chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Pruritus, Rash, Urticaria
Clinical narrative: I began breaking out with hives and bumps on my legs, arms, neck, scalp, and hands. It started three or four days after my second vaccine. The rash began on my legs and over the course of the next two and a half weeks, it spread to different areas. I finally went to an urgent care on April 15, 2021, to get a steroid shot because I was itching uncontrollably. They would not give me one and sent me to my regular doctor. She saw the rash and gave me a steroid shot, a prescription for steroids for seven days, and Hydrzyine for the itching.  I'm still having random bumps/breakouts here and there that consist of a couple of bumps at a time. I also felt as if there was a burning underneath my skin during this time. I'm currently rubbing Caladryl on the bumps when they itch. Most are gone,  but I did get two new ones a couple of days ago.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Deafness unilateral
Clinical narrative: Hearing loss in left ear
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Parosmia
Clinical narrative: Parosmia.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Pt received 2nd dose of moderna vaccine at 21 days. No adverse events or outcomes observed.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Hordeolum, Hyperaesthesia teeth, Pain in extremity
Clinical narrative: Very sore arm 10 days post vaccination accompanied by sensitive teeth on left side of mouth and a stye on left eye. Recovery took 2-3 weeks
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Chills, low grade fever, headaques, body pain.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear discomfort, Fatigue, Pyrexia, Vertigo
Clinical narrative: I felt a small amount of fatigue after the dose, so I took things slow for the first few days. Then four days after the dose I felt moderate light-headedness while out for a walk. It passed after an hour or two.  Four days after first dose, I woke up with extreme dizziness and vertigo that made it difficult to balance without placing a hand on the wall. The first dizziness passed, but over the next few days I felt feverish and had pressure in my left ear. These symptoms (fever, fatigue, dizziness, ear discomfort) continue to persist now 10 days after the first dose and show no sign of abating.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial infection, Incorrect route of product administration, Injection site infection
Clinical narrative: Developed  bacterial infection at site of injection.  PCP believes the vaccine was given to low. Sought medical care at Urgent Care, and PCP.  Received 14 day course of Bactrim-BID.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Hyperglycaemia, Hypertension
Clinical narrative: Pt had a sudden onset of weakness and dizziness after 2nd dose of Moderna Vaccine. Pt was Hypertensive and hyperglycemic. Transported to medical.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspnoea, Fatigue, Headache, Hyperhidrosis
Clinical narrative: I received my vaccine Saturday the 24th. High Fever 104 degrees starting at 1:30am on April 25th lasting until 9:35 am. I took tylenol around 9 am so my fever went down to 102 degrees at approximately 9:35am on April 25th. Same day around 3:30pm my temp went back up to 103 degrees. That night was rough again with the fever staying steady at 103. Took tylenol again around 3 am and fell back asleep. At 5:40 am April 26th, (Monday) my temp was down to 102 degrees. Finally went down to 99.8 Monday April 26th in the afternoon. Around 8:10pm it went back up to 100.4 and about 30 minutes later it was back to 101. Held steady through the night around 101 degrees. It's now Tuesday but my temp is back down to 99 degrees. Sunday and Monday I had extreme body aches, sweating fits, unbearable headache, sore arm, shortness of breath, extreme fatigue, loss of appetite. It's now Tuesday April 27th and I still have the headache (not as bad), shortness of breath, and loss of appetite. I no longer have body aches and my arm is slowly feeling better where I had the injection.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: I received my vaccine Saturday the 24th. High Fever 104 degrees starting at 1:30am on April 25th lasting until 9:35 am. I took tylenol around 9 am so my fever went down to 102 degrees at approximately 9:35am on April 25th. Same day around 3:30pm my temp went back up to 103 degrees. That night was rough again with the fever staying steady at 103. Took tylenol again around 3 am and fell back asleep. At 5:40 am April 26th, (Monday) my temp was down to 102 degrees. Finally went down to 99.8 Monday April 26th in the afternoon. Around 8:10pm it went back up to 100.4 and about 30 minutes later it was back to 101. Held steady through the night around 101 degrees. It's now Tuesday but my temp is back down to 99 degrees. Sunday and Monday I had extreme body aches, sweating fits, unbearable headache, sore arm, shortness of breath, extreme fatigue, loss of appetite. It's now Tuesday April 27th and I still have the headache (not as bad), shortness of breath, and loss of appetite. I no longer have body aches and my arm is slowly feeling better where I had the injection.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Chills, Decreased appetite, Diarrhoea
Clinical narrative: About 8 hours after receiving the shot I had a fever of 103.8, aches, chills, nausea, diarrhea, headaches, and body aches lasting for 2 days.  Since then I have been experiences fevers, chills, aches and pains which come on suddenly and last anywhere from 2 to 10 days.  My head gets "fuzzy", I am unable to concentrate, my legs feel "rubbery".  I have loss of appetite, taste, and smell, and my toes on both feet get red and swollen, especially on the soles of my feet on the pads beneath my toes.  I'm tired all the time and have been known to sleep for days at a time.I haven't felt "normal" since I had the second shot.  I had no adverse reactions to the first shot.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Erythema, Fatigue, Feeling abnormal, Headache
