chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Hand dermatitis, Rash, Skin exfoliation, Streptococcus test, Streptococcus test negative
Clinical narrative: I woke up the day after my first shot with severe eczema covering both hands, with particular intensity on the fingers. The eczema appeared to get worse over the next day or so, but receded around day 3 or 4, leaving completely about a week after the shot. A few days after the shot, I also began developing a light full body rash, particularly on the sides of my torso. Eventually, after everything faded, I began getting some peeling skin on my fingers, which I assume were caused by the eczema.  I went to urgent care when this rash appeared. Here were her notes:  With patient having a recent diagnosis of strep, opted to order a group A strep test that was negative. Patient did not have any exudate noted in the OP. Patient's rash did start after having the COVID-19 vaccine. We will have patient continue to monitor for any increasing symptoms. If symptoms fail to improve or worsen over the next week, will have patient return to the urgent care or follow-up with his primary care provider for further evaluation and treatment. Patient may apply lubricating lotion over the areas. He stated that it was not itchy except for on the hands. He may apply calamine ointment or Benadryl cream to the areas of irritation.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Flushing, Immediate post-injection reaction, Nausea
Clinical narrative: Patient felt nauseous immediately after vaccination. Nausea resolved fairly quickly afterwards. Pt also felt flushed and clammy. These symptoms lasted about 1 hour before he was back to normal. Pt asked and was given water, which he says helped him get better.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pallor, Tremor
Clinical narrative: Shortly after injection during the 15 minute wait period patient began to have excessive sweating, started to shake, and became pale. Neighboring patient alerted the pharmacist and 911 was called. An associate sat with and monitored patient until EMS arrived. Patient's vitals were checked and was cleared to return home. Patient was driven home without incident.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Nausea
Clinical narrative: COVID arm. On the Tuesday after I got my 2 Moderna vaccine, the  site of injection got hot and red in the morning, and by the end of the day the skin that was red was raised and started to itch. It went away by Friday. I've felt nausea starting the day after the vaccine, but it is not all the time. Today is my 8th day since the vaccine and I still get nauseas every now and then after I eat.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Hyperhidrosis, Injected limb mobility decreased, Loss of consciousness
Clinical narrative: Patient received vaccine at around 11am.  After waiting around for a few minutes he stated he was light headed.  I went over to observe and gave patient some water.  He was starting to sweat and turned very pale.  1 minute later he passed out.  I brought him to the floor from his chair and he  starting shaking and 'seizing" for about 10-15 seconds.  We used pressure on his chest to try to "snap" him out of it.  After about 15 seconds of "seizing,not breathing normally and his left arm completely locked up" he came to and did not know where he was for about 2-3 minutes.  After about that time he started to realize where he was and recognized his wife who was assisting.  EMS was called and arrived shortly,  He was lucid and knew where he was and started to feel normal again.  EMS checked his vitals and they were normal.  Patient refused to go to hospital and EMS released him to his wife.  I checked on patient 4 hours later and he had no ill effects and stated he felt just like he did before receiving the vaccination.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Respiration abnormal, Seizure, Tremor
Clinical narrative: Patient received vaccine at around 11am.  After waiting around for a few minutes he stated he was light headed.  I went over to observe and gave patient some water.  He was starting to sweat and turned very pale.  1 minute later he passed out.  I brought him to the floor from his chair and he  starting shaking and 'seizing" for about 10-15 seconds.  We used pressure on his chest to try to "snap" him out of it.  After about 15 seconds of "seizing,not breathing normally and his left arm completely locked up" he came to and did not know where he was for about 2-3 minutes.  After about that time he started to realize where he was and recognized his wife who was assisting.  EMS was called and arrived shortly,  He was lucid and knew where he was and started to feel normal again.  EMS checked his vitals and they were normal.  Patient refused to go to hospital and EMS released him to his wife.  I checked on patient 4 hours later and he had no ill effects and stated he felt just like he did before receiving the vaccination.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Myalgia, Pain
Clinical narrative: Fever/chills /muscle and joint pain x 3 days started 24 hours after vaccine, then subdied, gradually noticed  increase muscle /body ache and pain increasing after about 3 weeks of feeling okay, still having symptoms with off and on extreme fatigue
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever/chills /muscle and joint pain x 3 days started 24 hours after vaccine, then subdied, gradually noticed  increase muscle /body ache and pain increasing after about 3 weeks of feeling okay, still having symptoms with off and on extreme fatigue
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Vaccination complication
Clinical narrative: Covid arm, body aches, tiredness , headache
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Fall, Nausea, Pallor
