chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immediate post-injection reaction, Irritability, Pruritus, Swelling, Urticaria
Clinical narrative: Nearly immediate hives, progrss rapidly to coughing and difficulty breathing. Was given oxygen and Epi, symptoms went away after that.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis
Clinical narrative: 4/1/2021 Patient was observed post Covid-19 immunization for 15 minutes .  During the observation period, he experienced an adverse reaction with the following symptoms:  Diaphoresis.   Assessment : Time of assessment 0920. BP_ 101/45, P- 45. SPO2- 100%, Juice and cookies given, Recheck- BP- 106/58, P- 100, SPO2- 100% Actions taken:  Vitals sign taken  VAERS form completed       Medications administered: No medication administered.   Disposition: Reports no further symptoms of adverse reaction after observation for 30 minutes. Discharged home. The Patient was provided with Vaccine Information Sheet and instruction to access the V-Safe system.      Immunizations Administered    Name Date Dose VIS Date Route   Pfizer COVID-19 Vaccine 4/1/2021  9:06 AM 0.3 mL 12/11/2020 Intramuscular   Manufacturer: Pfizer, Inc   Lot: EP7533
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Musculoskeletal discomfort, Peripheral swelling
Clinical narrative: Itchy rash on most of body, concentrated on feet, lower back, and back of legs. Includes swelling of feet and at lower, center, of back, just above and covering tailbone.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Itchy rash on most of body, concentrated on feet, lower back, and back of legs. Includes swelling of feet and at lower, center, of back, just above and covering tailbone.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Peripheral swelling, Rash papular, Rash pruritic, Rash vesicular, Swelling
Clinical narrative: Itchy rash on most of body, concentrated on feet, lower back, and back of legs. Includes swelling of feet and at lower, center, of back, just above and covering tailbone.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site pain, Muscle spasms, Musculoskeletal stiffness
Clinical narrative: I experienced muscle soreness at the injection site (upper-left arm) around 9P followed by cramping of my left calf. I went to bed and work up at 2A with body aches, stiffness, and joint throughout my body. The next day I continued experiencing the cramp in my leg and body aches, stiffness, and joint pain throughout my body, and general fatigue. The symptoms were mostly gone after my second night's sleep. I am still feeling lingering (mild) soreness and fatigue today, 4/2/2021.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Sleep disorder
Clinical narrative: I experienced muscle soreness at the injection site (upper-left arm) around 9P followed by cramping of my left calf. I went to bed and work up at 2A with body aches, stiffness, and joint throughout my body. The next day I continued experiencing the cramp in my leg and body aches, stiffness, and joint pain throughout my body, and general fatigue. The symptoms were mostly gone after my second night's sleep. I am still feeling lingering (mild) soreness and fatigue today, 4/2/2021.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dry mouth, Oral discomfort, Paraesthesia oral, Pharyngeal paraesthesia
Clinical narrative: funny taste in mouth right after injection;  extreme dry mouth; burning in mouth, tongue and throat.  Tingling in tongue and throat.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder, Throat irritation, Tongue discomfort
Clinical narrative: funny taste in mouth right after injection;  extreme dry mouth; burning in mouth, tongue and throat.  Tingling in tongue and throat.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Oedema peripheral, Pyrexia
Clinical narrative: fever (over 101), chills, muscle aches, swelling in left armpit, headaches lasted about 2 days. swelling in armpit and headaches lasted another day
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity, Tinnitus
Clinical narrative: Developed severe and persistent tinnitus approximately one week after first injection. Did not have any tinnitus before vaccine. Tinnitus present in both ears but worse in left ear. No other side effects except for sore arm and fatigue.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypersensitivity, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Delayed onset hypersensitivity at injection site. Pain, swelling, itchy rash at injection site a week after first dose.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Night sweats
Clinical narrative: Tinnitus starting day 3-4 off and on, Continuous ear ringing after day 4/5 getting worse and going on for 3 days without sign of going away. Plus Sore arm, chills, fatigue, sore muscles, minor headache, night sweats decreasing over a week with chills, sore arm, etc. still after day 8.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Tinnitus
Clinical narrative: Tinnitus starting day 3-4 off and on, Continuous ear ringing after day 4/5 getting worse and going on for 3 days without sign of going away. Plus Sore arm, chills, fatigue, sore muscles, minor headache, night sweats decreasing over a week with chills, sore arm, etc. still after day 8.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Musculoskeletal discomfort, Pain, Pyrexia
Clinical narrative: Fever of 106.3, body aches, headache, joint discomfort
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Seizure
Clinical narrative: Witness seizure activity by the patient's wife and observation clinical (RN) staff. Per the patient's wife this type of seizure happens on a regular basis. The patient was seated at the time of the seizure and did not fall from the chair. The patient was transported to the ER for evaluation and post seizure activity monitoring.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Paraesthesia oral