Clinical narrative: About 8 hours after receiving the shot I had a fever of 103.8, aches, chills, nausea, diarrhea, headaches, and body aches lasting for 2 days.  Since then I have been experiences fevers, chills, aches and pains which come on suddenly and last anywhere from 2 to 10 days.  My head gets "fuzzy", I am unable to concentrate, my legs feel "rubbery".  I have loss of appetite, taste, and smell, and my toes on both feet get red and swollen, especially on the soles of my feet on the pads beneath my toes.  I'm tired all the time and have been known to sleep for days at a time.I haven't felt "normal" since I had the second shot.  I had no adverse reactions to the first shot.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Laboratory test normal, Nausea, Pain, Peripheral swelling
Clinical narrative: About 8 hours after receiving the shot I had a fever of 103.8, aches, chills, nausea, diarrhea, headaches, and body aches lasting for 2 days.  Since then I have been experiences fevers, chills, aches and pains which come on suddenly and last anywhere from 2 to 10 days.  My head gets "fuzzy", I am unable to concentrate, my legs feel "rubbery".  I have loss of appetite, taste, and smell, and my toes on both feet get red and swollen, especially on the soles of my feet on the pads beneath my toes.  I'm tired all the time and have been known to sleep for days at a time.I haven't felt "normal" since I had the second shot.  I had no adverse reactions to the first shot.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sensory disturbance
Clinical narrative: About 8 hours after receiving the shot I had a fever of 103.8, aches, chills, nausea, diarrhea, headaches, and body aches lasting for 2 days.  Since then I have been experiences fevers, chills, aches and pains which come on suddenly and last anywhere from 2 to 10 days.  My head gets "fuzzy", I am unable to concentrate, my legs feel "rubbery".  I have loss of appetite, taste, and smell, and my toes on both feet get red and swollen, especially on the soles of my feet on the pads beneath my toes.  I'm tired all the time and have been known to sleep for days at a time.I haven't felt "normal" since I had the second shot.  I had no adverse reactions to the first shot.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Hypoaesthesia, Paraesthesia
Clinical narrative: Patient felt numbness and tingling in his L arm and felt numbness, tingling and warmness in his face. Felt his face and ears were getting red. No complaints of chest tightness or constricted airway. No signs of hives or redness on limbs or neck. Vitals were 117/70, 99%, pulse 78. Patient was given benadryl and had stated he felt his symptoms were starting to subside. Patient was instructed to wait longer than the given time however in minutes he felt his symptoms were coming back and progressing. At this time EMS was called and the patient was transported to a local hospital via ambulance.
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient c/o dizziness at 11:53 am -  vs :BP 112/64 HR 62 SAT 97 12:13 -Patient felt better and requesting to go home patient wants to stay in his  patient left for home
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Patient reports a burning pain in her right leg from the hip to the knee area; not pinpoint pain, more radiating; initial swelling but reports no longer swollen. Patient following up with primary care provider to see if this is related to history of back issues and radiating pain or something  else.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature fluctuation, Fatigue, Feeling cold, Headache, Myalgia
Clinical narrative: Extreme fatigue about 6 hours after 2nd dose. body/muscle aches, fever, chills, trouble regulating body temp, headache 10 hours until fever broke. Headache and muscle aches/sensitivity the next day.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Extreme fatigue about 6 hours after 2nd dose. body/muscle aches, fever, chills, trouble regulating body temp, headache 10 hours until fever broke. Headache and muscle aches/sensitivity the next day.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Incorrect route of product administration, Joint range of motion decreased, Pain
Clinical narrative: Pt reports being given Moderna vaccine #2 during clinic on Sunday 4/18/21 by a nursing student.  Shortly after the vaccine she developed severe pain and decreased range of motion of her shoulder, radiating to upper back/neck and chest. She was seen at ED and there was concern the vaccine site was unusually high and possibly injected into a tendon. Pain has persisted over a week, though range of motion is slowly improving.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Flatulence, Headache
Clinical narrative: Date 4.21.2021 - sore arm after injection, moderate Date 4.22.2021 - approx 12 hours after injection fever, chills, body aches, fever,  inability to sleep, moderate Date 4.23.2021 - 24-48 hours after injection fever, chills, body aches, fever inability to sleep resolve Date 4.25.2021 - moderate stomach upset, intestinal gas Date 4.26.2021 - severe stomach and intestinal gas, severe diarrhea, severe bowl movement watery stool every hour for 14 hours Date 4.27.2021 - severe intestinal gas and severe diarrhea continues and resolves ~ 24 hours later.  Headache remains
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Pain, Pain in extremity, Pyrexia
Clinical narrative: Date 4.21.2021 - sore arm after injection, moderate Date 4.22.2021 - approx 12 hours after injection fever, chills, body aches, fever,  inability to sleep, moderate Date 4.23.2021 - 24-48 hours after injection fever, chills, body aches, fever inability to sleep resolve Date 4.25.2021 - moderate stomach upset, intestinal gas Date 4.26.2021 - severe stomach and intestinal gas, severe diarrhea, severe bowl movement watery stool every hour for 14 hours Date 4.27.2021 - severe intestinal gas and severe diarrhea continues and resolves ~ 24 hours later.  Headache remains