Clinical narrative: Patient approached pharmacy counter shortly after receiving vaccine looking very pale and clammy. Patient was trying to say something but fell over. He was conscious by the time I got to the other side of the counter but was stating he felt very nauseated like he was going to vomit. We got the patient to a sitting position and got him some cold water. Patient remained seated on the floor until his mother arrived and escorted him out about 15 minutes later.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Local: redness in the site of injection, painful to touch,  swollen, all the area extended 6 inches around, (about 15 cm), Also had headache and tiredness
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic, Swelling
Clinical narrative: Chronic hives that moves around whole body, neck, shoulders, arms, legs, stomach, back, hands, and feet. Itches, red swelling and little raised bumps. Comes and goes. Been a month and hasn't gone away yet.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Chronic hives that moves around whole body, neck, shoulders, arms, legs, stomach, back, hands, and feet. Itches, red swelling and little raised bumps. Comes and goes. Been a month and hasn't gone away yet.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Haematoma, Pulmonary embolism
Clinical narrative: Right large pulmonary embolism
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: rash all over body that itched, became worried and went to ER.  Rash appeared 30 minutes after leaving clinic
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Muscle spasms, Myalgia
Clinical narrative: Severe headache started at 5:00 pm post vaccination. Lasted 24 hours. Moderate, lower body muscle cramping and pain started 24 hours post vaccination. Lasted five days.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Feeling cold, Hypoaesthesia, Limb discomfort
Clinical narrative: Patient received Pfizer Covid vaccine dose #1 at 4:07pm, 10 minutes later patient said that she was not feeling well. She felt her left arm was going numb, light headed, dizziness and chills. at 4:10 BP was 127/81 pulse 70.  At 4:25 bp was 136/82 pulse 83. She was still feeling light headed, cold, and shaking. Pt given orange juice.  At this point patient stated she has a hx of losing hearing and then a feeling of passing out. This has occurred more than one time. Pt also stated having lost feeling in both legs with no explanation as to why.  4:35pm bp 133/82 pulse 85, she was feeling cold and shaky. 4:42 pm patient stated she was getting colder and was still light headed. 4:56pm very cold, chills and dizziness. Pt  was given another blanket. Both pt and father were asked if emergency services should be called.  5pm  per parent;'s request  were ok to give 480mg of tylenol, she was very dizzy and cold bp 132/85 pulse 89. Father approved of us calling for emergency services. Pt symptoms not improving. Emergency services arrived pt was able to get onto her feet and walk to the stretcher. Pt stated she is still very dizzy.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nervousness, Sensory loss, Tremor
Clinical narrative: Patient received Pfizer Covid vaccine dose #1 at 4:07pm, 10 minutes later patient said that she was not feeling well. She felt her left arm was going numb, light headed, dizziness and chills. at 4:10 BP was 127/81 pulse 70.  At 4:25 bp was 136/82 pulse 83. She was still feeling light headed, cold, and shaking. Pt given orange juice.  At this point patient stated she has a hx of losing hearing and then a feeling of passing out. This has occurred more than one time. Pt also stated having lost feeling in both legs with no explanation as to why.  4:35pm bp 133/82 pulse 85, she was feeling cold and shaky. 4:42 pm patient stated she was getting colder and was still light headed. 4:56pm very cold, chills and dizziness. Pt  was given another blanket. Both pt and father were asked if emergency services should be called.  5pm  per parent;'s request  were ok to give 480mg of tylenol, she was very dizzy and cold bp 132/85 pulse 89. Father approved of us calling for emergency services. Pt symptoms not improving. Emergency services arrived pt was able to get onto her feet and walk to the stretcher. Pt stated she is still very dizzy.
Age: 59.0
Sex: U
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: 2 seizures within 24 hours of second dose.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in the ears 3 days after first vaccine. Have had for over a month now. Sound is coming from inside the head, changes ears and pitch quite frequently.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Rash
Clinical narrative: Moderna vaccine, first shot 4/9/21, second shot 5/7/21. After the first shot, within 36 hours I broke out in a rash around my knees, inside and outside. Very itchy with small red pimples, no pus. Nurse at the clinic suggested it was an eczema. However, within 36 hours after the second shot, the rash became more serious, spread wider around my knees, legs, thighs, neck, arms, lower back and buttocks. It is unbearably itching and persisting. It clearly is my bodies response or allergy to the vacinne.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Urticaria
Clinical narrative: I saw hives starting at 10:15 pm.  I was able to sleep from 11:00-midnight, then was awake with increasing amount of hives. At 3:00 am, I contacted Ask-a-nurse who recommended I contact a physician or go to the ER. I had a Telehealth visit at 4:00 am, with an internal medicine MD. She suggested that usually hives are treated with a steroid, however since I had recently had the 2nd dose of COVID vaccine, it was not recommended as it would decrease my immune system further. She prescribed hydroxine HCL 25 mg. Monday morning I picked up some Benadryl, as the 24 hr pharmacy was not nearby. I took a nap then felt groggy the rest of the day. A pharmacist friend suggested I take Pepcid and Claritin (non-drowsy), then the hydroxine at night. I started this regime on Tuesday. Hives continued to come, then go on different areas of my body through Friday (5/7/21) around noon. I continued to take the above stated medications through Sat. to ensure the hives would not return. I have several pictures of the hives from various days if interested in them. Many of them were large and raised up about 1/8" (ie. One was the size of a racquetball in the bend in my elbow; another was about 3/4 distance across my waistline).
