and numbness in OS leg from the knee down. There is also infrequent dizziness. Both symptoms are becoming more regular.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Muscular weakness, Pyrexia, Sleep disorder
Clinical narrative: Beginning the evening of the vaccine pt spiked a fever, experienced migraine-like symptoms and excessive joint pain in the hips. That evening sleep was irregular with waves of chills and excessive sweating.  The following day a headache continued until about 12pm and then the body seemed to go back to normal.  Two days after the initial vaccine there has remained consistent muscle weakness in OS (left) knee and numbness in OS leg from the knee down. There is also infrequent dizziness. Both symptoms are becoming more regular.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site mass, Injection site rash, Pain in extremity
Clinical narrative: Painful arm, red rash and lump at injection site. Very tired.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, C-reactive protein, Laboratory test, Neck pain, Pain in extremity
Clinical narrative: I woke up the next morning with pain on the balls of my feet and the pads of my hands.  I thought nothing of it and got my 2nd shot,on 2/5/2021,but the pain increased every day and I finally called my rheumatologist, who ordered CRP and sed rate.  The lab tests were elevated and he told me to increase the prednisone to 10 mg, which did very little.  The pain now was also in my shoulders and neck.  I eventually went to 20 mg of prednisone, but that still does not relieve all the pain.  I use excedrin during the night to help tide me over.  I will be seeing my rheumatologist in April for follow up, but the pain is worse than it was when it started.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate
Clinical narrative: I woke up the next morning with pain on the balls of my feet and the pads of my hands.  I thought nothing of it and got my 2nd shot,on 2/5/2021,but the pain increased every day and I finally called my rheumatologist, who ordered CRP and sed rate.  The lab tests were elevated and he told me to increase the prednisone to 10 mg, which did very little.  The pain now was also in my shoulders and neck.  I eventually went to 20 mg of prednisone, but that still does not relieve all the pain.  I use excedrin during the night to help tide me over.  I will be seeing my rheumatologist in April for follow up, but the pain is worse than it was when it started.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Apnoea, Cyanosis, Dizziness, Dyspnoea, Emotional distress
Clinical narrative: Patient felt faint nearly immediately after but said she wasn't having problems breathing.   She was told to breath deeply and she quickly started feeling "a little better" so she was helped to a chair with arm rests in the room.  She said she had an orange in her bag, so she started eating her orange.  Just a minute later she said she was going to pass out, so the pharmacist caught her.  He held her up in the chair and tried to revive her for a few moments but noticed that the blood was draining from her face and her lips were turning blue so yelled for one of his technicians to call 911 and the other to grab an epi pen.  He then lowered her to the floor in case he needed to begin to resuscitate while the technician brought him the epipen.  While lowering her she urinated on herself.  As the pharmacist went to check her vitals before administering the epipen and beginning cpr if necessary the patient suddenly gasped once and her eyes opened widely, but not continue to breath.  Upon inspection in her mouth there was a piece of orange near the bottom of the throat.  The pharmacist asked if she was choking and she did not response at all, but did not start visibly breathing either.  So the pharmacist swiped the piece of orange out quickly, in case it was either previously lodged or patient would have to be resuscitated.  She did not seem to enjoy this and this seemed to wake her up and she quietly gasped not choking.  She started to quickly improve and admitted that she was feeling better, and had passed out before after getting blood drawn but never after a shot so didn't mention this.  While this was happening a police office was going through the drive through so the technician called him in for assistance and he arrived around this time.  