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pain in extremity, Somnolence
Clinical narrative: My arm was throbbing Sunday night, but Monday morning I could barely keep my eyes open, I was chilling all day, even with a sweater and space heater facing directly on me, and I was achy.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Dermatitis acneiform, Rash
Clinical narrative: I developed the full body rash with pimples and prickly red bumps that resembles measles. It is painless. It spread even more after the second vaccine. I am over two weeks out after the second vaccine and none of the rash has even started to clear up.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Tinnitus
Clinical narrative: Tinnitus in both ears, worse in the left ear. Drumming sensation in left ear sporadically. No tinnitus previous to vaccination. Sudden onset around March 10.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Limb discomfort, Pain
Clinical narrative: Received vaccine at 2:50 on 4/22. Within a couple of hours was feeling a bit dizzy and light headed.  And very tired and fatigued. Vomited at 2:15am, low grade fever at 8am, body was sore and aching- felt like I was hit by a truck, limbs felt very heavy, extremely fatigued, headache.  The next day, 4/24, fever was gone, but still very fatigued and limbs still felt heavy, mild headache. By day 3 was just a bit tired, but overall had recovered.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Received vaccine at 2:50 on 4/22. Within a couple of hours was feeling a bit dizzy and light headed.  And very tired and fatigued. Vomited at 2:15am, low grade fever at 8am, body was sore and aching- felt like I was hit by a truck, limbs felt very heavy, extremely fatigued, headache.  The next day, 4/24, fever was gone, but still very fatigued and limbs still felt heavy, mild headache. By day 3 was just a bit tired, but overall had recovered.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Basophil count normal, Diarrhoea, Dyspnoea, Eosinophil count normal
Clinical narrative: CC: arm swelling, flushing, skin redness; HPi: this is a 43 y/o female who presents to the UC with right arm swelling in area of injection site from COVID vaccination from 4/18/21. She had a faint shortness of breath but did not take albuterol. She has a history of multiple allergies and has been followed by an allergist. Husband noticed face was flushed this morning. Also general abdominal upset with diarrhea. No vomiting. No fever or chills. She reports often a delayed reaction to allergens. Gastrointestinal: Positive for abdominal distention and diarrhea. Skin: Positive for rash. All other systems reviewed and are negative. Medications, albuterol inhaler 4 puff (4 puffs Inhalation Given 4/26/21 1234), methylPREDNISolone sodium succcinate (PF) (SOLU-MEDROL) injectable 125 mg (125 mg Intravenous Given 4/26/21 1230), diphenhydrAMINE (BENADRYL) injectable 25 mg (25 mg Intravenous Given 4/26/21 1231), famotidine (PEPCID) 20 mg in NS 50 mL IV infusion (0 mg Intravenous Stopped 4/26/21 1251); Medical Decision Making: This is a 43 y/o female with history of multiple significant allergic reactions. Here with delayed allergic reaction to COVID vaccine. She was treated with Solumedrol 125mg IV benadryl 25mg IV and pepcid 20mg IV. The erythema of face and nec/shoulders resolved. She was also given albuterol inhaler. We discussed postponing the next covid vaccine until she confers with her allergist. Will treat with prednisone 50mg daily for 5 days, pepcid and benadryl.- Return precautions for recurrence of allergy or any other concerns. After careful consideration of patients presentation and clinical course, at this time there does not appear to be an indication for further emergent evaluation or intervention, nor is there an indication for admission to the hospital.  At the time of discharge I do not think, to the best of my medical judgment, that an emergent medical condition exists and patient is discharged home well-appearing in stable and satisfactory condition.  Discharge diagnosis, instructions and plan were discussed and understood.  Signs and symptoms that should prompt return to the Urgent Care were discussed and understood.  Both verbal and written discharge instructions were provided.  At the time of discharge patient appeared comfortable, was in no apparent distress and vital signs were within normal expected limits.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Flushing, Full blood count, Haematocrit normal, Haemoglobin normal
Clinical narrative: CC: arm swelling, flushing, skin redness; HPi: this is a 43 y/o female who presents to the UC with right arm swelling in area of injection site from COVID vaccination from 4/18/21. She had a faint shortness of breath but did not take albuterol. She has a history of multiple allergies and has been followed by an allergist. Husband noticed face was flushed this morning. Also general abdominal upset with diarrhea. No vomiting. No fever or chills. She reports often a delayed reaction to allergens. Gastrointestinal: Positive for abdominal distention and diarrhea. Skin: Positive for rash. All other systems reviewed and are negative. Medications, albuterol inhaler 4 puff (4 puffs Inhalation Given 4/26/21 1234), methylPREDNISolone sodium succcinate (PF) (SOLU-MEDROL) injectable 125 mg (125 mg Intravenous Given 4/26/21 1230), diphenhydrAMINE (BENADRYL) injectable 25 mg (25 mg Intravenous Given 4/26/21 1231), famotidine (PEPCID) 20 mg in NS 50 mL IV infusion (0 mg Intravenous Stopped 4/26/21 1251); Medical Decision Making: This is a 43 y/o female with history of multiple significant allergic reactions. Here with delayed allergic reaction to COVID vaccine. She was treated with Solumedrol 125mg IV benadryl 25mg IV and pepcid 20mg IV. The erythema of face and nec/shoulders resolved. She was also given albuterol inhaler. We discussed postponing the next covid vaccine until she confers with her allergist. Will treat with prednisone 50mg daily for 5 days, pepcid and benadryl.