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Headache, Hypersomnia, Nausea, Pain
Clinical narrative: Pain all over my body, especially in spine and head. Slept for 21 hours. Only got up to eat small amounts. Was nauseous with little appetite.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: I developed Shingles with the rash on my lower left back and small rash on my stomach
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness
Clinical narrative: light headed and mild chest tightness both resolved after 30 m min observation
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache every day for 2 months since
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: pt c/o dizziness , no SOB, No change LOC pt. was assietd to lie on gurney with BLE elevated to promote circulation to brain. Vitals monitored V/S o2 Sat 98% RH P-73 BP-101/66  RR- 18 Patient verbalized no more dizziness  vitals- BP:105/66 P- 73 R-18 O2 Sat 99%  RA  #21 pt stable and went home
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, C-reactive protein increased, Cough, Dyspnoea, Hypertension
Clinical narrative: 48 hours after vaccine awoke with sore throat and cough. Next day developed fever and cough was worse. Following day developed severe shortness of breath with wheezing, fever, and low oxygen saturation (90%). PCP's office had me call ambulance and go to emergency. Also had high blood pressure and glucose. In emergency received Atrovent inhaler and Prednisone. 24 hours later was fine. ER diagnosed as URI but this was much more severe than a URI and resolved too suddenly to be a URI. I believe it was a reaction to the vaccine, especially based on timing and symptoms.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Oxygen saturation decreased, Pyrexia, Upper respiratory tract infection, Wheezing
Clinical narrative: 48 hours after vaccine awoke with sore throat and cough. Next day developed fever and cough was worse. Following day developed severe shortness of breath with wheezing, fever, and low oxygen saturation (90%). PCP's office had me call ambulance and go to emergency. Also had high blood pressure and glucose. In emergency received Atrovent inhaler and Prednisone. 24 hours later was fine. ER diagnosed as URI but this was much more severe than a URI and resolved too suddenly to be a URI. I believe it was a reaction to the vaccine, especially based on timing and symptoms.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Confusional state, Dizziness, Fatigue, Headache
Clinical narrative: Chills, dizziness, vax fog (confusion, disorientation), fatigue, headaches. Took a 3 hour nap and woke up with just a headache, which went away in the evening.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nasopharyngitis, Pain in extremity
Clinical narrative: With first dose only sore arm.  Second dose tired, cold, and sore arm.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: nausea and vomiting from 05/06/21 until 0508/21 when I went to hospital ER still have nausea as of 05/10/21 but taking Ondansetron odt tab and still have some nausea.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Blood glucose increased, Blood lactic acid, Brain natriuretic peptide increased, Diarrhoea
Clinical narrative: nausea and vomiting from 05/06/21 until 0508/21 when I went to hospital ER still have nausea as of 05/10/21 but taking Ondansetron odt tab and still have some nausea.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Haemoglobin decreased, Hyperhidrosis, Hypotension
Clinical narrative: nausea and vomiting from 05/06/21 until 0508/21 when I went to hospital ER still have nausea as of 05/10/21 but taking Ondansetron odt tab and still have some nausea.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Nausea, Paraesthesia, Platelet count decreased, Pulmonary embolism
Clinical narrative: nausea and vomiting from 05/06/21 until 0508/21 when I went to hospital ER still have nausea as of 05/10/21 but taking Ondansetron odt tab and still have some nausea.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope, Thrombectomy, Tinnitus, Troponin, Vomiting
Clinical narrative: nausea and vomiting from 05/06/21 until 0508/21 when I went to hospital ER still have nausea as of 05/10/21 but taking Ondansetron odt tab and still have some nausea.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Body temperature increased, Chills, Dizziness, Heavy menstrual bleeding
Clinical narrative: I have a Mirena IUD and typically do not have a period. After my first shot, I had a period almost immediately and it was heavier than just the very light spotting that happens occasionally with an IUD.  I have since had intermittent bleeding, including 7 days after my second shot.  The bleeding comes with migraines, which I normally have once a month around ovulation. They have occurred three times since my first shot.  Other than the sudden onset of the menstrual cycle, I had elevated temp of 99.5 - 99.8 plus chills and upset bowel for 24 hours after the second shot. I did not have these side effects after the first shot. After these symptoms subsided, I had intermittent dizzy spells for another 24 hour period, but nothing else other than irregular menstrual bleeding.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstrual disorder, Menstruation irregular, Migraine
