chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory, Extrasystoles, Fall
Clinical narrative: On March 5, 2021 I went to an emergency room because I fell and fractured my arm and I was in a Bigeminal Heart Rhythm. I followed up with my Cardiologist in which they did an echocardiagram and placed a holter monitor on me to monitor my heart rate and rhythm. They are currently trying to get this rhythm back to normal with medications. I have NEVER been in a rhythm like this until after I received the vaccine.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Upper limb fracture
Clinical narrative: On March 5, 2021 I went to an emergency room because I fell and fractured my arm and I was in a Bigeminal Heart Rhythm. I followed up with my Cardiologist in which they did an echocardiagram and placed a holter monitor on me to monitor my heart rate and rhythm. They are currently trying to get this rhythm back to normal with medications. I have NEVER been in a rhythm like this until after I received the vaccine.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, External ear pain, Facial paralysis, Hypoaesthesia oral
Clinical narrative: 04/20/21 at 17:30 hours I received the vaccine 04/21/21 at 13:00 hours I noticed I have no taste in my palate and my mouth is numb and there is pain behind my right ear 04/22/21 at 6:09 hours upon brushing my teeth I noticed I have facial paralysis. That same day I called where they administered the vaccine (Pharmacy) and they told me to go to the doctor. I went to the medical center
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Palpitations, Paraesthesia
Clinical narrative: patient felt palpitations and arm tingling, headache
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure measurement, Dry mouth, Heart rate, Vital signs measurement
Clinical narrative: post vaccine pt stated his heart started fluttering ,his hand and fingers started to tingle and mouth felt dry. Pt was given water and observed . After laying on the stretcher for a while patient stated he was feeling  better.  Patient was released at 0950 and escorted to south entrance . Vitals as follows:  0930 BP:135/84 HR 100 RR 20 SpO2 99 0935 BP 138/68 HR 80 RR 20 SpO2 99 0942 BP 116/71 HR 88 RR 18 SpO2 99
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Pain, Pyrexia
Clinical narrative: Fever, Local pain, heart rate increase Bayer ASA
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Feeling cold, Headache
Clinical narrative: Vaccine was given at 11am 4/10/2021.  That day I had a slight headache, occasional dizziness, and a sore arm.  Then on  Wednesday  4/21/2021 I woke up at 6am and couldn't function.  I felt so extremely tired that I could barely move, had  a pretty sever headache and chills.  Thursday 4/22/2021 was the same: chills (couldn't get warm), severe headache, and extreme fatigue.  Today, Friday the 23, I still have a slight headache, but the extreme fatigue and chills have gone away.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Mobility decreased, Pain in extremity
Clinical narrative: Vaccine was given at 11am 4/10/2021.  That day I had a slight headache, occasional dizziness, and a sore arm.  Then on  Wednesday  4/21/2021 I woke up at 6am and couldn't function.  I felt so extremely tired that I could barely move, had  a pretty sever headache and chills.  Thursday 4/22/2021 was the same: chills (couldn't get warm), severe headache, and extreme fatigue.  Today, Friday the 23, I still have a slight headache, but the extreme fatigue and chills have gone away.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Headache, Heart rate irregular, Hypoaesthesia
Clinical narrative: Headache, body aches, arm pain, chest pain, rapid heart rate, weakness of head and arms, numbness and tingling of bilateral upper and lower extremities. Patient denies having any shortness of breath or fevers. No noticeable rash or hives. Patient rates chest pain at 6/10. Patient stated onset of symptoms started two hours ago 04/23/2021 0830.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia
Clinical narrative: Headache, body aches, arm pain, chest pain, rapid heart rate, weakness of head and arms, numbness and tingling of bilateral upper and lower extremities. Patient denies having any shortness of breath or fevers. No noticeable rash or hives. Patient rates chest pain at 6/10. Patient stated onset of symptoms started two hours ago 04/23/2021 0830.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Modern a COVID-19 Vaccine EUA
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Oral mucosal blistering, Oropharyngeal blistering
Clinical narrative: Blisters in mouth and back of throat and severe muscles aches and pains.  Her doctor prescribed magic mouthwash for the blisters in her throat and mouth and she took OTC pain relievers for her aches and pains
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Influenza like illness, Pyrexia
Clinical narrative: Intense Flu-like symptoms for five days...low grade fever...one month later (beginning April 20) intense joint pain and soreness. Does not improve with 600 mg ibuprofen.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash macular
Clinical narrative: 10:55am- Patient with complaints of redness and blotching of face and neck areas with minimal itching .  Vitals, B/P 153/99, HR 69, R 20, O2 sat 97%.  Offered rest while observing.  Offered Gatorade and teddy grahams, and water, and all tolerated well. At 11:00am, patient stated she felt better, and vitals now, B/P 159/89, HR 68, R 20, O2 sat 98%. Benadryl not administered since patient is driving.  Redness had diminished slightly to face.  11:20am, Patient released, and advised to call her PCP if symptoms persist, and patient verbalized understanding of instructions.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Aggression, Dementia, Diagnostic procedure, Electroencephalogram, Hallucinations, mixed
Clinical narrative: Acute onset Dementia and Severe Audio and Visual Hallucinations followed by aggressive and combative behavior. This began on March 13th and has gotten progressively worse since that date