- Return precautions for recurrence of allergy or any other concerns. After careful consideration of patients presentation and clinical course, at this time there does not appear to be an indication for further emergent evaluation or intervention, nor is there an indication for admission to the hospital.  At the time of discharge I do not think, to the best of my medical judgment, that an emergent medical condition exists and patient is discharged home well-appearing in stable and satisfactory condition.  Discharge diagnosis, instructions and plan were discussed and understood.  Signs and symptoms that should prompt return to the Urgent Care were discussed and understood.  Both verbal and written discharge instructions were provided.  At the time of discharge patient appeared comfortable, was in no apparent distress and vital signs were within normal expected limits.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Lymphocyte count normal, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: CC: arm swelling, flushing, skin redness; HPi: this is a 43 y/o female who presents to the UC with right arm swelling in area of injection site from COVID vaccination from 4/18/21. She had a faint shortness of breath but did not take albuterol. She has a history of multiple allergies and has been followed by an allergist. Husband noticed face was flushed this morning. Also general abdominal upset with diarrhea. No vomiting. No fever or chills. She reports often a delayed reaction to allergens. Gastrointestinal: Positive for abdominal distention and diarrhea. Skin: Positive for rash. All other systems reviewed and are negative. Medications, albuterol inhaler 4 puff (4 puffs Inhalation Given 4/26/21 1234), methylPREDNISolone sodium succcinate (PF) (SOLU-MEDROL) injectable 125 mg (125 mg Intravenous Given 4/26/21 1230), diphenhydrAMINE (BENADRYL) injectable 25 mg (25 mg Intravenous Given 4/26/21 1231), famotidine (PEPCID) 20 mg in NS 50 mL IV infusion (0 mg Intravenous Stopped 4/26/21 1251); Medical Decision Making: This is a 43 y/o female with history of multiple significant allergic reactions. Here with delayed allergic reaction to COVID vaccine. She was treated with Solumedrol 125mg IV benadryl 25mg IV and pepcid 20mg IV. The erythema of face and nec/shoulders resolved. She was also given albuterol inhaler. We discussed postponing the next covid vaccine until she confers with her allergist. Will treat with prednisone 50mg daily for 5 days, pepcid and benadryl.- Return precautions for recurrence of allergy or any other concerns. After careful consideration of patients presentation and clinical course, at this time there does not appear to be an indication for further emergent evaluation or intervention, nor is there an indication for admission to the hospital.  At the time of discharge I do not think, to the best of my medical judgment, that an emergent medical condition exists and patient is discharged home well-appearing in stable and satisfactory condition.  Discharge diagnosis, instructions and plan were discussed and understood.  Signs and symptoms that should prompt return to the Urgent Care were discussed and understood.  Both verbal and written discharge instructions were provided.  At the time of discharge patient appeared comfortable, was in no apparent distress and vital signs were within normal expected limits.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Monocyte count normal, Neutrophil count normal, Platelet count normal, Pregnancy test urine negative, Red blood cell count normal
Clinical narrative: CC: arm swelling, flushing, skin redness; HPi: this is a 43 y/o female who presents to the UC with right arm swelling in area of injection site from COVID vaccination from 4/18/21. She had a faint shortness of breath but did not take albuterol. She has a history of multiple allergies and has been followed by an allergist. Husband noticed face was flushed this morning. Also general abdominal upset with diarrhea. No vomiting. No fever or chills. She reports often a delayed reaction to allergens. Gastrointestinal: Positive for abdominal distention and diarrhea. Skin: Positive for rash. All other systems reviewed and are negative. Medications, albuterol inhaler 4 puff (4 puffs Inhalation Given 4/26/21 1234), methylPREDNISolone sodium succcinate (PF) (SOLU-MEDROL) injectable 125 mg (125 mg Intravenous Given 4/26/21 1230), diphenhydrAMINE (BENADRYL) injectable 25 mg (25 mg Intravenous Given 4/26/21 1231), famotidine (PEPCID) 20 mg in NS 50 mL IV infusion (0 mg Intravenous Stopped 4/26/21 1251); Medical Decision Making: This is a 43 y/o female with history of multiple significant allergic reactions. Here with delayed allergic reaction to COVID vaccine. She was treated with Solumedrol 125mg IV benadryl 25mg IV and pepcid 20mg IV. The erythema of face and nec/shoulders resolved. She was also given albuterol inhaler. We discussed postponing the next covid vaccine until she confers with her allergist. Will treat with prednisone 50mg daily for 5 days, pepcid and benadryl.- Return precautions for recurrence of allergy or any other concerns. After careful consideration of patients presentation and clinical course, at this time there does not appear to be an indication for further emergent evaluation or intervention, nor is there an indication for admission to the hospital.  At the time of discharge I do not think, to the best of my medical judgment, that an emergent medical condition exists and patient is discharged home well-appearing in stable and satisfactory condition.  Discharge diagnosis, instructions and plan were discussed and understood.  Signs and symptoms that should prompt return to the Urgent Care were discussed and understood.  Both verbal and written discharge instructions were provided.  At the time of discharge patient appeared comfortable, was in no apparent distress and vital signs were within normal expected limits.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Red cell distribution width normal, Urine analysis normal, White blood cell count normal