Clinical narrative: Dizziness, 1:30 pm, lasted 12hrs. Headache, 1:30 pm, lasted 12hrs. Tingling tongue, 1:30 pm, ongoing. Tingling roof of mouth, 1:30 pm, ongoing. Tingling lips, 1:30 pm, ongoing.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus  I usually have slight ringing but has been much more prevalent since receiving the vaccine. Left ear only, left arm received vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Malaise
Clinical narrative: apx  6  hours after first shot had slight headache ...apx  12 hours after first dose shot had ongoing headache sporadic chills and fatigue Took tylenol and headache resolved chills and malaise was on and off and overall very mild  All side effects were gone within  48 hours
Age: 76.0
Sex: U
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: Had Covid-19 vaccine arm for 7 days.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Low  grade fever for about 4 hours.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives in palm of hands
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Fever, chills, muscle aches, headache
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia, Paraesthesia oral
Clinical narrative: Pt reported tingling, swelling in lips and tingling in arm 32min post vaccine.  Administered epi 0.3mg and 50mg IM Benadryl and called 911.  Pt transported to local ER awake, alert and breathing on his own.  Called ER 5 hours later.  Pt continued to be observed.  No more epi had been administered.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: Loss taste and smell 2 days post Covid injection.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Bone pain, Fatigue, Pain
Clinical narrative: Loss taste and smell 2 days post Covid injection.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: The night after the vaccine, Pt was very tired and achey and also had a strange taste in her mouth. By 4/1 She loss her sense of taste and still experiences pain in her bones throughout her body.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Bone pain, Fatigue, Pain
Clinical narrative: The night after the vaccine, Pt was very tired and achey and also had a strange taste in her mouth. By 4/1 She loss her sense of taste and still experiences pain in her bones throughout her body.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Rash
Clinical narrative: Left breast swollen not hurting just swollen and face and arm breakout with bumps
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Somnolence
Clinical narrative: Fever and muscle aches,  Sleeplessness related to previously stated; 800 mg ibuprofen, approximately 6 hours post beginning, symptoms appear to have passed after 12 hours.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hypoaesthesia, Injection site reaction, Injection site warmth, Peripheral swelling
Clinical narrative: 12-23-20  LEFT SIDE OF FAVE DECREASED SENSATION/NUMBNESS AND LEFT ARM. RESOLVED THE FOLLOWING DAY WITH NO DEFICITS 1-7-21 15 DAYS AFTER RECEIVING THE VACCINE LEFT ARM BECAME MORE RED, SWOLLEN, HOT AND ITCHY
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: 12-23-20  LEFT SIDE OF FAVE DECREASED SENSATION/NUMBNESS AND LEFT ARM. RESOLVED THE FOLLOWING DAY WITH NO DEFICITS 1-7-21 15 DAYS AFTER RECEIVING THE VACCINE LEFT ARM BECAME MORE RED, SWOLLEN, HOT AND ITCHY
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Myalgia, Pruritus
Clinical narrative: Fatigue Chills Muscle aches Dizziness Face itching
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Chills, fatigue, body aches, headache and nausea for approximately 8-10 hours starting the next morning
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Patient states she noticed a pain while throwing a rock in her shoulder, the same side as her 1st COVID vaccine, about a week before her 2nd dose. Reports she has full ROM without pain pain now and has not had pain since she threw the rock. She did not seek medical care and denies any other s/s.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Lymphadenopathy
Clinical narrative: Patient returns for second Moderna vaccination. Reports that she had severe lymphadenopathy and eye swelling about 7 days after her first shot which she sought out medical care. She was prescribed a steroid of some sort. She reports a few days later while picking up a child at work her shoulder was injured. She has sought out PT for shoulder injury.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Tinnitus, Vertigo
Clinical narrative: Vertigo, ear pulsing, tinnitis
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Slightly elevated pulse. Lasted 6 to 8 hours. Did not affect breathing.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Nausea
Clinical narrative: No symptoms for about 3 days, then 24 hours of nausea, severe headache, fatigue and muscle aches.  Symptoms lasted about 24 hours then I was fine.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pruritus, Injection site warmth, Pain in extremity
Clinical narrative: On the day of the vaccine my arm was sore, the action injection site was red my arm was sore for about 2 days or so. Later on that evening I felt tired, probably during the weekend I felt more tired than usual. My injection site stayed a little bit red, warm to the touch and about 2 weeks later when I reported to VSafe it got more red and itchy, warmer and actually even to this day the is a slight redness to the injection site.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site nodule, Injection site pain