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Lumbar puncture, Magnetic resonance imaging
Clinical narrative: Acute onset Dementia and Severe Audio and Visual Hallucinations followed by aggressive and combative behavior. This began on March 13th and has gotten progressively worse since that date
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Oropharyngeal pain, Pharyngeal swelling
Clinical narrative: Shortly after vaccination patient developed throat pain, dysphagia, dizziness, felt throat was swollen. Evaluated by EMS BP 125.91; HR 68, RR 16; Oxygen saturation 99%. Received IM benadryl and IM Epi and transported to hospital
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pfizer administered to 15 y/o- out of age range for EUA.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash papular, Rash pruritic, Skin exfoliation
Clinical narrative: Pruritic generalized rash 3-4 days after vaccine, not at site of injection, but in clusters of papules/plaques on extremities, trunk and face with sloughing of skin.  No systemic symptoms.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pulmonary thrombosis
Clinical narrative: Shortness of breath, blood clot in lungs
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain
Clinical narrative: NO INITIAL REACTION FROM SHOT - FELT GOOD - NORMAL ACTIVITIES DURING THE DAY.  HOWEVER, THAT NIGHT IN BED,SURPRISELY EXTREME CHEST PAINS/TIGHTNESS IN RIB CAGE .. NOT "CRUSHING" SO DID NOT GO THE EMERGENCY ROOM .. BUT DEFINITE TIGHTNESS NEVER FELT BEFORE .. HOWEVER, I WAS CONFIDENT THAT IT WAS JUST A VACCINE REACTION SO I USED RELAXATION TECHNIQUES AND FELL ASLEEP .. NEXT DAY, PAIN NOT AS SEVERE AND WAS GONE BY AFTERNOON.  DID NOT REPORT AT THE  TIME B/C DID NOT KNOW WHERE TO REPORT.  WHEN THE NEWS REPORTS WERE ISSUED ABOUT THE 6 PEOPLE, I PHONED MY DOCTOR ON APRIL 13 AND REPORTED MY REACTION.. THEN, THE NEXT DAY, ON APRIL 14, I GOT  A TEXT MESSAGE TO REPORT.  AND HERE IS MY REPORT.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arteriospasm coronary, Catheterisation cardiac, Computerised tomogram, Myocardial infarction
Clinical narrative: I had a Coronary Artery Spasm which led to a Heart Attack. on 3/13/21 at 6:30 am at home. I was stabilized in the Ambulance with sublingual nitroglycerin. The Coronary artery was blocked. The Dr. did a Heart Catheterization which showed that the blockage had receded and no further procedure was performed. I spent 2 Days in Hospital having another heart spasm on 3/14/21 at 05:00 pm which was relieved by Nitroglycerin. I was released and experienced 8 more episodes over the next week. I have been prescribed Calcium channel blockers, blood thinner, and cholesterol drugs as treatment I have constant aching and 2 more episodes requiring Nitroglycerin last week.  I do not have high blood pressure   heart disease or coronary artery disease
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Nitrate compound therapy, Pain
Clinical narrative: I had a Coronary Artery Spasm which led to a Heart Attack. on 3/13/21 at 6:30 am at home. I was stabilized in the Ambulance with sublingual nitroglycerin. The Coronary artery was blocked. The Dr. did a Heart Catheterization which showed that the blockage had receded and no further procedure was performed. I spent 2 Days in Hospital having another heart spasm on 3/14/21 at 05:00 pm which was relieved by Nitroglycerin. I was released and experienced 8 more episodes over the next week. I have been prescribed Calcium channel blockers, blood thinner, and cholesterol drugs as treatment I have constant aching and 2 more episodes requiring Nitroglycerin last week.  I do not have high blood pressure   heart disease or coronary artery disease
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fall, Headache, Loss of consciousness, Pain
Clinical narrative: I wanted to inform you that I had a severe reaction to the second dose of Moderna that I received on Sat, Apr 17th. Throughout the night of the 17th I had the chills, headache, and bodyache. The next morning I blacked out, fell, and have a fractured shoulder. I am a petite woman, weighing 104 lbs. I do believe there is some correlation between that and the  side effects. I know of two other petite women who have had similar reactions. Luckily for them, they didnt break any bones. Please send this info back to Moderna ASAP.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Upper limb fracture
Clinical narrative: I wanted to inform you that I had a severe reaction to the second dose of Moderna that I received on Sat, Apr 17th. Throughout the night of the 17th I had the chills, headache, and bodyache. The next morning I blacked out, fell, and have a fractured shoulder. I am a petite woman, weighing 104 lbs. I do believe there is some correlation between that and the  side effects. I know of two other petite women who have had similar reactions. Luckily for them, they didnt break any bones. Please send this info back to Moderna ASAP.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Cyanosis, Injection site mass, Injection site reaction
Clinical narrative: pt says she has blue circle around the injection area that it is lumpy and has been there about 5 days.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and was subsequently hospitalized on 3/25/2021 for 7 days.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Fever, chills, coughing , tiredness and sore arm.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chromatopsia, Pallor, Paraesthesia, Unresponsive to stimuli
Clinical narrative: Patient received 1st dose Pfizer today approximately 11:20 am, requested to receive vaccine while standing. Patient reported feeling "tingling feeling in chest, arms, and face. I felt like I was seeing colors" immediately after vaccine was administered. As per MD, patient was unresponsive for 5 seconds, noted to be very pale. Assisted from standing to sitting position. Initial B/P 81/34, HR 56, O2 sat 100% on room air. After 5 seconds, when patient became more alert, given 1 bottle of water and 1 cup of orange juice. Emergency medical services (EMS) called. Re-checked vital signs approx. 11:30 am B/P 100/59, HR 67, O2 98%. Patient denied SOB, lightheadedness, dizziness, stated relief in tingling. EMS arrived to evaluate patient. Patient stated relief in all symptoms, patient refused to go to ER for further evaluation. Instructed patient to call 911 if any feeling of fainting, dizziness, lightheadedness, loss of consciousness, SOB, chest pain, rash should develop. Verbalized understanding, escorted by mother to home.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Influenza like illness, Myalgia