Clinical narrative: CC: arm swelling, flushing, skin redness; HPi: this is a 43 y/o female who presents to the UC with right arm swelling in area of injection site from COVID vaccination from 4/18/21. She had a faint shortness of breath but did not take albuterol. She has a history of multiple allergies and has been followed by an allergist. Husband noticed face was flushed this morning. Also general abdominal upset with diarrhea. No vomiting. No fever or chills. She reports often a delayed reaction to allergens. Gastrointestinal: Positive for abdominal distention and diarrhea. Skin: Positive for rash. All other systems reviewed and are negative. Medications, albuterol inhaler 4 puff (4 puffs Inhalation Given 4/26/21 1234), methylPREDNISolone sodium succcinate (PF) (SOLU-MEDROL) injectable 125 mg (125 mg Intravenous Given 4/26/21 1230), diphenhydrAMINE (BENADRYL) injectable 25 mg (25 mg Intravenous Given 4/26/21 1231), famotidine (PEPCID) 20 mg in NS 50 mL IV infusion (0 mg Intravenous Stopped 4/26/21 1251); Medical Decision Making: This is a 43 y/o female with history of multiple significant allergic reactions. Here with delayed allergic reaction to COVID vaccine. She was treated with Solumedrol 125mg IV benadryl 25mg IV and pepcid 20mg IV. The erythema of face and nec/shoulders resolved. She was also given albuterol inhaler. We discussed postponing the next covid vaccine until she confers with her allergist. Will treat with prednisone 50mg daily for 5 days, pepcid and benadryl.- Return precautions for recurrence of allergy or any other concerns. After careful consideration of patients presentation and clinical course, at this time there does not appear to be an indication for further emergent evaluation or intervention, nor is there an indication for admission to the hospital.  At the time of discharge I do not think, to the best of my medical judgment, that an emergent medical condition exists and patient is discharged home well-appearing in stable and satisfactory condition.  Discharge diagnosis, instructions and plan were discussed and understood.  Signs and symptoms that should prompt return to the Urgent Care were discussed and understood.  Both verbal and written discharge instructions were provided.  At the time of discharge patient appeared comfortable, was in no apparent distress and vital signs were within normal expected limits.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Fatigue, Feeling abnormal, Headache
Clinical narrative: Shortness of breath, chest pain that feels like a heart attack, rapid heart rate, headache, muscle fatigue and extreme tiredness
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Muscle fatigue
Clinical narrative: Shortness of breath, chest pain that feels like a heart attack, rapid heart rate, headache, muscle fatigue and extreme tiredness
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Feeling hot, Headache, Inflammation
Clinical narrative: On day 9 after my second  vaccination woke up feeling itchy, inflamed with severe joint pain in knuckles, hips, and feet and a hot scalp headache, extreme fatigue. On Saturday had the same pain/inflammation symptoms and began running a low grade fever (99.4-99.6) that was not responsive to ibuprofen. Ran a fever also on Sunday, 99.6, again not responsive to ibuprofen. Began taking Claritin in case this was a  serum sickness like reaction on Monday and that helped immensely, finally the ibuprofen was able to work and the fever went down. Today, Tuesday, I am still itchy all over, fatigued and with some pain but not as bad. I also took Claritin and ibuprofen on waking. While I have chronic health issues these reactions are totally new for me. I had four weeks of intense, relentless inflammation, headaches and extreme joint pain (my joints visibly red for weeks) (no fever after my first dose of the vaccine) but my doctors never mentioned SSLR. With the second dose I actually felt better for over a week, but then it all came back, was much worse and the delay was confusing. It was almost impossible to find information about delayed non-local reactions.  I am reporting it because other people need to know that SSLRs are possible with this vaccine and can be debilitating. Please let people know!
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Pyrexia, Serum sickness-like reaction, Skin irritation
Clinical narrative: On day 9 after my second  vaccination woke up feeling itchy, inflamed with severe joint pain in knuckles, hips, and feet and a hot scalp headache, extreme fatigue. On Saturday had the same pain/inflammation symptoms and began running a low grade fever (99.4-99.6) that was not responsive to ibuprofen. Ran a fever also on Sunday, 99.6, again not responsive to ibuprofen. Began taking Claritin in case this was a  serum sickness like reaction on Monday and that helped immensely, finally the ibuprofen was able to work and the fever went down. Today, Tuesday, I am still itchy all over, fatigued and with some pain but not as bad. I also took Claritin and ibuprofen on waking. While I have chronic health issues these reactions are totally new for me. I had four weeks of intense, relentless inflammation, headaches and extreme joint pain (my joints visibly red for weeks) (no fever after my first dose of the vaccine) but my doctors never mentioned SSLR. With the second dose I actually felt better for over a week, but then it all came back, was much worse and the delay was confusing. It was almost impossible to find information about delayed non-local reactions.  I am reporting it because other people need to know that SSLRs are possible with this vaccine and can be debilitating. Please let people know!