Clinical narrative: 18-Mar-2021:  9:30 am:  mild headache and neck ache, injection site sore to the touch (no muscular soreness) 18-Mar-2021:  11:00 am:  severe chills lasting for about 4 hours 18-Mar-2021:  5pm:  general nausea which lasted until about 4am on 19-Mar-2021 19-Mar-2021:  6am Lethargy and exhaustion 20-Mar-2021: noon, lethargy, exhaustion and headache/neck ache gone 22-Mar-2021:  soreness at injection side reduced but a large marble-sized knot present 24-Mar-2021:  knot at injection size gone
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Nausea, Neck pain
Clinical narrative: 18-Mar-2021:  9:30 am:  mild headache and neck ache, injection site sore to the touch (no muscular soreness) 18-Mar-2021:  11:00 am:  severe chills lasting for about 4 hours 18-Mar-2021:  5pm:  general nausea which lasted until about 4am on 19-Mar-2021 19-Mar-2021:  6am Lethargy and exhaustion 20-Mar-2021: noon, lethargy, exhaustion and headache/neck ache gone 22-Mar-2021:  soreness at injection side reduced but a large marble-sized knot present 24-Mar-2021:  knot at injection size gone
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Nausea, Tachycardia, Taste disorder
Clinical narrative: Immunization 3/26/2021  COVID Vaccine Clinic Need for vaccination +1 more  Pt. who was seen at COVID Vaccine Clinic today for her first  dose of the COVID 19 vaccination.    She was given the Pfizer vaccination in the left deltoid muscle.   During her 15 originally but ended up for 30 due to how she was feeling waiting period after the injection, the patient began to experience lightheadedness and nausea with brief "funny taste in mouth".  She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality  and rapid progression of symptoms.     ALLERGY REVIEW OF SYSTEMS:  Patient denies chills, fever, malaise/fatigue, facial swelling, sore throat, frequent throat clearing, eyes watering, eyes itching, cough, chest tightness, shortness of breath, wheezing, rash, hives, itching of skin, vomiting, abdominal pain, muscle aches, joint pain, dizziness and headaches    + nausea:  + lightheaded:     Previous Reactions: none    Objective    Vitals Vitals:   03/26/21 1230 03/26/21 1330 BP: (!) 138/92 108/68 Pulse: 92   SpO2: 98%          Physical Exam Constitutional:      Appearance: She is not diaphoretic.     Comments: Flushed.   HENT:     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear.  Eyes:     Extraocular Movements: Extraocular movements intact.     Conjunctiva/sclera: Conjunctivae normal.     Pupils: Pupils are equal, round, and reactive to light.  Cardiovascular:     Rate and Rhythm: Regular rhythm. Tachycardia present.     Pulses: Normal pulses.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds. No wheezing.  Skin:    General: Skin is warm and dry.  Neurological:     General: No focal deficit present.     Mental Status: She is alert and oriented to person, place, and time.     Gait: Gait normal.  Psychiatric:        Mood and Affect: Mood is anxious.        Behavior: Behavior normal.        Thought Content: Thought content normal.        Judgment: Judgment normal.    Pt with int waves of nausea. Treated with pepcid and zofran x 1 with temporary relief.     1250 pt with emesis in bay, good amount   1252: pt given zofran and more ice packs.   1300: pepcid given again   1310: pt with emesis again.   Assessment/Plan  Treatment included: water and pepcid, zofran Follow up response to treatment Patient discharge: Transported to ED by ambulance.  Differential Diagnosis: Red flag symptoms (CP, SOB, NVD, Visual/Neuro concerns)   Pt unable to tolerate po fluids. Emesis frequency not changed. Discussed with patient about options, she wishes to be taken to ED via EMS  Husband and daughter will meet her there. ED manager updated.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Immunization 3/26/2021  COVID Vaccine Clinic Need for vaccination +1 more  Pt. who was seen at COVID Vaccine Clinic today for her first  dose of the COVID 19 vaccination.    She was given the Pfizer vaccination in the left deltoid muscle.   During her 15 originally but ended up for 30 due to how she was feeling waiting period after the injection, the patient began to experience lightheadedness and nausea with brief "funny taste in mouth".  She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, facial swelling, lip swelling and tongue swelling.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality  and rapid progression of symptoms.     ALLERGY REVIEW OF SYSTEMS:  Patient denies chills, fever, malaise/fatigue, facial swelling, sore throat, frequent throat clearing, eyes watering, eyes itching, cough, chest tightness, shortness of breath, wheezing, rash, hives, itching of skin, vomiting, abdominal pain, muscle aches, joint pain, dizziness and headaches    + nausea:  + lightheaded:     Previous Reactions: none    Objective    Vitals Vitals:   03/26/21 1230 03/26/21 1330 BP: (!) 138/92 108/68 Pulse: 92   SpO2: 98%          Physical Exam Constitutional:      Appearance: She is not diaphoretic.     Comments: Flushed.   HENT:     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear.  Eyes:     Extraocular Movements: Extraocular movements intact.     Conjunctiva/sclera: Conjunctivae normal.     Pupils: Pupils are equal, round, and reactive to light.  Cardiovascular:     Rate and Rhythm: Regular rhythm. Tachycardia present.     Pulses: Normal pulses.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds. No wheezing.  Skin:    General: Skin is warm and dry.  Neurological:     General: No focal deficit present.     Mental Status: She is alert and oriented to person, place, and time.     Gait: Gait normal.  Psychiatric:        Mood and Affect: Mood is anxious.        Behavior: Behavior normal.        Thought Content: Thought content normal.        Judgment: Judgment normal.    Pt with int waves of nausea. Treated with pepcid and zofran x 1 with temporary relief.     1250 pt with emesis in bay, good amount   1252: pt given zofran and more ice packs.   1300: pepcid given again   1310: pt with emesis again.   Assessment/Plan  Treatment included: water and pepcid, zofran Follow up response to treatment Patient discharge: Transported to ED by ambulance.  Differential Diagnosis: Red flag symptoms (CP, SOB, NVD, Visual/Neuro concerns)   Pt unable to tolerate po fluids. Emesis frequency not changed. Discussed with patient about options, she wishes to be taken to ED via EMS  Husband and daughter will meet her there. ED manager updated.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Electrocardiogram, Hypertension, Sinus bradycardia, Syncope