Clinical narrative: I have a Mirena IUD and typically do not have a period. After my first shot, I had a period almost immediately and it was heavier than just the very light spotting that happens occasionally with an IUD.  I have since had intermittent bleeding, including 7 days after my second shot.  The bleeding comes with migraines, which I normally have once a month around ovulation. They have occurred three times since my first shot.  Other than the sudden onset of the menstrual cycle, I had elevated temp of 99.5 - 99.8 plus chills and upset bowel for 24 hours after the second shot. I did not have these side effects after the first shot. After these symptoms subsided, I had intermittent dizzy spells for another 24 hour period, but nothing else other than irregular menstrual bleeding.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: tiny bumps/light pink rash that appeared on neck. itchy, but not enough to take antihistamine or report to doctor. is minor nuisance. still present 5 days after vaccination
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Computerised tomogram normal, Condition aggravated, Echocardiogram
Clinical narrative: This is a 42-year-old female with an overall unremarkable past medical history seen in clinic for a hospital discharge follow-up.  She states that on 30  March she received first dose of her Covid vaccine.  Just over one week later she developed a red spotty rash across the left arm and left trunk that was itchy.  The rash has persisted until this time.  She has a history of plantar neuromas that have been surgically excised and has persistent left foot pain.  She felt a significant worsening of this so she went to the ER and was given prescription of Celebrex.  3 days after taking the Celebrex she developed symptoms of left-sided facial puffiness underneath the jaw and developed left-sided facial weakness and arm weakness.  Due to appropriate concern for a stroke she presented to the emergency room and was later admitted.  She had a number of CT scans and MRIs all of which were normal.  While she was in the hospital she underwent a number of blood tests which were ultimately negative.  She underwent an echo and after she sat up from having this completed she had a recurrence of the left-sided facial weakness. Neurology evaluated with the following comments, "42 yo female with no significant PMHx with onset of left facial weakness, left upper and lower extremity weakness and paresthesias. No lower extremity weakness on exam today and minimal give-way weakness in multiple muscle groups in the left upper extremity. No pronator drift. Reflexes are symmetric and intact. Sensory is intact in extremities. Left facial weakness is mild with some fluctuating features. No Bell?s phenomenon which is commonly seen with CN VII palsy. Imaging studies are not consistent with ischemic or hemorrhage stroke. Duration of symptoms are not consistent with TIA. MRI without evidence of demyelinating disease process. Low likelihood of migraine. Rash does not appear to be herpetic in nature. Other autoimmune processes are possible given the joint pain and tenderness. No significant edema on exam. Post vaccine response less likely. No ophthalmoplegia or ataxia. Consider facial dystonia."  Upon discharge from the hospital she has waxing and waning left-sided facial weakness.  She admits that it might be provoked the more that she talks or smiles.  Just prior to the patient's weakness episodes she will feel a pressure across the left temple around her ear.  She still has this pinpoint rash across left side of her abdomen and left arm.  There is a focal swelling in the antecubital space of her left arm that has never been characterized. Broad testing negative to this point. Potentially symptoms associated with moderna covid-19 vaccination. As outpatient she has been tested for myasthenia gravis, lyme disease, rheumatoid conditions. Empirically treated with prednisone long taper, acyclovir, and doxycycline all to no substantial benefit. At this time dedicated facial nerve MRI ordered and scheduled, and tertiary workup underway.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paresis, Magnetic resonance imaging normal, Muscular weakness, Pain in extremity, Paraesthesia
Clinical narrative: This is a 42-year-old female with an overall unremarkable past medical history seen in clinic for a hospital discharge follow-up.  She states that on 30  March she received first dose of her Covid vaccine.  Just over one week later she developed a red spotty rash across the left arm and left trunk that was itchy.  The rash has persisted until this time.  She has a history of plantar neuromas that have been surgically excised and has persistent left foot pain.  She felt a significant worsening of this so she went to the ER and was given prescription of Celebrex.  3 days after taking the Celebrex she developed symptoms of left-sided facial puffiness underneath the jaw and developed left-sided facial weakness and arm weakness.  Due to appropriate concern for a stroke she presented to the emergency room and was later admitted.  She had a number of CT scans and MRIs all of which were normal.  While she was in the hospital she underwent a number of blood tests which were ultimately negative.  She underwent an echo and after she sat up from having this completed she had a recurrence of the left-sided facial weakness. Neurology evaluated with the following comments, "42 yo female with no significant PMHx with onset of left facial weakness, left upper and lower extremity weakness and paresthesias. No lower extremity weakness on exam today and minimal give-way weakness in multiple muscle groups in the left upper extremity. No pronator drift. Reflexes are symmetric and intact. Sensory is intact in extremities. Left facial weakness is mild with some fluctuating features. No Bell?s phenomenon which is commonly seen with CN VII palsy. Imaging studies are not consistent with ischemic or hemorrhage stroke. Duration of symptoms are not consistent with TIA. MRI without evidence of demyelinating disease process. Low likelihood of migraine. Rash does not appear to be herpetic in nature. Other autoimmune processes are possible given the joint pain and tenderness. No significant edema on exam. Post vaccine response less likely. No ophthalmoplegia or ataxia. Consider facial dystonia."  