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Patient had nausea. Provided water, crackers. Stable, released from vaccination site.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Nasal congestion, Pyrexia
Clinical narrative: Received Pfizer COVID vaccine 12/26/2020 and 1/16/2021.   On 4/25/2021 developed loss of taste/smell, fever, and nasal congestion.  Tested positive for COVID.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Received Pfizer COVID vaccine 12/26/2020 and 1/16/2021.   On 4/25/2021 developed loss of taste/smell, fever, and nasal congestion.  Tested positive for COVID.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Blood cholesterol increased, Blood test abnormal, Chills, Computerised tomogram head abnormal
Clinical narrative: On 04/20/21 at approx. 1:30 AM he awoke disoriented, lightheaded, "feeling funny" - knew something was different.  States he could not make works come out his mouth, make complete sentences.  This lasted for 7 or 8 minutes, then cleared up.  He called his PMD that morning and was told to go to ER. He went to Hosp. ER, but was then sent to another Hospital.  Hospitalized from 04/20/21 and discharged late afternoon of 04/22/21. Extensive blood work done, CAT scan, MRI, Carotoid ultrasound, Echo cardiogram. No signs of A-fib, cholesteral slightly elevated.  DX. with TIA.  Referred back to his cardiologist Has been under care of his cardiologist for 7 plus years -  Pt is an active runner - Runs approx. 6 days a week for 2 1/2 to 3 miles per day.  For the past few months he has switched to interval walk/run. After 1st dose of Moderna 03/03/21 - Reports no issues expect slight injection site discomfort. After his second dose of Moderna 03/31/21 - Reports chills 12 hours after injection, low-grade fever (99.0 - 100.0) started 14 hours after the injection. All symptoms resolved 30 hours after injection date and time.  Stated he kept notes of this.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Echocardiogram normal, Feeling abnormal, Magnetic resonance imaging head abnormal
Clinical narrative: On 04/20/21 at approx. 1:30 AM he awoke disoriented, lightheaded, "feeling funny" - knew something was different.  States he could not make works come out his mouth, make complete sentences.  This lasted for 7 or 8 minutes, then cleared up.  He called his PMD that morning and was told to go to ER. He went to Hosp. ER, but was then sent to another Hospital.  Hospitalized from 04/20/21 and discharged late afternoon of 04/22/21. Extensive blood work done, CAT scan, MRI, Carotoid ultrasound, Echo cardiogram. No signs of A-fib, cholesteral slightly elevated.  DX. with TIA.  Referred back to his cardiologist Has been under care of his cardiologist for 7 plus years -  Pt is an active runner - Runs approx. 6 days a week for 2 1/2 to 3 miles per day.  For the past few months he has switched to interval walk/run. After 1st dose of Moderna 03/03/21 - Reports no issues expect slight injection site discomfort. After his second dose of Moderna 03/31/21 - Reports chills 12 hours after injection, low-grade fever (99.0 - 100.0) started 14 hours after the injection. All symptoms resolved 30 hours after injection date and time.  Stated he kept notes of this.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Speech disorder, Transient ischaemic attack, Ultrasound Doppler
Clinical narrative: On 04/20/21 at approx. 1:30 AM he awoke disoriented, lightheaded, "feeling funny" - knew something was different.  States he could not make works come out his mouth, make complete sentences.  This lasted for 7 or 8 minutes, then cleared up.  He called his PMD that morning and was told to go to ER. He went to Hosp. ER, but was then sent to another Hospital.  Hospitalized from 04/20/21 and discharged late afternoon of 04/22/21. Extensive blood work done, CAT scan, MRI, Carotoid ultrasound, Echo cardiogram. No signs of A-fib, cholesteral slightly elevated.  DX. with TIA.  Referred back to his cardiologist Has been under care of his cardiologist for 7 plus years -  Pt is an active runner - Runs approx. 6 days a week for 2 1/2 to 3 miles per day.  For the past few months he has switched to interval walk/run. After 1st dose of Moderna 03/03/21 - Reports no issues expect slight injection site discomfort. After his second dose of Moderna 03/31/21 - Reports chills 12 hours after injection, low-grade fever (99.0 - 100.0) started 14 hours after the injection. All symptoms resolved 30 hours after injection date and time.  Stated he kept notes of this.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Ammonia normal, Anion gap increased, Ascites, Aspartate aminotransferase increased, Blood albumin decreased
Clinical narrative: Patient with known alcoholism, found down and out covered in blood for an unknown period of time.  Brought to Healthcare Facility by ambulance for treatment, and planned to transfer.  Suspected GI bleed; when flight crew arrived, decided to intubate.  Failed first attempt, and patient when into cardiac arrest.  Was revived with CPR and 2 doses of epinephrine.  Pt also received TXA and 1 unit PRBC, and fluids.  Successful second attempt, though BPs remained labile.  Pt transferred to ICU and was notified that additional evaluation found bleed had actually occurred proximal GI tract (oral mucosal bleed, not esophageal).  Pt also diagnosed prior to transfer with multilobar pneumonitis, ascites secondary to alcohol cirrhosis, hematemesis/meme positive stool, leukocytosis and pancreatitis.  Was notified by ICU less than 24 hours later that pt was on vent and stable.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase increased, Blood bilirubin increased, Blood calcium decreased, Blood culture, Blood ethanol increased