He asked her a few questions like "what's her name, who's president, how many quarters are in a dollar" which she was able to answer.  She said she was mostly embarrassed and was feeling much better.  She sat up in the chair again about the time the emts came in.  The checked her out, but she didn't want to go to the Emergency Room.  She was driven home by her father.  I called her later around 6 pm that night and she said she was feeling totally fine and I advised her to please call her PCP and discuss this incident with him or her.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Pallor, Urinary incontinence
Clinical narrative: Patient felt faint nearly immediately after but said she wasn't having problems breathing.   She was told to breath deeply and she quickly started feeling "a little better" so she was helped to a chair with arm rests in the room.  She said she had an orange in her bag, so she started eating her orange.  Just a minute later she said she was going to pass out, so the pharmacist caught her.  He held her up in the chair and tried to revive her for a few moments but noticed that the blood was draining from her face and her lips were turning blue so yelled for one of his technicians to call 911 and the other to grab an epi pen.  He then lowered her to the floor in case he needed to begin to resuscitate while the technician brought him the epipen.  While lowering her she urinated on herself.  As the pharmacist went to check her vitals before administering the epipen and beginning cpr if necessary the patient suddenly gasped once and her eyes opened widely, but not continue to breath.  Upon inspection in her mouth there was a piece of orange near the bottom of the throat.  The pharmacist asked if she was choking and she did not response at all, but did not start visibly breathing either.  So the pharmacist swiped the piece of orange out quickly, in case it was either previously lodged or patient would have to be resuscitated.  She did not seem to enjoy this and this seemed to wake her up and she quietly gasped not choking.  She started to quickly improve and admitted that she was feeling better, and had passed out before after getting blood drawn but never after a shot so didn't mention this.  While this was happening a police office was going through the drive through so the technician called him in for assistance and he arrived around this time.  He asked her a few questions like "what's her name, who's president, how many quarters are in a dollar" which she was able to answer.  She said she was mostly embarrassed and was feeling much better.  She sat up in the chair again about the time the emts came in.  The checked her out, but she didn't want to go to the Emergency Room.  She was driven home by her father.  I called her later around 6 pm that night and she said she was feeling totally fine and I advised her to please call her PCP and discuss this incident with him or her.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Resident on palliative/comfort care services since readmission to facility on 2/9/2021. Received first dose of Moderna COVID-19 vaccine on 1/7/2021. Received second dose of Moderna COVID-19 vaccine on 3/8/21. G-tube feeding discontinued on 2/14/21. Resident expired 3/10/2021.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Tremor
Clinical narrative: light headedness, dizzy, shaking
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling hot, Headache, Injection site bruising
Clinical narrative: Vaccinated at 3 pm on 3/14/21. At 12:30 am (3/15, 9 hours post) woke with chills. At 2:30 am, woke again overheated and with a bad headache. Could not sleep well. Some muscle aches in my upper legs. Checked temp at 6 am. No fever. Hot/chills resolved. Tired all day 3/15. Headache and muscle aches resolved by noon 3/15. Fatigue resolved when awoke on 3/16/21. Bruising and soreness at injection site. Still present.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Sleep disorder