Upon discharge from the hospital she has waxing and waning left-sided facial weakness.  She admits that it might be provoked the more that she talks or smiles.  Just prior to the patient's weakness episodes she will feel a pressure across the left temple around her ear.  She still has this pinpoint rash across left side of her abdomen and left arm.  There is a focal swelling in the antecubital space of her left arm that has never been characterized. Broad testing negative to this point. Potentially symptoms associated with moderna covid-19 vaccination. As outpatient she has been tested for myasthenia gravis, lyme disease, rheumatoid conditions. Empirically treated with prednisone long taper, acyclovir, and doxycycline all to no substantial benefit. At this time dedicated facial nerve MRI ordered and scheduled, and tertiary workup underway.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash, Rash macular, Rash pruritic, Swelling face
Clinical narrative: This is a 42-year-old female with an overall unremarkable past medical history seen in clinic for a hospital discharge follow-up.  She states that on 30  March she received first dose of her Covid vaccine.  Just over one week later she developed a red spotty rash across the left arm and left trunk that was itchy.  The rash has persisted until this time.  She has a history of plantar neuromas that have been surgically excised and has persistent left foot pain.  She felt a significant worsening of this so she went to the ER and was given prescription of Celebrex.  3 days after taking the Celebrex she developed symptoms of left-sided facial puffiness underneath the jaw and developed left-sided facial weakness and arm weakness.  Due to appropriate concern for a stroke she presented to the emergency room and was later admitted.  She had a number of CT scans and MRIs all of which were normal.  While she was in the hospital she underwent a number of blood tests which were ultimately negative.  She underwent an echo and after she sat up from having this completed she had a recurrence of the left-sided facial weakness. Neurology evaluated with the following comments, "42 yo female with no significant PMHx with onset of left facial weakness, left upper and lower extremity weakness and paresthesias. No lower extremity weakness on exam today and minimal give-way weakness in multiple muscle groups in the left upper extremity. No pronator drift. Reflexes are symmetric and intact. Sensory is intact in extremities. Left facial weakness is mild with some fluctuating features. No Bell?s phenomenon which is commonly seen with CN VII palsy. Imaging studies are not consistent with ischemic or hemorrhage stroke. Duration of symptoms are not consistent with TIA. MRI without evidence of demyelinating disease process. Low likelihood of migraine. Rash does not appear to be herpetic in nature. Other autoimmune processes are possible given the joint pain and tenderness. No significant edema on exam. Post vaccine response less likely. No ophthalmoplegia or ataxia. Consider facial dystonia."  Upon discharge from the hospital she has waxing and waning left-sided facial weakness.  She admits that it might be provoked the more that she talks or smiles.  Just prior to the patient's weakness episodes she will feel a pressure across the left temple around her ear.  She still has this pinpoint rash across left side of her abdomen and left arm.  There is a focal swelling in the antecubital space of her left arm that has never been characterized. Broad testing negative to this point. Potentially symptoms associated with moderna covid-19 vaccination. As outpatient she has been tested for myasthenia gravis, lyme disease, rheumatoid conditions. Empirically treated with prednisone long taper, acyclovir, and doxycycline all to no substantial benefit. At this time dedicated facial nerve MRI ordered and scheduled, and tertiary workup underway.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia
Clinical narrative: Dizziness, Tingling in bilateral hands and feet  BP 148/87, HR 67, RR 16 -- > 140/90, 103.  Pt has a hx of SJS 10yrs ago (did not note cause).  Pt provided crackers and apple juice.  Pt stable and released from vaccination site.  Recommended that the patient follow up with thier healthcare provider and f/u instructions provided.  Pt plans to notify PCP.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot
Clinical narrative: Patient came to Pharmacy counter a few minutes after receive 2nd covid Imz.  Patient stated he felt very warm and like he may pass out.  Patient has had this happen with out vaccinations, thinks it may be a fear of the needle.  Ice Pack applied to Pt neck, given cold water and a fan provided.  Patient immediately felt better.  Had patient finish half a bottle of water and remain seated under direct observation for 10 mins.   Patient left with no problems and was doing fine when I called him several hours later.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Angiogram normal, Chest X-ray normal, Chest discomfort, Chest pain
Clinical narrative: Sternal, non-radiating chest pressure and pain with associated shortness of breath, fatigue and dry cough
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Electrocardiogram abnormal, Fatigue, Fibrin D dimer normal
Clinical narrative: Sternal, non-radiating chest pressure and pain with associated shortness of breath, fatigue and dry cough
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count abnormal, Full blood count normal, Leukopenia, Metabolic function test normal, Pregnancy test urine negative
Clinical narrative: Sternal, non-radiating chest pressure and pain with associated shortness of breath, fatigue and dry cough