Clinical narrative: Flu like. Severe fatigue, joint and muscle pain
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, C-reactive protein increased, Fibrin D dimer normal, Pulmonary embolism, Serum ferritin increased
Clinical narrative: Massive Pulmonary embolus left main pulmonary artery
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Started period day after 1st shot and are about 2 weeks earlier than expected
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute coronary syndrome, Chest pain, Coronary artery dissection, Troponin increased
Clinical narrative: Acute Coronary Syndrome secondary to spontaneous coronary artery dissection This is the second patient in I week that presented to the hospital with chest pain and elevated troponin within 24 hrs of Pfizer vaccine
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arteriogram coronary abnormal, Blood creatine phosphokinase increased, Coronary artery dissection, Troponin increased
Clinical narrative: Acute Coronary Syndrome secondary to spontaneous coronary artery dissection This is the second patient in I week that presented to the hospital with chest pain and elevated troponin within 24 hrs of Pfizer vaccine
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed shingles, put on antivirus medication
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Rash
Clinical narrative: After one week of getting shot rash on right arm is back. Additionally I start to feel that my arm goes numb constantly. I can move it but I feel pins and needles.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Deep vein thrombosis, Dyspnoea, Swelling, Ultrasound Doppler abnormal
Clinical narrative: developed bilateral swelling and cough/subjective shortness of breath.  Found to have bilateral DVT with likely several PEs (not confirmed).  Patient started on SQ Lovenox.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state
Clinical narrative: Pt's wife states that pt became confused 6 hours post vaccination. Pt refuses to be seen in the ED, despite concerns for stroke or neurological deterioration
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Body temperature increased, Erythema, Skin induration
Clinical narrative: Large red mark (2"x5")  Hard to the touch Local hot temperature  (101.1F) Pain from shoulder to elbow
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Mass, Muscle spasms, Myalgia, Pain
Clinical narrative: Myalgia with spasm and knot in left tricep. Jolts of pain and cramping for several seconds.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Paraesthesia
Clinical narrative: Pain from head to toes and feels like her body is wrap in rubber band and a lot of tingling, sore throat. PCC f/u  s/w caller states she feels better. Before being vaccinated She has had" steroid shots and had some antibiotics" doesn't remember the name of the antibiotics and she was feeling restless before getting the vaccine.   She has had body myalgia but has resolved by now.   Adv: Restlessness unlikely to be related to the vaccine. Myalgia is common to occur within first 24 hours and usually resolves on its on. Call us back with any questions.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Appetite disorder, Chills, Diarrhoea, Headache, Nausea
Clinical narrative: nauseau still on 3rd week afte vaccine. Diarahea  week 2. chills the first week.  Also bad headaches. week 2. Lost 7 pounds feel like gagging when think about eating food or after.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Urine analysis normal, Weight decreased
Clinical narrative: nauseau still on 3rd week afte vaccine. Diarahea  week 2. chills the first week.  Also bad headaches. week 2. Lost 7 pounds feel like gagging when think about eating food or after.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Headache, Nausea, Pyrexia
Clinical narrative: Headache, nauseous , fever, diarrhea
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue
Clinical narrative: Fatigue started at noon on 04/22/21.  Chills and temperature reached 100.2 in the evening of 04/22/21.  Cold washcloth on forehead and pulse points on neck.  Normal temp morning of 04/23/21.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Dizziness
Clinical narrative: Dizziness, BS 255
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Throat irritation, Urticaria
Clinical narrative: Offsite vaccination clinic 04/22/2021. Patient reported anaphylaxis to Sulfa antibiotics. Consulted Dr. OK to give Moderna and have patient wait 30 min to be monitored. Patient received vaccine at 8:18am. At 8:29am, patient reported feeling ?hot?. At 8:31am vital signs obtained. BP 160/110, heart rate 110, O2 sat 99%. Splotchy hives noted to neck and face very red. Patient also states that throat felt scratchy and full. 911 called. Epi-pen administered in left thigh at 8:33am, by RN. Benadryl 50mg IM administered in right deltoid by RN. Vitals signs at 8:39am BP 162/118, heart rate 93, O2 Sat 99. Ambulance arrived at 8:41am. Patient taken to hospital via ambulance. Called patient at 1:20PM to see how she was doing. Patient had been discharged from hospital and was headed home. She says that she was given steroids and feeling better.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Symptoms started within a couple of hours - the radius of the rash on the injection site was a lot larger than the first vaccine. It was about 4 inches. Red and warm to the touch. No itching; no raised skin. Just a lot bigger than what I had after the first vaccine. It lasted three of four days and it went away.