Clinical narrative: Vaccinated at 3 pm on 3/14/21. At 12:30 am (3/15, 9 hours post) woke with chills. At 2:30 am, woke again overheated and with a bad headache. Could not sleep well. Some muscle aches in my upper legs. Checked temp at 6 am. No fever. Hot/chills resolved. Tired all day 3/15. Headache and muscle aches resolved by noon 3/15. Fatigue resolved when awoke on 3/16/21. Bruising and soreness at injection site. Still present.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site erythema, Injection site pain, Injection site swelling, Paraesthesia
Clinical narrative: All information per patient on phone: 24-48 hours out from vaccine, arm very red/swollen sore at injection site-patient "called Emergency Dept and was told to alternate icing and heating to help" 5-7 (3/6/21) days out swelling/redness and pain was migrating to elbow-patient went to walkin and was given naproxen 500mg and oxycodone/apap for pain. 8-12 (3/8/21-3/11/21) days out patient called primary care physician and was given ibuprofen and gabapentin to help pain and was instructed to discontinue naproxen and oxy/apap. On 3/15 patient contacted orthopedic and provider gave patient methylprednisolone dose pack. Patient stated the pain had started causing numbness and tingling in entire right arm and hand/fingers. Today 3/16 is second day on steroid, patient said she is starting to have less pain in right arm.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea
Clinical narrative: Headache, nausea, fatigue
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chest discomfort, Headache, Influenza like illness, Injection site erythema
Clinical narrative: 3/11 Day 1-immediate and severe headache, 3/12-13 Day 2-3 body aches, flu like symptoms, headache,  tight chest, upset stomach 3/15-16 Day 5/6-severe headache, upset stomach, tight chest AND NOW on DAY 6 the injection site is red, warm to the touch, swollen and itchy-like an allergic reaction.  I have small hives/itches on other parts of my body.  Generally don't feel well
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Pain, Pruritus, Urticaria
Clinical narrative: 3/11 Day 1-immediate and severe headache, 3/12-13 Day 2-3 body aches, flu like symptoms, headache,  tight chest, upset stomach 3/15-16 Day 5/6-severe headache, upset stomach, tight chest AND NOW on DAY 6 the injection site is red, warm to the touch, swollen and itchy-like an allergic reaction.  I have small hives/itches on other parts of my body.  Generally don't feel well
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Headache, Heart rate irregular, Hypertension, Injection site pruritus
Clinical narrative: The day after the vaccination, I woke up with atypically cold and discolored red violet hands to wrists, lasting about six days. Irregular heart rhythm and breathing especially during sleep. Intense headaches for roughly 8 days, high blood pressure. Roughly days 4,5,6, being the worst for the headaches, blood pressure and rhythm.  Also, day 8 and 9 after the vaccination, sudden red spot on left arm, site of injection appeared, being itchy. Diminished day 10.   Day five and six  I was very concerned with out of synch breathing, headaches and high blood pressure.  Hands still flashes of being cold, and less severe headaches.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Irregular breathing, Peripheral coldness
Clinical narrative: The day after the vaccination, I woke up with atypically cold and discolored red violet hands to wrists, lasting about six days. Irregular heart rhythm and breathing especially during sleep. Intense headaches for roughly 8 days, high blood pressure. Roughly days 4,5,6, being the worst for the headaches, blood pressure and rhythm.  Also, day 8 and 9 after the vaccination, sudden red spot on left arm, site of injection appeared, being itchy. Diminished day 10.   Day five and six  I was very concerned with out of synch breathing, headaches and high blood pressure.  Hands still flashes of being cold, and less severe headaches.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Pain, Pyrexia
Clinical narrative: High fevers 102.5 and 101 Severe headaches Aches Pains RED face
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Injury, Muscular weakness, Neuralgia