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal, Urine analysis normal
Clinical narrative: Sternal, non-radiating chest pressure and pain with associated shortness of breath, fatigue and dry cough
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Movement disorder, Seizure like phenomena
Clinical narrative: Approximately 1 hour post vaccination, patient began having seizure like activity with repetitive movements and could not speak. Was breathing normally and making repetitive sounds.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt stated he felt dizzy, and felt like he was going to pass out.   Pt was given water and observed,  EMS was called.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Extreme swelling at injection site, redness, hardness, itching, pain
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Paraesthesia oral
Clinical narrative: 5/10/21 @ 1:59 Patient c/o tingling of the lips. 50mg of Benadryl tab where administered by mouth.  5/10/21 @ 2:35 Patient c/o of chest pain, EMS was Called.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: received second dose on 5/8/21, too early. first dose given on 4/19/21
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Urticaria noted at 11:05. 25mg Benadryl PO given. 11:20 patient reported decreased itching and redness . Patient left facility recovered per Nurse.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site warmth, Pain
Clinical narrative: Early Sunday 5/9, she was sore all over her body, achy, injection site was hot to the touch with red ring.  Symptoms started to subside on Monday 5/10/21
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemorrhage in pregnancy, Pregnancy, Vaginal haemorrhage
Clinical narrative: This 32 year old  black female received the Covid shot on  4/8/21    and went to the ED on  4/18/21 with the following diagnoses listed below. Hemorrhage in early pregnancy, unspecified VAGINAL BLEEDING - PREGNANT
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Dizziness, Headache, Tinnitus
Clinical narrative: Had Extreme Dizziness for one night and it got better over 3 days.   The morning of the Dizziness I had ringing in my Ear.  Ringing has been there for almost 4 weeks and it not getting better.  The Ringing is accompanied by headaches every once in awhile.  Seen 2 doctors was prescribed Prednisone with no help.   Had hearing test, hearing is good until I reach a certain frequency in the ringing ear then it drops out.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Pain
Clinical narrative: Patient stated two weeks after his first dose, he experienced chills, body aches, fatigue, and dizziness. This lasted two days.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: very bad headache's for about 3 weeks
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Syncope
Clinical narrative: CBG = 110; Syncopal episode w/ shot.  BP 94/54, HR 71, RR 19 -- > 101/63, 72.  Patient stable and released from the vaccination site.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram, Electrocardiogram
Clinical narrative: Chest pain
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site reaction, Rash erythematous, Rash papular
Clinical narrative: Large, raised, red, itchy, rash at site of injection appearing about a week after injection. It started as what looked like a large mosquito bite and quickly grew within a few hours to more than 3 inches in diameter. The area felt hard to the touch.  My upper arm was tender to touch and itchy.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Large, raised, red, itchy, rash at site of injection appearing about a week after injection. It started as what looked like a large mosquito bite and quickly grew within a few hours to more than 3 inches in diameter. The area felt hard to the touch.  My upper arm was tender to touch and itchy.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Feeling cold, Headache, Hyperhidrosis
Clinical narrative: passed out 4 hours after i received shot and did not remember even thinking about going to sleep. I woke up and was sweating, cold, headache, body aches, dizzy, feeling ok, then feeling terrible going thru the cycle again and again.  The above scenario has been going on since around 12pm the last day I received the shot.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Pain
Clinical narrative: passed out 4 hours after i received shot and did not remember even thinking about going to sleep. I woke up and was sweating, cold, headache, body aches, dizzy, feeling ok, then feeling terrible going thru the cycle again and again.  The above scenario has been going on since around 12pm the last day I received the shot.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Disorientation, Erythema, Fatigue, Feeling hot
Clinical narrative: Within 2 hours of injection my arm was really sore, unlike the first shot. Around 3-4pm extreme headache started, along with swelling and redness and heat in rt arm. About 8pm arm was burning, huge lump and bright red. Could barely move arm. Headache persisted and I was starting to feel exhausted and nauseous. Went to bed and woke up at 3am disoriented, couldn?t move arm(still had fire/burning sensation, large lump), headache and nausea.  At 7am got up,  for maybe 1 hour and had to go back to bed. Exhausted, extreme headache, nausea and severe arm pain. Was more red, swollen and still burning. Literally slept all day and night. Around 4pm I had a fever of 102.3 and that was after having taken 3 hydrocodone pills throughout the day.  Head and arm hurt so bad I couldn?t get out of bed, was too fatigued and exhausted to do so anyway. Woke up at 10 am next day and all symptoms were still there.  Fever was down to 101.3 at 3pm, again after having taken pain medication. I slept all that day as well. Upon waking Sunday morning around 8am my headache was now la little less severe, nausea was gone and I felt like I was thinking clearer. Got up for only about 5 minutes and had to go back to bed due to exhaustion and fatigue. This went on until about 5pm. I think I got up 3 times trying to stay out of bed. I think fever broke around 8 pm that That night. Now I have a rash and burning/redness on arm that is itchy.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injected limb mobility decreased, Limb mass, Mobility decreased, Nausea