Age: 70.0
Sex: F
Vaccine: UNK
Symptoms: No adverse event
Clinical narrative: None stated.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Muscle twitching
Clinical narrative: Eye twitching in left eye - never had one since birth, started on the day following the shot. Occurs a few times a day. Not impacting day to day life. Headache - lasted for 5 days.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site warmth
Clinical narrative: itching on vaccination site, hot,
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: At 0750 pt had 1st dose of covid vaccine moderna on Right Deltoid, at 0757 pt started to have seizure and witnesses by staff and mother lasted less than 30 seconds. Pt  Woke up and alert oriented x4. (11 activated. Pt BP 138/45, HR 69, RR 17, 97.  0805 Pt BP 108/59, HR 64, RR 16, O2 at 100 % at 2lpm via nasal canula . 0810 fire deparment arrived.  Pt and pt parents refused to go to ED 0820. Pt Bp 115/60, HR 66, RR 16, O2 at 100 % RA and NSR  On ekg done by fire department . Pt is alert oriented x4  Fully awake. .  Moderna lot # 001C21A Exp. 10/12/21. At 0830 pt went home assess by PA. Pt is asymptomatic.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever Tylenol Felt better after a day
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Cough, Ear pain, Injection site pain, Insomnia
Clinical narrative: Patient states she started running  a fever of 101-102  starting 4/21/21 with feelings of being achy and difficulty  sleeping. She can't cross her legs, her ears hurt, her knees hurt, side of body gets sharp pain and started coughing.  Her arm is so tender she cannot lay on the side the injection was given.   Patient declined treatment b/c she started feeling better on 4/22/2021.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Patient states she started running  a fever of 101-102  starting 4/21/21 with feelings of being achy and difficulty  sleeping. She can't cross her legs, her ears hurt, her knees hurt, side of body gets sharp pain and started coughing.  Her arm is so tender she cannot lay on the side the injection was given.   Patient declined treatment b/c she started feeling better on 4/22/2021.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness
Clinical narrative: Pt reported feeling a cold sweat followed by dizziness, clinical staff assisted him giving water and snack,Pt continued to feel dizzy and was assisted to the floor into recovery position until picked up by medical observartion staff.  PT was transported by stretcher and monitored . Pt claims to begin feeling better and was released on his on charge at 09:50 am. Vitals as follows: 09:31 BP 109/73 HR 63 RR 20 Sp02 !00% Lying 09:38 BP 113/73 HR 62 RR 18 Spo2 100% sitting  09:46 BP 107/71 HR 58 RR 18 Sp02 100% standing
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for 5 days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash macular, Swelling
Clinical narrative: I got red spots on the inside of both elbows 3-4 days after the vaccine. I received the vaccine on 4/7/2021. This is starting to  clear up. On 4/19/21 I noticed I have a large swollen spot on the right side of my neck. I am currently taking antibiotics to see if it is a bacterial infection. The doctor and pharmacist think this could be a swollen lymph node after getting the Covid vaccine.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Right sided Bell's palsy. Treated with antiviral and prednisone.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: FROM THE AFTERNOON OF THE INJECTION I NOTICED A DEFINITE INCREASE OF TINNITUS FOR 13 DAYS. 14TH DAY TO CURRENT AN EVEN MORE PRONOUNCED RINGING IN BOTH EARS ALMOST UNBEARABLE AT TIMES.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Rash erythematous, Rash pruritic
Clinical narrative: Covid arm - itchy, red rash, sore, raised area where vaccine was given
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Speech disorder
Clinical narrative: Patient reported Shortness of Breath, trouble speaking in full sentences. Vitals within normal limits, Pt was transported to local hospital via EMS was treated and released for an allergic reaction.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Eating disorder, Glossitis, Swollen tongue
Clinical narrative: Event: Tongue is slightly swollen and very raw. The event was noticed approx 8 hours after the vaccination and persists into day 3. No treatment was needed, however it has impacted the ability to consume foods normally. I have resorted to eating soft foods and room temperature to avoid further irritation.  Of note, the sensation has not led to loss of taste at the time of the report.