Clinical narrative: Muscle weakness and easy injury, extreme nerve pain in upper body, especially around the spinal cord. Extreme fatigue, fog.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: 1st Pfizer vaccine on Wed 3/3 morning.  Saturday morning started noticing ache in right lower leg that did not feel neurological. It was more achy when putting my weight on it.  It continued on Sunday and finally stopped on Monday.  I was unable to make an appointment with my GP until 3/29 and I have an appointment with my gynecologist 3/25.  My 2nd dose is scheduled for 3/24 10:30 and I would prefer to postpone the 2nd dose until I meet with my 2 doctors if possible. I was concerned it might be related to the hormones so I stopped the Estriol 3/6/21 and my leg was back to normal on 3/8/21.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Reaction to preservatives, Seizure, Syncope
Clinical narrative: Pt had a reaction to vaccine.  Specifically, she fainted and had seizure.  It happened within seconds after the immunization delivery.  Pt had upper body seizure waist up in the chair.  This lasted about 30 seconds at a time.  This occurred roughly 3 or 4 times.  Emergency services were called.  EMTs responded to scene.  Pt was well enough not to go to the hospital.  Eventually, left with boyfriend feeling better.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature, Chills, Headache, Nausea, Nervousness
Clinical narrative: Chills, shakes, headache, nauseous and full body aches for 6 hrs. Temperature for 3 days started at 102 for 4 hrs.  Then down to 101 - 100 next 24-36 hrs.  Next 24 hrs temp. was 99.  - 100.  Chills, shakes and nauseous came back again 72 hrs later and lasted about 4 hrs.   Headache and nauseous lasted a large part of 3 days.  Took Tylenol when symptoms first started and stopped after 3 days when symptoms completely stopped.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Chills, shakes, headache, nauseous and full body aches for 6 hrs. Temperature for 3 days started at 102 for 4 hrs.  Then down to 101 - 100 next 24-36 hrs.  Next 24 hrs temp. was 99.  - 100.  Chills, shakes and nauseous came back again 72 hrs later and lasted about 4 hrs.   Headache and nauseous lasted a large part of 3 days.  Took Tylenol when symptoms first started and stopped after 3 days when symptoms completely stopped.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Blood cholesterol, Body temperature, Chills, Feeling cold
Clinical narrative: Chills, shakes, headache, nauseous and full body aches for 6 hrs. Temperature for 3 days started at 102 for 4 hrs.  Then down to 101 - 100 next 24-36 hrs.  Next 24 hrs temp. was 99.  - 100.  Chills, shakes and nauseous came back again 72 hrs later and lasted about 4 hrs.   Headache and nauseous lasted a large part of 3 days.  Took Tylenol when symptoms first started and stopped after 3 days when symptoms completely stopped.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Nausea, Pain, Pyrexia, Tremor
Clinical narrative: Chills, shakes, headache, nauseous and full body aches for 6 hrs. Temperature for 3 days started at 102 for 4 hrs.  Then down to 101 - 100 next 24-36 hrs.  Next 24 hrs temp. was 99.  - 100.  Chills, shakes and nauseous came back again 72 hrs later and lasted about 4 hrs.   Headache and nauseous lasted a large part of 3 days.  Took Tylenol when symptoms first started and stopped after 3 days when symptoms completely stopped.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Injection site cellulitis, Injection site reaction, Peripheral swelling
Clinical narrative: I am being treated for cellulitis in my right upper arm with Keflex.  Symptoms were first noticed a week after the vaccine was given.  Symptoms included red, swollen upper right arm, hot to the touch, hard and tender knot about 4 inches in diameter.  After 2 days of the antibiotic and steroid cream, the symptoms  decreased.  I went to urgent care because it was after hours and on a Sunday.  I attempted to treat by putting ice on my arm through out the day, but the symptoms worsened during the day.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: I am being treated for cellulitis in my right upper arm with Keflex.  Symptoms were first noticed a week after the vaccine was given.  Symptoms included red, swollen upper right arm, hot to the touch, hard and tender knot about 4 inches in diameter.  After 2 days of the antibiotic and steroid cream, the symptoms  decreased.  I went to urgent care because it was after hours and on a Sunday.  I attempted to treat by putting ice on my arm through out the day, but the symptoms worsened during the day.