Clinical narrative: Within 2 hours of injection my arm was really sore, unlike the first shot. Around 3-4pm extreme headache started, along with swelling and redness and heat in rt arm. About 8pm arm was burning, huge lump and bright red. Could barely move arm. Headache persisted and I was starting to feel exhausted and nauseous. Went to bed and woke up at 3am disoriented, couldn?t move arm(still had fire/burning sensation, large lump), headache and nausea.  At 7am got up,  for maybe 1 hour and had to go back to bed. Exhausted, extreme headache, nausea and severe arm pain. Was more red, swollen and still burning. Literally slept all day and night. Around 4pm I had a fever of 102.3 and that was after having taken 3 hydrocodone pills throughout the day.  Head and arm hurt so bad I couldn?t get out of bed, was too fatigued and exhausted to do so anyway. Woke up at 10 am next day and all symptoms were still there.  Fever was down to 101.3 at 3pm, again after having taken pain medication. I slept all that day as well. Upon waking Sunday morning around 8am my headache was now la little less severe, nausea was gone and I felt like I was thinking clearer. Got up for only about 5 minutes and had to go back to bed due to exhaustion and fatigue. This went on until about 5pm. I think I got up 3 times trying to stay out of bed. I think fever broke around 8 pm that That night. Now I have a rash and burning/redness on arm that is itchy.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia, Rash erythematous, Rash pruritic
Clinical narrative: Within 2 hours of injection my arm was really sore, unlike the first shot. Around 3-4pm extreme headache started, along with swelling and redness and heat in rt arm. About 8pm arm was burning, huge lump and bright red. Could barely move arm. Headache persisted and I was starting to feel exhausted and nauseous. Went to bed and woke up at 3am disoriented, couldn?t move arm(still had fire/burning sensation, large lump), headache and nausea.  At 7am got up,  for maybe 1 hour and had to go back to bed. Exhausted, extreme headache, nausea and severe arm pain. Was more red, swollen and still burning. Literally slept all day and night. Around 4pm I had a fever of 102.3 and that was after having taken 3 hydrocodone pills throughout the day.  Head and arm hurt so bad I couldn?t get out of bed, was too fatigued and exhausted to do so anyway. Woke up at 10 am next day and all symptoms were still there.  Fever was down to 101.3 at 3pm, again after having taken pain medication. I slept all that day as well. Upon waking Sunday morning around 8am my headache was now la little less severe, nausea was gone and I felt like I was thinking clearer. Got up for only about 5 minutes and had to go back to bed due to exhaustion and fatigue. This went on until about 5pm. I think I got up 3 times trying to stay out of bed. I think fever broke around 8 pm that That night. Now I have a rash and burning/redness on arm that is itchy.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted approximately 5 minutes after receiving vaccination. Fortunately she was still seated and I was still with her due to her history of fainting with vaccines. We provided an ice pack, bottle of water, and a cold washcloth. I remained with patient for approximately 30-40 minutes after episode and ensured that she was feeling better before letting her leave. Store management provided a cart and she was escorted by an associate and her friend (who was driving her) to the parking lot.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Administered 0.5 mL of vaccine instead of 0.3 mL
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Nausea, Syncope
Clinical narrative: She received her vaccine at 12:55 and took a seat about 10 feet away for the 15 minute wait period.  About 1-2 minutes after that she put her hands up in the air and then fainted and fell off her chair.  She hit left forehead on the ground and was face down.  Nurse rushed to her and called her name and she responded immediately and was rolled over once she stated nothing hurt.  She was kept lying down due to complaints of dizziness.  EMS was Called.  Dizziness went away after about 6 minutes and she only complained of nausea then.  EMS arrived at 1;18pm  and sat pt up in chair and she refused medical treatment.  She called her friend to come pick her up and nurse walked her to elevator and up to lobby where her friend was waiting and was informed of what happened.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Pallor, Presyncope, Syncope
Clinical narrative: 3 Min post vaccine patient experienced vasovagal syncope assessed patient unresponsive to voice commands proceeded to give patient sternal rub patient was pale in color diaphoretic also c/o wanting to vomit. Patient assessed  V/s at 10:01 am BP 108/68 HR 80 SP02 94% Provider assessed patient at 10:10 am patient spo2 99%  A&Ox3 pulse +2 bilateral lungs clear to auscultation, regular rate and rhythm. Patient states she has a history of syncope.  Vital signs at 10:07am BP 114/68 HR 85  SPO2 94% no further complaints patient feeling better  Vital signs at 10:13am BP 120/70 HR 83 SPO2 99%  no further complaints patient able to ambulate with no assistance 0 c/o dizziness. Patient left vaccination site with no signs of distress and c/o