Age: 35.0
Sex: M
Vaccine: UNK
Symptoms: Chills, Pain
Clinical narrative: Chills, body aches
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Eczema, Rash
Clinical narrative: Eczema rash on face below right eye. Treated with topical steroid cream. Resolved in two days.  This rash also occurred three days after the first vaccine dose. It is unknown if the rash was related to the vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Bowel movement irregularity, Chills, Headache, Impaired work ability
Clinical narrative: After my Covid-19 shot, on 4/14 and 4/15 - I had stomach ache, chills, and a bad headache - on 4/16 I felt great! Yesterday 4/22 - I woke up with the same headache, chills on stomach ache but this time I felt like throwing up all day.  I went into work thinking this would would pass, but ended up having to use the restroom all day while working with kids.  I was worried but remembered that these were the same symptoms as after the first shot, except the stomach ache and headache are a little stronger.  Today 4/23, I am a bit worse, so I stayed home and called off my zoom classes as I am throwing up and using the restroom quite a bit and the headache is the same as yesterday, just on the left side of my head today.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Vomiting
Clinical narrative: After my Covid-19 shot, on 4/14 and 4/15 - I had stomach ache, chills, and a bad headache - on 4/16 I felt great! Yesterday 4/22 - I woke up with the same headache, chills on stomach ache but this time I felt like throwing up all day.  I went into work thinking this would would pass, but ended up having to use the restroom all day while working with kids.  I was worried but remembered that these were the same symptoms as after the first shot, except the stomach ache and headache are a little stronger.  Today 4/23, I am a bit worse, so I stayed home and called off my zoom classes as I am throwing up and using the restroom quite a bit and the headache is the same as yesterday, just on the left side of my head today.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 17 y/o presented for Moderna COVID-19 vaccine accompanied by mother, whom signed consent for vaccination. Patient was monitored post injection x 15 minutes with no side effects.  Mother instructed on possible side effects to monitor and report.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, X-ray
Clinical narrative: Arthritis flare-up
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Ear discomfort, Tinnitus
Clinical narrative: Tinnitus and fullness in ears has persisted since Sunday evening
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram abnormal, Diplopia, Magnetic resonance imaging abnormal, Nystagmus
Clinical narrative: vision issues - double vision, unable to focus, moving objects, nystagmus upon waking up for work, immediate visit to ER, code "stroke" called, 1 CT scan, 2 MRIs, waiting on referral to Hospital for temporal lobe MRI, currently taking ASA daily Discharge dx - TIA
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast abnormal, Transient ischaemic attack, Vision blurred
Clinical narrative: vision issues - double vision, unable to focus, moving objects, nystagmus upon waking up for work, immediate visit to ER, code "stroke" called, 1 CT scan, 2 MRIs, waiting on referral to Hospital for temporal lobe MRI, currently taking ASA daily Discharge dx - TIA
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Breakthrough covid positive patient
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus.  Not going away.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Chronic fatigue.  Has gone on for two weeks now.  Some days better than others, but no matter how much sleep I get I am always tired.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Moderna COVID-19 EUA given prior to vaccination. recipient wearing mask and cap, arrived to vaccination table with registration form completed. vaccinator reviewed form and vaccine given in Left arm. Second gentleman sat down and handed form to vaccinator. When vaccinator saw the DOB on the form she questioned the gentleman. Upon noting the DOB, he told the vaccinator that this was his son's form whom she had already vaccinated. They unknowingly switched their forms. Father signed consent for son. Both monitored for 15 min. and released.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: SOB (patient reported history of anxiety)
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Movement disorder, Pain, Pyrexia
Clinical narrative: Fever over 100; extreme soreness in whole body, horrible headache, swollen lymph node in left armpit, difficulty moving left arm
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Flushing, Injection site erythema, Skin warm
Clinical narrative: Patient received first dose of Pfizer COVID-19 vaccine, lot #EL9264, on 1/30/2021 at 1300. Patient has a history of allergies to Bactrim (hives), Clindamycin (unknown), nitrofurantoin (rash), penicillins (unknown), yellow dyes (hives), and azithromycin (unknown). When asked, patient states all of her allergies result in a rash treated with Benadryl--has not experienced anaphylactic shock or any life-threatening reactions. Patient was in waiting area and noticed that she felt flushed. Patient was brought back to exam room and examined by pharmacist and nurse. Erythema present at injection site, down arm, on neck, and face. Skin was flat and warm. Patient reported feeling anxious, but no nausea, dizziness, shortness of breath, or other symptoms. No swelling was noted in extremities or in lips or tongue. Blood pressure was 170/110 and heart rate was 130 bpm. Patient was given diphenhydramine 75 mg PO (was offered 50 mg but patient reported she typically takes 75 mg for past allergic reactions) and asked to stay for 30 more minutes. After 30 minutes, blood pressure decreased to 150/90 (pt has documented history of white coat syndrome), skin was less erythematous and the area of redness decreased. Asked patient if a family member could be called to pick her up; patient declined stating she lives just a few minutes away. Patient was instructed to seek emergent care if she develops difficulty breathing or other signs of anaphylaxis.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral, Tinnitus