Age: 74.0
Sex: M
Vaccine: UNK
Symptoms: Bell's palsy
Clinical narrative: Pt within two weeks of vaccine had and episode of Bell's Palsy affecting left face. Pt has had s/s of Bell's Palsy for three weeks now.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: 1 week after injection, a 1.5-inch raised, red bump has appeared at the injection site. Bump is slightly sore to the touch and itches. Applying Benadryl cream to area. No other side effects noted.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID-19 on Saturday, 3/13/21.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Syncope, Tinnitus
Clinical narrative: pt looked a bit disoriented after administration and then fainted.  after asking if okay a couple times, she came to, and said she was okay.   We had her lie down on the floor and she said that made her feel better.  She said she had a buzzing sound in her ears and that decreased with time.  She said that is a normal symptom of when she is having a panic attack.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: While administering the vaccine, the vaccinator pushed the plunger before entering the arm muscle thus losing most of the dose and it not being administered. When it was determined that <1/2 of the dose was given, the plan was to revaccinate in the opposite arm. However, the patient refused to be re-dosed at the time of the event.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Angiogram, Aspartate aminotransferase normal, Atypical pneumonia
Clinical narrative: HOSPITALIST HISTORY AND PHYSICAL  DATE OF ADMISSION: 3/15/2021   DATE OF H&P:  3/16/2021   PATIENT DEMOGRAPHIC: 71 year-old female  MODE OF ARRIVAL: EMS. _____________________________________________________________  CHIEF COMPLAINT: Dyspnea and mild cough.  HISTORY OF PRESENT ILLNESS: 71 year-old T2 diabetic female who presented to the ED late yesterday for evaluation of increasing shortness of breath. Also, reports she's had a nonproductive cough for several days. Yesterday, her breathing just sufficiently severe that she could not walk through the house without stopping to catch her breath. No chest pain. She ultimately decided to summon EMS. They reported that her initial SaO2 values to be in the low to mid 80% range. She was placed on 2 L/min of supplemental oxygen and given a SABA updraft in route.  When she arrived at the ED, her SaO2 registered 92%. She denies any prior history of asthma or COPD.  No ischemic or valvular heart disease. No history of CHF. No orthopnea. No pedal edema. No high fever. Of note, she completed her second COVID19 vaccination approximately 10 days prior to onset of her chief symptoms as described. In the ED, her chest x-ray was felt to show no evidence of acute cardiopulmonary disease. Her d-dimer was normal. However, a CTA of the chest revealed extensive centrilobular ground-glass nodularity throughout the lungs. No pulmonary embolus or signs of right heart strain. Patient admitted with atypical pneumonia/pneumonitis and associated dyspnea, cough and hypoxemia.  ASSESSMENT: 71-year-old T2 diabetic with hypertension presents with increasing shortness of breath and nonproductive cough, onset approximately 10 days post second COVID-19 vaccination. CTA of chest reveals an atypical pattern of extensive centrilobular ground glass nodularity. Clinically she has associated mild bronchospasm and hypoxemia.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal
Clinical narrative: HOSPITALIST HISTORY AND PHYSICAL  DATE OF ADMISSION: 3/15/2021   DATE OF H&P:  3/16/2021   PATIENT DEMOGRAPHIC: 71 year-old female  MODE OF ARRIVAL: EMS. _____________________________________________________________  CHIEF COMPLAINT: Dyspnea and mild cough.  HISTORY OF PRESENT ILLNESS: 71 year-old T2 diabetic female who presented to the ED late yesterday for evaluation of increasing shortness of breath. Also, reports she's had a nonproductive cough for several days. Yesterday, her breathing just sufficiently severe that she could not walk through the house without stopping to catch her breath. No chest pain. She ultimately decided to summon EMS. They reported that her initial SaO2 values to be in the low to mid 80% range. She was placed on 2 L/min of supplemental oxygen and given a SABA updraft in route.  When she arrived at the ED, her SaO2 registered 92%. She denies any prior history of asthma or COPD.  No ischemic or valvular heart disease. No history of CHF. No orthopnea. No pedal edema. No high fever. Of note, she completed her second COVID19 vaccination approximately 10 days prior to onset of her chief symptoms as described. In the ED, her chest x-ray was felt to show no evidence of acute cardiopulmonary disease. Her d-dimer was normal. However, a CTA of the chest revealed extensive centrilobular ground-glass nodularity throughout the lungs. No pulmonary embolus or signs of right heart strain. Patient admitted with atypical pneumonia/pneumonitis and associated dyspnea, cough and hypoxemia.  ASSESSMENT: 71-year-old T2 diabetic with hypertension presents with increasing shortness of breath and nonproductive cough, onset approximately 10 days post second COVID-19 vaccination. CTA of chest reveals an atypical pattern of extensive centrilobular ground glass nodularity. Clinically she has associated mild bronchospasm and hypoxemia.