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: 3 Min post vaccine patient experienced vasovagal syncope assessed patient unresponsive to voice commands proceeded to give patient sternal rub patient was pale in color diaphoretic also c/o wanting to vomit. Patient assessed  V/s at 10:01 am BP 108/68 HR 80 SP02 94% Provider assessed patient at 10:10 am patient spo2 99%  A&Ox3 pulse +2 bilateral lungs clear to auscultation, regular rate and rhythm. Patient states she has a history of syncope.  Vital signs at 10:07am BP 114/68 HR 85  SPO2 94% no further complaints patient feeling better  Vital signs at 10:13am BP 120/70 HR 83 SPO2 99%  no further complaints patient able to ambulate with no assistance 0 c/o dizziness. Patient left vaccination site with no signs of distress and c/o
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Red, bumpy rash on the insides of my left and right forearms. Similar rash on the left side of my stomach, below my left arm pit.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Fatigue, Liver function test, Muscular weakness, Renal function test
Clinical narrative: I'm a very healthy strong fitness instructor and I ride 3 styles of bikes recreationally on a regular basis.  I am so exhausted after eating, muscles including  my heart feel weak, hard to recover from exercise  and difficult  to work. I have  just been  blood tested and due to talk to my Dr this week. I hate how I feel and it came on suddenly  and very intensely.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: I'm a very healthy strong fitness instructor and I ride 3 styles of bikes recreationally on a regular basis.  I am so exhausted after eating, muscles including  my heart feel weak, hard to recover from exercise  and difficult  to work. I have  just been  blood tested and due to talk to my Dr this week. I hate how I feel and it came on suddenly  and very intensely.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Haemorrhage, Insomnia, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Hives with red itchy painful rash on right leg within 30 minutes of vaccination. Did not resolve with Benadryl or hydrocortisone after 72 hours.  Periodic bleeding and difficulty sleeping.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives with red itchy painful rash on right leg within 30 minutes of vaccination. Did not resolve with Benadryl or hydrocortisone after 72 hours.  Periodic bleeding and difficulty sleeping.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Eye movement disorder, Fall, Injection site haemorrhage
Clinical narrative: Patient received shot at aprox. 3:10pm 5/10/21, she did bleed a little, band aide was applied . After stepping away to the designated observation area, patient returned to the vaccination area and took a seat stating she felt dizzy and light headed. Asked if that was normal, I said yes that's why we keep here. I began to ask other questions to determine if she has any additional complaints. She then suddenly appeared to lean her had back and began to fall out the chair. I was able to catch the patient before hitting the ground. My left hand had her left thigh, with my right hand supporting her neck and head until additional I was able to have additional assistance to get patient to lay on the ground to elevate her legs. When she initial "fainted" she was extremely stiff and her eyes were rolled back. Emergency services were immediately contacted. While myself and the Pharmacy Manager continued to make settle the patient she suddenly began to "awake" she was momentarily  disoriented, was quickly able to acknowledge her name, location, year and president. At 3:14 pm patients BP: 157/94 HR 103.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Syncope
Clinical narrative: Patient received shot at aprox. 3:10pm 5/10/21, she did bleed a little, band aide was applied . After stepping away to the designated observation area, patient returned to the vaccination area and took a seat stating she felt dizzy and light headed. Asked if that was normal, I said yes that's why we keep here. I began to ask other questions to determine if she has any additional complaints. She then suddenly appeared to lean her had back and began to fall out the chair. I was able to catch the patient before hitting the ground. My left hand had her left thigh, with my right hand supporting her neck and head until additional I was able to have additional assistance to get patient to lay on the ground to elevate her legs. When she initial "fainted" she was extremely stiff and her eyes were rolled back. Emergency services were immediately contacted. While myself and the Pharmacy Manager continued to make settle the patient she suddenly began to "awake" she was momentarily  disoriented, was quickly able to acknowledge her name, location, year and president. At 3:14 pm patients BP: 157/94 HR 103.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulin therapy, Lumbar puncture abnormal
Clinical narrative: Diagnosis Guillian - Barre 02/19/2022 - Weakness/Numbness all 4 extremities. Rx: IVIG. Plasmaphoreses. Prednisone. Hospitalized 02/19/2-21 - 04/25/2021 Currently home health care with PT 2x/week.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Muscular weakness, Plasmapheresis
Clinical narrative: Diagnosis Guillian - Barre 02/19/2022 - Weakness/Numbness all 4 extremities. Rx: IVIG. Plasmaphoreses. Prednisone. Hospitalized 02/19/2-21 - 04/25/2021 Currently home health care with PT 2x/week.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was too young for Moderna indication
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested covid positive 5/3/21; fully covid vaccinated as of 4/21/21