Clinical narrative: ringing in the left ear, whirling in the left ear & loss of hearing in the left ear
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Disturbance in attention, Dizziness, Euphoric mood
Clinical narrative: Day of injection, started feeling like I was light headed and high, could not concentrate. The next three days, muscles in back of neck and shoulders tightened, hard to lift arms, tired and headache on left side, coughing and hot flashes started on Friday to Sunday with insomnia and diarrhea, saw doctor on Monday . As of today, headache on left side of temple and muscle soreness
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hot flush, Insomnia, Mobility decreased
Clinical narrative: Day of injection, started feeling like I was light headed and high, could not concentrate. The next three days, muscles in back of neck and shoulders tightened, hard to lift arms, tired and headache on left side, coughing and hot flashes started on Friday to Sunday with insomnia and diarrhea, saw doctor on Monday . As of today, headache on left side of temple and muscle soreness
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Myalgia, SARS-CoV-2 test negative
Clinical narrative: Day of injection, started feeling like I was light headed and high, could not concentrate. The next three days, muscles in back of neck and shoulders tightened, hard to lift arms, tired and headache on left side, coughing and hot flashes started on Friday to Sunday with insomnia and diarrhea, saw doctor on Monday . As of today, headache on left side of temple and muscle soreness
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Hyperhidrosis, Vomiting
Clinical narrative: decreased blood pressure, diaphoretic, emesis
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt. c/o feeling light-headed 5 mins after receiving vaccine. She was taken  in a wheel chair to a cubicle in the observation hall and made to lie down for assessment and observation. V/S -b/p 151/97, resp16, H/R 88, O2 96%RA. Pt. was verbal, A&Ox 4. After 15 mins of observation and monitoring, Pt was re-assessed in a sitting position for about 23 mins when she said she felt well and okay to leave. V/S obtained at 10:35 a m was b/p 146/75, resp.14, H/R 80. She also denied pain, respiratory distress or dizziness. She left the observation hall unassisted at 10:38 a m.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Muscle spasms, Muscle twitching, Sleep disorder
Clinical narrative: Intense muscle twitching in my lower extremities, especially in the feet and calf muscles of both legs. Abodominal muscle spasms were present but not as prevalent or obnoxious as my legs. Also twitching in my right deltoids, triceps and thumb muscle. Could not sleep for two days . I began to get a headache due to no sleep so I took two 200 mg Advil tablets. I was able to sleep that night because the twitches had greatly subsided. I still have frequent but light twitches .
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: one episode of increased heart rate that lasted 20-30 minutes
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Chills; Fever 101; Pain from bottom of hip bones through top of both knees; Pain both temple lobes; Pain from top of nose bridge vertical through top of head; Pain from bottom of neck up through back of head to bottom of both ears
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Blood thyroid stimulating hormone normal, Chills, Cough, Diarrhoea, Fatigue
Clinical narrative: Patient reported diarrhea, headache, myalgias, chills, and fever 2 days after receiving Td vaccine. Was bedridden for four days. Continues to experience fatigue and cough as of 4/23/21.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Full blood count normal, Headache, Metabolic function test, Myalgia, Pyrexia
Clinical narrative: Patient reported diarrhea, headache, myalgias, chills, and fever 2 days after receiving Td vaccine. Was bedridden for four days. Continues to experience fatigue and cough as of 4/23/21.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative, Serum ferritin normal, Vitamin B12 normal, Vitamin D
Clinical narrative: Patient reported diarrhea, headache, myalgias, chills, and fever 2 days after receiving Td vaccine. Was bedridden for four days. Continues to experience fatigue and cough as of 4/23/21.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Impaired work ability, Malaise
Clinical narrative: He got the vaccine, had a little pinch, did not bother him.  Then it got a little sore and went away.  A day or two later things would show up, got fatigued, headache seemed to be the main thing, nausea without vomiting, chills and no fever.  The symptoms are moving around the body with body aches.  This morning when he got up he was very nauseated, and not feeling well.  Did not go to work as not knowing if he had the flu or anything else.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain
Clinical narrative: He got the vaccine, had a little pinch, did not bother him.  Then it got a little sore and went away.  A day or two later things would show up, got fatigued, headache seemed to be the main thing, nausea without vomiting, chills and no fever.  The symptoms are moving around the body with body aches.  This morning when he got up he was very nauseated, and not feeling well.  Did not go to work as not knowing if he had the flu or anything else.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling
Clinical narrative: Swollen right eye
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Headache, Nasal congestion
Clinical narrative: Received 2nd COVID vaccine on 1/9/2021.  On 4/11/2021 developed headache, loss of taste/smell, and nasal congestion.  Tested positive for COVID.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Received 2nd COVID vaccine on 1/9/2021.  On 4/11/2021 developed headache, loss of taste/smell, and nasal congestion.  Tested positive for COVID.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Inner ear disorder, Tinnitus
Clinical narrative: Ringing in both ears. Stuffiness in ear and inner ear pain. Been trying to take supplements zinc, NAC, ginkgo biloba, multi vitamins and Claritin. Ringing still persisting after 11 days
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Disorientation, Fatigue, Headache
Clinical narrative: Low fever, chills, vomiting, disoriented, bad headache, adversion to light and sound, weakness, tired
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperacusis, Photophobia, Pyrexia, Vomiting
Clinical narrative: Low fever, chills, vomiting, disoriented, bad headache, adversion to light and sound, weakness, tired
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Severe tinnitus 2 days after first injection. Continued and made worse by second injection. Absolutely no improvement.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Received 2 bloody noses during the day on 4/6/21, then 3 bloody noses on 4/8/21
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Dysstasia, Hot flush
Clinical narrative: I started off with typical symptoms: swollen lymph node (right armpit), migraine, chills, body aches/ joint aches in knees and legs and a fever. I had taken Tylenol extra strength every 4-6 hours which seemed to help. A day and a half after my second vaccine (4/23 2:00 AM), I started having diarrhea and vomiting (intensely). I had two vasovagal syncope episodes, each about 30 min from each other, I am not sure how long I was unconscious either time. It is 4/23 today at 12:14 PM and I am still not able to stand without fainting or vomiting. My fever is gone now, but I am still having hot flashes/ chills/ body aches/ nausea.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Loss of consciousness, Lymphadenopathy, Migraine, Nausea, Pain
Clinical narrative: I started off with typical symptoms: swollen lymph node (right armpit), migraine, chills, body aches/ joint aches in knees and legs and a fever. I had taken Tylenol extra strength every 4-6 hours which seemed to help. A day and a half after my second vaccine (4/23 2:00 AM), I started having diarrhea and vomiting (intensely). I had two vasovagal syncope episodes, each about 30 min from each other, I am not sure how long I was unconscious either time. It is 4/23 today at 12:14 PM and I am still not able to stand without fainting or vomiting. My fever is gone now, but I am still having hot flashes/ chills/ body aches/ nausea.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Presyncope, Pyrexia, Syncope, Vomiting
Clinical narrative: I started off with typical symptoms: swollen lymph node (right armpit), migraine, chills, body aches/ joint aches in knees and legs and a fever. I had taken Tylenol extra strength every 4-6 hours which seemed to help. A day and a half after my second vaccine (4/23 2:00 AM), I started having diarrhea and vomiting (intensely). I had two vasovagal syncope episodes, each about 30 min from each other, I am not sure how long I was unconscious either time. It is 4/23 today at 12:14 PM and I am still not able to stand without fainting or vomiting. My fever is gone now, but I am still having hot flashes/ chills/ body aches/ nausea.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test, Echocardiogram, Electrocardiogram, Exposure during pregnancy
Clinical narrative: 5 days after receiving my first vaccine, my heart went into Atrial Fibulation. That has never happened before. I was put into the hospital to get it back into normal rythm. I was 9 1/2 weeks pregnant when the incident occured. I do have some minor heart issues already known such as Mitral Valve Prolapse and a small PFO. However other than a flutter here and there the last 25 years of my life, I havent had any issues. It makes me wonder if the vaccine set it off.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Hypersomnia, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: fever, body aches, sleeping,--24 hours after 2nd vaccine  throwing up and diahria , sore throat- 48 hours after 2nd vaccine
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: fever, body aches, sleeping,--24 hours after 2nd vaccine  throwing up and diahria , sore throat- 48 hours after 2nd vaccine
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Pain in extremity
Clinical narrative: A large lump near my collar bone.  The lump was tender to the touch. Also, in addition to arm soreness, I was unable to turn my neck to the left. Felt like a pinched nerve.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Moderna COVID-19 Vaccine EUA - Slight swelling and soreness at the injection site for 7 days. On the eighth day after the shot I developed redness and a little more swelling and itching. Area is 1 to 1 1/2 inch square.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna administered to 16 year old patient by staff inadvertently. After mistake was realized, family was called and notified. CDC guidance reviewed and patient will be scheduled to proceed with second dose of Moderna.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Nausea, Tinnitus