Clinical narrative: Within 15-minutes of vaccination, the patient had a syncopal event. EMS evaluated the patient on-site. The patient reported a history of syncope with the sight of needles and blood. EKG demonstrated sinus brady, rate 48 bpm, no ST elevation. The patient was hypertensive (155/88) and bradycardic. EMS administered 4mg Ondansetron PO. EMS transported the patient to Hospital Emergency Department. In the ED, the patient reported that they were currently asymptomatic after suffering a syncopal event following vaccination. The patient was normotensive (121/80). Given the patient's improvement in transit to the ED, the physician discharged the patient with a diagnosis of syncope.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: Within 15-minutes of vaccination, the patient had a syncopal event. EMS evaluated the patient on-site. The patient reported a history of syncope with the sight of needles and blood. EKG demonstrated sinus brady, rate 48 bpm, no ST elevation. The patient was hypertensive (155/88) and bradycardic. EMS administered 4mg Ondansetron PO. EMS transported the patient to Hospital Emergency Department. In the ED, the patient reported that they were currently asymptomatic after suffering a syncopal event following vaccination. The patient was normotensive (121/80). Given the patient's improvement in transit to the ED, the physician discharged the patient with a diagnosis of syncope.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: Diarrhea all day, body aches, fever of 100.4 degrees, couldn't maintain body temperature (was sweating one minute and freezing the next), overall grogginess, body pain
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: Diarrhea all day, body aches, fever of 100.4 degrees, couldn't maintain body temperature (was sweating one minute and freezing the next), overall grogginess, body pain
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Patient is complaining of warmth and swelling of arm starting at the injection site, with no pain.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cough
Clinical narrative: weak, cough
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Somnolence
Clinical narrative: chills, body aches, and sleepiness
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Erythema, Headache, Lacrimation increased, Muscle tightness
Clinical narrative: Patient presented at Altec for her first covid vaccine shot. Patient stated she has had a reaction to a previous immunization.  Patient was counseled about possible side effects and reactions and was counseled to stay in observation area for a minimum of 30 minutes. Vaccine given at 1008.  At 1019 patient appeared to be anxious and stated that she felt her heart was racing, eyes started watering and a tightness in her neck. C/O headache.   25mg PO Benadryl given.  Pulse 80 BPM.  Patient continued to appear anxious and redness noted on neck like hives.  911 called to evaluate patient.  Patient declined the need to go to the emergency room. Patient was reported by human resources at Altec that she was able to return to work and they have been keeping a close eye on her.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Urticaria
Clinical narrative: Patient presented at Altec for her first covid vaccine shot. Patient stated she has had a reaction to a previous immunization.  Patient was counseled about possible side effects and reactions and was counseled to stay in observation area for a minimum of 30 minutes. Vaccine given at 1008.  At 1019 patient appeared to be anxious and stated that she felt her heart was racing, eyes started watering and a tightness in her neck. C/O headache.   25mg PO Benadryl given.  Pulse 80 BPM.  Patient continued to appear anxious and redness noted on neck like hives.  911 called to evaluate patient.  Patient declined the need to go to the emergency room. Patient was reported by human resources at Altec that she was able to return to work and they have been keeping a close eye on her.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity
Clinical narrative: Sore arm starting a few hours after vaccination and lasting one day. Slight swelling around vaccination area. Chills starting about 6 hours after vaccination, and lasting about 3 hours. Fatigue during the evening and following morning after vaccination.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Itching and redness at vaccine site
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Headache, body aches,
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Peripheral swelling, Pyrexia, Rash
Clinical narrative: Chills and fever for two days. Nausea for 4 days. Red rash on arm which is swollen and hot.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Chills and fever for two days. Nausea for 4 days. Red rash on arm which is swollen and hot.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Illness, Pain, Pyrexia
Clinical narrative: Fever and general sickness felt on day after shot, chills in evening, worse fever at night.  Body aches especially in back and chest on the same night.  Second day after shot:  feeling better during day but fever and aches returned at night; aches in upper back, chest, and left hand.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness
Clinical narrative: 4/1/2021 Patient was observed post Covid-19 immunization for 30 minutes based on pre-vaccination screening .  During the observation period, she experienced an adverse reaction with the following symptoms:  dizziness.   Assessment : Time of assessment 0915. Alert and oriented and Anxious.Complains of feeling light headed.   Actions taken:  Vitals sign taken  VAERS form completed BP- 154/96, P- 61, SPO2- 98%, water and snack given     Medications administered: No medication administered.   Disposition: Reports no further symptoms of adverse reaction after observation for 30 minutes. Discharged home. The Patient was provided with Vaccine Information Sheet and instruction to access the V-Safe system.      Immunizations Administered    Name Date Dose VIS Date Route   Pfizer COVID-19 Vaccine 4/1/2021  9:28 AM 0.3 mL 12/11/2020 Intramuscular   Manufacturer: Pfizer, Inc
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Taste disorder
Clinical narrative: Very bad taste in mouth (happened within a minute) that is lasting.  Overwhelming tiredness within 5-10 minutes.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Anaphylaxis prophylaxis, Erythema, Hyperhidrosis, Tachycardia
Clinical narrative: Patient received dose at noon and was counselled to stay in waiting area for 15 minutes to monitor for symptoms. Shortly after, within 5 minutes) patient began feeling "it in her stomach" and it began rising up. Patient began turning red in face, sweating, felt as if her throat was closing,  tachycardic (upon pharmacist palpitation, but HR was coming down) and vision became spotty and blurry. Immediately gave patient first two liquid caps of benadryl and had epi-pen on hand while technicians called EMS.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness, Vision blurred, Visual impairment
Clinical narrative: Patient received dose at noon and was counselled to stay in waiting area for 15 minutes to monitor for symptoms. Shortly after, within 5 minutes) patient began feeling "it in her stomach" and it began rising up. Patient began turning red in face, sweating, felt as if her throat was closing,  tachycardic (upon pharmacist palpitation, but HR was coming down) and vision became spotty and blurry. Immediately gave patient first two liquid caps of benadryl and had epi-pen on hand while technicians called EMS.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, C-reactive protein increased, Chest X-ray, Chills, Condition aggravated
Clinical narrative: I had a residual cough when I had the vaccine. Up to a week after vaccine, I had low grade fever and chills; night sweating and coughing seemed to be getting worse and coughing getting more frequent and worse (when it had been dry and occasional). It was ongoing for a week. I called my Doctor during that time and she prescribed me medications including an antibiotic and cold medications for the cough. The medications helped symptoms after I'd been on them awhile . I no longer have the fever and I stopped the night sweating. Cough seems to be improved.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Neutrophil count increased, Night sweats, Pyrexia
Clinical narrative: I had a residual cough when I had the vaccine. Up to a week after vaccine, I had low grade fever and chills; night sweating and coughing seemed to be getting worse and coughing getting more frequent and worse (when it had been dry and occasional). It was ongoing for a week. I called my Doctor during that time and she prescribed me medications including an antibiotic and cold medications for the cough. The medications helped symptoms after I'd been on them awhile . I no longer have the fever and I stopped the night sweating. Cough seems to be improved.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dehydration, Diarrhoea, Fatigue, Headache
Clinical narrative: Headache, fatigue, slight fever, chills, sweats, diarrhea, dehydration
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pyrexia
Clinical narrative: Headache, fatigue, slight fever, chills, sweats, diarrhea, dehydration
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Injury, Road traffic accident, SARS-CoV-2 test positive
Clinical narrative: Patient admitted for motor vehicle accident injuries; was tested routinely for COVID on admission and tested positive on 03/28/2021.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Fall, Headache, Loss of consciousness, Syncope
Clinical narrative: I woke up this morning and was disoriented, had a headache, went to get glass of water and fell down, fainting, was unconscious for 1 minute.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Malaise, Syncope
Clinical narrative: AFTER 15 MINUTES; PATIENT BEGIN TO FEEL SICK.. SHE GOT UP AND LOST HER BALANCE AND FAINTED
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Myalgia
Clinical narrative: The day following my vaccine I had the expected side effects of achey muscles, headache, chills, and fatigue. The second day after, the chills had stopped by I still felt achey. In the afternoon my stomach began to hurt, it got significantly worse over night and persisted at that level for 12 hours. My stomach currently still hurts but not as much as it did over night. I have not been able to identify any action/medication to alleviate the pain.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Facial paralysis, Facial paresis, Hypoaesthesia, Speech disorder