Clinical narrative: Patient with known alcoholism, found down and out covered in blood for an unknown period of time.  Brought to Healthcare Facility by ambulance for treatment, and planned to transfer.  Suspected GI bleed; when flight crew arrived, decided to intubate.  Failed first attempt, and patient when into cardiac arrest.  Was revived with CPR and 2 doses of epinephrine.  Pt also received TXA and 1 unit PRBC, and fluids.  Successful second attempt, though BPs remained labile.  Pt transferred to ICU and was notified that additional evaluation found bleed had actually occurred proximal GI tract (oral mucosal bleed, not esophageal).  Pt also diagnosed prior to transfer with multilobar pneumonitis, ascites secondary to alcohol cirrhosis, hematemesis/meme positive stool, leukocytosis and pancreatitis.  Was notified by ICU less than 24 hours later that pt was on vent and stable.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid decreased, Blood sodium decreased, Cardiac arrest, Cirrhosis alcoholic, Colitis
Clinical narrative: Patient with known alcoholism, found down and out covered in blood for an unknown period of time.  Brought to Healthcare Facility by ambulance for treatment, and planned to transfer.  Suspected GI bleed; when flight crew arrived, decided to intubate.  Failed first attempt, and patient when into cardiac arrest.  Was revived with CPR and 2 doses of epinephrine.  Pt also received TXA and 1 unit PRBC, and fluids.  Successful second attempt, though BPs remained labile.  Pt transferred to ICU and was notified that additional evaluation found bleed had actually occurred proximal GI tract (oral mucosal bleed, not esophageal).  Pt also diagnosed prior to transfer with multilobar pneumonitis, ascites secondary to alcohol cirrhosis, hematemesis/meme positive stool, leukocytosis and pancreatitis.  Was notified by ICU less than 24 hours later that pt was on vent and stable.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Endotracheal intubation, Gastrointestinal haemorrhage, Haematemesis, Haematocrit decreased
Clinical narrative: Patient with known alcoholism, found down and out covered in blood for an unknown period of time.  Brought to Healthcare Facility by ambulance for treatment, and planned to transfer.  Suspected GI bleed; when flight crew arrived, decided to intubate.  Failed first attempt, and patient when into cardiac arrest.  Was revived with CPR and 2 doses of epinephrine.  Pt also received TXA and 1 unit PRBC, and fluids.  Successful second attempt, though BPs remained labile.  Pt transferred to ICU and was notified that additional evaluation found bleed had actually occurred proximal GI tract (oral mucosal bleed, not esophageal).  Pt also diagnosed prior to transfer with multilobar pneumonitis, ascites secondary to alcohol cirrhosis, hematemesis/meme positive stool, leukocytosis and pancreatitis.  Was notified by ICU less than 24 hours later that pt was on vent and stable.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hepatic steatosis, Influenza A virus test negative, Influenza B virus test, Intensive care
Clinical narrative: Patient with known alcoholism, found down and out covered in blood for an unknown period of time.  Brought to Healthcare Facility by ambulance for treatment, and planned to transfer.  Suspected GI bleed; when flight crew arrived, decided to intubate.  Failed first attempt, and patient when into cardiac arrest.  Was revived with CPR and 2 doses of epinephrine.  Pt also received TXA and 1 unit PRBC, and fluids.  Successful second attempt, though BPs remained labile.  Pt transferred to ICU and was notified that additional evaluation found bleed had actually occurred proximal GI tract (oral mucosal bleed, not esophageal).  Pt also diagnosed prior to transfer with multilobar pneumonitis, ascites secondary to alcohol cirrhosis, hematemesis/meme positive stool, leukocytosis and pancreatitis.  Was notified by ICU less than 24 hours later that pt was on vent and stable.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: International normalised ratio increased, Leukocytosis, Lipase increased, Loss of consciousness, Mechanical ventilation
Clinical narrative: Patient with known alcoholism, found down and out covered in blood for an unknown period of time.  Brought to Healthcare Facility by ambulance for treatment, and planned to transfer.  Suspected GI bleed; when flight crew arrived, decided to intubate.  Failed first attempt, and patient when into cardiac arrest.  Was revived with CPR and 2 doses of epinephrine.  Pt also received TXA and 1 unit PRBC, and fluids.  Successful second attempt, though BPs remained labile.  Pt transferred to ICU and was notified that additional evaluation found bleed had actually occurred proximal GI tract (oral mucosal bleed, not esophageal).  Pt also diagnosed prior to transfer with multilobar pneumonitis, ascites secondary to alcohol cirrhosis, hematemesis/meme positive stool, leukocytosis and pancreatitis.  Was notified by ICU less than 24 hours later that pt was on vent and stable.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: N-terminal prohormone brain natriuretic peptide increased, Neutrophil percentage increased, Occult blood positive, Pancreatitis, Pharyngeal haemorrhage
Clinical narrative: Patient with known alcoholism, found down and out covered in blood for an unknown period of time.  Brought to Healthcare Facility by ambulance for treatment, and planned to transfer.  Suspected GI bleed; when flight crew arrived, decided to intubate.  Failed first attempt, and patient when into cardiac arrest.  Was revived with CPR and 2 doses of epinephrine.  Pt also received TXA and 1 unit PRBC, and fluids.  Successful second attempt, though BPs remained labile.  Pt transferred to ICU and was notified that additional evaluation found bleed had actually occurred proximal GI tract (oral mucosal bleed, not esophageal).  Pt also diagnosed prior to transfer with multilobar pneumonitis, ascites secondary to alcohol cirrhosis, hematemesis/meme positive stool, leukocytosis and pancreatitis.  Was notified by ICU less than 24 hours later that pt was on vent and stable.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Pneumonia, Prothrombin time prolonged, Red blood cell count decreased, SARS-CoV-2 test negative