Clinical narrative: Afyer first dose, extreme nausea and dizziness for about an hour. Almost called  911. Slowly subsided over the course of day one. After that, ten days of extreme fatigue. Ringing in my ears that resurfaced after second dose.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: Confirmed Shingles treated with Val acyclovir and gabapentin. Rash (scaring) is still present but pain has subsided
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dizziness, Ear discomfort, Headache
Clinical narrative: Chills, 102 fever, jack-hammering headaches, body aches, chest pain, dizziness, plugged ears, stiff harm, sore lymph nodes. All finally went away after day 5 except still have chest pains.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Musculoskeletal stiffness, Pain, Pyrexia
Clinical narrative: Chills, 102 fever, jack-hammering headaches, body aches, chest pain, dizziness, plugged ears, stiff harm, sore lymph nodes. All finally went away after day 5 except still have chest pains.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Hyperhidrosis, Vision blurred
Clinical narrative: Post vaccine patient stated his vision began to be  blurry and he felt clammy, sweaty and  like he wanted to pass out.  Pt was transferred  to the observation area. Pt laid down on the stretcher and was given some graham crackers and water. Shortly after the patient stated he was feeling better . Vitals as follows: 1120 SITTING  BP 109/74 HR 71 RR 71 SpO2 99; 1124 LYING BP 110/72 HR 74 RR 20 SpO2 99; 1128 BP 104/71 HR 76 RR 20 SpO2 100; 1135 standing BP 107/63 HR 71 RR 18 SpO2 98
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing
Clinical narrative: Flushed feeling BP=110/62 HR=68 O2=97% Seen in medical screening by RN. Patient release at 12:15 p.m.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Horrible Ringing in Ears post the second dose
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bell's Palsy of Left lower face/jaw started upon waking 4/22/21, pt's 2nd dose was 4/20/21
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: SITE REACTION ONLY: REDNESS AND SWOLLEN, ITCHY BUMP FOR 12 DAYS. PEAKING ON DAY 10 AT 2 INCHES ACROSS. THEN RECEEDING.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Headache, Malaise, Pain
Clinical narrative: I have body aches and an all over feeling of Malaise, flushed face and headache
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Paraesthesia oral, Rash papular, Throat irritation
Clinical narrative: Patient complain of tongue tingling and itchy throat, on assessment noted small raised bumps on tongue, redness of face, patient denies any shortness of breath, Benadryl 25mg po given, tolerated well . Was reassessed after 20 minutes, denies any discomfort in throat, no raised bumps noted, member was notified to pick up patient for home,  Left at 9:28 accompanied by staff to car with family, no shortness of breath noted.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bronchitis, Condition aggravated, Ear discomfort, Fatigue
Clinical narrative: Date and time adverse event started: 3/10/2021 at approx. 12:30pm, a few moments after rcvding the vaccine. Pt reported that a few moments of rcvding the vaccine she felt pressure in her whole head, ears were clogged up, and had lumps in her throat; these symptoms lessen as the days goes by and she felt better by day 3. On day 4 (3/13/2021), pt reported she felt like she had a bad cold which turned into bronchitis and that lasted for 2 weeks that was accompanied by symptoms of stuffy head, stuffed up sinus and drainage, had low grade fever, and coughed up phlegm). Pt reported that she have history of tinnitus and post-nasal drips, the ringing in her left ear and the post-nasal drip was still ongoing prior to rcvding the COVID vaccine and these symptoms seems to have been exacerbated after she got the vaccine because she felt like it has gotten worse. Pt reported that she took otc Mucinex and Claritin on the 5th or 6th day from rcvding the vaccine. She went to see her PCP and got a chest x-ray (results: negative for any infections). Pt also reported she got tested twice for COVID-19 on 3/17/2021 & 3/23/2021 (results on both dates: negative). Pt reported that her PCP had advised her against getting the second dose. Advised pt that per her ADEs these are not a contraindication to getting the 2nd dose per CDC guidelines and per consulted Dr. The decision to get the second dose is up to her and her PCP. Advised pt that there is not knowing if the 2nd dose will make her tinnitus worse or if she will experience any ADEs. Also advised per CDC guidelines, "if it is not feasible to adhere to the recommended interval, the second dose of BioNTech COVID-19 vaccines may be scheduled for administration up to 6 weeks (42 days) after the first dose. There are currently limited data on efficacy of mRNA COVID-19 vaccines administered beyond this window. If the second dose is administered beyond these intervals, there is no need to restart the series". 4/18-Patient feeling much better, symptoms have resolved with the exception of weakness and fatigue. Patient has taken Advil to help alleviate migraine. No longer has migraines. Caller called back to adv that she is still having tinnitus and post nasal drip from the 1st shot.