Clinical narrative: About 20 hours after the injection, my right eye started twitching, and within 5 seconds, the bottom half of my face (from my cheekbones down) went numb, and my mouth drooped open on both sides. The muscles in my lips were not working, and I had a hard time speaking. I could force a smile if I tried really hard, but if I was relaxed, the corners of my mouth were low on my face, and my mouth hung open.  It lasted about 5 minutes and over a minute faded back to normal. I went to urgent care after speaking with a triage nurse.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Lethargy, Vertigo
Clinical narrative: Vertigo/dizziness/lethergy
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Chills, Condition aggravated, Decreased appetite
Clinical narrative: 6 hrs post 2nd vaccine, fever, chills, head ache came on, over next 6 hrs got progressively worse, some delirium, weakness, fatigue, balance issues, pressure  behind eyes, loss of appetite , very sore arm, lack of ability to process thoughts.  Today is day 9 with continued symptoms but not as severe as yesterday.     Note: After first vaccine, had worst flu symptoms ever experiences and the arm stayed sore a full week.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Delirium, Fatigue, Headache, Ocular discomfort, Pain in extremity
Clinical narrative: 6 hrs post 2nd vaccine, fever, chills, head ache came on, over next 6 hrs got progressively worse, some delirium, weakness, fatigue, balance issues, pressure  behind eyes, loss of appetite , very sore arm, lack of ability to process thoughts.  Today is day 9 with continued symptoms but not as severe as yesterday.     Note: After first vaccine, had worst flu symptoms ever experiences and the arm stayed sore a full week.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Thinking abnormal
Clinical narrative: 6 hrs post 2nd vaccine, fever, chills, head ache came on, over next 6 hrs got progressively worse, some delirium, weakness, fatigue, balance issues, pressure  behind eyes, loss of appetite , very sore arm, lack of ability to process thoughts.  Today is day 9 with continued symptoms but not as severe as yesterday.     Note: After first vaccine, had worst flu symptoms ever experiences and the arm stayed sore a full week.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Paraesthesia
Clinical narrative: patient complained of feeling flushed, light headedness, tingling in her right arm
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bradycardia, Chest X-ray normal, Dizziness, Electrocardiogram
Clinical narrative: Within 15-minutes of vaccination, the patient reported feeling near-syncopal. EMS evaluated the patient on-site. The patient was hypotensive (93/63) and bradycardic (56bpm) with a FSBG of 91mg/dl. EKG demonstrated sinus brady, rate 50bpm, no ST elevation. EMS administered 4mg Ondansetron PO. EMS transported the patient to Hospital Emergency Department. In the ED, the patient reported they felt weak, dizzy, and briefly lost consciousness. The patient was not in any acute distress, but was hypertensive (141/78). The patient left AMA without a diagnosis after "waiting too long" and was informed of the risks of leaving the ED prior to complete evaluation.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Hypertension, Hypotension, Loss of consciousness, Metabolic function test
Clinical narrative: Within 15-minutes of vaccination, the patient reported feeling near-syncopal. EMS evaluated the patient on-site. The patient was hypotensive (93/63) and bradycardic (56bpm) with a FSBG of 91mg/dl. EKG demonstrated sinus brady, rate 50bpm, no ST elevation. EMS administered 4mg Ondansetron PO. EMS transported the patient to Hospital Emergency Department. In the ED, the patient reported they felt weak, dizzy, and briefly lost consciousness. The patient was not in any acute distress, but was hypertensive (141/78). The patient left AMA without a diagnosis after "waiting too long" and was informed of the risks of leaving the ED prior to complete evaluation.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Sinus bradycardia
Clinical narrative: Within 15-minutes of vaccination, the patient reported feeling near-syncopal. EMS evaluated the patient on-site. The patient was hypotensive (93/63) and bradycardic (56bpm) with a FSBG of 91mg/dl. EKG demonstrated sinus brady, rate 50bpm, no ST elevation. EMS administered 4mg Ondansetron PO. EMS transported the patient to Hospital Emergency Department. In the ED, the patient reported they felt weak, dizzy, and briefly lost consciousness. The patient was not in any acute distress, but was hypertensive (141/78). The patient left AMA without a diagnosis after "waiting too long" and was informed of the risks of leaving the ED prior to complete evaluation.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Epistaxis, Eye pruritus, Headache, Immediate post-injection reaction
Clinical narrative: -About 3 minutes after receiving the shot mouth and throat felt itchy.  The itchiness lasted until the following day. -Later that day in the afternoon around 3pm I had heavy breakthrough bleeding like I got my period which lasted for several days.  I finished my birth control pill pack the following weekend and got my normal period.   - In the afternoon of the 7th day after the shot my mouth was itchy again.  Later that night my arm was sore, hot to the touch and had a rash.  The next day the rash had spread down my arm.  My throat, tongue and eyes were itchy.  I called my PCP and spoke to a friend is an a doctor.  I took Advil and Benadryl which helped.  The rash and itchiness persisted from Mon - Thurs.   - 15 days after the shot I got a bloody nose that lasted for about 45 minutes.  I have not had a bloody nose since I was a child so thought this was worth mentioning.   - Around the same time I had headaches in the back of my head that felt like burning.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Oral pruritus, Pain in extremity, Rash, Skin warm