Clinical narrative: Patient with known alcoholism, found down and out covered in blood for an unknown period of time.  Brought to Healthcare Facility by ambulance for treatment, and planned to transfer.  Suspected GI bleed; when flight crew arrived, decided to intubate.  Failed first attempt, and patient when into cardiac arrest.  Was revived with CPR and 2 doses of epinephrine.  Pt also received TXA and 1 unit PRBC, and fluids.  Successful second attempt, though BPs remained labile.  Pt transferred to ICU and was notified that additional evaluation found bleed had actually occurred proximal GI tract (oral mucosal bleed, not esophageal).  Pt also diagnosed prior to transfer with multilobar pneumonitis, ascites secondary to alcohol cirrhosis, hematemesis/meme positive stool, leukocytosis and pancreatitis.  Was notified by ICU less than 24 hours later that pt was on vent and stable.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Patient with known alcoholism, found down and out covered in blood for an unknown period of time.  Brought to Healthcare Facility by ambulance for treatment, and planned to transfer.  Suspected GI bleed; when flight crew arrived, decided to intubate.  Failed first attempt, and patient when into cardiac arrest.  Was revived with CPR and 2 doses of epinephrine.  Pt also received TXA and 1 unit PRBC, and fluids.  Successful second attempt, though BPs remained labile.  Pt transferred to ICU and was notified that additional evaluation found bleed had actually occurred proximal GI tract (oral mucosal bleed, not esophageal).  Pt also diagnosed prior to transfer with multilobar pneumonitis, ascites secondary to alcohol cirrhosis, hematemesis/meme positive stool, leukocytosis and pancreatitis.  Was notified by ICU less than 24 hours later that pt was on vent and stable.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test, Chest pain, Condition aggravated, Dyspnoea
Clinical narrative: Lungs became inflammatory within 3 days. X-rays were taken 3 weeks prior to the vaccination and no inflammation was there. Vaccine triggered lupus flare up. Shortness of breath. Radiant pain from chest to back
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Pain, Pneumonitis, Systemic lupus erythematosus, X-ray
Clinical narrative: Lungs became inflammatory within 3 days. X-rays were taken 3 weeks prior to the vaccination and no inflammation was there. Vaccine triggered lupus flare up. Shortness of breath. Radiant pain from chest to back
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: No adverse event, patient was given 1st dose March 27th. She was identified as being underaged, following CDC guidance we did give her the 2nd dose on April 27th.
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Pt c/o nausea 13 mins after receiving vaccine. She denied any other complaints and noted that she has no past medical history. She was evaluated and assessed by NP and paramedic. BP - 133/78, HR - 78, resp - 14, O2 sat 100%. Pt monitored for another 10 minutes.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough Covid positive patient post vaccination. 3 mo. 18 days.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Hyperhidrosis
Clinical narrative: 44 year old  male, while in post-vacc recovery area, c/o diaphoresis, feeling anxious, wiping sweat from brow and forehead.   Initial vitals: 144/80, 60, 20.  Encouraged to do breathing exercises to assist with relaxation.   Remained seated, upright. Second set of vitals at 0850: 11/60, 60. Reassessment of client- clam, no s/s of distress.   Final set of vitals at 0905: 110/78, 60.  Discharged from clinic at 0906, unassisted.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site paraesthesia, Injection site swelling, Injection site warmth, Paraesthesia
Clinical narrative: Client complained of redness, swelling, warmth, and tingling sensation to left arm that begun 8 days after vaccine. Vaccine given in left arm, tingling sensation from hand to left side of neck. Sensation and motor function intact. Client advised to follow up with MD.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Epistaxis, Fatigue, Feeling abnormal, Feeling cold
Clinical narrative: Day 1.  Evening, sore upper left arm. Day 2.  Cold and achy all day;  not chills, but rather cold from the core on out.  Stayed in bed bundled up with lots of covers, no sleep all day.  Got up every two hours to pee and eat something.  In a.m. could only navigate going downstairs by one step at a time with both feet and holding securely to rails on both sides, as I did not trust my knee, hip, ankle and feet joints and muscles.  By end of day could navigate stairs normally.  Fatigue, foggy mentally, and bicep pain and limited range of motion all day.  Night 2.  Woke at 3 a.m. with extreme headache; got up and went pee and drank a half cup of apple juice; headache gone in twenty minutes and went back to sleep. Day 3. Thigh and calf muscles of both legs, but mostly left thigh, spasm-ed with pain, off and on all day.  Body temp back to normal.  General achiness, fatigue,  lack of mental clarity, and pain itchiness redness of left bicep and limited range of motion continued. Day 4.  Nose bleed lasting about five minutes, mid-morning.  Achiness and fatigue not as severe; clarity returning. Days 5 through 7.  Gradual improvement of all symptoms. Days 8 through 14.  Final resolution of all symptoms;  able to confidently take dog for regular walk, and to do errands and important financial coversations.