Clinical narrative: -About 3 minutes after receiving the shot mouth and throat felt itchy.  The itchiness lasted until the following day. -Later that day in the afternoon around 3pm I had heavy breakthrough bleeding like I got my period which lasted for several days.  I finished my birth control pill pack the following weekend and got my normal period.   - In the afternoon of the 7th day after the shot my mouth was itchy again.  Later that night my arm was sore, hot to the touch and had a rash.  The next day the rash had spread down my arm.  My throat, tongue and eyes were itchy.  I called my PCP and spoke to a friend is an a doctor.  I took Advil and Benadryl which helped.  The rash and itchiness persisted from Mon - Thurs.   - 15 days after the shot I got a bloody nose that lasted for about 45 minutes.  I have not had a bloody nose since I was a child so thought this was worth mentioning.   - Around the same time I had headaches in the back of my head that felt like burning.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Tongue pruritus
Clinical narrative: -About 3 minutes after receiving the shot mouth and throat felt itchy.  The itchiness lasted until the following day. -Later that day in the afternoon around 3pm I had heavy breakthrough bleeding like I got my period which lasted for several days.  I finished my birth control pill pack the following weekend and got my normal period.   - In the afternoon of the 7th day after the shot my mouth was itchy again.  Later that night my arm was sore, hot to the touch and had a rash.  The next day the rash had spread down my arm.  My throat, tongue and eyes were itchy.  I called my PCP and spoke to a friend is an a doctor.  I took Advil and Benadryl which helped.  The rash and itchiness persisted from Mon - Thurs.   - 15 days after the shot I got a bloody nose that lasted for about 45 minutes.  I have not had a bloody nose since I was a child so thought this was worth mentioning.   - Around the same time I had headaches in the back of my head that felt like burning.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Fever of up to 102.5 for 2 days, chills, body aches, headache, weak Very swollen and red, itchy upper arm, hot to the touch. Lasted 10 days, redness still persists, as does itching.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Muscular weakness, Pain, Pyrexia
Clinical narrative: Fever of up to 102.5 for 2 days, chills, body aches, headache, weak Very swollen and red, itchy upper arm, hot to the touch. Lasted 10 days, redness still persists, as does itching.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Gaze palsy, Loss of consciousness
Clinical narrative: Pt was waiting required 15 minutes in a chair. After about 8 minutes from receiving vaccine- Pt began to pass out and lose conciousness. Pt could not speak and her eyes began to roll back in her head and her body began to convulse slightly. Administered Epipen to pt in left thigh and she responded immediately. She came to and within a few minutes was able to say her name and count backwards from 10. 911 had been called. paramedics assessed pt. They asked her if she wanted to go to ER and she said yes.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness, Vision blurred, Visual field tests normal
Clinical narrative: "Pt complained of blurry vision.  VS obtained.  BP 167/112; HR 76; O2 Sats 98% on RA; Temp 98.0; pt noted hx of hypertension, has not taken medication since 2019.  Visual field test.   On site MD notified, pt transferred to ER for further evaluation. ED summary: symtoms resolved and pt discharged home. Pt was primary nervous!  Upon arrival at ED, BP 141/103; HR 71; blurred vision persists "
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Myalgia, Peripheral swelling, Pruritus, Rash papular
Clinical narrative: One week and one day after my treatment, I experienced "Covid arm". My arm became very itchy and I started to scratch it. I felt a raised bump when I scratched it. I probably irritated it some when I scratched it, but now a good portion of my left shoulder is swollen and red (4 inches long and 2 inches wide). I didn't experience any pain day of, and my muscle was sore the day after, but I haven't felt anything since then.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Skin irritation
Clinical narrative: One week and one day after my treatment, I experienced "Covid arm". My arm became very itchy and I started to scratch it. I felt a raised bump when I scratched it. I probably irritated it some when I scratched it, but now a good portion of my left shoulder is swollen and red (4 inches long and 2 inches wide). I didn't experience any pain day of, and my muscle was sore the day after, but I haven't felt anything since then.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: Severe chills for ~2-3 hours
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Injection site rash, Joint range of motion decreased, Oropharyngeal pain, Peripheral swelling
Clinical narrative: This may be within the normal bounds but wanted to make sure that I reported this as continued research is ongoing with the Covid-19 vaccines.  I received the Pfizer vaccine 2nd dose on March 29 around 12:15 pm.  At the injection site I developed a light bumpy rash.  My upper arm also was swollen -- the best way to describe the feeling is as if someone stitched a small ball into my skin and took a bat to it.  Made it very difficult to work (typing), and lifting/using arm.  I also had a mild sore throat for 48 hours post vaccination.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Loss of consciousness, Pyrexia, Vomiting
Clinical narrative: Fever about 24 hours after shot and extreme fatigue.  About  37 hours after shot I woke up, was dizzy, tried to throw up then passed out.  I already had covid 4 months ago.
Age: 18.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: A fever and chills for 24 hours starting 6 hours after vaccination.  As well as head ache and body ache
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: I got a metal taste in my mouth and I don't know what to do about it.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Lethargy, Nausea, Vomiting
Clinical narrative: Chills  headache  lethargy nausea with emesis
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood lactic acid, Chest X-ray abnormal, Computerised tomogram head normal, Glomerular filtration rate decreased
Clinical narrative: 66-year-old woman with a past medical history of rheumatoid arthritis, fibromyalgia, hypertension, hyperlipidemia, GERD and recent COVID-19 vaccination who presented from home with vomiting and altered mental status.  Patient was reportedly in her usual state of health until receiving her second COVID-19 vaccination on 3/24/2021.  She reportedly developed the above symptoms and her son called 911.  She was brought to the ED for further evaluation and management.  In the ED, routine vital signs were obtained which revealed patient was febrile to 103.6, heart rate 80, respiratory 18, blood pressure 116/73, O2 saturation 91% on room air.  Routine labs were obtained which revealed a normal CMP with the exception of a GFR 47, creatinine of 1.2, lactic acid 1.8, white blood cell count 6.1, hemoglobin 12.2 and platelet count of 144.  Urinalysis was obtained and was suspicious for UTI.  Rapid influenza and COVID-19 antigen were both NEGATIVE.  Blood cultures were drawn in the ED.  Chest x-ray revealed a suspicion for infiltrate involving the right upper lung and right perihilar region.  CT of the head no acute findings.  Patient was felt to have signs and symptoms consistent with pneumonia, and received IV azithromycin and ceftriaxone. Follow up chest xray the following day showed resolution of the right upper lobe findings arguing against pneumonia. Antibiotics were stopped and the patient was discharged home after a 1 day stay.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin normal, Influenza virus test negative, Mental status changes, Metabolic function test, Platelet count decreased
Clinical narrative: 66-year-old woman with a past medical history of rheumatoid arthritis, fibromyalgia, hypertension, hyperlipidemia, GERD and recent COVID-19 vaccination who presented from home with vomiting and altered mental status.  Patient was reportedly in her usual state of health until receiving her second COVID-19 vaccination on 3/24/2021.  She reportedly developed the above symptoms and her son called 911.  She was brought to the ED for further evaluation and management.  In the ED, routine vital signs were obtained which revealed patient was febrile to 103.6, heart rate 80, respiratory 18, blood pressure 116/73, O2 saturation 91% on room air.  Routine labs were obtained which revealed a normal CMP with the exception of a GFR 47, creatinine of 1.2, lactic acid 1.8, white blood cell count 6.1, hemoglobin 12.2 and platelet count of 144.  Urinalysis was obtained and was suspicious for UTI.  Rapid influenza and COVID-19 antigen were both NEGATIVE.  Blood cultures were drawn in the ED.  Chest x-ray revealed a suspicion for infiltrate involving the right upper lung and right perihilar region.  CT of the head no acute findings.  Patient was felt to have signs and symptoms consistent with pneumonia, and received IV azithromycin and ceftriaxone. Follow up chest xray the following day showed resolution of the right upper lobe findings arguing against pneumonia. Antibiotics were stopped and the patient was discharged home after a 1 day stay.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Urine analysis abnormal, Vomiting, White blood cell count normal
Clinical narrative: 66-year-old woman with a past medical history of rheumatoid arthritis, fibromyalgia, hypertension, hyperlipidemia, GERD and recent COVID-19 vaccination who presented from home with vomiting and altered mental status.  Patient was reportedly in her usual state of health until receiving her second COVID-19 vaccination on 3/24/2021.  She reportedly developed the above symptoms and her son called 911.  She was brought to the ED for further evaluation and management.  In the ED, routine vital signs were obtained which revealed patient was febrile to 103.6, heart rate 80, respiratory 18, blood pressure 116/73, O2 saturation 91% on room air.  Routine labs were obtained which revealed a normal CMP with the exception of a GFR 47, creatinine of 1.2, lactic acid 1.8, white blood cell count 6.1, hemoglobin 12.2 and platelet count of 144.  Urinalysis was obtained and was suspicious for UTI.  Rapid influenza and COVID-19 antigen were both NEGATIVE.  Blood cultures were drawn in the ED.  Chest x-ray revealed a suspicion for infiltrate involving the right upper lung and right perihilar region.  CT of the head no acute findings.  Patient was felt to have signs and symptoms consistent with pneumonia, and received IV azithromycin and ceftriaxone. Follow up chest xray the following day showed resolution of the right upper lobe findings arguing against pneumonia. Antibiotics were stopped and the patient was discharged home after a 1 day stay.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Swelling and pain in the armpit Rec'd  warm compress or NSAIDS  Lymphadenopathy usually resolves within 10 days; see MD if persists or worsens